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HealthStream Announces Fourth Quarter & Full-Year 2024 Results

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HealthStream (HSTM) reported strong financial results for Q4 and full-year 2024. Fourth quarter revenues increased 5.2% to $74.2 million, with operating income up 10.2% to $4.7 million and EPS of $0.16 per share.

Full-year 2024 performance showed significant growth with revenues up 4.5% to $291.6 million, operating income increasing 32.9% to $21.3 million, and net income rising 31.5% to $20.0 million. The company's EPS reached $0.66 per share, up from $0.50 in 2023.

Notable developments include the acquisition of two clinical rotation management businesses (TCPS and The Clinical Hub), a 10.7% increase in quarterly dividend to $0.031 per share, and top rankings for their Learning Center and CredentialStream applications in G2's 2025 Best Software Awards. The company ended 2024 with $97.2 million in cash and marketable securities.

HealthStream (HSTM) ha riportato risultati finanziari solidi per il quarto trimestre e per l'intero anno 2024. I ricavi del quarto trimestre sono aumentati del 5,2% a 74,2 milioni di dollari, con un reddito operativo in crescita del 10,2% a 4,7 milioni di dollari e un utile per azione (EPS) di 0,16 dollari per azione.

Le performance dell'intero anno 2024 hanno mostrato una crescita significativa con ricavi aumentati del 4,5% a 291,6 milioni di dollari, un reddito operativo in aumento del 32,9% a 21,3 milioni di dollari e un reddito netto cresciuto del 31,5% a 20,0 milioni di dollari. L'EPS dell'azienda ha raggiunto 0,66 dollari per azione, in aumento rispetto a 0,50 dollari nel 2023.

Sviluppi notevoli includono l'acquisizione di due aziende di gestione delle rotazioni cliniche (TCPS e The Clinical Hub), un aumento del 10,7% del dividendo trimestrale a 0,031 dollari per azione, e le prime posizioni per le loro applicazioni Learning Center e CredentialStream nei G2's 2025 Best Software Awards. L'azienda ha chiuso il 2024 con 97,2 milioni di dollari in contante e titoli negoziabili.

HealthStream (HSTM) reportó resultados financieros sólidos para el cuarto trimestre y el año completo 2024. Los ingresos del cuarto trimestre aumentaron un 5.2% a 74.2 millones de dólares, con un ingreso operativo que subió un 10.2% a 4.7 millones de dólares y un EPS de 0.16 dólares por acción.

El desempeño del año completo 2024 mostró un crecimiento significativo con ingresos aumentados un 4.5% a 291.6 millones de dólares, ingresos operativos que crecieron un 32.9% a 21.3 millones de dólares, y un ingreso neto que subió un 31.5% a 20.0 millones de dólares. El EPS de la compañía alcanzó 0.66 dólares por acción, en comparación con 0.50 dólares en 2023.

Desarrollos notables incluyen la adquisición de dos negocios de gestión de rotaciones clínicas (TCPS y The Clinical Hub), un aumento del 10.7% en el dividendo trimestral a 0.031 dólares por acción, y posiciones destacadas para sus aplicaciones Learning Center y CredentialStream en los G2's 2025 Best Software Awards. La compañía cerró 2024 con 97.2 millones de dólares en efectivo y valores negociables.

HealthStream (HSTM)는 2024년 4분기 및 연간 강력한 재무 결과를 보고했습니다. 4분기 매출은 5.2% 증가한 7420만 달러에 달하며, 운영 수익은 10.2% 증가한 470만 달러, 주당 순이익(EPS)은 0.16 달러를 기록했습니다.

2024년 전체 성과는 매출이 4.5% 증가한 2억 9160만 달러, 운영 수익이 32.9% 증가한 2130만 달러, 순이익이 31.5% 증가한 2000만 달러로 상당한 성장을 보여주었습니다. 회사의 EPS는 0.66 달러로, 2023년의 0.50 달러에서 증가했습니다.

주목할 만한 발전으로는 두 개의 임상 회전 관리 비즈니스(TCPS 및 The Clinical Hub)의 인수, 분기 배당금이 10.7% 증가하여 주당 0.031 달러에 도달한 것, 그리고 G2의 2025년 최고의 소프트웨어 상에서 Learning Center와 CredentialStream 애플리케이션이 높은 순위를 차지한 것입니다. 회사는 2024년을 9720만 달러의 현금 및 유가 증권으로 마감했습니다.

