0001437749-23-020904 | 10-Q | XBRL Viewer

Note 5 - Earnings Per Share - Computation of Basic and Diluted Earnings Per Share (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended				6 Months Ended
	Jun. 30, 2023	Mar. 31, 2023	Jun. 30, 2022	Mar. 31, 2022	Jun. 30, 2023	Jun. 30, 2022
Net income	$ 4,133	$ 2,623	$ 3,083	$ 2,893	$ 6,756	$ 5,976
Weighted-average shares outstanding (in shares)	30,684		30,491		30,638	30,723
Effect of dilutive shares (in shares)	91		21		79	21
Weighted-average diluted shares (in shares)	30,775		30,512		30,717	30,744
Net income per share:
Basic (in dollars per share)	$ 0.13		$ 0.10		$ 0.22	$ 0.19
Diluted (in dollars per share)	$ 0.13		$ 0.10		$ 0.22	$ 0.19

- Definition

The amount of net income (loss) for the period per each share of common stock or unit outstanding during the reporting period.

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- Definition

The amount of net income (loss) for the period available to each share of common stock or common unit outstanding during the reporting period and to each share or unit that would have been outstanding assuming the issuance of common shares or units for all dilutive potential common shares or units outstanding during the reporting period.

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- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

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+ Details

Condensed Consolidated Balance Sheets (Unaudited) - USD ($) $ in Thousands	Jun. 30, 2023	Dec. 31, 2022
Current assets:
Cash and cash equivalents	$ 25,805	$ 46,023
Marketable securities	30,158	7,885
Accounts receivable, net of allowance for doubtful accounts of $625 and $544 at June 30, 2023 and December 31, 2022, respectively	35,010	36,730
Accounts receivable - unbilled	5,869	5,980
Prepaid royalties, net of amortization	9,881	9,071
Other prepaid expenses and other current assets	11,290	8,688
Total current assets	118,013	114,377
Property and equipment, net of accumulated depreciation of $22,364 and $20,280 at June 30, 2023 and December 31, 2022, respectively	14,461	15,483
Capitalized software development, net of accumulated amortization of $115,618 and $105,025 at June 30, 2023 and December 31, 2022, respectively	38,950	37,118
Operating lease right of use assets, net	21,477	22,759
Goodwill	191,346	192,398
Deferred tax assets	383	383
Deferred commissions	28,709	28,344
Non-marketable equity investments	4,277	4,518
Other assets	494	808
Total assets	493,474	497,741
Current liabilities:
Accounts payable and accrued expenses	22,147	32,301
Accrued royalties	5,236	5,443
Deferred revenue	81,768	79,469
Total current liabilities	109,151	117,213
Deferred tax liabilities	17,480	17,996
Deferred revenue, noncurrent	2,256	2,937
Operating lease liability, noncurrent	21,801	23,321
Other long-term liabilities	2,167	2,210
Shareholders’ equity:
Common stock, no par value, 75,000 shares authorized; 30,686 and 30,579 shares issued and outstanding at June 30, 2023 and December 31, 2022, respectively	256,073	254,832
Retained earnings	85,435	80,213
Accumulated other comprehensive loss	(889)	(981)
Total shareholders’ equity	340,619	334,064
Total liabilities and shareholders’ equity	493,474	497,741
Customer-Related Intangible Assets [Member]
Current assets:
Intangible Assets, Net	58,925	61,269
Other Intangible Assets [Member]
Current assets:
Intangible Assets, Net	$ 16,439	$ 20,284

Document And Entity Information - shares	6 Months Ended
Document And Entity Information - shares	Jun. 30, 2023	Jul. 24, 2023
Document Information [Line Items]
Entity Central Index Key	0001095565
Entity Registrant Name	HEALTHSTREAM INC
Amendment Flag	false
Current Fiscal Year End Date	--12-31
Document Fiscal Period Focus	Q2
Document Fiscal Year Focus	2023
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Jun. 30, 2023
Document Transition Report	false
Entity File Number	000-27701
Entity Incorporation, State or Country Code	TN
Entity Tax Identification Number	62-1443555
Entity Address, Address Line One	500 11th Avenue North, Suite 1000
Entity Address, City or Town	Nashville
Entity Address, State or Province	TN
Entity Address, Postal Zip Code	37203
City Area Code	615
Local Phone Number	301-3100
Title of 12(b) Security	Common Stock (Par Value $0.00)
Trading Symbol	HSTM
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Accelerated Filer
Entity Emerging Growth Company	false
Entity Small Business	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		30,686,568

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022
OPERATING ACTIVITIES:
Net income	$ 6,756	$ 5,976
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	20,148	18,742
Stock-based compensation	2,038	1,691
Amortization of deferred commissions	5,464	5,029
Provision for credit losses	371	444
Deferred income taxes	(490)	1,089
Gain on sale of fixed assets	0	(25)
Loss on non-marketable equity investments	241	500
Change in fair value of non-marketable equity investments	0	(943)
Other	(342)	37
Changes in operating assets and liabilities:
Accounts and unbilled receivables	(1,460)	2
Prepaid royalties	(810)	(521)
Other prepaid expenses and other current assets	(2,408)	(651)
Deferred commissions	(5,830)	(6,192)
Other assets	315	52
Accounts payable and accrued expenses	(2,835)	(2,644)
Accrued royalties	(207)	(342)
Deferred revenue	1,618	5,741
Net cash provided by operating activities	25,489	27,981
INVESTING ACTIVITIES:
Business combinations, net of cash acquired	(6,621)	(4,009)
Proceeds from maturities of marketable securities	10,000	5,025
Purchases of marketable securities	(31,983)	(2,024)
Payments associated with capitalized software development	(13,309)	(11,817)
Proceeds from sale of fixed assets	0	26
Purchases of property and equipment	(1,382)	(1,181)
Net cash used in investing activities	(43,295)	(13,980)
FINANCING ACTIVITIES:
Taxes paid related to net settlement of equity awards	(797)	(498)
Repurchases of common stock	0	(23,137)
Payment of cash dividends	(1,534)	0
Net cash used in financing activities	(2,331)	(23,635)
Effect of exchange rate changes on cash and cash equivalents	(81)	(55)
Net decrease in cash and cash equivalents	(20,218)	(9,689)
Cash and cash equivalents at beginning of period	46,023	46,905
Cash and cash equivalents at end of period	$ 25,805	$ 37,216

Note 5 - Earnings Per Share

6 Months Ended

Jun. 30, 2023

Notes to Financial Statements

Earnings Per Share [Text Block]

5. EARNINGS PER SHARE

Basic earnings per share is computed by dividing the net income available to common shareholders for the period by the weighted average number of common shares outstanding during the period. Diluted earnings per share is computed by dividing the net income available to common shareholders for the period by the weighted average number of potentially dilutive common and common equivalent shares outstanding during the period. Common equivalent shares are composed of incremental common shares issuable upon the exercise of stock options and RSUs subject to vesting. The dilutive effect of common equivalent shares is included in diluted earnings per share by application of the treasury stock method. The total number of common equivalent shares excluded from the calculations of diluted earnings per share, due to their anti-dilutive effect or contingent performance conditions, was approximately 225,000 and 228,000 for the three months ended June 30, 2023 and 2022, respectively, and 246,000 and 223,000 for the six months ended June 30, 2023 and 2022, respectively.

