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    HealthStream Announces First Quarter 2017 Results

    Apr 24, 2017
    HealthStream Announces First Quarter 2017 Results 46.3 KB

    NASHVILLE, Tenn.--(BUSINESS WIRE)-- HealthStream, Inc. (NASDAQ: HSTM), a leading provider of workforce, patient experience, and provider solutions for the healthcare industry, announced today results for the first quarter ended March 31, 2017.

    • Revenues of $59.9 million in the first quarter of 2017, up 11% from $54.1 million in the first quarter of 2016
    • Operating income of $1.8 million in the first quarter of 2017, compared to $2.5 million in the first quarter of 2016
    • Net income of $1.3 million in the first quarter of 2017, compared to $1.5 million in the first quarter of 2016, and earnings per share (EPS) of $0.04 per share (diluted) in the first quarter of 2017, compared to $0.05 per share (diluted) in the first quarter of 2016
    • Adjusted EBITDA1 of $8.7 million in the first quarter of 2017, compared to adjusted EBITDA of $8.1 million in the first quarter of 2016

    Financial Results:

    First Quarter 2017 Compared to First Quarter 2016

    Revenues for the first quarter of 2017 increased by $5.8 million, or 11 percent, to $59.9 million, compared to $54.1 million for the first quarter of 2016.

    Revenues from our HealthStream Workforce Solutions segment, which are primarily subscription-based, were approximately $43.7 million for the first quarter of 2017 compared to $41.3 million for the first quarter of 2016. Revenue growth of $2.4 million from our workforce solutions products was mostly offset by a decline in ICD-10 readiness revenue. Revenues from ICD-10 readiness training products declined by $3.4 million to $554,000 in the first quarter of 2017, compared to $3.9 million in the prior year first quarter.

    Revenues from our HealthStream Patient Experience Solutions segment decreased by $61,000, or one percent, when compared to the first quarter of 2016. Revenues from Patient Insights™ surveys—a survey research product that generates recurring revenues—were comparable to the first quarter of 2016. Revenues from other patient experience solutions, including surveys conducted on annual or bi-annual cycles and consulting/coaching services, collectively decreased by $75,000, or seven percent, when compared to the first quarter of 2016. This decrease is primarily due to the timing of engagements compared to the prior year period.

    Revenues from our HealthStream Provider Solutions segment increased by $3.5 million, or 72 percent, when compared to the first quarter of 2016. Revenues from the Morrisey Associates, Inc. (MAI) acquisition, which was consummated in August 2016, accounted for the majority of the increase in revenues during the first quarter of 2017. MAI revenues in the first quarter were approximately $2.3 million, net of deferred revenue write-downs.

    Generally accepted accounting principles (GAAP) require companies to write down beginning balances of acquired deferred revenue balances as part of "fair value" accounting as defined by GAAP. During the first quarter of 2017, HealthStream reported an $844,000 reduction to operating income and a $553,000 reduction to net income as a result of the deferred revenue write-down for prior acquisitions, including the MAI acquisition, which resulted in a $692,000 reduction to operating income and a $469,000 reduction to net income in the first quarter of 2017 as the result of the deferred revenue write-down for this acquisition. During the first quarter of 2016, HealthStream reported a reduction of $955,000 to operating income and $572,000 to net income as a result of the deferred revenue write-down. The table reconciling GAAP to non-GAAP financial measures included in this release shows the impact of beginning balance deferred revenue write-downs on operating income and net income.

    Operating income was $1.8 million for the first quarter of 2017 compared to $2.5 million for the first quarter of 2016. The increase in revenue in the first quarter of 2017 noted above was more than offset by increased operating expenses associated with higher royalties, depreciation and amortization, personnel additions, sales commissions, and other general expenses. In addition, operating income during the first quarter of 2017 and the first quarter of 2016 were adversely impacted by the deferred revenue write-downs associated with prior acquisitions as noted above. Also, the $3.4 million reduction in revenue associated with ICD-10 readiness training products contributed to the reduction in operating income compared to the prior year.

    Net income was $1.3 million in the first quarter of 2017 compared to $1.5 million in the first quarter of 2016. Earnings per share (diluted) were $0.04 per share for the first quarter of 2017, compared to $0.05 per share for the first quarter of 2016.

    Adjusted EBITDA (which we define as net income before interest, income taxes, share-based compensation, and depreciation and amortization) increased by seven percent to $8.7 million for the first quarter of 2017, compared to $8.1 million for the first quarter of 2016.

    At March 31, 2017, the Company had cash and marketable securities of $115.3 million. Capital expenditures incurred during the first quarter of 2017 were approximately $5.6 million.

    Other Business Updates

    At March 31, 2017, we had approximately 4,470,000 total subscribers implemented to use and 4,573,000 total subscribers contracted to use our subscription-based solutions. "Contracted subscribers" include both those already implemented and those under contract that are in the process of implementation. Revenue recognition commences when a contract is fully implemented.