HealthStream (HSTM) a annoncé des résultats financiers solides pour le quatrième trimestre et l'année entière 2024. Les revenus du quatrième trimestre ont augmenté de 5,2 % pour atteindre 74,2 millions de dollars, avec un bénéfice d'exploitation en hausse de 10,2 % à 4,7 millions de dollars et un BPA de 0,16 dollar par action.

Les performances de l'année complète 2024 ont montré une croissance significative avec des revenus en hausse de 4,5 % à 291,6 millions de dollars, un bénéfice d'exploitation en augmentation de 32,9 % à 21,3 millions de dollars et un bénéfice net en hausse de 31,5 % à 20,0 millions de dollars. Le BPA de l'entreprise a atteint 0,66 dollar par action, contre 0,50 dollar en 2023.

Parmi les développements notables, on note l'acquisition de deux entreprises de gestion de rotations cliniques (TCPS et The Clinical Hub), une augmentation de 10,7 % du dividende trimestriel à 0,031 dollar par action, et des classements élevés pour leurs applications Learning Center et CredentialStream dans les G2's 2025 Best Software Awards. L'entreprise a terminé l'année 2024 avec 97,2 millions de dollars en liquidités et titres négociables.

HealthStream (HSTM) hat starke finanzielle Ergebnisse für das vierte Quartal und das Gesamtjahr 2024 gemeldet. Die Umsätze im vierten Quartal stiegen um 5,2% auf 74,2 Millionen Dollar, während das Betriebsergebnis um 10,2% auf 4,7 Millionen Dollar und der Gewinn pro Aktie (EPS) auf 0,16 Dollar pro Aktie anstieg.

Die Leistung des Gesamtjahres 2024 zeigte ein signifikantes Wachstum mit einem Umsatzanstieg von 4,5% auf 291,6 Millionen Dollar, einem Anstieg des Betriebsergebnisses um 32,9% auf 21,3 Millionen Dollar und einem Nettogewinn, der um 31,5% auf 20,0 Millionen Dollar stieg. Der EPS des Unternehmens erreichte 0,66 Dollar pro Aktie, ein Anstieg von 0,50 Dollar im Jahr 2023.

Bemerkenswerte Entwicklungen umfassen die Übernahme von zwei Unternehmen für das Management klinischer Rotationen (TCPS und The Clinical Hub), eine Erhöhung der vierteljährlichen Dividende um 10,7% auf 0,031 Dollar pro Aktie sowie die Top-Rankings für ihre Anwendungen Learning Center und CredentialStream bei den G2's 2025 Best Software Awards. Das Unternehmen schloss das Jahr 2024 mit 97,2 Millionen Dollar in bar und handelbaren Wertpapieren ab.

Positive
  • Q4 2024 revenue increased 5.2% YoY to $74.2 million
  • Full-year 2024 revenue grew 4.5% to $291.6 million
  • Operating income surged 32.9% to $21.3 million in 2024
  • Net income increased 31.5% to $20 million in 2024
  • Quarterly dividend increased 10.7% to $0.031 per share
  • Strong cash position with $97.2 million in cash and marketable securities
Negative
  • Increased expenses in labor, cloud hosting, and sales commissions
  • Higher bad debt expenses due to customer bankruptcies in Q2 and Q4 2024

Insights

HealthStream's Q4 and FY2024 results reveal a company successfully executing its strategic transformation while maintaining solid financial performance. Subscription revenues, which increased 4.8% in Q4, demonstrate strong recurring revenue momentum and validate the company's platform-based business model.

The financial metrics tell a compelling story:

  • Operating income surged 32.9% to $21.3M for FY2024, significantly outpacing revenue growth of 4.5%
  • Adjusted EBITDA increased 9.0% to $66.8M, indicating improved operational efficiency
  • Strong cash position of $97.2M provides ample runway for strategic investments

Two critical developments warrant investor attention: First, the increase in bad debt from customer bankruptcies during Q2 and Q4 2024 signals potential sector-wide healthcare financial stress that requires monitoring. Second, the strategic acquisitions of TCPS and The Clinical Hub, while modest in size ($2.25M total potential value), strategically expand HealthStream's presence in the critical healthcare education market.

