e10-q
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-Q

Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

For the quarter ended March 31, 2002

Commission File No.: 001-8833

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

     
Tennessee   62-1443555

 
(State or other jurisdiction of
incorporation or organization)
  (I.R.S. Employer Identification No.)
     
209 10th Avenue South, Suite 450
Nashville, Tennessee
  37203

 
(Address of principal executive offices)   (Zip Code)

(615) 301-3100


(Registrant’s telephone number, including area code)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes   x   Noo

As of May 8, 2002, 20,408,314 shares of the Registrant’s common stock were outstanding.

 


TABLE OF CONTENTS

PART I. FINANCIAL INFORMATION
Item 1. Financial Statements
CONDENSED CONSOLIDATED BALANCE SHEETS
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)
CONDENSED CONSOLIDATED STATEMENT OF SHAREHOLDERS’ EQUITY (UNAUDITED)
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
Item 3. Quantitative and Qualitative Disclosure about Market Risk
PART II — OTHER INFORMATION
Item 1. Legal Proceedings.
Item 6. Exhibits and Reports on Form 8-K.
SIGNATURE


Table of Contents

Index to Form 10-Q

HEALTHSTREAM, INC.

             
        Page
        Number
       
Part I
  Financial Information        
Item 1.
  Financial Statements        
 
  Condensed Consolidated Balance Sheets – March 31, 2002 (Unaudited) and December 31, 2001     1  
 
  Condensed Consolidated Statements of Operations (Unaudited) — Three Months ended March 31, 2002 and 2001     2  
 
  Condensed Consolidated Statement of Shareholders' Equity (Unaudited)     3  
 
  Condensed Consolidated Statements of Cash Flows (Unaudited) — Three Months ended March 31, 2002 and 2001     4  
 
  Notes to Condensed Consolidated Financial Statements     6  
Item 2.
  Management's Discussion and Analysis of Financial Condition and Results of Operations     10  
Item 3.
  Quantitative and Qualitative Disclosures About Market Risk     15  
Part II
  Other Information        
Item 1.
  Legal Proceedings     16  
Item 6.
  Exhibits and Reports on Form 8-K     16  
 
  Signature     17  

 


Table of Contents

PART  I.    FINANCIAL INFORMATION

Item  1.    Financial Statements

HEALTHSTREAM, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS
                       
          March 31,   December 31,
          2002   2001
         
 
          (Unaudited)   (Note 1)
 
ASSETS
               
Current Assets:
               
 
Cash and cash equivalents
  $ 2,947,930     $ 4,747,434  
 
Investments in short term marketable securities
    10,951,407       12,701,086  
 
Restricted cash
    1,010,710       520,184  
 
Interest receivable
    358,090       537,585  
 
Accounts receivable, net of allowance for doubtful accounts of $278,000 at March 31, 2002 and $288,000 at December 31, 2001, respectively
    3,942,704       3,776,635  
 
Accounts receivable — unbilled
    584,102       566,069  
 
Prepaid development fees
    846,554       1,030,843  
 
Other prepaid expenses and other current assets
    593,935       649,543  
 
   
     
 
   
Total current assets
    21,235,432       24,529,379  
Property and equipment:
               
 
Furniture and fixtures
    974,737       990,992  
 
Equipment
    4,677,097       4,566,342  
 
Leasehold improvements
    1,170,209       1,111,360  
 
   
     
 
 
    6,822,043       6,668,694  
 
Less accumulated depreciation and amortization
    (3,387,709 )     (2,974,347 )
 
   
     
 
 
    3,434,334       3,694,347  
Goodwill, net of accumulated amortization of $10,005,266 at March 31, 2002 and December 31, 2001, respectively
    8,306,688       8,306,688  
Intangible assets, net of accumulated amortization of $3,774,748 at March 31, 2002 and $3,295,675 at December 31, 2001, respectively
    3,087,394       3,566,467  
Investments in marketable securities
    9,306,496       8,709,003  
Notes receivable – related party
    215,000       215,000  
Other assets
    257,485       225,760  
 
   
     
 
     
Total assets
  $ 45,842,829     $ 49,246,644  
 
   
     
 
LIABILITIES AND SHAREHOLDERS’ EQUITY
               
Current liabilities:
               
 
Accounts payable
  $ 624,248     $ 889,254  
 
Accrued liabilities
    987,319       943,616  
 
Accrued compensation and related expenses
    468,599       717,200  
 
Registration liabilities
    1,053,572       633,788  
 
Deferred revenue
    3,620,416       3,273,825  
 
Current portion of capital lease obligations
    103,725       126,733  
 
   
     
 
     
Total current liabilities
    6,857,879       6,584,416  
Capital lease obligations, less current portion
    91,554       118,769  
Commitments and contingencies
           
Shareholders’ equity:
               
 
Common stock, no par value, 75,000,000 shares authorized; 20,372,542 shares issued and outstanding at March 31, 2002 and December 31, 2001, respectively
    91,275,282       91,275,282  
 
Accumulated other comprehensive (loss) income
    (141,835 )     79,240  
 
Accumulated deficit
    (52,240,051 )     (48,811,063 )
 
   
     
 
     
Total shareholders’ equity
    38,893,396       42,543,459  
 
   
     
 
     
Total liabilities and shareholders’ equity
  $ 45,842,829     $ 49,246,644  
 
   
     
 

See accompanying notes to the condensed consolidated financial statements.

