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    HealthStream Announces Second Quarter 2024 Results

    7/22/24 4:30:00 PM ET
    $HSTM
    Computer Software: Programming Data Processing
    Technology
    Get the next $HSTM alert in real time by email

    HealthStream, Inc. (the "Company") (NASDAQ:HSTM), a leading healthcare technology platform for workforce solutions, announced today results for the second quarter ended June 30, 2024.

    Second Quarter 2024

    • Revenues of $71.6 million in the second quarter of 2024, up 3.4% from $69.2 million in the second quarter of 2023
    • Operating income of $4.4 million in the second quarter of 2024, up 10.1% from $4.0 million in the second quarter of 2023
    • Net income of $4.2 million in the second quarter of 2024, up 0.8% from $4.1 million in the second quarter of 2023
    • Earnings per share (EPS) of $0.14 per share (diluted) in the second quarter of 2024, up from $0.13 per share (diluted) in the second quarter of 2023
    • Adjusted EBITDA1 of $15.8 million in the second quarter of 2024, up 3.3% from $15.3 million in the second quarter of 2023
    • A charge associated with a customer bankruptcy negatively impacted operating income by $1.0 million, net income by $0.8 million, EPS by $0.02 (diluted), and adjusted EBITDA by $1.0 million in the second quarter of 2024
    • Board of Directors declared a quarterly cash dividend of $0.028 per share, payable on August 16, 2024 to holders of record on August 5, 2024

    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.

    Financial Results:

    Second Quarter 2024 Compared to Second Quarter 2023

    Revenues for the second quarter of 2024 increased by $2.4 million, or 3.4%, to $71.6 million, compared to $69.2 million for the second quarter of 2023. Subscription revenues increased $2.5 million, or 3.8%, and professional services revenues declined by $0.1 million, or 5.5%, compared to the second quarter of 2023.

    Operating income was $4.4 million for the second quarter of 2024, up 10.1% from $4.0 million in the second 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, which were partially offset by the $1.0 million charge associated with the bankruptcy of a single customer as referenced above as well as increases in software, labor costs, and amortization expenses.

    Net income was $4.2 million in the second quarter of 2024, up 0.8% from $4.1 million in the second quarter of 2023, and EPS was $0.14 per share (diluted) in the second quarter of 2024, up from $0.13 per share (diluted) in the second quarter of 2023.

    Adjusted EBITDA was $15.8 million for the second quarter of 2024, up 3.3% from $15.3 million in the second quarter of 2023.

    A charge associated with the customer bankruptcy referenced above negatively impacted operating income by $1.0 million, net income by $0.8 million, EPS by $0.02 (diluted), and adjusted EBITDA by $1.0 million in the second quarter of 2024.

    At June 30, 2024, the Company had cash and cash equivalents and marketable securities of $83.0 million. The Company does not have any outstanding indebtedness for borrowed money. Capital expenditures incurred during the second quarter of 2024 were $6.9 million.

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

    For the six months ended June 30, 2024, revenues were $144.3 million, an increase of 4.5% over revenues of $138.1 million for the first six months of 2023. Operating income for the first six months of 2024 increased by 46.4% to $10.1 million, compared to $6.9 million for the first six months of 2023. The increase in operating income was primarily attributable to higher revenues, a decrease in labor costs (primarily resulting from the absence of restructuring charges incurred during the six months ended June 30, 2024 in connection with the Company's 2023 restructuring under a single platform strategy), 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 the customer bankruptcy discussed above, amortization, cloud hosting, general marketing, and travel expenses. Net income for the first six months of 2024 increased to $9.4 million, compared to $6.8 million for the first six months of 2023. Earnings per share were $0.31 per share (diluted) for the first six months of 2024, compared to $0.22 per share (diluted) for the first six months of 2023. Adjusted EBITDA increased by 13.2% to $32.9 million for the first six months of 2024, compared to $29.1 million for the first six months of 2023.

    Other Business Updates

    On July 22, 2024, the Board approved a quarterly cash dividend under the Company's dividend policy of $0.028 per share, payable on August 16, 2024 to holders of record on August 5, 2024.

