HealthStream, Inc. (Form: 8-K)  

 


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 8-K

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

     
Date of Report (Date of Earliest Event Reported):   July 27, 2009

HealthStream, Inc.
__________________________________________
(Exact name of registrant as specified in its charter)

     
Tennessee 000-27701 621443555
_____________________
(State or other jurisdiction
_____________
(Commission
______________
(I.R.S. Employer
of incorporation) File Number) Identification No.)
      
209 10th Ave. South, Suite 450, Nashville, Tennessee   37203
_________________________________
(Address of principal executive offices)
  ___________
(Zip Code)
     
Registrant’s telephone number, including area code:   615-301-3100

Not Applicable
______________________________________________
Former name or former address, if changed since last report

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

[  ]  Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
[  ]  Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
[  ]  Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
[  ]  Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))


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Item 2.02 Results of Operations and Financial Condition.

On July 27, 2009, HealthStream, Inc. (the "Company") issued a press release announcing results of operations for the second quarter ended June 30, 2009, the text of which is set forth in Exhibit 99.1.





Item 7.01 Regulation FD Disclosure.

On July 27, 2009, HealthStream, Inc. (the "Company") issued a press release announcing results of operations for the second quarter ended June 30, 2009, the text of which is set forth in Exhibit 99.1.





Item 9.01 Financial Statements and Exhibits.

(d) Exhibits

99.1 Press release dated July 27, 2009.






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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

         
    HealthStream, Inc.
          
July 27, 2009   By:   Gerard M. Hayden, Jr.
       
        Name: Gerard M. Hayden, Jr.
        Title: Chief Financial Officer


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Exhibit Index


     
Exhibit No.   Description

 
99.1
  Press release dated July 27, 2009.
EX-99.1

EXHIBIT 99.1

Contact:
Gerard M. Hayden, Jr.
Chief Financial Officer
(615) 301-3163
ir@healthstream.com

Media:
Mollie Elizabeth Condra
AVP, Communications, Research, & Investor Relations
(615) 301-3237
mollie.condra@healthstream.com

HEALTHSTREAM ANNOUNCES SECOND QUARTER 2009 RESULTS

NASHVILLE, Tenn. ( July 27, 2009)—HealthStream, Inc. (NASDAQ: HSTM), a leading provider of learning and research solutions for the healthcare industry, announced today results for the second quarter ended June 30, 2009.

Highlights:

    Revenues of $14.6 million in the second quarter of 2009, up 12% over the second quarter of 2008

    Net income of $1.7 million in the second quarter of 2009, up from $739,000 in the second quarter of 2008

    Earnings per share (EPS) of $0.08 in the second quarter of 2009, up from $0.03 in the second quarter of 2008

    Adjusted EBITDA of $3.3 million in the second quarter of 2009, up from $2.2 million in the second quarter of 2008

    Revenues of $28.2 million for the first six months of 2009, up 15% over the first six months of 2008

    Net income of $2.6 million and EPS of $0.12 for the first six months of 2009, up from a net income of $805,000 and EPS of $0.04 for the first six months of 2008

Financial Results:
Second Quarter 2009 Compared to Second Quarter 2008
Revenues for the second quarter of 2009 increased $1.6 million, or 12 percent, to $14.6 million, compared to $13.0 million for the second quarter of 2008. The Company’s revenue mix during the second quarter of 2009 was comprised of 64 percent of revenues from HealthStream Learning and 36 percent from HealthStream Research. This compares to 63 percent from HealthStream Learning and 37 percent from HealthStream Research during the second quarter of 2008.

Revenues from HealthStream Learning increased by $1.1 million when compared to the second quarter of 2008. Revenues from our Internet-based subscription learning products increased by $1.2 million over the prior year quarter, and were comprised of revenue increases from the HealthStream Learning Center® (HLC) of $696,000 and from courseware subscriptions of $505,000. Revenues from Internet-based subscription products increased 18 percent over the prior year quarter due to a higher number of subscribers and more courseware consumption by more subscribers. Revenues associated with implementation, development, and consulting services increased $287,000 over the prior year quarter. The increase in revenues was partially offset by a decline in revenues from live events, study guides, and other project-based activities, which collectively declined $376,000 from the same quarter in the prior year due to a de-emphasis on live events and other similar project-based activities.

Revenues from HealthStream Research increased $428,000 when compared to the second quarter of 2008. This revenue growth is attributable to increased survey volumes with new and existing customers compared to the prior year quarter. HealthStream Research provides four survey product lines: patient, physician, employee and community.

