CPSI Announces Second Quarter 2021 Results

Highlights for Second Quarter 2021:

  • Revenues of $68.5 million;
  • GAAP net income of $6.1 million and non-GAAP net income of $10.8 million;
  • GAAP earnings per diluted share of $0.42 and non-GAAP earnings per diluted share of $0.75;
  • Adjusted EBITDA of $14.3 million;
  • Bookings of $16.6 million;
  • Cash provided by operations of $19.4 million; and
  • Net debt of $97.0 million

MOBILE, Ala.–(BUSINESS WIRE)–CPSI (NASDAQ: CPSI), a community healthcare solutions company, today announced results for the quarter ended June 30, 2021.

Total revenues for the quarter ended June 30, 2021, were $68.5 million, compared with total revenues of $59.5 million for the prior-year second quarter. GAAP net income for the quarter ended June 30, 2021, was $6.1 million, or $0.42 per diluted share, compared with $1.8 million, or $0.12 per diluted share, for the quarter ended June 30, 2020. Cash provided by operations for the second quarter of 2021 was $19.4 million, compared with $17.2 million for the prior-year quarter. Net debt at June 30, 2021, was $97.0 million.

Total revenues for the six months ended June 30, 2021, were $136.5 million, compared with total revenues of $129.3 million for the prior-year period. GAAP net income for the six months ended June 30, 2021, was $10.3 million, or $0.70 per diluted share, compared with $5.9 million, or $0.41 per diluted share, for the six months ended June 30, 2020. Cash provided by operations for the first six months of 2021 was $33.1 million, compared with $24.8 million for the prior-year period.

Commenting on the Company’s financial performance for the second quarter of 2021, Matt Chambless, chief financial officer of CPSI, stated, “The results for the second quarter of 2021 were highlighted by a strong performance by TruBridge, as well as a modest improvement in system sales revenue compared with a year ago. The continued resiliency of our customer base, combined with the recent acquisition of TruCode LLC, a leading provider of medical coding software, resulted in yet another top-line record for TruBridge, up 31.2 percent over the second quarter of 2020. We also achieved record quarterly non-GAAP net income of $10.8 million, and solid growth in Adjusted EBITDA to $14.3 million, with Adjusted EBITDA margin only 30 basis points from a new high margin mark. Our focused initiatives on more efficient business process management and better labor capitalization were key drivers of our improved profitability.

“The acquisition of TruCode, completed on May 12, 2021, reflects our disciplined efforts spanning multiple years to better position CPSI to opportunistically deploy capital. TruCode’s cloud-based solutions complement our proven suite of TruBridge services and solutions and offer significant cross-selling opportunities within our acute and post-acute care customer bases. With leverage after the transaction still below our target limit of 2.5 times debt-to-EBITDA, we are well positioned to continue to pursue other M&A opportunities that fit our strategic profile and support further growth,” added Chambless.

Boyd Douglas, president and chief executive officer of CPSI, stated, “As we exit the first half of the year, we are very pleased with the strong results that reflect our continued focus on our aggressive, three-year growth strategy. TruBridge again delivered impressive revenue and margin results, which in combination with improved operational efficiencies and the expansion of recurring revenue, are helping to build sustainable and profitable growth for CPSI in 2021 and beyond.

“While total bookings of $16.6 million were an improvement over the first quarter of the year, we still encountered headwinds in the sales process as the focus of our potential customers remains on the COVID recovery process. We are encouraged both by a healthy pipeline across our services and EHR businesses and by the great start to the second half of the year in terms of sales. Along with the progress made in margin optimization, we are optimistic that the downward pressure on bookings in the first half of the year will have a minimal impact on our three-year outlook,” added Douglas.

CPSI will hold a live webcast to discuss second quarter 2021 results today, Tuesday, August 3, 2021, at 3:30 p.m. Central Time, 4:30 p.m. Eastern Time. A 30-day online replay will be available approximately one hour following the conclusion of the live webcast. To listen to the live webcast or access the replay, visit the Company’s website, www.cpsi.com.

