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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 8-K

CURRENT REPORT

 

Pursuant to Section 13 or 15(d) of The

Securities Exchange Act of 1934

 

Date of Report (Date of earliest event reported): April 26, 2023

 

Streamline Health Solutions, Inc.

(Exact name of registrant as specified in its charter)

 

Delaware   0-28132   31-1455414

(State or other jurisdiction

of incorporation)

 

(Commission

File Number)

 

(I.R.S. Employer

Identification No.)

 

2400 Old Milton Pkwy., Box 1353

Alpharetta, GA 30009

(Address of principal executive offices) (Zip Code)

 

Registrant’s telephone number, including area code: (888) 997-8732

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

  Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
     
  Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
     
  Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
     
  Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class   Trading Symbol   Name of each exchange on which registered
Common Stock, $0.01 par value   STRM   Nasdaq Capital Market

 

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

 

Emerging growth company

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 

 

 

 
 

 

Item 2.02 Results of Operations and Financial Condition.

 

On April 26, 2023, Streamline Health Solutions, Inc. (the “Company”) issued a press release announcing fourth quarter fiscal 2022 and full year financial results for the year ended January 31, 2023. A copy of the press release is attached hereto as Exhibit 99.1 and is incorporated herein by reference.

 

The information contained in this Item 2.02, as well as Exhibit 99.1 referenced herein, is being “furnished” and, as such, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liabilities of that section, nor shall it be incorporated by reference in any filing under the Securities Act of 1933, as amended, unless the Company expressly so incorporates such information by reference.

 

Item 9.01 Financial Statements and Exhibits.

 

(d) Exhibits.

 

EXHIBIT

NUMBER

  DESCRIPTION
     
99.1   Press release, dated April 26, 2023, regarding Fourth Quarter Fiscal 2022 and Fiscal Year End 2022 Financial Results.
104   Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

 
 

 

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

  STREAMLINE HEALTH SOLUTIONS, INC.
   
Date: April 26, 2023

By:

/s/ Thomas J. Gibson
    Thomas J. Gibson
    Chief Financial Officer

 

 

 

 

Exhibit 99.1

 

A picture containing graphical user interface

Description automatically generated FOR IMMEDIATE RELEASE

 

Streamline Health® Reports Fiscal Fourth Quarter and Full Year 2022 Financial Results

 

Fiscal 2022 SaaS revenue up 53% vs fiscal 2021
Total contract value of fiscal 2022 SaaS bookings was $22.4 million compared to $5.6 million in fiscal 2021
Reported $17.2 million of Booked SaaS ACV as of January 31, 2023, compared to $10.6 million as of January 31, 2022
Executed strategic alignment of eValuator and Avelead operations

 

Atlanta, GA – April 26, 2023 – 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 fourth quarter and fiscal year 2022, which ended January 31, 2023.

 

Fiscal Fourth Quarter and Full Year 2022 Financial Results

 

The following financial results have been prepared in accordance with Generally Accepted Accounting Principles (“GAAP”). Fiscal 2022 financial results reflect the consolidation of the Company with Avelead Consulting, LLC (“Avelead”), which was acquired in the fiscal third quarter of 2021. Fiscal 2021 GAAP financial results reflect results from Avelead’s operations from the date of acquisition, August 16, 2021.

 

Total revenues for the fourth quarter of fiscal 2022 were $6.7 million, a 12% increase from $6.0 million during the fourth quarter of fiscal 2021. Fiscal year 2022 revenues were $24.9 million, a 43% increase compared to $17.4 million during fiscal year 2021. The increase in revenue for the quarter was the result of higher SaaS revenue due to increased eValuator client volumes, higher software license revenue and increased professional services revenue from the Avelead business. The increase in revenue for the fiscal year was the result of higher SaaS and professional services revenue primarily attributable to the Avelead acquisition.

 

The Company is focused on the growth of its SaaS solutions. During the fourth quarter of fiscal 2022, SaaS revenue grew $0.4 million or 15% compared to the fourth quarter of fiscal 2021 and $4.2 million or 53% during the fiscal year ended January 31, 2023, compared to the prior fiscal year.

 

Net loss for the fourth quarter of fiscal 2022 was ($2.2) million as compared to a net loss of ($30,000) during the fourth quarter of fiscal 2021. Net loss for the fourth quarter of fiscal 2021 included income of $2.3 million related to a positive valuation adjustment arising from the acquisition of Avelead.