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HEALTHSTREAM, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)
                     
        Three Months Ended March 31,
       
        2002   2001
       
 
 
Revenues, net of warrant expense of $-0- in 2002 and $436,052 in 2001
  $ 3,534,858     $ 3,053,962  
Operating costs and expenses:
               
 
Cost of revenues
    1,831,851       1,626,619  
 
Product development
    1,008,561       1,203,218  
 
Sales and marketing
    1,561,264       1,408,385  
 
Depreciation
    447,871       362,738  
 
Amortization of goodwill
          1,331,652  
 
Amortization of intangibles, content fees, fixed royalties and prepaid compensation
    713,041       715,105  
 
Other general and administrative expenses
    1,649,571       1,372,662  
 
   
     
 
   
Total operating costs and expenses
    7,212,159       8,020,379  
 
   
     
 
Loss from operations
    (3,677,301 )     (4,966,417 )
 
   
     
 
Other income (expense):
               
 
Interest and other income
    257,289       698,871  
 
Write off of investment
          (99,920 )
 
Interest and other expense
    (8,976 )     (14,113 )
 
   
     
 
 
    248,313       584,838  
 
   
     
 
Net loss
  $ (3,428,988 )   $ (4,381,579 )
 
   
     
 
Net loss per share:
               
 
Basic and diluted
  $ (0.17 )   $ (0.22 )
 
   
     
 
Weighted average shares of common stock outstanding:
               
 
Basic and diluted
    20,195,982       19,967,634  
 
   
     
 

See accompanying notes to the condensed consolidated financial statements.

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HEALTHSTREAM, INC.

CONDENSED CONSOLIDATED STATEMENT OF SHAREHOLDERS’ EQUITY (UNAUDITED)
                                         
                            Accumulated        
    Common Stock           Other   Total
   
  Accumulated   Comprehensive   Shareholders'
    Shares   Amount   Deficit   Income (Loss)   Equity
   
 
 
 
 
 
Balance at December 31, 2001
    20,372,542     $ 91,275,282     $ (48,811,063 )   $ 79,240     $ 42,543,459  
Net loss
                (3,428,988 )           (3,428,988 )
Unrealized loss on investments, net of tax
                      (221,075 )     (221,075 )
 
                           
     
 
Comprehensive loss
                            (3,650,063 )
 
   
     
     
     
     
 
Balance at March 31, 2002
    20,372,542     $ 91,275,282     $ (52,240,051 )   $ (141,835 )   $ (38,893,396 )
 
   
     
     
     
     
 

See accompanying notes to the condensed consolidated financial statements.

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HEALTHSTREAM, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
                         
            Three Months Ended March 31,
           
            2002   2001
           
 
 
OPERATING ACTIVITIES:
               
Net loss
  $ (3,428,988 )   $ (4,381,579 )
Adjustments to reconcile net loss to net cash used in operating activities:
               
   
Depreciation
    447,871       362,738  
   
Amortization of goodwill
          1,331,652  
   
Amortization of intangibles, content fees, fixed royalties, and prepaid compensation
    713,041       715,105  
   
Gain on contract renegotiation
          (1,500,000 )
   
Noncash warrant expense
          436,052  
   
Realized loss on investments
          99,920  
   
Loss on disposal of fixed assets
    2,213        
 
Changes in operating assets and liabilities, excluding effects of acquisitions:
               
     
Accounts and unbilled receivables
    (184,102 )     (83,691 )
     
Restricted cash
    (490,526 )     (115,923 )
     
Interest receivable
    179,495       114,842  
     
Prepaid development fees
    21,031       (104,518 )
     
Other prepaid expenses and other current assets
    2,523       (488,503 )
     
Other assets
    41,691       (336,212 )
     
Accounts payable
    (265,006 )     (188,986 )
     
Accrued liabilities and compensation
    (204,898 )     (100,257 )
     
Registration liabilities
    419,784       33,385  
     
Deferred revenue
    346,591       (494,537 )
 
   
     
 
       
Net cash used in operating activities
    (2,399,280 )     (4,700,512 )
INVESTING ACTIVITIES:
               
Acquisition of companies, net of cash acquired
          (328,988 )
Proceeds from redemption and sale of investments in marketable securities
    6,164,956        
Purchase of investments in marketable securities
    (5,324,886 )      
Purchase of property and equipment
    (190,071 )     (273,466 )
 
   
     
 
       
Net cash provided by (used in) investing activities
    649,999       (602,454 )
FINANCING ACTIVITIES:
               
Repurchase of common stock from WebMD
          (1,981,444 )
Payments on capital lease obligations
    (50,223 )     (84,028 )
 
   
     
 
       
Net cash used in financing activities
    (50,223 )     (2,065,472 )
 
   
     
 
Net decrease in cash and cash equivalents
    (1,799,504 )     (7,368,438 )
Cash and cash equivalents at beginning of period
    4,747,434       19,830,572  
 
   
     
 
Cash and cash equivalents at end of period
  $ 2,947,930     $ 12,462,134  
 
   
     
 
Total cash, restricted cash, investments, and accrued interest at end of period
  $ 24,574,633     $ 34,735,368  
 
   
     
 

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HEALTHSTREAM, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED), continued

                   
      Three Months Ended March 31,
     
      2002   2001
     
 
 
SUPPLEMENTAL CASH FLOW INFORMATION:
               
Interest paid
  $ 6,763     $ 14,113  
 
   
     
 
Effects of acquisitions:
               
 
Estimated fair value of assets acquired
  $     $ 5,000  
 
Purchase price in excess of net assets acquired
          972,346  
 
Estimated fair value of liabilities assumed
          (348,172 )
 
Stock issued
          (300,186 )
 
   
     
 
 
Cash paid
          328,988  
 
Less cash acquired
           
 
   
     
 
 
Net cash paid for acquisitions
  $     $ 328,988  
 
   
     
 

See accompanying notes to the condensed consolidated financial statements.

