hstm20240809_8k.htm
false 0001095565 0001095565 2024-10-21 2024-10-21
 


 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
 

 
FORM 8-K
 

 
CURRENT REPORT
 
Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
 
Date of Report (Date of earliest event reported): October 21, 2024 (October 21, 2024)
 

HealthStream, Inc.
(Exact name of Registrant as Specified in Its Charter)

 
Tennessee
000-27701
62-1443555
(State or Other Jurisdiction of Incorporation)
(Commission File Number)
(IRS Employer Identification No.)
     
500 11th Avenue North, Suite 1000,
Nashville, Tennessee
 
37203
(Address of Principal Executive Offices)
 
(Zip Code)
 
Registrants Telephone Number, Including Area Code: 615-301-3100
 
Not Applicable
(Former Name or Former Address, if Changed Since Last Report)
 

Securities registered pursuant to Section 12(b) of the Act:
 
Title of each Class
Trading Symbol(s)
Name of each exchange on which registered
Common Stock (Par Value $0.00)
HSTM
Nasdaq
 
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instructions A.2. below):
 
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
 
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).
 
Emerging growth company 
 
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐ 
 
 

 
Item 2.02 Results of Operations and Financial Condition.
 
On October 21, 2024, HealthStream, Inc. (the “Company”) issued a press release announcing results of operations for the third quarter ended September 30, 2024 and updated guidance for the full year 2024, the text of which is set forth in Exhibit 99.1.
 
Item 7.01 Regulation FD Disclosure.
 
On October 21, 2024 the Company issued a press release announcing results of operations for the third quarter ended September 30, 2024 and updated guidance for the full year 2024, the text of which is set forth in Exhibit 99.1.
 
Item 8.01 Other Events.
 
On October 21, 2024, we announced that our Board of Directors declared a quarterly cash dividend under the Company's dividend policy in the amount of $0.028 per share of the Company’s outstanding common stock, which dividend will be payable on November 15, 2024 to holders of record on November 4, 2024.
 
Item 9.01 Financial Statements and Exhibits.
 
(d) Exhibits.
 
Exhibit
Number
 
Description
99.1*
 
     
104
 
Cover Page Interactive Data File (embedded within the Inline XBRL document).
 
*
Furnished herewith.
 
 

 
Exhibit Index
 
Exhibit
Number
 
Description
99.1*
 
     
104
 
Cover Page Interactive Data File (embedded within the Inline XBRL document).
 
*
Furnished herewith.
 
 

 
SIGNATURES
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
 
   
HealthStream, Inc.
       
Date: October 21, 2024
 
By:
/s/ Scott A. Roberts
     
Scott A. Roberts
     
Chief Financial Officer
 
 
ex_712055.htm

 

HealthStream Announces Third Quarter 2024 Results

Page 1

October 21, 2024

Exhibit 99.1
https://cdn.kscope.io/9d4573027ec1cfe74e3eadba280fe015-logo.jpg

 

 

     
 

Contact: 

Scott A. Roberts

   

Chief Financial Officer

   

(615) 301-3182

   

ir@healthstream.com

     
   

Media:

   

Mollie Condra, Ph.D.

   

Vice President,

   

Investor Relations &   

   

Communications

   

(615) 301-3237

   

mollie.condra@healthstream.com

 

HEALTHSTREAM ANNOUNCES THIRD QUARTER 2024 RESULTS

 

NASHVILLE, Tenn. (October 21, 2024)— HealthStream, Inc. (the "Company") (Nasdaq: HSTM), a leading healthcare technology platform for workforce solutions, announced today results for the third quarter ended September 30, 2024.

