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HealthStream Announces First Quarter 2024 Results

NASHVILLE, Tenn., April 22, 2024 (BUSINESS WIRE) --
HealthStream, Inc. (the "Company") (Nasdaq: HSTM), a leading healthcare technology platform for workforce solutions, announced today results for the first quarter ended March 31, 2024.

First Quarter 2024

Revenues of $72.8 million in the first quarter of 2024, up 6% from $68.9 million in the first quarter of 2023 Operating income of $5.7 million in the first quarter of 2024, up 97% from $2.9 million in the first quarter of 2023 Net income of $5.2 million in the first quarter of 2024, up 99% from $2.6 million in the first quarter of 2023 Earnings per share (EPS) of $0.17 per share (diluted) in the first quarter of 2024, up from $0.09 per share (diluted) in the first quarter of 2023 Adjusted EBITDA(1) of $17.1 million in the first quarter of 2024, up 24% from $13.7 million in the first quarter of 2023 Board of Directors declared a quarterly cash dividend of $0.028 per share, payable on May 17, 2024 to holders of record on May 6, 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: First Quarter 2024 Compared to First Quarter 2023 Revenues for the first quarter of 2024 increased by $3.8 million, or six percent, to $72.8 million, compared to $68.9 million for the first quarter of 2023. Subscription revenues increased $4.2 million, or six percent, and professional services revenues declined by $0.4 million.

Operating income was $5.7 million for the first quarter of 2024, up 97 percent from $2.9 million in the first quarter of 2023. The improvement in operating income was primarily attributable to increased revenues, a reduction in labor costs (primarily resulting from $1.0 million of severance charges incurred during the first quarter of 2023 in connection with the Company's restructuring under a single platform strategy), a decrease in professional fees, and an increase in capitalized labor associated with software development activities, which were partially offset by increases in software, cloud hosting expenses, royalties, amortization, and general marketing expenses.

Net income was $5.2 million in the first quarter of 2024, up 99 percent from $2.6 million in the first quarter of 2023, and EPS was $0.17 per share (diluted) in the first quarter of 2024, up from $0.09 per share (diluted) in the first quarter of 2023. Net income and EPS for the first quarter of 2023 were negatively impacted by severance charges recognized in the amounts of $0.8 million and $0.03 per share (diluted), respectively, in connection with the 2023 restructuring discussed above.

Adjusted EBITDA was $17.1 million for the first quarter of 2024, up 24 percent from $13.7 million in the first quarter of 2023.

At March 31, 2024, the Company had cash and cash equivalents and marketable securities of $83.7 million. The Company does not have any outstanding indebtedness for borrowed money. Capital expenditures incurred during the first quarter of 2024 were $6.9 million.

Other Business Updates On September 13, 2023, the Company announced a share repurchase program under which the Company was authorized to repurchase up to $10.0 million of its outstanding shares of common stock. Pursuant to this authorization, the Company repurchased shares valued at an aggregate of $8.9 million, with no shares repurchased during the three months ended March 31, 2024. The program expired on March 31, 2024.

On April 22, 2024, the Board approved a quarterly cash dividend under the Company's dividend policy of $0.028 per share, payable on May 17, 2024 to holders of record on May 6, 2024.

Financial Outlook for 2024 The Company reaffirms its guidance for 2024 for the measures set forth below as previously announced on February 19, 2024. 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
                         
Adjusted EBITDA(1)     $                                    64.5               -              $                                    67.5   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.

Commenting on first quarter 2024 results, Robert A. Frist, Jr., Chief Executive Officer, HealthStream, said, "We were pleased to achieve record quarterly revenues, record adjusted EBITDA, and a strong quarter overall, giving us confidence to reiterate our previously announced financial guidance. We believe our workforce solutions are well-aligned with the current industry focus to engage, retain, and develop the healthcare workforce."

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, April 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/qb8uq3o7. To participate via telephone, please register in advance using this link: https://register.vevent.com/register/BI99e7a8ec23464d6b8234f2b518bc2799. 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 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 is no longer recognizing any deferred revenue write-downs associated with the Pre-2022 Acquisitions under GAAP, and accordingly such deferred revenue write-downs are no longer an adjustment in connection with the calculation of adjusted EBITDA for periods beginning 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
                                                                                  ------------------------------------------------------------------------------------------------------------------------
                                                                                         
                                                                                                 March 31, 2024                                                                      March 31, 2023
                                                                                  ----------------------------------------                                            ----------------------------------------
Revenues, net                                                  $                                  72,760     $                                  68,946
Operating costs and expenses:                                             
                                                                               24,617                     23,856
  Cost of revenues (excluding depreciation and amortization)
                                                                               12,032                     11,680
  Product development
                                                                               11,773                     11,728
  Sales and marketing
                                                                                8,312                      8,865
  Other general and administrative expenses
                                                                               10,336                      9,926
  Depreciation and amortization
                                                                                  -------------------- --------------------                                           -------------------- --------------------
                                                                               67,070                     66,055
    Total operating costs and expenses
                                                       