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HEALTHSTREAM, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

1.  BASIS OF PRESENTATION

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. All significant inter-company transactions have been eliminated in consolidation. Operating results for the three months ended March 31, 2002 are not necessarily indicative of the results that may be expected for the year ending December 31, 2002.

The balance sheet at December 31, 2001 is consistent with the audited financial statements at that date but does not include all of the information and footnotes required by accounting principles generally accepted in the United States for complete financial statements. For further information, refer to the financial statements and footnotes thereto for the year ended December 31, 2001 (included in the Company’s Annual Report on Form 10-K, filed with the Securities and Exchange Commission).

During 2001, we began organizing the business along two segments: 1) services provided to healthcare organizations and professionals, and 2) services provided to pharmaceutical and medical device companies. Accordingly, we began tracking financial information on a more detailed basis for these segments.

Services to healthcare organizations and professionals include offerings of our Internet-based e-learning products, licensing, maintenance and support of our installed learning management products, content subscriptions, custom content development, and a variety of online and enduring products. Services provided to pharmaceutical and medical device companies include live event registration, development and coordination services, Web cast events, online development and training, and other education and training services.

In 2001, we began producing discrete financial information under two reportable segments — healthcare organizations and professionals (“HCO”) and pharmaceutical and medical device companies (“PMD”), and accordingly, resource allocation decisions and performance assessments began to be made based on the discrete financial information for these segments. (See Note 5).

2.  RECENT ACCOUNTING PRONOUNCEMENTS

In June 2001, the Financial Accounting Standards Board (“FASB”) issued SFAS No. 141, “Business Combinations,” (“Statement 141”) and No. 142, “Goodwill and Other Intangible Assets” (“Statement 142”). Statement 141 requires that the purchase method of accounting be used for all business combinations initiated after June 30, 2001. Statement 141 also includes guidance on the initial recognition and measurement of goodwill and other intangible assets arising from business combinations completed after June 30, 2001. We adopted Statement 141 on January 1, 2002. The adoption of Statement 141 did not have a significant effect on our consolidated financial position or results of operations.

We adopted Statement 142 on January 1, 2002. Statement 142 provides for the elimination of amortization of intangible assets that have indefinite lives, such as goodwill, as well as a modification of the approach and timing for evaluating impairment of intangible assets. While we have not completed the assessment of the impact of the Statement, application of the non-amortization provisions will result in a decrease in net loss of approximately $5.4 million ($0.27 per share) for the year ended December 31, 2002. This estimate is based on discontinuing amortization expense for intangibles with indefinite lives and the current weighted average shares outstanding. During the second quarter of 2002, we will complete the transitional test for goodwill impairment using the two-step process described in Statement 142, and we will determine the effect of these tests on our financial position and results of operations. The first step is a screen for potential impairment, while the second step measures the amount, if any, of impairment. Any impairment charge resulting from these transitional impairment tests will be reflected as the cumulative effect of a change in accounting principle as of January 1, 2002.

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HEALTHSTREAM, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

2.  RECENT ACCOUNTING PRONOUNCEMENTS (continued)

A reconciliation of the previously reported net loss and net loss per share to the amounts adjusted for the exclusion of goodwill amortization, net of the related income tax effect, follows:

                   
      Three months ended
     
      March 31, 2002   March 31, 2001
     
 
 
Reported net loss
  $ (3,428,988 )   $ (4,381,579 )
 
Adjusted for amortization of goodwill
          1,331,652
 
   
     
 
Adjusted net loss
  $ (3,428,988 )   $ (3,049,927 )
 
   
     
 
Basic and diluted loss per share:
               
 
Reported loss per share – basic and diluted
  $ (0.17 )   $ (0.22 )
 
Adjusted for amortization of goodwill
          0.07  
 
   
     
 
Adjusted loss per share – basic and diluted
  $ (0.17 )   $ (0.15 )
 
   
     
 

The pro forma presentation above does not exclude the impact of the one time gain on renegotiation of the WebMD agreement during the three months ended March 31, 2001. See Note 7 for details.

In August 2001, the FASB issued SFAS No. 144, “Accounting for the Impairment or Disposal of Long-Lived Assets,” (“Statement 144”). Statement 144 addresses financial accounting and reporting for the impairment of long-lived assets and for long-lived assets to be disposed of. The Statement supersedes Statement 121 “Accounting for the Impairment of Long-Lived Assets and for Long-Lived Assets to be Disposed Of.” We adopted Statement 144 on January 1, 2002 and it did not have an effect on our consolidated financial position or results of operations.

3.  MERGERS AND ACQUISITIONS

de’MEDICI Systems. On January 26, 2001, we acquired substantially all of the assets of de’MEDICI Systems (“de’MEDICI”), a business unit of Lippincott Williams & Wilkins, Inc., for approximately $330,000 in cash and 181,250 shares of our common stock. de’MEDICI provided computer based education and training to over 230 hospitals and healthcare organizations. The acquisition was accounted for as a purchase. Identifiable intangible assets acquired consisted of customer lists and trade name of $0.4 million and $0.1 million, respectively, and are being amortized on a straight-line basis over three years, and three years, respectively. We also acquired goodwill of approximately $0.6 million.