 

Third Quarter 2024

 

Revenues of $73.1 million in the third quarter of 2024, up 3.9% from $70.3 million in the third quarter of 2023

 

Operating income of $6.5 million in the third quarter of 2024, up 33.6% from $4.9 million in the third quarter of 2023

 

Net income of $5.7 million in the third quarter of 2024, up 48.0% from $3.9 million in the third quarter of 2023

 

Earnings per share (EPS) of $0.19 per share (diluted) in the third quarter of 2024, up from $0.13 per share (diluted) in the third quarter of 2023

 

Adjusted EBITDA1 of $17.7 million in the third quarter of 2024, up 9.0% from $16.2 million in the third quarter of 2023

 

Board of Directors declared a quarterly cash dividend of $0.028 per share, payable on November 15, 2024 to holders of record on November 4, 2024

 

Financial Results:  

Third Quarter 2024 Compared to Third Quarter 2023

Revenues for the third quarter of 2024 increased by $2.8 million, or 3.9%, to $73.1 million, compared to $70.3 million for the third quarter of 2023. Subscription revenues increased by $2.5 million, or 3.6%, and professional services revenues increased by $0.3 million, or 10.8%, compared to the third quarter of 2023.

 

Operating income was $6.5 million for the third quarter of 2024, up 33.6% from $4.9 million in the third quarter of 2023. The improvement in operating income was primarily attributable to increased revenues and an increase in capitalized labor associated with software development activities, partially offset by increases in labor costs.

 


1 Adjusted EBITDA is a non-GAAP financial measure. A reconciliation of adjusted EBITDA to net income and disclosure regarding why we believe adjusted EBITDA provides useful information to investors is included later in this release.


 

 

HealthStream Announces Third Quarter 2024 Results

Page 2

October 21, 2024

https://cdn.kscope.io/9d4573027ec1cfe74e3eadba280fe015-logo.jpg

 

Net income was $5.7 million in the third quarter of 2024, up 48.0% from $3.9 million in the third quarter of 2023, and EPS was $0.19 per share (diluted) in the third quarter of 2024, up from $0.13 per share (diluted) in the third quarter of 2023.

 

Adjusted EBITDA was $17.7 million for the third quarter of 2024, up 9.0% from $16.2 million in the third quarter of 2023.

 

At September 30, 2024, the Company had cash and cash equivalents and marketable securities of $94.9 million. The Company does not have any outstanding indebtedness for borrowed money. Capital expenditures incurred during the third quarter of 2024 were $6.9 million.

 

Year-to-Date 2024 Compared to Year-to-Date 2023

For the nine months ended September 30, 2024, revenues were $217.4 million, an increase of 4.3% over revenues of $208.5 million for the first nine months of 2023. Operating income for the first nine months of 2024 increased by 41.1% to $16.6 million, compared to $11.8 million for the first nine months of 2023. The increase in operating income was primarily attributable to higher revenues and an increase in capitalized labor associated with software development activities. Operating income was also impacted by higher expenses, including software, bad debt related to a customer bankruptcy during the second quarter of 2024, cloud hosting, labor costs, amortization, general marketing, and travel expenses. Net income for the first nine months of 2024 increased to $15.1 million, compared to $10.6 million for the first nine months of 2023. Earnings per share were $0.50 per share (diluted) for the first nine months of 2024, compared to $0.35 per share (diluted) for the first nine months of 2023. Adjusted EBITDA increased by 11.7% to $50.6 million for the first nine months of 2024, compared to $45.3 million for the first nine months of 2023.

 

Other Business Updates

On October 21, 2024, the Board approved a quarterly cash dividend under the Company's dividend policy of $0.028 per share, payable on November 15, 2024, to holders of record on November 4, 2024.

 

Financial Outlook for 2024

The Company is updating its guidance for 2024 for certain of the measures set forth below. For a reconciliation of projected adjusted EBITDA, a non-GAAP financial measure defined later in this release, to projected net income (the most comparable GAAP measure) for 2024, see the table included on page nine of this release.

 

   

Full Year 2024 Guidance

      Low         High    

Revenue

  $ 290.0  

-

  $ 292.0  

million

                     

Net Income

  $ 18.5  

-

  $ 19.5  

million

                     

Adjusted EBITDA1

  $ 66.0  

-

  $ 67.5  

million

                     

Capital Expenditures

  $ 28.0  

-

  $ 30.0  

million

 

1 Adjusted EBITDA is a non-GAAP financial measure. A reconciliation of projected adjusted EBITDA to projected net income (the most comparable GAAP measure) is included later in this release.

