NASHVILLE, Tenn., Jul 26, 2010 (BUSINESS WIRE) --
HealthStream, Inc. ,a leading provider
of learning and research solutions for the healthcare industry, announced today
results for the second quarter ended June 30, 2010.
Highlights:
-- Revenues of $16.7 million in the second quarter of 2010, up 14% over the
second quarter of 2009
-- Operating income of $2.3 million in the second quarter of 2010, up 26%
over the second quarter of 2009
-- Net income of $1.3 million and earnings per share (EPS) of $0.06 per share
in the second quarter of 2010--which is the amount after deducting $1.0 million,
or $0.04 per share, of income tax provision, compared to net income of $1.7
million and EPS of $0.08 per share in the second quarter of 2009--which included
an income tax provision of $132,000.
-- Adjusted EBITDA of $3.8 million in the second quarter of 2010, up 15% from
$3.3 million in the second quarter of 2009
-- Multi-year renewal agreements signed with key accounts, including HCA and
Catholic Health Initiatives
-- SimVentures, new joint venture formed between HealthStream and Laerdal
Medical
Financial Results:
Second Quarter 2010 Compared to Second Quarter 2009
Revenues for the second quarter of 2010 increased $2.1 million, or 14
percent, to $16.7 million, compared to $14.6 million for the second quarter of
2009. The Company's revenue mix during the second quarter of 2010 was comprised
of 68 percent of revenues from HealthStream Learning and 32 percent from
HealthStream Research. This compares to 64 percent from HealthStream Learning
and 36 percent from HealthStream Research during the second quarter of 2009.
Revenues from HealthStream Learning increased by $1.9 million, or 21 percent,
when compared to the second quarter of 2009. Revenues from our Internet-based
subscription products increased by $2.3 million over the prior year quarter, and
were comprised of revenue increases from the HealthStream Learning Center(R)
(HLC) of $1.2 million and from courseware subscriptions of $1.1 million.
Revenues from Internet-based subscription products increased 28 percent over the
prior year quarter due to a higher number of subscribers and more courseware
consumption by subscribers. Revenues associated with implementation,
development, and consulting services decreased $248,000 from the prior year
quarter, impacted primarily by lower revenues associated with fewer
project-based activities.
Revenues from HealthStream Research increased by $153,000, or three percent,
when compared to the second quarter of 2009. Revenues from patient surveys--a
product that generates recurring revenues--increased by $344,000, or 11 percent.
Revenues from surveys conducted on annual or bi-annual cycles--namely employee,
physician, and community surveys--decreased by $191,000, primarily due to
declines in physician and community surveys, which more than offset an increase
in employee surveys.
Cost of revenues (excluding depreciation and amortization) approximated 36
percent of revenues for both the second quarter of 2010 and 2009. The increase
in cost of revenues of $678,000 resulted primarily from increased royalties paid
by us associated with growth in courseware subscription revenues as well as an
increase in capacity to support the growth in revenues from patient surveys.
These increases were partially offset by lower costs associated with the decline
in project-based revenues compared to the prior year quarter.
In the aggregate, all other operating expenses increased by 12 percent over
the prior year same quarter. Product development expenses increased by $275,000
(of which $180,000 related to SimVentures) compared to the prior year quarter
due to the hiring of additional personnel to support our platform products as
well as our portion of expenses associated with the SimVentures joint venture
with Laerdal Medical (see section entitled "Joint Venture: SimVentures" for
details about SimVentures). Sales and marketing expenses increased $448,000
compared to the prior year quarter due to the hiring of additional sales
personnel and related expenses. Other general and administrative expense
increased $204,000 primarily due to increased contract labor expenses,
professional fees, and rent expense.
Operating income for the second quarter of 2010 improved by 26 percent to
$2.3 million compared to $1.9 million for the second quarter of 2009, primarily
resulting from the strong revenue growth mentioned above.
In the fourth quarter of 2009, we released substantially all of the remaining
balance of our valuation allowance against our deferred tax assets in accordance
with generally accepted accounting principles ("GAAP"), which resulted in a
non-cash $9.1 million tax benefit in net income, or approximately $0.41 per
share.
Our effective income tax rate in the quarter ended June 30, 2010 was 42.5
percent. Because the Company previously maintained a full valuation allowance
for its deferred tax assets, net income for the second quarter of 2009 did not
include deferred income tax expense. Therefore, because of the changes in income
tax accounting between 2009 and 2010, net income is not comparable between
periods due to the valuation allowance maintained during the prior year.
Net income for the second quarter of 2010 was $1.3 million, or $0.06 per
share (diluted), compared to $1.7 million, or $0.08 per share (diluted), for the
second quarter of 2009. Net income for 2010 includes an income tax provision of
$1.0 million, or $0.04 per share (diluted).
