TruBridge, Inc. announced its financial results for the first quarter ended March 31, 2025, on May 7, 2025, reporting total revenues of $87.2 million, a 4% increase year-over-year. The company achieved net income of $0.5 million, or $0.03 per share, a significant turnaround from a net loss of $1.9 million in Q1 2024. This profitability was driven by revenue growth and reduced operating expenses.
Adjusted EBITDA nearly doubled, increasing by 77% year-over-year to $18.2 million, resulting in an Adjusted EBITDA margin of 20.9%. This represents an impressive 860 basis point expansion from 12.3% in Q1 2024, primarily due to lower domestic labor costs in Financial Health from the global workforce transition. Operating cash flow dramatically improved by $7.4 million to $5.8 million.
TruBridge also strengthened its balance sheet, reducing its net leverage ratio to 2.4x as of March 31, 2025, down from 4x a year prior. Building on this momentum, the company maintained its full-year 2025 revenue guidance of $345 million to $360 million, and increased its Adjusted EBITDA guidance range to $60 million to $66 million, up from the previous range of $59 million to $66 million.
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