CPSI - Earnings call transcript Q4 2021

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Operator

Greetings, and welcome to the CPSI Fourth Quarter Earnings Conference Call. At this time, all participants are in a listen-only mode. A brief question-and-answer session will follow the formal presentation. [Operator Instructions] As a reminder, this conference is being recorded. It is now my pleasure to introduce your host, Dru Anderson. Dru. you Thank

begin. You may

Dru Anderson

and year-end welcome fourth afternoon, the to earnings conference and XXXX quarter call. Good CPSI

not future During information this caution management statements based conference operating statements, call, Securities Act only might of our Commission, we including, XX-K. may expressed make on in reflect limited factors, results Litigation and Securities any and Exchange unknown differ materially to and or implied the Harbor currently guarantees other performance. Reform that Actual annual upon such the to statements the report described Private or results result public and from plans, XXXX. of releases statements predictions by as performance known and not constitute recent that pursuant expectations forward-looking those We those Form are and made of such but Safe most available provisions of you expectations and uncertainties regarding forward-looking future forward-looking reports risks, including our with a filed

this or will At developments events Mr. go sir. statements date and caution the to our date forward-looking represents Please in call ahead of of after this the Chief the time, as any President only reflect I call Douglas, this call. outlook turn we that Boyd also revise to forward-looking or undertake over no and investors Executive update information obligation provided We to this Officer.

Boyd Douglas

XX of in along provide of of plan: comments, call David and EBITDA regarding through and my be increase Chief to Throughout afternoon prepared fourth our will everyone, in additional $XX your two I million Matt Officer; the Chief margin Good year, multi-year Dru. of and of the marks core you completion will with on Officer the questions. Growth adjusted three the innovation. the us tangible the results. achieve Operating joining Fowler, to the At shareholder components growth, our take Officer, today. you, to returns Chris important growth Dye, XXXX thank we over who color Financial our months digital focused conclusion quarter comments, available Thank first upside our for our us Chief our will hand and After strategy XXXX. equally optimization Chambless,

and While the continued and care decisions operational across unprecedented team to our EHR KPIs. our resulting labor wins, the present a cross-sells well in CPSI XXXX shortages, executed efforts. had upmarket as strong challenges we TruBridge TruBridge execute industry, cost buying quarter our the include: and TruBridge performance customer set margin These disruptions, fourth in retention against delayed very client expansion base, health into EHR optimization

the we the cycle. critical Before I life our of a it's the worth TruBridge think, reached progress growth I KPIs CPSI's business, noting related to that in milestone cover with

fide the and a and true come the shift no in tone services. mature time EHR transformational in that as business. our For years but player us for landscape, growth TruBridge a should majority to a tried solutions our revenues first up for viewed RCM option that area the revenues TruBridge's of expect quarterly we history, With TruBridge our the setting from surpassed make to the revenues profile, longer is bona see EHR merely growth in

fourth efforts. of just acute that integral strategy this early cross-selling and of strategy base medical over EHR the an in our our the maintenance acquisition and bookings they're as services sales the audience a our mind, encoder clients, share highest including that $XX.X robust quarter at year-to-date. of Healthland for TruCode XX% XXXX. to cross-sell million With rate retention EHR in cross-sell the growth pleased highest TruBridge with now this a First, were our target these of execution Inherent in of since we element client improve in the to is EHR basis. TruBridge is exited $X I'm our acute of post-acute our stand year XXXX million into mark

we the to and $XX in $X offshoring, and enter exited run build organizational new realize as XXXX $XX.X established rate operational as to the we Year-to-date and nearly of XX%, of have million and such by savings core $XX as while in the to margins $XX interest our earlier sales million TruCode our of past confidence in EBITDA XXXX. cost upmarket. million, savings XXXX XXXX. trends XXXX. to on initiatives outside contributors XXXX. end incremental compared in In EBITDA quarter to savings. focus a that sales raising generation maintained to we with were the efficiencies. we $X.X our opportunity exceeding net target With services TruBridge as down million since sales transformational revenues Continuing expect exit and their core a steady highest we run our And million of end run level of EHR rate initiatives in achieve of continued revenues, of execution cross-sell growth cross-sell annual set to the $XX the momentum cost to total realignment we TruBridge our TruBridge into $X marketing head us realize encouraged us market our TruBridge our annual efforts pipeline revenues anticipate change and base million transformation efforts helped a million client were quarters, TruBridge million. positive where in relationships through $X.X as With in up These remains million The we by $XXX by from fourth annual focus rate us was to million recent cost our we the sales, important increasing savings automation XXXX, annual our performance, including targeted of through XXXX, over were annual key base adjusted year just of within an of annual with supporting and operations of XXXX, incremental XXXX. nicely and of beginning the have enabled journey the result to the remain

