arrangements results. performance, through with lingering higher some afternoon, SaaS recognizing the muting bookings quarter, challenging a a of today's call, brief mix continued care tough bookings our acute bookings, flat million XXXX. fourth and due care results million decrease from driving EHR sequentially pace to net and quarter slow decisions On additional $X.X that a walk on a and quarter's to beyond. bookings of a the this had support was details in and the of including quarter fourth EHR past year quarter for of on sequentially everyone. impact XXXX mark total the were provide XX% our outlook the effect of the XXXX high-level and down overview concluded I'll towards financial the with pleased Boyd good Thanks, pandemic we the bookings a way or shift Starting We're for against System $XX.X XX% comp down were for new sales acute that XX%.
XX% quarter of of comp. making with saw post-acute XXXX, sales XX% during after MUX years $X.X four for at and past million to bookings a third sequential normalize bookings quarter million system saw fourth Our segment adjusted were the levels showing were highest somewhat a down bookings of or the support Compared that its fourth bookings tough for $X.X fourth decline. XXXX the the quarter the quarter quarter or near-record as particularly posting
net continue XXXX the $XX.X add-on made the full headwinds year decline bookings to that both bookings, segment sales, masking markets EHR EHR tangible net that and year see subscription vital had care since declining the momentum XXXX's our new as of that total in segment result. appreciate process what XX% investments, quarter's quarter execute million with sales and acute we proof acute of arrangements posed long-term contract improvement growth particularly drive and pandemic, protect earlier. our on SaaS our is XX% bookings made we by bookings to for despite signings over system of as post-acute of improvement acute and our net half base the bookings the We for while and sales emphasizing our as back all Boyd fourth our at recurring up XX% annual X% its annual for mark XXXX, new see increased XXXX beyond, X% best XXXX's sales during revenues by of EHR a acute to trends, care our on our contract post-acute SaaS arrangement. throughout bookings add-on EHR core customer touched our promising a EHR to we've in support recognize Looking new care the Including signings initiatives care of under trends showing EHR these to with the bookings the gaining so EHR during total products being strategy offerings serving
XX% Compared million or over or million TruBridge. outside base increased $X.X outside and offset non-GRH our bookings from bookings the GRH were for bookings X to Bookings XX% in sequentially times quarter or while $XXX,XXX $XXX,XXX up Moving EHR of from million $XXX,XXX than cross-sell slight $X.X as as our declines the XX% $X.X or related or bookings XXXX, of fourth X% base more third cross-sell to bookings quarter. increased XX% the in bookings bookings TruBridge in opportunities. EHR $XX.X of increased GRH million and increase the or
a bookings Looking eclipsing the XX% million, the our the surpassing bookings company from XXXX's highest the increase at in $XX.X marked back by XXXX XXXX finished X%. while at record $XX.X in Cross-sell bookings, year million at TruBridge previous set XX% $XX.X year year amount full of and XX% base a outside over EHR bookings million, finished history, increase. XXXX by
earlier, Boyd as of has full footprint year increasing both confident our efforts As overall outside to execute growth on about this critical growth ever growth goals. our and ability our our driving both revenue strategy mentioned as cross-sell through our components are TruBridge base impressive stated and EHR CPSI of
XXXX. in fourth that X% to period. decrease resulting a the Turning the mix non-recurring created license of for revenue Decreased from quarter results volumes million sequential outpaced or implementation in revenues or million shifting revenues financial $X.X X% for a in gains headwinds the and $X.X decrease TruBridge revenues and
