0001437749-24-005530 | 10-K | XBRL Viewer

Earnings Per Share [Text Block]

3. EARNINGS PER SHARE

The following table sets forth the computation of basic and diluted earnings per share for the three years ended December 31, 2023 (in thousands, except per share amounts):

	*Year Ended December 31,*
	*2023*		*2022*		*2021*
Numerator:
Net income	$	15,213	$	12,091	$	5,845
Denominator:
Weighted-average shares outstanding		30,571		30,648		31,534
Effect of dilutive shares		102		69		84
Weighted-average diluted shares		30,673		30,717		31,618

Net income per share:
Basic	$	0.50	$	0.39	$	0.19
Diluted	$	0.50	$	0.39	$	0.18

Potentially dilutive shares representing 252,000, 183,000, and 78,000 shares of common stock for the years ended December 31, 2023, 2022, and 2021, respectively, were excluded from the calculation of diluted earnings per share because their effect would have been anti-dilutive.

Note 6 - Property and Equipment (Details Textual) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Depreciation	$ 4.2	$ 4.5	$ 6.3

Note 7 - Goodwill and Intangible Assets (Details Textual) - USD ($)	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Indefinite-lived Intangible Assets (Excluding Goodwill), Ending Balance	$ 700,000
Amortization of Intangible Assets	$ 14,900	$ 14,500	$ 14,900
Trade Names [Member]
Finite-Lived Intangible Asset, Useful Life (Year)	10 years
Minimum [Member]
Finite-Lived Intangible Asset, Useful Life (Year)	2 years
Minimum [Member] \| Customer Relationships [Member]
Finite-Lived Intangible Asset, Useful Life (Year)	8 years
Minimum [Member] \| Other Intangible Assets [Member]
Finite-Lived Intangible Asset, Useful Life (Year)	2 years
Maximum [Member]
Finite-Lived Intangible Asset, Useful Life (Year)	18 years
Maximum [Member] \| Customer Relationships [Member]
Finite-Lived Intangible Asset, Useful Life (Year)	18 years
Maximum [Member] \| Other Intangible Assets [Member]
Finite-Lived Intangible Asset, Useful Life (Year)	10 years

Note 13 - Leases - Maturities of Lease Liabilities (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
2024	$ 4,296
2025	4,022
2026	3,650
2027	3,385
2028	3,453
Thereafter	10,163
Total undiscounted lease payments	28,969
Less imputed interest	5,748
Total lease liabilities	$ 23,221	$ 26,161

Insider Trading Arrangements	12 Months Ended
Insider Trading Arrangements	Dec. 31, 2023
Insider Trading Arr Line Items
Material Terms of Trading Arrangement [Text Block]	Item *9B.* *Other Information* None. Without limiting the generality of the foregoing, during the three months ended December 31, 2023, no director or officer of the Company adopted or terminated any “Rule 10b5-1 trading arrangement,” or any “non-Rule 10b-5 trading arrangement,” as such terms are defined in Item 408(a) of Regulation S-K.
Rule 10b5-1 Arrangement Adopted [Flag]	false
Non-Rule 10b5-1 Arrangement Adopted [Flag]	false
Rule 10b5-1 Arrangement Terminated [Flag]	false
Non-Rule 10b5-1 Arrangement Terminated [Flag]	false

Note 9 - Income Taxes - Significant Components of Deferred Tax Assets and Deferred Tax Liabilities (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Deferred tax assets:
Allowance for credit losses	$ 202	$ 142
Accrued liabilities	1,013	1,111
Lease liability	5,931	6,896
Tax credits	467	362
Stock-based compensation	1,161	1,064
Deferred revenue	628	653
Net operating loss carryforwards	3,282	4,069
Total deferred tax assets	12,684	14,297
Less: Valuation allowance	(1,992)	(1,947)
Deferred tax assets, net of valuation allowance	10,692	12,350
Deferred tax liabilities:
Deductible goodwill	6,829	5,691
Nondeductible intangible assets	2,087	2,878
Right of use assets	5,130	6,001
Prepaid assets	10,285	9,302
Capitalized software development	181	3,415
Depreciation	1,914	2,548
Basis difference on investments	151	128
Total deferred tax liabilities	26,577	29,963
Net deferred tax liabilities	$ 15,885	$ 17,613

Note 13 - Leases - Lease-related Assets and Liabilities (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Operating lease right of use assets, net	$ 20,114	$ 22,759
Operating lease liability, noncurrent	20,247	23,321
Total operating lease liabilities	23,221	26,161
Accounts Payable and Accrued Liabilities [Member]
Operating lease liabilities, current	$ 2,974	$ 2,840

Note 8 - Business Combinations (Details Textual) - USD ($) $ in Thousands			12 Months Ended
	Dec. 31, 2022	May 18, 2022	Dec. 31, 2023	Dec. 31, 2021
Goodwill	$ 192,398		$ 191,379	$ 182,501
CloudCME, LLC [Member]
Business Acquisition, Percentage of Voting Interests Acquired		82.00%
Payments to Acquire Businesses, Gross		$ 4,000
Business Combination, Consideration Transferred, Equity Interests Issued and Issuable		$ 4,100
Business Combination, Step Acquisition, Equity Interest in Acquiree, Percentage		18.00%
Business Combination, Acquisition Related Costs		$ 100
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net		9,600
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill		3,800
Goodwill		$ 6,800
Electronic Education Documentation System, LLC [Member]
Payments to Acquire Businesses, Gross	6,600
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net			6,600
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill			4,700
Goodwill			2,300
Business Combination, Consideration Transferred	7,000
Business Combination, Consideration Transferred, Amount Held in Escrow	$ 600
Electronic Education Documentation System, LLC [Member] \| Noncompete Agreements [Member]
Finite-Lived Intangible Assets, Purchase Accounting Adjustments			$ 100

Consolidated Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Current assets:
Cash and cash equivalents	$ 40,333	$ 46,023
Marketable securities	30,800	7,885
Accounts receivable, net of allowance of $781 and $544 at December 31, 2023 and 2022, respectively	34,346	36,730
Accounts receivable - unbilled	4,100	5,980
Prepaid royalties, net of amortization	10,202	9,071
Prepaid software maintenance and subscriptions	7,397	6,034
Other prepaid expenses and other current assets	3,032	2,654
Total current assets	130,210	114,377
Property and equipment, net of accumulated depreciation of $19,503 and $20,280 at December 31, 2023 and 2022, respectively	13,005	15,483
Capitalized software development, net of accumulated amortization of $127,009 and $105,025 at December 31, 2023 and 2022, respectively	40,643	37,118
Operating lease right of use assets, net	20,114	22,759
Goodwill	191,379	192,398
Net	68,031	81,553
Deferred commissions	31,700	28,344
Non-marketable equity investments	4,134	4,518
Other assets	726	1,191
Total assets	499,942	497,741
Current liabilities:
Accounts payable	7,465	7,287
Accrued royalties	4,556	5,443
Accrued liabilities	22,717	25,014
Deferred revenue	83,623	79,469
Total current liabilities	118,361	117,213
Deferred tax liabilities	16,132	17,996
Deferred revenue, noncurrent	2,169	2,937
Operating lease liability, noncurrent	20,247	23,321
Other long-term liabilities	2,281	2,210
Commitments and contingencies
Shareholders’ equity:
Common stock, no par value, 75,000 shares authorized; 30,298 and 30,579 shares issued and outstanding at December 31, 2023 and 2022, respectively	249,075	254,832
Retained earnings	92,368	80,213
Accumulated other comprehensive loss	(691)	(981)
Total shareholders’ equity	340,752	334,064
Total liabilities and shareholders’ equity	499,942	497,741
Customer-Related Intangible Assets [Member]
Current assets:
Net	54,742	61,269
Other Intangible Assets [Member]
Current assets:
Net	$ 13,289	$ 20,284

Note 10 - Stock Based Compensation - Stock Option Activity (Details) $ / shares in Units, shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2023 USD ($) $ / shares shares
Outstanding, Shares (in shares) \| shares	90
Outstanding, Weighted average exercise price (in dollars per share) \| $ / shares	$ 20.34
Granted, Shares (in shares) \| shares	0
Granted, Weighted average exercise price (in dollars per share) \| $ / shares	$ 0
Exercised, Shares (in shares) \| shares	0
Exercised, Weighted average exercise price (in dollars per share) \| $ / shares	$ 0
Expired, Shares (in shares) \| shares	0
Expired, Weighted average exercise price (in dollars per share) \| $ / shares	$ 0
Forfeited, Shares (in shares) \| shares	0
Forfeited, Weighted average exercise price (in dollars per share) \| $ / shares	$ 0
Outstanding, Shares (in shares) \| shares	90
Outstanding, Weighted average exercise price (in dollars per share) \| $ / shares	$ 20.34
Outstanding, Aggregate intrinsic value \| $	$ 602
Exercisable, Shares (in shares) \| shares	59
Exercisable, Weighted average exercise price (in dollars per share) \| $ / shares	$ 20.34
Exercisable, Aggregate intrinsic value \| $	$ 391

Note 2 - Shareholders' Equity - Dividend Policy (Details) - USD ($)		12 Months Ended
	Oct. 23, 2023	Dec. 31, 2023
Dividends, amount per share (in dollars per share)		$ 0.1
Dividends Payable, Date of Record	Mar. 11, 2024
Dividends, cash outlay		$ 3,058,000
First Quarter Dividends [Member]
Dividends, declaration date		Feb. 20, 2023
Dividends, amount per share (in dollars per share)		$ 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, amount per share (in dollars per share)		$ 0.025
Dividends Payable, Date of Record		Jun. 12, 2023
Dividends, cash outlay		$ 767,000
Third Quarter Dividends [Member]
Dividends, declaration date		Jul. 24, 2023
Dividends, amount per share (in dollars per share)		$ 0.025
Dividends Payable, Date of Record		Sep. 18, 2023
Dividends, cash outlay		$ 767,000
Fourth Quarter Dividends [Member]
Dividends, declaration date		Oct. 23, 2023
Dividends, amount per share (in dollars per share)		$ 0.025
Dividends Payable, Date of Record		Dec. 11, 2023
Dividends, cash outlay		$ 757,000

Note 9 - Income Taxes - Schedule of Components of Earnings Before Income Taxes (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
United States	$ 18,472	$ 15,777	$ 8,006
Foreign	39	(192)	(240)
Earnings before income taxes	$ 18,511	$ 15,585	$ 7,766

Note 1 - Overview and Basis of Presentation (Details Textual) $ in Thousands	12 Months Ended
	Dec. 31, 2023 USD ($)	Dec. 31, 2022 USD ($)	Dec. 31, 2021 USD ($)
Capitalized Software Development Amortization Period (Year)	3 years
Capitalized Computer Software, During Period, Gross	$ 25,500	$ 23,800
Capitalized Computer Software, Amortization	22,000	18,900	$ 15,600
Capitalized Software Development Costs for Software Sold to Customers	0	0
Impairment of Intangible Assets, Finite-Lived	0
Payments to Acquire Productive Assets	27,300	25,900	23,400
Impairment, Long-Lived Asset, Held-for-Use	$ 0	0	0
Number of Possible Sources of Taxable Income	4
Deferred Tax Assets, Valuation Allowance	$ 1,992	1,947
Selling and Marketing Expense [Member]
Advertising Expense	$ 1,500	$ 1,900	$ 1,900
Minimum [Member]
Finite-Lived Intangible Asset, Useful Life (Year)	2 years
Maximum [Member]
Finite-Lived Intangible Asset, Useful Life (Year)	18 years
Weighted Average [Member]
Finite-Lived Intangible Asset, Useful Life (Year)	11 years 8 months 12 days

Note 6 - Property and Equipment - Summary of Property and Equipment (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Property, plant and equipment	$ 32,508	$ 35,763
Accumulated depreciation and amortization	(19,503)	(20,280)
Property and equipment, net	13,005	15,483
Equipment [Member]
Property, plant and equipment	12,541	15,843
Leasehold Improvements [Member]
Property, plant and equipment	14,937	14,937
Furniture and Fixtures [Member]
Property, plant and equipment	$ 5,030	$ 4,983

