CPSI Announces First Quarter 2020 Results

Highlights for First Quarter 2020:

  • Revenues of $69.8 million;
  • GAAP net income of $4.1 million and non-GAAP net income of $8.5 million;
  • Adjusted EBITDA of $11.9 million;
  • Cash provided by operations of $7.6 million;
  • GAAP earnings per diluted share of $0.28 and non-GAAP earnings per diluted share of $0.61; and
  • Quarterly dividend of $0.10 per share.
  • Guidance is withdrawn due to the uncertainty created by the COVID-19 pandemic.

MOBILE, Ala.–(BUSINESS WIRE)–$CPSI–CPSI (NASDAQ: CPSI), a community healthcare solutions company, today announced results for the first quarter ended March 31, 2020.

The Company also announced that its Board of Directors has declared a quarterly cash dividend of $0.10 per share, payable on May 29, 2020 to stockholders of record as of the close of business on May 15, 2020.

Total revenues for the first quarter ended March 31, 2020, were $69.8 million, compared with total revenues of $69.1 million for the prior-year first quarter. GAAP net income for the quarter ended March 31, 2020, was $4.1 million, or $0.28 per diluted share, compared with $3.4 million, or $0.24 per diluted share, for the quarter ended March 31, 2019. Cash provided by operations for the first quarter of 2020 was $7.6 million, compared with $7.9 million for the prior-year period.

“CPSI had a solid first-quarter performance despite the challenging environment we faced beginning in mid-March due to the widespread effects of the COVID-19 pandemic,” said Boyd Douglas, president and chief executive officer of CPSI. “We were fortunate to enter this unprecedented period with positive momentum and a strong financial position. Those advantages have allowed continued execution on our long-term strategy and provided our healthcare clients with timely, innovative, and uninterrupted solutions, services and support. Though the uncertainty surrounding the scale and duration of the pandemic’s impact has led us to withdraw guidance, this crisis is demonstrating the exceptional value our people and our products deliver to our communities, which our clients have come to depend on.

“Without question, the COVID-19 pandemic has highlighted the critical need for quality healthcare in the communities we serve. We commend the heroic efforts of healthcare workers on the front lines in community hospitals and healthcare facilities across the country. Fortunately, many of these providers are now receiving emergency government funding through the CARES Act to ensure they can continue to operate and meet the demands of an increased workload. The subsequent supplemental funding through the Paycheck Protection Program and Healthcare Enhancement Act included an additional $10 billion targeted specifically to rural hospitals and clinics. As a result, the average rural hospital is expected to receive a total of approximately $3.6 million in direct financial relief, starting this week, with no application process or repayments. While these funds will certainly help mitigate the financial pressures our clients face, the clinical and operational challenges remain immense.

“CPSI has been focused on helping our clients respond to this crisis with the resources and support to safely and effectively manage fluctuating patient volumes, provide treatment or testing for COVID-19, and deliver ongoing patient care. We have provided a COVID-19 Resource webpage and offered webinars to help providers navigate rapidly changing information. In late March, we began offering our CPSI COVID-19 Toolkit, which includes a screening for assessments based on CDC guidelines, live care escalation to an agent, and video chat to support virtual care. The CPSI COVID-19 Tool Kit is offered at no charge to healthcare providers and their clinicians to help them safely and proactively engage with their communities, and over 200 of our clients are actively using this product. And, in early April, we introduced a telehealth solution, TalkWithYourDoc.com, to enable providers and patients to connect in a safe manner. This product is free to all providers for the remainder of 2020, and to date over 150 customers have selected TalkWithYourDoc.com as their telehealth platform.

“Our top priority is the safety of our employees and those we serve. We are delivering the same high level of customer support and training on a remote basis, including implementations. We will continue to leverage these capabilities to support our clients, especially as they begin to resume services that have been suspended. Across the CPSI companies, we have a shared commitment to do everything possible to ensure our communities have access to safe, quality healthcare,” added Douglas.