The following table sets forth the computation of basic and diluted earnings per share (in thousands, except per share data):

	*Three Months Ended June 30,*				*Six Months Ended June 30,*
	*2023*		*2022*		*2023*		*2022*
Numerator:
Net income	$	4,133	$	3,083	$	6,756	$	5,976
Denominator:
Weighted-average shares outstanding		30,684		30,491		30,638		30,723
Effect of dilutive shares		91		21		79		21
Weighted-average diluted shares		30,775		30,512		30,717		30,744

Net income per share:
Basic	$	0.13	$	0.10	$	0.22	$	0.19
Diluted	$	0.13	$	0.10	$	0.22	$	0.19

Note 8 - Debt (Details Textual) - Revolving Credit Facility [Member] - Truist Bank [Member] - USD ($) $ in Thousands	Oct. 28, 2020	Jun. 30, 2023
Debt Instrument, Covenant, Maximum Funded Debt Leverage Ratio	3.0
Debt Instrument, Covenant, Interest Coverage Ratio	3.0
Long-Term Line of Credit, Total		$ 0
Minimum [Member]
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage	0.20%
Maximum [Member]
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage	0.30%
Third Amendment [Member]
Line of Credit Facility, Maximum Borrowing Capacity	$ 65,000
Line of Credit Facility, Increased Facility Size Due to Accordion Feature	$ 25,000
Third Amendment [Member] \| Fed Funds Effective Rate Overnight Index Swap Rate [Member]
Debt Instrument, Basis Spread on Variable Rate	0.50%
Third Amendment [Member] \| Base Rate [Member]
Debt Instrument, Basis Spread on Variable Rate	1.00%
Third Amendment [Member] \| Base Rate [Member] \| Minimum [Member]
Line of Credit Facility, Percentage of Applicable Margin for Borrowings	0.50%
Third Amendment [Member] \| Base Rate [Member] \| Maximum [Member]
Line of Credit Facility, Percentage of Applicable Margin for Borrowings	0.75%
Third Amendment [Member] \| Eurodollar [Member] \| Minimum [Member]
Line of Credit Facility, Percentage of Applicable Margin for Borrowings	1.50%
Third Amendment [Member] \| Eurodollar [Member] \| Maximum [Member]
Line of Credit Facility, Percentage of Applicable Margin for Borrowings	1.75%
Third Amendment [Member] \| Swing Line Subfacility [Member]
Line of Credit Facility, Maximum Borrowing Capacity	$ 5,000
Third Amendment [Member] \| Letter of Credit Subfacility [Member]
Line of Credit Facility, Maximum Borrowing Capacity	$ 5,000

Condensed Consolidated Statements of Shareholders' Equity (Unaudited) (Parentheticals) - $ / shares	3 Months Ended			6 Months Ended
	Jun. 30, 2023	Mar. 31, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Dividends declared per share (in dollars per share)	$ 0.025	$ 0.025	$ 0	$ 0.050	$ 0

Note 5 - Earnings Per Share (Details Textual) - shares	3 Months Ended		6 Months Ended
Note 5 - Earnings Per Share (Details Textual) - shares	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount (in shares)	225,000	228,000	246,000	223,000

Note 6 - Marketable Securities (Details Textual) $ in Thousands	6 Months Ended
	Jun. 30, 2023 USD ($)
Other-than-temporary Impairment Loss, Debt Securities, Available-for-sale, Total	$ 0

Condensed Consolidated Statements of Shareholders' Equity (Unaudited) - USD ($) shares in Thousands, $ in Thousands	Common Stock Including Additional Paid in Capital [Member]	Retained Earnings [Member]	AOCI Attributable to Parent [Member]	Total
Balance (in shares) at Dec. 31, 2021	31,327
Balance at Dec. 31, 2021	$ 270,791	$ 68,122	$ 106	$ 339,019
Net income	0	2,893	0	2,893
Comprehensive loss	0	0	272	272
Stock-based compensation	$ 774	0	0	774
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)	83
Common stock issued under stock plans, net of shares withheld for employee taxes	$ (497)	0	0	(497)
Balance (in shares) at Mar. 31, 2022	30,518
Balance at Mar. 31, 2022	$ 251,179	71,015	378	322,572
Balance (in shares) at Dec. 31, 2021	31,327
Balance at Dec. 31, 2021	$ 270,791	68,122	106	339,019
Net income				5,976
Comprehensive loss				(508)
Balance (in shares) at Jun. 30, 2022	30,570
Balance at Jun. 30, 2022	$ 253,036	74,098	(402)	326,732
Balance (in shares) at Mar. 31, 2022	30,518
Balance at Mar. 31, 2022	$ 251,179	71,015	378	322,572
Net income	0	3,083	0	3,083
Comprehensive loss	0	0	(780)	(780)
Stock-based compensation	$ 917	0	0	917
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)	2
Common stock issued under stock plans, net of shares withheld for employee taxes	$ (1)	0	0	(1)
Balance (in shares) at Jun. 30, 2022	30,570
Balance at Jun. 30, 2022	$ 253,036	74,098	(402)	326,732
Balance (in shares) at Dec. 31, 2022	30,579
Balance at Dec. 31, 2022	$ 254,832	80,213	(981)	334,064
Net income	0	2,623	0	2,623
Comprehensive loss	0	0	(35)	(35)
Dividends declared on common stock ($0.025 per share)		(767)		(767)
Stock-based compensation	$ 945	0	0	945
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)	103
Common stock issued under stock plans, net of shares withheld for employee taxes	$ (791)	0	0	(791)
Balance (in shares) at Mar. 31, 2023	30,682
Balance at Mar. 31, 2023	$ 254,986	82,069	(1,016)	336,039
Balance (in shares) at Dec. 31, 2022	30,579
Balance at Dec. 31, 2022	$ 254,832	80,213	(981)	334,064
Net income				6,756
Comprehensive loss				92
Balance (in shares) at Jun. 30, 2023	30,686
Balance at Jun. 30, 2023	$ 256,073	85,435	(889)	340,619
Balance (in shares) at Mar. 31, 2023	30,682
Balance at Mar. 31, 2023	$ 254,986	82,069	(1,016)	336,039
Net income	0	4,133	0	4,133
Comprehensive loss	0	0	127	127
Dividends declared on common stock ($0.025 per share)	0	(767)	0	(767)
Stock-based compensation	$ 1,093	0	0	1,093
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)	4
Common stock issued under stock plans, net of shares withheld for employee taxes	$ (6)	0	0	(6)
Balance (in shares) at Jun. 30, 2023	30,686
Balance at Jun. 30, 2023	$ 256,073	$ 85,435	$ (889)	$ 340,619