    Financial Outlook for 2024

    The Company is updating its guidance for 2024 for certain of the measures set forth below. In addition, the Company is including projected net income for 2024 in its guidance as 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

     

    $

    292.0

     

    -

     

     

    $

    296.0

     

    million

     

     

     

     

     

     

     

     

     

     

     

     

    Net Income

     

    $

    16.7

     

    -

     

     

    $

    18.6

     

    million

     

     

     

     

     

     

     

     

     

     

     

     

    Adjusted EBITDA1

     

    $

    64.5

     

    -

     

     

    $

    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.

    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.

    "Second quarter 2024 revenues, operating income, and adjusted EBITDA all showed year-over-year growth, which was achieved amidst a couple of unique, one-time customer events presenting headwinds in the quarter," said Robert A. Frist, Jr., Chief Executive Officer, HealthStream. "With strong sales at the end of the second quarter and a solid sales pipeline, our confidence is reinforced in finishing the year with sequential growth and within our guidance range."

    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, July 23, 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/nvbfharo. To participate via telephone, please register in advance using this link https://register.vevent.com/register/BI26a9c0161c8a4eb78840c47da97b3936. 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.

    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, INC.

    Condensed Consolidated Statements of Income

    (In thousands, except per share data)

    (Unaudited)

     

     

     

    Three Months Ended

     

     

    Six Months Ended

     

     

     

    June 30,

    2024

     

     

    June 30,

    2023

     

     

    June 30,

    2024

     

     

    June 30,

    2023

     

    Revenues, net

     

    $

    71,556

     

     

    $

    69,198

     

     

    $

    144,316

     

     

    $

    138,144

     

    Operating costs and expenses:

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Cost of revenues (excluding depreciation and amortization)

     

     

    23,738

     

     

     

    23,567

     

     

     

    48,355

     

     

     

    47,424

     

    Product development

     

     

    12,076

     

     

     

    11,031

     

     

     

    24,107

     

     

     

    22,711

     

    Sales and marketing

     

     

    11,405

     

     

     

    11,307

     

     

     

    23,179

     

     

     

    23,035

     

    Other general and administrative expenses

     

     

    9,556

     

     

     

    9,063

     

     

     

    17,868

     

     

     

    17,927

     

    Depreciation and amortization

     

     

    10,370

     

     

     

    10,222

     

     

     

    20,706

     

     

     

    20,148

     

    Total operating costs and expenses

     

     

    67,145

     

     

     

    65,190

     

     

     

    134,215

     

     

     

    131,245

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Operating income

     

     

    4,411

     

     

     

    4,008

     

     

     

    10,101

     

     

     

    6,899

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Other income, net

     

     

    889

     

     

     

    492

     

     

     

    1,741

     

     

     

    742

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Income before income tax provision

     

     

    5,300

     

     

     

    4,500

     

     

     

    11,842

     

     

     

    7,641

     

    Income tax provision

     

     

    1,132

     

     

     

    367

     

     

     

    2,448

     

     

     

    885

     

    Net income

     

    $

    4,168

     

     

    $

    4,133

     

     

    $

    9,394

     

     

    $

    6,756

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Net income per share:

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Basic

     

    $

    0.14

     

     

    $

    0.13

     

     

    $

    0.31

     

     

    $

    0.22

     

    Diluted

     

    $

    0.14

     

     

    $

    0.13

     

     

    $

    0.31

     

     

    $

    0.22

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Weighted average shares of common stock outstanding:

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Basic

     

     

    30,401

     

     

     

    30,684

     

     

     

    30,357

     

     

     

    30,638

     

    Diluted

     

     

    30,526

     

     

     

    30,775

     

     

     

    30,472

     

     

     

    30,717

     

    Dividends declared per share

     

    $

    0.028

     

     

    $

    0.025

     

     

    $

    0.056

     

     

    $

    0.050

     

    HEALTHSTREAM, INC.

