Streamline Health Solutions,
Inc. (“Streamline” or the “Company”) (Nasdaq:
STRM), a leading provider of solutions that enable
healthcare providers to proactively address revenue leakage and
improve financial performance, today announced financial results
for the third quarter of 2023 which ended October 31, 2023.
The Company also announced that it has signed a
new contract for the use of RevID with a 2,300-bed health system
based in Maryland. Streamline is leading an industry movement to
improve hospital financial performance through pre-bill technology
solutions. RevID’s automated charge reconciliation ensures that
providers can accurately capture, bill and ultimately be paid for
all the care they provide.
Fiscal Third Quarter and Nine Months
Ended October 31, 2023 GAAP Financial Results
The following financial results have been
prepared in accordance with Generally Accepted Accounting
Principles (“GAAP”).
Total revenue for the third quarter of fiscal
2023 was $6.1 million as compared to $6.2 million during the third
quarter of fiscal 2022. For the nine months ended October 31, 2023,
revenue totaled $17.2 million as compared to $18.1 million during
the same period of fiscal 2022. The change in total revenue was
attributable to lower professional services revenue offset by
higher SaaS revenue. As previously reported, the Company had a
large professional services contract which did not renew at the end
of its 2022 fiscal year. These professional services contracts are
not expected to be part of the Company’s core business going
forward.
During the third quarter and first nine months
of fiscal 2023, SaaS revenue grew $0.7 million and $1.5 million
respectively, as compared to the prior year periods.
Net loss for the third quarter of fiscal 2023
was ($11.9 million) compared to a net loss of ($3.1 million) during
the third quarter of fiscal 2022. For the first nine months of
fiscal 2023, net loss totaled ($17.3 million) compared to a net
loss of ($9.2 million) during the first nine months of fiscal 2022.
The change in net loss was primarily attributable to non-cash
impairment charges of $10.8 million offset by lower headcount
associated with the non-renewal of a large professional services
contract, cost savings achieved through the previously announced
integration of the Avelead and eValuator divisions and non-cash
valuation adjustments. In addition, the Company recorded $0.7
million of expenses during the third quarter of fiscal 2023
associated with its previously announced strategic
restructuring.
Fiscal Third Quarter and Nine Months
Ended October 31, 2023 Non-GAAP Financial Results
Adjusted EBITDA for the third quarter of fiscal
2023 was $0.4 million compared to ($1.2 million) during the third
quarter of fiscal 2022. For the nine months ended October 31, 2023,
adjusted EBITDA was ($1.8 million) compared to ($3.5 million)
during the nine months ended October 31, 2022. The significant
improvement of Adjusted EBITDA is the result of the Company’s focus
on the growth of its SaaS revenue solutions, RevID and eValuator,
as well as significant cost savings achieved through the previously
announced integration of the Avelead and eValuator divisions.
As of October 31, 2023, the Company’s total
Booked SaaS Annual Contract Value (“ACV”) was $13.0 million
compared to $17.2 million as of January 31, 2023. The change in
booked SaaS ACV is the result of previously announced client
non-renewals offset by new bookings. $2.7 million of the Booked
SaaS ACV was unimplemented as of October 31, 2023. Subsequent to
the end of the third quarter of fiscal 2023, the Company
successfully closed new bookings and completed additional
implementations. As of December 13, 2023, Booked SaaS ACV totaled
$14.5 million and $11.3 million of the booked SaaS ACV was
implemented.
Booked SaaS ACV represents the annualized value
of all executed SaaS contracts, including contracts that have not
been fully implemented as of the measurement date, assuming any
contract that expires during the twelve months following the
measurement date is renewed on its existing terms unless the
Company has knowledge of the non-renewal.
The Company stated that due to its previously
announced strategic restructuring it believes its adjusted EBITDA
breakeven run rate is $15.5 million of SaaS ARR as compared to
$17.0 million of SaaS ARR prior to the restructuring and that it
expects to achieve this run rate during the second half of fiscal
2024. Due to the continued unpredictability of timing related to
the closing of deals, the Company has not provided more specific
guidance related to the timing of bookings.