The company's platform strategy, centered around hStream, is gaining momentum, validated by G2's ranking of HealthStream's Learning Center as the #1 software in healthcare. This external validation, combined with the 10.7% dividend increase, reflects management's confidence in the company's competitive position and future cash flow generation capabilities.

The executive leadership realignment, particularly around the single platform strategy, suggests a more focused approach to product integration and market expansion. The departure of EVP Michael Sousa after 20 years, while maintaining potential future ecosystem partnership, indicates a thoughtful transition rather than a disruptive change.

NASHVILLE, Tenn.--(BUSINESS WIRE)-- HealthStream, Inc. (the "Company") (Nasdaq: HSTM), a leading healthcare technology platform for workforce solutions, announced today results for the fourth quarter and full-year ended December 31, 2024.

Fourth Quarter 2024

  • Revenues of $74.2 million, up 5.2% from $70.6 million in the fourth quarter of 2023
  • Operating income of $4.7 million, up 10.2% from $4.3 million in the fourth quarter of 2023
  • Net income of $4.9 million, up 6.5% from $4.6 million in the fourth quarter of 2023
  • Earnings per share (EPS) of $0.16 per share (diluted), up from $0.15 per share (diluted) in the fourth quarter of 2023
  • Adjusted EBITDA1 of $16.2 million, up 1.3% from $16.0 million in the fourth quarter of 2023
  • Completed the acquisitions of two clinical rotation management businesses: Total Clinical Placement System and The Clinical Hub, Inc.

Full Year 2024

  • Revenues of $291.6 million, up 4.5% from $279.1 million in 2023
  • Operating income of $21.3 million, up 32.9% from $16.0 million in 2023
  • Net income of $20.0 million, up 31.5% from $15.2 million in 2023
  • Earnings per share (EPS) of $0.66 per share (diluted) in 2024, up from $0.50 per share (diluted) in 2023
  • Adjusted EBITDA of $66.8 million, up 9.0% from $61.3 million in 2023

2025 Updates

  • Executive Leadership promotions made, affirming single platform strategy
  • Board of Directors has declared a quarterly cash dividend of $0.031 per share, an increase of 10.7% over the previous quarter’s dividend of $0.028 per share
  • HealthStream’s Learning Center (LMS) and CredentialStream applications were named the #1 and #5 best software products, respectively, among thousands of software products in healthcare by G2

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:

Fourth Quarter 2024 Compared to Fourth Quarter 2023

Revenues for the fourth quarter of 2024 increased by $3.7 million, or 5.2%, to $74.2 million, compared to $70.6 million for the fourth quarter of 2023. Subscription revenues increased $3.3 million, or 4.8%, and professional services revenues increased by $0.4 million.

Operating income was $4.7 million for the fourth quarter of 2024, up 10.2% from $4.3 million for the fourth quarter of 2023. The improvement in operating income was primarily attributable to the growth in revenues, but was partially offset by expense increases for labor and benefits, cloud hosting, sales commissions, and bad debt primarily related to customer bankruptcies during the fourth quarter of 2024.

Net income was $4.9 million in the fourth quarter of 2024, up 6.5% from $4.6 million in the fourth quarter of 2023, and EPS was $0.16 per share (diluted) in the fourth quarter of 2024, up from $0.15 per share (diluted) for the fourth quarter of 2023.

Adjusted EBITDA was $16.2 million for the fourth quarter of 2024, up 1.3% from $16.0 million in the fourth quarter of 2023.

At December 31, 2024, the Company had cash and cash equivalents and marketable securities of $97.2 million. Capital expenditures incurred during the fourth quarter of 2024 were $7.6 million.

Full-Year 2024 Compared to Full-Year 2023

For 2024, revenues were $291.6 million, an increase of 4.5% from revenues of $279.1 million for 2023. Operating income for 2024 increased by 32.9% to $21.3 million, compared to $16.0 million for 2023. The increase in operating income was primarily attributable to higher revenues and an increase in capitalized labor associated with software development activities. Operating income was also impacted by higher expenses, including labor and benefits costs, software, bad debt primarily related to customer bankruptcies during the second and fourth quarters of 2024, cloud hosting, commissions, travel, and marketing. Net income for 2024 was $20.0 million, compared to $15.2 million for 2023. Earnings per share were $0.66 per share (diluted) for 2024, compared to $0.50 per share (diluted) for 2023. Adjusted EBITDA increased by 9.0% to $66.8 million for 2024, compared to $61.3 million for 2023.

