TruBridge (TBRG) director’s 7,561 shares cashed out at $26.25 in merger

Rhea-AI Filing Summary

TruBridge, Inc. director Amy K. O'Keefe reported a disposition of 7,561 shares of common stock on July 9, 2026, recorded as a disposition to the issuer. This occurred in connection with the closing of a Merger under an Agreement and Plan of Merger, where Merger Sub merged into TruBridge, leaving TruBridge as a wholly owned subsidiary of Parent. At the effective time of the Merger, each outstanding share of TruBridge common stock was cancelled and converted into the right to receive $26.25 per share in cash, and O'Keefe’s reported direct holdings became 0 shares following the transaction.

Insights

M&A and corporate actions analyst

Director’s shares were cashed out at $26.25 due to TruBridge’s merger.

Director Amy K. O'Keefe disposed of 7,561 TruBridge common shares in a D-code transaction labeled as a disposition to the issuer. The footnotes explain this was triggered by a completed Merger under an Agreement and Plan of Merger, not an open-market sale.

At the Merger’s Effective Time on July 9, 2026, each outstanding share of TruBridge common stock was cancelled and converted into the right to receive $26.25 per share in cash. TruBridge became a wholly owned subsidiary of Inventurus Knowledge Solutions, Inc., and O'Keefe’s reported direct holdings fell to 0 shares, consistent with all public equity being cashed out.

Insider Trade Summary

1 transaction reported

Mixed 1 txn

Insider O'Keefe Amy K

Role Director

Type	Security	Shares	Price	Value
Disposition	Common Stock	7,561	$26.25	$198K

Holdings After Transaction: Common Stock — 0 shares (Direct)

Footnotes (1)

1. On July 9, 2026, pursuant to that certain Agreement and Plan of Merger, dated as of April 23, 2026 (the "Merger Agreement"), by and among TruBridge, Inc. (the "Issuer"), Inventurus Knowledge Solutions, Inc., a Delaware corporation ("Parent"), IKS Next Horizon, Inc., a Delaware corporation and wholly owned subsidiary of Parent ("Merger Sub"), and solely for certain limited purposes as specified therein, Inventurus Knowledge Solutions Limited, an Indian public limited company, Merger Sub merged with and into the Issuer (the "Merger"), with the Issuer surviving the Merger as a wholly owned subsidiary of Parent. At the effective time of the Merger (the "Effective Time"), pursuant to the Merger Agreement, each share of the Issuer's common stock, par value $0.001 per share, that was issued and outstanding immediately prior to the Effective Time (other than certain excluded shares) was cancelled and converted into the right to receive $26.25 per share in cash, without interest, and subject to any applicable withholding taxes.

Key Figures

Shares disposed: 7,561 shares Cash consideration per share: $26.25 per share Shares held after transaction: 0 shares +1 more

4 metrics

Shares disposed 7,561 shares Common stock disposed in a D-code transaction on July 9, 2026

Cash consideration per share $26.25 per share Merger consideration for each cancelled TruBridge common share at the Effective Time

Shares held after transaction 0 shares Directly owned TruBridge shares reported for Amy K. O'Keefe following the merger-related disposition

Par value $0.001 per share Par value of TruBridge common stock referenced in the merger consideration description

Key Terms

Agreement and Plan of Merger, Effective Time, wholly owned subsidiary, par value

4 terms

Agreement and Plan of Merger regulatory

"pursuant to that certain Agreement and Plan of Merger, dated as of April 23, 2026"

An Agreement and Plan of Merger is a formal document where two companies agree to combine into one, outlining how the process will happen. It’s like a step-by-step plan for merging, and it matters because it shows both sides have agreed on the details before the official transition takes place.

Effective Time regulatory

"At the effective time of the Merger (the "Effective Time"), pursuant to the Merger Agreement"

The exact clock time when a regulatory filing, approval, or corporate action formally becomes legally active; from that moment the change is binding and can be acted on. Investors care because the effective time marks when ownership, rights, trading rules, or new securities take effect — like a light switch turning on a contract or transaction — which determines when risks, benefits and market reactions begin.

wholly owned subsidiary financial

"with the Issuer surviving the Merger as a wholly owned subsidiary of Parent"

A wholly owned subsidiary is a company whose entire ownership is held by another company (the parent), so the parent controls decisions, operations, and finances. Think of it as a fully controlled branch that runs as its own legal entity but whose results flow straight into the parent’s financial statements; investors watch these structures because they affect consolidated revenue, risk exposure, and how profits, liabilities, and cash flow are allocated across the corporate group.

par value financial

"each share of the Issuer's common stock, par value $0.001 per share"

Par value is the fixed amount printed on a bond or stock that represents its original value when issued. It’s like the face value of a coin or bill—what the issuer promises to pay back or the starting price of a stock—though it often doesn’t change with market prices. It matters because it helps determine certain financial details, like how much the company will pay back at maturity.