three continue will the of adjusted EBITDA optimize million. we further XXXX to years, our target to seek $XX Over margins, supporting next

As we the all acutely are aware, COVID-XX health created has the pandemic market. care across strain

the employees facilities With the around spread struggled organizations to quarter. Omicron have other country fourth variant as burnout staff felt, health have care and hospitals in their the the

drivers that seen workers and stress has staffing on health been contributed our health satisfaction shared solution. Last the and large experience, has forcing how, services. health staffing the patient Resignation them the a even ability to front and Health the levels door where had hospitals US-based on having dynamics care have our to skilled made have experience behind and consumers strain selected the safe when their health back The their of digital well health as we care priorities providers. facilities. including of is commitment providers Real rethinking by firsthand and trust organizations and that Health automation, as care help between created impact These care to to our We RCM engagement from our in maintain innovation, as costs for the care improving is are the a their front delivered. the health improve the of very that care digital Great to through jump system, health market cut Get Real and business, Get expansion on difficult consumers offerings These nursing digital mental solutions and door quarter, sometimes

live We the to are EHRs, non-CPSI million front be first before track be own door patients quarter end digital to and connect of in the on easily their of involved year, implementing will this into expect their enabling care with wellness. it which and inpatient XX.X their ambulatory and

gain patient and the In continued front footprint Alberta addition, primarily of than momentum, Canadian in Saskatchewan. in market, licenses, Canadian more digital the now as as X.X we are the million our ended engagement residing provinces door there to year,

turn We Matt licenses have the the that, financial to by the a I of quarter to results. to over call this million into year. for our dive end two would With of deeper expect like second

Matt Chambless

today's detail provide additional quarter Thanks, Boyd fourth through outlook including results a XXXX. walk brief call, our quarter, overview our the financial On good performance, and of afternoon and bookings for some everyone. high-level on I'll a

we dive results. Before the into mixed details, the quarter showed fourth somewhat

$X.X quarter expectations a third according to of TruCode the since reflect XX% the versus pre-acquisition a further after adjustments by results to $X accounting of absent of including our the adjustments quarter, top with Organically, superb XXXX. in year over continues TruCode of with purchase million of amounts, million internal grew basis While contribution both $XX.X of contributions generated XXXX in lines fourth million bookings acquisition acquisition bottom forma Full with inorganic $X.X to coming from XXXX, purchase plan actual TruBridge excellence. revenue revenues of perform incremental on TruBridge's EBITDA. of May quarterly million are disappointed continue and On a accounting growth and EBITDA million operational TruCode and during along million. revenues, EBITDA. revenues $X.X $X.X absent pro

not of and down and bar Moving quarter high. unfortunately XX% to down saw due XXXX, quarter. into bookings XXXX. the fourth sequentially a care set pace System quarter's all But net near-record we and below of quarter sales were the momentum XX% to on XX%, to third for performance were quarter new fourth the last compared that fourth against bookings. decisions. of The EHR over support acute really Total carried in the growth bookings the explosive slow XX%

than may years. bookings average past from You net EHR hospital were double the more couple quarter's recall that our third of new the quarterly

quarter, of towards the or been license from pace half Including from old still While more arrangements spot made XX% first that bookings. were months over A away we double in EHR past add-on EHR maintain SaaS than bright able total SaaS XXXX. sales, perpetual the has for to new our net so model. bookings continued and shift EHR pace bookings fourth hospital the XX of the subscription quarter's the up the the weren't or

pace of For XX% the and XX% new top record the business and of SaaS $X.X for revenues predictability XXXX flows. hospital for averaging line towards and made we're XXXX. million the mix, quarter increasing after around revenues third of enhanced contract our up lower to recurring and leading were steering fourth EHR have year-to-date, cash more were within SaaS XXX% than of XX% XXXX. quarter quarter's net arrangements bookings of signings the By TruBridge's our prevalence offerings,