Cost of revenues (excluding depreciation and amortization) increased over the prior year second quarter, but decreased as a percentage of revenues to 36 percent for the second quarter of 2009 from 37 percent of revenues for the second quarter of 2008. This percentage improvement resulted from changes in the mix of revenues within HealthStream Learning and HealthStream Research, as well as improved operating efficiencies within HealthStream Research.  

Other operating expenses, including product development, sales and marketing, depreciation and amortization, and other general and administrative expenses collectively increased by one percent over the prior year quarter. Improved operating efficiencies and expense control tempered the modest expense increases over the prior year quarter.

Net income for the second quarter of 2009 improved to $1.7 million or $0.08 per share (diluted), compared to $739,000, or $0.03 per share (diluted), for the second quarter of 2008. This improvement is a result of revenue growth, operational efficiencies, and expense control compared to the prior year second quarter.

Adjusted EBITDA (which we define as net income before interest, income taxes, share-based compensation, and depreciation and amortization) was $3.3 million for the second quarter of 2009, compared to $2.2 million for the second quarter of 2008. This improvement is consistent with the factors mentioned above. Our reconciliation of this calculation to measures under generally accepted accounting principles is attached in the Summary Financial Data.

Year-to-Date 2009 Compared to Year-to-Date 2008
For the first six months of 2009 revenues were $28.2 million, an increase of 15 percent over revenues of $24.4 million in the first six months of 2008. Net income for the first six months of 2009 improved to $2.6 million or $0.12 per share (diluted), compared to $805,000, or $0.04 per share (diluted), for the first six months of 2008. This year-to-date improvement is also a result of revenue growth, operational efficiencies, and expense control trends when compared to the 2008 year-to-date results.

Other Financial Indicators
At June 30, 2009, the Company had cash and related interest receivable of $8.3 million, compared to $4.8 million at March 31, 2009. The increase in cash resulted from cash receipts from customers and favorable operating results. Capital expenditures and capitalized feature enhancement development totaled approximately $0.6 million for the second quarter of 2009.

Our days sales outstanding (DSO), which we calculate by dividing the accounts receivable balance, excluding unbilled and other receivables, by average daily revenues for the quarter, approximated 58 days for the second quarter of 2009 compared to 48 days for the second quarter of 2008. This increase is attributable to slower customer payment patterns, which we have been experiencing over the past several months. The second quarter 2009 DSO improved to 58 days outstanding from 69 days at March 31, 2009.

On July 17, 2009, HealthStream renewed its existing line of credit, maintaining availability at its existing $15.0 million level. The line of credit provides flexibility as we continue to invest in our learning platform and research services, and provides an additional source of capital to pursue the acquisition of complementary technologies and companies. As of July 27, 2009, the Company had no balances outstanding under this line of credit.

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HealthStream Learning Update
HealthStream supports healthcare organizations in delivering quality patient care, creating safer hospitals, meeting regulatory training requirements, and developing professional skills through our innovative learning solutions. To this end, we provide a range of learning solutions that include: the HLC—our Internet-based learning platform, a wide range of professional, clinical, and regulatory content subscriptions, an online authoring/self-publishing tool, and learning activities for healthcare professionals sponsored by pharmaceutical and medical device companies.

At June 30, 2009, approximately 1,863,000 healthcare professionals were fully implemented to use our Internet-based HLC for training and education. Revenue recognition commences when a contract is fully implemented. This number is up from approximately 1,639,000 at June 30, 2008. The total number of contracted subscribers at June 30, 2009 was approximately 1,945,000, up from 1,758,000 at June 30, 2008. “Contracted subscribers” include both those already implemented (1,863,000) and those in the process of implementation (82,000).

Customers representing approximately 104 percent of subscribers that were up for renewal did renew in the second quarter of 2009, while our renewal rate based on the annual contract value was approximately 102 percent. Our renewal rates reflect the addition of subscribers compared to previously contracted amounts combined with any pricing adjustments that may occur at renewal. The renewal rates for the second quarter of 2009 compare favorably to a subscriber renewal rate of 86 percent and an annual contract value renewal rate of 88 percent during the second quarter of 2008.

HealthStream Research Update
We support healthcare organizations with research solutions that provide valuable insight about patients’ experiences, workforce engagement, physician relations, and community perceptions of hospital services. This insight, in turn, provides data-driven roadmaps for organizational and workforce development—which can be achieved through HealthStream’s learning solutions. Our primary research solutions include physician, employee, patient, and community surveys that deliver insight, analysis, and industry benchmarks to healthcare organizations.

During the second quarter of 2009, HealthStream Research added several new healthcare organization customers, including the University of Oklahoma Medical Center, Amery Regional Medical Center, Albemarle Hospital, and MedCath Corporation. Among our existing research customers, 35 renewed their contracts for multiple survey products in the second quarter, including Capella Healthcare and the University of Maryland Medical Center. Fifty-seven existing research customers chose to contract for more research services in the second quarter in addition to the current services they receive from HealthStream Research.