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

+ References

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- Definition

Amount of equity (deficit) attributable to parent. Excludes temporary equity and equity attributable to noncontrolling interest.

+ References

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+ Details

Note 3 - Income Taxes

6 Months Ended

Jun. 30, 2023

Notes to Financial Statements

Income Tax Disclosure [Text Block]

3. INCOME TAXES

Income taxes are accounted for using the asset and liability method, whereby deferred tax assets and liabilities are determined based on the temporary differences between the financial statement and tax bases of assets and liabilities measured at tax rates that will be in effect for the year in which the differences are expected to affect taxable income.

The Company computes its interim period provision for income taxes by applying the estimated annual effective tax rate to year-to-date pretax income or loss and adjusts the provision for discrete tax items recorded in the period. During the three months ended June 30, 2023 and 2022, the Company recorded a provision for income taxes of approximately $0.4 million and $0.5 million, respectively. During the six months ended June 30, 2023 and 2022, the Company recorded a provision for income taxes of $0.9 million and $1.4 million, respectively. The Company’s effective tax rate was 12% and 19% for the six months ended June 30, 2023 and 2022, respectively. The Company’s effective tax rate primarily reflects the statutory corporate income tax rate, the net effect of state taxes, foreign income taxes, and the effect of various permanent tax differences. The Company recognizes excess tax benefits and tax deficiencies associated with stock-based awards as a component of its provision for income taxes. During the six months ended June 30, 2023, the Company recorded discrete tax benefits of $0.5 million, which consisted primarily of tax benefits associated with changes in state apportionment rules in Tennessee upon the enactment of the Tennessee Works Tax Act, in the amount of $0.6 million, and stock-based awards, in the amount of $0.1 million, partially offset by $0.2 million of discrete tax expense related to reserves for uncertain tax positions. During the six months ended June 30, 2022, the Company recorded discrete tax benefits of $0.1 million, which consisted primarily of a $0.2 million tax benefit associated with a nontaxable gain of $0.9 million recognized from the change in fair value of our previously held minority interest in CloudCME, LLC. This tax benefit was partially offset by $0.1 million of excess tax deficiencies associated with stock-based awards.

HEALTHSTREAM, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

- Definition

The entire disclosure for income taxes. Disclosures may include net deferred tax liability or asset recognized in an enterprise's statement of financial position, net change during the year in the total valuation allowance, approximate tax effect of each type of temporary difference and carryforward that gives rise to a significant portion of deferred tax liabilities and deferred tax assets, utilization of a tax carryback, and tax uncertainties information.

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+ Details

Note 4 - Shareholders' Equity - Summary of Stock-based Compensation Expense (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Stock-based compensation expense	$ 1,093	$ 917	$ 2,038	$ 1,691
Cost of Sales [Member]
Stock-based compensation expense	50	45	99	82
Product Development [Member]
Stock-based compensation expense	187	151	354	276
Selling and Marketing Expense [Member]
Stock-based compensation expense	131	101	243	184
General and Administrative Expense [Member]
Stock-based compensation expense	$ 725	$ 620	$ 1,342	$ 1,149

Note 6 - Marketable Securities

6 Months Ended

Jun. 30, 2023

Notes to Financial Statements

Investments in Debt and Marketable Equity Securities (and Certain Trading Assets) Disclosure [Text Block]

6. MARKETABLE SECURITIES

The fair value of marketable securities, which were all classified as available for sale and which the Company does not intend to sell nor will the Company be required to sell prior to recovery of their amortized cost basis, included the following (in thousands):

	*June 30, 2023*
	*Adjusted Cost*		*Unrealized Gains*		*Unrealized Losses*			*Fair Value*
Level 2:
U.S. treasury securities	$	30,207	$	2	$	(51	)	$	30,158
Total	$	30,207	$	2	$	(51	)	$	30,158

	*December 31, 2022*
	*Adjusted Cost*		*Unrealized Gains*		*Unrealized Losses*		*Fair Value*
Level 2:
U.S. treasury securities	$	7,882	$	3	$	—	$	7,885
Total	$	7,882	$	3	$	—	$	7,885

The carrying amounts reported in the Condensed Consolidated Balance Sheets approximate fair value based on quoted market prices or alternative pricing sources and models utilizing market observable inputs. As of June 30, 2023, the Company did not recognize any allowance for credit impairments on its available for sale debt securities. All investments in marketable securities are classified as current assets on the Condensed Consolidated Balance Sheets because the underlying securities mature within one year from the balance sheet date.

Note 2 - Revenue Recognition and Sales Commissions 1 (Details Textual) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Accounts Receivable, Credit Loss Expense (Reversal)	$ 200	$ 400	$ 371	$ 444
Contract with Customer, Liability, Revenue Recognized	43,600	40,000	62,100	56,000
Revenue, Remaining Performance Obligation, Amount	$ 511,000		$ 511,000
Revenue, Remaining Performance Obligation, Percentage	44.00%		44.00%
Amortization of Deferred Sales Commissions	$ 2,800	$ 2,500	$ 5,464	$ 5,029