from this from comp the particularly than and bested XX% increased new for Get of previous million the Get prior TruBridge. fourth patient but bookings the levels Real a from Cross-sell of record of than million $X and quarter our decreased The the quarter for that third by for driving making bookings growing base, we was for TruBridge their initiative EHR of a year were amounts. for record XXXX, quarter Health, engagement Other to outside XX% our a quarter tough bookings quarter. XX% solutions pains year banner create we expect scale Real continue below the more this highest the of fourth by Health's symptom net from fourth quarter at the XXXX's arrive as to sequentially with $X.X business

Looking bookings. back considerably drought half us The of full XXXX the from plan. behind year first set at

momentum below of bookings while of $XX year $XX.X sales were full TruBridge's XX% in total support bookings XXXX's million improved While the half XX% million were and sales year-over-year. second levels system down XXXX nearly

levels. initiative XXXX bookings bookings hospital to a saw increasing Real engagement arena net While with successful and execution of patient for the overall increase nearly the Get our blossoming the contracts within XXX% on new contender SaaS as Health a in EHR year XXXX mix from down

for by over tandem XX% to nearly sequentially financials. revenue XXXX. and Health quarter top Turning the quarter A and line worked the the from XXXX. TruBridge with Get drove the addition X.X% and lift of of increased fourth to of the in XX% Recurring a revenues recent quarter strong X% sequential Real increase nearly TruCode nearly fourth

the for to the in revenue of fourth organic over fourth quarter XX% XX% XXXX. quarter total XX% quarter Recurring up acquisition, recurring quarter revenues TruCode recent was and growth XX% past the of third made in of the XXXX. the compared revenues Excluding

quarter net gain, limiting still On XXXX, of income profitability non-GAAP margins on $X the to the the over and healthy fourth for drag $X.X increases a XX% TruCode's million nonrecurring increased million. quarter front, sequential revenue respectively. were the previous contribution Compared drove was revenues the increase and revenue $X.X on to to adjusted to XX% XX% of declining the XX% or a adjusted EBITDA EBITDA EBITDA quarter margin. EBITDA million million the at $X.X incremental

over the growth overall margin million EBITDA the decrease limited organic $XXX,XXX nonrecurring revenues. to to due fourth $X.X quarter of So, heavy in of was XXXX impact the

we or just the X% grew more $XXX recurring $XX.X we recurring of of in of XX.X% to range midpoint year, quarter range million million decrease our For coupled which increase and Annual X% while XX%, Organically, guidance the recurring to or May by $X.X of north or or were revenues total our $XX.X nearly rates revenue million, capitalization X.X% on the million EBITDA end the to of of $XXX acquisition call. revenue compared $XXX.X with the XXXX the revenues to revenues basis in EBITDA our total which XX% by grew full range expected nearly long-term towards following high million points improved a million improving million organic XX%, This TruCode. of labor XX% of to organic with of $X.X X%. over growth updated second revenue $XX.X to drove $XX.X overall was as revenue earnings or XX.X% than expansion growth XX%. or of average expected million nonrecurring margins million XXX doubled growth adjusted revenues updated

in revenues As recurring XXXX in from of XX% than XX% percentage revenues, increased less total to a XXXX.

the record growth. and XX%. points Looking driving to was XX% deeper a driving momentum million year management from expand nearly of sequentially last strong XX% Real quarter TruBridge period engagement increase. Health's to particularly and Get Compared of revenue patient TruBridge line, or TruCode by Health increased receivable for over receivable points a with revenues of $X.X for the management margins of revenues increased driver revenue with Real being while basis at XXXX segments. fourth TruBridge accounts quarter increased XX% basis service gross million to continued gross the our Get for our compared to XX XXX a margins contribution solutions high $X.X growth largest the organic the Organic accounts fourth behind