To further expand our services to healthcare organizations in their efforts related to HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems), HealthStream launched an “HCAHPS Impact Report” in the second quarter of 2009. The new report—which comes in both industry-wide and facility-custom editions—is based on HCAHPS scores publicly reported at www.hospitalcompare.hhs.gov.The report offers meaningful analyses through a variety of national and local market benchmarks for comparison against individual facility HCAHPS scores.

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Financial Expectations
We are updating our previously issued guidance for the full year 2009 as follows:

The Company anticipates that consolidated revenues for the full year 2009 will grow by 10 percent to 12 percent.

We now anticipate that operating expenses, including cost of revenues, product development, sales and marketing, depreciation and amortization and other general and administrative expense will grow in the range between eight percent and 10 percent when compared to the Company’s full year 2008 levels for these categories.

We anticipate that operating income will increase 50 percent to 80 percent for the full year of 2009 versus our 2008 results. Net income, before the impact of any potential future realized income tax benefit resulting from reduction of our income tax valuation allowance in 2009 is expected to grow by 35 percent to 60 percent over 2008 net income before our $375,000 income tax benefit.

We anticipate that fully diluted earnings per share for 2009, based on the net income described in the previous paragraph, will range between $0.16 and $0.19 per share.

We expect that capital expenditures, including hardware, software and capitalized software development for new features, enhancements and content development will range between approximately $3.0 to $3.5 million in 2009.

Robert A. Frist, Jr., chief executive officer, commented, “Our focus on profitable growth is evident in our second quarter 2009 results: revenues were 12 percent greater than the same period last year and net income more than doubled. Moreover, the value we are delivering to our healthcare organization customers is reflected in strong renewal rates where customers are not only renewing their agreements with HealthStream, but many are increasing the number of subscribers on our learning platform and contracting for additional products. This resulted in a quarterly renewal rate of 104 percent based on subscribers and 102 percent based on contract value. I believe we are well positioned at mid-year for sustained growth in 2009.”

A conference call with Robert A. Frist, Jr., chief executive officer, Gerard M. Hayden, Jr., senior vice president and chief financial officer, and Mollie Condra, associate vice president of communications, research, and investor relations will be held on Tuesday, July 28, at 9:00 a.m. (EST). To listen to the conference, please dial 888-254-2798 (no passcode needed) if you are calling within the domestic U.S or Canada. If you are an international caller, please dial 913-312-1482 (no pass-code needed). The conference may also be accessed by going to http://ir.healthstream.com/events.cfm for the simultaneous Webcast of the call, which will subsequently be available for replay. The replay telephone numbers are 888-203-1112 (pass-code #2905484) for U.S. and Canadian callers and 719-457-0820 (pass-code #2905484) for international callers.

About HealthStream
HealthStream (NASDAQ: HSTM) is a leading provider of learning and research solutions for the healthcare industry, transforming insight into action to deliver outcomes-based results for healthcare organizations. Through HealthStream’s learning solutions—which have been contracted by over 1.9 million hospital-based healthcare professionals—healthcare organizations create safer environments for patients, increase clinical competencies of their workforces, and facilitate the rapid transfer of the latest knowledge and technologies. Through our research products, executives from healthcare organizations gain valuable insight about patients’ experiences, workforce challenges, physician relations, and community perceptions of their services. Based in Nashville, Tennessee, HealthStream has two satellite offices. For more information about HealthStream’s learning and research solutions, visit www.healthstream.com or call us at 800-933-9293.

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HEALTHSTREAM, INC.
Summary Financial Data
(In thousands, except share and per share data)

                                 
    Three Months Ended   Six Months Ended
    June 30,   June 30,
    2009   2008   2009   2008
Revenues
  $ 14,584     $ 13,013     $ 28,203     $ 24,435  
Operating expenses:
                               
Cost of revenues (excluding depreciation and amortization)
    5,228       4,863       10,496       9,391  
Product development
    1,447       1,330       2,982       2,615  
Sales and marketing
    2,602       2,694       5,315       5,251  
Depreciation and amortization
    1,250       1,209       2,516       2,455  
Other general and administrative
    2,195       2,193       4,096       3,955  
 
                               
Total operating expenses
    12,722       12,289       25,405       23,667  
Operating income
    1,862       724       2,798       768  
Other income (expense), net
    (2 )     23       (3 )     45  
 
                               
Income before income taxes
    1,860       747       2,795       813  
Income tax provision
    132       8       189       8  
 
                               
Net income
  $ 1,728     $ 739     $ 2,606     $ 805  
 
                               
Net income per share:
                               