Consolidated Statements of Shareholders' Equity (Parentheticals) - $ / shares	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Dividends declared per share (in dollars per share)	$ 0.1	$ 0	$ 0

Note 5 - Revenue Recognition and Sales Commissions 2 (Details Textual)	Dec. 31, 2023
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2024-01-01
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Period (Month)	12 months

Note 1 - Overview and Basis of Presentation (Tables)

12 Months Ended

Dec. 31, 2023

Financing Receivable, Allowance for Credit Loss [Table Text Block]

	*Allowance Balance at Beginning of Period*		*Charged to Costs and Expenses*		*Write-offs*			*Allowance Balance at End of Period*
2023	$	544	$	1,021	$	(784	)	$	781
2022		853		385		(694	)		544
2021		549		723		(419	)		853

Property Plant and Equipment Useful Lives [Table Text Block]

	Years
Furniture and fixtures		5 - 7
Equipment		3

Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
OPERATING ACTIVITIES:
Net income	$ 15,213	$ 12,091	$ 5,845
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	41,076	37,945	36,813
Stock-based compensation	4,153	3,554	5,303
Amortization of deferred commissions	11,495	10,599	9,169
Provision for credit losses	1,021	385	723
Deferred income taxes	(1,725)	710	1,539
(Gain) loss on disposal of fixed assets	0	(25)	21
Loss on equity method investments	384	747	462
Non-cash paid time off expense	0	0	(1,011)
Change in fair value of non-marketable equity investments	(425)	(3,596)	(279)
Other	(891)	3	184
Changes in operating assets and liabilities:
Accounts and unbilled receivables	(3,243)	7,770	(10,344)
Prepaid royalties	(1,131)	84	416
Other prepaid expenses and other current assets	(1,243)	2,329	1,772
Deferred commissions	(14,852)	(14,931)	(13,274)
Other assets	328	208	52
Accounts payable and accrued expenses	4,825	3,742	(4,329)
Accrued royalties	(887)	406	(3,772)
Deferred revenue	3,386	4,707	(7,593)
Net cash provided by operating activities	63,970	51,188	42,385
INVESTING ACTIVITIES:
Business combinations, net of cash acquired	(6,621)	(3,965)	(4,705)
Proceeds from maturities of marketable securities	28,250	10,625	9,931
Purchases of marketable securities	(50,268)	(13,467)	(5,223)
Proceeds from sale of fixed assets	0	26	0
Proceeds from sale of non-marketable equity investments	47	3,494	1,370
Payments to acquire non-marketable equity investments	0	0	(1,750)
Payments associated with capitalized software development	(25,806)	(23,334)	(21,929)
Purchases of property and equipment	(2,200)	(1,768)	(3,417)
Net cash used in investing activities	(56,598)	(28,389)	(25,723)
FINANCING ACTIVITIES:
Taxes paid related to net settlement of equity awards	(934)	(565)	(1,182)
Payment of debt issue costs	(118)	0	0
Repurchases of common stock	(8,929)	(23,137)	(5,008)
Payment of cash dividends	(3,058)	0	(19)
Net cash used in financing activities	(13,039)	(23,702)	(6,209)
Effect of exchange rate changes on cash and cash equivalents	(23)	21	(114)
Net (decrease) increase in cash and cash equivalents	(5,690)	(882)	10,339
Cash and cash equivalents at beginning of period	46,023	46,905	36,566
Cash and cash equivalents at end of period	40,333	46,023	46,905
SUPPLEMENTAL CASH FLOW INFORMATION:
Interest paid	132	99	132
Income taxes paid (refunded)	$ 2,611	$ 718	$ (92)

Consolidated Statements of Income - USD ($) shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Revenues, net	$ 279,063	$ 266,826	$ 256,712
Operating costs and expenses:
Cost of revenues (excluding depreciation and amortization)	95,021	91,143	91,033
Product development	45,540	44,277	41,659
Sales and marketing	45,743	44,146	39,457
Other general and administrative expenses	35,664	36,866	39,695
Depreciation and amortization	41,076	37,945	36,813
Total operating costs and expenses	263,044	254,377	248,657
Operating income	16,019	12,449	8,055
Other income (loss), net	2,492	3,136	(289)
Income before income tax provision	18,511	15,585	7,766
Income tax provision	3,298	3,494	1,921
Net income	$ 15,213	$ 12,091	$ 5,845
Net income per share:
Basic (in dollars per share)	$ 0.5	$ 0.39	$ 0.19
Diluted (in dollars per share)	$ 0.5	$ 0.39	$ 0.18
Weighted average shares of common stock outstanding:
Basic (in shares)	30,571	30,648	31,534
Diluted (in shares)	30,673	30,717	31,618
Dividends declared per share (in dollars per share)	$ 0.1	$ 0	$ 0

Note 3 - Earnings Per Share (Tables)

12 Months Ended

Dec. 31, 2023

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

	*Year Ended December 31,*
	*2023*		*2022*		*2021*
Numerator:
Net income	$	15,213	$	12,091	$	5,845
Denominator:
Weighted-average shares outstanding		30,571		30,648		31,534
Effect of dilutive shares		102		69		84
Weighted-average diluted shares		30,673		30,717		31,618

Net income per share:
Basic	$	0.50	$	0.39	$	0.19
Diluted	$	0.50	$	0.39	$	0.18

Note 1 - Overview and Basis of Presentation

12 Months Ended

Dec. 31, 2023

Business Description and Basis of Presentation [Text Block]

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Description of Business

HealthStream, Inc. (the "Company") was incorporated in 1990 as a Tennessee corporation and is headquartered in Nashville, Tennessee. The Company primarily provides 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. The Company is 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 its One HealthStream approach, with its hStream technology platform at the center of that approach. Increasingly, SaaS-based applications in its diverse ecosystem of solutions utilize its proprietary hStream technology platform to enhance their value proposition by creating interoperability with and among other applications.

Recognition of Revenue

In accordance with Accounting Standards Codification ("ASC") 606, Revenue from Contracts with Customers, the Company's 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

Subscription revenues primarily consist of fees in consideration of providing customers access to one or more of its SaaS-based solutions and/or courseware subscriptions, as well as fees related to licensing agreements, all of which include routine customer support and technology enhancements. Revenue is generally recognized over time during the contract term beginning when the service is made available to the customer. Subscription contracts are generally non-cancelable, one to five years in length, and billed annually, semi-annually, quarterly, or monthly in advance.

Professional services revenues primarily consist of fees for implementation and onboarding services, consulting, and training. The majority of professional services contracts are billed in advance based on a fixed price basis, and revenue is recognized over time as the services are performed. For both subscription services and professional services, the time between billing the customer and when performance obligations are satisfied is generally not significant.

Contracts with customers often contain promises for multiple goods and services. For these contracts, the Company accounts for the promised goods and services in its contracts as separate performance obligations if they are distinct. The contract price, which represents transaction price when the contract reflects a fixed fee arrangement, or management’s estimate of variable consideration including application of the constraint when the contract does not have a fixed fee, is allocated to the separate performance obligations on a relative standalone selling price basis. The Company generally determines standalone selling prices based on the standard list price for each product, taking into consideration certain factors, including contract length and the number of subscriptions within the contract.

The Company receives payments from customers based on billing schedules established in its contracts. Accounts receivable - unbilled represent contract assets related to its conditional right to consideration for subscription and professional services contracts where performance has occurred under the contract. Accounts receivable are primarily comprised of trade receivables that are recorded at the invoice amount, net of an allowance for credit losses, when the right to consideration becomes unconditional.

Deferred revenue represents contract liabilities that are recorded when cash payments are received or are due in advance of satisfaction of performance obligations.

Basis of Presentation

The Consolidated Financial Statements include the accounts of the Company and its wholly owned subsidiaries. All intercompany accounts and transactions have been eliminated in consolidation.

Business Segments

The Company’s chief operating decision maker ("CODM") is its Chief Executive Officer. 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 the CODM), organization structure, compensation, performance assessment, and resource allocation. The Company’s CODM uses consolidated financial information to make operating decisions, assess financial performance, and allocate resources. Discrete financial information to measure profitability is not prepared at any other level. Taking these factors into account, since January 1, 2023, the Company has a single reportable segment, such that the Company has presented historical financial information and comparable performance on a single segment basis in this Annual Report on Form 10-K for the year ended December 31, 2023.

Use of Estimates

The Consolidated Financial Statements are prepared in accordance with United States generally accepted accounting principles. These accounting principles require management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. Actual results could differ from those estimates and such differences could be material to the Consolidated Financial Statements.

Cash Equivalents

The Company considers cash equivalents to be unrestricted, highly liquid investments with initial maturities of less than three months.

Marketable Securities

Marketable securities are classified as available for sale and are stated at fair market value, with the unrealized gains and losses, net of tax, reported in other accumulated comprehensive income (loss) on the accompanying Consolidated Balance Sheets. Realized gains and losses and declines in market value due to credit-related factors on investments in marketable securities are included in other income, net on the accompanying Consolidated Statements of Income. The cost of securities sold is based on the specific identification method. Interest and dividends on securities classified as available for sale are included in other income, net on the accompanying Consolidated Statements of Income. Premiums and discounts are amortized over the life of the related available for sale security as an adjustment to the yield using the effective interest method.

Deferred Commissions

Deferred commissions represent incremental costs to acquire contracts with customers, such as the sales commission payment and associated payroll taxes, which are capitalized and amortized consistent with the transfer of the goods or services to the customer over the expected period of benefit. Capitalized contract costs are included under the caption deferred commissions in the accompanying Consolidated Balance Sheets. The expected period of benefit is the contract term, except when the capitalized commission is expected to provide economic benefit to the Company for a period longer than the contract term, such as for new customer or incremental sales where renewals are expected and renewal commissions are not commensurate with initial commissions. Non-commensurate commissions are amortized over the greater of the contract term or technological obsolescence period of three years.

Prepaid Royalties

Prepaid royalties represent advance payments to business partners under revenue sharing arrangements for which the Company sells and delivers such partner products to its customers. Royalties are typically paid in advance at the commencement of the subscription period or periodically throughout the subscription period, such as in quarterly, bi-annual, or annual installments. Royalty payments are amortized over the term of the underlying subscription contracts, which generally range from one to five years, in order to match the direct royalty costs to the same period the subscription revenue is recognized. Amortization of prepaid royalties is included under the caption cost of revenues (excluding depreciation and amortization) in the accompanying Consolidated Statements of Income.

Allowance for Credit Losses

The Company estimates its allowance for credit losses based on its historical collection experience, a review in each period of the aging status of the then-outstanding accounts receivable, and external market factors. Uncollectible receivables are written-off in the period management believes it has exhausted its ability to collect payment from the customer. Expected credit losses are recorded under the caption other general and administrative expenses in the accompanying Consolidated Statements of Income.

Changes in the allowance for credit losses and the amounts charged to bad debt expense for the three years ended December 31, 2023 were as follows (in thousands):

	*Allowance Balance at Beginning of Period*		*Charged to Costs and Expenses*		*Write-offs*			*Allowance Balance at End of Period*
2023	$	544	$	1,021	$	(784	)	$	781
2022		853		385		(694	)		544
2021		549		723		(419	)		853

Capitalized Software and Content Development

Capitalized software and content development is stated on the basis of cost and is presented net of accumulated amortization. The Company capitalizes costs incurred during the development phase for projects to develop software and content. These assets are generally amortized using the straight-line method over three years. The Company capitalized $25.5 million and $23.8 million during 2023 and 2022, respectively. Amortization of capitalized software development was $22.0 million, $18.9 million, and $15.6 million during 2023, 2022, and 2021, respectively. Maintenance and operating costs are expensed as incurred. As of December 31, 2023 and 2022, there were no capitalized software development costs for external computer software developed for resale.