Adjusted EBITDA (which we define as net income before interest, income taxes,
share-based compensation, and depreciation and amortization) was $3.8 million
for the second quarter of 2010, compared to $3.3 million for the second quarter
of 2009. This improvement is consistent with the factors mentioned above. Our
reconciliation of this calculation to measures under GAAP is attached in the
Summary Financial Data.
Year-to-Date 2010 Compared to Year-to-Date 2009
For the first six months of 2010, revenues were $31.5 million, an increase of
12 percent over revenues of $28.2 million in the first six months of 2009. Net
income for the first six months of 2010 was $2.2 million, or $0.10 per share
(diluted), compared to $2.6 million, or $0.12 per share (diluted), for the first
six months of 2009. Net income for the first six months of 2010 includes an
income tax provision of $1.6 million, or $0.07 per share (diluted). Operating
income for the first six months of 2010 improved by 34 percent to $3.8 million
compared to $2.8 million for the first six months of 2009.
Other Financial Indicators
At June 30, 2010, the Company had cash and related interest receivable of
$18.8 million, compared to $13.0 million at March 31, 2010. The increase in cash
resulted from favorable operating results, net of payments associated with
capital expenditures. Capital expenditures and capitalized feature enhancement
development totaled approximately $900,000 for the second quarter of 2010.
Our days sales outstanding (DSO), which we calculate by dividing the accounts
receivable balance, excluding unbilled and other receivables, by average daily
revenues for the quarter, approximated 53 days for the second quarter of 2010
compared to 58 days for the second quarter of 2009 and 72 days for the first
quarter of 2010. The decrease in DSO compared to the first quarter of 2010 is a
result of the collection of several significant balances during the second
quarter of 2010.
Joint Venture: SimVentures
On June 23, 2010, we announced the formation of SimVentures, a joint venture
between HealthStream and Laerdal Medical. SimVentures will offer products and
services aimed at accelerating the global adoption of simulation-based learning
by healthcare providers--with a focus on improving clinical competencies and
patient outcomes. HealthStream will receive 50 percent of the profits and losses
generated from the joint venture. SimVentures is currently in the product
development phase, and sales activity is expected to commence during 2011.
During the second quarter of 2010, we recorded approximately $180,000 of
expenses related to the joint venture, which are primarily recorded in the
product development category within our statement of income.
HealthStream Learning Update
HealthStream supports healthcare organizations in delivering quality patient
care, creating safer hospitals, meeting regulatory training requirements, and
developing professional skills through our innovative learning solutions. To
this end, we provide a range of learning solutions--delivered via a
software-as-a-service (SaaS) model--that include: the HLC--our Internet-based
learning platform, a wide range of professional, clinical, and regulatory
courseware subscriptions, an online authoring/self-publishing tool, and learning
activities for healthcare professionals sponsored by pharmaceutical and medical
device companies.
At June 30 2010, approximately 2,113,000 healthcare professionals were fully
implemented to use our Internet-based HLC for training and education. Revenue
recognition commences when a contract is fully implemented. This number is up
from approximately 1,863,000 at June 30, 2009. The total number of contracted
subscribers at June 30, 2010 was approximately 2,258,000 up from 1,945,000 at
June 30, 2009. "Contracted subscribers" include both those already implemented
(2,113,000) and those in the process of implementation (145,000).
During the second quarter of 2010, we signed several multi-year renewals of
existing enterprise agreements from large HealthStream Learning customers,
including Catholic Health Initiatives and HCA Information Technology &
Services, Inc., a subsidiary of HCA, Inc.
Customers representing approximately 101 percent of subscribers that were up
for renewal did renew in the second quarter of 2010, while our renewal rate
based on the annual contract value up for renewal was approximately 107 percent.
(Note: The impact of HCA's renewal is not included in these calculations; it
will be included in fourth quarter 2010 renewal rates, consistent with our
practice of calculating renewal rates based on the period in which accounts are
up for renewal.) Our renewal rates reflect the addition of subscribers compared
to previously contracted amounts combined with any pricing adjustments that may
occur at renewal. The renewal rates for the second quarter of 2010 compare to a
subscriber renewal rate of 104 percent and an annual contract value renewal rate
of 102 percent during the second quarter of 2009.
In July of 2010, we released a set of significant enhancements to the
HealthStream Competency Center(TM) (HCC), our software-as-a-service competency
management solution for healthcare organizations. The enhancements included
features to enable large, multi-facility enterprises to more effectively manage
competency and performance initiatives across all of their facilities and will,
therefore, serve the growing competency management needs of our larger
customers. A total of 47 healthcare organizations have contracted to use the
HCC, which includes several pilots by our large health system customers where
they are evaluating the HCC's potential to serve as their enterprise-wide
clinical competency system. Six of the 47 contracts were signed in the second
quarter of 2010.
HealthStream Research Update
We support healthcare organizations with research solutions that provide
valuable insight about patients' experiences, workforce engagement, physician
relations, and community perceptions of hospital services. This insight, in
turn, provides data-driven roadmaps for organizational and workforce
development--which can be achieved through HealthStream's learning solutions.