Management Commentary
“Our restructuring has resulted in a leaner and
more efficient organization. Streamline associates have worked hard
to ensure our ability to retain existing clients, implement our
backlog and accelerate sales growth,” stated Ben Stilwill,
President and Chief Executive Officer, Streamline. “We are focused
on compressing our sales cycle and finding the right solution to
our current cash needs to further our mission of helping our
nation’s health systems get paid for all of the care they
provide.”
Conference Call
The Company will conduct a conference call on
Thursday, December 14, 2023, at 9:00 AM ET to review results and
provide a corporate update. Interested parties can access the call
by joining the live webcast: click here to register. You can also
join by phone by dialing 877-407-8291.
A replay of the conference call will be
available from Thursday, December 14, 2023, at 12:00 PM ET to
Thursday, December 21, 2023, at 12:00 PM ET by dialing 877-660-6853
or 201-612-7415 with conference ID 13743036. An online replay of
the presentation will also be available for six months following
the presentation in the Investor Relations section of the
Streamline website, www.streamlinehealth.net.
About Streamline
Streamline Health Solutions, Inc. (Nasdaq:
STRM) enables healthcare organizations to proactively address
revenue leakage and improve financial performance. We deliver
integrated solutions, technology-enabled services and analytics
that drive compliant revenue leading to improved financial
performance across the enterprise. For more information,
visit www.streamlinehealth.net.
Non-GAAP Financial Measures
Streamline reports its financial results in
accordance with U.S. generally accepted accounting
principles (“GAAP”). Streamline’s management also evaluates and
makes operating decisions using various other measures. One such
measure is adjusted EBITDA, which is a non-GAAP financial measure.
Streamline’s management believes that this measure provides useful
supplemental information regarding the performance of Streamline’s
business operations.
Streamline defines “adjusted
EBITDA” as net earnings (loss) plus interest expense, tax
expense, depreciation and amortization expense of tangible and
intangible assets, share-based compensation expense,
significant non-recurring operating expenses, restructuring
expenses, impairment of goodwill and long-lived assets and
transactional related expenses including: gains and
losses on debt and equity conversions, associate severances and
related alignment expenses, associate inducements, and professional
and advisory fees. A table reconciling this
measure to “loss from continuing operations” is included
in this press release.
Booked SaaS ACV represents the annualized value
of all executed SaaS contracts, including contracts that have not
been fully implemented, as of the measurement date, assuming any
contract that expires during the twelve months following the
measurement date is renewed on its existing terms unless the
Company has knowledge of the non-renewal. Booked SaaS ACV
should be viewed independently of revenue and does not represent
revenue calculated in accordance with GAAP on an annualized basis,
as it is an operating metric that can be impacted by contract
execution start and end dates and renewal rates. Booked
SaaS ACV is not intended to be a replacement for, or forecast
of, revenue. There is no GAAP measure comparable to Booked
SaaS ACV.