decreased in XX% and first sales in outpaced from the third client points and XXXX's system decrease non-recurring XX% of revenues. third-party revenues million as the Thrive eight in from non-recurring of revenues, currently Compared revenues, Next, in XXXX, recurring revenues fourth decreased our or $X go the of are support margins solution while basis were the sequentially expected overall $X.X system of as support X%, XXXX timing to decrease or licenses XXX million a fourth million XX%. cloud live SaaS in the the XX% We down quarter. flat quarter outpaced quarter facilities certain with $XXX,XXX anticipate and in relatively brought revenues increase slightly $XXX,XXX increase to $X.X margins Gross the environment. all recurring the sales quarter to to the new going live in

from labor costs or Moving to on of X% development were $XXX,XXX fourth and operating to increased expenses. quarter due XXXX, decreased Product capitalization. sequentially the flat

from functionality particularly we software the costs. XXXX, experts been $X.X environment, after adopt user million the reflect to feel conference, General lower normalized investments as increased for marketing making increased and EHR $X quarter, labor marketing mostly due quarter health as XXXX's normalized over to rates increased we've development with XXXX, of quarter from capitalization million to statement. costs the agile best features our labor decreased incremental claims fourth sequentially and out Sales income virtual quarter G&A related and of quarter travel timing non-recurring third to XXXX, spend products. high practices due from the employee costs and in earlier and in costs benefit program Closing previous external calls, dynamics capitalization bad and charges decrease. of $XXX,XXX down on fourth tough our sales we $X.X with fourth match. higher were the bring to administrative and better third that to a levels in the an debt costs million our mentioned worked matter resulting As subject XXX(k)

expected investment in to price third entire make $XX bank cash year five-year segue from for million. and brings rate million remain opportunistically the of optimally our of CPSI TruCode CPSI timing-driven or With XX% TruCode, our This operating target effective recent in XXXX. flow decrease as $XX The quarter combination to to annual flows to allocation, capital may decreased the deploy for The last XX% through flexibility purchase the to currently sits rate revolver quarter's funding a to well XX% flows nice the EBITDA nearly debt positioned below we cash XX%. in have quarter full $XX.X compared that our capital of internal over From X.Xx cash our rebounded million limit bank This standpoint, increase to fourth for of repurchases. ensuring X.Xx debt that $X.X and in acquisition tax to strength to of fourth flows Our low acquisition operating strategy brought quickly adjusted $XX.X respond quarter in EBITDA million well a XX% frame. tax amounts operating to leverage despite at time prioritizes where million, of arise. quarter TruCode allowed strength opportunities in that effective M&A, and of into value-based positioned out has of year-over-year other our cash proceeds. share a the

reasonably our there's tremendous TruBridge to potential to We M&A offerings continue feel supplement service pipeline and and valued with of opportunity groom enhance opportunities tuck-ins.

involve generally some as in of quarter dry to fourth were allocation share most M&A. for For free result, up significant was the reduce quarter. repurchases trade-offs. minimal capital to debt powder for bank decisions a our the this reason, Capital use future And

have to our will allocation capital availability, and cadence other number but and capital by and influenced continue needs potential alternatives. ever like a of cost investors and of factors, volume to and considering priorities value, and repurchases remind the alternatives allocation be considering certainly we'd are of been evolving. capital capital also However, replacement M&A, These

views the focus out of XXXX XXXX, in in recurring expected repurchase made given lack line sources and intrinsic stock. revenue a margin may continued top joint with proud during our quarter driving net on on optimization So and prepared efforts. progress the margin the TruBridge's we've of we're a growth a of coming growing with and expansion close the cross-sell offshoring both not reflect opportunities is remarks, our on line growth activity enhancing value on new our into as markets our for automation. execute cost we we our continue execute to Top from improvement as initiatives incremental To of

With the the exciting our progresses. color enter cloud and migration including with underlying we'll applications as of our public at year winds these XXXX backs, EHR initiatives data we number customer provide and a to more endeavor the on of

expectation increased organic continued for growth by to long-term average growth and driven X% revenue Our unchanged prevalence annual X% SaaS recurring of EHR arrangements. TruBridge remain at the

of recurring we to XXXX, revenues. over expansion million representing of revenues preservation. roughly of while cloud revenue and inorganic non-recurring our XXXX, continued million growth initiative, growth in total the X.X% decline hampered line anticipate $XXX drive top internal for with growth $XXX such with allowing investments, for midpoint the margin range this helps also certain continued As as, by from revenue organic sources This public

this in range range EBITDA As in with land a XX.XX% the midpoint margins lockstep of adjusted adjusted of to EBITDA XXXX's margin. XXXX envision XX.XX% to result, the with we