    Annualized revenue per implemented subscriber for Workforce Solutions

    We view the metric, "Annualized Revenue per Implemented Subscriber for our Workforce Solutions" ("Workforce ARIS"), as one of several measures of our progress in growing the value of our customer base. Workforce ARIS represents the quarter's revenue from our subscription-based solutions, annualized, then divided by the quarter's average total number of implemented subscribers. Our subscription-based solutions include subscriptions to our platform applications, plus courseware/content subscriptions. For the first quarter of 2017, HealthStream's Workforce ARIS was $37.68, compared to last year's first quarter of $36.27.

    Financial Outlook for 2017

    For 2017, we continue to anticipate that consolidated revenues will grow 10 to 14 percent as compared to 2017. We anticipate that revenue growth in our Workforce Solutions segment will be in the five to eight percent range and three to five percent in our Patient Experience Solutions segment. We anticipate our Provider Solutions segment's revenue to grow 47 to 51 percent as compared to 2017.

    We continue to anticipate operating income for 2017 to increase between 50 and 65 percent as compared to 2017.

    We continue to anticipate that capital expenditures will be between $15 million and $17 million during 2017. We expect the annual effective income tax rate to range between 39 percent and 41 percent for 2017.

    This guidance does not include the impact of any other acquisitions that we may complete during 2017.

    "2017 is starting strong with record quarterly revenues at almost $60 million," said Robert A. Frist, Jr., chief executive officer, HealthStream. "Our first quarter core financial metrics showed strong sequential improvement over last quarter, which gives us confidence in our expectation of leveraged operating income growth for 2017."

    A conference call with Robert A. Frist, Jr., chief executive officer, Gerard M. Hayden, Jr., senior vice president and chief financial officer, and Mollie Condra, vice president of investor relations and corporate communications, will be held on Tuesday, April 25, 2017, 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 #11590283) for U.S. and Canadian callers and 404-537-3406 (conference ID #11590283) for international callers.

    Use of Non-GAAP Financial Measures

    This press release contains certain non-GAAP financial measures, including non-GAAP net income, non-GAAP operating income, and adjusted EBITDA, which are 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, share-based compensation, depreciation and amortization ("adjusted EBITDA") is a useful measure for evaluating the operating performance of the Company because adjusted EBITDA reflects net income adjusted for non-cash and non-operating items. We believe that adjusted EBITDA is also used by many investors to assess the Company's results from current operations. 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, it is susceptible to varying calculations. Accordingly, adjusted EBITDA, as presented, may not be comparable to other similarly titled measures of other companies.

    In recent years, the Company has acquired businesses whose net tangible assets include deferred revenue. In accordance with GAAP reporting requirements, following the completion of any such acquisition, the Company may record a write-down of deferred revenue to fair value as defined in GAAP. If the Company is required to record a write-down of deferred revenue, it may result in lower recognized revenue, operating income, and net income in subsequent periods.

    In connection therewith, this release presents below non-GAAP operating income and non-GAAP net income, which in each such case reflects the corresponding GAAP figures adjusted to exclude the impact of the deferred revenue write-down associated with fair value accounting for acquired businesses as referenced above. Management believes that the presentation of these non-GAAP financial measures assists investors in understanding the Company's performance between periods excluding the impact of this deferred revenue write-down and provides a useful measure of the ongoing performance of the Company. Both on a quarterly and year-to-date basis, the revenue for the acquired business is deferred and typically recognized over a one to two year period following the completion of any particular acquisition, so our GAAP revenues for this one to two year period will not reflect the full amount of revenues that would have been reported if the acquired deferred revenue was not written down to fair value.

    These non-GAAP financial measures should not be considered as 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, collectively, approximately 4.6 million healthcare employees in the U.S. for workforce development, training & learning management, talent management, credentialing, privileging, provider enrollment, performance assessment, and managing simulation-based education programs. Our research solutions provide valuable insight to healthcare providers to meet HCAHPS requirements, improve the patient experience, engage their workforce, and enhance physician alignment. Based in Nashville, Tennessee, HealthStream has additional offices in Laurel, Maryland; Brentwood, Tennessee; Jericho, New York; Boulder; Colorado; San Diego, California; and Chicago, Illinois. For more information, visit http://www.healthstream.com or call 800-933-9293.

       
    HEALTHSTREAM, INC.
    Condensed Consolidated Statements of Income
    (In thousands, except per share data)
     
    Three Months Ended

    March 31,

    2017

       

    2016

    Revenues $ 59,870 $ 54,078
     
    Operating expenses:
    Cost of revenues (excluding depreciation and amortization) 26,276 22,900
    Product development 6,599 7,018
    Sales and marketing 10,834 8,557
    Other general and administrative 7,941 7,976
    Depreciation and amortization   6,387   5,140
    Total operating expenses 58,037 51,591
     
    Operating income 1,833 2,487
    Other income, net   130   18
    Income before income taxes 1,963 2,505
    Income tax provision   678   1,004
    Net income $ 1,285 $ 1,501
     