Condensed Consolidated Statements of Income (Unaudited) - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Revenues, net	$ 69,198	$ 65,638	$ 138,144	$ 131,005
Operating costs and expenses:
Cost of revenues (excluding depreciation and amortization)	23,567	22,234	47,424	44,232
Product development	11,031	10,583	22,711	20,995
Sales and marketing	11,307	10,869	23,035	21,287
Other general and administrative expenses	9,063	9,579	17,927	18,760
Depreciation and amortization	10,222	9,420	20,148	18,742
Total operating costs and expenses	65,190	62,685	131,245	124,016
Operating income	4,008	2,953	6,899	6,989
Other income, net	492	679	742	402
Income before income tax provision	4,500	3,632	7,641	7,391
Income tax provision	367	549	885	1,415
Net income	$ 4,133	$ 3,083	$ 6,756	$ 5,976
Net income per share:
Basic (in dollars per share)	$ 0.13	$ 0.10	$ 0.22	$ 0.19
Diluted (in dollars per share)	$ 0.13	$ 0.10	$ 0.22	$ 0.19
Weighted average shares of common stock outstanding:
Basic (in shares)	30,684	30,491	30,638	30,723
Diluted (in shares)	30,775	30,512	30,717	30,744
Dividends declared per share (in dollars per share)	$ 0.025	$ 0	$ 0.050	$ 0

Condensed Consolidated Statements of Shareholders' Equity (Unaudited) (2) - USD ($) shares in Thousands, $ in Thousands	Common Stock Including Additional Paid in Capital [Member]	Retained Earnings [Member]	AOCI Attributable to Parent [Member]	Total
Balance (in shares) at Dec. 31, 2021	31,327
Balance at Dec. 31, 2021	$ 270,791	$ 68,122	$ 106	$ 339,019
Net income	0	2,893	0	2,893
Comprehensive loss	0	0	272	272
Stock-based compensation	$ 774	0	0	774
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)	83
Common stock issued under stock plans, net of shares withheld for employee taxes	$ (497)	0	0	(497)
Repurchase of common stock (in shares)	(892)
Repurchase of common stock	$ (19,889)	0	0	(19,889)
Balance (in shares) at Mar. 31, 2022	30,518
Balance at Mar. 31, 2022	$ 251,179	71,015	378	322,572
Balance (in shares) at Dec. 31, 2021	31,327
Balance at Dec. 31, 2021	$ 270,791	68,122	106	339,019
Net income				5,976
Comprehensive loss				(508)
Balance (in shares) at Jun. 30, 2022	30,570
Balance at Jun. 30, 2022	$ 253,036	74,098	(402)	326,732
Balance (in shares) at Mar. 31, 2022	30,518
Balance at Mar. 31, 2022	$ 251,179	71,015	378	322,572
Net income	0	3,083	0	3,083
Comprehensive loss	0	0	(780)	(780)
Stock-based compensation	$ 917	0	0	917
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)	2
Common stock issued under stock plans, net of shares withheld for employee taxes	$ (1)	0	0	(1)
Repurchase of common stock (in shares)	(159)
Repurchase of common stock	$ (3,143)	0	0	(3,143)
Issuance of common stock in acquisition (in shares)	209
Issuance of common stock in acquisition	$ 4,084	0	0	4,084
Balance (in shares) at Jun. 30, 2022	30,570
Balance at Jun. 30, 2022	$ 253,036	74,098	(402)	326,732
Balance (in shares) at Dec. 31, 2022	30,579
Balance at Dec. 31, 2022	$ 254,832	80,213	(981)	334,064
Net income	0	2,623	0	2,623
Comprehensive loss	0	0	(35)	(35)
Stock-based compensation	$ 945	0	0	945
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)	103
Common stock issued under stock plans, net of shares withheld for employee taxes	$ (791)	0	0	(791)
Balance (in shares) at Mar. 31, 2023	30,682
Balance at Mar. 31, 2023	$ 254,986	82,069	(1,016)	336,039
Balance (in shares) at Dec. 31, 2022	30,579
Balance at Dec. 31, 2022	$ 254,832	80,213	(981)	334,064
Net income				6,756
Comprehensive loss				92
Balance (in shares) at Jun. 30, 2023	30,686
Balance at Jun. 30, 2023	$ 256,073	85,435	(889)	340,619
Balance (in shares) at Mar. 31, 2023	30,682
Balance at Mar. 31, 2023	$ 254,986	82,069	(1,016)	336,039
Net income	0	4,133	0	4,133
Comprehensive loss	0	0	127	127
Stock-based compensation	$ 1,093	0	0	1,093
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)	4
Common stock issued under stock plans, net of shares withheld for employee taxes	$ (6)	0	0	(6)
Balance (in shares) at Jun. 30, 2023	30,686
Balance at Jun. 30, 2023	$ 256,073	$ 85,435	$ (889)	$ 340,619

Note 1 - Overview and Basis of Presentation

6 Months Ended

Jun. 30, 2023

Notes to Financial Statements

Business Description and Basis of Presentation [Text Block]

1. OVERVIEW AND BASIS OF PRESENTATION

Company Overview

HealthStream provides primarily Software-as-a-Service (SaaS) based applications for healthcare organizations—all designed to improve business and clinical outcomes by supporting the people who deliver patient care. We are focused on helping healthcare organizations meet their ongoing clinical development, talent management, training, education, assessment, competency management, safety and compliance, scheduling, and provider credentialing, privileging, and enrollment needs. The Company is organized and operated according to our One HealthStream approach, with our hStream technology platform at the center of that approach. Increasingly, SaaS based applications in our diverse ecosystem of solutions utilize our proprietary hStream technology platform to enhance their value proposition by creating interoperability with and among other applications. As used in this Report, “HealthStream,” “Company,” “we,” “us,” and “our” mean HealthStream, Inc. and its subsidiaries unless the context indicates otherwise.

Basis of Presentation

The accompanying unaudited Condensed Consolidated Financial Statements have been prepared in accordance with accounting principles generally accepted in the United States (“US GAAP”) for interim financial information and with the instructions to Form 10‑Q and Article 10 of Regulation S‑X. Accordingly, condensed consolidated financial statements do not include all of the information and footnotes required by US GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. All intercompany transactions have been eliminated in consolidation. Operating results for the three and six months ended June 30, 2023 are not necessarily indicative of the results that may be expected for the year ending December 31, 2023.

The Condensed Consolidated Balance Sheet at December 31, 2022 was derived from the audited Consolidated Financial Statements at that date but does not include all of the information and footnotes required by US GAAP for a complete set of financial statements. For further information, refer to the Consolidated Financial Statements and Notes thereto for the year ended December 31, 2022 (included in the Company's Annual Report on Form 10-K, filed with the Securities and Exchange Commission on February 28, 2023).

Consolidated Segment Information

Our business is managed and organized around a single platform strategy, also referred to as our One HealthStream approach. At the center of this single platform strategy is our hStream technology platform. By facilitating interoperability among our applications, as well as third party applications, we believe that our hStream technology platform is allowing stand-alone applications to leverage each other to more efficiently and effectively empower our customers to manage their business and improve their outcomes.

