TruBridge, Inc. (‘TruBridge’) provides healthcare solutions and services for community hospitals, their clinics and other healthcare systems.
TruBridge is a trusted partner to more than 1,500 healthcare organizations, with a broad range of technology-first solutions that address the unique needs and challenges of diverse communities, promoting equitable access to quality care, and fostering positive outcomes. The company has over four decades of experience in connecting providers, patients, and...
TruBridge, Inc. (‘TruBridge’) provides healthcare solutions and services for community hospitals, their clinics and other healthcare systems.
TruBridge is a trusted partner to more than 1,500 healthcare organizations, with a broad range of technology-first solutions that address the unique needs and challenges of diverse communities, promoting equitable access to quality care, and fostering positive outcomes. The company has over four decades of experience in connecting providers, patients, and communities with innovative data-driven solutions that create real value by supporting both the financial and clinical side of healthcare delivery. The company’s industry-leading HFMA Peer Reviewed suite of revenue cycle management (RCM) offerings combines unparalleled visibility and transparency to enhance productivity, and support the financial health of healthcare organizations across all care settings. The company supports efficient patient care with electronic health record (EHR) product offerings that successfully integrate data between care settings.
The company’s legal structure includes the company, the parent company, with Viewgol, LLC (‘Viewgol’), TruBridge Healthcare Private Limited, iNetXperts, Corp. d/b/a Get Real Health, Healthcare Resource Group, Inc. (‘HRG’), Healthland Holding Inc., and Healthland, Inc. as its wholly-owned direct and indirect subsidiaries.
Segments
The company operates its business in two operating segments, which are also its reportable segments: Financial Health and Patient Care.
The Financial Health reporting segment focuses on providing a complete RCM solution for all care settings, regardless of their primary healthcare information solutions provider, along with business management, consulting, managed IT services, analytics, and business intelligence.
The Patient Care segment provides comprehensive acute care solutions and related services for community hospitals, and their physician clinics. The Patient Care segment also offers comprehensive patient engagement and empowerment technology solutions to improve patient outcomes, and engagement strategies with care providers.
The company currently supports community hospitals and other healthcare systems with a geographically diverse patient mix within the domestic community healthcare market. The company’s target market for its Financial Health and Patient Care solutions includes community hospitals with fewer than 400 acute care beds, and their clinics, as well as independent or small to medium-sized chains of skilled nursing facilities.
Strategy
The company’s strategies are to cross-sell Financial Health solutions and services into its existing sizeable Patient Care client base, and expand its Financial Health market share with sales to new community hospitals with less than 400 beds; support its core growth as it routinely seeks, finds, and executes on initiatives that modernize its business, increasing its efficiency and resulting in cost savings; identify new innovation and larger adjacency opportunities, driven by demand for patient engagement, industry insights, reporting, and analytics technology; and AI being leveraged in healthcare delivery, and the company is committed to ensuring its client population is not left behind as this rapidly advancing technology is being implemented and adopted.
Products and Services
Financial Health
The company offers Financial Health services, which can be grouped into the following categories:
Revenue Cycle Management (‘RCM’) Products: The company’s RCM solutions empower providers and caregivers in hospitals, healthcare systems, clinics, and skilled nursing organizations to accelerate their revenue cycle through a suite of comprehensive, web-based solutions designed to improve financial operations, and staff productivity, and increase reimbursement. The company’s RCM products include the following offerings:
Patient Liability Estimates: Improve patient satisfaction, maximize point-of-service collections, and equip staff with the ability to provide transparent pricing with the Patient Liability Estimate module.
Eligibility Verification: Reduce claim denials and carrier rejections by performing on-demand eligibility look-ups, assuring the care provided is covered.
Claim Scrubbing and Submission: A powerful claim management solution for submitting, validating, and processing a healthcare facility’s claims with ease, and with a high quality of edits.
Remittance Management: Remittance advice can be effortlessly gathered and managed with the Electronic Remittance Advice Retrieval and Remittance Management modules, simplifying workflow and involvement.
