We intend to leverage several strengths to accomplish this goal. This is demonstrated by:•Experienced and Dedicated Support Representatives. In May 2019, the Company closed its acquisition of Get Real Health. There are approximately 4,850 of these hospitals with fewer than 500 beds. The services they offer are comparable in scope to the competing services we offer. These companies all focus on providing services to the healthcare market. Troy D. Rosser – Senior Vice President–Sales. A portion of our business involves billing Medicare claims on behalf of our clients. Standards for Submission of Healthcare Claims. In addition, the insurer could disclaim coverage as to any future claim. Additionally, our software is not patented or copyrighted. There is no assurance that consistent quarterly growth in our business will occur. This would have potentially devastating consequences to those clients. Additionally, the terms of our Credit Agreement restrict our ability to pay dividends. Recurring system sales and support revenues decreased $4.6 million, or 4%, during 2020. Payment is generally due upon delivery of the hardware to the client. TruBridge also provides professional IT services. We test annually for impairment as of October 1. We conducted our audit in accordance with the standards of the PCAOB. Maintenance, repairs and minor renewals are expensed as incurred. Business combinations are accounted for at fair value. The deferred revenue acquired resulted from the May 2019 acquisition of Get Real Health. We adopted this as of January 1, 2020. Customers are primarily located throughout the United States.