Since the pro forma impact of the de’MEDICI acquisition is not material to the results presented for 2001, no pro forma disclosures are presented.

4.  NET LOSS PER SHARE

Basic net loss per share is computed by dividing the net loss available to common shareholders for the period by the weighted-average number of common shares outstanding during the period. Diluted net loss per share is computed by dividing the net loss for the period by the weighted average number of common and dilutive potential common shares outstanding during the period. Potential common shares, composed of incremental common shares issuable upon the exercise of stock options and warrants, and escrowed or restricted shares, are included in diluted net loss per share only when these shares are dilutive. The total number of shares excluded from the calculations of dilutive loss per share was approximately 3,600,000 and 6,200,000 at March 31, 2002 and March 31, 2001, respectively.

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HEALTHSTREAM, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

5.  BUSINESS SEGMENTS

We have two reportable segments, healthcare organizations and professionals (“HCO”) and pharmaceutical and medical device companies (“PMD”). The accounting policies of the segments are the same as those described in the summary of significant accounting policies in our Annual Report on Form 10-K for the year ended December 31, 2001. Our reportable segments are based on the markets they serve, the products and services provided to those markets, and they are each managed separately by business unit managers.

The following is our business segment information as of and for the three-month periods ended March 31, 2002 and 2001. We measure segment performance based on the operating loss before income taxes and prior to the allocation of corporate overhead expenses, interest income, interest expense, and substantially all depreciation. There were no significant changes in segment assets since December 31, 2001.

                     
        Three months ended
       
        March 31, 2002   March 31, 2001
       
 
 
Revenues, net of warrant expense of $-0- in 2002 and $436,052 in 2001
               
 
HCO
  $ 2,137,658     $ 1,696,956  
 
PMD
    1,397,200       1,357,006  
 
   
     
 
   
Total net revenue
  $ 3,534,858     $ 3,053,962  
 
   
     
 
Loss from operations
               
 
HCO
  $ (1,267,646 )   $ (3,418,970 )
 
PMD
    (506,131 )     (363,960 )
 
Unallocated *
    (1,903,524 )     (1,183,487 )
 
   
     
 
   
Total loss from operations
  $ (3,677,301 )   $ (4,966,417 )
 
   
     
 

*     Unallocated items include certain unallocated corporate expenses, which are not currently used in measuring segment performance.

The unallocated loss from operations for the three months ended March 31, 2001 includes the one time gain associated with the renegotiation of the WebMD agreement. See Note 7 for details.

6.  GOODWILL AND INTANGIBLE ASSETS

There have no been no changes in the composition of goodwill since December 31, 2001. As of March 31, 2002, the carrying amounts of goodwill for our HCO and PMD business units were approximately $7.0 million and $1.3 million, respectively. As described in Note 2, as of March 31, 2002, we have not completed the transitional test for goodwill impairment as required by Statement 142. We will complete the transitional impairment test during the second quarter of 2002.

Identifiable intangible assets are comprised of the following:

                                                   
      As of March 31, 2002   As of December 31, 2001
     
 
              Accumulated                   Accumulated        
      Gross Amount   Amortization   Net   Gross Amount   Amortization   Net
     
 
 
 
 
 
 
Content
  $ 3,500,000     $ (1,552,778 )   $ 1,947,222     $ 3,500,000     $ (1,311,111 )   $ 2,188,889  
Customer lists
    2,940,000       (1,937,220 )     1,002,780       2,940,000       (1,712,221 )     1,227,779  
Other
    422,142       (284,750 )     137,392       422,142       (272,343 )     149,799  
 
   
     
     
     
     
     
 
 
Total
  $ 6,862,142     $ (3,774,748 )   $ 3,087,394     $ 6,862,142     $ (3,295,675 )   $ 3,566,467  
 
   
     
     
     
     
     
 

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HEALTHSTREAM, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)

6.  GOODWILL AND INTANGIBLE ASSETS (continued)

All intangible assets have been evaluated in accordance with Statement 142 and are considered to have finite useful lives. The intangibles are being amortized over their original useful lives, ranging from one to five years. Amortization of intangible assets for the three months ended March 31, 2002 and March 31, 2001 was approximately $479,000 and $533,000, respectively.

Estimated amortization expense for the periods and years ending December 31, is as follows:

           
April 1, 2002 through December 31, 2002
  $ 1,437,140  
2003
    1,139,824  
2004
    343,990  
2005
    166,440  
2006
     
 
   
 
 
Total
  $ 3,087,394  
 
   
 

7.  RELATIONSHIP WITH WEBMD

In February 2000, we entered into an agreement with WebMD which provided for us to be the exclusive provider of education, continuing education and training services for healthcare organizations, healthcare professionals and healthcare workers on Web sites owned or operated by WebMD. The agreement provided for payments to WebMD of $6.0 million per year for five years on a quarterly basis as guaranteed minimum royalties. In the first year, $2.0 million of the $6.0 million payment was to be applied toward mutually agreed upon branding and promotion services. Under the agreement, we were to receive 100% of any revenues from the sale of our products and services until we recovered all payments to WebMD, after which we would receive 75% and WebMD would receive 25% of any revenues.

On January 5, 2001, we terminated our prior agreement with WebMD and entered into a new business arrangement. Under the new, non-exclusive three-year agreement, we are a preferred provider of continuing medical education, continuing education and board preparation courses for WebMD’s professional portal. Under this new arrangement, financial consideration is based entirely on revenues generated from the sale of HealthStream’s services to WebMD’s professional portal customers.