About CPSI

CPSI is a leading provider of healthcare solutions and services for community hospitals, their clinics and post-acute care facilities. Founded in 1979, CPSI is the parent of five companies – Evident, LLC, American HealthTech, Inc., TruBridge, LLC, iNetXperts, Corp. d/b/a Get Real Health and TruCode LLC. Our combined companies are focused on helping improve the health of the communities we serve, connecting communities for a better patient care experience, and improving the financial operations of our customers. Evident provides comprehensive EHR solutions for community hospitals and their affiliated clinics. American HealthTech is one of the nation’s largest providers of EHR solutions and services for post-acute care facilities. TruBridge focuses on providing business, consulting and managed IT services, along with its complete RCM solution, for all care settings. Get Real Health focuses on solutions aimed at improving patient engagement for individuals and healthcare providers. TruCode provides medical coding software that enables complete and accurate code assignment for optimal reimbursement. For more information, visit www.cpsi.com.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1995. These forward-looking statements can be identified generally by the use of forward-looking terminology and words such as “expects,” “anticipates,” “estimates,” “believes,” “predicts,” “intends,” “plans,” “potential,” “may,” “continue,” “should,” “will” and words of comparable meaning. Without limiting the generality of the preceding statement, all statements in this press release relating to the Company’s future financial and operational results are forward-looking statements. We caution investors that any such forward‑looking statements are only predictions and are not guarantees of future performance. Certain risks, uncertainties and other factors may cause actual results to differ materially from those projected in the forward‑looking statements. Such factors may include: the impact of the ongoing COVID-19 pandemic and related economic disruptions which have materially affected CPSI’s revenue and could materially affect CPSI’s gross margin and income, as well as CPSI’s financial position and/or liquidity; federal, state and local government actions to address and contain the impact of COVID-19 and their impact on us and our hospital clients; operational disruptions and heightened cybersecurity risks due to a significant percentage of our workforce working remotely; significant legislative and regulatory uncertainty in the healthcare industry; exposure to liability for failure to comply with regulatory requirements; saturation of our target market and hospital consolidations; unfavorable economic or market conditions that may cause a decline in spending for information technology and services; general economic conditions, including changes in the financial and credit markets that may affect the availability and cost of credit to us or our customers; potential inability to secure additional financing on favorable terms to meet our future capital needs; our substantial indebtedness, and our ability to incur additional indebtedness in the future; competition with companies that have greater financial, technical and marketing resources than we have; potential future acquisitions that may be expensive, time consuming, and subject to other inherent risks; potential failure to develop new products or enhance current products that keep pace with market demands; failure to develop new technology and products in response to market demands; failure of our products to function properly resulting in claims for medical and other losses; breaches of security and viruses in our systems resulting in customer claims against us and harm to our reputation; failure to maintain customer satisfaction through new product releases free of undetected errors or problems; failure to convince customers to migrate to current or future releases of our products; failure to maintain our margins and service rates; increase in the percentage of total revenues represented by service revenues, which have lower gross margins; exposure to liability in the event we provide inaccurate claims data to payors; exposure to liability claims arising out of the licensing of our software and provision of services; dependence on licenses of rights, products and services from third parties; misappropriation of our intellectual property rights and potential intellectual property claims and litigation against us; interruptions in our power supply and/or telecommunications capabilities, including those caused by natural disaster; our ability to attract and retain qualified client service and support personnel; disruption from periodic restructuring of our sales force; potential inability to properly manage growth in new markets we may enter; exposure to numerous and often conflicting laws, regulations, policies, standards or other requirements through our international business activities; potential litigation against us; pressures on cash flow to service our outstanding debt; restrictive terms of our credit agreement on our current and future operations; changes in and interpretations of financial accounting matters that govern the measurement of our performance; significant charges to earnings if our goodwill or intangible assets become impaired; fluctuations in quarterly financial performance due to, among other factors, timing of customer installations; volatility in our stock price; failure to maintain effective internal control over financial reporting; lack of employment or non-competition agreement with most of our key personnel; inherent limitations in our internal control over financial reporting; vulnerability to significant damage from natural disasters; market risks related to interest rate changes; and other risk factors described from time to time in our public releases and reports filed with the Securities and Exchange Commission, including, but not limited to, our most recent Annual Report on Form 10-K. Relative to our dividend policy, the payment of cash dividends is subject to the discretion of our Board of Directors and will be determined in light of then-current conditions, including our earnings, our leverage, our operations, our financial conditions, our capital requirements and other factors deemed relevant by our Board of Directors. In the future, our Board of Directors may change our dividend policy, including the frequency or amount of any dividend, in light of then-existing conditions. We also caution investors that the forward-looking information described herein represents our outlook only as of this date, and we undertake no obligation to update or revise any forward-looking statements to reflect events or developments after the date of this press release.