Denial/Audit Management: Equips healthcare facilities with the tools necessary to combat denied and audited claims, assisting organizations in recovering lost revenue.
Contract Management: Allows healthcare facilities to take control over complex healthcare contracts by prospectively pricing every claim submitted to payers, retrospectively pricing every remittance to ensure proper payment was received, and modeling proposed contract terms during payer negotiations.
RCM Services: The company’s RCM services span a healthcare enterprise’s revenue cycle and provide clients with a strong alternative to in-house operations. These services leverage the company’s deep service and technology experience, and are designed to allow clients to streamline their administrative staffing while improving operational efficiencies. The company’s RCM services include the following service offerings: Accounts Receivable Management, Private Pay Service, Medical Coding, Revenue Cycle Consulting, and other additional Insurance and Patient Billing Services.
Consulting and Business Management Services: The company’s consulting and business management services are designed to help healthcare organizations by assessing their needs, setting goals, and creating an action plan to achieve those goals, and, if needed, implementing the action plan. Many of the company’s professional consultants have decades of experience, and all are skilled in adopting new technologies, redesigning processes, educating staff, and providing interim or ongoing management services. The company’s consulting and business management services include the following service offerings: Consulting, Business Intelligence, Staffing, and Administrative.
Managed IT Services: The company’s managed IT services provide a range of services designed to meet the IT needs of community healthcare enterprises. The pace of technological change can be overwhelming. The company’s services allow clients to affordably maintain an advanced IT infrastructure, meet regulatory requirements, and reduce risk. The company’s managed IT services include the following service offerings: Cloud Services, Backup and Recovery, Collaboration and Connectivity, Security Services, Systems Management, and Help Desk.
Encoder Solutions: The company’s encoder technology and services support the hospital, consulting, and payer markets. The company’s encoder solution is known for its knowledge-based coding methodology, which presents coding guidance and references at the point of coding, helping to improve coding accuracy and productivity.
Patient Care
Acute Care Software Systems
The company offers healthcare IT solutions designed to cater to the specific needs of community hospital organizations under the software solution platform TruBridge EHR.
TruBridge EHR
Within TruBridge EHR, the company offers a full array of software applications using one fully integrated system designed to streamline the flow of information to the primary functional areas of community hospitals. The company intends to continue to enhance its existing software applications, and develop new applications as required by evolving industry standards, and the changing needs of its clients. Pursuant to the company’s client support agreements, the company provides its clients with software enhancements and upgrades periodically on a when-and-if-available basis. These enhancements enable each client, regardless of its original installation date, to have the benefit of its most advanced products available. The company’s software applications within TruBridge EHR:
Provide automated processes that improve clinical workflow and support clinical decision-making;
Allow healthcare providers to efficiently input and easily access the most current patient medical data in order to improve quality of care and patient safety;
Integrate clinical, financial, and patient information to promote efficient use of time and resources, while eliminating dependence on paper medical records;
Provide tools that permit healthcare organizations to analyze past performance, model new plans for the future, and measure and monitor the effectiveness of those plans;
Provide for rapid and cost-effective implementation, whether through the installation of an in-house system or through its Software as a Service (‘SaaS’) services; and
Increase the flow of information by replacing centralized data over, which there is limited control with broad-based, secure access by clinical and administrative personnel to data relevant to their functional areas.
The company’s software applications within TruBridge EHR are grouped for support purposes according to the following general functional categories described below:
Patient Management: The company’s patient management software enables a hospital to identify a patient at any point in the healthcare delivery system, and to collect and maintain patient information throughout the entire process of patient care on an enterprise-wide basis. The company’s applications also assist with patient support registration, patient accounting, and other functions related to record controls and data access management. The TruBridge EHR single database structure permits authorized hospital personnel to simultaneously access appropriate portions of a patient’s record from any point on the system.
Financial Accounting: The company’s financial accounting software provides a variety of business office applications designed to efficiently track and coordinate information needed for managerial decision-making, including accounts payable, budgeting, executive information system, and other functions related to financial decision-making.
