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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): September 7, 2022

 

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 September 7, 2022, Streamline Health Solutions, Inc. (the “Company”) issued a press release announcing second quarter fiscal 2022 financial results. 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 September 7, 2022, regarding Second Quarter Fiscal 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: September 7, 2022 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 Second Quarter 2022 Financial Results

 

109% Year-Over-Year Increase in Second Quarter Revenues to $6.0 Million; 138% SaaS Revenue Growth; $4.4 Million in New SaaS Bookings

 

Atlanta, GA – September 7, 2022 – 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 second quarter, which ended July 31, 2022.

 

Fiscal Second Quarter and Six Months Ended July 31, 2022 GAAP Financial Results

 

The following financial results have been prepared in accordance with Generally Accepted Accounting Principles (“GAAP”). Fiscal second quarter 2022 financial results represent the consolidation of the Company with Avelead Consulting, LLC (“Avelead”), which was acquired in the fiscal third quarter 2021. Fiscal second quarter 2021 GAAP financial results do not reflect results from Avelead’s operations.

 

Total revenues for the second quarter of fiscal 2022 were $6.0 million, a 109% increase from $2.9 million during the second quarter of fiscal 2021. The increase in revenue for the quarter was the result of higher revenue from SaaS and professional services, driven by the Avelead acquisition, and an increase in clients using the Company’s eValuator product. Total revenue for the six months ended July 31, 2022 increased 105% to $11.9 million compared to $5.8 million for the six months ended July 31, 2021. Recurring revenue for the three- and six-month periods ended July 31, 2022 comprised 71% and 69% of total revenue, respectively, as compared to 84% and 80% for the comparable prior year periods.

 

The Company is focused on the growth of its SaaS solutions. During the second quarter of fiscal 2022, SaaS revenue grew $1.8 million or 138% compared to the second quarter of fiscal 2021 and during the six months ended July 31, 2022, $3.5 million or 139% compared to the first six months of fiscal 2021.

 

Net loss for the second quarter of fiscal 2022 was ($3.3) million, as compared to a net loss of ($0.1) million during the second quarter of fiscal 2021. Net loss in the second quarter of fiscal 2022 included less than $0.1 million of costs related to the acquisition of Avelead and other expenses of $0.6 million primarily related to interest expense and valuation adjustments; net loss during the prior year period was impacted by $2.3 million of income from forgiveness of the Company’s PPP loan, offset by $0.3 million of acquisition-related costs related to the acquisition of Avelead. The Company’s net loss in the second quarter of fiscal 2022 was impacted by amortization from intangibles related to the Avelead acquisition.

 

Net loss for the first six months of fiscal 2022 was ($6.1) million, as compared to a net loss of ($2.2) million during the first six months of fiscal 2021.

 

 

 

 

Fiscal Second Quarter and Six Months Ended July 31, 2022 Pro Forma and Non-GAAP Financial Results

 

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.

 

Total revenue for the second quarter of fiscal 2022 was $6.0 million, an increase of 19% compared to pro forma revenue of approximately $5.0 million for the second quarter of fiscal 2021. Total revenue for the six months ended July 31, 2022 was $11.9 million, an increase of 13% compared to pro forma revenue of $10.5 million for the six months ended July 31, 2021. For the quarter, SaaS revenue comprised $3.1 million of revenue, up 11% from pro forma SaaS revenue of approximately $2.8 million for the second quarter of fiscal 2021. For the first six months of fiscal 2022, SaaS revenue totaled $5.9 million, an increase of 8% compared to pro forma SaaS revenue of $5.5 million for the first six months of fiscal 2021.

 

Total revenue of $6.0 million for the three months ended July 31, 2022 includes $2.5 million of revenue from Avelead. The pro forma revenue of approximately $5.0 million for the second quarter of fiscal 2021 includes $2.2 million of revenue from Avelead. Total revenue of $11.9 million for the six months ended July 31, 2022 includes $5.0 million of revenue from Avelead. The pro forma revenue of approximately $10.5 million for the six months ended July 31, 2021 includes $4.7 million of revenue from Avelead.

 

Adjusted EBITDA for the second quarter of fiscal 2022 was a loss of ($1.1) million, compared to an adjusted EBITDA loss of ($0.8) million in the second quarter of fiscal 2021. Adjusted EBITDA for the six months ended July 31, 2022 was a loss of ($2.4) million, compared to an Adjusted EBITDA loss of ($1.4) million for the six months ended July 31, 2021.