Commenting on the Company’s financial performance for the quarter, Matt Chambless, chief financial officer of CPSI, stated, “We were pleased with our performance for the first quarter, particularly against the backdrop of deteriorating market conditions at the end of the period. Our continued focus on managing our costs is reflected in our overall profitability and margin improvement for the quarter. Total bookings were up 39 percent over the same period last year despite the challenges posed by the COVID-19 pandemic. This growth was led by TruBridge, our services business, which posted over $9.5 million in bookings for the first quarter, more than double the same period last year. Those bookings included a meaningful contribution from nTrust, our Software as a Service (SaaS) offering that combines our acute or post-acute care EHR with revenue cycle management (RCM) solutions from TruBridge. The greater contribution from nTrust is consistent with our planned shift in software and support revenues from a license to a SaaS model and our continued emphasis on recurring revenue growth as we work to build a more stable and predictable business.

“Looking ahead, the COVID-19 pandemic has created significant uncertainty for our customers. While our software and services are mission-critical for their businesses, an overwhelming majority of our TruBridge services generate revenue based on customer volumes, which have become unpredictable due to COVID-19. As a result, we cannot reasonably estimate the impact the pandemic will have on our operating and financial results and are withdrawing the previously issued financial guidance for 2020, as well as the three-year annual organic recurring revenue growth range and related guidance provided in our press release dated February 11, 2020. Despite the uncertainty, we continue to generate cash to further bolster our strong balance sheet, which provides sufficient capital to support our business and pursue our long-term strategic initiatives,” added Chambless.

CPSI will hold a live webcast to discuss first quarter 2020 results today, Tuesday, May 5, 2020, at 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 four companies – Evident, LLC, American HealthTech, Inc., TruBridge, LLC, and iNetXperts, Corp. d/b/a Get Real Health. 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. 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 estimated and projected earnings, leverage ratio, margins, costs, expenditures, cash flows, growth rates, the Company’s level of recurring and non-recurring revenue and backlog, the Company’s shareholder returns and future financial 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 global pandemic related to the novel coronavirus COVID-19, including the size and breadth of this pandemic, which could decrease our hospital customers’ patient volumes and negatively impact our variable revenues, gross margins and income and negatively impact new EHR system installations; 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; overall business and economic conditions affecting the healthcare industry, including the effects of the federal healthcare reform legislation enacted in 2010, and implementing regulations, on the businesses of our hospital customers; government regulation of our products and services and the healthcare and health insurance industries, including changes in healthcare policy affecting Medicare and Medicaid reimbursement rates and qualifying technological standards; changes in customer purchasing priorities, capital expenditures and demand for information technology systems; saturation of our target market and hospital consolidations; 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; our substantial indebtedness, and our ability to incur additional indebtedness in the future; our potential inability to generate sufficient cash in order to meet our debt service obligations; restrictions on our current and future operations because of the terms of our senior secured credit facilities; market risks related to interest rate changes; competition with companies that have greater financial, technical and marketing resources than we have; 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; 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; failure to properly manage growth in new markets we may enter; misappropriation of our intellectual property rights and potential intellectual property claims and litigation against us; changes in accounting principles generally accepted in the United States; 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; 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.

Unaudited Condensed Consolidated Statements of Income

(In thousands, except per share data)

 

Three Months Ended

March 31,

 

2020

2019

Sales revenues:

System sales and support

$

41,186

 

$

43,247

 

TruBridge

 

28,571

 

 

25,894

 

Total sales revenues

 

69,757

 

 

69,141

 

 

Costs of sales:

System sales and support

 

18,587

 

 

18,337

 

TruBridge

 

15,057

 

 

13,689

 

Total costs of sales

 

33,644

 

 

32,026

 

 

Gross profit

 

36,113

 

 

37,115

 

 

Operating expenses:

Product development

 

8,271

 

 

9,228

 

Sales and marketing

 

6,997

 

 

7,492

 

General and administrative

 

11,847

 

 

11,824

 

Amortization of acquisition-related intangibles

 

2,866

 

 

2,523

 

Total operating expenses

 

29,981

 

 

31,067

 

 

Operating income

 

6,132

 

 

6,048

 

 

Other income (expense):

Other income

 

362

 

 

248

 

Interest expense

 

(1,179

)

 

(1,804

)

Total other expense

 

(817

)

 

(1,556

)

 

Income before taxes

 

5,315

 

 

4,492

 

Provision for income taxes

 

1,225

 

 

1,048

 

Net income

$

4,090

 

$

3,444

 

 

 

Net income per common share – basic and diluted

$

0.28

 

$

0.24

 

 

Weighted average shares outstanding used in per common share computations – basic and diluted

 

13,904

 

 

13,656

 

COMPUTER PROGRAMS AND SYSTEMS, INC.