As indicated in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, filed on February 28, 2023, the Company reached an inflection point in its efforts to operate according to its single platform strategy, One HealthStream. Since January 1, 2023, the Company’s business has been organized and managed around a consolidated, enterprise approach, including with regard to technology, operations, accounting, internal reporting (including the nature of information reviewed by our key decision maker), organization structure, compensation, performance assessment, and resource allocation.

As the result of these developments, the Company determined that Workforce Solutions and Provider Solutions were no longer separate operating segments or separate reportable segments as of January 1, 2023, such that the Company would no longer present two reportable segments for periods beginning on and after this date. As such, since January 1, 2023, the Company has had a single reportable segment, such that the Company is presenting historical financial information on a single segment basis in this Quarterly Report on Form 10-Q for the three and six months ended June 30, 2023. For purposes of reporting historical 2022 results in this Quarterly Report on Form 10-Q, we are reporting comparable performance on a consolidated basis unless otherwise indicated.

HEALTHSTREAM, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

Note 4 - Shareholders' Equity (Details Textual) - $ / shares		3 Months Ended			6 Months Ended
	Jul. 24, 2023	Jun. 30, 2023	Mar. 31, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Common Stock, Dividends, Per Share, Declared (in dollars per share)		$ 0.025	$ 0.025	$ 0	$ 0.050	$ 0
Restricted Stock Units (RSUs) [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period (in shares)					72,923	137,055
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value (in dollars per share)					$ 25.36	$ 20.27
Performance Based Restricted Stock Units (RSUs) [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period (in shares)					138,000	91,042
Share-Based Compensation Arrangement by Share-Based Payment Award, Award Vesting Period (Year)					5 years	5 years
Share Based Compensation Arrangement By Share Based Payment Award Incremental Performance Percentage Year One					15.00%	15.00%
Share Based Compensation Arrangement By Share Based Payment Award Incremental Performance Percentage Year Two					20.00%	20.00%
Share Based Compensation Arrangement By Share Based Payment Award Incremental Performance Percentage Year Three					20.00%	20.00%
Share Based Compensation Arrangement By Share Based Payment Award Incremental Performance Percentage Year Four					20.00%	20.00%
Share Based Compensation Arrangement By Share Based Payment Award Incremental Performance Percentage Year Five					25.00%	25.00%
Performance Based Restricted Stock Units (RSUs) [Member] \| Two Thousand Twenty Three Performance [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period (in shares)					20,700	18,210
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value (in dollars per share)					$ 26.25	$ 26.25
Performance Based Restricted Stock Units (RSUs) [Member] \| Not Based on 2023 Performance [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period (in shares)					117,300	59,178
Subsequent Event [Member]
Common Stock, Dividends, Per Share, Declared (in dollars per share)	$ 0.025
Dividends Payable, Date to be Paid	Sep. 29, 2023
Dividends Payable, Date of Record	Sep. 18, 2023

Note 8 - Debt

6 Months Ended

Jun. 30, 2023

Notes to Financial Statements

Debt Disclosure [Text Block]

8. DEBT

Revolving Credit Facility

On October 28, 2020, the Company entered into a Third Amendment to Revolving Credit Agreement ("Revolving Credit Facility"), amending the Revolving Credit Facility dated as of November 24, 2014 with Truist Bank, successor by merger to SunTrust Bank ("Truist"), extending the maturity date to October 28, 2023. Under the Revolving Credit Facility, the Company may borrow up to $65.0 million, which includes a $5.0 million swing line sub-facility and a $5.0 million letter of credit sub-facility, as well as an accordion feature that allows the Company to increase the Revolving Credit Facility by a total of up to $25.0 million, subject to securing additional commitments from existing lenders or new lending institutions.

At the Company’s election, the borrowings under the Revolving Credit Facility bear interest at either (1) a rate per annum equal to the highest of Truist’s prime rate or 0.5% in excess of the Federal Funds Rate or 1.0% in excess of one-month LIBOR (the "Base Rate"), plus an applicable margin, or (2) the one, two, three, or six-month per annum LIBOR for deposits in the applicable currency (the "Eurocurrency Rate"), as selected by the Company, plus an applicable margin. The applicable margin for Eurocurrency Rate loans depends on the Company’s funded debt leverage ratio and varies from 1.50% to 1.75%. The applicable margin for Base Rate loans depends on the Company’s funded debt leverage ratio and varies from 0.50% to 0.75%. Commitment fees and letter of credit fees are also payable under the Revolving Credit Facility. Principal is payable in full at maturity on October 28, 2023, and there are no scheduled principal payments prior to maturity. The Company is required to pay a commitment fee ranging between 20 and 30 basis points per annum of the average daily unused portion of the Revolving Credit Facility, depending on the Company’s funded debt leverage ratio. The obligations under the Revolving Credit Facility are guaranteed by each of the Company’s subsidiaries. As of June 30, 2023, the LIBOR interest rate benchmark has been phased out, triggering a Benchmark Transition Event as defined by the Company's Revolving Credit Facility. Accordingly, should the Company elect to borrow from its Revolving Credit Facility, LIBOR will be replaced with the Benchmark Replacement (as defined by the Revolving Credit Facility) for purposes of calculating an interest rate and the Revolving Credit Facility will be amended to reflect the same; until such Benchmark Replacement is implemented, loans requested by the Company under the Revolving Credit Facility must be made as Base Rate loans, as described above.

The purpose of the Revolving Credit Facility is for general working capital needs, permitted acquisitions (as defined in the Revolving Credit Facility), and for stock repurchase and/or redemption transactions that the Company may authorize.

The Revolving Credit Facility contains certain covenants that, among other things, restrict additional indebtedness, liens and encumbrances, changes to the character of the Company’s business, acquisitions, asset dispositions, mergers and consolidations, sale or discount of receivables, creation or acquisitions of additional subsidiaries, and other matters customarily restricted in such agreements.

In addition, the Revolving Credit Facility requires the Company to meet certain financial tests, including, without limitation:

•	a funded debt leverage ratio (consolidated debt/consolidated EBITDA) of not greater than 3.0 to 1.0; and

•	an interest coverage ratio (consolidated EBITDA/consolidated interest expense) of not less than 3.0 to 1.0.

As of June 30, 2023, the Company was in compliance with all covenants. There were no balances outstanding on the Revolving Credit Facility as of or during the three and six months ended June 30, 2023.

- Definition

The entire disclosure for information about short-term and long-term debt arrangements, which includes amounts of borrowings under each line of credit, note payable, commercial paper issue, bonds indenture, debenture issue, own-share lending arrangements and any other contractual agreement to repay funds, and about the underlying arrangements, rationale for a classification as long-term, including repayment terms, interest rates, collateral provided, restrictions on use of assets and activities, whether or not in compliance with debt covenants, and other matters important to users of the financial statements, such as the effects of refinancing and noncompliance with debt covenants.