Net income per share, basic
  $ 0.08     $ 0.03     $ 0.12     $ 0.04  
 
                               
Net income per share, diluted
  $ 0.08     $ 0.03     $ 0.12     $ 0.04  
 
                               
Weighted average shares outstanding:
                               
Basic
    21,383       21,961       21,382       22,024  
 
                               
Diluted
    21,626       22,579       21,597       22,653  
 
                               

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Summary Financial Data — Continued
(In thousands, except per share data)

Income before interest, taxes, share-based compensation, depreciation and amortization, or adjusted EBITDA(1):

                                 
    Three Months Ended   Six Months Ended
    June 30,   June 30,
    2009   2008   2009   2008
Net income
  $ 1,728     $ 739     $ 2,606     $ 805  
Interest income
    (7 )     (40 )     (16 )     (86 )
Interest expense
    9       16       19       35  
Income taxes
    132       8       189       8  
Share-based compensation expense
    151       273       296       426  
Depreciation and amortization
    1,250       1,209       2,516       2,455  
 
                               
Income before interest, taxes, share-based compensation, depreciation and amortization
  $ 3,263     $ 2,205     $ 5,610     $ 3,643  
 
                               

  (1)   In order to better assess the Company’s financial results, management believes that income before interest, income taxes, share-based compensation, depreciation and amortization (“adjusted EBITDA”) is an appropriate measure for evaluating the operating performance of the Company at this stage in its life cycle because adjusted EBITDA reflects net income adjusted for non-cash and non-operating items. Adjusted EBITDA is also used by many investors to assess the Company’s results from current operations. Adjusted EBITDA is a non-GAAP financial measure and should not be considered as a measure of financial performance under generally accepted accounting principles. Because adjusted EBITDA is not a measurement determined in accordance with generally accepted accounting principles, it is susceptible to varying calculations. Accordingly, adjusted EBITDA, as presented, may not be comparable to other similarly titled measures of other companies.

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HealthStream, Inc.
Condensed Consolidated Balance Sheets
(In thousands)

                 
    June 30,   December 31,
    2009   2008(1)
ASSETS
               
Current assets:
               
Cash and related interest receivable
  $ 8,305     $ 4,128  
Accounts and unbilled receivables, net (2)
    11,228       9,973  
Prepaid and other current assets
    2,454       2,405  
Deferred tax assets, current
    357       357  
 
               
Total current assets
    22,344       16,863  
Capitalized software feature enhancements, net
    4,335       4,393  
Property and equipment, net
    3,058       3,475  
Goodwill and intangible assets, net
    25,411       25,885  
Deferred tax assets, non current
    2,008       2,008  
Other assets
    503       173  
 
               
Total assets
  $ 57,659     $ 52,797  
 
               
LIABILITIES AND SHAREHOLDERS’ EQUITY
               
Current liabilities:
               
Accounts payable, accrued and other liabilities
  $ 5,158     $ 4,767  
Deferred revenue
    12,144       10,202  
Current portion of long-term debt and capital lease obligations
    683       745  
 
               
Total current liabilities
    17,985       15,714  
Long-term debt and capital lease obligations, net of current portion
    8       320  
 
               
Total liabilities
    17,993       16,034  
Shareholders’ equity:
               
Common stock
    95,619       95,321  
Accumulated deficit
    (55,953 )     (58,558 )
 
               
Total shareholders’ equity
    39,666       36,763  
 
               
Total liabilities and shareholders’ equity
  $ 57,659     $ 52,797  
 
               

  (1)   Derived from audited financial statements contained in the Company’s filing on Form 10-K for the year ended December 31, 2008.

  (2)   Includes unbilled receivables of $1,892 and $1,669 and other receivables of $0 and $10 at June 30, 2009 and December 31, 2008, respectively.

   

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This press release includes certain forward-looking statements (statements other than solely with respect to historical fact), including statements regarding expectations for the financial performance for 2009 that involve risks and uncertainties regarding HealthStream. These statements are based upon management’s beliefs, as well as assumptions made by and data currently available to management. This information has been, or in the future may be, included in reliance on the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1995. Investors are cautioned that such results or events predicted in these statements may differ materially from actual future events or results. The forward-looking statements are subject to significant uncertainties and other risks referenced in the Company’s Annual Report on Form 10-K and in the Company’s other filings with the Securities and Exchange Commission. Consequently, such forward-looking information should not be regarded as a representation or warranty by the Company that such projections will be realized. Many of the factors that will determine the Company’s future results are beyond the ability of the Company to control or predict. Readers should not place undue reliance on forward-looking statements, which reflect management’s views only as of the date hereof. The Company undertakes no obligation to update or revise any such forward-looking statements.

# # # #

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