Other Business Updates

On February 24, 2025, the Board approved a quarterly cash dividend under the Company's dividend policy of $0.031 per share, reflecting an increase of 10.7% over the previous quarter’s dividend of $0.028 per share. The dividend is payable on March 21, 2025 to holders of record on March 10, 2025.

On November 5, 2024, HealthStream announced the completion of two acquisitions, each enlarging the Company’s footprint among nursing and allied healthcare students as they prepare for careers in healthcare. On October 31, 2024, the Company acquired substantially all of the assets of Total Clinical Placement System (d/b/a “TCPS”), a Tennessee-based clinical rotation management business. On November 1, 2024, the Company acquired substantially all of the assets of The Clinical Hub, Inc., (d/b/a “The Clinical Hub”), an Oklahoma-based clinical rotation management business. The purchase price paid for TCPS and The Clinical Hub consisted of up to $1.65 million and $0.6 million in cash (the full payments of which will require earnout achievement), respectively, each subject to customary purchase price adjustments.

On February 19, 2025, G2 ranked HealthStream’s learning management system, the HealthStream Learning Center (HLC) in the #1 spot among the 2025 Best Software Awards, making it the highest rated software—of any software category—in healthcare. G2 also ranked CredentialStream in the #5 spot in the 2025 Best Software in Healthcare list, making it the highest ranked credentialing application in healthcare. G2’s ranking is based on verified user reviews and publicly available market presence data. Across all industries, their database includes over 180,000 software products and services listings and 2.8 million user reviews.

2025 Executive Leadership Promotions

As initially announced two years ago, HealthStream’s operations and executive leadership are increasingly shaped by our single platform strategy, as represented by the hStream technology platform. To advance the Company’s single platform approach throughout our operations, there were three promotions made in the management team in the first quarter of 2025, which takes into account the planned departure of another executive.

Kevin O’Hara has been promoted to Executive Vice President (EVP), Enterprise Workforce Platform from his prior role as Senior Vice President (SVP), Platform Strategy & Product Development Alignment. In his new role, Mr. O’Hara’s responsibilities have expanded to include both HealthStream Credentialing and HealthStream Scheduling, which form the Company’s Enterprise Applications solutions group. He will continue to be responsible for HealthStream Learning and the hStream platform, their growth strategy, and product alignment. Mr. O’Hara’s tenure at HealthStream spans 14 years cumulatively, which includes his leadership from 2001 - 2011 and then from 2021 - present. His broad technology and product development executive leadership makes him particularly qualified to lead these key areas of the Company.

Michael Collier has been promoted to EVP, Corporate Strategy, Development, & Operations from his prior role as EVP, Corporate Strategy & Development. He will continue to be responsible for HealthStream’s enterprise growth strategy, corporate development, and the M&A program—where he has successfully completed 21 acquisitions. Mr. Collier will also continue to provide executive oversight to several departments, including legal, human resources, business enablement, and enterprise partnerships. Going forward in his new role, his responsibilities will extend to include a broader scope of the Company’s operations, including success management, implementations, and onboarding for all of the Company’s products and services.

Trisha Coady has been promoted to EVP, Workforce Development Solutions from her prior role as SVP, Workforce Development Solutions. Since joining HealthStream over 11 years ago, Ms. Coady’s accomplishments and broad expertise have made her the Company’s top clinical officer. Her leadership has been instrumental in the growth and expansion of our workforce development solutions, which have represented the largest component of HealthStream’s revenues over the last decade. In her new role, Ms. Coady will continue to provide executive leadership over the Company’s workforce development solutions, which include competency development, resuscitation, quality and safety, and revenue cycle—as well as HealthStream’s content marketplace.

Michael Sousa, EVP, Enterprise Applications, has announced plans to resign from his current position at the end of the first quarter of 2025. After 20 years at HealthStream, Mr. Sousa is leaving to pursue other opportunities, with the intent of both parties being for Mr. Sousa in his future endeavors to become a partner in HealthStream's ecosystem.

Financial Outlook for 2025

The Company is providing guidance for 2025 for the measures set forth below, including adjusted EBITDA, a non-GAAP financial measure as defined later in this release. For a reconciliation of projected adjusted EBITDA to projected net income (the most comparable GAAP measure) for 2025, see the table included on page ten of this release.