Clinical: The company’s clinical software automates record keeping and reporting for many clinical functions, including laboratory, radiology, physical therapy, respiratory care, and pharmacy. These products eliminate tedious paperwork, calculations, and written documentation while allowing for easy retrieval of patient data and statistics.
Patient Care: The company’s patient care applications allow hospitals to create computerized ‘patient files’ in place of the traditional paper file systems. This software enables physicians, nurses, and other hospital staff to improve the quality of patient care through increased access to patient information, assistance with projected care requirements, and feedback regarding patient needs. The company’s software also addresses current safety initiatives in the healthcare industry, such as the transition from written prescriptions and physician orders to computerized physician order entry.
Enterprise Applications: The company provides software applications that support the products described above, and are useful to all areas of the hospital. These applications include: ad hoc reporting, automatic batch and real-time system backups, an integrated fax system, archival data repository, document scanning, and Microsoft Office integration, and an Application Portal.
Centriq
Centriq is a web-based acute-care EHR platform. The company discontinued support and services of the Centriq platform as of December 31, 2024, except for a few customers who have not migrated to another EHR platform. A majority of clients that used Centriq have already migrated to the TruBridge EHR platform.
Acute Care Support and Maintenance Services
After EHR installation, the company provides software application support, hardware maintenance, continuing education, and related services pursuant to a support agreement using its collaborative support model. The following services are provided to TruBridge EHR customers:
Total System Support: The company provides hardware, technical, and software support for all aspects of its system, which gives it the flexibility to take the necessary course of action to resolve any issue. Unlike the company’s competitors who use third-party services for hardware and software support, the company provides a single, convenient, and efficient resource for all of its customers’ system support needs. In order to minimize the impact of a system problem, the company trains its customer service personnel to be technically proficient, courteous, and prompt. Because a properly functioning information system is crucial to a hospital’s operations, the company’s support teams are available 24 hours per day to assist customers with any problem that may arise. Customers can also use the Internet to directly access its support system.
National Client Conference: All of the company’s customers have the opportunity to attend its annual National Client Conference. TruBridge hosts this conference to provide educational sessions, product demonstrations, and one-on-one time with application experts. The conference also allows important time for networking among customers and TruBridge staff across all business platforms.
Continuing Education: Effective learning tools are a key factor in successful EHR adoption, and allowing clients to get the most out of a software investment. Therefore, ongoing learning and training is a cornerstone to the company’s ‘total solution’ and a key competitive differentiator. The company’s ongoing learning and training offerings also address some of the unique needs of community hospitals—limited resources, and staff with cross-department responsibilities, and budget and time constraints—all of which require a customized approach to learning and training. To meet these needs, the company offers customers online content that can be accessed at any time, scheduled online interactive classroom presentations, on-campus training at its facilities, educational sessions during user group conferences, and scheduled regional training sessions.
Software Releases: The company is committed to providing its customers with software and technology solutions that will continue to meet their information system needs. To accomplish this purpose, the company continually works to enhance and improve its application programs, and provides software updates to customers at no additional cost. The benefit of these seamlessly integrated enhancements is that each customer, regardless of its original installation date, uses the most advanced software available. Through this process, the company can keep its customers up-to-date with the latest operational innovations in the healthcare industry, as well as with changing governmental regulatory requirements. Another benefit of this ‘one system’ concept is that the company’s customer service teams can be more effective in responding to customer needs because they maintain a complete understanding of and familiarity with the one system that all customers use.
The company’s periodic product updates eliminate its customers’ concerns about system obsolescence.
Hardware Replacement: As part of the company’s general support agreements, the company is also committed to promptly replacing malfunctioning system hardware in order to minimize the effect of operational interruptions.
Cloud Electronic Health Record (Cloud EHR): The company offers Cloud EHR services to customers via remote access telecommunications. Cloud EHR is a SaaS configuration, and is a monthly subscription to access and use application software maintained by TruBridge in a cloud environment. Under this configuration, a customer is able to obtain access to an advanced EHR without a significant initial capital outlay. The company stores and maintains all Cloud EHR customers’ critical patient and administrative data.