Safe Harbor Statement under the
Private Securities Litigation Reform Act of 1995
Statements made by Streamline Health
Solutions, Inc. that are not historical facts are
forward-looking statements that are subject to certain risks,
uncertainties and important factors that could cause actual results
to differ materially from those reflected in the forward-looking
statements included herein. Forward-looking statements contained in
this press release include, without limitation, statements
regarding the Company’s growth prospects, anticipated
bookings, recognition of revenue from contracts included in
Booked SaaS ACV, anticipated cost savings from the recently
announced strategic restructuring, expected improved implementation
timelines and lower expenses for our clients, industry trends and
market growth, adjusted EBITDA, success of future products and
related expectations and assumptions. These risks and uncertainties
include, but are not limited to, the timing of contract
negotiations and execution of contracts and the related timing of
the revenue recognition related thereto, the potential cancellation
of existing contracts or clients not completing projects included
in the backlog and Booked SaaS ACV, achievement of a breakeven
SaaS ARR run rate, the impact of competitive solutions and pricing,
solution demand and market acceptance, new solution development and
enhancement of current solutions, key strategic alliances with
vendors and channel partners that resell the Company’s solutions,
the ability of the Company to generate cash from operations, the
availability of additional debt and equity financing to fund the
Company’s ongoing operations, the ability of the Company to control
costs, the effects of cost-containment measures implemented by the
Company, availability of solutions from third party vendors, the
healthcare regulatory environment, potential changes in
legislation, regulation and government funding affecting the
healthcare industry, healthcare information systems budgets,
availability of healthcare information systems trained personnel
for implementation of new systems, as well as maintenance of legacy
systems, fluctuations in operating results, effects of critical
accounting policies and judgments, changes in accounting policies
or procedures as may be required by the Financial Accounting
Standards Board or other similar entities, changes in
economic, business and market conditions impacting the healthcare
industry generally and the markets in which the Company operates
and nationally, the Company’s ability to maintain compliance with
the terms of its credit facilities, and other risks detailed from
time to time in the Streamline Health Solutions,
Inc. filings with the U. S. Securities and Exchange
Commission. Readers are cautioned not to place undue reliance on
these forward-looking statements, which reflect management’s
analysis only as of the date hereof. The Company undertakes no
obligation to publicly release the results of any revision to these
forward-looking statements, which may be made to reflect events or
circumstances after the date hereof or to reflect the occurrence of
unanticipated events, except as required by law.
Company Contact
Jacob GoldbergerDirector, Investor Relations and
FP&A303-887-9625jacob.goldberger@streamlinehealth.net
STREAMLINE HEALTH SOLUTIONS,