    Condensed Consolidated Balance Sheets

    (In thousands)

    (Unaudited)

     

     

    June 30,

     

    December 31,

     

    2024

    2023

     

    ASSETS

     

     

     

     

     

     

     

     

    Current assets:

     

     

     

     

     

     

     

     

    Cash and cash equivalents

     

    $

    46,131

     

     

    $

    40,333

     

    Marketable securities

     

     

    36,869

     

     

     

    30,800

     

    Accounts and unbilled receivables, net

     

     

    36,195

     

     

     

    38,446

     

    Prepaid and other current assets

     

     

    19,917

     

     

     

    20,631

     

    Total current assets

     

     

    139,112

     

     

     

    130,210

     

     

     

     

     

     

     

     

     

     

    Capitalized software development, net

     

     

    41,540

     

     

     

    40,643

     

    Property and equipment, net

     

     

    11,880

     

     

     

    13,005

     

    Operating lease right of use assets, net

     

     

    18,842

     

     

     

    20,114

     

    Goodwill and intangible assets, net

     

     

    252,140

     

     

     

    259,410

     

    Deferred commissions

     

     

    31,377

     

     

     

    31,700

     

    Other assets

     

     

    4,664

     

     

     

    4,860

     

    Total assets

     

    $

    499,555

     

     

    $

    499,942

     

     

     

     

     

     

     

     

     

     

    LIABILITIES AND SHAREHOLDERS' EQUITY

     

     

     

     

     

     

     

     

    Current liabilities:

     

     

     

     

     

     

     

     

    Accounts payable, accrued, and other liabilities

     

    $

    24,996

     

     

    $

    34,738

     

    Deferred revenue

     

     

    86,887

     

     

     

    83,623

     

    Total current liabilities

     

     

    111,883

     

     

     

    118,361

     

    Deferred tax liabilities

     

     

    15,568

     

     

     

    16,132

     

    Deferred revenue, noncurrent

     

     

    1,891

     

     

     

    2,169

     

    Operating lease liability, noncurrent

     

     

    18,780

     

     

     

    20,247

     

    Other long-term liabilities

     

     

    2,219

     

     

     

    2,281

     

    Total liabilities

     

     

    150,341

     

     

     

    159,190

     

     

     

     

     

     

     

     

     

     

    Shareholders' equity:

     

     

     

     

     

     

     

     

    Common stock

     

     

    250,368

     

     

     

    249,075

     

    Accumulated other comprehensive loss

     

     

    (1,217

    )

     

     

    (691

    )

    Retained earnings

     

     

    100,063

     

     

     

    92,368

     

    Total shareholders' equity

     

     

    349,214

     

     

     

    340,752

     

    Total liabilities and shareholders' equity

     

    $

    499,555

     

     

    $

    499,942

     

     

    HEALTHSTREAM, INC.

    Condensed Consolidated Statements of Cash Flows

    (In thousands)

    (Unaudited)

     

     

     

    Six Months Ended

     

     

     

    June 30,

     

     

    June 30,

     

     

     

    2024

     

     

    2023

     

    Operating activities:

     

     

     

     

     

     

     

     

    Net income

     

    $

    9,394

     

     

    $

    6,756

     

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

     

     

     

     

     

     

     

     

    Depreciation and amortization

     

     

    20,706

     

     

     

    20,148

     

    Stock-based compensation

     

     

    2,154

     

     

     

    2,038

     

    Amortization of deferred commissions

     

     

    5,956

     

     

     

    5,464

     

    Deferred income taxes

     

     

    (542

    )

     

     

    (490

    )

    Provision for credit losses

     

     

    1,802

     

     

     

    371

     

    Loss on equity method investments

     

     

    82

     

     

     

    241

     

    Other

     

     

    (746

    )

     

     

    (342

    )

    Changes in assets and liabilities:

     

     

     

     

     

     

     

     

    Accounts and unbilled receivables

     

     

    449

     

     

     

    1,460

     

    Prepaid and other assets

     

     

    (5,569

    )

     

     

    (8,733

    )

    Accounts payable, accrued, and other liabilities

     

     

    (9,282

    )

     

     

    (3,042

    )

    Deferred revenue

     

     

    2,985

     

     

     

    1,618

     

    Net cash provided by operating activities

     

     

    27,389

     

     

     

    25,489

     

     

     

     

     

     

     

     

     

     

    Investing activities:

     

     

     

     

     