Fair Value Measurements

Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability in the principal or most advantageous market in an orderly transaction between market participants at the measurement date. The fair value hierarchy prioritizes the inputs to valuation techniques used in measuring fair value. There are three levels to the fair value hierarchy based on the reliability of inputs, as follows:

Level 1 – Observable inputs that reflect quoted prices (unadjusted) for identical assets or liabilities in active markets.

Level 2 – Inputs other than quoted prices included in Level 1 that are observable for the asset or liability, either directly or indirectly.

Level 3 – Unobservable inputs in which little or no market data exists, therefore requiring the Company to develop its own assumptions.

The Company evaluates assets and liabilities subject to fair value measurements on a recurring basis to determine the appropriate level at which to classify them for each reporting period. This determination may require significant judgments to be made by the Company. At December 31, 2023 and 2022, the Company's assets measured at fair value on a recurring basis consisted of marketable securities, which are classified as available for sale (see Note 4 – Marketable Securities).

Property and Equipment

Property and equipment are stated on the basis of cost. Depreciation is provided on the straight-line method over the following estimated useful lives, except for leasehold improvements, which are amortized over the shorter of the estimated useful life or their respective lease term.

	Years
Furniture and fixtures		5 - 7
Equipment		3

Goodwill

Goodwill represents the excess of purchase price in a business combination over the fair value of the net identifiable assets acquired, including intangible assets. The carrying amount of its goodwill is evaluated for impairment at least annually during the fourth quarter and whenever events or changes in facts or circumstances indicate that impairment may exist. In accordance with ASC 350, Intangibles – Goodwill and Other, companies may opt to first assess qualitative factors to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount. A qualitative assessment includes factors such as financial performance, industry and market metrics, and other factors affecting the reporting unit. If this assessment concludes that it is more likely than not that the fair value of a reporting unit exceeds its carrying value, then goodwill is not considered impaired and no further impairment testing is required. Conversely, if the qualitative assessment concludes that it is more likely than not that the fair value of a reporting unit is less than its carrying value, the Company must then compare the fair value of the reporting unit to its carrying value. The Company determines fair value of the reporting unit using both income and market-based models. These models require the use of various assumptions relating to cash flow projections, growth rates, discount rates, and terminal value calculations. There were no goodwill impairments identified or recorded for the years ended December 31, 2023, 2022, or 2021.

Intangible Assets

The Company estimates fair values of intangible assets using the income and cost methods, which are based on management’s estimates and assumptions. As of December 31, 2023, intangible assets include customer relationships, internally developed technologies, non-competition agreements, and trade names. Intangible assets that are considered to have definite useful lives are being amortized on a straight-line basis over periods ranging between two and eighteen years. The weighted average amortization period for definite lived intangible assets as of December 31, 2023 was 11.7 years. Intangible assets considered to have indefinite useful lives are evaluated for impairment at least annually during the fourth quarter, and all intangible assets are reviewed for impairment whenever events or changes in facts or circumstances indicate that the carrying amount of the assets may not be recoverable. There were no intangible asset impairments identified or recorded for the years ended December 31, 2023, 2022, or 2021.

Long-Lived Assets

Long-lived assets to be held for use are reviewed for events or changes in facts and circumstances, both internally and externally, which may indicate that an impairment of long-lived assets held for use is present. Purchases of long-lived assets (including capitalized software and content development costs) totaled $27.3 million, $25.9 million, and $23.4 million for the years ended December 31, 2023, 2022, and 2021, respectively. The Company measures any impairment using observable market values or discounted future cash flows from the related long-lived assets. The cash flow estimates and discount rates incorporate management’s best estimates, using appropriate and customary assumptions and projections at the date of evaluation. Management periodically evaluates whether the carrying value of long-lived assets, including intangible assets, property and equipment, capitalized software development, deferred commissions, and other assets will be recoverable. There were no long-lived asset impairments identified or recorded for the years ended December 31, 2023, 2022, or 2021.

Non-Marketable Equity Investments

Non-marketable equity investments in limited liability companies with specific ownership accounts for each investor not resulting in a controlling financial interest are accounted for using the equity method of accounting. Non-marketable equity investments of preferred stock in corporations that do not result in a controlling financial interest are accounted for using the measurement alternative for equity investments that do not have readily determinable fair values. Accounting Standards Update ("ASU") 2016-01, Financial Instruments – Overall (Subtopic 825-10) requires equity investments (except those accounted for under the equity method of accounting or those that result in consolidation of the investee) to be measured at fair value with changes in fair value recognized in net income. The fair value of non-marketable equity investments is not estimated if there are no identified events or changes in circumstances that may have a significant adverse effect on the fair value of the investment. The proportionate share of income or loss from equity method investments and any changes in fair value of investments accounted for using the measurement alternative are recorded under the caption other income, net in the accompanying Consolidated Statements of Income.

Financial Instruments

The Company has various financial instruments, including cash and cash equivalents, accounts receivable, accounts receivable-unbilled, accounts payable, and accrued liabilities. The carrying amounts of these financial instruments approximate fair value because of the short-term maturity or short-term nature of such instruments. The Company also has marketable securities, which are recorded at approximate fair value based on quoted market prices or alternative pricing sources (see Note 4 – Marketable Securities) and non-marketable equity investments, which are recorded under the equity method or under the measurement alternative (see Note 15 - Non-Marketable Equity Investments).

Advertising

The Company expenses the costs of advertising as incurred. Advertising expense for the years ended December 31, 2023, 2022, and 2021 was $1.5 million, $1.9 million, and $1.9 million, respectively, and is included under the caption sales and marketing expense in the accompanying Consolidated Statements of Income.

Shipping and Handling Costs

Shipping and handling costs that are associated with delivering products and services are included under the caption cost of revenues (excluding depreciation and amortization) in the accompanying Consolidated Statements of Income.

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. Management evaluates all available evidence, both positive and negative, to determine whether, based on the weight of that evidence, a valuation allowance is needed. Future realization of the tax benefit of an existing deductible temporary difference or carryforward ultimately depends on the existence of sufficient taxable income of the appropriate character within the carryback or carryforward period available under the tax law. There are four possible sources of taxable income that may be available under the tax law to realize a tax benefit for deductible temporary differences and carryforwards: 1) future reversals of existing taxable temporary differences, 2) future taxable income exclusive of reversing temporary differences and carryforwards, 3) taxable income in prior carryback year(s) if carryback is permitted under the tax law, and 4) tax-planning strategies that would, if necessary, be implemented to realize deductible temporary differences or carryforwards prior to their expiration. Management reviews the realizability of its deferred tax assets each reporting period to identify whether any significant changes in circumstances or assumptions have occurred that could materially affect the realizability of deferred tax assets. As of December 31, 2023, the Company had established a valuation allowance of $2.0 million for the portion of its net deferred tax assets that are not more likely than not expected to be realized. The Company accounts for income tax uncertainties using a more-likely-than-not recognition threshold based on the technical merits of the tax position taken. Tax positions that meet the more-likely-than-not recognition threshold are measured in order to determine the tax benefit to be recognized in the financial statements.

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 for the period by the weighted average number of 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 restricted share units subject to vesting. The dilutive effect of common equivalent shares is included in diluted earnings per share by application of the treasury stock method. Common equivalent shares that have an anti-dilutive effect on diluted net income per share are excluded from the calculation of diluted weighted average shares outstanding.

Concentrations of Credit Risk and Significant Customers

The Company’s credit risks relate primarily to cash and cash equivalents, marketable securities, and accounts receivable. The Company places its temporary excess cash in high quality, short-term money market instruments. At times, such investments may be in excess of the FDIC insurance limits. Marketable securities consist primarily of U.S. treasuries.

The Company sells its products and services to various companies in the healthcare industry that are primarily located in the United States. Customer credit worthiness evaluations are performed on an as-needed basis, and the Company generally requires no collateral from customers. An allowance for credit losses is maintained for potentially uncollectible accounts receivable. The Company did not have any single customer representing over 10% of net revenues or accounts receivable during or as of the years ended December 31, 2023, 2022, or 2021, respectively.

Stock-Based Compensation

As of December 31, 2023, the Company maintained two stock-based compensation plans under which awards are outstanding, as described in Note 10. The Company accounts for stock-based compensation using the fair-value based method for costs related to share-based payments, including stock options and restricted share units. The Company uses the Black Scholes option pricing model for calculating the fair value of option awards issued under its stock-based compensation plans. The Company measures compensation cost of restricted share units based on the closing fair market value of the Company’s stock on the date of grant. Stock-based compensation cost is measured at the grant date, based on the fair value of the award that is ultimately expected to vest, and is recognized as an expense over the requisite service period. The Company recognizes tax benefits or deficiencies from stock-based compensation if an excess tax benefit or deficiency is realized. Excess tax benefits and deficiencies are reflected in the Consolidated Statements of Income as a component of the provision for income taxes when realized.

Leases

The Company has several non-cancelable agreements to lease office space. For leases with a lease term greater than 12 months, the Company recognizes a right-of-use ("ROU") asset and a lease liability on the balance sheet at the lease commencement date. Lease liabilities and their corresponding ROU assets are recorded based on the present value of the future lease payments over the expected lease term.

The Company does not have any lease contracts that contain: (1) an option to extend that the Company is reasonably certain to exercise, (2) an option to terminate that the Company is reasonably certain not to exercise, or (3) an option to extend (or not to terminate) in which exercise of the option is controlled by the lessor. Additionally, the Company does not have any leases with residual value guarantees or material restrictive covenants. Most of the Company’s lease agreements contain provisions for escalating rent payments over the terms of the leases, which escalations are either fixed within the contract or are variable based on the consumer price index.

The Company’s leases do not contain readily determinable implicit discount rates, and as such the Company must use its incremental borrowing rate to discount the future lease payments based on information available at lease commencement. The incremental borrowing rate was estimated by determining the rate of interest that the Company would have to pay to borrow on a collateralized basis over a similar term an amount equal to the lease payments in a similar economic environment.

Foreign Currency

The functional currency for the Company’s subsidiaries is determined based on the primary economic environment in which the subsidiary operates. The Company translates the assets and liabilities of its non-U.S. dollar functional currency subsidiaries into U.S. dollars using exchange rates in effect at the end of each period. Revenues and expenses for these subsidiaries are translated using rates that approximate those in effect during the period. Gains and losses from these translations are recognized as cumulative translation adjustments included in accumulated other comprehensive income in the Consolidated Balance Sheets.

Recently Issued Accounting Pronouncements Not Yet Adopted

In November 2023, the Financial Accounting Standards Board ("FASB") issued ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures. The new guidance requires disclosures of significant reportable segment expenses that are regularly provided to the CODM and other segment items on an interim and annual basis. Entities with a single reportable segment will also be required to apply the disclosure requirements in ASU 2023-07 on an interim and annual basis. The ASU will be effective for annual periods beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. Early adoption of the ASU is permitted and should be applied retrospectively to all prior periods presented in the financial statements. The Company is currently evaluating the impact of adopting ASU 2023-07 and expects to adopt this ASU for the year ending December 31, 2024.

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, which requires public entities to provide disclosure of disaggregated information in the entity’s tax rate reconciliation, as well as disclosure of income taxes paid disaggregated by jurisdiction. The ASU is effective for fiscal years beginning after December 15, 2024, with early adoption permitted. The Company is currently evaluating the impact of adopting this ASU.