2 Previous expected Revenue guidance range was $292.0 to $296.0 million. 

3 Previous expected Net Income guidance range was $16.7 to $18.6 million. 

4 Previous expected Adjusted EBITDA guidance range was $64.5 to $67.5 million.

 

 

HealthStream Announces Third Quarter 2024 Results

Page 3

October 21, 2024

https://cdn.kscope.io/9d4573027ec1cfe74e3eadba280fe015-logo.jpg

 

The Company’s guidance for 2024 as set forth above reflects the Company’s assumptions regarding, among other things, expectations for new sales and renewals, and assumes that general economic conditions, including inflationary pressures, do not deteriorate. This consolidated guidance does not include the impact of any acquisitions that we may complete during 2024, gains or losses from changes in the fair value of minority investments, or impairment of long-lived assets.

 

Commenting on third quarter 2024 results, Robert A. Frist, Jr., Chief Executive Officer, HealthStream, said, "Our quarterly financial performance showed year-over-year increases in each of the major categories we highlight in our earnings release, which included record quarterly revenues and record adjusted EBITDA. We continue to see competitive benefits emerge from our innovative platform strategy, which we believe is paving the way for increased, long-term value for our customers and shareholders."

 

A conference call with Robert A. Frist, Jr., Chief Executive Officer, Scott A. Roberts, Chief Financial Officer and Senior Vice President, and Mollie Condra, Vice President of Investor Relations and Communications, will be held on Tuesday, October 22, 2024, at 9:00 a.m. (ET). Participants may access the conference call live via webcast using this link: https://edge.media-server.com/mmc/p/xb3ciqdq. To participate via telephone, please register in advance using this link: https://register.vevent.com/register/BIfd60adeb38ad4c6488f94e1c8216c837. A replay of the conference call and webcast will be archived on the Company’s website in the Investor Relations section under “Events & Presentations.”

 

Use of Non-GAAP Financial Measures

This press release presents adjusted EBITDA, a non-GAAP financial measure used by management in analyzing the Company’s financial results and ongoing operational performance. In order to better assess the Company’s financial results, management believes that net income before interest, income taxes, stock-based compensation, depreciation and amortization, and changes in fair value of, including gains (losses) on the sale of, non-marketable equity investments (“adjusted EBITDA”) is a useful measure for evaluating the operating performance of the Company because adjusted EBITDA reflects net income adjusted for certain GAAP accounting, non-cash, and/or non-operating items which may not, in any such case, fully reflect the underlying operating performance of our business. In addition, as discussed below, for periods ended on or prior to December 31, 2023, adjusted EBITDA excludes the impact of the deferred revenue write-downs associated with fair value accounting for acquired businesses. We believe that adjusted EBITDA is useful to investors to assess the Company’s ongoing operating performance and to compare the Company’s operating performance between periods. In addition, certain short-term cash incentive bonuses and performance-based equity awards are based on the achievement of adjusted EBITDA (as defined in applicable bonus and equity grant documentation) targets.

 