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Form 4 Insider Transactions: What Each Field Means →

Available on EDGAR 07/10/2026 - 10:45 AM Accepted by SEC EDGAR 07/10/2026 - 10:44 AM Learn about SEC filing dates

FAQ

What transaction did Amy K. O'Keefe report on Form 4 for TBRG?

Amy K. O'Keefe reported a disposition of 7,561 shares of TruBridge, Inc. common stock, coded as a D transaction (disposition to issuer) on July 9, 2026, tied to a completed merger.

At what price were TruBridge (TBRG) shares cashed out in the merger?

Each share of TruBridge common stock was converted into the right to receive $26.25 per share in cash, without interest and subject to applicable withholding taxes, at the effective time of the Merger.

How many TruBridge (TBRG) shares did Amy K. O'Keefe hold after the merger transaction?

Following the reported disposition related to the Merger, Amy K. O'Keefe’s directly held TruBridge shares shown in the filing were 0 shares, reflecting that her reported holdings were fully cashed out.

Was Amy K. O'Keefe’s TBRG Form 4 transaction an open-market sale?

No. The Form 4 describes the transaction as a disposition to the issuer in connection with the Merger, where all outstanding TruBridge common shares were cancelled and converted to a $26.25 cash right.

What corporate event affected Amy K. O'Keefe’s TruBridge (TBRG) shares?

Her shares were affected by a Merger under an Agreement and Plan of Merger dated April 23, 2026, where Merger Sub merged into TruBridge, making TruBridge a wholly owned subsidiary of Parent.

Who acquired TruBridge, Inc. in the merger connected to this TBRG Form 4?

TruBridge, Inc. became a wholly owned subsidiary of Inventurus Knowledge Solutions, Inc. (Parent) after Merger Sub merged with and into TruBridge at the Merger’s effective time.

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

OMB APPROVAL

OMB Number:			3235-0287
Estimated average burden
hours per response:			0.5

X

Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

1. Name and Address of Reporting Person^*

O'Keefe Amy K

(Last) (First) (Middle)

54 ST. EMANUEL STREET

(Street)

MOBILE ALABAMA 36602

(City) (State) (Zip)

UNITED STATES

(Country)

2. Issuer Name and Ticker or Trading Symbol
TruBridge, Inc. [ TBRG ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director		10% Owner
	Officer (give title below)		Other (specify below)

2a. Foreign Trading Symbol

3. Date of Earliest Transaction (Month/Day/Year)
07/09/2026

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

4. If Amendment, Date of Original Filed (Month/Day/Year)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Common Stock	07/09/2026(1)		D		7,561(2)	D	$26.25	0	D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Explanation of Responses:

1. On July 9, 2026, pursuant to that certain Agreement and Plan of Merger, dated as of April 23, 2026 (the "Merger Agreement"), by and among TruBridge, Inc. (the "Issuer"), Inventurus Knowledge Solutions, Inc., a Delaware corporation ("Parent"), IKS Next Horizon, Inc., a Delaware corporation and wholly owned subsidiary of Parent ("Merger Sub"), and solely for certain limited purposes as specified therein, Inventurus Knowledge Solutions Limited, an Indian public limited company, Merger Sub merged with and into the Issuer (the "Merger"), with the Issuer surviving the Merger as a wholly owned subsidiary of Parent.

2. At the effective time of the Merger (the "Effective Time"), pursuant to the Merger Agreement, each share of the Issuer's common stock, par value $0.001 per share, that was issued and outstanding immediately prior to the Effective Time (other than certain excluded shares) was cancelled and converted into the right to receive $26.25 per share in cash, without interest, and subject to any applicable withholding taxes.

Remarks:

	/s/ Christopher L. Fowler, by power of attorney	07/10/2026
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
* Form 4: SEC 1474 (03-26)