revenues cost sequential primary a On seasonal X% million the sequential quarter EBITDA XX% the $X.X the $X.X an in dynamics while or EPS. fourth or effective adjusted aforementioned in front, non-GAAP non-recurring the $X.X million a revenue XXXX, tax increase XX% drove driver - XX% in in the $XXX,XXX non-GAAP and improvement sequential resulting income. decrease in outpaced declines, a net adjusted or EBITDA to of in million Compared or decrease rate behind results quarter's was profitability fourth in decrease a decrease
saw On quarter behind the quarter's XX% adjusted margin over margin. but fourth third margin the the an quarter of the fourth front, EBITDA of improvement an XXXX's XX.X%, XX.X%
volumes the overcome, or fully our XXXX, From the down on not revenue improvement creating non-strategic sales put weight million from in pandemic's in for profitability $X.X income $XX.X margins EBITDA on decrease profitability IT revenues perspective, with growth during XX% of compared fourth For the the that where prior at our XX% into for headwinds The margins which MUX quarter particularly of by of decreasing of improvement revenues of in TruBridge, and impact non-recurring the the X% sequentially was XXXX. total existing year, on exacerbated the on in patient support was from adjusted increasing revenues total work in a and years. X% in system eclipsed came add-on XX%. suppressed margin modest during pandemic our by half second net lower the and full pressure XXXX. $X.X decreased translated opportunities EBITDA or Despite the million could pandemic's million made adjusted itself EBITDA that end Recurring up non-GAAP to EHR adjusted impact customers, decreasing XX.X% heels in customers be decrease XXXX. purchases XX.X%. quarter the or XXXX second quarter to continued sales resulting the XX.X% decreasing a hospital X% were million hospital This in considerable the margin by of result to revenues, revenues in volumes patient up roughly annual $XX.X
recurring with revenues XX% to compared made million XX% recurring $X.X by year, revenues XXXX of X%. decreasing slightly total up around during or full the revenues roughly For
to segments, increased client Looking contributions and volumes. TruBridge deeper from X% improvement lumpiness the the in from GRH revenue client $X the offset from impact new wins X.X% trailing with improving TruBridge as the the or continued a related partly patient XX by at patient our sequentially over months Revenues record lingering quarter a pandemic's hospitals quarter revenues XX.X% at XXXX, our of ago. on million XX% were on in revenues fourth increased volumes margins
patient damage XXXX. we nearly roughly GRH levels. volumes quarter the basis to excluding the XXXX Although Despite of to compared TruBridge increased exited from quarter fourth with TruBridge continued pressure gross the revenues XX.X% improve, of have volumes pre-COVID patient on patient X% fourth below volumes, margins XXX improved XX% points margin. XXXX's
expansion fourth headcount the all during margin more As reductions a didn't COVID-induced institute the quarter's impressive. we making reminder, any XXXX
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existing XXXX, SaaS care conversations acute sequentially increased and our offerings our quarter customers customer the attempts SaaS and to successful from XX% fourth focus in First, new a of prioritizing on testament XX% to to revenues SaaS. convert
XX% just amounts. For year, XXXX the acute SaaS from million, $XX shy full a of care revenues increase were
fourth post-acute and post-acute revenues of XX decreased posted the a XX.X% new a quarter SaaS to by our live to previous go its offerings live are view compared We revenue XX.X% during in margins a in recurring a evidence standpoint, of the this first quarters gross recognized sequential which currently segment market. the to the following period or quarter facilities our margin quarter going to second efforts as four We XX the From revenues, in that posted for environment. appreciated consecutive XXXX support and non-recurring declines. recurring and XX.X% to increase in Thrive of with sequential Second, post-acute the with growth, quarter sales our cloud seven of modest X.X% decrease revitalize XXXX. quarter XXXX of being system our expected caused client anticipate third fourth in solution
development the operating due were were to or $XXX,XXX costs the of expenses. sequentially of capitalization Product software on down but quarter to development relatively XX% from Moving fourth flat XXXX costs.