Note 10 - Stock Based Compensation - RSUs Activities (Details) - Restricted Stock Units (RSUs) [Member] $ / shares in Units, shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2023 USD ($) $ / shares shares
Outstanding, shares (in shares) \| shares	532
Outstanding, Weighted average grant date fair value (in dollars per share) \| $ / shares	$ 22.49
Granted, shares (in shares) \| shares	268
Granted, Weighted average grant date fair value (in dollars per share) \| $ / shares	$ 24.67
Vested, shares (in shares) \| shares	(159)
Vested, Weighted average grant date fair value (in dollars per share) \| $ / shares	$ 23.55
Forfeited, shares (in shares) \| shares	(22)
Forfeited, Weighted average grant date fair value (in dollars per share) \| $ / shares	$ 23.63
Outstanding, shares (in shares) \| shares	619
Outstanding, Weighted average grant date fair value (in dollars per share) \| $ / shares	$ 23.12
Outstanding, aggregate intrinsic value \| $	$ 16,727

Note 7 - Goodwill and Intangible Assets

12 Months Ended

Dec. 31, 2023

Goodwill and Intangible Assets Disclosure [Text Block]

7. GOODWILL AND INTANGIBLE ASSETS

The changes in the carrying amount of goodwill for the years ended December 31, 2023 and 2022 are as follows (in thousands):

	*2023*
Balance at January 1, 2023	$	192,398
Post-closing adjustment for eeds		(1,305	)
Effect of exchange rate changes		286
Balance at December 31, 2023	$	191,379

	2022
Balance at January 1, 2022	$	182,501
Acquisition of CloudCME		6,819
Acquisition of eeds		3,568
Post-closing adjustment for ANSOS		267
Post-closing adjustment for ComplyALIGN		40
Post-closing adjustment for Rievent		46
Effect of exchange rate changes		(843	)
Balance at December 31, 2022	$	192,398

Intangible assets other than goodwill that are considered to have finite useful lives include customer-related intangibles consisting of customer relationships, which are amortized over their estimated useful lives ranging from eight to eighteen years, and other intangible assets consisting of developed technology, non-competition agreements, and trade names, which are amortized over their estimated useful lives ranging from two to ten years. The Company also previously recorded an indefinite lived intangible for a trade name valued at $0.7 million. However, in January 2023, the Company reassessed the future expected use of the indefinite lived trade name such that beginning in 2023, it is being amortized over a ten year remaining useful life and is therefore included in the future annual amortization expense table below. Amortization of intangible assets was $14.9 million, $14.5 million, and $14.9 million for the years ended December 31, 2023, 2022, and 2021, respectively.

Identifiable intangible assets are comprised of the following (in thousands):

	*As of December 31, 2023*							*As of December 31, 2022*
	*Gross Amount*		*Accumulated Amortization*			*Net*		*Gross Amount*		*Accumulated Amortization*			*Net*
Customer related	$	111,837	$	(57,095	)	$	54,742	$	109,821	$	(48,552	)	$	61,269
Other		29,892		(16,603	)		13,289		33,102		(12,818	)		20,284
Total	$	141,729	$	(73,698	)	$	68,031	$	142,923	$	(61,370	)	$	81,553

The expected future annual amortization expense for the years ending December 31, is as follows (in thousands):

2024	$	13,348
2025		12,528
2026		9,453
2027		8,669
2028		5,472
Thereafter		18,561
Total	$	68,031

Note 4 - Marketable Securities (Tables)

12 Months Ended

Dec. 31, 2023

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

	*December 31, 2023*
	*Adjusted Cost*		*Unrealized Gains*		*Unrealized Losses*			*Fair Value*
Level 2:
U.S. government debt securities	$	30,791	$	10	$	(1	)	$	30,800
Total	$	30,791	$	10	$	(1	)	$	30,800

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

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

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 3: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 320
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Reference 4: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 5: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 6: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 7: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 8: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 9: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 10: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 11: http://www.xbrl.org/2009/role/commonPracticeRef
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Reference 12: http://www.xbrl.org/2009/role/commonPracticeRef
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Note 13 - Leases (Tables)

12 Months Ended

Dec. 31, 2023

Lessee, Operating Lease, Assets and Liabilities [Table Text Block]

		*Year Ended December 31,*
		*2023*		*2022*
Assets	*Classification*
Operating lease right-of-use assets	Operating lease right of use assets, net	$	20,114	$	22,759
Total leased assets		$	20,114	$	22,759
Liabilities
Operating lease liabilities, current	Accounts payable and accrued expenses	$	2,974	$	2,840
Operating lease liabilities, noncurrent	Operating lease liability, noncurrent		20,247		23,321
Total operating lease liabilities		$	23,221	$	26,161

Lessee, Operating Lease, Liability, to be Paid, Maturity [Table Text Block]

2024	$	4,296
2025		4,022
2026		3,650
2027		3,385
2028		3,453
Thereafter		10,163
Total undiscounted lease payments	$	28,969
Less imputed interest		5,748
Total lease liabilities	$	23,221

Note 10 - Stock-based Compensation

12 Months Ended

Dec. 31, 2023

Share-Based Payment Arrangement [Text Block]

10. STOCK-BASED COMPENSATION

Stock Incentive Plan

The Company has outstanding stock-based awards under its 2016 Omnibus Incentive Plan ("2016 Plan") and 2022 Omnibus Incentive Plan ("2022 Plan") (collectively, the "2016 Plan" and "2022 Plan", referred to as the "Plans"). The 2022 Plan authorizes the grant of options, restricted share units ("RSUs"), or other forms of stock-based compensation to employees, officers, directors, and others, and such grants must be approved by the Compensation Committee of the Board of Directors. The 2022 Plan allows the Compensation Committee of the Board of Directors to determine the vesting period and parameters of each grant. The vesting period of the options and RSUs granted has historically included annual vesting over a period of up to five years, generally beginning one year after the grant date. As of December 31, 2023, 1,061,235 shares of common stock were available to be granted under the 2022 Plan.

Stock Option Activity

A summary of activity relative to stock options for the year ended December 31, 2023 is as follows (in thousands, except weighted-average exercise price).

			*Weighted-*
	*Common*		*Average*		*Aggregate*
	*Shares*		*Exercise Price*		*Intrinsic Value*
Outstanding at beginning of period		90	$	20.34
Granted		—		—
Exercised		—		—
Expired		—		—
Forfeited		—		—
Outstanding at end of period		90	$	20.34	$	602
Exercisable at end of period		59	$	20.34	$	391

The aggregate intrinsic value for stock options in the table above represents the total difference between the Company’s closing stock price on December 29, 2023 (the last trading day of the year) of $27.03 per share and the option exercise price, multiplied by the number of in-the money options as of December 31, 2023. The weighted average remaining contractual term of options outstanding at December 31, 2023 was 7 years.

Restricted Share Unit Activity

A summary of activity relative to RSUs for the year ended December 31, 2023 is as follows (in thousands, except weighted-average grant date fair value):

				*Weighted-*
	*Number of*			*Average Grant Date*		*Aggregate*
	*RSU’s*			*Fair Value*		*Intrinsic Value*
Outstanding at beginning of period		532		$	22.49
Granted		268			24.67
Vested		(159	)		23.55
Forfeited		(22	)		23.63
Outstanding at end of period		619		$	23.12	$	16,727

The aggregate fair value of RSUs that vested during the year ended December 31, 2023 and 2022, as of the respective vesting dates, was $3.8 million and $3.1 million, respectively. A portion of RSUs that vested in 2023 and 2022 were net-share settled such that the Company withheld shares with value equivalent to the employees’ minimum statutory obligation for the applicable income and other employment taxes and remitted the cash to the appropriate taxing authorities. The total shares withheld for taxes during 2023 and 2022 were 36,000 and 28,000, respectively, and were based on the value of the RSUs on their respective settlement dates as determined by the Company’s closing stock price. Total payments related to RSUs for the employees’ tax obligations to taxing authorities were $0.9 million in 2023, $0.6 million in 2022, and $0.5 million in 2021, and are reflected as a financing activity within the Consolidated Statements of Cash Flows.

Stock-Based Compensation

Total stock-based compensation expense recorded in the Consolidated Statements of Income for the years ended December 31, is as follows (in thousands):

	*Years Ended December 31,*
	*2023*		*2022*		*2021*
Cost of revenues (excluding depreciation and amortization)	$	183	$	155	$	944
Product development		692		608		1,164
Sales and marketing		485		239		759
Other general and administrative		2,793		2,552		2,436
Total stock-based compensation expense	$	4,153	$	3,554	$	5,303

The Company amortizes the fair value of all stock-based awards, net of estimated forfeitures, on a straight-line basis over the requisite service period, which generally is the vesting period. As of December 31, 2023, total unrecognized compensation expense related to non-vested stock options and RSUs was $6.5 million, net of estimated forfeitures, with a weighted average expense recognition period remaining of 2.5 years. The Company realized $0.1 million of excess tax deductions related to stock-based awards during the year ended December 31, 2023, which was reflected in the Consolidated Statement of Income as a component of the provision for income taxes.

Stock Awards

During December 2021, the Company’s Chief Executive Officer, Robert A. Frist, Jr., contributed 86,494 of his personally owned shares of HealthStream, Inc. common stock (valued at $2.25 million) to the Company, without any consideration paid to him, for the benefit of the Company’s employees. In connection therewith, effective December 29, 2021 the Company approved the award of 86,494 fully vested shares of common stock to over 1,000 employees of the Company under the HealthStream, Inc. 2016 Omnibus Incentive Plan. These shares were issued in December 2021. As required by ASC Topic 718, Compensation – Stock Compensation, ("ASC 718") the Company recognized $2.25 million of stock-based compensation expense for these stock awards during the three months ended December 31, 2021 based on the closing fair market value of the Company’s stock on the date of the Company’s approval of these grants. Total payments related to the employees’ tax obligations to taxing authorities for these stock awards were $0.7 million and are reflected as a financing activity within the Consolidated Statement of Cash Flows for 2021. In addition, the employer taxes and expenses associated with these grants were $0.2 million and were recorded as an expense during December 2021. Mr. Frist contributed an additional 7,113 of his personally owned shares to cover these costs. The receipt of shares from Mr. Frist in connection with the withholding of shares as set forth above are presented on the Company’s Statement of Shareholders’ Equity in a similar manner as a share repurchase (i.e., reduction of outstanding shares).

Note 2 - Shareholders' Equity (Tables)

12 Months Ended

Dec. 31, 2023

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
September 29, 2023	July 24, 2023		0.025	September 18, 2023		767,000
December 22, 2023	October 23, 2023		0.025	December 11, 2023		757,000
Total dividends		$	0.10		$	3,058,000

Note 12 - Debt (Details Textual) - USD ($) $ in Thousands	Oct. 06, 2023	Dec. 31, 2023	Dec. 31, 2022
Long-Term Debt, Gross		$ 0	$ 0
Revolving Credit Facility [Member] \| Truist Bank [Member]
Debt Instrument, Covenant, Maximum Funded Debt Leverage Ratio	3
Debt Instrument, Covenant, Interest Coverage Ratio	3
Long-Term Line of Credit, Total		$ 0
Revolving Credit Facility [Member] \| Truist Bank [Member] \| Minimum [Member]
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage	0.20%
Third Amendment [Member] \| Revolving Credit Facility [Member] \| Truist Bank [Member]
Line of Credit Facility, Maximum Borrowing Capacity	$ 50,000
Line of Credit Facility, Increased Facility Size Due to Accordion Feature	$ 25,000
Third Amendment [Member] \| Revolving Credit Facility [Member] \| Truist Bank [Member] \| Fed Funds Effective Rate Overnight Index Swap Rate [Member]
Debt Instrument, Basis Spread on Variable Rate	0.50%
Third Amendment [Member] \| Revolving Credit Facility [Member] \| Truist Bank [Member] \| Base Rate [Member]
Debt Instrument, Basis Spread on Variable Rate	0.10%
Third Amendment [Member] \| Revolving Credit Facility [Member] \| Truist Bank [Member] \| Base Rate [Member] \| Minimum [Member]
Line of Credit Facility, Percentage of Applicable Margin for Borrowings	0.50%
Third Amendment [Member] \| Revolving Credit Facility [Member] \| Truist Bank [Member] \| Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate [Member] \| Maximum [Member]
Line of Credit Facility, Percentage of Applicable Margin for Borrowings	1.50%
Third Amendment [Member] \| Revolving Credit Facility [Member] \| Truist Bank [Member] \| Swing Line Subfacility [Member]
Line of Credit Facility, Maximum Borrowing Capacity	$ 5,000
Third Amendment [Member] \| Revolving Credit Facility [Member] \| Truist Bank [Member] \| Letter of Credit Subfacility [Member]
Line of Credit Facility, Maximum Borrowing Capacity	$ 5,000

Note 15 - Non-marketable Equity Investments

12 Months Ended

Dec. 31, 2023

Non-marketable Equity Investments Disclosure [Text Block]

15. NON-MARKETABLE EQUITY INVESTMENTS

The aggregate carrying amount of non-marketable equity investments accounted for using the measurement alternative for equity investments that do not have readily determinable fair values was $1.5 million for both the years ended December 31, 2023 and 2022, which the Company evaluates for impairment at each reporting period. There have been no adjustments recorded due to changes in the fair value of the non-marketable equity investments the Company held as of December 31, 2023 and 2022. The fair value of non-marketable equity investments is not estimated if there are no identified events or changes in circumstances that may have a significant adverse effect on the fair value of the investment.