     

     

     

    Business combinations, net of cash acquired

     

     

    —

     

     

    (6,621

    )

    Changes in marketable securities

     

     

    (5,330

    )

     

     

    (21,983

    )

    Proceeds from sale of non-marketable equity investments

     

     

    765

     

     

     

    —

     

    Purchases of property and equipment

     

     

    (914

    )

     

     

    (1,382

    )

    Payments associated with capitalized software development

     

     

    (13,552

    )

     

     

    (13,309

    )

    Net cash used in investing activities

     

     

    (19,031

    )

     

     

    (43,295

    )

     

     

     

     

     

     

     

     

     

    Financing activities:

     

     

     

     

     

     

     

     

    Taxes paid related to net settlement of equity awards

     

     

    (861

    )

     

     

    (797

    )

    Payment of cash dividends

     

     

    (1,700

    )

     

     

    (1,534

    )

    Net cash used in financing activities

     

     

    (2,561

    )

     

     

    (2,331

    )

     

     

     

     

     

     

     

     

     

    Effect of exchange rate changes on cash and cash equivalents

     

     

    1

     

     

    (81

    )

    Net increase (decrease) in cash and cash equivalents

     

     

    5,798

     

     

    (20,218

    )

    Cash and cash equivalents at beginning of period

     

     

    40,333

     

     

     

    46,023

     

    Cash and cash equivalents at end of period

     

    $

    46,131

     

     

    $

    25,805

     

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

    Operating Results Summary

    (In thousands)

    (Unaudited)

     

     

     

    Three Months Ended June 30,

     

     

    Six Months Ended June 30,

     

     

     

    2024

     

     

    2023

     

     

    2024

     

     

    2023

     

    GAAP net income

     

    $

    4,168

     

     

    $

    4,133

     

     

    $

    9,394

     

     

    $

    6,756

     

    Deferred revenue write-down

     

     

    —

     

     

     

    48

     

     

     

    —

     

     

     

    98

     

    Interest income

     

     

    (944

    )

     

     

    (550

    )

     

     

    (1,848

    )

     

     

    (913

    )

    Interest expense

     

     

    25

     

     

     

    33

     

     

     

    49

     

     

     

    65

     

    Income tax provision

     

     

    1,132

     

     

     

    367

     

     

     

    2,448

     

     

     

    885

     

    Stock-based compensation expense

     

     

    1,094

     

     

     

    1,093

     

     

     

    2,154

     

     

     

    2,038

     

    Depreciation and amortization

     

     

    10,370

     

     

     

    10,222

     

     

     

    20,706

     

     

     

    20,148

     

    Adjusted EBITDA

     

    $

    15,845

     

     

    $

    15,346

     

     

    $

    32,903

     

     

    $

    29,077

     

     

    (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.

    Reconciliation of GAAP to Non-GAAP Financial Measures

    Financial Outlook for 2024

    (In thousands)

    (Unaudited)

     

     

     

    Low

     

     

    High

     

    Net income

     

    $

    16,700

     

     

    $

    18,600

     

    Interest income

     

     

    (3,200

    )

     

     

    (3,300

    )

    Interest expense

     

     

    100

     

     

     

    100

     

    Income tax provision

     

     

    4,700

     

     

     

    5,300

     

    Stock-based compensation expense

     

     

    4,500

     

     

     

    4,700

     

    Depreciation and amortization

     

     

    41,700

     

     

     

    42,100

     

    Adjusted EBITDA

     

    $

    64,500

     

     

    $

    67,500

     

    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 management's beliefs, as well as assumptions made by and data currently available to management. This information has been, or in the future may be, included in reliance on the "safe harbor" provisions of the Private Securities Litigation Reform Act of 1995. 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 Company's Annual Report on Form 10-K for the year ended December 31, 2023, filed on February 26, 2024, and in the Company's 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 Company's future results are beyond the ability of the Company to control or predict. Readers should not place undue reliance on forward-looking statements, which reflect management's views only as of the date hereof. The Company undertakes no obligation to update or revise any such forward-looking statements.

    View source version on businesswire.com: https://www.businesswire.com/news/home/20240722762541/en/

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