The arrangement also terminated the lock-up agreement related to 1.1 million shares of our common stock that WebMD purchased in a private offering just prior to our IPO. In connection with this termination, we gave WebMD the right to sell the shares back to us at any time through March 30, 2001. On February 8, 2001, WebMD exercised its right to sell the 1.1 million shares of our common stock back to us at $1.7833 per share. We reacquired the shares on February 16, 2001. In connection with the termination of the prior WebMD agreement, we recognized a gain of $1.5 million representing the reversal of the scheduled $1.5 million fixed payment that was accrued during the quarter ended September 30, 2000.

8.  CONTINGENCIES

On November 17, 2000, a complaint was filed by Challenger Corporation (“Challenger”) in the Circuit Court of Tennessee for the Thirtieth Judicial District at Memphis against us, SynQuest Technologies, Inc. (“SynQuest”) and two individual shareholders of SynQuest. The complaint asserted that HealthStream violated the terms of a licensing agreement entered into between HealthStream and the plaintiff and that HealthStream allegedly failed to pay royalties due to the plaintiff pursuant to the terms of that agreement. The plaintiff also alleged that HealthStream induced SynQuest to breach a marketing agreement entered into between SynQuest and the plaintiff. Alternatively, the plaintiff alleged that HealthStream, which purchased certain assets of SynQuest, was liable for SynQuest’s alleged breach of the marketing agreement pursuant to the legal theory of successor liability. The aggregate damages alleged totaled approximately $9.0 million. This lawsuit was settled on March 28, 2002. The principal terms included a payment of $100,000 to Challenger and a license to market and distribute HealthStream’s Core Curriculum live lecture series content in electronic format. The payment was made during April 2002.

We are subject to various other legal proceedings and claims that arise in the ordinary course of our business. In the opinion of management, the ultimate liability with respect to those proceedings and claims will not materially affect our financial position, results of operations, or liquidity.

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Item  2.    Management’s Discussion and Analysis of Financial Condition and Results of Operations

Special Cautionary Notice Regarding Forward-Looking Statements

This Quarterly Report includes various forward-looking statements that are subject to risks and uncertainties. Forward-looking statements include without limitation, statements preceded by, followed by, or that otherwise include the words “believes,” “expects,” “anticipates,” “intends,” “estimates” or similar expressions. For those statements, HealthStream, Inc. claims the protection of the safe harbor for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995.

The following important factors, in addition to those discussed elsewhere in this Quarterly Report, could affect our future financial results and could cause actual results to differ materially from those expressed in forward-looking statements contained in this document:

    our limited operating history;
 
    variability and length of our sales cycle and our product mix;
 
    our ability to attract new customers and to transition customers of our installed learning management products to our Internet-based e-learning products,
 
    our history of losses and expectations of continued losses;
 
    our ability to manage growth;
 
    our ability to successfully implement our operating and growth strategy;
 
    fluctuations in quarterly operating results caused by a variety of factors including the timing of sales and development contracts as well as the adoption of the Internet as a tool for online training and continuing education in the healthcare industry;
 
    our ability to successfully establish and maintain new and existing relationships with content partners; and
 
    global and/or regional economic factors and potential changes in laws and regulations, including, without limitation, changes in federal, state and international laws regulating education, training and Internet transactions.

For additional information concerning risks and uncertainties that may affect our results of operations, please see the risks outlined under the heading “Risk Factors” in our Annual Report on Form 10-K filed with the Securities and Exchange Commission.

Overview

HealthStream was incorporated in 1990 and began marketing its Internet-based solutions in March 1999. We evolved from an initial focus of providing multimedia tools for information dissemination to facilitator of training tools for entities in the healthcare industry.

Revenues from the healthcare organization and professionals business unit (“HCO”) are derived from the following categories: provision of services through our Internet-based e-learning products, content subscriptions, licensing, maintenance and support of installed learning management products, content subscriptions, custom content development, and a variety of online and enduring products. Revenues from the pharmaceutical and medical device business unit (“PMD”) are derived from live event development, coordination, and registration services, Web cast events, online development and training, and other educational and training services.

For additional information concerning revenue recognition, please see the discussion outlined under heading “Management’s Discussion and Analysis of Financial Condition and Results of Operations – Overview and Critical Accounting Policies” and Notes to the Consolidated Financial Statements in our Annual Report on Form 10-K filed with the Securities and Exchange Commission. There have been no changes in the critical accounting policies or the application of such policies since December 31, 2001.

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We have acquired one company since January 1, 2001, de’MEDICI Systems (“de’MEDICI”). On January 26, 2001, we acquired substantially all of the assets of de’MEDICI, a business unit of Lippincott Williams & Wilkins, Inc. for approximately $330,000 in cash and 181,250 shares of our common stock. de’MEDICI provided computer-based education and training to over 230 hospitals and healthcare organizations.

On January 5, 2001, we terminated our prior agreement with WebMD and entered into a new business arrangement. Under the new, non-exclusive three-year agreement, we are a preferred provider of continuing medical education, continuing education and board preparation courses for WebMD’s professional portal. Under this new arrangement, financial consideration is based entirely on revenues generated from the sale of HealthStream’s services to WebMD’s professional portal customers. The arrangement also terminated the lock-up agreement related to 1.1 million shares of HealthStream common stock that WebMD purchased in a private offering just prior to the Company’s IPO. In connection with this termination, we gave WebMD the right to sell the shares back to HealthStream at any time through March 30, 2001. On February 8, 2001, WebMD exercised its right to sell the 1.1 million shares of HealthStream common stock back to the Company at $1.7833 per share. We reacquired the shares on February 16, 2001. In connection with the termination of the prior WebMD agreement, we recognized a gain of $1.5 million representing the reversal of the scheduled $1.5 million fixed payment, which was accrued during the quarter ended September 30, 2000.

