TruBridge
RCM services and EHR for rural and community hospitals
Our take
TruBridge, the Mobile, AL company formerly known as CPSI (founded 1979), provides revenue cycle management services and healthcare IT to rural and community hospitals. Its core offer is the Complete Business Office: outsourced billing, coding, collections, and denial management for small hospitals that cannot staff a full revenue cycle department. It also sells the TruBridge EHR (the former Evident Thrive product), analytics, and patient billing services, and its RCM services work with hospitals running other EHRs.
The company rebranded from CPSI to TruBridge in March 2024 and traded on Nasdaq as TBRG until IKS Health completed a $557 million all-cash acquisition on July 9, 2026. Quarterly revenue ran around $86 million in late 2025 with 94% recurring, and the combined IKS-TruBridge organization claims support for more than 2,000 healthcare organizations and 150,000 clinicians. It remains one of the few vendors purpose-built for the economics of rural hospitals, and was named among Modern Healthcare's 2025 Best in Business.
What it does
- Complete Business Office: full RCM outsourcing
- Coding, CDI, and billing services
- Claims, eligibility, and denial management
- TruBridge EHR for small hospitals
- Financial analytics and benchmarking
- Patient billing and early-out services
Where it's strong
- Decades of focus on hospitals under 400 beds, a segment most RCM vendors ignore.
- Recurring revenue model (94% of revenue) reflects sticky, long-term service relationships.
- Can take over the entire business office, which matters where billing staff are hard to hire.
What buyers should weigh
- The IKS Health acquisition (closed July 2026) brings integration uncertainty and more offshore delivery.
- Its EHR trails Epic and Meditech in features, and KLAS coverage of it is thin.
- Bookings softened in 2025, so check account team stability before signing.
Latest
IKS Health completed its $557 million acquisition of TruBridge in July 2026, taking the company private at $26.25 per share.
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