HealthStream Announces First Quarter 2024 Results
- Revenue for the first quarter of 2024 increased by 6% to $72.8 million compared to the same period in 2023.
- Operating income saw a significant increase of 97% to $5.7 million in the first quarter of 2024.
- Net income for the first quarter of 2024 grew by 99% to $5.2 million.
- Earnings per share (EPS) also showed significant growth to $0.17 per share in the first quarter of 2024.
- Adjusted EBITDA increased by 24% to $17.1 million in the first quarter of 2024.
- The Company announced a quarterly cash dividend of $0.028 per share.
- HealthStream reaffirmed its guidance for 2024, with revenue expected to be between $292.0 - $296.0 million and adjusted EBITDA between $64.5 - $67.5 million.
- None.
Insights
The significant rise of 97% in operating income and 99% in net income for HealthStream in Q1 2024 is indicative of strong operational efficiency and cost management, especially considering the reduction in labor costs due to prior restructuring. The company’s ability to increase subscription revenues by 6% amidst a competitive healthcare technology market underscores a robust business model and potential for scalable growth.
However, investors should be mindful of the capital expenditures of
An analysis of the healthcare workforce solutions market suggests HealthStream’s focus on engaging and developing healthcare personnel is well-timed. The reiteration of financial guidance for 2024 reflects confidence in the company's strategic direction and market position. However, the guidance does not account for potential acquisitions or economic downturns, which could introduce variability in these projections.
The declared quarterly cash dividend might appeal to income-focused investors but also reflects a modest yield that should be weighed against the company's growth prospects. This balance between dividend payments and reinvestment in the business is critical for long-term value creation.
HealthStream’s investment in software development, as indicated by increased capitalized labor, suggests a forward-looking approach to innovation within healthcare technology. This strategic allocation of resources may contribute to competitive differentiation and customer retention in the long run.
The conclusion of the share repurchase program without any buybacks in Q1 2024 could signal a prioritization of financial stability or other strategic initiatives over shareholder return through buybacks. Tech investors should monitor how these funds are reallocated to assess the impact on future growth trajectories.
First Quarter 2024
-
Revenues of
$72.8 million 6% from$68.9 million -
Operating income of
$5.7 million 97% from$2.9 million -
Net income of
$5.2 million 99% from$2.6 million -
Earnings per share (EPS) of
$0.17 $0.09 -
Adjusted EBITDA1 of
$17.1 million 24% from$13.7 million -
Board of Directors declared a quarterly cash dividend of
$0.02 8
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
Operating income was
Net income was
Adjusted EBITDA was
At March 31, 2024, the Company had cash and cash equivalents and marketable securities of
Other Business Updates
On September 13, 2023, the Company announced a share repurchase program under which the Company was authorized to repurchase up to
On April 22, 2024, the Board approved a quarterly cash dividend under the Company's dividend policy of
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 EBITDA1 |
|
$ |
64.5 |
|
- |
|
$ |
67.5 |
|
million |
||
|
|
|
|
|
|
|
|
|
|
|
||
Capital Expenditures |
|
$ |
28.0 |
|
- |
|
$ |
30.0 |
|
million |
||
| 1 Adjusted EBITDA is a non-GAAP financial measure. A reconciliation of projected adjusted EBITDA to projected net income (the most comparable GAAP measure) is included later in this release. |
The Company’s guidance for 2024 as set forth above reflects the Company’s assumptions regarding, among other things, expectations for new sales and renewals, and assumes that general economic conditions, including inflationary pressures, do not deteriorate. This consolidated guidance does not include the impact of any acquisitions that we may complete during 2024, gains or losses from changes in the fair value of minority investments, or impairment of long-lived assets.
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: |
|
|
|
|
|
|
|
Cost of revenues (excluding depreciation and amortization) |
|
|
24,617 |
|
|
|
23,856 |
Product development |
|
|
12,032 |
|
|
|
11,680 |
Sales and marketing |
|
|
11,773 |
|
|
|
11,728 |
Other general and administrative expenses |
|
|
8,312 |
|
|
|
8,865 |
Depreciation and amortization |
|
|
10,336 |
|
|
|
9,926 |
Total operating costs and expenses |
|
|
67,070 |
|
|
|
66,055 |
|
|
|
|
|
|
|
|
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: |
|
|
|
|
|
|
|
Basic |
|
$ |
0.17 |
|
|
$ |
0.09 |
Diluted |
|
$ |
0.17 |
|
|
$ |
0.09 |
|
|
|
|
|
|
|
|
Weighted average shares of common stock outstanding: |
|
|
|
|
|
|
|
Basic |
|
|
30,313 |
|
|
|
30,591 |
Diluted |
|
|
30,418 |
|
|
|
30,659 |
Dividends declared per share |
|
$ |
0.028 |
|
|
$ |
0.025 |
HEALTHSTREAM, INC. |
|||||||||
Condensed Consolidated Balance Sheets |
|||||||||
(In thousands) |
