HealthStream Announces Third Quarter 2020 Results

·18-min read

HealthStream, Inc. (Nasdaq: HSTM), a leading provider of workforce and provider solutions for the healthcare industry, announced today results for the third quarter ended September 30, 2020. In this earnings release, results for the three and nine months ended September 30, 2020 are presented for continuing operations only, as our results for the three and nine months ended September 30, 2019 reflect a gain on the sale of our previously divested Patient Experience business included in discontinued operations.

Third Quarter 2020

  • Revenues of $60.9 million in the third quarter of 2020, down 3% from $62.5 million in the third quarter of 2019.

  • Operating income of $3.1 million in the third quarter of 2020, down 16% from $3.7 million in the third quarter of 2019.

  • Income from continuing operations of $2.6 million in the third quarter of 2020, down 24% from $3.5 million in the third quarter of 2019.

  • Earnings per share (EPS) from continuing operations of $0.08 per share (diluted) in the third quarter of 2020 down from $0.11 per share (diluted) in the third quarter of 2019.

  • Adjusted EBITDA1 from continuing operations of $11.1 million in the third quarter of 2020, down 3% from $11.5 million in the third quarter of 2019.

Fourth Quarter 2020 Event

  • On October 12, 2020, we acquired ShiftWizard, Inc., which provides a SaaS-based solution that integrates key workforce management capabilities, including scheduling, productivity, and forecasting.

Financial Results:
Third Quarter 2020 Compared to Third Quarter 2019
Revenues for the third quarter of 2020 decreased by $1.6 million, or 3 percent, to $60.9 million, compared to $62.5 million for the third quarter of 2019.

Revenues from our Workforce Solutions segment were $49.2 million for the third quarter of 2020, compared to $51.0 million for the third quarter of 2019. The decrease in revenues from legacy resuscitation products drove this decline, as such products were $9.7 million in the third quarter of 2020 compared to $13.4 million in the third quarter of 2019, a decrease of $3.7 million. Other workforce revenues increased by $1.9 million, or five percent, and included growth in platform and content subscriptions of $2.6 million, or 7 percent, offset by a decline in professional services revenues of $0.7 million, or 43 percent.

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

Revenues from our Provider Solutions segment were $11.7 million for the third quarter of 2020, compared to $11.4 million for the third quarter of 2019. Revenue growth of $0.3 million was primarily attributable to revenues from the CredentialMyDoc acquisition, which was completed in December 2019.

Operating income was $3.1 million for the third quarter of 2020 compared to $3.7 million from the third quarter of 2019. The reduction in operating income resulted primarily from higher product development expense, due diligence costs, and higher amortization associated with increased capitalized software and additions to acquired intangibles. In addition, results for the third quarter of 2020 included a $1.9 million compensation charge for a supplemental payroll payment to our employees (excluding executive officers) to offset the impact of 2020 salary increases that were foregone as a result of the earlier expense management measures as well as an increase to the 401k match for all of our employees by one percent, both of which reward employees for their numerous contributions during these unprecedented times. Partially offsetting these expense increases was a reduction in employee travel of $1.2 million as a result of the COVID-19 pandemic.

Income from continuing operations was $2.6 million in the third quarter of 2020, down 24 percent from $3.5 million in the third quarter of 2019, and EPS from continuing operations was $0.08 per share (diluted) in the third quarter of 2020, compared to $0.11 per share (diluted) for the third quarter of 2019.

Adjusted EBITDA from continuing operations was $11.1 million for the third quarter of 2020, down 3 percent from $11.5 million in the third quarter of 2019.

At September 30, 2020, the Company had cash and cash equivalents and marketable securities of $149.7 million. Capital expenditures incurred during the third quarter of 2020 were $5.2 million.

Year-to-Date 2020 Compared to Year-to-Date 2019
For the first nine months of 2020, revenues were $183.0 million, a decrease of 4 percent over revenues of $191.4 million for the first nine months of 2019. Operating income for the first nine months of 2020 increased by 29 percent to $14.7 million, compared to $11.4 million for the first nine months of 2019. Income from continuing operations for the first nine months of 2020 was $13.2 million, up 24 percent from $10.6 million for the first nine months of 2019. Earnings per share from continuing operations were $0.41 per share (diluted) for the first nine months of 2020, compared to $0.33 per share (diluted) for the first nine months of 2019. Net income for the first nine months of 2020 increased to $13.2 million, compared to $12.1 million for the first nine months of 2019. Earnings per share were $0.41 per share (diluted) for the first nine months of 2020, compared to $0.37 per share (diluted) for the first nine months of 2019. Adjusted EBITDA from continuing operations decreased by 2 percent to $34.9 million for the first nine months of 2020, compared to $35.7 million for the first nine months of 2019. Adjusted EBITDA (from continuing and discontinued operations) decreased to $34.9 million for the first nine months of 2020, compared to $37.7 million for the first nine months of 2019.