Operating income                                                                5,690                      2,891
                                                       
Other income, net                                                                 853                        250
                                                                                  -------------------- --------------------                                           -------------------- --------------------
                                                       
Income before income tax provision                                              6,543                      3,141
Income tax provision                                                            1,316                        518
                                                                                  -------------------- --------------------                                           -------------------- --------------------
Net income                                                     $                                   5,227     $                                   2,623
                                                                                  ==================== ====================                                           ==================== ====================
                                                       
Net income per share:                                                     
                                                               $                                    0.17     $                                    0.09
  Basic
                                                                                  ==================== ====================                                           ==================== ====================
                                                               $                                    0.17     $                                    0.09
  Diluted
                                                                                  ==================== ====================                                           ==================== ====================
                                                       
Weighted average shares of common stock outstanding:                      
                                                                               30,313                     30,591
  Basic
                                                                                  ==================== ====================                                           ==================== ====================
                                                                               30,418                     30,659
  Diluted
                                                                                  ==================== ====================                                           ==================== ====================
                                                                                                                HEALTHSTREAM, INC.
                                                                                                       Condensed Consolidated Balance Sheets
                                                                                                                  (In thousands)
                                                                                                                    (Unaudited)
                                                                                                             
                                                                     March 31,                                         December 31,                
                                                                       2024                                                2023                    
                                                                                     --------------------------------------------------                                             ----------------------------------------
ASSETS                                                                                    
Current assets:                                                                           
                                                                  $                                  52,407                $                                  40,333  
  Cash and cash equivalents
                                                                                  31,265                                30,800  
  Marketable securities
                                                                                  44,054                                38,446  
  Accounts and unbilled receivables, net
                                                                                  19,663                                20,631  
  Prepaid and other current assets
                                                                                     -------------------- --------------------                                                      -------------------- --------------------
                                                                                 147,389                               130,210  
    Total current assets
                                                                       
Capitalized software development, net                                             41,118                                40,643  
Property and equipment, net                                                       12,537                                13,005  
Operating lease right of use assets, net                                          19,483                                20,114  
Goodwill and intangible assets, net                                              255,522                               259,410  
Deferred commissions                                                              30,671                                31,700  
Other assets                                                                       4,885                                 4,860  
                                                                                     -------------------- --------------------                                                      -------------------- --------------------
                                                                  $                                 511,605                $                                 499,942  
    Total assets
                                                                                     ==================== ====================                                                      ==================== ====================
                                                                       
LIABILITIES AND SHAREHOLDERS' EQUITY                           
Current liabilities:                                                                      
                                                                  $                                  27,802                $                                  34,738  
  Accounts payable, accrued and other liabilities
                                                                                  98,268                                83,623  
  Deferred revenue
                                                                                     -------------------- --------------------                                                      -------------------- --------------------
                                                                                 126,070                               118,361  
    Total current liabilities
Deferred tax liabilities                                                          16,868                                16,132  
Deferred revenue, noncurrent                                                       2,076                                 2,169  
Operating lease liability, noncurrent                                             19,484                                20,247  
Other long-term liabilities                                                        2,253                                 2,281  
                                                                                     -------------------- --------------------                                                      -------------------- --------------------
                                                                                 166,751                               159,190  
    Total liabilities
                                                                       
Shareholders' equity:                                          
                                                                                 249,280                               249,075  
  Common stock
                                                                                  (1,172 )                                                   (691 )
  Accumulated other comprehensive loss
                                                                                  96,746                                92,368  
  Retained earnings
                                                                                     -------------------- --------------------                                                      -------------------- --------------------
                                                                                 344,854                               340,752  
    Total shareholders' equity
                                                                                     -------------------- --------------------                                                      -------------------- --------------------
                                                                  $                                 511,605                $                                 499,942  
    Total liabilities and shareholders' equity
                                                                                     ==================== ====================                                                      ==================== ====================

                                                                                                                    HEALTHSTREAM, INC.
                                                                                                      Condensed Consolidated Statements of Cash Flows
                                                                                                                      (In thousands)
                                                                                                                        (Unaudited)
                                                                                                                                                                             