Note 8 - Business Combinations

12 Months Ended

Dec. 31, 2023

Business Combination Disclosure [Text Block]

8. BUSINESS COMBINATIONS

On May 18, 2022 , the Company acquired the remaining ownership interest (representing approximately 82% of the outstanding equity interests) of CloudCME, LLC ("CloudCME"), a Nashville-based healthcare technology company offering a SaaS-based application for managing all aspects of continuing education ("CME/CE") within a healthcare organization, for approximately $4.0 million in cash and $4.1 million in shares of HealthStream's common stock issued through a private placement at closing. The Company previously held a minority interest in CloudCME of approximately 18%. Acquisition-related transaction costs were $0.1 million. The acquisition is not considered material to the Company’s financial statements. The Company accounted for the acquisition as a business combination and has allocated the purchase consideration based on management’s estimates of fair value. Net assets acquired were $9.6 million. Based on the fair value of assets acquired and liabilities assumed, including intangible assets of $3.8 million, goodwill of $6.8 million was established. The results of operations for CloudCME are included in the Company’s Consolidated Financial Statements from the date of acquisition.

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 CME/CE management application 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. The purchase price was included in accrued liabilities in the Company's Consolidated Balance Sheet as of December 31, 2022 and was paid in January 2023. Of the purchase price paid at closing, $0.6 million is being held in escrow for a period of time following the closing to serve as a source of recovery for certain potential indemnification claims by the Company. Acquisition-related transaction costs were $0.1 million. The acquisition is not considered material to the Company’s financial statements. The Company accounted for the acquisition as a business combination and has allocated the purchase consideration based on management’s estimates of fair value. Net assets acquired were $6.6 million. Based on the fair value of assets acquired and liabilities assumed, including intangible assets of $4.7 million, goodwill of $2.3 million was established. The results of operations for eeds are included in the Company’s Consolidated Financial Statements from the date of acquisition.

Note 3 - Earnings Per Share (Details Textual) - shares	12 Months Ended
Note 3 - Earnings Per Share (Details Textual) - shares	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount (in shares)	252,000	183,000	78,000

Consolidated Statements of Shareholders' Equity - USD ($) $ 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, 2020	31,493,000
Balance at Dec. 31, 2020	$ 271,784	$ 62,277	$ 1	$ 334,062
Net income	0	5,845	0	5,845
Comprehensive income (loss)	$ 0	0	105	105
Stock donated to Company (held in treasury) (in shares)	(94)
Stock donated to Company (held in treasury)	$ 0	0	0	0
Stock-based compensation	$ 5,303	0	0	5,303
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)	131,000
Common stock issued under stock plans, net of shares withheld for employee taxes	$ (1,182)	0	0	(1,182)
Repurchase of common stock (in shares)	(203,000)
Repurchase of common stock	$ (5,114)	0	0	(5,114)
Balance (in shares) at Dec. 31, 2021	31,327,000
Balance at Dec. 31, 2021	$ 270,791	68,122	106	339,019
Net income	0	12,091	0	12,091
Comprehensive income (loss)	0	0	(1,087)	(1,087)
Stock-based compensation	$ 3,554	0	0	3,554
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)	95,000
Common stock issued under stock plans, net of shares withheld for employee taxes	$ (565)	0	0	(565)
Repurchase of common stock (in shares)	(1,052,000)
Repurchase of common stock	$ (23,032)	0	0	(23,032)
Issuance of common stock in acquisition (in shares)	209,000
Issuance of common stock in acquisition	$ 4,084	0	0	$ 4,084
Balance (in shares) at Dec. 31, 2022	30,579,000			30,579,000
Balance at Dec. 31, 2022	$ 254,832	80,213	(981)	$ 334,064
Net income	0	15,213	0	15,213
Comprehensive income (loss)	0	0	290	290
Stock-based compensation	$ 4,153	0	0	4,153
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)	123,000
Common stock issued under stock plans, net of shares withheld for employee taxes	$ (934)	0	0	(934)
Repurchase of common stock (in shares)	(404,000)
Repurchase of common stock	$ (8,929)	0	0	(8,929)
Dividends declared on common stock ($0.100 per share)	0	(3,058)	0	(3,058)
Excise tax on repurchase of common stock	$ (47)	0	0	$ (47)
Balance (in shares) at Dec. 31, 2023	30,298,000			30,298,000
Balance at Dec. 31, 2023	$ 249,075	$ 92,368	$ (691)	$ 340,752

Consolidated Statements of Comprehensive Income - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Net income	$ 15,213	$ 12,091	$ 5,845
Other comprehensive income, net of taxes:
Foreign currency translation adjustments	283	(1,091)	99
Unrealized gain on marketable securities	7	4	6
Total other comprehensive income (loss)	290	(1,087)	105
Comprehensive income	$ 15,503	$ 11,004	$ 5,950

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

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Note 7 - Goodwill and Intangible Assets - Expected Annual Amortization Expense (Details) $ in Thousands	Dec. 31, 2023 USD ($)
2024	$ 13,348
2025	12,528
2026	9,453
2027	8,669
2028	5,472
Thereafter	18,561
Total	$ 68,031

Consolidated Balance Sheets (Parentheticals) - USD ($) shares in Thousands, $ / shares in Thousands, $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Accounts Receivable, Allowance for Credit Loss, Current	$ 781	$ 544
Accumulated amortization on property and equipment	19,503	20,280
Accumulated amortization on capitalized software development	127,009	105,025
Accumulated amortization on intangible assets	$ 73,698	$ 61,370
Common stock, shares authorized (in shares)	75,000	75,000
Common stock, shares issued (in shares)	30,298	30,579
Common stock, shares outstanding (in shares)	30,298	30,579
Common stock, par value (in dollars per share)	$ 0	$ 0
Customer-Related Intangible Assets [Member]
Accumulated amortization on intangible assets	$ 57,095	$ 48,552
Other Intangible Assets [Member]
Accumulated amortization on intangible assets	$ 16,603	$ 12,818

Note 5 - Revenue Recognition and Sales Commissions

12 Months Ended

Dec. 31, 2023

Revenue from Contract with Customer [Text Block]

5. 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.

The following table represents revenues disaggregated by revenue source for the three years ended December 31, 2023, 2022, and 2021 (in thousands). Sales taxes are excluded from revenues.

	*Year Ended December 31,*
	*2023*		*2022*		*2021*
Subscription services	$	267,935	$	253,960	$	243,617
Professional services		11,128		12,866		13,095
Total revenues, net	$	279,063	$	266,826	$	256,712

For the years ended December 31, 2023, 2022, and 2021, the Company recognized $1.0 million, $0.4 million, and $0.7 million, respectively, in impairment losses on receivables and contract assets arising from contracts with customers.

During the years ended December 31, 2023, 2022, and 2021, the Company recognized revenues of $79.6 million, $71.4 million, and $62.3 million, respectively, from amounts included in deferred revenue at the beginning of the respective period. As of December 31, 2023, $541 million of revenue is expected to be recognized from remaining performance obligations under contracts with customers. The Company expects to recognize revenue on approximately 42% of these remaining performance obligations over the 12 months ending December 31, 2024, with the remaining amounts recognized thereafter.

Sales Commissions

Sales commissions earned by the Company's sales employees are considered incremental and recoverable costs of obtaining a contract with a customer. The Company recorded amortization of deferred commissions of $11.5 million, $10.6 million, and $9.2 million for the years ended December 31, 2023, 2022, and 2021, respectively, which is included in sales and marketing expenses in the accompanying Consolidated Statements of Income.

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.

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Note 13 - Leases

12 Months Ended

Dec. 31, 2023

Lessee, Operating Leases [Text Block]

13. LEASES

The Company’s operating lease expense as presented in other general and administrative expense in the Consolidated Statements of Income was $4.6 million, $4.3 million, and $5.5 million for the twelve months ended December 31, 2023, 2022, and 2021, respectively. Cash paid for amounts included in the measurement of operating lease liabilities was $4.4 million and $4.7 million for the years ended December 31, 2023 and 2022, respectively. As of December 31, 2023, the weighted-average remaining lease term was 7.3 years, and the weighted-average incremental borrowing rate was 6%. As of December 31, 2023, the Company did not have any leases that had not yet commenced.

The table below presents the lease-related assets and liabilities recorded on the Consolidated Balance Sheets as of December 31, 2023 and 2022 (in thousands).

		*Year Ended December 31,*
		*2023*		*2022*
Assets	*Classification*
Operating lease right-of-use assets	Operating lease right of use assets, net	$	20,114	$	22,759
Total leased assets		$	20,114	$	22,759
Liabilities
Operating lease liabilities, current	Accounts payable and accrued expenses	$	2,974	$	2,840
Operating lease liabilities, noncurrent	Operating lease liability, noncurrent		20,247		23,321
Total operating lease liabilities		$	23,221	$	26,161

The table below presents the maturities of lease liabilities under non-cancellable leases as of December 31, 2023 (in thousands).

2024	$	4,296
2025		4,022
2026		3,650
2027		3,385
2028		3,453
Thereafter		10,163
Total undiscounted lease payments	$	28,969
Less imputed interest		5,748
Total lease liabilities	$	23,221

The Company subleases certain of its office space included above under non-cancellable leases and is due to receive future minimum rental payments of approximately $0.2 million and $37,000 for the years ended December 31, 2024 and 2025, respectively.