 

The Company is introducing a new non-GAAP metric to measure its SaaS growth. The metric will be termed “Booked SaaS Annual Contract Value (“ACV”).” The 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. As of July 31, 2022, the Company’s total Booked SaaS ACV was $14.3 million. This can be compared to Booked SaaS ACV of $10.6 million as of January 31, 2022.

 

Management Commentary

 

We are pleased with our continued sales momentum during the quarter, adding $5.2 million in bookings following the addition of $8.9 million in bookings during the first quarter. We believe our success is due to the confluence of innovative solutions, world class client service and growth talent we have developed in the Streamline Health organization,” said Tee Green, President and Chief Exeuctive Officer, Streamline Health. “The solutions offered by eValuator and Avelead are gaining notoriety in the market, and as overall market conditions improve for the healthcare industry, our solutions will become more valuable. Our goal is to ensure healthcare providers can capture 100% of the revenue they’ve earned and ultimately, improve their financial performance.”

 

 

 

 

Highlights from the second quarter ended July 31, 2022, included:

 

  Total bookings (total contract value) for the second quarter of fiscal 2022 were $5.2 million, of which $4.4 million were SaaS bookings;
  Revenue for the second quarter of fiscal 2022 was $6.0 million;
  Second quarter SaaS GAAP revenue increased 138% over the comparable prior year period;
  Net loss for the second quarter of fiscal 2022 was ($3.3 million); and
  Adjusted EBITDA for the second quarter of fiscal 2022 was a loss of ($1.1) million.

 

Conference Call

 

The Company will conduct a conference call on Thursday, September 8, 2022 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, September 8, 2022, at 12:00 PM ET to Thursday, September 15, 2022 at 12:00 PM ET by dialing 877-660-6853 or 201-612-7415 with conference ID 13732058. 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, significant non-recurring operating expenses, and transactional related expenses including: gains and losses on debt and equity conversions, associate severances and related restructuring expenses, associate inducements, and professional and advisory fees. A table reconciling this measure to “loss from continuing operations” is included in this press release.

 

 

 

 

Booked SaaS ACV represents the annualized value of all executed SaaS contracts, including contracts that have not been fully implemented, as of the measurement date, assuming any contract that expires during the twelve months following the measurement date is renewed on its existing terms unless the Company has knowledge of the non-renewal. Booked SaaS ACV should be viewed independently of revenue and does not represent revenue calculated in accordance with GAAP on an annualized basis, as it is an operating metric that can be impacted by contract execution start and end dates and renewal rates. Booked SaaS ACV is not intended to be a replacement for, or forecast of, revenue. There is no GAAP measure comparable to Booked SaaS ACV.

 

Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995

 

Statements made by Streamline Health Solutions, Inc. that are not historical facts are forward-looking statements that are subject to certain risks, uncertainties and important factors that could cause actual results to differ materially from those reflected in the forward-looking statements included herein. Forward-looking statements contained in this press release include, without limitation, statements regarding the Company’s growth prospects, estimates of backlog and anticipated bookings, recognition of revenue from contracts included in Booked SaaS ACV, industry trends and market growth, results of investments in sales and marketing, 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.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

 

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

 

   Three Months Ended July 31,   Six Months Ended July 31, 
   2022   2021   2022   2021 
Revenue:                    
Total revenue  $5,992,000   $2,868,000   $11,927,000   $5,819,000 
Operating expenses:                    
Cost of sales   3,204,000    1,438,000    6,413,000    2,873,000 
Selling, general and administrative expense   3,934,000    2,515,000    8,435,000    5,068,000 
Research and development   1,461,000    964,000    2,773,000    1,941,000 
Acquisition-related costs   49,000    336,000    139,000    777,000 
Total operating expenses   8,648,000    5,253,000    17,760,000    10,659,000 
Operating loss   (2,656,000)   (2,385,000)   (5,833,000)   (4,840,000)
Other (expense) income:                    
Interest expense   (189,000)   (9,000)   (321,000)   (22,000)
Other   (425,000)   (8,000)   108,000    6,000 
Forgiveness of PPP loan and accrued interest       2,327,000        2,327,000 
Loss from continuing operations before income taxes   (3,270,000)   (75,000)   (6,046,000)   (2,529,000)
Income tax (expense) benefit   (2,000)   4,000    (13,000)   (5,000)
Loss from continuing operations   (3,272,000)   (71,000)   (6,059,000)   (2,534,000)
Income from discontinued operations:                    
Income from discontinued operations       11,000        332,000 
Income from discontinued operations, net of tax       11,000        332,000 
Net loss  $(3,272,000)  $(60,000)  $(6,059,000)  $(2,202,000)
                     