    Net income per share:
    Net income per share, basic $ 0.04 $ 0.05
    Net income per share, diluted $ 0.04 $ 0.05
     
    Weighted average shares outstanding:
    Basic   31,774   31,666
    Diluted   32,104   31,970
     
       
    HEALTHSTREAM, INC.
    Condensed Consolidated Balance Sheets
    (In thousands)
     
     
    March 31,     December 31,

    2017

    2016(1)

    ASSETS
    Current assets:
    Cash and cash equivalents $ 53,034 $ 49,634
    Marketable securities 62,265 53,540
    Accounts and unbilled receivables, net 42,157 47,386
    Prepaid and other current assets   26,578     26,877  
    Total current assets 184,034 177,437
     
    Capitalized software development, net 17,652 16,310
    Property and equipment, net 10,494 10,245
    Goodwill and intangible assets, net 185,727 188,129
    Other assets   3,917     3,879  
    Total assets $ 401,824   $ 396,000  
     
    LIABILITIES AND SHAREHOLDERS' EQUITY
    Current liabilities:
    Accounts payable, accrued and other liabilities $ 25,822 $ 26,428
    Deferred revenue   72,306     68,542  
    Total current liabilities 98,128 94,970
    Deferred tax liabilities, non-current 4,556 5,968
    Deferred revenue, noncurrent 7,790 7,859
    Other long-term liabilities   1,590     1,095  
    Total liabilities 112,064 109,892
     
    Shareholders' equity:
    Common stock 280,986 280,813
    Comprehensive loss (49 ) (51 )
    Retained earnings   8,823     5,346  
    Total shareholders' equity   289,760     286,108  
    Total liabilities and shareholders' equity $ 401,824   $ 396,000  
     

    (1)

    Derived from audited financial statements contained in the Company's filing on Form 10-K for the year ended December 31, 2016.

     
       
    HEALTHSTREAM, INC.
    Condensed Consolidated Statements of Cash Flows
    (In thousands)
     
    Three Months Ended
    March 31,     March 31,

    2017

    2016

     
    Operating activities:
    Net income $ 1,285 $ 1,501
    Adjustments to reconcile net income to net cash provided by operating activities:
    Depreciation and amortization 6,387 5,140
    Share-based compensation 441 500
    Deferred incomes taxes 526 --
    Provision for doubtful accounts 200 90
    Loss on equity method investments 5 43
    Other 148 339
    Changes in assets and liabilities:
    Accounts and unbilled receivables 5,028 4,451
    Prepaid and other assets 258 76
    Accounts payable, accrued and other liabilities (1,447 ) (3,210 )
    Deferred revenue   3,696     (3,218 )
    Net cash provided by operating activities   16,527     5,712  
     
    Investing activities:
    Proceeds from sale of long-lived assets -- 975
    Changes in marketable securities (8,871 ) (966 )
    Purchases of property and equipment (1,018 ) (2,685 )
    Payments associated with capitalized software development   (2,970 )   (1,990 )
    Net cash used in investing activities   (12,859 )   (4,696 )
     
    Financing activities:
    Proceeds from exercise of stock options 99 55
    Taxes paid related to net settlement of equity awards   (367 )   (288 )
    Net cash used in financing activities   (268 )   (233 )
     
    Net increase in cash and cash equivalents 3,400 783
    Cash and cash equivalents at beginning of period   49,634     82,010  
    Cash and cash equivalents at end of period $ 53,034   $ 82,793  
     
       

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

    (In thousands)
     
    Three Months Ended

    March 31,

    2017

       

    2016

     
    GAAP net income $ 1,285 $ 1,501
    Interest income (160 ) (98 )
    Interest expense 25 25
    Income tax provision 678 1,004
    Share-based compensation expense 441 500
    Depreciation and amortization   6,387     5,140  
    Adjusted EBITDA $ 8,657   $ 8,072  
     
     
    GAAP operating income $ 1,833 $ 2,487
    Add: deferred revenue write-down   844     955  
    Non-GAAP operating income $ 2,677   $ 3,442  
     
     
    GAAP net income $ 1,285 $ 1,501
    Add: deferred revenue write-down, net of tax   553     572  
    Non-GAAP net income $ 1,838   $ 2,073  
     

    (1)

    This press release contains certain non-GAAP financial measures, including non-GAAP net income, non-GAAP operating income, and adjusted EBITDA, 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 the financial performance for 2017, 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 risks referenced in the Company's Annual Report on Form 10-K for the year ended December 31, 2016, filed on February 27, 2017, 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.

     
    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.

    View source version on businesswire.com: http://www.businesswire.com/news/home/20170424006422/en/

    HealthStream, Inc.
    Gerard M. Hayden, Jr., 615-301-3163
    Chief Financial Officer
    ir@healthstream.com
    or
    Media:
    Mollie Condra, Ph.D., 615-301-3237
    Vice President, Investor Relations & Communications
    mollie.condra@healthstream.com

    Source: HealthStream, Inc.

    News Provided by Acquire Media

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