Our primary research solutions include physician, employee, patient, and
community surveys that deliver insight, analysis, and industry benchmarks to
healthcare organizations.
In response to the increasing demand for the Company's patient survey
services, our professional interviewing center, located at our Baltimore office,
was expanded during the second quarter of 2010. The expansion increased our
capacity by 32 percent.
During the second quarter of 2010, several multi-year account renewals were
secured from large HealthStream Research customers, including Catholic Health
Initiatives. An early multi-year renewal was obtained with Capella Healthcare.
The HealthStream Improvement Center(TM), a software-as-a-service application
for optimizing and accelerating the execution of improvement plans, was
contracted for use by four HealthStream Research customers in the second quarter
of 2010. These customers will use the Improvement Center to execute plans to
improve a variety outcomes in their respective hospitals based on action items
identified in their patient, employee, and physician surveys.
HealthStream Recognition & New Research Coverage
In June of 2010, HealthStream was ranked #61 in the 2010 "Healthcare
Informatics 100," a list of the 100 leading global healthcare IT providers. This
annual listing, published in the magazine, Healthcare Informatics, ranks both
public and private healthcare IT companies based on the previous year's
performance. This is the third consecutive year that HealthStream has been
recognized in this list as a leading healthcare IT company.
On June 10, 2010, Avondale Partners LLC launched research coverage of
HealthStream with their first report on the Company. Avondale becomes the second
firm to provide independent research coverage about HealthStream. Noble
Financial Group has covered the Company since 2006.
Financial Expectations
We are updating our previously issued guidance for the full year 2010 as
follows:
The Company anticipates that consolidated revenues for the full year 2010
will grow by 11 percent to 13 percent when compared to the full year 2009. We
anticipate revenue growth in the Learning segment to be in the 14 percent to 16
percent range and the Research segment's revenue to increase by approximately
four percent to six percent. We do not anticipate revenues from SimVentures
during 2010.
As we have discussed elsewhere in this release, we have begun our investment
in the SimVentures project and in the second quarter, our expenses included
approximately $180,000 related to this initiative. We expect our estimated
portion of SimVentures expenses to range between $400,000 and $600,000 for the
second half of the year. These anticipated expenses are in addition to the
operating costs to service our existing business.
We anticipate that operating expenses exclusive of SimVentures will grow in
the range between 11 percent and 13 percent when compared to the Company's full
year 2009 levels. These categories include cost of revenues, product
development, sales and marketing, depreciation and amortization, and other
general and administrative expense.
We anticipate that operating income will increase 22 percent to 30 percent
for the full year of 2010 versus our 2009 results. This growth rate assumes the
inclusion of SimVentures expenses in 2010 results.
Because of the release of substantially all of our income tax valuation
allowance during the fourth quarter of 2009, we expect that the effective income
tax rate applied to pre-tax income will range between 40 percent and 44 percent.
Actual tax payments will be substantially less than our income tax provision as
we continue to utilize our federal and state net operating loss carry-forwards
of approximately $32 million and $26 million, respectively, to offset taxable
income.
We anticipate capitalized software development associated with SimVentures to
range between $300,000 and $500,000 for the second half of the year.
Accordingly, we expect that capital expenditures, including hardware,
software and capitalized software development for new features, enhancements,
SimVentures, content development, and additional office space will range between
approximately $4.0 to $5.0 million in 2010.
Robert A. Frist, Jr., chief executive officer, commented, "We were excited to
see the addition of 125,000 newly contracted subscribers to our learning
platform in the 91 days of the second quarter. Key financial metrics for the
second quarter of 2010 were strong as well; operating income and revenue were up
26% and 14%, respectively, over the prior year same quarter. These results
generate even more excitement and confidence in the new investments that we're
making in the future of our Company--including our joint venture with Laerdal
Medical, SimVentures, and growth in our sales organization."
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, associate vice president of communications, research, and investor
relations will be held on Tuesday, July 27, 2010 at 9:00 a.m. (EST). 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 800-642-1687 (conference ID
#89306523) for U.S. and Canadian callers and 706-645-9291 (conference ID
#89306523) for international callers.
About HealthStream
HealthStream /quotes/comstock/15*!hstm/quotes/nls/hstm (HSTM 4.61, -0.07, -1.50%) is a leading provider
of research and learning solutions for the healthcare industry, transforming
insight into action to deliver outcomes-based results for healthcare
organizations. Through HealthStream's learning solutions--which have been
contracted by over 2.2 million hospital-based healthcare
professionals--healthcare organizations create safer environments for patients,
increase clinical competencies of their workforces, and facilitate the rapid
transfer of the latest knowledge and technologies. Through our research
products, executives from healthcare organizations gain valuable insight about
patients' experiences, workforce challenges, physician relations, and community
perceptions of their services. Based in Nashville, Tennessee, HealthStream has
two satellite offices. For more information about HealthStream's learning and
research solutions, visit www.healthstream.com or call us at
800-933-9293.