Forms and Supplies: In addition to the company’s support services, the company offers its customers the standard and customized forms that they need for their patient and financial records, as well as the supplies necessary to support the operation of their server and peripheral equipment. Furnishing these forms and supplies helps the company to achieve its objective of being a one-source solution for a hospital’s complete healthcare information system requirements.
Public Cloud Infrastructure: In 2021, the company formed a strategic partnership with Microsoft for Azure cloud hosting and infrastructure services, with the end goal of migrating all existing internal and client data to Azure’s public cloud and utilizing the related infrastructure solutions to enhance both internal and client-facing processes and services. The eventual migration to Azure will benefit customers by removing the burden of maintaining their own on-premise infrastructure, while the underlying applications will operate with higher availability and stability, reducing unexpected downtime. This modernized infrastructure will open the door to future innovations, and data access as well.
InstantPHR: The company’s interactive portal is designed to serve all patient populations and health organizations' needs. Ideal for chronic disease management, maintaining wellness goals, and meeting federal mandates, this solution is flexible enough to grow and change as industry trends dictate. InstantPHR can be integrated into nearly any existing EHR system to improve care and outcomes for individuals and professionals alike.
CHBase: This powerful tool funnels data from multiple sources into one platform. Patients have the ability to contribute data from their favorite apps and home health devices, and combine it with clinical data from providers. This combined data can then be pulled into patient-oriented health applications or population health management and customer analytics. This process makes data comprehensive and relevant, thus maximizing its value to the entire care circle. Additionally, innovators have the capability to create, develop, and connect other systems and applications through the CHBase APIs.
Software Development
The healthcare information technology industry is characterized by rapid technological change requiring the company to continually make investments to update, enhance, and improve its products and services. Software development costs are accounted for in accordance with Financial Accounting Standards Board (‘FASB’) Accounting Standards Codification (‘ASC’) 350-40, Internal-Use Software. Under ASC 350-40, software development costs related to preliminary project activities, and post-implementation and maintenance activities are expensed as incurred. The company capitalizes direct costs related to application development activities that are probable to result in additional functionality, and these costs are amortized on a straight-line basis over five years. The company tests for impairment in the event of changes in circumstances that could impact recoverability.
Total product development expenses included in the company’s consolidated results of operations were approximately $34.5 million during the year ended December 31, 2024.
Product Strategy
TruBridge has been actively refining its product and technology strategy by leveraging investments in market research, customer needs analysis, competitive insights, and roadmap evolution.
Over the past year, the company conducted two significant customer and product research projects. This research supports the growth and sustainability of the company’s customer base by surrounding and complementing the EHR, and providing value-added solutions based on group purchasing pricing. Additionally, the company has launched new offerings through partnerships in enterprise software solutions.
The company’s enterprise data and analytics offerings provide clients with advanced analytics and reporting capabilities to better manage hospital and clinic operations.
Clients, Sales, and Marketing
Target Markets
The target market for the company’s Financial Health product and services extends beyond hospitals of less than 100 beds, where the company has historically focused its Patient Care efforts. The company is acutely focused on its vision of selling its Financial Health solution to both its existing customer base, as well as to the 4,600 hospitals of 400 beds or under in the United States.
The company’s strategy to grow its Financial Health business is centered around leveraging its established sales relationships within its substantial Patient Care customer base in order to cross-sell Financial Health solutions and services. In addition, the company targets hospitals of 400 beds and under that use competitor EHRs and manage their Financial Health operations in-house. These hospitals are under increasing financial pressure caused by fluctuating patient volumes and increasing self-pay accounts. As the company integrates solutions and capabilities from its acquisition of Viewgol, its goal in the ambulatory market is to grow market share in those specific specialties where it has demonstrated success, while building support of ambulatory needs for current clients.