 

Net loss for fiscal 2022 was ($11.4) million, as compared to a net loss of ($6.5) million for fiscal 2021. The net loss for fiscal 2022 was impacted by higher overall operating expenses primarily as a result of having a full year in fiscal 2022 with Avelead operations as compared to a partial year in fiscal 2021. Fiscal 2021 net loss included $2.3 million of income related to PPP loan forgiveness and $1.9 million of income related to valuation adjustments arising from the Avelead acquisition.

 

 
 

 

Full Year 2022 Pro Forma and Non-GAAP Metrics

 

The following financial results for Fiscal 2021 are pro forma and have not been prepared in accordance with GAAP. These pro forma financial results represent the consolidation of the Company with Avelead as if Avelead’s operations were fully recognized during the comparable period.

 

Consolidated revenue for fiscal 2022 was $24.9 million, a 10% increase compared to pro forma, unaudited, consolidated revenue for fiscal 2021 of approximately $22.6 million. SaaS Revenue for fiscal 2022 was approximately $12.3 million, up 9% compared to $11.3 million of pro forma consolidated SaaS Revenue in fiscal 2021.

 

Adjusted EBITDA for the fourth quarter of fiscal 2022 was a loss of ($0.2) million, compared to an adjusted EBITDA loss of ($0.3) million in the fourth quarter of fiscal 2021. Adjusted EBITDA for the fiscal year ended January 31, 2023, was a loss of ($3.8) million as compared to an adjusted EBITDA loss of ($2.0) million during fiscal 2021.

 

As of January 31, 2023, the Company’s total Booked SaaS Annual Contract Value (“ACV”) was $17.2 million compared to Booked SaaS ACV of $10.6 million as of January 31, 2022. The company reiterated its expectation to exit fiscal 2023 with $30 million of Booked SaaS ACV. 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.

 

Management Commentary

 

“We were pleased to achieve our bookings targets in fiscal 2022 and believe the strategic alignment we undertook in the fourth quarter will enable to us to maintain this level of execution going forward,” stated Tee Green, Chief Executive Officer, Streamline Health. “Our industry is adjusting to a new normal, and we believe that our solutions can play a major role in ensuring our healthcare providers are accurately paid for all of the care they’ve provided.”

 

Conference Call

 

The Company will conduct a conference call on Thursday, April 27, 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, April 27, 2023, at 12:00 PM ET to Thursday, May 4, 2023, at 12:00 PM ET by dialing 877-660-6853 or 201-612-7415 with conference ID 13738301. 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 Health

 

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, non-cash valuation adjustments, gains and losses on early extinguishments of debt, significant non-recurring operating expenses, and transactional related expenses including: associate severances and related restructuring expenses, transaction-related bonuses, 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, estimates of anticipated cash flow generation, anticipated bookings, recognition of revenue from contracts included in Booked SaaS ACV, industry trends and market growth, results of investments in sales and marketing, adjusted EBITDA, pro forma financial information, 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, 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 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 Goldberger

Director, Investor Relations and FP&A

303-887-9625

Jacob.goldberger@streamlinehealth.net

 

 
 

 

STREAMLINE HEALTH SOLUTIONS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS

(rounded to the nearest thousand dollars, except share and per share information)

 

   Three Months Ended January 31   Twelve Months Ended January 31 
   2023   2022   2023   2022 
Revenues:                
Software as a service  $3,169,000   $2,767,000   $12,326,000   $8,077,000 
Maintenance and support   1,135,000    1,097,000    4,483,000    4,323,000 
Professional fees and licenses   2,441,000    2,182,000    8,080,000    4,979,000 
Total revenues   6,745,000    6,046,000    24,889,000    17,379,000 
Operating expenses:                    
Cost of software as a service   1,587,000    1,141,000    6,358,000    3,417,000 
Cost of maintenance and support   207,000    111,000    427,000    334,000 
Cost of professional fees and licenses   1,618,000    1,829,000    6,610,000    4,826,000 
Selling, general and administrative expense   3,646,000    3,424,000    16,134,000    11,931,000 
Research and development   1,515,000    1,502,000    6,042,000    4,782,000 
Acquisition-related costs   8,000    146,000    149,000    2,856,000 
Total operating expenses   8,581,000    8,153,000    35,720,000    28,146,000 
Operating loss   (1,836,000)   (2,107,000)   (10,831,000)   (10,767,000)
Other expense:                    
Interest expense   (230,000)   (129,000)   (749,000)   (236,000)
Loss on early extinguishment of debt               (43,000)
Acquisition earnout valuation adjustments   (117,000)   2,268,000    71,000    1,851,000 
Other   50,000    64,000    201,000    60,000 
PPP loan forgiveness               2,327,000 
Income/(Loss) from continuing operations before income taxes   (2,133,000)   96,000    (11,308,000)   (6,808,000)
Income tax expense   (49,000)   (100,000)   (71,000)   (109,000)
Loss from continuing operations   (2,182,000)   (4,000)   (11,379,000)   (6,917,000)
Income from discontinued operations:                    
Income from discontinued operations               401,000 
Income tax expense       (26,000)       (26,000)
Income from discontinued operations, net of tax       (26,000)       375,000 
Net loss  $(2,182,000)  $(30,000)  $(11,379,000)  $(6,542,000)
                     
