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Exhibit 99.1 CPSI Announces Fourth Quarter and Year - End 2020 Results Company Launches Transformation Initiative with Goal of $ 80 million in Adjusted EBITDA in 2024 ; Targets Three - Year Average Organic Recurring Revenue Growth Rate of 5 % to 8 % Highlights for Fourth Quarter 2020 : • Revenues of $ 66.8 million ; • GAAP net income of $ 3.1 million and non - GAAP net income of $ 7.8 million ; GAAP earnings per diluted share of $ 0.22 and non - GAAP earnings per diluted share of $ 0.55 ; · Adjusted EBITDA of $ 12.3 million ; ⚫ Bookings of $ 21.2 million ; • 47,000 shares repurchased for $ 1.3 million ; • Cash provided by operations of $ 16.2 million ; and • Net debt of $ 64.1 million MOBILE , Ala .-- ( BUSINESS WIRE ) -- February 9 , 2021 -- CPSI ( NASDAQ : CPSI ) , a community healthcare solutions company , today announced results for the fourth quarter and year ended December 31 , 2020 . Total revenues for the quarter ended December 31 , 2020 , were $ 66.8 million , compared with total revenues of $ 70.6 million for the prior - year fourth quarter . GAAP net income for the quarter ended December 31 , 2020 , was $ 3.1 million , or $ 0.22 per diluted share , compared with $ 11.2 million , or $ 0.78 per diluted share , for the quarter ended December 31 , 2019. Cash provided by operations for the fourth quarter of 2020 was $ 16.2 million , compared with $ 18.1 million for the prior- year quarter . Net debt at December 31 , 2020 , was $ 64.1 million . Total revenues for the year ended December 31 , 2020 , were $ 264.5 million , compared with total revenues of $ 274.6 million for the prior year . GAAP net income for the year ended December 31 , 2020 , was $ 14.2 million , or $ 0.98 per diluted share , compared with $ 20.5 million , or $ 1.43 per diluted share , for the year ended December 31 , 2019. Cash provided by operations for 2020 was $ 49.1 million , compared with $ 43.6 million for the prior year . Commenting on the Company's financial performance for the fourth quarter of 2020 , Matt Chambless , chief financial officer of CPSI , stated , " The fourth quarter ended with solid metrics across the board , especially considering the lingering effect of the pandemic on patient volumes and a higher concentration of Software as a Service ( SaaS ) implementations for our Thrive solution . Mostly notably , the quarter's $ 16.2 million of operating cash flows were the third highest in Company history , allowing for 13 % annual growth in operating cash flows despite the pandemic's headwinds . We are proud of our execution during this disruptive year , and we believe that we are well positioned for future growth and increasing shareholder value . With a comfortable leverage profile , ample capacity to deploy capital , and a realistic plan for significant top and bottom line growth , we are ready to capitalize on a more favorable post - COVID environment .