Condensed Consolidated Balance Sheets

(In thousands, except per share data)

 

March 31,

2020

Dec. 31,

2019

 

(Unaudited)

 

ASSETS

Current assets

Cash and cash equivalents

$

4,280

 

$

7,357

 

Accounts receivable, net of allowance for doubtful accounts of $2,064 and $2,078, respectively

 

38,241

 

 

38,819

 

Financing receivables, current portion, net

 

12,175

 

 

12,032

 

Inventories

 

1,365

 

 

1,426

 

Prepaid income taxes

 

1,208

 

 

1,337

 

Prepaid expenses and other

 

6,606

 

 

5,861

 

Total current assets

 

63,875

 

 

66,832

 

 

Property and equipment, net

 

13,294

 

 

11,593

 

Software development costs, net

 

883

 

 

 

Operating lease assets

 

7,522

 

 

7,800

 

Financing receivables, net of current portion

 

17,794

 

 

18,267

 

Other assets, net of current portion

 

2,105

 

 

1,771

 

Intangible assets, net

 

80,244

 

 

83,110

 

Goodwill

 

150,216

 

 

150,216

 

Total assets

$

335,933

 

$

339,589

 

 

LIABILITIES AND STOCKHOLDERS’ EQUITY

Current liabilities

Accounts payable

$

9,010

 

$

8,804

 

Current portion of long-term debt

 

8,430

 

 

8,430

 

Deferred revenue

 

7,807

 

 

8,628

 

Accrued vacation

 

4,649

 

 

4,301

 

Other accrued liabilities

 

8,714

 

 

11,767

 

Total current liabilities

 

38,610

 

 

41,930

 

 

Long-term debt, less current portion

 

93,325

 

 

99,433

 

Operating lease liabilities, net of current portion

 

5,950

 

 

6,256

 

Deferred tax liabilities

 

8,688

 

 

7,623

 

Total liabilities

 

146,573

 

 

155,242

 

 

Stockholders’ Equity

Common stock, $0.001 par value; 30,000 shares authorized; 14,512 and 14,356 shares issued and outstanding

 

15

 

 

14

 

Additional paid-in capital

 

176,975

 

 

174,618

 

Retained earnings

 

12,370

 

 

9,715

 

Total stockholders’ equity

 

189,360

 

 

184,347

 

Total liabilities and stockholders’ equity

$

335,933

 

$

339,589

 

COMPUTER PROGRAMS AND SYSTEMS, INC.

Unaudited Condensed Consolidated Statements of Cash Flows

(In thousands)

 

 

Three Months Ended

March 31,

 

2020

 

2019

Operating activities:

   

Net income

 

$

4,090

 

 

$

3,444

 

Adjustments to net income:

   

Provision for bad debt

 

 

999

 

 

 

1,207

 

Deferred taxes

 

 

1,065

 

 

 

854

 

Stock-based compensation

 

 

2,358

 

 

 

2,436

 

Depreciation

 

 

420

 

 

 

361

 

Amortization of acquisition-related intangibles

 

 

2,866

 

 

 

2,523

 

Amortization of software development costs

 

 

38

 

 

 

 

Amortization of deferred finance costs

 

 

86

 

 

 

86

 

Changes in operating assets and liabilities:

   

Accounts receivable

 

 

(88

)

 

 

(156

)

Financing receivables

 

 

(4

)

 

 

183

 

Inventories

 

 

62

 

 

 

(251

)

Prepaid expenses and other

 

 

(1,079

)

 

 

(772

)

Accounts payable

 

 

206

 

 

 

1,239

 

Deferred revenue

 

 

(821

)

 

 

698

 

Other liabilities

 

 

(2,732

)

 

 

(3,808

)

Income taxes payable

 

 

128

 

 

 

(156

)

Net cash provided by operating activities

 

 

7,594

 

 

 

7,888

 

 

   

Investing activities:

   

Investment in software development

 

 

(921

)

 

 

 

Purchases of property and equipment

 

 

(2,120

)

 

 

(473

)

Net cash used in investing activities

 

 

(3,041

)

 

 

(473

)

 

   

Financing activities:

   

Dividends paid

 

 

(1,436

)

 

 

(1,422

)

Payments of long-term debt principal

 

 

(2,194

)

 

 

(7,110

)

Proceeds from revolving line of credit

 

 

(4,000

)

 

 

 

Payments of contingent consideration

 

 

 

 

 

(206

)

Net cash used in financing activities

 

 

(7,630

)

 

 

(8,738

)

 

   

Net decrease in cash and cash equivalents

 

 

(3,077

)

 

 

(1,323

)

 

   

Cash and cash equivalents, beginning of period

 

 

7,357

 

 

 

5,732

 

Cash and cash equivalents, end of period

 

$

4,280

 

 

$

4,409

 

COMPUTER PROGRAMS AND SYSTEMS, INC.