 

Full Year 2025 Guidance

 

 

Low

 

High

 

 

Revenue

 

$ 302.0

-

$ 307.0

 

million

 

 

 

 

 

 

 

Net Income

 

$ 19.2

-

$ 21.4

 

million

  

 

 

 

 

 

 

Adjusted EBITDA1

 

$ 70.0

-

$ 74.0

 

million

 

 

 

 

 

 

 

Capital Expenditures

 

$ 31.0

-

$ 34.0

 

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 2025, 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 do not deteriorate. This consolidated guidance does not include the impact of any acquisitions or dispositions that we may complete during 2025, gains or losses from changes in the fair value of non-marketable equity investments, or impairment of long-lived assets.

Commenting on fourth quarter & full-year 2024 results, Robert A. Frist, Jr., Chief Executive Officer, HealthStream, said, “Our financial performance for 2024 was solid. Compared to the prior year, in 2024, our revenues were up 4.5 percent, adjusted EBITDA was up 9.0 percent, operating income was up 32.9 percent, and net income was up 31.5 percent.

“HealthStream is firing on all cylinders as we kick off 2025. We launched two significant products: the HealthStream Learning Experience (HLX) application and the American Red Cross Neonatal Advanced Life Support (NALS) program—and customers’ early responses to these innovations has been enthusiastic. Our LMS, the HealthStream Learning Center, was named by G2 as the #1 software in all of healthcare—across all of the varied types of software applications in the industry. Most importantly, we are starting to see powerful benefits of our hStream platform strategy and its exciting potential for the nation’s healthcare workforce.

“Alongside our emerging platform strategy, we’ve realigned our Company to optimize the opportunities ahead for us. To that end, we’ve made updates among our executive team that I believe enable us to make 2025 a banner year for moving HealthStream forward.”

A conference call with Robert A. Frist, Jr., Chief Executive Officer, Scott A. Roberts, Chief Financial Officer and Senior Vice President, and Mollie Condra, Head, Investor Relations and Communications, will be held on Tuesday, February 25, 2025, 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/t7bbbexa. To participate via telephone, please register in advance using this link: https://register.vevent.com/register/BI709f5dbd0d1b4043b6decb8b34e41fe5. 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 revenue 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 no longer recognizes any deferred revenue write-downs associated with the Pre-2022 Acquisitions under GAAP, and accordingly such deferred revenue write-downs are not an adjustment in connection with the calculation of adjusted EBITDA for periods 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 December 31,

 

 

Year Ended December 31,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Revenues, net

 

$

74,235

 

 

$

70,580

 

 

$

291,646

 

 

$

279,063

 

Operating costs and expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cost of revenues (excluding depreciation and amortization)

 

 

25,111

 

 

 

24,010

 

 

 

97,936

 

 

 

95,021

 

Product development

 

 

12,682

 

 

 

11,929

 

 

 

48,890

 

 

 

45,540

 

Sales and marketing

 

 

12,482

 

 

 

11,418

 

 

 

47,158

 

 

 

45,743

 

General and administrative expenses

 

 

8,807

 

 

 

8,441

 

 

 

35,132

 

 

 

35,664

 

Depreciation and amortization

 

 

10,464

 

 

 

10,526

 

 

 

41,243

 

 

 

41,076

 

Total operating costs and expenses

 

 

69,546

 

 

 

66,324

 

 

 

270,359

 

 

 

263,044

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating income

 

 

4,689

 

 

 

4,256

 

 

 

21,287

 

 

 

16,019

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other income, net

 

 

794

 

 

 

1,162

 

 

 

3,516

 

 

 

2,492

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Income before income tax provision

 

 

5,483

 

 

 

5,418

 

 

 

24,803

 

 

 

18,511

 

Income tax provision

 

 

594

 

 

 

828

 

 

 

4,796

 

 

 

3,298

 

Net income

 

$

4,889

 

 

$

4,590

 

 

$

20,007

 

 

$

15,213

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income per share:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic

 

$

0.16

 

 

$

0.15

 

 

$

0.66

 

 

$

0.50

 

Diluted

 

$

0.16

 

 

$

0.15

 

 

$

0.66

 

 

$

0.50

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares of common stock outstanding:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic

 

 

30,423

 

 

 

30,326

 

 

 

30,386

 

 

 

30,571

 

Diluted

 

 

30,639

 

 

 

30,489

 

 

 

30,544

 

 

 

30,673

 

Dividends declared per share

 

$

0.028

 

 

$

0.025

 

 

$

0.112

 

 

$

0.100

 

HEALTHSTREAM, INC.