Computer Programs and Systems, Inc.
Condensed Consolidated Statements of Income
(In ‘000s, except per share data)
(Unaudited)
 

Three Months Ended June 30,

 

Six Months Ended June 30,

2021

 

2020

 

2021

 

2020

Sales revenues:
System sales and support

$

35,967

 

$

34,724

 

$

72,333

 

$

75,910

 

TruBridge

 

32,566

 

 

24,825

 

 

64,205

 

 

53,396

 

Total sales revenues

 

68,533

 

 

59,549

 

 

136,538

 

 

129,306

 

 
Costs of sales:
System sales and support

 

17,449

 

 

15,687

 

 

34,825

 

 

34,273

 

TruBridge

 

17,196

 

 

13,756

 

 

32,974

 

 

28,813

 

Total costs of sales

 

34,645

 

 

29,443

 

 

67,799

 

 

63,086

 

 
Gross profit

 

33,888

 

 

30,106

 

 

68,739

 

 

66,220

 

 
Operating expenses:
Product development

 

6,469

 

 

8,371

 

 

14,899

 

 

16,642

 

Sales and marketing

 

5,312

 

 

5,169

 

 

10,613

 

 

12,166

 

General and administrative

 

10,986

 

 

10,955

 

 

24,135

 

 

22,802

 

Amortization of acquisition-related intangibles

 

3,383

 

 

2,866

 

 

6,440

 

 

5,733

 

Total operating expenses

 

26,150

 

 

27,361

 

 

56,087

 

 

57,343

 

 
Operating income

 

7,738

 

 

2,745

 

 

12,652

 

 

8,877

 

 
Other income (expense):
Other income

 

224

 

 

(38

)

 

1,038

 

 

324

 

Loss on extinguishment of debt

 

 

 

(202

)

 

 

 

(202

)

Interest expense

 

(797

)

 

(803

)

 

(1,424

)

 

(1,982

)

Total other income (expense)

 

(573

)

 

(1,043

)

 

(386

)

 

(1,860

)

 
Income before taxes

 

7,165

 

 

1,702

 

 

12,266

 

 

7,017

 

 
Provision (benefit) for income taxes

 

1,024

 

 

(62

)

 

1,980

 

 

1,163

 

 
Net income

$

6,141

 

$

1,764

 

$

10,286

 

$

5,854

 

 
Net income per common share—basic

$

0.42

 

$

0.12

 

$

0.71

 

$

0.41

 

Net income per common share—diluted

$

0.42

 

$

0.12

 

$

0.70

 

$

0.41

 

 
Weighted average shares outstanding used in per common share computations:
Basic

 

14,335

 

 

14,067

 

 

14,247

 

 

13,985

 

Diluted

 

14,343

 

 

14,067

 

 

14,282

 

 

13,985

 

Computer Programs and Systems, Inc.
Condensed Consolidated Balance Sheets
(In ‘000s, except per share data)
 
June 30, 2021
(unaudited)
Dec. 31, 2020
Assets
Current assets
Cash and cash equivalents

$

19,131

 

$

12,671

 

Accounts receivable, net of allowance for doubtful accounts of $2,027 and $1,701, respectively

 

30,947

 

 