Effective October 1, 2001, we entered into a new four-year agreement with HCA Information Technology & Services, Inc. (“HCA”), replacing the prior agreement with Columbia Information Systems, Inc. that had approximately two and one half years remaining. Together with HCA, we mutually agreed to cancel the warrant held by CIS Holdings, Inc., an affiliate of HCA, to purchase our common stock. As a result, we are no longer amortizing the remaining cost of the warrant as a reduction of revenues. Revenues through September 2001, provided under the prior service agreement that included the grant of the warrant to CIS Holdings, Inc., were recognized as services were rendered, net of the amortization of the fair value of the related warrant as a reduction of the revenues proportionately over the term of the four-year agreement.

We expect to continue to generate revenues by marketing our Internet-based products and services to healthcare workers through healthcare organizations. We expect that the portion of our revenues related to services provided via our Internet-based e-learning products will increase. Specifically, we will seek to generate revenues from healthcare workers by marketing to their employers or sponsoring organizations. The transaction fees for courseware resulting from this marketing may either be paid by the employer or sponsoring organization or, in the case of healthcare professionals, may be billed directly to the individual. Our Internet-based e-learning model allows us to host our system in a central data center, therefore eliminating the need for costly onsite installations of our software. Under the Internet-based e-learning model, revenues are generated by charging for use of our courseware on a subscription basis. In addition, we will continue to sell services on our Web site on a transaction basis.

To date, we have incurred substantial costs to develop our technologies, create, license and acquire our content, build brand awareness, develop our infrastructure and expand our business, and have yet to achieve significant revenues or generate positive operating cash flows. As a result, we have incurred operating losses in each fiscal quarter since 1994. We expect operating losses and negative cash flows through at least the next twelve months, as we continue to expand our business and develop synergies with the companies we have acquired. These costs could have a material adverse effect on our future financial condition or operating results. We believe that period-to-period comparisons of our financial results are not necessarily meaningful, and you should not rely upon them as an indication of our future performance.

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Results of Operations

Revenues and Expense Components

The following descriptions of the components of revenues and expenses apply to the comparison of results of operations. As discussed in Note 1 to the Condensed Consolidated Financial Statements, we began producing discrete financial information under two reportable segments during 2001 – healthcare organizations and professionals (“HCO”) and pharmaceutical and medical device companies (“PMD”).

Revenues. Revenues currently consist of the provision of services through our Internet-based e-learning products, the licensing, maintenance and support of our installed learning management products, content subscriptions, online development, Web cast events, event development, coordination, and registration services, online products and commercial support, sale of online enduring products and training services.

Cost of Revenues. Cost of revenues consists primarily of salaries and employee benefits, materials, hosting costs, and other direct expenses associated with revenues as well as royalties paid to content providers and distribution partners based on utilization.

Product Development. Product development expenses consist primarily of salaries and employee benefits, third-party content acquisition costs, costs associated with the development of content and expenditures associated with developing, maintaining, and operating our Web sites, training delivery, and our Internet-based e-learning products.

Sales and Marketing Expenses. Sales and marketing expenses consist primarily of salaries, commissions and employee benefits, travel and lodging, advertising, promotions, and related marketing costs.

Other General and Administrative Expenses. Other general and administrative expenses consist primarily of salaries and employee benefits, facility costs, and fees for professional services.

Depreciation and Amortization. Depreciation and amortization consist of fixed asset depreciation, amortization of intangibles and amortization of content, license fees, and royalties paid to content providers that are of a fixed nature.

Other Income/Expense. The primary component of other expense is interest expense related to capital leases. The primary component of other income is interest income related to interest earned on cash, cash equivalents and investments.

Three Months Ended March 31, 2002 Compared to the Three Months Ended March 31, 2001

Revenues. Revenues increased approximately $0.4 million, or 15.7%, from $3.1 million for the three months ended March 31, 2001 to $3.5 million for the three months ended March 31, 2002. Revenues for 2002 consisted of $2.1 million for HCO and $1.4 million for PMD. In 2001, revenues consisted of $1.7 million for HCO and $1.4 million for PMD. The increase in HCO revenues over 2001 related primarily to $0.5 million growth in our Internet-based e-learning products and $0.4 million related to the cancellation of a warrant to purchase our common stock previously held by HCA, which eliminated the amortization of the warrant value against revenues. These revenue changes were offset by declines in HCO revenues including a $0.4 million reduction in sales of licenses and maintenance fees associated with the installed learning management products consistent with our strategy to transition these customers to our Internet-based e-learning products as well as a $0.1 million reduction in content development services. Our Internet-based e-learning network represented approximately 39% of revenues for the three months ended March 31, 2002 as compared to 22% of revenues for the three months ended March 31, 2001. PMD revenues were comparable between both the three months ended March 31, 2002 and March 31, 2001.