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+ Details

Note 4 - Shareholders' Equity

6 Months Ended

Jun. 30, 2023

Notes to Financial Statements

Equity [Text Block]

4. SHAREHOLDERS’ EQUITY

Dividends on Common Stock

On February 20, 2023, the Company's Board of Directors ("Board") approved a dividend policy, marking the first quarterly cash dividend policy adopted by the Company ("Dividend Policy"). During the six months ended June 30, 2023, the Board declared the following quarterly dividends under the Dividend Policy:

Dividend Payment Date	Dividend Declaration Date	Dividend Per Share		Record Date	Cash Outlay
April 28, 2023	February 20, 2023	$	0.025	April 17, 2023	$	767,000
June 23, 2023	April 24, 2023		0.025	June 12, 2023		767,000
Total dividends		$	0.050		$	1,534,000

Additionally, on July 24, 2023, the Board approved the Company’s third quarterly cash dividend of $0.025 per share, payable on September 29, 2023 to holders of record on September 18, 2023.

Stock-Based Compensation

The Company has stock awards outstanding under its 2016 Omnibus Incentive Plan and 2022 Omnibus Incentive Plan. The Company accounts for its stock-based compensation plans using the fair-value based method for costs related to share-based payments, including restricted share units (“RSUs”) and stock options. During the six months ended June 30, 2023, the Company issued 72,923 RSUs subject to service-based time vesting, with a weighted average grant date fair value of $25.36 per share, measured based on the closing fair market value of the Company's stock on the date of the grant. During the six months ended June 30, 2022, the Company approved the grant of 137,055 RSUs subject to service-based time vesting, with a weighted average grant date fair value of $20.27 per share, measured based on the closing fair market value of the Company’s stock on the date of grant.

During the six months ended June 30, 2023, the Company granted 138,000 performance-based RSUs, the vesting of which occurs over a five-year period and is contingent upon continued service and achieving certain performance criteria established by the Compensation Committee on an annual basis in increments of 15%, 20%, 20%, 20%, and 25% based on performance in 2023, 2024, 2025, 2026, and 2027, respectively. The performance criteria for the first-year tranche, or 20,700 of these performance-based RSUs, is based on 2023 adjusted EBITDA. The measurement date for these 20,700 performance-based RSUs was established during the first quarter of 2023 with a grant date fair value of $26.25 per share, measured based on the closing fair market value of the Company's stock on the date the performance criteria was established. The performance criteria for the remaining 117,300 performance-based RSUs has not yet been determined and will be established on an annual basis in 2024, 2025, 2026, and 2027, as applicable; therefore, the measurement date for these remaining 117,300 performance-based RSUs cannot be determined until the performance criteria have been established.

During the six months ended June 30, 2022, the Company granted 91,042 performance-based RSUs, the vesting of which occurs over a five-year period and is contingent upon continued service and achieving certain performance criteria established by the Compensation Committee on an annual basis in increments of 15%, 20%, 20%, 20%, and 25% based on performance in 2022, 2023, 2024, 2025, and 2026, respectively. The performance criteria for the second-year tranche, or 18,210 of these performance-based RSUs, is based on 2023 adjusted EBITDA. The measurement date for these 18,210 performance-based RSUs was established during the first quarter of 2023 with a grant date fair value of $26.25 per share, measured based on the closing fair market value of the Company's stock on the date the performance criteria was established. The performance criteria for the remaining 59,178 performance-based RSUs has not yet been determined and will be established on an annual basis in 2024, 2025, and 2026, as applicable; therefore, the measurement date for these remaining 59,178 performance-based RSUs cannot be determined until the performance criteria have been established.

Total stock-based compensation expense recognized in the Condensed Consolidated Statements of Income is as follows (in thousands):

	*Three Months Ended June 30,*				*Six Months Ended June 30,*
	*2023*		*2022*		*2023*		*2022*
Cost of revenues (excluding depreciation and amortization)	$	50	$	45	$	99	$	82
Product development		187		151		354		276
Sales and marketing		131		101		243		184
Other general and administrative		725		620		1,342		1,149
Total stock-based compensation expense	$	1,093	$	917	$	2,038	$	1,691

- Definition

The entire disclosure for equity.

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Reference 19: http://www.xbrl.org/2003/role/disclosureRef
-Topic 505
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 18
-Subparagraph (d)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481112/505-10-50-18

+ Details

Condensed Consolidated Balance Sheets (Unaudited) (Parentheticals) - USD ($) shares in Thousands, $ / shares in Thousands, $ in Thousands	Jun. 30, 2023	Dec. 31, 2022
Accounts Receivable, Allowance for Credit Loss, Current	$ 625	$ 544
Accumulated amortization on property and equipment	22,364	20,280
Accumulated amortization on capitalized software development	$ 115,618	$ 105,025
Common stock, shares authorized (in shares)	75,000	75,000
Common stock, shares issued (in shares)	30,686	30,579
Common stock, shares outstanding (in shares)	30,686	30,579
Common stock, par value (in dollars per share)	$ 0	$ 0
Customer-Related Intangible Assets [Member]
Accumulated amortization on intangible assets	$ 52,807	$ 48,552
Other Intangible Assets [Member]
Accumulated amortization on intangible assets	$ 15,936	$ 12,818

Note 2 - Revenue Recognition and Sales Commissions 2 (Details Textual)	Jun. 30, 2023
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2024-07-01
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Period (Month)	12 months

Note 2 - Revenue Recognition and Sales Commissions

6 Months Ended

Jun. 30, 2023

Notes to Financial Statements

Revenue from Contract with Customer [Text Block]

2. REVENUE RECOGNITION AND SALES COMMISSIONS

Revenue Recognition

Revenues are recognized when control of the promised goods or services is transferred to the customer in an amount that reflects the consideration the Company expects to be entitled in exchange for transferring those goods or services.

Revenue is recognized based on the following five step model:

•

Identification of the contract with a customer

•

Identification of the performance obligations in the contract

•

Determination of the transaction price

•

Allocation of the transaction price to the performance obligations in the contract

•

Recognition of revenue when, or as, the Company satisfies a performance obligation

The following table represents revenues disaggregated by revenue source (in thousands). Sales taxes are excluded from revenues.