A core initiative to the company’s growth plan is to maintain a strong retention rate across its Patient Care base, and pursue conservative growth of new Patient Care clients, as they are critical to driving cross-sales of its Financial Health solutions and services.
The target market for the company’s Patient Care systems consists of community hospitals with fewer than 200 acute care beds, with a primary focus on hospitals with fewer than 100 acute care beds. In the United States, there are approximately 3,800 community hospitals with fewer than 200 acute care beds, with approximately 2,900 having fewer than 100 acute care beds. In addition, the company markets its products to small specialty hospitals in the United States that focus on discrete medical areas, such as behavioral health, surgery, rehabilitation, and long-term acute care. Approximately 98% of the company’s existing acute care clients are hospitals with fewer than 100 acute care beds.
The company’s patient engagement efforts continue to focus on growing the number of registered patient users with existing clients in the international market, while also continuing to grow through its Patient Care client base in the domestic market.
Marketing Strategy
The company’s marketing strategy positions TruBridge as a healthcare solutions company that supports providers in their efforts to deliver the best care possible for their communities. Through a suite of innovative products, collaborative services, and tools, the company helps clients eliminate the financial and operational obstacles holding them back, and lay the foundation for lasting success. The company is a healthcare solutions company, and it clears the way for care.
The company’s strategy is to cross-sell its Financial Health solutions into its loyal Patient Care customer base, as it prioritizes strengthening its client relationships. At the same time, the company targets the 400 bed and less hospital market outside of its Patient Care client network, which hospitals have a need to improve revenue cycles and address staffing issues.
The company’s strategy to grow its patient engagement business is centered around leveraging its established customer relationships within its substantial partner ecosystem for continued sales around licensing and professional services.
Competition
The company’s principal competitors for Financial Health solutions include RelayHealth Corp, SSI Group, LLC, Quadax Inc., Change Healthcare Holdings, Inc., Availity, LLC, Waystar Technologies, Inc., Experian, and Navicure, Inc. The company’s principal competitors in the business management, consulting, and managed IT services market are Resolution Health, Inc., The Outsource Group Inc., Patient Focus, Inc., Xtend Healthcare Inc., Ensemble Health Partners, and nThrive, Inc. Secondary competitors in the Financial Health space include ARx LLC, Citadel Outsource Group LLC, Patient Matters, LLC, KIWI-TEK, LLC, and Aviacode Inc. The primary competitors for the company’s encoder solutions include Solventum, Nuance, and Optum.
The company’s principal competitors in the Patient Care market are Oracle Cerner Corporation, Medical Information Technology, Inc. (‘Meditech’), and MEDHOST, Inc. The company’s secondary competitors in the Patient Care market include N. Harris Computer Corporation and Epic Systems Corporation. In the patient engagement market, the company’s competitors include Relay Health, Get Well Network/Healthloop, Apollo Care Connect, Bridge Patient Portal, eClinicalWorks Patient Portal, Influence Health, and InteliChart.
Health Information Security and Privacy Practices
The company is covered by the patient privacy and security standards of The Health Insurance Portability and Accountability Act (‘HIPAA’) and The Health Information Technology for Economic and Clinical Health Act (‘HITECH’), and is subject to oversight by the Department of Health and Human Services (the ‘DHHS’).
Intellectual Property
The company endeavors to protect its intellectual property rights and maintain certain trademarks, trade names, service marks, and other intellectual property rights, including Clear the Way for Care, TruBridge, MyCareCorner, and others. Trademark and service mark registrations must generally be renewed every five to ten years, and the company renews the registration of trademarks that it deems to have continuing value to its business.
Material Government Regulations
The company is affected by the following regulations: HIPAA, HITECH; The United States Food and Drug Administration (the ‘FDA’); The federal Anti-Kickback Statute (‘AKS’); and the federal False Claims Act (‘FCA’).
History
The company was founded in 1979. It was incorporated in 2002. The company was formerly known as Computer Programs and Systems, Inc. and changed its name to TruBridge, Inc. in March 2024.
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