As previously disclosed, prior to the Company early adopting ASU 2021-08 effective January 1, 2022, following the completion of any acquisition by the Company, the Company was required to record the acquired deferred revenue at fair value as defined in GAAP, which typically resulted in a write-down of the acquired deferred revenue.  In connection therewith, management determined that including an adjustment in the definition of adjusted EBITDA for the impact of the deferred revenue write-downs associated with fair value accounting for businesses acquired prior to the January 1, 2022 effective date of the Company's adoption of ASU 2021-08 (the “Pre-2022 Acquisitions”) provided useful information to investors because the deferred revenue write-down recognized in periods after any such Pre-2022 Acquisitions could, given the nature of this non-cash accounting impact, cause our GAAP financial results during such periods to not fully reflect our underlying operating performance. Following the adoption of ASU 2021-08, contracts acquired in an acquisition completed on or after January 1, 2022 have been measured as if the Company had originated the contract (rather than the contract being measured at fair value) such that, for such acquisitions, the Company no longer records deferred revenue write-downs associated with acquired businesses. With respect to periods ended on or prior to December 31, 2023, the Company has included an adjustment in the calculation of adjusted EBITDA for the impact of deferred revenue write-downs associated with the Pre-2022 Acquisitions consistent with this prior accounting standard, given the ongoing impact of such deferred revenue on our financial results under GAAP over this time period. With respect to periods beginning on and after January 1, 2024, the Company no longer recognizes any deferred revenue write-downs associated with the Pre-2022 Acquisitions under GAAP, and accordingly such deferred revenue write-downs are not an adjustment in connection with the calculation of adjusted EBITDA for periods on and after January 1, 2024.

 

 

HealthStream Announces Third Quarter 2024 Results

Page 4

October 21, 2024

https://cdn.kscope.io/9d4573027ec1cfe74e3eadba280fe015-logo.jpg

 

Adjusted EBITDA is a non-GAAP financial measure and should not be considered as a measure of financial performance under GAAP. Because adjusted EBITDA is not a measurement determined in accordance with GAAP, adjusted EBITDA is susceptible to varying calculations. Accordingly, adjusted EBITDA, as presented, may not be comparable to other similarly titled measures of other companies and has limitations as an analytical tool.

 

This non-GAAP financial measure should not be considered a substitute for, or superior to, measures of financial performance, which are prepared in accordance with GAAP. Investors are encouraged to review the reconciliations of adjusted EBITDA to net income (the most comparable GAAP measure), which is set forth below in this release.

 

About HealthStream

HealthStream (Nasdaq: HSTM) is the healthcare industry’s largest ecosystem of platform-delivered workforce solutions that empowers healthcare professionals to do what they do best: deliver excellence in patient care. For more information about HealthStream, visit www.healthstream.com or call 800-521-0574. 

 

 

HealthStream Announces Third Quarter 2024 Results

Page 5

October 21, 2024

https://cdn.kscope.io/9d4573027ec1cfe74e3eadba280fe015-logo.jpg

 

HEALTHSTREAM, INC.

Condensed Consolidated Statements of Income

(In thousands, except per share data)

(Unaudited)

 

   

Three Months Ended

   

Nine Months Ended

 
   

September 30, 2024

   

September 30, 2023

   

September 30, 2024

   

September 30, 2023

 

Revenues, net

  $ 73,095     $ 70,339     $ 217,411     $ 208,482  

Operating costs and expenses:

                               

Cost of revenues (excluding depreciation and amortization)

    24,470       23,587       72,825       71,010  

Product development

    12,100       10,901       36,208       33,610  

Sales and marketing

    11,497       11,290       34,676       34,324  

Other general and administrative expenses

    8,457       9,295       26,325       27,223  

Depreciation and amortization

    10,073       10,403       30,779       30,550  

Total operating costs and expenses

    66,597       65,476       200,813       196,717  
                                 

Operating income

    6,498       4,863       16,598       11,765  
                                 

Other income, net

    981       590       2,722       1,329  
                                 

Income before income tax provision

    7,479       5,453       19,320       13,094  

Income tax provision

    1,754       1,586       4,202       2,471  

Net income

  $ 5,725     $ 3,867     $ 15,118     $ 10,623  
                                 

Net income per share:

                               

Basic

  $ 0.19     $ 0.13     $ 0.50     $ 0.35  

Diluted

  $ 0.19     $ 0.13     $ 0.50     $ 0.35  
                                 

Weighted average shares of common stock outstanding:

                               

Basic

    30,409       30,683       30,374       30,653  

Diluted

    30,590       30,769       30,512       30,734  

Dividends declared per share

  $ 0.028     $ 0.025     $ 0.084     $ 0.075  

 

 

HealthStream Announces Third Quarter 2024 Results

Page 6

October 21, 2024

https://cdn.kscope.io/9d4573027ec1cfe74e3eadba280fe015-logo.jpg

   

HEALTHSTREAM, INC.

