subsequent event (Notes)

9 Months Ended

Jun. 30, 2020

Subsequent Event [Line Items]

Subsequent Events [Text Block]

COVID-19 Pandemic

The novel coronavirus ("COVID-19") pandemic has disrupted economic markets, and the future economic impact, duration and spread of COVID-19 is uncertain at this time. Through June 30, 2020, our liquidity and operations had been adversely impacted by the pandemic. Our revenue for the third quarter was negatively impacted by reduced volume in medical transcription and radiology, as well as delays in professional services and software license transactions. Our operating cash flows were also negatively impacted by delayed collections. Nevertheless, the negative effects of the pandemic were partially mitigated by our proactive expense containment and reduction efforts.

As multiple states commenced a phased reopening towards the end of June, our transaction volumes in medical transcription and radiology solutions have mostly recovered from the lows in April. However, we expect the negative impact of COVID-19 to continue into the fourth quarter as the healthcare industry and many of our customers are still coping with the operational and financial disruptions caused by the pandemic. While we expect revenue to partially recover in the fourth quarter, we expect ongoing delayed cash collections as we continue to support our customers under our customer payment relief program.

The ultimate impact of the COVID-19 pandemic and the effects of the operational changes we have made in response cannot be accurately predicted at this time. As the pandemic situation develops, we may revise our assessment, and the actual amounts may differ materially from our estimates.