Medical software firm iSoft - which has its largest UK office at Aston Science Park in Birmingham - is seriously considering further international expansion after posting a big jump in full year profits.
The company told shareholders its performance had been boosted by its work on the £6.2 billion modernisation of National Health Service IT systems.
In the year to April 30 profit before tax, exceptional items and amortisation was £ 68.5 million, up from £17.6 million the previous year.
Turnover rose to £ 262 million from £149.3 million, while earnings per share before amortisation of goodwill and exceptional items was 21.81 pence versus 17.70 pence.
Turning to its trading outlook, iSoft remained upbeat, pointing to growth in its international business.
Contracts for its main technology product Lorenzo have been signed in a number of countries including Germany, Australia and Hong Kong.
"Momentum is now building in the international iSoft
proposition, and the growing demand from the market, provides the basis for further exciting growth over the coming years," said chief executive officer Tim Whiston.
"As a result, we look forward to the current year with confidence and are on track for another year of success."
James Dawson, a software and services analyst at investment bank Morgan Stanley, said: "This is a good set of numbers with strong cash flow.
"It's quite interesting that international contracts have been announced in multiple countries.
"The growth engine for iSoft is going to be international." Mr Whiston said that a decision on whether iSoft would enter the huge US healthcare market would require "serious and careful consideration".
He acknowledged the importance of the market but declined to give a timetable for possible entry into the US.
"I don't want to be prescriptive in terms of timing and get myself on a hook," he said.
However, he said one option to establish its presence in the US would be to partner with companies who resell iSoft technology.
Turning to other areas for future growth Mr Whiston highlighted the developing economies in Asia, which will need healthcare IT when building hospitals.
He also mentioned the global market for electronics record, which is estimated to be valued at, at least £3.5 billion per annum and growing at a percentage rate between the high single digits to early teens.
"We have about ten per cent of the global electronic records market if you look at our revenues and there are only a handful of suppliers," he said.
However, Mr Whiston refused to be drawn on figures for iSoft's growth prospects in the next financial year, but said the consensus forecast from analysts for full-year 2006 was 24.5 pence per share and revenues of £298 million.
The company said the completion of the merger with rival software supplier Torex by the half year had yielded annual savings of £12.2 million.
Separately, the company also announced changes to its board. Non executive chairman Patrick Cryne will retire from the board by the by the end of the current financial year in April 2006, but will continue to advise iSoftT on "strategic issues".