Other Business Updates
At September 30, 2020, we had approximately 3.82 million contracted subscriptions to hStream™, our Platform-as-a-Service technology. hStream technology enables healthcare organizations and their respective workforces to easily connect to and gain value from the growing HealthStream ecosystem of applications, tools, and content.

On March 13, 2020, the Company’s Board of Directors authorized a share repurchase program to repurchase up to $30.0 million of outstanding shares of common stock. Pursuant to this authorization the Company acquired shares valued at $6.3 million in the third quarter, for a total amount repurchased of $16.3 million through the end of the third quarter, and may continue to make such purchases in the open market through privately negotiated transactions or otherwise, including under a Rule 10b5-1 plan. The share repurchase program will terminate on the earlier of March 12, 2021 or when the maximum dollar amount has been expended. The share repurchase program does not require the Company to acquire any amount of shares and may be suspended or discontinued at any time.

Fourth Quarter 2020 Event
On October 12, 2020, the Company acquired ShiftWizard, Inc., a Raleigh, North Carolina-based company focused on providing a SaaS-based solution that integrates key workforce management capabilities, including scheduling, productivity, and forecasting, for approximately $32.0 million in cash, subject to working capital and other customary purchase price adjustments. This acquisition adds a new enterprise solution to the Company’s workforce offerings supporting healthcare professionals and their management in effective staff scheduling—where administrative work is reduced, cost-savings are gained, and productivity data is made readily accessible to managers.

Financial Outlook for 2020
The Company continues to believe that the extent, timing, and duration of COVID-19’s negative impact on its operating results and financial condition will be driven by many factors, including the length and severity of the COVID-19 pandemic and the impact of the pandemic on economic activity, particularly with respect to healthcare organizations. As a result of the unpredictable and evolving environment related to the COVID-19 pandemic, the Company is not providing 2020 guidance in this earnings release.

"Having completed our acquisition of ShiftWizard in October, we are pleased to welcome ShiftWizard customers and employees to HealthStream," said Robert A. Frist, Jr., Chief Executive Officer, HealthStream. "We look forward to investing in and working to grow our market presence for all of our product portfolios, including our new scheduling management solution from ShiftWizard."

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 Corporate Communications, will be held on Tuesday, October 27, 2020, at 9:00 a.m. (ET). To listen to the conference, please dial 877-647-2842 (no conference ID needed) if you are calling within the domestic U.S. or Canada. If you are an international caller, please dial 914-495-8564 (no conference ID needed). The conference may also be accessed by going to http://ir.healthstream.com/events.cfm for the simultaneous Webcast of the call, which will subsequently be available for replay. The replay telephone numbers are 855-859-2056 (conference ID #4165394) for U.S. and Canadian callers and 404-537-3406 (conference ID #4165394) for international callers.

Use of Non-GAAP Financial Measures
This press release presents adjusted EBITDA from continuing operations and adjusted EBITDA, both of which are non-GAAP financial measures 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, changes in fair value of non-marketable equity investments, and the de-recognition of non-cash royalty expense resulting from our resolution of a mutual disagreement related to various elements of a past partnership which resulted in a reduction to cost of sales in the first quarter of 2020 ("adjusted EBITDA") is a useful measure for evaluating the operating performance of the Company because adjusted EBITDA reflects net income adjusted for certain non-cash and non-operating items. Management also believes that adjusted EBITDA from continuing operations is a useful measure for evaluating the operating performance of the Company because such measure excludes the results of operations of the PX business that we no longer own and the gain on sale in connection with the sale of such business in February 2018 and thus reflects the Company’s ongoing business operations and assists in comparing the Company’s results of operations between periods. We also believe that adjusted EBITDA and adjusted EBITDA from continuing operations are useful to many investors to assess the Company’s ongoing results from current operations. Adjusted EBITDA and adjusted EBITDA from continuing operations are non-GAAP financial measures and should not be considered as measures of financial performance under GAAP. Because adjusted EBITDA and adjusted EBITDA from continuing operations are not measurements determined in accordance with GAAP, such non-GAAP financial measures are susceptible to varying calculations. Accordingly, adjusted EBITDA and adjusted EBITDA from continuing operations, as presented, may not be comparable to other similarly titled measures of other companies and have limitations as analytical tools.