Note 11 - Employee Benefit Plan (Details Textual) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Defined Contribution Plan, Employer Discretionary Contribution Amount	$ 1.6	$ 1.5	$ 2.0

Document And Entity Information - USD ($)	12 Months Ended
Document And Entity Information - USD ($)	Dec. 31, 2023	Feb. 19, 2024	Jun. 30, 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	FY
Document Fiscal Year Focus	2023
Document Type	10-K
Document Annual Report	true
Document Period End Date	Dec. 31, 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, Postal Zip Code	37203
Entity Address, City or Town	Nashville
Entity Address, State or Province	TN
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 Well-known Seasoned Issuer	No
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
ICFR Auditor Attestation Flag	true
Document Financial Statement Error Correction [Flag]	false
Entity Shell Company	false
Entity Public Float			$ 596,900,000
Entity Common Stock, Shares Outstanding		30,300,371
Auditor Firm ID	42
Auditor Name	Ernst & Young LLP
Auditor Location	Nashville, Tennessee

Note 10 - Stock-based Compensation (Details Textual) $ / shares in Units, $ in Thousands	1 Months Ended	3 Months Ended	12 Months Ended
	Dec. 31, 2021 USD ($) shares	Dec. 31, 2021 USD ($)	Dec. 31, 2023 USD ($) $ / shares shares	Dec. 31, 2022 USD ($) shares	Dec. 31, 2021 USD ($) shares
Payment, Tax Withholding, Share-Based Payment Arrangement			$ 934	$ 565	$ 1,182
Share-based Payment Arrangement, Expense			4,153	$ 3,554	5,303
Share-based Payment Arrangement, Expensed and Capitalized, Amount, Total					$ 200
Chief Executive Officer [Member]
Stock Redeemed or Called During Period, Shares (in shares) \| shares	86,494
Stock Redeemed or Called During Period, Value	$ 2,250
Additional Stock Redeemed or Called During Period, Shares (in shares) \| shares					7,113
Stock Options And Restricted Stock Units [Member]
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount			$ 6,500
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition (Year)			2 years 6 months
Employee Service Share-based Compensation, Tax Benefit Expense from Exercise of Stock Options			$ 100
The 2016 Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period (Year)			5 years
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Available for Grant (in shares) \| shares			1,061,235
Share Price (in dollars per share) \| $ / shares			$ 27.03
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term (Year)			7 years
Restricted Stock, Shares Issued Net of Shares for Tax Withholdings (in shares) \| shares			36,000	28,000
The 2016 Plan [Member] \| Restricted Stock [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period, Fair Value			$ 3,800	$ 3,100
Payment, Tax Withholding, Share-Based Payment Arrangement			$ 900	$ 600	$ 500
The 2016 Omnibus Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested, Number of Shares (in shares) \| shares	86,494
Number of Employees Awarded Fully Vested Shares	1,000
Share-based Payment Arrangement, Expense		$ 2,250
Payments Related to Tax Withholding for Share Based Compensation for Stock Awards					$ 700

Note 13 - Leases (Details Textual) - USD ($)	12 Months Ended
Note 13 - Leases (Details Textual) - USD ($)	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Operating Lease, Cost	$ 4,600,000	$ 4,300,000	$ 5,500,000
Operating Lease, Payments	$ 4,400,000	$ 4,700,000
Operating Lease, Weighted Average Remaining Lease Term (Year)	7 years 3 months 18 days
Operating Lease, Weighted Average Discount Rate, Percent	6.00%
Lessor, Operating Lease, Payment to be Received, Year One	$ 200,000
Lessor, Operating Lease, Payment to be Received, Year Three	$ 37,000

Note 4 - Marketable Securities (Details Textual) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Debt Securities, Available-for-Sale, Allowance for Credit Loss	$ 0	$ 0

Note 5 - Revenue Recognition and Sales Commissions (Tables)

12 Months Ended

Dec. 31, 2023

Disaggregation of Revenue [Table Text Block]

	*Year Ended December 31,*
	*2023*		*2022*		*2021*
Subscription services	$	267,935	$	253,960	$	243,617
Professional services		11,128		12,866		13,095
Total revenues, net	$	279,063	$	266,826	$	256,712

Note 2 - Shareholders' Equity (Details Textual) - USD ($) $ / shares in Units, $ in Thousands				12 Months Ended
	Feb. 19, 2024	Oct. 23, 2023	Nov. 30, 2021	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021	Sep. 13, 2023	Mar. 14, 2022
Common Stock, Shares Authorized (in shares)				75,000,000	75,000,000
Common Stock, Shares, Outstanding (in shares)				30,298,000	30,579,000
Common Stock, Shares, Issued (in shares)				30,298,000	30,579,000
Preferred Stock, Shares Authorized (in shares)				10,000,000
Preferred Stock, Shares Outstanding (in shares)				0	0
Preferred Stock, Shares Issued (in shares)				0	0
Common Stock, Dividends, Per Share, Declared (in dollars per share)				$ 0.1	$ 0	$ 0
Dividends Payable, Date of Record		Mar. 11, 2024
Stock Repurchased During Period, Value				$ 8,929	$ 23,032	$ 5,114
November 2021 Share Repurchase Program [Member]
Stock Repurchase Program, Authorized Amount			$ 20,000
Stock Repurchased During Period, Shares (in shares)			853,023		649,739
Stock Repurchased During Period, Value			$ 20,000		$ 14,900
Stock Repurchased Average Price per Share (in dollars per share)			$ 23.45		$ 22.92
March 2022 Share Repurchase Program [Member]
Stock Repurchase Program, Authorized Amount								$ 10,000
Stock Repurchased During Period, Shares (in shares)					402,050
Stock Repurchased During Period, Value					$ 8,100
Stock Repurchased Average Price per Share (in dollars per share)					$ 20.19
September 2023 Share Repurchase Program [Member]
Stock Repurchase Program, Authorized Amount							$ 10,000
Stock Repurchased During Period, Shares (in shares)				404,188
Stock Repurchased During Period, Value				$ 8,900
Stock Repurchased Average Price per Share (in dollars per share)				$ 22.07
Subsequent Event [Member]
Common Stock, Dividends, Per Share, Declared (in dollars per share)	$ 0.028
Dividends Payable, Date to be Paid	Mar. 22, 2024

Note 5 - Revenue Recognition and Sales Commissions 1 (Details Textual) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Accounts Receivable, Credit Loss Expense (Reversal)	$ 1,021	$ 385	$ 723
Contract with Customer, Liability, Revenue Recognized	79,600	71,400	62,300
Revenue, Remaining Performance Obligation, Amount	$ 541,000
Revenue, Remaining Performance Obligation, Percentage	42.00%
Amortization of Deferred Sales Commissions	$ 11,495	10,599	9,169
Customer Contracts [Member]
Accounts Receivable, Credit Loss Expense (Reversal)	$ 1,000	$ 400	$ 700

Note 10 - Stock-based Compensation (Tables)

12 Months Ended

Dec. 31, 2023

Share-Based Payment Arrangement, Option, Activity [Table Text Block]

			*Weighted-*
	*Common*		*Average*		*Aggregate*
	*Shares*		*Exercise Price*		*Intrinsic Value*
Outstanding at beginning of period		90	$	20.34
Granted		—		—
Exercised		—		—
Expired		—		—
Forfeited		—		—
Outstanding at end of period		90	$	20.34	$	602
Exercisable at end of period		59	$	20.34	$	391

Share-Based Payment Arrangement, Restricted Stock Unit, Activity [Table Text Block]

				*Weighted-*
	*Number of*			*Average Grant Date*		*Aggregate*
	*RSU’s*			*Fair Value*		*Intrinsic Value*
Outstanding at beginning of period		532		$	22.49
Granted		268			24.67
Vested		(159	)		23.55
Forfeited		(22	)		23.63
Outstanding at end of period		619		$	23.12	$	16,727

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

	*Years Ended December 31,*
	*2023*		*2022*		*2021*
Cost of revenues (excluding depreciation and amortization)	$	183	$	155	$	944
Product development		692		608		1,164
Sales and marketing		485		239		759
Other general and administrative		2,793		2,552		2,436
Total stock-based compensation expense	$	4,153	$	3,554	$	5,303

Note 5 - Revenue Recognition and Sales Commissions - Revenues Disaggregated By Revenue Source (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Revenues	$ 279,063	$ 266,826	$ 256,712
Subscription Services [Member]
Revenues	267,935	253,960	243,617
Professional Services [Member]
Revenues	$ 11,128	$ 12,866	$ 13,095

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.

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 924
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-Section S99
-Paragraph 1
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Reference 2: http://www.xbrl.org/2003/role/disclosureRef
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Reference 3: http://www.xbrl.org/2003/role/disclosureRef
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Reference 4: http://www.xbrl.org/2003/role/disclosureRef
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Reference 5: http://www.xbrl.org/2003/role/disclosureRef
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Reference 6: http://www.xbrl.org/2003/role/disclosureRef
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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
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Reference 10: http://www.xbrl.org/2003/role/disclosureRef
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Reference 11: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
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-URI https://asc.fasb.org//1943274/2147479806/606-10-50-4

Note 9 - Income Taxes - Reconciliation of Income Taxes at the Statutory Federal Income Tax Rate to the Provision for Income Taxes (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Federal tax provision at the statutory rate	$ 3,887	$ 3,274	$ 1,631
State income tax provision, net of federal benefit	528	975	1,297
Tax credits	(1,197)	(1,227)	(717)
Change in valuation allowance	3	51	(272)
Adjustments for prior year taxes	(19)	(261)	(13)
Changes in uncertain tax positions	167	767	(10)
Other	(71)	(85)	5
Provision for income taxes	$ 3,298	$ 3,494	$ 1,921

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

+ References + Details

Note 9 - Income Taxes

12 Months Ended

Dec. 31, 2023

Income Tax Disclosure [Text Block]

9. INCOME TAXES

Components of earnings before income taxes are as follows (in thousands):

	*Year Ended December 31,*
	*2023*		*2022*			*2021*
United States	$	18,472	$	15,777		$	8,006
Foreign		39		(192	)		(240	)
Earnings before income taxes	$	18,511	$	15,585		$	7,766

The provision for income taxes is comprised of the following (in thousands):

	*Year Ended December 31,*
	*2023*			*2022*			*2021*
Current federal	$	4,066		$	1,972		$	5
Current state		942			923			406
Current foreign		15			(110	)		(29	)
Deferred federal		(1,493	)		495			926
Deferred state		(214	)		239			699
Deferred foreign		(18	)		(25	)		(86	)
Provision for income taxes	$	3,298		$	3,494		$	1,921

A reconciliation of income taxes at the statutory federal income tax rate to the provision for income taxes included in the accompanying Consolidated Statements of Income is as follows (in thousands):

	*Year Ended December 31,*
	*2023*			*2022*			*2021*
Federal tax provision at the statutory rate	$	3,887		$	3,274		$	1,631
State income tax provision, net of federal benefit		528			975			1,297
Tax credits		(1,197	)		(1,227	)		(717	)
Change in valuation allowance		3			51			(272	)
Adjustments for prior year taxes		(19	)		(261	)		(13	)
Changes in uncertain tax positions		167			767			(10	)
Other		(71	)		(85	)		5
Provision for income taxes	$	3,298		$	3,494		$	1,921

Management periodically assesses the realizability of its deferred tax assets, and to the extent that a recovery is not likely, a valuation allowance is established to reduce the deferred tax asset to the amount estimated to be recoverable. At December 31, 2023, the Company has a valuation allowance of $2.0 million recorded against deferred tax assets for state net operating losses and certain foreign deferred tax assets.

As of December 31, 2023, the Company had federal, state, and foreign net operating loss carryforwards of $3.3 million, $9.0 million, and $8.4 million, respectively. Certain losses have an indefinite carryforward period, while other loss carryforwards will expire in years 2030 through 2043. A portion of the net operating loss carryforwards are subject to annual limitations under Internal Revenue Code Section 382. The annual limitations could result in the expiration of net operating loss and tax credit carryforwards before they are fully utilized. The Company is subject to income taxation at the federal, foreign, and various state levels. The Company is under examination by the Internal Revenue Service for the 2018 tax year, and it has agreed to finalization of this examination and does not expect the adjustment to exceed the uncertain tax position previously recorded. The Company is no longer subject to U.S. federal tax examinations for tax years before 2020, and with few exceptions, the Company is not subject to examination by foreign or state tax authorities for tax years which ended before 2020. Loss carryforwards and credit carryforwards generated or utilized in years earlier than 2020 are also subject to examination and adjustment.

A reconciliation of the beginning and ending liability for gross unrecognized tax benefits are as follows (in thousands):

	*December 31,*
	*2023*			*2022*
Balance at beginning of year	$	1,036		$	300
Additions for tax positions in current year		298			743
Reductions for tax positions of prior years		(174	)		(7	)
Balance at end of year	$	1,160		$	1,036

Upon reaching the final determination of the 2018 IRS examination, which resulted in a reduction to the research & development tax credit for 2018, the Company evaluated its research & development credit realizability for all open tax years. Taking into consideration the subjectivity of this credit qualification, the Company increased the reserve for uncertain tax positions by $0.1 million during the current year.

The Company recognized $43,000 and $31,000 for interest and penalties related to unrecognized tax benefits within the provision for income taxes during the years ended December 31, 2023 and 2022, respectively. Unrecognized tax benefits included tax positions of $1.2 million and $1.0 million for the years ended December 31, 2023 and 2022, respectively, that if recognized would impact the Company’s effective tax rate.