	*Three Months Ended June 30,*				*Six Months Ended June 30,*
	*2023*		*2022*		*2023*		*2022*
Subscription services	$	66,506	$	62,471	$	132,521	$	124,546
Professional services		2,692		3,167		5,623		6,459
Total revenues, net	$	69,198	$	65,638	$	138,144	$	131,005

For the three months ended June 30, 2023 and 2022, the Company recognized $0.2 million and $0.4 million in impairment losses on receivables and contract assets arising from the Company's contracts with customers, respectively. For both the six months ended June 30, 2023 and 2022, the Company recognized $0.4 million in impairment losses on receivables and contract assets arising from the Company’s contracts with customers.

Deferred revenue represents contract liabilities that are recorded when cash payments are received or are due in advance of our satisfaction of performance obligations. During the three months ended June 30, 2023 and 2022, we recognized revenues of approximately $43.6 million and $40.0 million, respectively, from amounts included in deferred revenue at the beginning of the respective periods. During the six months ended June 30, 2023 and 2022, we recognized revenues of approximately $62.1 million and $56.0 million, respectively, from amounts included in deferred revenue at the beginning of the respective periods. As of June 30, 2023, approximately $511 million of revenue is expected to be recognized from remaining performance obligations under contracts with customers. We expect to recognize revenue related to approximately 44% of these remaining performance obligations over the next 12 months, with the remaining amounts recognized thereafter.

Sales Commissions

Sales commissions earned by our sales force are considered incremental and recoverable costs of obtaining a contract with a customer. The Company recorded amortization of deferred commissions of approximately $2.8 million and $2.5 million for the three months ended June 30, 2023 and 2022, and $5.5 million and $5.0 million for the six months ended June 30, 2023 and 2022, respectively, which is included in sales and marketing expenses in the accompanying Condensed Consolidated Statements of Income.

- Definition

The entire disclosure of revenue from contract with customer to transfer good or service and to transfer nonfinancial asset. Includes, but is not limited to, disaggregation of revenue, credit loss recognized from contract with customer, judgment and change in judgment related to contract with customer, and asset recognized from cost incurred to obtain or fulfill contract with customer. Excludes insurance and lease contracts.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 9
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147479806/606-10-50-9

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 10
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147479806/606-10-50-10

Reference 3: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
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-URI https://asc.fasb.org//1943274/2147479806/606-10-50-15

Reference 4: http://www.xbrl.org/2003/role/disclosureRef
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-Subparagraph (a)
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-URI https://asc.fasb.org//1943274/2147479806/606-10-50-12

Reference 5: http://www.xbrl.org/2003/role/disclosureRef
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-URI https://asc.fasb.org//1943274/2147479806/606-10-50-12

Reference 6: http://www.xbrl.org/2003/role/disclosureRef
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-Subparagraph (c)
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Reference 7: http://www.xbrl.org/2003/role/disclosureRef
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Reference 8: http://www.xbrl.org/2003/role/disclosureRef
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Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 13
-Subparagraph (b)(2)
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-URI https://asc.fasb.org//1943274/2147479806/606-10-50-13

Reference 10: http://www.xbrl.org/2003/role/disclosureRef
-Name Accounting Standards Codification
-Topic 606
-Publisher FASB
-URI https://asc.fasb.org//606/tableOfContent

+ Details

Note 4 - Shareholders' Equity (Tables)

6 Months Ended

Jun. 30, 2023

Notes Tables

Dividends Declared [Table Text Block]

Dividend Payment Date	Dividend Declaration Date	Dividend Per Share		Record Date	Cash Outlay
April 28, 2023	February 20, 2023	$	0.025	April 17, 2023	$	767,000
June 23, 2023	April 24, 2023		0.025	June 12, 2023		767,000
Total dividends		$	0.050		$	1,534,000

Share-Based Payment Arrangement, Expensed and Capitalized, Amount [Table Text Block]

	*Three Months Ended June 30,*				*Six Months Ended June 30,*
	*2023*		*2022*		*2023*		*2022*
Cost of revenues (excluding depreciation and amortization)	$	50	$	45	$	99	$	82
Product development		187		151		354		276
Sales and marketing		131		101		243		184
Other general and administrative		725		620		1,342		1,149
Total stock-based compensation expense	$	1,093	$	917	$	2,038	$	1,691

Note 3 - Income Taxes (Details Textual) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Income Tax Expense (Benefit)	$ 367	$ 549	$ 885	$ 1,415
Effective Income Tax Rate Reconciliation, Percent			12.00%	19.00%
Income Tax Expense (Benefit), Discrete Adjustments			$ 500	$ (100)
Income Tax Expense (Benefit), State Appointment Change			(600)
Income Tax Expense (Benefit), Stock-based Awards			(100)
Reserve for Uncertain Tax Position			$ 200
Income Tax Expense, Non Taxable Gain				200
Income Tax Expense (Benefit), Nontaxable Gain				$ 900

- Definition

Amount of current income tax expense (benefit) and deferred income tax expense (benefit) pertaining to continuing operations.

+ References + Details

Note 6 - Marketable Securities (Tables)

6 Months Ended

Jun. 30, 2023

Notes Tables

Debt Securities, Available-for-Sale [Table Text Block]

	*June 30, 2023*
	*Adjusted Cost*		*Unrealized Gains*		*Unrealized Losses*			*Fair Value*
Level 2:
U.S. treasury securities	$	30,207	$	2	$	(51	)	$	30,158
Total	$	30,207	$	2	$	(51	)	$	30,158

	*December 31, 2022*
	*Adjusted Cost*		*Unrealized Gains*		*Unrealized Losses*		*Fair Value*
Level 2:
U.S. treasury securities	$	7,882	$	3	$	—	$	7,885
Total	$	7,882	$	3	$	—	$	7,885

- Definition

Tabular disclosure of investment in debt security measured at fair value with change in fair value recognized in other comprehensive income (available-for-sale).