These non-GAAP financial measures should not be considered a substitute for, or superior to, measures of financial performance, which are prepared in accordance with GAAP, and may be different from non-GAAP financial measures used by other companies. Investors are encouraged to review the reconciliations of our GAAP to non-GAAP financial measures, which are set forth below in this release.

About HealthStream
HealthStream (Nasdaq: HSTM) is dedicated to improving patient outcomes through the development of healthcare organizations’ greatest asset: their people. Our unified suite of solutions is contracted by healthcare organizations across the U.S. for workforce development, training & learning management, talent management, credentialing, privileging, provider enrollment, performance assessment, and managing simulation-based education programs. Based in Nashville, Tennessee, HealthStream has additional offices in Jericho, New York; Boulder, Colorado; Denver, Colorado; San Diego, California; Chicago, Illinois; Portland, Oregon; and Raleigh, North Carolina. For more information, visit http://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

Nine Months Ended

September 30,
2020

September 30,
2019

September 30,
2020

September 30,
2019

Revenues, net

$

60,883

$

62,450

$

183,008

$

191,417

Operating costs and expenses:

Cost of revenues (excluding depreciation and amortization)

23,302

25,348

66,596

79,015

Product development

8,192

7,195

23,491

21,763

Sales and marketing

8,863

9,003

26,286

28,343

Other general and administrative expenses

9,986

10,007

29,949

30,283

Depreciation and amortization

7,406

7,149

22,005

20,629

Total operating costs and expenses

57,749

58,702

168,327

180,033

Operating income

3,134

3,748

14,681

11,384

Other income, net

100

853

2,006

2,528

Income from continuing operations before income tax provision

3,234

4,601

16,687

13,912

Income tax provision

600

1,140

3,519

3,270

Income from continuing operations

2,634

3,461

13,168

10,642

Discontinued operations:

Gain on sale of discontinued operations

340

1,960

Income tax provision

89

515

Income from discontinued operations

251

1,445

Net income

$

2,634

$

3,712

$

13,168

$

12,087

Net income per share – basic:

Continuing operations

$

0.08

$

0.11

$

0.41

$

0.33

Discontinued operations

0.04

Net income per share - basic

$

0.08

$

0.11

$

0.41

$

0.37

Net income per share - diluted:

Continuing operations

$

0.08

$

0.11

$

0.41

$

0.33

Discontinued operations

0.04

Net income per share - diluted

$

0.08

$

0.11

$

0.41

$

0.37

Weighted average shares of common stock outstanding:

Basic

31,955

32,376

32,095

32,369

Diluted

31,981

32,437

32,121

32,416

HEALTHSTREAM, INC.

Condensed Consolidated Balance Sheets

(In thousands)

(Unaudited)

September 30,

December 31,

2020

2019

ASSETS

Current assets:

Cash and cash equivalents

$

107,007

$

131,538

Marketable securities

42,666

41,328

Accounts and unbilled receivables, net

30,305

30,376

Prepaid and other current assets

19,119

21,330

Total current assets

199,097

224,572

Capitalized software development, net

24,679

21,445

Property and equipment, net

21,793

26,065

Operating lease right of use assets, net

27,707

29,615

Goodwill and intangible assets, net

177,773

162,277

Deferred tax assets

269

269

Deferred commissions

17,783

17,645

Other assets

7,456

7,656

Total assets

$

476,557

$

489,544

LIABILITIES AND SHAREHOLDERS’ EQUITY

Current liabilities:

Accounts payable, accrued and other liabilities

$

32,404

$

39,674

Deferred revenue

62,610

65,511

Total current liabilities

95,014

105,185

Deferred tax liabilities

13,394

13,183

Deferred revenue, non-current

1,751

1,918

Operating lease liability, noncurrent

28,665

30,733

Other long-term liabilities

1,468

357

Total liabilities

140,292

151,376

Shareholders’ equity:

Common stock

274,905

290,021

Accumulated other comprehensive income

6

4

Retained earnings

61,354

48,143

Total shareholders’ equity

336,265

338,168

Total liabilities and shareholders' equity

$

476,557

$

489,544

HEALTHSTREAM, INC.