Cost of Revenues. Cost of revenues increased approximately $0.2 million, or 12.6%, from $1.6 million for the three months ended March 31, 2001 to $1.8 million for the three months ended March 31, 2002. The increase resulted primarily from additional personnel expenses associated with the closure of our Raleigh, NC office in March 2002. Cost of revenues as a percentage of revenues decreased from 53.3% for the three months ended March 31, 2001 to 51.8% for the three months ended March 31, 2002, primarily as a result of the growth in HCO revenues. Cost of goods for HCO approximated 33.1% and 49.4% of revenues for the three months ended March 31, 2002 and 2001, respectively. This percentage decreased as a result of the growth in revenues discussed above. Cost of goods for PMD approximated 69.6% and 55.0% of revenues for the three months ended March 31, 2002 and 2001, respectively. This percentage increased in 2002 due to additional personnel expenses and direct costs associated with content development services.

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Product Development. Product development expenses decreased approximately $0.2 million, or 16.2%, from $1.2 million for the three months ended March 31, 2001 to $1.0 million for the three months ended March 31, 2002. The decrease is attributable to a reduction in personnel expenses associated with the development, maintenance, and support of our installed learning management products. Product development expenses as a percentage of revenues decreased from 39.4% for the three months ended March 31, 2001 to 28.5% for the three months ended March 31, 2002. The decrease as a percentage of revenues resulted from lower support costs associated with our installed learning management products as well as lower development costs associated with content and application maintenance. Product development expenses for HCO were comparable for both periods, approximating 33.5% and 34.1% of revenues for the three months ended March 31, 2002 and 2001, respectively. Product development expenses for PMD approximated 8.1% and 16.3% of revenues for the three months ended March 31, 2002 and 2001, respectively. The percentage decreased for PMD in 2002 due to a reduction in personnel expenses and direct costs associated with development of content.

Sales and Marketing Expenses. Sales and marketing expenses, including personnel costs, increased approximately $0.2 million, or 10.9%, to $1.6 million for the three months ended March 31, 2002 from $1.4 million for the three months ended March 31, 2001. This increase resulted from additional personnel expenses and commissions associated with higher new contract values during the three months ended March 31, 2002 when compared to the same period for 2001. These increases were partially offset by reductions in advertising and marketing expenses. Sales and marketing expenses as a percentage of revenues decreased from 46.1% for the three months ended March 31, 2001 to 44.2% for the three months ended March 31, 2002. Sales and marketing expenses for HCO approximated 51.6% and 67.5% for the three months ended March 31, 2002 and 2001, respectively. The percentage decreased for HCO in 2002 due to the growth in revenues discussed above. Sales and marketing expenses for PMD approximated 32.5% and 19.3% of revenues for the three months ended March 31, 2002 and 2001, respectively. The percentage increased for PMD in 2002 due to additional personnel expenses and commissions associated with increases in new contract value during the three months ended March 31, 2002 when compared to the same period for 2001.

Other General and Administrative Expenses. Other general and administrative expenses increased $0.2 million, or 20.2%, from $1.4 million for the three months ended March 31, 2001 to $1.6 million for the three months ended March 31, 2002. Excluding the one-time gain of $1.5 million on the renegotiation of the WebMD agreement during the three months ended March 31, 2001, other general and administrative expenses decreased approximately $1.2 million, or 42.1%, as a result of consolidation of offices and corporate functions. Other general and administrative expenses as a percentage of revenues approximated 46.7% for the three months ended March 31, 2002 and 45.0% for the three months ended March 31, 2001. Other general and administrative expenses for HCO approximated 13.4% and 44.2% of revenues for the three months ended March 31, 2002 and 2001, respectively. The percentage decreased for HCO in 2002 due to the growth in revenues and the consolidation of offices and corporate functions. Other general and administrative expenses for PMD were comparable between 2002 and 2001, approximating 17.3% and 18.3% of revenues for the three months ended March 31, 2002 and 2001, respectively.

Depreciation and Amortization. Depreciation and amortization decreased by approximately $1.2 million, or 51.8%, from $2.4 million for the three months ended March 31, 2001 to approximately $1.2 million for the three months ended March 31, 2002. The decrease is primarily attributable to the elimination of goodwill amortization, which resulted from the implementation of new accounting standards. As discussed in Note 2 to the Condensed Consolidated Financial Statements, pro forma net loss and pro forma net loss per share, adjusted for the elimination of goodwill amortization, resulted in a decrease of approximately $1.3 million for the net loss or $0.07 per share for 2001.

Other Income/Expense. Other income and expense decreased $0.2 million from approximately $0.5 million for the three months ended March 31, 2001 to $0.3 million for the three months ended March 31, 2002 related to a reduction in interest income associated with our investments.

Net Loss. Net loss decreased $1.0 million from $4.4 million for the three months ended March 31, 2001 to $3.4 million for the three months ended March 31, 2002 due to the factors described above.

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Liquidity and Capital Resources

Since our inception, we have financed our operations largely through proceeds from our initial public offering, private placements of equity securities, loans from related parties and, to a lesser extent, from revenues generated from the sale of our products and services.

Net cash used in operating activities was $2.4 million during the three months ended March 31, 2002 and $4.7 million during the three months ended March 31, 2001. Cash used in operating activities during the three months ended March 31, 2002 related to the net loss of $3.4 million, increases in accounts and unbilled receivables, and restricted cash, and decreases in accounts payable, accrued compensation and other liabilities. These operating uses of cash were offset by decreases in interest receivable, increases in registration liabilities and deferred revenue as well as depreciation and amortization. Cash used in operating activities during the three months ended March 31, 2001 related to the net loss of $4.4 million, the non-cash gain on the WebMD renegotiation, increases in prepaid development, prepaid expenses and other current assets, decreases in accounts payable, accrued liabilities and deferred revenue, which were partially offset by increases in depreciation, amortization, and non-cash warrant expense as well as a decrease in interest receivable.