INC. UNAUDITED CONDENSED CONSOLIDATED
STATEMENTS OF OPERATIONS
(rounded to the nearest thousand dollars,
except share and per share information)
|
|
Three Months Ended October 31, |
|
|
Nine Months Ended October 31, |
|
|
|
2023 |
|
|
2022 |
|
|
2023 |
|
|
2022 |
|
Revenues: |
|
|
|
|
|
|
|
|
|
|
|
|
Software as a service |
|
$ |
3,924,000 |
|
|
$ |
3,209,000 |
|
|
$ |
10,630,000 |
|
|
$ |
9,157,000 |
|
Maintenance and support |
|
|
1,070,000 |
|
|
|
1,120,000 |
|
|
|
3,327,000 |
|
|
|
3,348,000 |
|
Professional fees and licenses |
|
|
1,139,000 |
|
|
|
1,888,000 |
|
|
|
3,278,000 |
|
|
|
5,639,000 |
|
Total revenues |
|
|
6,133,000 |
|
|
|
6,217,000 |
|
|
|
17,235,000 |
|
|
|
18,144,000 |
|
Operating
expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of software as a service |
|
|
1,677,000 |
|
|
|
1,742,000 |
|
|
|
5,159,000 |
|
|
|
4,771,000 |
|
Cost of maintenance and support |
|
|
129,000 |
|
|
|
84,000 |
|
|
|
250,000 |
|
|
|
220,000 |
|
Cost of professional fees and licenses |
|
|
1,072,000 |
|
|
|
1,744,000 |
|
|
|
3,202,000 |
|
|
|
4,992,000 |
|
Selling, general and administrative expense |
|
|
4,122,000 |
|
|
|
4,055,000 |
|
|
|
12,079,000 |
|
|
|
12,629,000 |
|
Research and development |
|
|
1,304,000 |
|
|
|
1,754,000 |
|
|
|
4,310,000 |
|
|
|
4,527,000 |
|
Impairment of goodwill |
|
|
9,813,000 |
|
|
|
— |
|
|
|
9,813,000 |
|
|
|
— |
|
Impairment of long-lived assets |
|
|
963,000 |
|
|
|
— |
|
|
|
963,000 |
|
|
|
— |
|
Total operating expenses |
|
|
19,080,000 |
|
|
|
9,379,000 |
|
|
|
35,776,000 |
|
|
|
27,139,000 |
|
Operating loss |
|
|
(12,947,000 |
) |
|
|
(3,162,000 |
) |
|
|
(18,541,000 |
) |
|
|
(8,995,000 |
) |
Other (expense)
income: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest expense |
|
|
(266,000 |
) |
|
|
(198,000 |
) |
|
|
(781,000 |
) |
|
|
(519,000 |
) |
Acquisition earnout valuation adjustments |
|
|
1,182,000 |
|
|
|
163,000 |
|
|
|
1,905,000 |
|
|
|
188,000 |
|
Other |
|
|
— |
|
|
|
68,000 |
|
|
|
31,000 |
|
|
|
151,000 |
|
Loss before income taxes |
|
|
(12,031,000 |
) |
|
|
(3,129,000 |
) |
|
|
(17,386,000 |
) |
|
|
(9,175,000 |
) |
Income tax benefit (expense) |
|
|
120,000 |
|
|
|
(9,000 |
) |
|
|
59,000 |
|
|
|
(22,000 |
) |
Net loss |
|
$ |
(11,911,000 |
) |
|
$ |
(3,138,000 |
) |
|
$ |
(17,327,000 |
) |
|
$ |
(9,197,000 |
) |
Basic and Diluted Earnings Per
Share: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net loss per common share –
basic and diluted |
|
$ |
(0.21 |
) |
|
$ |
(0.07 |
) |
|
$ |
(0.31 |
) |
|
$ |
(0.19 |
) |
Weighted average number of
common shares – basic and diluted |
|
|
56,710,335 |
|
|
|
47,730,009 |
|
|
|
56,346,300 |
|
|
|
47,329,923 |
|
STREAMLINE HEALTH SOLUTIONS,
INC.CONDENSED CONSOLIDATED BALANCE
SHEETS
(rounded to the nearest thousand dollars,
except share and per share information)
|
|
October 31, 2023 |
|
|
January 31, 2023 |
|
|
|
(Unaudited) |
|
|
|
|
ASSETS |
|
|
|
|
|
|
|
|
Current
assets: |
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
2,557,000 |
|
|
$ |
6,598,000 |
|
Accounts receivable, net of allowance for credit losses of $94,000
and $132,000, respectively |
|
|
3,653,000 |
|
|
|
7,719,000 |
|
Contract receivables |
|
|
763,000 |
|
|
|
960,000 |
|
Prepaid and other current assets |
|
|
742,000 |
|
|
|
710,000 |
|
Total current assets |
|
|
7,715,000 |