Condensed Consolidated Balance Sheets

(In thousands)

(Unaudited)

   

 

 

December 31,

 

 

December 31,

 

 

 

2024

 

 

2023

 

ASSETS

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

59,469

 

 

$

40,333

 

Marketable securities

 

 

37,748

 

 

 

30,800

 

Accounts and unbilled receivables, net

 

 

35,322

 

 

 

38,446

 

Prepaid and other current assets

 

 

20,583

 

 

 

20,631

 

Total current assets

 

 

153,122

 

 

 

130,210

 

 

 

 

 

 

 

 

 

 

Capitalized software development, net

 

 

43,370

 

 

 

40,643

 

Property and equipment, net

 

 

10,741

 

 

 

13,005

 

Operating lease right of use assets, net

 

 

17,453

 

 

 

20,114

 

Goodwill and intangible assets, net

 

 

246,768

 

 

 

259,410

 

Deferred commissions

 

 

34,671

 

 

 

31,700

 

Other assets

 

 

4,641

 

 

 

4,860

 

Total assets

 

$

510,766

 

 

$

499,942

 

 

 

 

 

 

 

 

 

 

LIABILITIES AND SHAREHOLDERS’ EQUITY

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

Accounts payable, accrued, and other liabilities

 

$

31,466

 

 

$

34,738

 

Deferred revenue

 

 

84,227

 

 

 

83,623

 

Total current liabilities

 

 

115,693

 

 

 

118,361

 

Deferred tax liabilities

 

 

14,596

 

 

 

16,132

 

Deferred revenue, noncurrent

 

 

1,655

 

 

 

2,169

 

Operating lease liability, noncurrent

 

 

17,366

 

 

 

20,247

 

Other long-term liabilities

 

 

2,101

 

 

 

2,281

 

Total liabilities

 

 

151,411

 

 

 

159,190

 

 

 

 

 

 

 

 

 

 

Shareholders’ equity:

 

 

 

 

 

 

 

 

Common stock

 

 

252,432

 

 

 

249,075

 

Accumulated other comprehensive loss

 

 

(2,049

)

 

 

(691

)

Retained earnings

 

 

108,972

 

 

 

92,368

 

Total shareholders’ equity

 

 

359,355

 

 

 

340,752

 

Total liabilities and shareholders' equity

 

$

510,766

 

 

$

499,942

 

HEALTHSTREAM, INC.

Condensed Consolidated Statements of Cash Flows

(In thousands)

(Unaudited)

   

 

 

Year Ended

 

 

 

December 31,

 

 

December 31,

 

 

 

2024

 

 

2023

 

Operating activities:

 

 

 

 

 

 

 

 

Net income

 

$

20,007

 

 

$

15,213

 

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

 

 

 

 

 

 

 

 

Depreciation and amortization

 

 

41,243

 

 

 

41,076

 

Amortization of deferred commissions

 

 

12,480

 

 

 

11,495

 

Stock-based compensation

 

 

4,470

 

 

 

4,153

 

Deferred income taxes

 

 

(1,114

)

 

 

(1,725

)

Provision for credit losses

 

 

2,595

 

 

 

1,021

 

Loss on equity method investments

 

 

230

 

 

 

384

 

Change in fair value of non-marketable equity investments

 

 

 

 

 

(425

)

Other

 

 

(1,639

)

 

 

(891

)

Changes in assets and liabilities:

 

 

 

 

 

 

 

 

Accounts and unbilled receivables

 

 

537

 

 

 

3,243

 

Deferred commissions

 

 

(15,451

)

 

 

(14,852

)

Prepaid and other assets

 

 

(974

)

 

 

(2,046

)

Accounts payable, accrued and other liabilities

 

 

(4,394

)

 

 

3,938

 

Deferred revenue

 

 

(330

)

 

 

3,386

 

Net cash provided by operating activities

 

 

57,660

 

 

 

63,970

 

 

 

 

 

 

 

 

 

 

Investing activities:

 

 

 

 

 

 

 

 

Cash paid for acquisitions, net of cash acquired

 

 

(1,299

)

 

 

(6,621

)

Purchases of marketable securities, net of proceeds

 

 