                                                                                                                       Three Months Ended                                                       
                                                                                                       ------------------------------------------------------------------------------------------------------------------------
                                                                                  March 31,                                     March 31,                 
                                                                                    2024                                          2023                    
                                                                                                       ----------------------------------------                                            ----------------------------------------
Operating activities:
Net income                                                                        $                    $                                   5,227 $                    $                    $                                   2,623
Adjustments to reconcile net income to net cash provided by operating activities:
  Depreciation and amortization                                                                 10,336               10,336               10,336                9,926                9,926                9,926                9,926
  Stock-based compensation                                                                       1,060                1,060                1,060                  945                  945                  945                  945
  Amortization of deferred commissions                                                           2,957                2,957                2,957                2,712                2,712                2,712                2,712
  Deferred income taxes                                                                            771                  771                  771                  800                  800                  800                  800
  Provision for credit losses                                                                      174                  174                  174                  209                  209                  209                  209
  Loss on equity method investments                                                                 31                   31                   31                  127                  127                  127                  127
  Other                                                                                           (346                 (346                 (346 )                                     (85                  (85                  (85 )
Changes in assets and liabilities:
  Accounts and unbilled receivables                                                             (5,782               (5,782               (5,782 )                                  (4,787               (4,787               (4,787 )
  Prepaid and other assets                                                                      (1,783               (1,783               (1,783 )                                  (2,750               (2,750               (2,750 )
  Accounts payable, accrued, and other liabilities                                              (6,259               (6,259               (6,259 )                                  (3,683               (3,683               (3,683 )
  Deferred revenue                                                                              14,552               14,552               14,552               14,504               14,504               14,504               14,504
                                                                                  -------------------- -------------------- -------------------- -------------------- -------------------- -------------------- --------------------
    Net cash provided by operating activities                                                   20,938               20,938               20,938               20,541               20,541               20,541               20,541
                                                                              
Investing activities:
Business combinations, net of cash acquired                                             --       --       --               (6,621               (6,621               (6,621               (6,621 )
Changes in marketable securities                                                                  (124                 (124                 (124 )                                  (1,850               (1,850               (1,850 )
Proceeds from sale of non-marketable equity investments                                            765                  765                  765       --       --       --       --
Purchases of property and equipment                                                               (742                 (742                 (742 )                                    (879                 (879                 (879 )
Payments associated with capitalized software development                                       (7,019               (7,019               (7,019 )                                  (7,566               (7,566               (7,566 )
                                                                                  -------------------- -------------------- --------------------                      -------------------- -------------------- --------------------
    Net cash used in investing activities                                                       (7,120               (7,120               (7,120 )                                 (16,916              (16,916              (16,916 )
                                                                              
Financing activities:
Taxes paid related to net settlement of equity awards                                             (855                 (855                 (855 )                                    (791                 (791                 (791 )
Payment of cash dividends                                                                         (849                 (849                 (849 )                          --       --       --
                                                                                  -------------------- -------------------- --------------------                      -------------------- -------------------- --------------------
    Net cash used in financing activities                                                       (1,704               (1,704               (1,704 )                                    (791                 (791                 (791 )
                                                                              
Effect of exchange rate changes on cash and cash equivalents                                       (40                  (40                  (40 )                                     (21                  (21                  (21 )
                                                                                  -------------------- -------------------- --------------------                      -------------------- -------------------- --------------------
Net increase in cash and cash equivalents                                                       12,074               12,074               12,074                2,813                2,813                2,813                2,813
Cash and cash equivalents at beginning of period                                                40,333               40,333               40,333               46,023               46,023               46,023               46,023
                                                                                  -------------------- -------------------- -------------------- -------------------- -------------------- -------------------- --------------------
                                                                                 
                                                                                 
                                                              Reconciliation of GAAP to Non-GAAP Financial Measures(1)
                                                                              Operating Results Summary
                                                                                   (In thousands)
                                                                                     (Unaudited)
                                                                                                        
                                                       Three Months Ended March 31,                                        
                                                      ----------------------------------------------------------------------------------------------------
                                2024                                2023             
                                                      ----------------------------------                                            --------------------------
Net income                         $                             5,227     $                     2,623  
Deferred revenue write-down          --           50  
Interest income                                (904 )                          (363 )
Interest expense                                 24           33  
Income tax provision                          1,316          518  
Stock-based compensation expense              1,060          945  
Depreciation and amortization                10,336        9,926  
                                                      -------------------- --------------                                           -------------------- ------
(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                         $                                  14,500     $                                  16,500  
Interest income                                    (2,400 )                                      (2,600 )
Interest expense                                      100                        100  
Income tax provision                                5,200                      5,800  
Stock-based compensation expense                    4,800                      5,000  
Depreciation and amortization                      42,300                     42,700  
                                                      -------------------- --------------------                                           -------------------- --------------------

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, ongoing inflationary and recessionary pressures, 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/20240422804604/en/

SOURCE: HealthStream, Inc.

<img alt="" src="https://cts.businesswire.com/ct/CT?id=bwnews&sty=20240422804604r1&sid=cmtx6&distro=nx&lang=en" style="width:0;height:0" />

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
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