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Informist, Friday, Apr. 24, 2026

 

By Sunil Raghu and Suryash Kumar

 

Please click here to read all liners published on this story

--Inventurus Knowledge: Integrating TruBridge operations may take 4-6 qtrs
--Inventurus Knowledge: Difficult to reach TruBridge business levels on own
--Inventurus Knowledge: Acquisition of TruBridge strategic, transformative
--Inventurus Knowledge: Seek to be leading system of record for rural health
--CONTEXT:Inventurus Knowledge mgmt comments in analyst call on TruBridge buy
--Inventurus Knowledge:Needed to buy in segment where co couldn't be competed

 

AHMEDABAD – Inventurus Knowledge Solutions Ltd. Friday said its acquisition of TruBridge Inc. of the US is a "strategic and transformative" move aimed at building a defensible position in the niche healthcare segment. The management also said that the integration is expected to take four to six quarters.

 

"We needed to find market segments that were not competitive to the segments where the Meditechs of the world were playing... and find a niche player that would be a dominant system of record," Sachin Gupta, founder and chief executive officer, Inventurus Knowledge, told analysts and investors in the call. He said TruBridge focusses on rural hospitals in the US and fits Inventurus Knowledge's strategy well. "It's a niche market segment, but still a very large market segment... 2,200 rural hospitals... driving $164 billion of revenue."

 

On Thursday, Inventurus Knowledge Solutions said its US-based subsidiary, Inventurus Knowledge Solutions Inc., will acquire TruBridge Inc. for a total consideration of $565 million. The US subsidiary will acquire TruBridge by merging it with ts wholly-owned subsidiary IKS Next Horizon Inc. and the stake buy is expected to be completed by six months from Thursday, the exchange filing read. IKS Next Horizon is engaged in healthcare technology.

 

Meanwhile, TruBridge is also a prominent provider of healthcare technology solutions for rural and community hospitals in the US, offering electronic medical records solutions and revenue cycle management services. The enterprise value of TruBrige is $557 million, calculated based on the net debt position as on Mar. 31, an investor presentation from the Indian company said.

 

On being asked if it was not possible for Inventurus Knowledge to achieve its strategic objectives of acquiring TruBridge on its own, Gupta said the acquisition provides immediate access to a difficult-to-penetrate market. "To sell across 700 hospitals would be a decade... doing this organically would be next to impossible."

 

The proposed acquisition will help the Indian company to diversify into software-as-a-service electronic health record segment and will enable the company group to offer an integrated suite of electronic medical records and care-enablement platform solutions to both existing and new clients. Gupta on Friday reiterated that the deal will strengthen its ambition to become a leading technology backbone for rural healthcare providers. Earlier, he had said that Inventurus Knowledge aims to be a "leading system of record for rural health".

 

On integration, Gupta said he anticipates a "four- to five-quarter" integration process involving organisational alignment, customer engagement, and technology modernisation. The US subsidiary is stated to fund the proposed acquisition through debt of $670 million to be availed from lenders as Citibank, Deutsche Bank, and JPMorgan Chase Bank, on a five-year term. The debt will be availed by pledging entire shareholding held by the Indian parent in the US arm, the arm's shareholding in Aquity Holdings, Inc., and that held by the US arm in TrueBridge. As per the agreement, shareholders of TruBridge will receive $26.25 in cash for each share of common stock.

 

"...this (debt) puts our starting leverage at a little over 3x EBITDA (earnings before interest, tax, depreciation and amortisation), which traditionally speaking, I would say, is a bit more than I generally like, but I think given the strategic rationale and the rapid pace at which we think we can deleverage through internal rules, given that the deal is instantly accretive at close, and there is a whole bunch of opportunity to drive both synergies and growth in that niche but very large rural healthcare market, we feel very, very confident and comfortable," Gupta added.

 

At 1126 IST, shares of the company traded around 0.2% lower at INR 1,433 on the National Stock Exchange, after touching a high of INR 1,573.80 on news of TruBridge acquisition. For the December quarter, Inventurus Knowledge had reported consolidated net profit of INR 1.83 billion on consolidated revenues of INR 8.15 billion. End

 

IST, or Indian Standard Time, is five-and-a-half hours ahead of GMT

 

Edited by Deepshikha Bhardwaj

 

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