|
|
|
15,987,000 |
|
Non-current
assets: |
|
|
|
|
|
|
|
|
Property and equipment, net of accumulated amortization of $278,000
and $246,000 respectively |
|
|
94,000 |
|
|
|
79,000 |
|
Right-of use asset for operating lease |
|
|
— |
|
|
|
32,000 |
|
Capitalized software development costs, net of accumulated
amortization of $7,560,000 and $6,224,000, respectively |
|
|
6,248,000 |
|
|
|
5,846,000 |
|
Intangible assets, net of accumulated amortization of $3,978,000
and $2,627,000, respectively |
|
|
12,479,000 |
|
|
|
14,793,000 |
|
Goodwill |
|
|
13,276,000 |
|
|
|
23,089,000 |
|
Other |
|
|
1,293,000 |
|
|
|
1,695,000 |
|
Total non-current assets |
|
|
33,390,000 |
|
|
|
45,534,000 |
|
Total
assets |
|
$ |
41,105,000 |
|
|
$ |
61,521,000 |
|
LIABILITIES AND
STOCKHOLDERS’ EQUITY |
|
|
|
|
|
|
|
|
Current
liabilities: |
|
|
|
|
|
|
|
|
Accounts payable |
|
$ |
736,000 |
|
|
$ |
626,000 |
|
Accrued expenses |
|
|
2,883,000 |
|
|
|
3,265,000 |
|
Current portion of term loan |
|
|
1,250,000 |
|
|
|
750,000 |
|
Deferred revenues |
|
|
5,983,000 |
|
|
|
8,361,000 |
|
Current portion of operating lease obligation |
|
|
— |
|
|
|
35,000 |
|
Acquisition earnout liability |
|
|
1,833,000 |
|
|
|
3,738,000 |
|
Total current liabilities |
|
|
12,685,000 |
|
|
|
16,775,000 |
|
Non-current
liabilities: |
|
|
|
|
|
|
|
|
Term loan, net of current portion and deferred financing costs |
|
|
8,042,000 |
|
|
|
8,964,000 |
|
Line of credit |
|
|
500,000 |
|
|
|
— |
|
Deferred revenues, less current portion |
|
|
127,000 |
|
|
|
167,000 |
|
Other non-current liabilities |
|
|
— |
|
|
|
104,000 |
|
Total non-current liabilities |
|
|
8,669,000 |
|
|
|
9,235,000 |
|
Total liabilities |
|
|
21,354,000 |
|
|
|
26,010,000 |
|
Commitments and
contingencies – Note 8 |
|
|
|
|
|
|
|
|
Stockholders’
equity: |
|
|
|
|
|
|
|
|
Common stock, $0.01 par value per share, 85,000,000 shares
authorized; 58,793,990 and 57,567,210 shares issued and
outstanding, respectively |
|
|
588,000 |
|
|
|
576,000 |
|
Additional paid in capital |
|
|
133,492,000 |
|
|
|
131,973,000 |
|
Accumulated deficit |
|
|
(114,329,000 |
) |
|
|
(97,038,000 |
) |
Total stockholders’ equity |
|
|
19,751,000 |
|
|
|
35,511,000 |
|
Total liabilities and
stockholders’ equity |
|
$ |
41,105,000 |
|
|
$ |
61,521,000 |
|
STREAMLINE HEALTH SOLUTIONS,
INC.UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF
CASH FLOWS
(rounded to the nearest thousand
dollars)
|
|
Nine months Ended October 31, |
|
|
|
2023 |
|
|
2022 |
|
Net loss |
|
$ |
(17,327,000 |
) |
|
$ |
(9,197,000 |
) |
|
|
|
|
|
|
|
|
|
Adjustments to reconcile net loss to net cash used in operating
activities: |
|
|
|
|
|
|
|
|
Depreciation and amortization |
|
|
3,264,000 |
|
|
|
3,272,000 |
|
Acquisition earnout valuation adjustments |
|
|
(1,905,000 |
) |
|
|
(188,000 |
) |
Benefit for deferred income taxes |
|
|
(104,000 |
) |
|
|
— |
|
Share-based compensation expense |
|
|
1,626,000 |
|
|
|
1,212,000 |
|
Impairment of goodwill |
|
|
9,813,000 |
|
|
|
— |
|
Impairment of long-lived assets |
|
|
963,000 |
|
|
|
— |
|
Provision for credit losses |
|
|
— |
|
|
|
21,000 |
|
Changes in assets and liabilities: |
|
|
|
|
|
|
|
|
Accounts and contract receivables |
|
|
4,299,000 |
|
|
|
492,000 |
|
Other assets |
|
|
(65,000 |
) |
|
|
(868,000 |
) |
Accounts payable |
|
|
109,000 |
|
|
|