Condensed Consolidated Balance Sheets

(In thousands)

(Unaudited)

 

   

September 30,

   

December 31,

 
   

2024

   

2023

 

ASSETS

               

Current assets:

               

Cash and cash equivalents

  $ 57,489     $ 40,333  

Marketable securities

    37,404       30,800  

Accounts and unbilled receivables, net

    31,676       38,446  

Prepaid and other current assets

    19,079       20,631  

Total current assets

    145,648       130,210  
                 

Capitalized software development, net

    42,472       40,643  

Property and equipment, net

    11,086       13,005  

Operating lease right of use assets, net

    18,172       20,114  

Goodwill and intangible assets, net

    249,108       259,410  

Deferred commissions

    31,777       31,700  

Other assets

    4,568       4,860  

Total assets

  $ 502,831     $ 499,942  
                 

LIABILITIES AND SHAREHOLDERS’ EQUITY

               

Current liabilities:

               

Accounts payable, accrued, and other liabilities

  $ 27,633     $ 34,738  

Deferred revenue

    82,939       83,623  

Total current liabilities

    110,572       118,361  

Deferred tax liabilities

    15,177       16,132  

Deferred revenue, noncurrent

    1,671       2,169  

Operating lease liability, noncurrent

    17,944       20,247  

Other long-term liabilities

    1,986       2,281  

Total liabilities

    147,350       159,190  
                 

Shareholders’ equity:

               

Common stock

    251,428       249,075  

Accumulated other comprehensive loss

    (884 )     (691 )

Retained earnings

    104,937       92,368  

Total shareholders’ equity

    355,481       340,752  

Total liabilities and shareholders' equity

  $ 502,831     $ 499,942  

 

 

HealthStream Announces Third Quarter 2024 Results

Page 7

October 21, 2024

https://cdn.kscope.io/9d4573027ec1cfe74e3eadba280fe015-logo.jpg

 

HEALTHSTREAM, INC.

Condensed Consolidated Statements of Cash Flows

(In thousands)

(Unaudited)

 

   

Nine Months Ended

 
   

September 30,

   

September 30,

 
   

2024

   

2023

 

Operating activities:

               

Net income

  $ 15,118     $ 10,623  

Adjustments to reconcile net income to net cash provided by operating activities:

               

Depreciation and amortization

    30,779       30,550  

Stock-based compensation

    3,285       3,076  

Amortization of deferred commissions

    9,060       8,467  

Deferred income taxes

    (960 )     (2,634 )

Provision for credit losses

    2,027       675  

Loss on equity method investments

    150       330  

Change in fair value of non-marketable equity investments

          (45 )

Other

    (1,205 )     (603 )

Changes in assets and liabilities:

               

Accounts and unbilled receivables

    4,744       7,230  

Prepaid and other assets

    (8,210 )     (11,748 )

Accounts payable, accrued, and other liabilities

    (7,105 )     683  

Deferred revenue

    (1,183 )     3,554  

Net cash provided by operating activities

    46,500       50,158  
                 

Investing activities:

               

Business combinations, net of cash acquired

          (6,621 )

Changes in marketable securities

    (5,361 )     (19,235 )

Proceeds from sale of non-marketable equity investments

    765       45  

Purchases of property and equipment

    (1,198 )     (1,854 )

Payments associated with capitalized software development

    (20,107 )     (19,552 )

Net cash used in investing activities

    (25,901 )     (47,217 )
                 

Financing activities:

               

Taxes paid related to net settlement of equity awards

    (932 )     (817 )

Repurchases of common stock

          (1,648 )

Payment of cash dividends

    (2,551 )     (2,301 )

Net cash used in financing activities

    (3,483 )     (4,766 )
                 