Net cash provided by investing activities was $0.7 million for the three months ended March 31, 2002 while $0.6 million of cash was used in investing activities during the three months ended March 31, 2001. Cash provided by investing activities during the three months ended March 31, 2002 related to the excess of proceeds from sales of investments over purchases of investments of $0.8 million, offset by $0.2 million of cash paid for property and equipment. During the three months ended March 31, 2001, cash outflows related to the purchase of de’MEDICI Systems and the purchase of property and equipment.

Cash used in financing activities was $0.1 million for the three months ended March 31, 2002 and $2.1 million for the three months ended March 31, 2001. During 2002, cash used in financing activities related to payments under capital lease obligations. Cash used in financing activities during the three months ended March 31, 2001 related primarily to $2.0 million for the repurchase of our common stock from WebMD and $0.1 million for payments under capital lease obligations.

As of March 31, 2002, our primary source of liquidity was $24.6 million of cash and cash equivalents, restricted cash, investments and related interest receivable. As of April 30, 2002 we had cash and cash equivalents, restricted cash, investments and related interest receivable of $23.7 million.

We believe that our existing cash and cash equivalents, restricted cash, investments and interest receivable will be sufficient to meet anticipated cash needs for working capital, new product development, capital expenditures and acquisitions for at least the next 12 months. Our growth strategy may also include acquiring companies that complement our products and services. We anticipate that these acquisitions, if any, will be effected through a combination of stock and cash consideration. Failure to generate sufficient cash flow from operations or raise additional capital when required in sufficient amounts and on terms acceptable to us could harm our business, results of operations and financial condition.

Commitments and Contingencies

In connection with our October 2001 agreement with HCA, HCA will pay us minimum revenues of $12.0 million over the four-year term of the agreement.

We also expect to incur additional product development costs, some of which will be capitalized, and we expect that our capital expenditures will be approximately $1.3 to $1.8 million for the remainder of 2002.

Our strategic alliances have typically provided for payments to distribution, content and development partners based on revenues, and we expect to continue similar arrangements in the future. As a result, our commitments for variable payments approximate $50,000 related to agreements under which other companies have agreed to provide content development services for us. In addition to these commitments, our lease obligations for the remainder of 2002 through the end of 2006 total approximately $2.1 million.

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Item  3.    Quantitative and Qualitative Disclosure about Market Risk

We are exposed to market risk from changes in interest rates. We do not have any foreign currency exchange rate risk or commodity price risk. As of March 31, 2002, we had no outstanding indebtedness other than approximately $195,000 of capital lease arrangements. Accordingly, we are not exposed to significant interest rate market risk. We are exposed to market risk with respect to our cash and cash equivalents. At April 30, 2002, we had approximately $23.7 million of cash and cash equivalents, restricted cash, investments and accrued interest that were invested in a combination of short and long-term investments. At this investment level a hypothetical 10% decrease in the interest rate would decrease interest income and increase net loss on an annualized basis by approximately $237,000. At March 31, 2002, the average maturity for our investment portfolio approximated twelve months.

We manage our investment risk by investing in corporate debt securities, foreign corporate debt and secured corporate debt securities with minimum acceptable credit ratings. For certificates of deposit and corporate obligations, ratings must be A2/A or better; A1/P1 or better for commercial paper; A2/A or better for taxable or tax advantaged auction rate securities and AAA or better for tax free auction rate securities. We also require that all securities must mature within 24 months from the original settlement date, the average portfolio shall not exceed 18 months, and the greater of 10% or $5.0 million shall mature within 90 days. Further, our investment policy also limits concentration exposure and other potential risk areas.

The above market risk discussion and the estimated amounts presented are forward-looking statements of market risk assuming the occurrence of certain adverse market conditions. Actual results in the future may differ materially from those projected as a result of actual developments in the market.

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PART II — OTHER INFORMATION

Item  1.    Legal Proceedings.

On November 17, 2000, a complaint was filed by Challenger Corporation (“Challenger”) in the Circuit Court of Tennessee for the Thirtieth Judicial District at Memphis against us, SynQuest Technologies, Inc. (“SynQuest”) and two individual shareholders of SynQuest. The complaint asserted that HealthStream violated the terms of a licensing agreement entered into between HealthStream and the plaintiff and that HealthStream allegedly failed to pay royalties due to the plaintiff pursuant to the terms of that agreement. The plaintiff also alleged that HealthStream induced SynQuest to breach a marketing agreement entered into between SynQuest and the plaintiff. Alternatively, the plaintiff alleged that HealthStream, which purchased certain assets of SynQuest, was liable for SynQuest’s alleged breach of the marketing agreement pursuant to the legal theory of successor liability. The aggregate damages alleged totaled approximately $9.0 million. This lawsuit was settled on March 28, 2002. The principal terms included a payment of $100,000 to Challenger and a license to market and distribute HealthStream’s Core Curriculum live lecture series content in electronic format. The payment was made during April 2002.

We are subject to various other legal proceedings and claims that arise in the ordinary course of our business. In the opinion of management, the ultimate liability with respect to those proceedings and claims will not materially affect our financial position, results of operations, or liquidity.

Item  6.    Exhibits and Reports on Form 8-K.

(a)  Exhibits

       None

(b)  Reports on Form 8-K

       None

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SIGNATURE

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.
 
    By:  /s/ Arthur E. Newman
   
          Arthur E. Newman
          Chief Financial Officer
          May 10, 2002

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