32,414

 

Financing receivables, current portion, net

 

8,529

 

 

10,821

 

Inventories

 

1,423

 

 

1,084

 

Prepaid income taxes

 

3,253

 

 

1,789

 

Prepaid expenses and other

 

9,043

 

 

8,365

 

Total current assets

 

72,326

 

 

67,144

 

 
Property & equipment, net

 

12,708

 

 

13,139

 

Software development costs, net

 

7,008

 

 

3,210

 

Operating lease assets

 

8,618

 

 

6,610

 

Financing receivables, net of current portion

 

9,107

 

 

11,477

 

Other assets, net of current portion

 

3,295

 

 

2,787

 

Intangible assets, net

 

102,349

 

 

71,689

 

Goodwill

 

177,748

 

 

150,216

 

Total assets

$

393,159

 

$

326,272

 

 
Liabilities & Stockholders’ Equity
Current liabilities
Accounts payable

$

6,850

 

$

7,716

 

Current portion of long-term debt

 

3,457

 

 

3,457

 

Deferred revenue

 

11,375

 

 

8,130

 

Accrued vacation

 

5,173

 

 

5,353

 

Other accrued liabilities

 

23,387

 

 

12,786

 

Total current liabilities

 

50,242

 

 

37,442

 

 
Long-term debt, less current portion

 

112,632

 

 

73,360

 

Operating lease liabilities, net of current portion

 

6,630

 

 

5,092

 

Deferred tax liabilities

 

12,113

 

 

10,378

 

Total liabilities

 

181,617

 

 

126,272

 

 
Stockholders’ Equity
Common stock, $0.001 par value; 30,000 shares authorized; 14,734 and 14,511 shares issued

 

15

 

 

15

 

Treasury stock, 86 and 47 shares

 

(2,483

)

 

(1,261

)

Additional paid-in capital

 

184,101

 

 

181,622

 

Retained earnings

 

29,909

 

 

19,624

 

Total stockholders’ equity

 

211,542

 

 

200,000

 

 
Total liabilities and stockholders’ equity

$

393,159

 

$

326,272

 

Computer Programs and Systems, Inc.
Condensed Consolidated Statements of Cash Flows
(In ‘000s)
(Unaudited)
 

Six Months Ended June 30,

2021

 

2020

Operating activities:
Net income

$

10,286

 

$

5,854

 

Adjustments to net income:
Provision for bad debt

 

1,294

 

 

1,708

 

Deferred taxes

 

1,735

 

 

816

 

Stock-based compensation

 

2,479

 

 

3,610

 

Depreciation

 

1,116

 

 

892

 

Amortization of acquisition-related intangibles

 

6,440

 

 

5,733

 

Amortization of software development costs

 

265

 

 

55

 

Amortization of deferred finance costs

 

147

 

 

169

 

Loss on extinguishment of debt

 

 

 

202

 

Changes in operating assets and liabilities:
Accounts receivable

 

1,149

 

 

5,656

 

Financing receivables

 

4,236

 

 

3,028

 

Inventories

 

(339

)

 

(181

)

Prepaid expenses and other

 

(1,177

)

 

(2,177

)

Accounts payable

 

(1,274

)

 

(709

)

Deferred revenue

 

1,545

 

 

(329

)

Other liabilities

 

6,706

 

 

633

 

Prepaid income taxes

 

(1,464

)

 

(122

)

Net cash provided by operating activities

 

33,144

 

 

24,838

 

 
Investing activities:
Purchase of business, net of cash received

 

(59,839

)

 

 

Investment in software development

 

(4,063

)

 

(1,484

)

Purchases of property and equipment

 

(685

)

 

(3,028

)

Net cash used in investing activities

 

(64,587

)

 

(4,512

)

 
Financing activities:
Dividends paid

 

 

 

(2,886

)

Treasury stock purchases

 

(1,222

)

 

 

Payments of long-term debt principal

 

(1,875

)

 

(2,194

)

Proceeds from long-term debt

 

 

 

65

 

Proceeds from revolving line of credit

 

