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Segment Reporting | 12 Months Ended
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Dec. 31, 2022
Segment Reporting [Abstract] |
Segment Reporting | SEGMENT REPORTING Our chief operating decision makers ("CODM") previously utilized the following three operating segments, "Acute Care EHR", "Post-acute Care EHR" and "TruBridge". However, in the fourth quarter of 2022, the Company made a number of changes to its organizational structure and management system to better align the Company's operating model to its strategic initiatives. As a result of these changes, the Company revised its operating segments. The new operating and reportable segments, based on our three distinct business units with unique market dynamics and opportunities, are RCM, EHR, and "Patient Engagement". These segments represent the components of the Company for which separate financial information is available that is utilized on a regular basis by the CODM in assessing segment performance and in allocating the Company's resources. Management evaluates the performance of the segments based on revenues and adjusted EBITDA. The Company previously evaluated the performance of the segments based on segment gross profit. Management believes adjusted EBITDA is a useful measure to assess the performance and liquidity of the Company as it provides meaningful operating results by excluding the effects of expenses that are not reflective of its operating business performance. Our CODM group is comprised of the Chief Executive Officer, Chief Operating Officer, and Chief Financial Officer. Accounting policies for each of the reportable segments are the same as those used on a consolidated basis. The segment disclosures below for the years ended December 31, 2022, 2021, and 2020 have been recast to conform to the current year presentation. Adjusted EBITDA consists of GAAP net income as reported and adjusts for (i) deferred revenue purchase accounting adjustments arising from purchase allocation adjustments related to business acquisitions; (ii) depreciation expense; (iii) amortization of software development costs; (iv) amortization of acquisition-related intangible assets; (v) stock-based compensation; (vi) severance and other non-recurring charges; (vii) interest expense and other, net; (viii) gain on contingent consideration; and (ix) the provision for income taxes. There are no intersegment revenues to be eliminated in computing segment revenue. The following table presents a summary of the revenues and adjusted EBITDA of our three operating segments for the years ended December 31, 2022, 2021, and 2020:
| Year Ended December 31,
(In thousands) | 2022 |  | 2021 |  | 2020
Revenues: |  |  |  |  |
RCM | $ | 179,870 |  |  | $ | 131,242 |  |  | $ | 107,431 |
EHR |  |  |  |  |
Recurring revenue |  |  |  |  |
Acute Care EHR | $ | 109,340 |  |  | $ | 108,440 |  |  | $ | 105,597 |
Post-acute Care EHR | $ | 15,384 |  |  | $ | 16,472 |  |  | $ | 16,272 |
Total recurring EHR revenues | 124,724 |  |  | 124,912 |  |  | 121,869 |
Non-recurring revenue |  |  |  |  |
Acute Care EHR | $ | 13,138 |  |  | $ | 16,939 |  |  | $ | 29,173 |
Post-acute Care EHR | $ | 1,961 |  |  | $ | 1,258 |  |  | $ | 1,912 |
Total non-recurring EHR revenues | 15,099 |  |  | 18,197 |  |  | 31,085 |
Total EHR revenue | 139,823 |  |  | 143,109 |  |  | 152,954 |
Patient engagement | 6,955 |  |  | 6,278 |  |  | 4,103 |
Total revenues | $ | 326,648 |  |  | $ | 280,629 |  |  | $ | 264,488 |
Adjusted EBITDA by Segment: |  |  |  |  |
RCM | 36,242 |  |  | 30,211 |  |  | 22,780 |
EHR | 19,091 |  |  | 23,061 |  |  | 21,488 |
Patient engagement | 566 |  |  | (595) |  |  | (881) |
Total adjusted EBITDA | $ | 55,899 |  |  | $ | 52,677 |  |  | $ | 43,387 |
The following table reconciles net income to adjusted EBITDA:
| Year Ended December 31,
(In thousands) | 2022 |  | 2021 |  | 2020
Net income, as reported | $ | 15,867 |  |  | $ | 18,430 |  |  | $ | 14,246 |
Deferred revenue and other acquisition-related adjustments | 109 |  |  | 747 |  |  | — |
Depreciation expense | 2,443 |  |  | 2,156 |  |  | 1,790 |
Amortization of software development costs | 3,484 |  |  | 931 |  |  | 118 |
Amortization of acquisition-related intangibles | 17,403 |  |  | 13,786 |  |  | 11,421 |
Stock-based compensation | 5,173 |  |  | 5,457 |  |  | 7,005 |
Severance and other non-recurring charges | 4,504 |  |  | 4,892 |  |  | 1,999 |
Interest expense and other, net | 5,267 |  |  | 1,632 |  |  | 2,270 |
Gain on contingent consideration | (565) |  |  | — |  |  | — |
Provision for income taxes | 2,214 |  |  | 4,646 |  |  | 4,538 |
Total adjusted EBITDA | $ | 55,899 |  |  | $ | 52,677 |  |  | $ | 43,387 |

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- Definition The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 31 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8924-108599 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 34 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8981-108599 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 21 -Subparagraph (a) -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8721-108599 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 40 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e9031-108599 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (f) -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8933-108599 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (e) -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8933-108599 Reference 7: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 26 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8844-108599 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 41 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e9038-108599 Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (d) -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8933-108599 Reference 10: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8736-108599 Reference 11: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 42 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e9054-108599 Reference 12: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 15 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8657-108599 Reference 13: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 21 -Subparagraph (b) -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8721-108599 Reference 14: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -URI https://asc.fasb.org/topic&trid=2134510 + Details
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