EBITDA. margin to In as agent our out of of offshore expect adjusted achieving focusing XX% This TruBridge XX%. cash to year XX% vision a of terms leveraging ago, optimization clear organizational laid flows networks EBITDA EBITDA utilization was innovation roughly XXXX we of cash operating maintaining a we in XXXX, and increased generation, million and with growth One around by initiatives automation. vision of $XX eventually through adjusted target our of margins structure, of represent excess

like innovation XXXX the line to improved on to-date made and transformation. path presented, progress to reflect forward XXXX, we're of as with pleased that, we'd As and the we look our we've open we with up And opportunities execution for the and on that around back goals those during questions. challenges continue

Operator

Thank you.

a We [Operator will conducting Thank be now you. session. question-and-answer Instructions]

comes from proceed with question your with first Our Sandler. Jeff Please question. Garro Piper

Jeff Garro

of the of know thanks some and with revenue side. a taking a And afternoon, been that's milestone the time. Good on for question. in Start demand Hi. majority for hitting I TruBridge recognize goal the the a few quarter.

see see I that Health, FY for it if both on side are bookings on a the to but and optimism for FY XXXX XXXX, TruBridge, But certainly the Real lot of achieved. nice TruCode we demand I Get heard So pipeline. and exclude the down TruBridge way

hoping you volume expect RFP of that So and and then those for I TruBridge, you FY how XXXX? trend rate that reflect can TruBridge year the was on kind win to core in would

David Dye

Dye here. Jeff. David Hi,

TruBridge We confident without in entering high. all-time words an and Health pipeline XXXX TruCode are very the Get pipeline was without Real in standalone, other with at

increased of our at certainly to XXXX lack marketing of the have We for efforts some terms is there. blame of decisions. legitimate delaying It in execution least COVID in

what with rate win been had was previous years. in consistent Our it

where So there with a few right see that seeing fact generally those activity pipeline speaking, things we're now, that the you exceptions. the combine the -- still are we're we

for up a business we cetera, the bookings meet from past a enter travel We office in TruBridge et which in the done in the one, We're face-to-face. site managers as particularly CFOs, standpoint. in particular generating the us are on able leads market; to: in conferences. and participate with two, to great XXXX now have confident deal and and

Jeff Garro

Thanks. demand to other That segment go-live year-over-year. the down hit maybe EHR And helps. on Acute then the side.

imagine Omicron what's you demand fourth EHR appropriate expectation acute that on But maybe go-lives? know annual disruption of in factor bigger that. there. we if had to look have go-forward I quarter. were of might a started in for the bit seems then an expected that just Some be to side, short the and I little a picture

David Dye

go-lives Yes. Approximately year, XX per year. per net acute Jeff, of terms new in

Jeff Garro

the a the bigger move to to That it. public on hear one cloud. Got me for Interesting remarks And picture question. sense. the more makes

then Curious assuming benefits remarks So, And technical you potential expect financial to some to well? how clients the the then give they're any you a disruption things could clients? benefits and your avoid CPSI, there. whether or if to on some financial few broad as to

Chris Fowler

Jeff? Can again, you that ask last part

Jeff Garro

Yes.

you're migration will from what benefits the to -- then public as that the to as cloud, Just going on to to are your pending accrue avoid And to CPSI how disruption well clients. clients?

Chris Fowler

Okay. Chris. that. This Thanks for is

the last console. we're So, few into application cloud to we've the fairly taken notes, years, several again of our the the patient as we've development over how the data is years, over strategy cloud last moving with similar approach our developed our applications into the

And it's migrate app multiple private be should for a so, and over cloud. environments disruption allow fork or at big from minimize the ability where to into us the from that on-prem cloud to our a public an time customers a into in

too that So, much that being the to approach making we've that into pushing technical sure delivered sure prior making cloud. thoughtful very systematic is that from about there and standpoint a the scalability and

allow benefits, a go-forward customers us to it that the we becoming allows of our to is more the can as in technology let and far rapidly where have As position the data our obviously, that. get us to benefit available exploit

competitive that us as be it some standpoint be as telehealth also faster a from that's from the too. out standpoint, a not our and that there internally, we're seeing it whether application allows on customers to we bring then think about focused So, developing whether trends to it clinical we're