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 320
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 9
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481800/320-10-50-9

Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 320
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 3
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481800/320-10-50-3

Reference 3: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 320
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481800/320-10-50-2

Reference 4: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 320
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (c)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481800/320-10-50-2

Reference 5: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 320
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481800/320-10-50-2

Reference 6: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 320
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (aa)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481800/320-10-50-2

Reference 7: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 320
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (aaa)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481800/320-10-50-2

Reference 8: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 320
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (d)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481800/320-10-50-2

Reference 9: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 320
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 3
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481800/320-10-50-3

Reference 10: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 320
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 3
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481800/320-10-50-3

Reference 11: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 320
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 3
-Subparagraph (c)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481800/320-10-50-3

Reference 12: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 320
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 3
-Subparagraph (d)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147481800/320-10-50-3

+ Details

Note 6 - Marketable Securities - Fair Value of Available for Sale Marketable Securities (Details) - USD ($) $ in Thousands	Jun. 30, 2023	Dec. 31, 2022
Adjusted Cost	$ 30,207	$ 7,882
Unrealized Gains	2	3
Unrealized Losses	(51)	0
Fair Value	30,158	7,885
US Treasury Securities [Member] \| Fair Value, Inputs, Level 2 [Member]
Adjusted Cost	30,207	7,882
Unrealized Gains	2	3
Unrealized Losses	(51)	0
Fair Value	$ 30,158	$ 7,885

Note 2 - Revenue Recognition and Sales Commissions (Tables)

6 Months Ended

Jun. 30, 2023

Notes Tables

Disaggregation of Revenue [Table Text Block]

	*Three Months Ended June 30,*				*Six Months Ended June 30,*
	*2023*		*2022*		*2023*		*2022*
Subscription services	$	66,506	$	62,471	$	132,521	$	124,546
Professional services		2,692		3,167		5,623		6,459
Total revenues, net	$	69,198	$	65,638	$	138,144	$	131,005

Note 7 - Business Combinations (Details Textual) - Electronic Education Documentation System, LLC [Member] - USD ($)		6 Months Ended
	Dec. 31, 2022	Jun. 30, 2023
Payments to Acquire Businesses, Gross	$ 6,600,000
Business Combination, Consideration Transferred	7,000,000.0
Goodwill, Purchase Accounting Adjustments		$ (1,300,000)
Customer Relationships [Member]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles	2,600,000
Finite-Lived Intangible Assets, Purchase Accounting Adjustments		2,000,000.0
Developed Technology Rights [Member]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles	1,900,000
Finite-Lived Intangible Assets, Purchase Accounting Adjustments		(800,000)
Noncompete Agreements [Member]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles	200,000
Finite-Lived Intangible Assets, Purchase Accounting Adjustments		100,000
Trade Names [Member]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles	$ 100,000
Finite-Lived Intangible Assets, Purchase Accounting Adjustments		$ (20,000)

Note 2 - Revenue Recognition and Sales Commissions - Revenues Disaggregated By Revenue Source (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Revenues	$ 69,198	$ 65,638	$ 138,144	$ 131,005
Subscription Services [Member]
Revenues	66,506	62,471	132,521	124,546
Professional Services [Member]
Revenues	$ 2,692	$ 3,167	$ 5,623	$ 6,459

- Definition

Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 924
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SAB Topic 11.L)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147479941/924-10-S99-1

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 5
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147479806/606-10-50-5

Reference 3: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 30
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-30

Reference 4: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 42
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-42

Reference 5: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 22
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-22

Reference 6: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 32
-Subparagraph (b)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-32

Reference 7: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 40
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-40

Reference 8: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 22
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-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-22

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
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-Paragraph 32
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-32

Reference 10: http://www.xbrl.org/2003/role/disclosureRef
-Topic 280
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 41
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-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-41

Reference 11: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
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-Section 50
-Paragraph 4
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147479806/606-10-50-4

+ Details

Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Net income	$ 4,133	$ 3,083	$ 6,756	$ 5,976
Other comprehensive income (loss), net of taxes:
Foreign currency translation adjustments	177	(782)	144	(505)
Unrealized (loss) gain on marketable securities	(50)	2	(52)	(3)
Total other comprehensive income (loss)	127	(780)	92	(508)
Comprehensive income	$ 4,260	$ 2,303	$ 6,848	$ 5,468

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

+ References

+ Details

Note 7 - Business Combinations

6 Months Ended

Jun. 30, 2023

Notes to Financial Statements

Business Combination Disclosure [Text Block]

7. BUSINESS COMBINATIONS

On December 31, 2022, the Company acquired substantially all of the assets of Electronic Education Documentation System, LLC (d/b/a eeds) ("eeds"), an Asheville, North Carolina-based healthcare technology company offering a SaaS-based continuing education (CME/CE) management system for healthcare organizations, for approximately $6.6 million in cash, reflecting customary purchase price adjustments made to the purchase price paid of $7.0 million. After the filing of the Company’s Annual Report on Form 10-K for the year ended December 31, 2022 on February 28, 2023, the Company received an updated valuation report for the acquisition from a third-party valuation firm. Based on the results of that valuation report, the Company has estimated the fair value of the customer relationships, developed technology, non-compete, and trade name intangible assets to be $2.6 million, $1.9 million, $0.2 million, and $0.1 million, respectively. As a result, the fair value of the customer relationships and non-compete intangible assets were increased by $2.0 million and $0.1 million during the six months ended June 30, 2023, respectively, while the developed technology and trade name intangible assets were decreased by $0.8 million and $20,000 during the six months ended June 30, 2023, respectively, due to this new information, with a corresponding decrease to goodwill of $1.3 million for the net change in the fair value of identifiable intangible assets.

Note 5 - Earnings Per Share (Tables)

6 Months Ended

Jun. 30, 2023

Notes Tables

Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]

	*Three Months Ended June 30,*				*Six Months Ended June 30,*
	*2023*		*2022*		*2023*		*2022*
Numerator:
Net income	$	4,133	$	3,083	$	6,756	$	5,976
Denominator:
Weighted-average shares outstanding		30,684		30,491		30,638		30,723
Effect of dilutive shares		91		21		79		21
Weighted-average diluted shares		30,775		30,512		30,717		30,744

Net income per share:
Basic	$	0.13	$	0.10	$	0.22	$	0.19
Diluted	$	0.13	$	0.10	$	0.22	$	0.19

Note 4 - Shareholders' Equity - Dividend Policy (Details)	6 Months Ended
	Jun. 30, 2023 USD ($) $ / shares
Dividends, amount per share (in dollars per share) \| $ / shares	$ 0.050
Dividends, cash outlay \| $	$ 1,534,000
First Quarter Dividends [Member]
Dividends, declaration date	Feb. 20, 2023
Dividends Payable, Date to be Paid	Apr. 28, 2023
Dividends, amount per share (in dollars per share) \| $ / shares	$ 0.025
Dividends Payable, Date of Record	Apr. 17, 2023
Dividends, cash outlay \| $	$ 767,000
Second Quarter Dividends [Member]
Dividends, declaration date	Apr. 24, 2023
Dividends Payable, Date to be Paid	Jun. 23, 2023
Dividends, amount per share (in dollars per share) \| $ / shares	$ 0.025
Dividends Payable, Date of Record	Jun. 12, 2023
Dividends, cash outlay \| $	$ 767,000