61,000

 

 

 

Payments of revolving line of credit

 

(20,000

)

 

(4,000

)

Net cash used in financing activities

 

37,903

 

 

(9,015

)

 
Net increase in cash and cash equivalents

 

6,460

 

 

11,311

 

 
Cash and cash equivalents, beginning of period

 

12,671

 

 

7,357

 

Cash and cash equivalents, end of period

$

19,131

 

$

18,668

 

Computer Programs and Systems, Inc.
Consolidated Bookings
(In ‘000s)
 
Three Months Ended Six Months Ended
In ‘000s 6/30/2021 6/30/2020 6/30/2021 6/30/2020
System sales and support(1)

$

10,302

$

14,099

$

16,392

$

23,931

TruBridge(2)

 

6,249

 

5,905

 

8,936

 

15,416

 
Total

$

16,551

$

20,004

$

25,328

$

39,347

(1)

Generally calculated as the total contract price (for system sales) and annualized contract value (for support).

(2)

Generally calculated as the total contract price (for non-recurring, project-related amounts) and annualized contract value (for recurring amounts)
Computer Programs and Systems, Inc.
Bookings Composition
(In ‘000s, except per share data)
(Unaudited)
 
Three Months Ended Six Months Ended
6/30/2021 6/30/2020 6/30/2021 6/30/2020
System sales and support
Non-subscription sales(1)

$

4,219

 

$

7,348

 

$

7,216

 

$

14,839

Subscription revenue(2)

 

4,685

 

 

5,691

 

 

6,592

 

 

7,099

Other

 

1,398

 

 

1,060

 

 

2,584

 

 

1,993

TruBridge

 

 

 

 

 

 

 

Net new(3)

 

1,022

 

 

1,464

 

 

1,484

 

 

3,814

Cross-sell(3)

 

3,985

 

 

4,141

 

 

5,574

 

 

11,014

Get Real Health

 

772

 

 

300

 

 

1,408

 

 

588

TruCode

 

470

 

 

 

 

470

 

 

 
Total

$

16,551

$

20,004

$

25,328

$

39,347

(1)

Represents nonrecurring revenues that generally exhibit a timeframe for bookings-to-revenue conversion of five to six months following contract execution.

(2)

Represents recurring revenues to be recognized on a monthly basis over a weighted-average contract period of five years, with a start date in the next 12 months and an average timeframe for commencement of bookings-to-revenue conversion of five to six months following contract execution.

(3)

“Net new” represents bookings from outside the Company’s core EHR client base, and “Cross-sell” represents bookings from existing EHR customers. In each case, generally comprised of recurring revenues to be recognized ratably over a one-year period and an average timeframe for commencement of bookings-to-revenue conversion of four to six months following contract execution.
Computer Programs and Systems, Inc.
Acute Care EHR Net New License Mix
 
Three Months Ended Six Months Ended
6/30/2021 6/30/2020 6/30/2021 6/30/2020
SaaS(1)

4

3

6

11

Perpetual license(2)

2

3

3

 
Total

4

5

9

14

(1)

Exhibit revenue attribution that is recurring in nature.

(2)

Exhibit revenue attribution that is nonrecurring in nature.
Computer Programs and Systems, Inc.
Reconciliation of Non-GAAP Financial Measures
(In ‘000s)
(Unaudited)
 

Three Months Ended June 30,

 

Six Months Ended June 30,

Adjusted EBITDA:

2021

 

2020

 

2021

2020

Net income, as reported

$

6,141

$

1,764

 

$

10,286

$

5,854

 
Deferred revenue and other acquisition-related adjustments

 

158

 

 

 

158

 

Depreciation expense

 

563

 

473

 

 

1,116

 

892

Amortization of software development costs

 

192

 

17

 

 

265

 

55

Amortization of acquisition-related intangible assets

 

3,383

 

2,866

 

 

6,440

 

5,733

Stock-based compensation

 

1,444

 

1,251

 

 

2,479

 

3,610

Severance and other nonrecurring charges

 