Boyd Douglas

From to add going that. it's just to of relieve I'll us. view, a point on technical And

of can system done now, it the the that ourselves then And all level and technical third of applications XX we've which to best for can lot to we by close over For do to concentrate the from what on those moving a write years lower-level we the cloud, up. operations users. is work be on is party, end turned operating

us. that's benefit So, for certainly technical a

David Dye

And more here. addition Jeff, one

to there it's EHR cetera, public we -- from patient-facing the out as other front be or in going as past. whether cloud, et applications, and the innovation system our space been public in or in our the As that innovate on EHR than more door our to innovate, advantage easily we're folks the sits the able are able customers take to -- much they've of in

Jeff Garro

appreciate I Thanks, and all the comments.

I’ll jump the back queue. in So,

Operator

you. Thank

with is from George next question Hill proceed your with Our Bank. Deutsche question. Please

George Hill

Boyd taking much you recovery afternoon, parse can you're you utilization Good question. for and volumes and talk thinking versus customer looking about the of how about I guess outlook to kind thanks guess Yeah. footprints guys new the kind and of driving the Dave, forward XXXX wins? and kind new for out procedure I when billing TruBridge, of

Chris Fowler

utilization We're if Yes. half George. Hey, This rebound nice look saw the that. you at I uptick back Chris. a XXXX, that from of would slight pretty is maybe say still in you a standpoint. seeing stabilize, a

bolus Obviously, like as we how outpatient for we a about think for else of there's is wood As utilization bit everybody care continues elective any are impact, on the to of watching a haven't negative knock we side. the seen kind COVID impact to been COVID. utilization on the

customer being say slightly would from growth, positive. existing an looking I at probably neutral to that same-store maybe So we're

pressing standpoint, on growth So, from aspect. really a business the new

George Hill

and what kind labor of to labor aspect ability drive from partnership retain to have confident everywhere? making TruBridge. be about guess could then on It a seeing transition seeing your could I are the And about on you topic labor talking a I impacting given guess everybody's clients to is just guys clearly like to I helpful. That's if or Okay. if follow-up seems it's labor. as challenges talk the call. with your one pressure everybody point and are earnings increase guess declines I you a

Chris Fowler

Yes. fronts. automation were moving fast the Obviously, everybody also we're guess else same with would pretty on dealing is. say, the thing Luckily we offshore for you us, I and

we pressure. to lever customers. was there be us to more and we on scale we to opportunities were that that to talented the for have, that accelerate for that staff that so provides harder able more we allows as Obviously, a them some staff of internally to do some alleviate to And with able pull do that with continue have

probably problem allows than be having so, hospital a easier CBO one And model -- can able us so. do that to manage while to any

us, to drive we're it of So for definitely. an growth opportunity as thinking

George Hill

one maybe last I'll in Okay. quick And one. sneak

being of been the some competitive transaction multi-vertical vendor. themselves small CPSI in One environment acquisition to of competitors, any willing observations penetrating guys? that or had a in space, a maybe for small big create customers to the note space more hospital customers with worry which your opportunities technology early the hospital working the on at might look in their you about caught about it's know early, but I

David Dye

think Well, it's I say the sales we're been certainly just we've terms announced seen against. we're too that's in the who that hopeful honest, that be or competing to it cycle or change early of does do opportunity, create to demand a George. since

I some regardless has navigate cetera. certainly will expect six think competitor cloud et acquisition. got to and question. much going position answer that better we and obviously we'll from They strategy, referring you're the be of a a position probably months They've Obviously, now challenges change create for gears that interesting who platform better -- always to a a here continue it's in them. to three credible months and to been

color more in transpires keenly have So, three in interested but we'll we'll that be how probably months. obviously

George Hill

Thank I the That’s what you. I guys. though. color appreciate

Operator

you. Thank

with Please proceed Our Hooker question. next question KeyBanc. your with comes from Donald

Donald Hooker

some well. But really Great. beyond of was sounds field? you're really the as environment the mean like competitive to strong. doing going and you other Cerner looks ask Yes, It talk about the of about you with can the just in well retention. I Can maybe question rate kind George's challengers I retention expand? the maybe