Basic Earnings Per Share:                    
Continuing operations  $(0.04)  $(0.00)  $(0.23)  $(0.16)
Discontinued operations       (0.00)       0.01 
Net loss  $(0.04)  $(0.00)  $(0.23)  $(0.15)
Weighted average number of common shares – basic   55,309,665    46,764,335    49,324,858    42,815,239 
                     
Diluted Earnings Per Share:                    
Continuing operations  $(0.04)  $(0.00)  $(0.23)  $(0.16)
Discontinued operations       (0.00)       0.01 
Net loss per common share – diluted  $(0.04)  $(0.00)  $(0.23)  $(0.15)
Weighted average number of common shares - diluted   55,309,665    46,764,335    49,324,858    43,273,574 

 

 
 

 

STREAMLINE HEALTH SOLUTIONS, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(rounded to the nearest thousand dollars, except share and per share information)

 

   January 31, 
   2023   2022 
ASSETS        
Current assets:          
Cash and cash equivalents  $6,598,000   $9,885,000 
Accounts receivable, net of allowance for doubtful accounts of $132,000 and $76,000, respectively   7,719,000    3,823,000 
Contract receivables   960,000    843,000 
Prepaid and other current assets   710,000    568,000 
Total current assets   15,987,000    15,119,000 
Non-current assets:          
Property and equipment, net of accumulated amortization of $246,000 and $192,000 respectively   79,000    123,000 
Right-of use asset for operating lease   32,000    218,000 
Capitalized software development costs, net of accumulated amortization of $6,224,000 and $5,202,000, respectively   5,846,000    5,555,000 
Intangible assets, net of accumulated amortization of $2,627,000 and $5,121,000, respectively   14,793,000    16,763,000 
Goodwill   23,089,000    23,089,000 
Other   1,695,000    948,000 
Total non-current assets   45,534,000    46,696,000 
Total assets  $61,521,000   $61,815,000 
LIABILITIES AND STOCKHOLDERS’ EQUITY          
Current liabilities:          
Accounts payable  $626,000   $778,000 
Accrued expenses   3,265,000    1,803,000 
Current portion of term loan, net of deferred financing costs   750,000    250,000 
Deferred revenues   8,361,000    5,794,000 
Current portion of operating lease obligation   35,000    204,000 
Current portion of acquisition earnout liability   3,738,000    4,672,000 
Total current liabilities   16,775,000    13,501,000 
Non-current liabilities:          
Term loan, net of current portion and deferred financing costs   8,964,000    9,654,000 
Deferred revenues, less current portion   167,000    136,000 
Operating lease obligations, less current portion       33,000 
Acquisition earnout liability, less current portion       4,161,000 
Other non-current liabilities   104,000    286,000 
Total non-current liabilities   9,235,000    14,270,000 
Total liabilities   26,010,000    27,771,000 
           
Commitments and contingencies:          
Stockholders’ equity          
Common stock, $0.01 par value per share, 85,000,000 and 65,000,000 shares authorized, respectively; 57,567,210 and 47,840,950 shares issued and outstanding, respectively   576,000    478,000 
Additional paid in capital   131,973,000    119,225,000 
Accumulated deficit   (97,038,000)   (85,659,000)
Total stockholders’ equity   35,511,000    34,044,000 
Total liabilities and stockholders’ equity  $61,521,000   $61,815,000 

 

 
 

 

STREAMLINE HEALTH SOLUTIONS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(rounded to the nearest thousand dollars)

 

   Fiscal Year 
   2022   2021 
Cash flows from operating activities:          
Net loss  $(11,379,000)  $(6,542,000)
LESS: Income from discontinued operations, net of tax       (375,000)
Loss from continuing operations, net of tax   (11,379,000)   (6,917,000)
           