814

 

50

 

 

3,007

 

105

Interest expense and other, net

 

573

 

1,043

 

 

386

 

1,860

Provision for income taxes

 

1,024

 

(62

)

 

1,980

 

1,163

 
Adjusted EBITDA

$

14,292

$

7,402

 

$

26,117

$

19,272

Computer Programs and Systems, Inc.
Reconciliation of Non-GAAP Financial Measures
(In ‘000s, except per share data)
(Unaudited)
 

Three Months Ended June 30,

 

Six Months Ended June 30,

Non-GAAP Net Income and Non-GAAP EPS:

2021

 

2020

 

2021

 

2020

Net income, as reported

$ 6,141

$ 1,764

$ 10,286

$ 5,854

 
Pre-tax adjustments for Non-GAAP EPS:
Deferred revenue and other acquisition-related adjustments

158

158

Amortization of acquisition-related intangible assets

3,383

2,866

6,440

5,733

Stock-based compensation

1,444

1,251

2,479

3,610

Severance and other nonrecurring charges

814

50

3,007

105

Non-cash interest expense

73

83

147

169

Loss on extinguishment of debt

202

202

After-tax adjustments for Non-GAAP EPS:
Tax-effect of pre-tax adjustments, at 21%

(1,200)

(935)

(2,535)

(2,062)

Tax shortfall (windfall) from stock-based compensation

171

(84)

299

 
Non-GAAP net income

$ 10,813

$ 5,452

$ 19,898

$ 13,910

 
Weighted average shares outstanding, diluted

14,343

14,067

14,282

13,985

 
Non-GAAP EPS

$ 0.75

$ 0.39

$ 1.39

$ 0.99

Explanation of Non-GAAP Financial Measures

We report our financial results in accordance with accounting principles generally accepted in the United States of America, or “GAAP.” However, management believes that, in order to properly understand our short-term and long-term financial and operational trends, investors may wish to consider the impact of certain non-cash or non-recurring items, when used as a supplement to financial performance measures that are prepared in accordance with GAAP. These items result from facts and circumstances that vary in frequency and impact on continuing operations. Management uses these non-GAAP financial measures in order to evaluate the operating performance of the Company and compare it against past periods, make operating decisions, and serve as a basis for strategic planning. These non-GAAP financial measures provide management with additional means to understand and evaluate the operating results and trends in our ongoing business by eliminating certain non-cash expenses and other items that management believes might otherwise make comparisons of our ongoing business with prior periods more difficult, obscure trends in ongoing operations, or reduce management’s ability to make useful forecasts. In addition, management understands that some investors and financial analysts find these non-GAAP financial measures helpful in analyzing our financial and operational performance and comparing this performance to our peers and competitors.

As such, to supplement the GAAP information provided, we present in this press release and during the live webcast discussing our financial results the following non‑GAAP financial measures: Adjusted EBITDA, Non-GAAP net income, and Non-GAAP earnings per share (“EPS”).

We calculate each of these non-GAAP financial measures as follows:

  • Adjusted EBITDA – Adjusted EBITDA consists of GAAP net income as reported and adjusts for (i) deferred revenue and other adjustments arising from purchase allocation adjustments related to business acquisitions; (ii) depreciation expense; (iii) amortization of software development costs; (vi) amortization of acquisition-related intangible assets; (v) stock-based compensation; (vi) severance and other non‑recurring charges; (vii) interest expense and other, net; and (viii) the provision for income taxes.
  • Non-GAAP net income – Non-GAAP net income consists of GAAP net income as reported and adjusts for (i) deferred revenue and other adjustments arising from purchase allocation adjustments related to business acquisitions; (ii) amortization of acquisition-related intangible assets; (iii) stock-based compensation; (iv) severance and other non-recurring charges; (v) non-cash interest expense; (vi) loss on extinguishment of debt; and (vii) the total tax effect of items (i) through (vii).

Contacts

Tracey Schroeder

Chief Marketing Officer

Tracey.schroeder@cpsi.com
(251) 639-8100

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