(5,296

)

 

 

(22,018

)

Proceeds from sale of non-marketable equity investments

 

 

765

 

 

 

47

 

Purchases of property and equipment

 

 

(1,401

)

 

 

(2,200

)

Payments associated with capitalized software development

 

 

(26,741

)

 

 

(25,806

)

Net cash used in investing activities

 

 

(33,972

)

 

 

(56,598

)

 

 

 

 

 

 

 

 

 

Financing activities:

 

 

 

 

 

 

 

 

Taxes paid related to net settlement of equity awards

 

 

(1,113

)

 

 

(934

)

Payment of debt issuance costs

 

 

 

 

 

(118

)

Repurchases of common stock

 

 

 

 

 

(8,929

)

Payment of cash dividends

 

 

(3,403

)

 

 

(3,058

)

Net cash used in financing activities

 

 

(4,516

)

 

 

(13,039

)

 

 

 

 

 

 

 

 

 

Effect of exchange rate changes on cash and cash equivalents

 

 

(36

)

 

 

(23

)

Net increase (decrease) in cash and cash equivalents

 

 

19,136

 

 

 

(5,690

)

Cash and cash equivalents at beginning of period

 

 

40,333

 

 

 

46,023

 

Cash and cash equivalents at end of period

 

$

59,469

 

 

$

40,333

 

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

Operating Results Summary

(In thousands)

(Unaudited)

   

 

 

Three Months Ended December 31,

 

 

Year Ended December 31,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

GAAP net income

 

$

4,889

 

 

$

4,590

 

 

$

20,007

 

 

$

15,213

 

Deferred revenue write-down

 

 

 

 

 

84

 

 

 

 

 

 

212

 

Interest income

 

 

(979

)

 

 

(777

)

 

 

(3,834

)

 

 

(2,356

)

Interest expense

 

 

26

 

 

 

26

 

 

 

100

 

 

 

124

 

Income tax provision

 

 

594

 

 

 

828

 

 

 

4,796

 

 

 

3,298

 

Stock-based compensation expense

 

 

1,185

 

 

 

1,077

 

 

 

4,470

 

 

 

4,153

 

Depreciation and amortization

 

 

10,464

 

 

 

10,526

 

 

 

41,243

 

 

 

41,076

 

Change in fair value of non-marketable equity investments

 

 

 

 

 

(379

)

 

 

 

 

 

(425

)

Adjusted EBITDA

 

$

16,179

 

 

$

15,975

 

 

$

66,782

 

 

$

61,295

 

   

(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 2025

(In thousands)

(Unaudited)

   

 

 

Low

 

 

High

 

Net income

 

$

19,200

 

 

$

21,400

 

Interest income

 

 

(3,000

)

 

 

(3,400

)

Interest expense

 

 

100

 

 

 

100

 

Income tax provision

 

 

5,100

 

 

 

6,100

 

Stock-based compensation expense

 

 

4,600

 

 

 

5,000

 

Depreciation and amortization

 

 

44,000

 

 

 

44,800

 

Adjusted EBITDA

 

$

70,000

 

 

$

74,000

 

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 2025 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, changes in U.S. policy, inflationary conditions, 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.

Scott A. Roberts

Chief Financial Officer

(615) 301-3182

ir@healthstream.com

Media:

Mollie Condra, Ph.D.

Head, Investor Relations & Communications

(615) 301-3237

mollie.condra@healthstream.com

Source: HealthStream, Inc.

FAQ

What were HealthStream's (HSTM) Q4 2024 earnings per share?

HealthStream reported earnings per share (EPS) of $0.16 for Q4 2024, up from $0.15 in Q4 2023.

How much did HealthStream's (HSTM) revenue grow in full-year 2024?

HealthStream's revenue grew 4.5% to $291.6 million in 2024, compared to $279.1 million in 2023.

What acquisitions did HSTM complete in Q4 2024?

HealthStream acquired two clinical rotation management businesses: Total Clinical Placement System (TCPS) and The Clinical Hub, Inc.

What is HealthStream's new quarterly dividend for 2025?

HealthStream's Board approved a quarterly cash dividend of $0.031 per share, a 10.7% increase from the previous $0.028 per share.

How much cash and marketable securities did HSTM have at the end of 2024?

HealthStream had $97.2 million in cash and cash equivalents and marketable securities as of December 31, 2024.

Healthstream

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