Effect of exchange rate changes on cash and cash equivalents

    40       (75 )

Net increase (decrease) in cash and cash equivalents

    17,156       (1,900 )

Cash and cash equivalents at beginning of period

    40,333       46,023  

Cash and cash equivalents at end of period

  $ 57,489     $ 44,123  

 

 

HealthStream Announces Third Quarter 2024 Results

Page 8

October 21, 2024

https://cdn.kscope.io/9d4573027ec1cfe74e3eadba280fe015-logo.jpg

 

Reconciliation of GAAP to Non-GAAP Financial Measures(1)

Operating Results Summary

(In thousands)

(Unaudited)

 

   

Three Months Ended September 30,

   

Nine Months Ended September 30,

 
   

2024

   

2023

   

2024

   

2023

 

GAAP net income

  $ 5,725     $ 3,867     $ 15,118     $ 10,623  

Deferred revenue write-down

          30             128  

Interest income

    (1,007 )     (667 )     (2,856 )     (1,580 )

Interest expense

    26       33       75       99  

Income tax provision

    1,754       1,586       4,202       2,471  

Stock-based compensation expense

    1,131       1,038       3,285       3,076  

Depreciation and amortization

    10,073       10,403       30,779       30,550  

Change in fair value of non-marketable equity investments

          (45 )           (45 )

Adjusted EBITDA

  $ 17,702     $ 16,245     $ 50,603     $ 45,322  

 

(1) This press release presents adjusted EBITDA, which is a non-GAAP financial measure used by management in analyzing its financial results and ongoing operational performance.

 

 

HealthStream Announces Third Quarter 2024 Results

Page 9

October 21, 2024

https://cdn.kscope.io/9d4573027ec1cfe74e3eadba280fe015-logo.jpg

 

Reconciliation of GAAP to Non-GAAP Financial Measures

Financial Outlook for 2024

(In thousands)

(Unaudited)

 

   

Low

   

High

 

Net income

  $ 18,500     $ 19,500  

Interest income

    (3,700 )     (3,800 )

Interest expense

    100       100  

Income tax provision

    5,400       5,700  

Stock-based compensation expense

    4,400       4,500  

Depreciation and amortization

    41,300       41,500  

Adjusted EBITDA

  $ 66,000     $ 67,500  

 

 

HealthStream Announces Third Quarter 2024 Results

Page 10

October 21, 2024

https://cdn.kscope.io/9d4573027ec1cfe74e3eadba280fe015-logo.jpg

 

This press release includes certain forward-looking statements (statements other than solely with respect to historical fact), including statements regarding expectations for financial performance for 2024 and our quarterly dividend policy, that involve risks and uncertainties regarding HealthStream. These statements are based upon managements beliefs, as well as assumptions made by and data currently available to management. This information has been, or in the future may be, included in reliance on the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. The Company cautions that forward-looking statements involve known and unknown risks, uncertainties, and other factors that may cause the actual results, performance, or achievements to be materially different from future results, performance, or achievements expressed or implied by the forward-looking statements, including as a result of negative economic conditions, inflationary conditions, geopolitical instability (including as the result of the Russia/Ukraine conflict, the conflict in the Middle East, and the potential expansion of such conflicts), legal requirements and contractual restrictions which may affect continuation of our quarterly cash dividend policy and the declaration and/or payment of dividends thereunder, which may be modified, suspended, or canceled in any manner and at any time that our Board may deem necessary or appropriate, as well as risks referenced in the Companys Annual Report on Form 10-K for the year ended December 31, 2023, filed on February 26, 2024, and in the Companys other filings with the Securities and Exchange Commission from time to time. Consequently, such forward-looking information should not be regarded as a representation or warranty or statement by the Company that such projections will be realized. Many of the factors that will determine the Companys future results are beyond the ability of the Company to control or predict. Readers should not place undue reliance on forward-looking statements, which reflect managements views only as of the date hereof. The Company undertakes no obligation to update or revise any such forward-looking statements.  

  

 

#  #  #  #