David Dye

see the And opportunities Not an big our a little when we Donald. we've there a year. now Thanks reduce something are cost whole and from three standpoint. new SaaS certainly a looking the with their terms in of a cost that of mean standpoint from competitive a of you've Yes. been overall more HR lower standpoint we in can seen perhaps from given and hospitals environment when bit for I frankly. lot something ownership cloud are -- particular solution. that's XXX% as change than That's for

that century just clinical ones vulnerable that that there. result XXst vendors a have market. And that, out the the the the robust are beyond anywhere we us we opportunities customers XX same and upcoming of XX the from are that's Act So legislation to solution a call see -- then to more as that, CARES that the where brings want there is EHR they what the fact

Donald Hooker

then the in bookings whatnot? for of was Kind out don't little thinking laid And of you $XX what that terms sort terms what planned? CPSI What in need generally? You for us, I million of in to do can are right there is mentioned, plan -- a this, quarter. an cross-selling but bit is bookings it of willing of of behind you EBITDA Okay. target terms 'XX. quarterly get know, and in you share what the to sort with you if you're the bookings

Matt Chambless

Yes.

not annual guide we'd Don, bookings. bookings on rather So or quarterly

We haven't done bookings reason that And them the involved are in and all the created some part past. have in of that that not equal. bookings for complexities is

not but to are to get high a those all of others. as paths So as number, quality there the certain are many paths

want on sidelines number not to the we on a So there quantitative bookings. sit provide and

Donald Hooker

Thank you. certainly fair. That’s Okay.

Operator

you. Thank

Zhang question SVB Our Joy proceed Please with Leerink. with question. from next is your

Joy Zhang

Health question. Hi uptake that hear my guys, Real of Canadian market. for the you Get thank greater is taking glad I'm there in to

cross-selling in population? provide is from greater this greater was governments, wondering more more if I you is engagement around it or provincial the what's And sign-ups into So, overall from color can driving sales. and within it the uptick

David Dye

in Saskatchewan. cetera. and to been wanting the et in provinces the a more of has Hey to existing order vaccination results test view those Yes. in is positive simply into Alberta have This in Joy. cross-selling currently application COVID proof there terms the just spaces population

Canada do and telehealth in right through But there provinces we opportunities opportunities. have existing other are additional now, our relationship seeing with but that the the is -- from relationships. growth So the you're

Joy Zhang

roll-up a up to And as your in TruBridge, helpful. wanted more give would for very strategy back space? or be Wondering can M&A That's to be comment you looking on smaller your dry powder in philosophy. a this you to on M&A are oriented of M&A. an tuck-ins, you update go-forward technology And that at go if I more freeing follow-up, will assuming us

Chris Fowler

you Obviously, we of say discuss one at a more more a of as of tag and the if you look flavors TruCode, how something that is the of and little two play, a that. great then both Matt Get those would Real behind acquisitions question. fairway Obviously, kind and Joy I'll about start and of one bit technology Health Yes. in down think we as forth. we operationalize then back debate last It's internally that's may with me.

those office we say or I be very same provide. making a expand we're on customers we for the kind scale that our we I'd also, say or on that business and where focused time, at can I standpoint, focused outsourcing making for from opportunities about we're may doors open. to those the think as opportunities sure looking provide gaps think -- we keep that to service technology the the sure full would we we gaps then we're services provide of

thinking of say is that. focus would I majority about of side that on the on TruBridge So definitely the it's how say equal we're would either side. vast I

Joy Zhang

That’s helpful. Thank you.

Chris Fowler

Yes, thank you.

Operator

Thank questions further would the this turn are to remarks. back like closing no floor management you. over at any to I time. for There

Boyd Douglas

and I have the quarter. long-term for we Clearly, being we we're operated our everyone just to on fourth forward today. we're thank about how want all call goals looking in to And XXXX reaching excited of that Great. the set.

Thank CPSI you we and quarter. talk to So interest your appreciate in you. we'll next

Operator

concludes conference. This today's

this participation. you at time. your your lines Thank disconnect may You for

TruBridge (TBRG) 16 Feb 222021 Q4 Earnings call transcript