TruBridge Inc. reported its third‑quarter 2025 results with a non‑GAAP earnings per share of $0.88, beating the consensus estimate of $0.40–$0.48 by $0.40–$0.48 (approximately +100%). Total revenue reached $86.1 million, a 1.5% increase from the $85.7 million reported in Q2 2025, but slightly below some analysts’ forecasts of $87.0–$87.8 million while exceeding lower estimates of $85.3–$85.6 million.
Revenue growth was driven by the company’s two main segments. The Financial Health segment generated $54.5 million, a 0.4% decline from $54.7 million YoY, while the Patient Care segment contributed $31.6 million, up 2.3% YoY. Recurring revenue remained 94% of total, underscoring the stability of the business mix.
Adjusted EBITDA climbed to $16.3 million, up 11% YoY and 11% QoQ, to a 19% margin. The margin expansion was largely due to a higher gross margin in the Financial Health segment and disciplined cost control; the company’s cost base grew only 3% while revenue grew 1.5%, enabling the lift.
For Q4 2025, management projects revenue of $86–$89 million and Adjusted EBITDA of $16.5–$19.5 million, maintaining the same range as previously. Full‑year 2025 revenue guidance was raised to $345–$348 million from $345–$350 million, and Adjusted EBITDA guidance to $65–$68 million from $62–$67 million, reflecting confidence in sustained margin expansion.
CEO Chris Fowler highlighted the 19% Adjusted EBITDA margin and the company’s progress in de‑leveraging the balance sheet, noting that new leadership hires and the restart of offshore operations will further optimize performance. CFO Vinay Bassi added that margin expansion of 600 basis points from 2023 to year‑end is expected, with free cash flow improving by $20 million and debt reduced by $35 million.
Investors reacted cautiously; after the release the stock traded flat, reflecting the balance between a strong earnings beat and a modest revenue miss. Analysts noted the company’s robust profitability but cautioned that revenue growth remains a key focus for the coming quarters.
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