Deferred federal and state income taxes reflect the net tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. Significant components of deferred tax assets and deferred tax liabilities are as follows (in thousands):

	*December 31,*
	*2023*			*2022*
Deferred tax assets:
Allowance for credit losses	$	202		$	142
Accrued liabilities		1,013			1,111
Lease liability		5,931			6,896
Tax credits		467			362
Stock-based compensation		1,161			1,064
Deferred revenue		628			653
Net operating loss carryforwards		3,282			4,069
Total deferred tax assets		12,684			14,297
Less: Valuation allowance		(1,992	)		(1,947	)
Deferred tax assets, net of valuation allowance		10,692			12,350
Deferred tax liabilities:
Deductible goodwill		6,829			5,691
Nondeductible intangible assets		2,087			2,878
Right of use assets		5,130			6,001
Prepaid assets		10,285			9,302
Capitalized software development		181			3,415
Depreciation		1,914			2,548
Basis difference on investments		151			128
Total deferred tax liabilities		26,577			29,963

Net deferred tax liabilities	$	15,885		$	17,613

The Company realized $0.1 million of excess tax deductions related to stock-based awards during the year ended December 31, 2023, which was reflected in the statement of income as a component of the provision for income taxes.

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.

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 946
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 13
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-URI https://asc.fasb.org//1943274/2147480990/946-20-50-13

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Topic 235
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Reference 3: http://www.xbrl.org/2003/role/disclosureRef
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Reference 4: http://www.xbrl.org/2003/role/disclosureRef
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Reference 5: http://www.xbrl.org/2003/role/disclosureRef
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Reference 6: http://www.xbrl.org/2003/role/disclosureRef
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Reference 7: http://www.xbrl.org/2003/role/disclosureRef
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-URI https://asc.fasb.org//1943274/2147482685/740-10-50-17

Reference 8: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
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-URI https://asc.fasb.org//1943274/2147479360/740-10-S99-1

Reference 9: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
-SubTopic 10
-Name Accounting Standards Codification
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Reference 10: http://www.xbrl.org/2003/role/disclosureRef
-Topic 740
-SubTopic 30
-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482603/740-30-50-2

Note 6 - Property and Equipment (Tables)

12 Months Ended

Dec. 31, 2023

Property, Plant and Equipment [Table Text Block]

	*December 31,*
	*2023*			*2022*
Equipment	$	12,541		$	15,843
Leasehold improvements		14,937			14,937
Furniture and fixtures		5,030			4,983
Gross property and equipment		32,508			35,763
Accumulated depreciation and amortization		(19,503	)		(20,280	)
Property and equipment, net	$	13,005		$	15,483

Note 9 - Income Taxes (Details Textual) - USD ($)	12 Months Ended
Note 9 - Income Taxes (Details Textual) - USD ($)	Dec. 31, 2023	Dec. 31, 2022
Deferred Tax Assets, Valuation Allowance	$ 1,992,000	$ 1,947,000
Unrecognized Tax Benefits, Increase Resulting from Evaluation Research & Development Credit Realizability Qualification	100,000
Unrecognized Tax Benefits, Income Tax Penalties and Interest Expense	43,000	31,000
Unrecognized Tax Benefits that Would Impact Effective Tax Rate	1,200,000	$ 1,000,000
Income Tax Expense (Benefit), Discrete Adjustments	(100,000)
Domestic Tax Authority [Member]
Operating Loss Carryforwards	$ 3,300,000
Domestic Tax Authority [Member] \| Internal Revenue Service (IRS) [Member]
Income Tax Examination, Year under Examination	2018
State and Local Jurisdiction [Member]
Operating Loss Carryforwards	$ 9,000,000
Foreign Tax Authority [Member]
Operating Loss Carryforwards	$ 8,400,000

Note 6 - Property and Equipment

12 Months Ended

Dec. 31, 2023

Property, Plant and Equipment Disclosure [Text Block]

6. PROPERTY AND EQUIPMENT

Property and equipment consist of the following (in thousands):

	*December 31,*
	*2023*			*2022*
Equipment	$	12,541		$	15,843
Leasehold improvements		14,937			14,937
Furniture and fixtures		5,030			4,983
Gross property and equipment		32,508			35,763
Accumulated depreciation and amortization		(19,503	)		(20,280	)
Property and equipment, net	$	13,005		$	15,483

Depreciation of property and equipment totaled $4.2 million, $4.5 million, and $6.3 million for the years ended December 31, 2023, 2022, and 2021, respectively.

Significant Accounting Policies (Policies)

12 Months Ended

Dec. 31, 2023

Accounting Policies [Abstract]

Business Description [Policy Text Block]

Description of Business

Revenue from Contract with Customer [Policy Text Block]

Recognition of Revenue

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

Deferred revenue represents contract liabilities that are recorded when cash payments are received or are due in advance of satisfaction of performance obligations.

Basis of Accounting, Policy [Policy Text Block]

Basis of Presentation

The Consolidated Financial Statements include the accounts of the Company and its wholly owned subsidiaries. All intercompany accounts and transactions have been eliminated in consolidation.

Business Segments [Policy Text Block]

Business Segments

Use of Estimates, Policy [Policy Text Block]

Use of Estimates

Cash and Cash Equivalents, Policy [Policy Text Block]

Cash Equivalents

The Company considers cash equivalents to be unrestricted, highly liquid investments with initial maturities of less than three months.

Marketable Securities, Policy [Policy Text Block]

Marketable Securities

Revenue from Contract with Customer Commissions Policy [Policy Text Block]

Deferred Commissions

Deferred Charges, Policy [Policy Text Block]

Prepaid Royalties

Receivables, Trade and Other Accounts Receivable, Allowance for Doubtful Accounts, Policy [Policy Text Block]

Allowance for Credit Losses

Changes in the allowance for credit losses and the amounts charged to bad debt expense for the three years ended December 31, 2023 were as follows (in thousands):

	*Allowance Balance at Beginning of Period*		*Charged to Costs and Expenses*		*Write-offs*			*Allowance Balance at End of Period*
2023	$	544	$	1,021	$	(784	)	$	781
2022		853		385		(694	)		544
2021		549		723		(419	)		853

Research, Development, and Computer Software, Policy [Policy Text Block]

Capitalized Software and Content Development

Fair Value Measurement, Policy [Policy Text Block]

Fair Value Measurements

Level 1 – Observable inputs that reflect quoted prices (unadjusted) for identical assets or liabilities in active markets.

Level 2 – Inputs other than quoted prices included in Level 1 that are observable for the asset or liability, either directly or indirectly.

Level 3 – Unobservable inputs in which little or no market data exists, therefore requiring the Company to develop its own assumptions.

Property, Plant and Equipment, Policy [Policy Text Block]

Property and Equipment

	Years
Furniture and fixtures		5 - 7
Equipment		3

Goodwill and Intangible Assets, Goodwill, Policy [Policy Text Block]

Goodwill

Goodwill and Intangible Assets, Intangible Assets, Policy [Policy Text Block]

Intangible Assets

Impairment or Disposal of Long-Lived Assets, Policy [Policy Text Block]

Long-Lived Assets

Equity Securities without Readily Determinable Fair Value [Policy Text Block]

Non-Marketable Equity Investments

Fair Value of Financial Instruments, Policy [Policy Text Block]

Financial Instruments

Advertising Cost [Policy Text Block]

Advertising

Shipping and Handling Costs Policy [Policy Text Block]

Shipping and Handling Costs

Income Tax, Policy [Policy Text Block]

Income Taxes

Earnings Per Share, Policy [Policy Text Block]

Earnings per Share

Concentration Risk, Credit Risk, Policy [Policy Text Block]

Concentrations of Credit Risk and Significant Customers

Share-Based Payment Arrangement [Policy Text Block]

Stock-Based Compensation

Lessee, Leases [Policy Text Block]

Leases

Foreign Currency Transactions and Translations Policy [Policy Text Block]

Foreign Currency

Recently Adopted Accounting Standards Policy [Policy Text Block]

Recently Issued Accounting Pronouncements Not Yet Adopted

Note 9 - Income Taxes - Summary of Provision for Income Taxes (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Current federal	$ 4,066	$ 1,972	$ 5
Current state	942	923	406
Current foreign	15	(110)	(29)
Deferred federal	(1,493)	495	926
Deferred state	(214)	239	699
Deferred foreign	(18)	(25)	(86)
Provision for income taxes	$ 3,298	$ 3,494	$ 1,921

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

+ References + Details

Note 1 - Summary of Significant Accounting Policies - Changes in the Allowance for Doubtful Accounts and the Amounts Charged to Bad Debt Expense (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Allowance balance	$ 544	$ 853	$ 549
Accounts Receivable, Credit Loss Expense (Reversal)	1,021	385	723
Write-offs	(784)	(694)	(419)
Allowance balance	$ 781	$ 544	$ 853

Note 4 - Marketable Securities - Fair Value of Available for Sale Marketable Securities (Details) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Adjusted Cost	$ 30,791	$ 7,882
Unrealized Gains	10	3
Unrealized Losses	(1)	0
Fair Value	30,800	7,885
Corporate Debt Securities [Member] \| Fair Value, Inputs, Level 2 [Member]
Adjusted Cost	30,791	7,882
Unrealized Gains	10	3
Unrealized Losses	(1)	0
Fair Value	$ 30,800	$ 7,885

Note 1 - Summary of Significant Accounting Policies - Estimated Useful Lives of Property and Equipment (Details)	Dec. 31, 2023
Equipment [Member]
Property and equipment, estimated useful lives (Year)	3 years
Minimum [Member] \| Furniture and Fixtures [Member]
Property and equipment, estimated useful lives (Year)	5 years
Maximum [Member] \| Furniture and Fixtures [Member]
Property and equipment, estimated useful lives (Year)	7 years

Note 10 - Stock Based Compensation - Stock Based Compensation Expense (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
stock based compensation expense	$ 4,153	$ 3,554	$ 5,303
Cost of Sales [Member]
stock based compensation expense	183	155	944
Product Development [Member]
stock based compensation expense	692	608	1,164
Selling and Marketing Expense [Member]
stock based compensation expense	485	239	759
General and Administrative Expense [Member]
stock based compensation expense	$ 2,793	$ 2,552	$ 2,436

Note 4 - Marketable Securities

12 Months Ended

Dec. 31, 2023

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

4. MARKETABLE SECURITIES

At December 31, 2023 and 2022, the fair value of marketable securities, which were all classified as available for sale, included the following (in thousands):

	*December 31, 2023*
	*Adjusted Cost*		*Unrealized Gains*		*Unrealized Losses*			*Fair Value*
Level 2:
U.S. government debt securities	$	30,791	$	10	$	(1	)	$	30,800
Total	$	30,791	$	10	$	(1	)	$	30,800

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

The carrying amounts of the marketable securities reported in the Consolidated Balance Sheets approximate fair value based on quoted market prices or alternative pricing sources and models utilizing market observable inputs. As of December 31, 2023 and 2022, 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 Consolidated Balance Sheets because the underlying securities mature within one year from the balance sheet date.

Note 12 - Debt

12 Months Ended

Dec. 31, 2023

Debt Disclosure [Text Block]

12. DEBT

At December 31, 2023 and 2022, the Company had no debt outstanding.

Revolving Credit Facility

On October 6, 2023, the Company entered into an Amended and Restated Revolving Credit Agreement ("Revolving Credit Facility"), amending the Revolving Credit Facility dated as of November 24, 2014, as amended, with certain lenders party thereto from time to time, and Truist, as Administrative Agent for the lenders. Under the Revolving Credit Facility, the Company may borrow up to $50.0 million, which includes a $5.0 million swingline 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. The Revolving Credit Facility has a maturity date of October 6, 2026.

The Company's obligations under the Revolving Credit Facility are unsecured. In addition, if the Company forms or acquires any domestic subsidiaries, the loans and other obligations under the Revolving Credit Facility will be guaranteed by such domestic subsidiaries.