Unaudited Other Supplemental Information

Consolidated Bookings

(In thousands)

 

Three Months Ended

March 31,

2020

2019

System sales and support (1)

$

9,832

$

9,716

TruBridge (2)

 

9,511

 

4,228

Total

$

19,343

$

13,994

(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).

Bookings Composition

(In thousands, except per share data)

 

 

Three Months Ended

March 31,

 

2020

2019

System sales and support

 

 

Included in period’s revenues

$

906

$

874

Non-subscription sales (1)

 

7,518

 

7,269

Subscription revenue (2)

 

1,408

 

1,573

TruBridge

 

 

Net new (3)

 

2,447

 

651

Cross-sell (3)

 

7,064

 

3,577

Total

$

19,343

$

13,944

(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.

Acute Care EHR Net New License Mix

 

Three Months Ended

March 31,

 

2020

2019

SaaS (1)

8

 

1

Perpetual license (2)

1

 

3

Total

9

 

4

(1)

Exhibit revenue attribution that is recurring in nature.

(2)

Exhibit revenue attribution that is nonrecurring in nature.

 

COMPUTER PROGRAMS AND SYSTEMS, INC.

Unaudited Reconciliation of Non-GAAP Financial Measures

(In thousands)

 

Adjusted EBITDA

Three Months Ended

March 31,

 

2020

2019

Net income, as reported

$

4,090

$

3,444

Depreciation expense

 

420

 

361

Amortization of software development costs

 

38

 

Amortization of acquisition-related intangible assets

 

2,866

 

2,523

Stock-based compensation

 

2,358

 

2,437

Severance and other nonrecurring charges

 

55

 

1,173

Interest expense and other, net

 

817

 

1,556

Provision for income taxes

 

1,225

 

1,048

Adjusted EBITDA

$

11,869

$

12,542

The performance measure of Adjusted EBITDA, as presented above, excludes the cash benefits derived from the utilization of net operating loss carryforwards acquired in the Company’s acquisition of Healthland in 2016 (“NOL Utilization.”) However, NOL Utilization is included as an adjustment to net income in order to calculate Consolidated EBITDA per the terms of our credit facility. NOL Utilization was approximately $0.8 million for each of the three months ended March 31, 2020 and March 31, 2019.

 

COMPUTER PROGRAMS AND SYSTEMS, INC.

Unaudited Reconciliation of Non-GAAP Financial Measures

(In thousands, except per share data)

 

Non-GAAP Net Income and Non-GAAP Earnings Per Share (“EPS”)

Three Months Ended

March 31,

 

2020

2019

Net income, as reported

$

4,090

 

$

3,444

 

Pre-tax adjustments for Non-GAAP EPS:

 

 

Amortization of acquisition-related intangible assets

 

2,866

 

 

2,523

 

Stock-based compensation

 

2,358

 

 

2,437

 

Severance and other nonrecurring charges

 

55

 

 

1,173

 

Non-cash interest expense

 

86

 

 

86

 

After-tax adjustments for Non-GAAP EPS:

 

 

Tax-effect of pre-tax adjustments, at 21%

 

(1,127

)

 

(1,306

)

Tax shortfall from stock-based compensation

 

128

 

 

82

 

Non-GAAP net income

$

8,456

 

$

8,439

 

Weighted average shares outstanding, diluted

 

13,904

 

 

13,656

 

Non-GAAP EPS

$

0.61

 

$

0.62

 

 

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 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 (loss) as reported and adjusts for (i) depreciation; (ii) amortization of software development costs; (iii) amortization of acquisition-related intangible assets; (iv) stock-based compensation; (v) severance and other non-recurring expenses; (vi) interest expense and other, net; and (vii) the provision for income taxes.

Contacts

Tracey Schroeder

Chief Marketing Officer

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

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