(373,000 |
) |
Accrued expenses and other liabilities |
|
|
(417,000 |
) |
|
|
1,159,000 |
|
Deferred revenue |
|
|
(2,417,000 |
) |
|
|
(251,000 |
) |
Net cash used in operating
activities |
|
|
(2,161,000 |
) |
|
|
(4,721,000 |
) |
Cash flows from investing
activities: |
|
|
|
|
|
|
|
|
Purchases of property and equipment |
|
|
(47,000 |
) |
|
|
(10,000 |
) |
Capitalization of software development costs |
|
|
(1,562,000 |
) |
|
|
(1,435,000 |
) |
Net cash used in investing
activities |
|
|
(1,609,000 |
) |
|
|
(1,445,000 |
) |
Cash flows from financing
activities: |
|
|
|
|
|
|
|
|
Repayment of bank term loan |
|
|
(500,000 |
) |
|
|
(125,000 |
) |
Proceeds from line of credit |
|
|
500,000 |
|
|
|
— |
|
Proceeds from issuance of common stock |
|
|
— |
|
|
|
8,316,000 |
|
Payments for costs directly attributable to the issuance of common
stock |
|
|
— |
|
|
|
(52,000 |
) |
Payments related to settlement of employee share-based awards |
|
|
(271,000 |
) |
|
|
(165,000 |
) |
Other |
|
|
— |
|
|
|
6,000 |
|
Net cash (used in) provided by
financing activities |
|
|
(271,000 |
) |
|
|
7,980,000 |
|
Net (decrease) in cash and
cash equivalents |
|
|
(4,041,000 |
) |
|
|
1,814,000 |
|
Cash and cash equivalents at
beginning of period |
|
|
6,598,000 |
|
|
|
9,885,000 |
|
Cash and cash equivalents at
end of period |
|
$ |
2,557,000 |
|
|
$ |
11,699,000 |
|
STREAMLINE HEALTH SOLUTIONS,
INC.NEW BOOKINGS
(Unaudited, rounded to the nearest
thousand dollars)
|
|
October 31, 2023 |
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
Software as a service |
|
|
1,937,000 |
|
|
|
4,778,000 |
|
Maintenance and Support |
|
|
- |
|
|
|
- |
|
Professional fees and
licenses |
|
|
448,000 |
|
|
|
812,000 |
|
Q3 2023
Bookings |
|
$ |
2,385,000 |
|
|
$ |
5,590,000 |
|
Q3 2022
Bookings |
|
$ |
1,871,000 |
|
|
$ |
15,886,000 |
|
STREAMLINE HEALTH SOLUTIONS,
INC.RECONCILIATION OF NET LOSS TO NON-GAAP
ADJUSTED EBITDA
(Unaudited, in thousands)
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
October 31, 2023 |
|
|
October 31, 2022 |
|
|
October 31, 2023 |
|
|
October 31, 2022 |
|
Adjusted EBITDA
Reconciliation |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net Loss |
|
$ |
(11,911 |
) |
|
$ |
(3,138 |
) |
|
$ |
(17,237 |
) |
|
$ |
(9,197 |
) |
Interest expense |
|
|
266 |
|
|
|
198 |
|
|
|
781 |
|
|
|
519 |
|
Income tax (benefit) expense |
|
|
(120 |
) |
|
|
9 |
|
|
|
(59 |
) |
|
|
22 |
|
Depreciation and amortization |
|
|
1,105 |
|
|
|
1,053 |
|
|
|
3,186 |
|
|
|
3,212 |
|
EBITDA |
|
$ |
(10,660 |
) |
|
$ |
(1,878 |
) |
|
$ |
(13,419 |
) |
|
$ |
(5,444 |
) |
Share-based compensation expense |
|
|
517 |
|
|
|
555 |
|
|
|
1,626 |
|
|
|
1,212 |
|
Impairment of goodwill |
|
|
9,813 |
|
|
|
— |
|
|
|
9,813 |
|
|
|
— |
|
Impairment of long-lived assets |
|
|
963 |
|
|
|
— |
|
|
|
963 |
|
|
|
— |
|
Non-cash valuation adjustments |
|
|
(1,182 |
) |
|
|
(163 |
) |
|
|
(1,905 |
) |
|
|
(188 |
) |
Acquisition-related costs, severance, and transaction-related
bonuses |
|
|
213 |
|
|
|
387 |
|
|
|
389 |
|
|
|
1,010 |
|
Restructuring Charges |
|
|
749 |
|
|
|
— |
|
|
|
749 |
|
|
|
— |
|
Other non-recurring charges |
|
|
— |
|
|
|
(73 |
) |
|
|
(33 |
) |
|
|
(140 |
) |
Adjusted EBITDA |
|
$ |
413 |
|
|
$ |
(1,172 |
) |
|
$ |
(1,817 |
) |
|
$ |
(3,550 |
) |
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