|||||||||
(Unaudited) |
|||||||||
|
|
|
|
|
|
|
|||
|
|
March 31, |
|
|
December 31, |
|
|||
|
|
2024 |
|
|
2023 |
|
|||
ASSETS |
|
|
|
|
|
|
|
|
|
Current assets: |
|
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
52,407 |
|
|
$ |
40,333 |
|
|
Marketable securities |
|
|
31,265 |
|
|
|
30,800 |
|
|
Accounts and unbilled receivables, net |
|
|
44,054 |
|
|
|
38,446 |
|
|
Prepaid and other current assets |
|
|
19,663 |
|
|
|
20,631 |
|
|
Total current assets |
|
|
147,389 |
|
|
|
130,210 |
|
|
|
|
|
|
|
|
|
|
|
|
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 |
|
|
Total assets |
|
$ |
511,605 |
|
|
$ |
499,942 |
|
|
|
|
|
|
|
|
|
|
|
|
LIABILITIES AND SHAREHOLDERS’ EQUITY |
|
|
|
|
|
|
|
|
|
Current liabilities: |
|
|
|
|
|
|
|
|
|
Accounts payable, accrued and other liabilities |
|
$ |
27,802 |
|
|
$ |
34,738 |
|
|
Deferred revenue |
|
|
98,268 |
|
|
|
83,623 |
|
|
Total current liabilities |
|
|
126,070 |
|
|
|
118,361 |
|
|
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 |
|
|
Total liabilities |
|
|
166,751 |
|
|
|
159,190 |
|
|
|
|
|
|
|
|
|
|
|
|
Shareholders’ equity: |
|
|
|
|
|
|
|
|
|
Common stock |
|
|
249,280 |
|
|
|
249,075 |
|
|
Accumulated other comprehensive loss |
|
|
(1,172 |
) |
|
|
(691 |
) |
|
Retained earnings |
|
|
96,746 |
|
|
|
92,368 |
|
|
Total shareholders’ equity |
|
|
344,854 |
|
|
|
340,752 |
|
|
Total liabilities and shareholders' equity |
|
$ |
511,605 |
|
|
$ |
499,942 |
|
|
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 |
9,926 |
||||||
| Stock-based compensation | 1,060 |
945 |
||||||
| Amortization of deferred commissions | 2,957 |
2,712 |
||||||
| Deferred income taxes | 771 |
800 |
||||||
| Provision for credit losses | 174 |
209 |
||||||
| Loss on equity method investments | 31 |
127 |
||||||
| Other | (346 |
) |
(85 |
) |
||||
| Changes in assets and liabilities: | ||||||||
| Accounts and unbilled receivables | (5,782 |
) |
(4,787 |
) |
||||
| Prepaid and other assets | (1,783 |
) |
(2,750 |
) |
||||
| Accounts payable, accrued, and other liabilities | (6,259 |
) |
(3,683 |
) |
||||
| Deferred revenue | 14,552 |
14,504 |
||||||
| Net cash provided by operating activities | 20,938 |
20,541 |
||||||
| Investing activities: | ||||||||
| Business combinations, net of cash acquired | — |
(6,621 |
) |
|||||
| Changes in marketable securities | (124 |
) |
(1,850 |
) |
||||
| Proceeds from sale of non-marketable equity investments | 765 |
— |
||||||
| Purchases of property and equipment | (742 |
) |
(879 |
) |
||||
| Payments associated with capitalized software development | (7,019 |
) |
(7,566 |
) |
||||
| Net cash used in investing activities | (7,120 |
) |
(16,916 |
) |
||||
| Financing activities: | ||||||||
| Taxes paid related to net settlement of equity awards | (855 |
) |
(791 |
) |
||||
| Payment of cash dividends | (849 |
) |
— |
|||||
| Net cash used in financing activities | (1,704 |
) |
(791 |
) |
||||
| Effect of exchange rate changes on cash and cash equivalents | (40 |
) |
(21 |
) |
||||
| Net increase in cash and cash equivalents | 12,074 |
2,813 |
||||||
| Cash and cash equivalents at beginning of period | 40,333 |
46,023 |
||||||
| Cash and cash equivalents at end of period | $ | 52,407 |
$ | 48,836 |
|
|||
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 |
|
Adjusted EBITDA |
|
$ |
17,059 |
|
|
$ |
13,732 |
|
(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 |
|
Adjusted EBITDA |
|
$ |
64,500 |
|
|
$ |
67,500 |
|
This press release includes certain forward-looking statements (statements other than solely with respect to historical fact), including statements regarding expectations for financial performance for 2024 and our quarterly dividend policy, that involve risks and uncertainties regarding HealthStream. These statements are based upon management’s beliefs, as well as assumptions made by and data currently available to management. This information has been, or in the future may be, included in reliance on the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1995. The Company cautions that forward-looking statements involve known and unknown risks, uncertainties, and other factors that may cause the actual results, performance, or achievements to be materially different from future results, performance, or achievements expressed or implied by the forward-looking statements, including as a result of negative economic conditions, ongoing inflationary and recessionary pressures, geopolitical instability (including as the result of the
View source version on businesswire.com: https://www.businesswire.com/news/home/20240422804604/en/
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
Source: HealthStream, Inc.
FAQ
What were HealthStream's revenues in the first quarter of 2024?
How much did HealthStream's operating income increase by in the first quarter of 2024?
What was HealthStream's net income in the first quarter of 2024?
What was HealthStream's adjusted EBITDA in the first quarter of 2024?
Did HealthStream declare a cash dividend for the first quarter of 2024?
What is HealthStream's revenue guidance for the full year 2024?
What is HealthStream's adjusted EBITDA guidance for the full year 2024?