Adjustments to reconcile net loss to net cash used in operating activities:          
Depreciation and amortization   4,313,000    3,697,000 
Acquisition earnout valuation adjustments   (71,000)   (1,851,000)
Loss on early extinguishment of debt       43,000 
Provision for deferred income taxes   9,000    95,000 
Share-based compensation expense   1,680,000    2,216,000 
Provision for accounts receivable allowance   189,000    11,000 
Forgiveness of PPP loan       (2,327,000)
Changes in assets and liabilities:          
Accounts and contract receivables   (4,202,000)   (129,000)
Other assets   (1,197,000)   (346,000)
Accounts payable   (152,000)   17,000 
Accrued expenses and other liabilities   1,069,000    533,000 
Deferred revenues   2,598,000    1,074,000 
Net cash used in operating activities – continuing operations   (7,143,000)   (3,884,000)
Net cash provided by operating activities – discontinued operations       380,000 
Cash flows from investing activities:          
Investment in Avelead, net of cash acquired       (12,470,000)
Purchases of property and equipment   (10,000)   (41,000)
Proceeds from sale of ECM Assets       800,000 
Capitalization of software development costs   (1,925,000)   (1,458,000)
Net cash used in investing activities – continuing operations   (1,935,000)   (13,169,000)
Cash flows from financing activities:          
Proceeds from issuance of common stock   8,316,000    16,100,000 
Payment of acquisition earnout liabilities   (2,012,000)    
Payments for costs directly attributable to the issuance of common stock   (52,000)   (1,313,000)
Repayment of bank term loan   (250,000)    
Proceeds from term loan payable       10,000,000 
Payments related to settlement of employee shared-based awards   (197,000)   (464,000)
Payment of deferred financing costs   (20,000)   (168,000)
Other   6,000    (6,000)
Net cash provided by financing activities – continuing operations   5,791,000    24,149,000 
Net (decrease) increase in cash and cash equivalents   (3,287,000)   7,476,000 
Cash and cash equivalents at beginning of period   9,885,000    2,409,000 
Cash and cash equivalents at end of period  $6,598,000   $9,885,000 
           
Supplemental cash flow disclosures:          
Interest paid, net of amounts capitalized  $651,000   $153,000 
Income taxes paid  $23,000   $21,000 

 

 
 

 

STREAMLINE HEALTH SOLUTIONS, INC. AND SUBSIDIARIES

NEW BOOKINGS

(rounded to the nearest thousand dollars)

 

   January 31, 2023 
  

Three Months

Ended

  

Twelve Months

Ended

 
Software as a service   8,325,000    22,447,000 
Maintenance and support   656,000    712,000 
Professional fees and licenses   1,595,000    3,303,000 
Q4 2022 Bookings  $10,576,000    26,462,000 
Q4 2021 Bookings  $7,053,966    13,253,236 

 

*Bookings are presented on a total contract value basis, and include Avelead from the acquisition date, August 16, 2021

 

 
 

 

STREAMLINE HEALTH SOLUTIONS, INC. AND SUBSIDIARIES

RECONCILIATION OF LOSS FROM CONTINUING OPERATIONS TO NON-GAAP ADJUSTED EBITDA

(rounded to the nearest thousand dollars)

 

   Three Months Ended January 31   Twelve Months Ended January 31 
   2023   2022   2023   2022 
Loss from Continuing Operations  $(2,182,000)  $(4,000)  $(11,379,000)  $(6,917,000)
Interest expense   230,000    129,000    749,000    236,000 
Income tax benefit   49,000    100,000    71,000    109,000 
Depreciation and amortization   1,021,000    1,104,000    4,233,000    3,646,000 
EBITDA   (882,000)   1,329,000    (6,326,000)   (2,926,000)
Share-based compensation expense   468,000    557,000    1,680,000    2,216,000 
Non-cash valuation adjustments   117,000    (2,268,000)   (71,000)   (1,851,000)
Acquisition-related costs, severance, and transaction-related bonuses   139,000    147,000    1,149,000    2,856,000 
Forgiveness of PPP Loan and accrued interest   -    -    -    (2,327,000)
Other non-recurring operating expenses   (49,000)   (64,000)   (189,000)   (48,000)
Loss on early extinguishment of debt   -    -    -    43,000 
Adjusted EBITDA   (207,000)   (299,000)   (3,757,000)   (2,037,000)