Billing and Rejection Analyst

Keeping care local while strengthening care everywhere. * Sachin K. Gupta, Founder and Global CEO Sachin K. Gupta is the Founder and Chief Executive Officer of IKS Health, a global leader in care enablement solutions, and an inaugural member of the IKS Health Board of Directors. Gupta founded IKS Health in 2006 and has pioneered its emergence as the leading care enablement platform in the United States. IKS Health recently completed its acquisition of TruBridge, bringing together two organizations with distinct histories and capabilities but a shared purpose: helping healthcare organizations operate more effectively so clinicians can focus on patients and communities can maintain access to high-quality care. Rural and community hospitals face many of the same challenges as large health systems and independent physician practices, including workforce constraints, growing administrative burden, payer complexity, rising technology demands, and sustained financial pressure. They often confront these challenges with fewer resources and less room for disruption, making any added complexity even harder to absorb. They need technology and accountable partners that help complete essential work, strengthen performance, and preserve access to care. That is the opportunity IKS Health Limited. see in bringing IKS Health and TruBridge together. Any acquisition of this scale creates reasonable questions about continuity, investment priorities, customer support, and future direction. In healthcare, trust must be earned continuously, and its responsibility is not simply to promise continuity but to preserve what works, invest in what can be improved, and demonstrate value through measurable customer outcomes. TruBridge brings more than 45 years of healthcare experience and relationships with more than 1,500 organizations, particularly rural and community hospitals. IKS Health already supports community hospitals, large health systems, ambulatory organizations, and independent physician practices through clinical documentation, coding, revenue cycle, patient engagement, and other AI-driven care enablement capabilities. Together, IKS Health Limited. can extend more advanced technology, operational expertise, and financial capabilities across the acute and ambulatory continuum without losing sight of the distinct needs of each customer. The strength of TruBridge's position is also supported by independent customer feedback. In 2026, Black Book Research ranked TruBridge No. 1 in both Community Hospital Patient Accounting and RCM Platforms and Small, Rural, and Critical Access Hospital Core RCM Platforms. Additionally, TruBridge has earned HFMA Peer Reviewed(R) certifications for its RCM tech, and its complete billing office and coding solutions. These recognitions reflect the experiences of the organizations that depend on these capabilities every day. However, its ambition is larger than combining two portfolios. Healthcare has invested heavily in systems designed to collect, store, and present information. The electronic health record (EHR) remains the essential system of record, but clinicians, revenue cycle teams, and administrative staff still spend too much time moving between systems, correcting errors, resolving exceptions, and ensuring that work gets completed. The problem is no longer simply access to data. It is the ability to turn that data into appropriate, timely action. A patient may be scheduled but not financially cleared. A prior authorization requirement may be identified but not completed before care is delayed. A clinical encounter may be documented without the information flowing efficiently into coding and billing. A denial risk may be visible, yet no action occurs until after the claim is rejected. Each disconnected handoff adds cost, delay, frustration, and the possibility that important work remains unfinished. This is why IKS Health Limited. believe healthcare needs a stronger connection between the system of record and a system of action. The system of record provides the trusted clinical foundation, while the system of action uses data, context, explainable AI, workflow orchestration, automation, and human expertise to carry work through to completion. Insight alone does not improve access, prevent a denial, complete a prior authorization, finish documentation, or strengthen financial performance. Value is created when intelligence leads to action, and that action produces a measurable outcome. For nearly 20 years, IKS Health has been building these capabilities across the patient journey, from access and engagement through clinical documentation, coding, prior authorization, denials, and broader revenue cycle operations. TruBridge, with its 45-year history, adds a trusted EHR platform, proven hospital revenue cycle technology, coding expertise, analytics, and decades of experience addressing the operational realities of rural and community healthcare. Together, these capabilities can create a more connected operating model in which clinical and financial information does not remain trapped in separate systems waiting for people to act. Instead, technology can help initiate the next appropriate step, route exceptions, apply specialized intelligence, incorporate human judgment, and learn continuously from outcomes. This is not about removing people from healthcare. It is about removing unnecessary work from people so they can focus their expertise where it creates the greatest value. IKS Health Limited. believe AI is most effective when it amplifies human capability rather than replacing accountability. Technology can provide speed, consistency, and scale, while experienced professionals contribute clinical context, judgment, governance, and oversight. This combination is particularly important for rural hospitals, community hospitals, ambulatory organizations, and independent practices that do not need the resources of a national health system to benefit from advanced AI and automation. Nor should healthcare organizations be required to abandon their existing technology infrastructure. Its goal is to create value across different EHR environments and organizational models, including TruBridge customers, current IKS Health customers, and organizations using other systems of record. The combined organization now supports more than 2,000 healthcare organizations and over 150,000 clinicians. That scale matters only when it translates into better outcomes: easier access and greater financial clarity for patients, less administrative work for clinicians, stronger revenue integrity and more reliable operations for healthcare organizations, and greater financial resilience for the communities they serve. IKS Health Limited. do not view this acquisition primarily as a story about owning more technology or adding more services. IKS Health Limited. view it as an opportunity to accept greater responsibility for helping healthcare organizations complete essential work and deliver better outcomes. IKS Health Limited. will listen to customers, preserve the relationships and expertise that have made TruBridge a trusted partner, continue supporting the organizations that already rely on IKS Health, and invest in innovation that serves customers across acute and ambulatory care. Its success will be measured not by the number of capabilities IKS Health Limited. bring together, but by the value IKS Health Limited. create for patients, clinicians, healthcare organizations, and communities. The future of healthcare will be shaped by organizations that can turn intelligence into action, action into outcomes, and outcomes into more sustainable care. That is the future IKS Health Limited. is working toward together.

TruBridge reported fourth-quarter revenue of $87.2 million, in line with guidance, with adjusted EBITDA of $19.2 million at the high end of expectations. Full-year revenue reached $346.8 million, up 1.4% year-over-year, whilst adjusted EBITDA rose 23% to $68.7 million. Free cash flow increased to $20 million for the year. The company filed its 10-K following a delay caused by out-of-period adjustments identified during final audit procedures with its new external auditor. Management emphasised these noncash adjustments were not material to fiscal 2025 results. CEO Christopher Fowler disclosed the company is conducting a strategic review to maximise shareholder value. Fourth-quarter bookings reached $19.8 million, supported by growing SaaS partnerships and revenue cycle services. The overall sales pipeline has increased 53% since early third quarter.