At the Company’s election, the borrowings under the Revolving Credit Facility, other than the swingline loans, bear interest at either (1) a base rate defined as the highest of (a) the rate which the Administrative Agent announces from time to time as its prime lending rate, as in effect from time to time, or (b) the Federal Funds Rate, as in effect from time to time, plus one-half of one percent (0.50%) per annum (any changes in such rates to be effective as of the date of any change in such rate), plus in each case an applicable margin that varies with the company’s funded debt leverage ratio; or (2) a term secured overnight financing rate (“SOFR”) defined as the greater of (a)(i) the forward-looking term rate based on SOFR determined as of the reference time for such interest period with a term equivalent to such interest period plus (ii) a term SOFR adjustment equal to 0.10% per annum and (b) zero, plus, in each case, an applicable margin that varies with the Company’s consolidated total leverage ratio. The Company’s borrowings under the swingline loans bear interest at the base rate plus the applicable margin. The initial applicable margin for base rate loans is 0.50% and the initial applicable margin SOFR loans is 1.50%. The applicable margins will be adjusted quarterly, in each case two (2) business days after the Administrative Agent's receipt of the Company's quarterly financial statements. The Company is also required to pay a commitment fee accruing on the unused revolving commitment, which fee initially is 20 basis points per annum and a letter of credit fee, accruing at a rate per annum equal to the applicable margin for SOFR loans then in effect on the daily average amount of such lender’s letter of credit exposure.

Principal is payable in full at maturity on October 6, 2026, and there are no scheduled principal payments prior to maturity. Interest on base rate loans and swingline loans is payable quarterly in arrears, and interest on SOFR loans is payable at the end of each interest period, and in the case of interest periods longer than three months, on each day which occurs every three months after the initial date of such interest period.

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

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.

In addition, the Revolving Credit Facility contains certain customary affirmative and negative 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.

As of December 31, 2023, the Company was in compliance with all covenants. There were no balances outstanding on the Revolving Credit Facility as of December 31, 2023 and there were no borrowings under the Revolving Credit Facility during the year ended December 31, 2023.

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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Note 14 - Litigation

12 Months Ended

Dec. 31, 2023

Commitments and Contingencies Disclosure [Text Block]

14. LITIGATION

In connection with its business, the Company is from time to time involved in various legal actions. The litigation process is inherently uncertain, and it is possible that the resolution of such matters might have a material adverse effect upon the financial condition and/or results of operations of the Company. However, in the opinion of the Company’s management, matters currently pending or threatened against the Company are not expected to have a material adverse effect on the financial position or results of operations of the Company.

Note 15 - Non-marketable Equity Investments (Details Textual) - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Equity Securities without Readily Determinable Fair Value, Amount	$ 1,500	$ 1,500
Equity Securities without Readily Determinable Fair Value, Impairment Loss, Cumulative Amount	$ 0	$ 0

Note 3 - Earnings Per Share - Computation of Basic and Diluted Earnings Per Share (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Net income	$ 15,213	$ 12,091	$ 5,845
Weighted-average shares outstanding (in shares)	30,571	30,648	31,534
Effect of dilutive shares (in shares)	102	69	84
Weighted-average diluted shares (in shares)	30,673	30,717	31,618
Net income per share:
Basic (in dollars per share)	$ 0.5	$ 0.39	$ 0.19
Diluted (in dollars per share)	$ 0.5	$ 0.39	$ 0.18

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

Note 2 - Shareholders' Equity

12 Months Ended

Dec. 31, 2023

Equity [Text Block]

2. SHAREHOLDERS’ EQUITY

Common Stock

The Company is authorized to issue up to 75 million shares of common stock. The number of common shares issued and outstanding as of December 31, 2023 and 2022 was 30.3 million and 30.6 million, respectively.

Preferred Stock

The Company is authorized to issue up to 10 million shares of preferred stock in one or more series, having the relative voting powers, designations, preferences, rights and qualifications, limitations or restrictions, and other terms as the Board of Directors may fix in providing for the issuance of such series, without any vote or action of the shareholders. As of December 31, 2023 and 2022, there were no shares of preferred stock issued or outstanding.

Dividends on Common Stock

On February 20, 2023, the Company's Board of Directors ("Board") approved a quarterly cash dividend policy, marking the first dividend policy adopted by the Company ("Dividend Policy"). During the year ended December 31, 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
September 29, 2023	July 24, 2023		0.025	September 18, 2023		767,000
December 22, 2023	October 23, 2023		0.025	December 11, 2023		757,000
Total dividends		$	0.10		$	3,058,000

Additionally, on February 19, 2024, the Board approved the Company’s first quarter 2024 cash dividend of $0.028 per share, payable on March 22, 2024 to holders of record on March 11, 2024.

Share Repurchase Plan

On November 30, 2021, the Company's Board of Directors authorized a share repurchase program to repurchase up to $20.0 million of the Company's outstanding shares of common stock. This share repurchase program concluded on March 8, 2022, when the maximum dollar amount authorized under the program was expended. Under this program, the Company repurchased a total of 853,023 shares through open market purchases at an aggregate value of $20.0 million, reflecting an average price per share of $23.45 (excluding the cost of broker commissions). During the year ended December 31, 2022, the Company repurchased 649,739 shares pursuant to this share repurchase program at an aggregate fair value of $14.9 million, based on an average price per share of $22.92 (excluding the cost of broker commissions).

On March 14, 2022, the Company's Board of Directors approved an expansion of the Company's share repurchase program by authorizing the repurchase of up to an additional $10.0 million of the Company's outstanding shares of common stock. The share repurchase expired on March 13, 2023. During the year ended December 31, 2022, the Company repurchased 402,050 shares at an aggregate fair value of $8.1 million, reflecting an average price per share of $20.19 (excluding the cost of broker commissions). No repurchases occurred under this share repurchase program during the year ended December 31, 2023.

On September 13, 2023, the Company announced that the Board authorized a share repurchase program to repurchase up to $10.0 million of the Company's outstanding shares of common stock. The share repurchase program is scheduled to terminate on the earlier of March 31, 2024, or when the maximum dollar amount has been expended. During the year ended December 31, 2023, the Company repurchased 404,188 shares at an aggregate fair value of $8.9 million, reflecting an average price per share of $22.07 (excluding the cost of broker commissions).

The entire disclosure for equity.

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Note 7 - Goodwill and Intangible Assets - Changes in Carrying Amount of Goodwill (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022
Balance	$ 192,398	$ 182,501
Post-closing adjustment	(1,305)
Effect of exchange rate changes	286	(843)
Balance	191,379	192,398
CloudCME, LLC [Member]
Acquisition of CloudCME		6,819
Electronic Education Documentation System, LLC [Member]
Balance	$ 2,300
Acquisition of CloudCME		3,568
ANSOS [Member]
Post-closing adjustment		267
ComplyALIGN [Member]
Post-closing adjustment		40
Rievent Technologies [Member]
Post-closing adjustment		$ 46

Amount after accumulated impairment loss of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized.

+ References + Details

Note 9 - Income Taxes (Tables)

12 Months Ended

Dec. 31, 2023

Schedule of Income before Income Tax, Domestic and Foreign [Table Text Block]

	*Year Ended December 31,*
	*2023*		*2022*			*2021*
United States	$	18,472	$	15,777		$	8,006
Foreign		39		(192	)		(240	)
Earnings before income taxes	$	18,511	$	15,585		$	7,766

Schedule of Components of Income Tax Expense (Benefit) [Table Text Block]

	*Year Ended December 31,*
	*2023*			*2022*			*2021*
Current federal	$	4,066		$	1,972		$	5
Current state		942			923			406
Current foreign		15			(110	)		(29	)
Deferred federal		(1,493	)		495			926
Deferred state		(214	)		239			699
Deferred foreign		(18	)		(25	)		(86	)
Provision for income taxes	$	3,298		$	3,494		$	1,921

Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]

	*Year Ended December 31,*
	*2023*			*2022*			*2021*
Federal tax provision at the statutory rate	$	3,887		$	3,274		$	1,631
State income tax provision, net of federal benefit		528			975			1,297
Tax credits		(1,197	)		(1,227	)		(717	)
Change in valuation allowance		3			51			(272	)
Adjustments for prior year taxes		(19	)		(261	)		(13	)
Changes in uncertain tax positions		167			767			(10	)
Other		(71	)		(85	)		5
Provision for income taxes	$	3,298		$	3,494		$	1,921

Summary of Income Tax Contingencies [Table Text Block]

	*December 31,*
	*2023*			*2022*
Balance at beginning of year	$	1,036		$	300
Additions for tax positions in current year		298			743
Reductions for tax positions of prior years		(174	)		(7	)
Balance at end of year	$	1,160		$	1,036

Schedule of Deferred Tax Assets and Liabilities [Table Text Block]

	*December 31,*
	*2023*			*2022*
Deferred tax assets:
Allowance for credit losses	$	202		$	142
Accrued liabilities		1,013			1,111
Lease liability		5,931			6,896
Tax credits		467			362
Stock-based compensation		1,161			1,064
Deferred revenue		628			653
Net operating loss carryforwards		3,282			4,069
Total deferred tax assets		12,684			14,297
Less: Valuation allowance		(1,992	)		(1,947	)
Deferred tax assets, net of valuation allowance		10,692			12,350
Deferred tax liabilities:
Deductible goodwill		6,829			5,691
Nondeductible intangible assets		2,087			2,878
Right of use assets		5,130			6,001
Prepaid assets		10,285			9,302
Capitalized software development		181			3,415
Depreciation		1,914			2,548
Basis difference on investments		151			128
Total deferred tax liabilities		26,577			29,963

Net deferred tax liabilities	$	15,885		$	17,613

Note 9 - Income Taxes - Reconciliation of the Beginning and Ending Liability for Gross Unrecognized Tax Benefits (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022
Balance	$ 1,036	$ 300
Additions for tax positions in current year	298	743
Reductions for tax positions of prior years	(174)	(7)
Balance at end of year	$ 1,160	$ 1,036

Note 11 - Employee Benefit Plan

12 Months Ended

Dec. 31, 2023

Retirement Benefits [Text Block]

11. EMPLOYEE BENEFIT PLAN

401(k) Plan

The Company has a defined-contribution employee benefit plan (401(k) Plan) incorporating provisions of Section 401(k) of the Internal Revenue Code. Employees must have attained the age of 21 and have completed thirty days of service to be eligible to participate in the 401(k) Plan. Under the provisions of the 401(k) Plan, a plan member may make contributions, on a tax-deferred basis, subject to IRS limitations. The Company elected to provide eligible employees with matching contributions totaling $1.6 million, $1.5 million, and $2.0 million for the years ended December 31, 2023, 2022, and 2021, respectively.

The entire disclosure for retirement benefits.

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Note 7 - Goodwill and Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2023

Schedule of Goodwill [Table Text Block]

	*2023*
Balance at January 1, 2023	$	192,398
Post-closing adjustment for eeds		(1,305	)
Effect of exchange rate changes		286
Balance at December 31, 2023	$	191,379

	2022
Balance at January 1, 2022	$	182,501
Acquisition of CloudCME		6,819
Acquisition of eeds		3,568
Post-closing adjustment for ANSOS		267
Post-closing adjustment for ComplyALIGN		40
Post-closing adjustment for Rievent		46
Effect of exchange rate changes		(843	)
Balance at December 31, 2022	$	192,398

Schedule of Finite-Lived Intangible Assets [Table Text Block]

	*As of December 31, 2023*							*As of December 31, 2022*
	*Gross Amount*		*Accumulated Amortization*			*Net*		*Gross Amount*		*Accumulated Amortization*			*Net*
Customer related	$	111,837	$	(57,095	)	$	54,742	$	109,821	$	(48,552	)	$	61,269
Other		29,892		(16,603	)		13,289		33,102		(12,818	)		20,284
Total	$	141,729	$	(73,698	)	$	68,031	$	142,923	$	(61,370	)	$	81,553

Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]

2024	$	13,348
2025		12,528
2026		9,453
2027		8,669
2028		5,472
Thereafter		18,561
Total	$	68,031

Tabular disclosure of goodwill by reportable segment and in total which includes a rollforward schedule.

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