Condensed Consolidated Statements of Cash Flows

(In thousands)

(Unaudited)

Nine Months Ended

September 30,

September 30,

2020

2019

Operating activities:

Net income

$

13,168

$

12,087

Income from discontinued operations

(1,445

)

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

Depreciation and amortization

22,005

20,629

Stock based compensation

1,665

3,643

Amortization of deferred commissions

6,555

6,269

Deferred income taxes

2,330

1,803

Provision for doubtful accounts

160

99

Loss (gain) on equity method investments

8

(87

)

Non-cash royalty expense

(3,440

)

Change in fair value of non-marketable equity investments

(1,181

)

Other

321

(101

)

Changes in assets and liabilities:

Accounts and unbilled receivables

(9

)

13,624

Prepaid and other assets

(4,019

)

108

Accounts payable, accrued and other liabilities

(3,668

)

(1,629

)

Deferred revenue

(3,142

)

(2,453

)

Net cash provided by operating activities

30,753

52,547

Investing activities:

Business combinations, net of cash acquired

(21,449

)

(18,018

)

Proceeds from sale of discontinued operations

6,035

Changes in marketable securities

(1,656

)

(4,105

)

Proceeds from sale of fixed assets

13

Payments to acquire non-marketable equity investments

(1,257

)

(3,342

)

Purchases of property and equipment

(1,734

)

(21,451

)

Payments associated with capitalized software development

(12,366

)

(11,179

)

Net cash used in investing activities

(38,462

)

(52,047

)

Financing activities:

Proceeds from exercise of stock options

214

Taxes paid related to net settlement of equity awards

(429

)

(1,030

)

Payment of earn-outs related to prior acquisitions

(38

)

Repurchases of common stock

(16,352

)

Payment of cash dividends

(40

)

(53

)

Net cash used in financing activities

(16,821

)

(907

)

Effect of exchange rate changes on cash and cash equivalents

(1

)

Net decrease in cash and cash equivalents

(24,531

)

(407

)

Cash and cash equivalents at beginning of period

131,538

134,321

Cash and cash equivalents at end of period

$

107,007

$

133,914

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

(In thousands)

(Unaudited)

Three Months Ended
September 30,

Nine Months Ended
September 30,

2020

2019

2020

2019

GAAP income from continuing operations

$

2,634

$

3,461

$

13,168

$

10,642

Interest income

(88

)

(864

)

(919

)

(2,538

)

Interest expense

26

26

76

77

Income tax provision

600

1,140

3,519

3,270

Stock based compensation expense

557

569

1,665

3,643

Depreciation and amortization

7,406

7,149

22,005

20,629

Change in fair value of non-marketable equity investments

(1,181

)

Non-cash royalty expense

(3,440

)

Adjusted EBITDA from continuing operations

$

11,135

$

11,481

$

34,893

$

35,723

GAAP net income

$

2,634

$

3,712

$

13,168

$

12,087

Interest income

(88

)

(864

)

(919

)

(2,538

)

Interest expense

26

26

76

77

Income tax provision

600

1,229

3,519

3,785

Stock based compensation expense

557

569

1,665

3,643

Depreciation and amortization

7,406

7,149

22,005

20,629

Change in fair value of non-marketable equity investments

(1,181

)

Non-cash royalty expense

(3,440

)

Adjusted EBITDA

$

11,135

$

11,821

$

34,893

$

37,683

(1) This press release contains certain non-GAAP financial measures, including adjusted EBITDA and adjusted EBITDA from continuing operations, which are used by management in analyzing its financial results and ongoing operational performance.

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 2020 as well as the anticipated impact of the COVID-19 pandemic on our financial results, 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, without limitation, as the result of developments related to the COVID-19 pandemic, such as the length and severity of the pandemic; the timing and availability of medical treatments and vaccines with respect to COVID-19; business and economic conditions resulting from the pandemic; the impact on the pandemic on healthcare organizations; measures we are taking to respond to the pandemic; the impact of governmental action and regulation in connection with the pandemic (including the CARES Act); the timing and availability of effective medical treatments and vaccines; potential workforce disruptions; and the disruption in capital and financial markets; as well as risks referenced in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019, filed on February 26, 2020 and the Company’s Quarterly Reports on Form 10-Q for the three months ended March 31, 2020 filed on April 30, 2020 and for the three and six months ended June 30, 2020 filed on July 30, 2020, 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/20201026005708/en/

Contacts

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