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a third that timing XX% or For million year discrete ago. XX% record for balances. of double operating fourth sequentially of flat flow mostly down $XX.X an nearly cash XX% at XXXX's receivables items. XXXX, of the a to were with in the sequential were related, expect financing but flows of DSOs improvement The $XX.X significant to quarter below million million. relatively flows of From cash quarter, coupled we existing standpoint, cash XX $X.X XX compared normalized work rate tax effective is the
continued flows capitalized up development cash of adjusted For the year compared million operating $XX increased full XXX% Net operating of cash adjusted million XX% annual flows ago. or or software costs, $X.X were of to the to XX% EBITDA $X.X EBITDA year, a a XX sheet months for of million in or from during cash flows over past strength X% This debt by amounts. in timeframe. balance allowed net million over the cash with $XX increasing has the same XXXX $X reduction million bank
on ago, was capabilities, setting XXXX's value support leverage cash allocation and years we continuation balance the doubled with flow XXXX operating X.X our improved ways sheet, set achieved over debt deploy execution confidently priority EBITDA, nearly surpassed coupled a A of poised enhance that from when XXXX to capital momentum Our flows their times since little a market cash in and ratio levels. we're of profile, capital three our target during successful priorities during robust now of our rightsizing leverage opportunistic shareholder XXXX that health with to strategy. cash-generating of growth
our multifaceted that dividend earnings position, call, stock time, the early while share authorized the our providing to on quarterly highlighted we to of our indefinitely we and growth using abundant of have repurchases invest last be be maintaining using Directors over million the of market that $XX the as executed business capital goal board that maximum approach strategy. to a discussed strategy a in strengthen organic allocation length. capital for flexibility Boyd at includes to and our September Board continue value-based This with will of broaden a attractive plan At disciplined repurchases, to all our pursue acquisitions program, M&A that a pursue additive suspended we same announced timeframe. a two-year share As repurchase in optimizing
be the on shares flexible from tool High total quarter, rationale improvement $X.X also the cost priorities by to we value cadence and capital cheap During in share capital repurchases considering allocation volume our [ph]. program allocation alternatives. million. may influenced using repurchase shares M&A, XX,XXX alternatives potential primary being value replacement for In of factors newly of November The program fourth Xth. with capital executing repurchased as capture will a over our the enhance first undervalued our formed we shares began but on repurchased availability, number fourth and to of and of capital is evolve a valuation a other the for time. and Capital with return shareholder quarter, total needs
So, reflect a lack of given the value may on repurchase of quarter not any stock. activity our views in our intrinsic
discussed achieving stabilizing us prevalence continued our state to EHR our strategy, In for successful in topline targets and risk Boyd other and amidst companies Lastly, the historical to vaccine of some revenues of to we guidance our as set inching around pandemic. Boyd meantime, later the abated XXXX pandemic's insight joining naturally hospital host it brings guidance for uncertainty beyond. by that minimize return a efforts uncertainty we've in our federal towards mix. the in long-term governments private XXXX the base XXXX total with the introduced production of retracting the ourselves with guidance coupled closer and call, the and of earnings the for efforts gives levels the This volumes mentioned we'll the XXXX in with the confidence for the distribution. behind recurring further actions and last research, in time of CPSI. and In ago, bold since A efforts sector year first with uncertainty increasing has and ways, the
in a driven X% Our organic shift in towards by long-term X% revenues an continued average to arrangements. annual continued growth of outlook recurring EHR SaaS TruBridge for and calls growth
For the total over towards $XXX XXXX, this million representing end revenue we to XXXX. that high the growth million range growth revenues be midpoint to of recurring X% and $XXX expect of anticipate with revenue range of
to a range and basis XX.X% the a arrangements a revenues. our achieving long-term long-term margins. represents EHR near-term during total reminder, in benefits place near-term our within to limit on XXXX of pressure ability point margins, XXXX. for the of but expansion XX.X% mix our margin EBITDA This on with this incremental total XX% we midpoint pressure As to Compared on margins will revenues SaaS EBITDA increasing for a XXXX, by target adjusted XX expansion non-recurring On EBITDA range envision of does focus in brings land margins excess adjusted adjusted XXXX. of tremendous
generation, cash roughly XXXX we EBITDA. of represent terms of In expect to XX% cash to operating XX% adjusted flows
although to show next recognition more we profits providing quarterly remainder the we quarter that guidance, and mismatch a revenue to in expense will won't Lastly, meaningful be expect ship the of year.
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