Basic Earnings Per Share:                    
Continuing operations  $(0.07)  $   $(0.13)  $(0.06)
Discontinued operations               0.01 
Net loss per share  $(0.07)  $   $(0.13)  $(0.05)
Weighted average number of common shares – basic   47,231,296    41,288,709    47,129,879    39,393,333 
                     
Diluted Earnings Per Share:                    
Continuing operations  $(0.07)  $   $(0.13)  $(0.06)
Discontinued operations               0.01 
Net loss per share  $(0.07)  $   $(0.13)  $(0.05)
Weighted average number of common shares – diluted   47,410,949    41,737,231    47,348,455    39,960,998 

 

 

 

 

STREAMLINE HEALTH SOLUTIONS, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

 

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

 

   As of 
   July 31, 2022   January 31, 2022 
   (Unaudited)     
ASSETS          
Current assets:          
Cash and cash equivalents  $5,918,000   $9,885,000 
Accounts receivable, net   3,545,000    3,823,000 
Contract receivables   771,000    843,000 
Prepaid and other current assets   945,000    568,000 
Total current assets   11,179,000    15,119,000 
           
Non-current assets:          
Property and equipment, net   106,000    123,000 
Right of use asset   127,000    218,000 
Capitalized software development costs, net   5,579,000    5,555,000 
Intangible assets, net   15,707,000    16,763,000 
Goodwill   23,089,000    23,089,000 
Other   1,175,000    948,000 
Total non-current assets   45,783,000    46,696,000 
Total assets  $56,962,000   $61,815,000 

 

   As of 
   July 31, 2022   January 31, 2022 
   (Unaudited)     
LIABILITIES AND STOCKHOLDERS’ EQUITY          
Current liabilities:          
Accounts payable  $669,000   $778,000 
Accrued expenses   2,436,000    1,803,000 
Current portion of term loan   500,000    250,000 
Deferred revenues   6,189,000    5,794,000 
Current portion of lease obligation   138,000    204,000 
Acquisition earnout liability   4,734,000    4,672,000 
Total current liabilities   14,666,000    13,501,000 
Non-current liabilities:          
Term loan, net of current portion and deferred financing costs   9,444,000    9,654,000 
Deferred revenues, less current portion   155,000    136,000 
Lease obligations, less current portion       33,000 
Acquisition earnout liability, less current portion   4,074,000    4,161,000 
Other non-current liabilities   116,000    286,000 
Total non-current liabilities   13,789,000    14,270,000 
Total liabilities   28,455,000    27,771,000 
Stockholders’ equity:          
Common stock   488,000    478,000 
Additional paid in capital   119,737,000    119,225,000 
Accumulated deficit   (91,718,000)   (85,659,000)
Total stockholders’ equity   28,507,000    34,044,000 
Total liabilities and stockholders’ equity  $56,962,000   $61,815,000 

 

 

 

 

STREAMLINE HEALTH SOLUTIONS, INC.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

 

(rounded to the nearest thousand dollars)

 

   Six months Ended July 31, 
   2022   2021 
Net Loss  $(6,059,000)  $(2,202,000)
LESS: Income from discontinued operations, net of tax       (332,000)
Loss from continuing operations, net of tax   (6,059,000)   (2,534,000)
           
Adjustments to reconcile net loss to net cash used in operating activities:          
Depreciation   27,000    37,000 
Amortization of capitalized software development costs   847,000    984,000 
Amortization of intangible assets   1,056,000    231,000 
Amortization of other deferred costs   229,000    242,000 
Change in fair value of acquisition earnout liability   (25,000)    
Amortization of deferred financing costs   40,000     
Share-based compensation expense   657,000    1,122,000 
Provision (benefit) for accounts receivable allowance   21,000    (1,000)
Forgiveness of PPP loan and accrued interest       (2,327,000)
Changes in assets and liabilities:          
Accounts and contract receivables   329,000    243,000 
Other assets   (742,000)   (622,000)
Accounts payable   (109,000)   91,000 
Accrued expenses and other liabilities   364,000    352,000 
Deferred revenue   414,000    645,000 
Net cash used in operating activities   (2,951,000)   (1,537,000)
Net cash provided by operating activities – discontinued operations       436,000 
Cash flows from investing activities:          
Proceeds from sale of ECM Assets       800,000 
Purchases of property and equipment   (10,000)   (3,000)
Capitalization of software development costs   (871,000)   (706,000)
Net cash (used in) provided by investing activities   (881,000)   91,000 
Cash flows from financing activities:          
Proceeds from issuance of common stock       16,100,000 
Payments for costs directly attributable to the issuance of common stock       (1,318,000)
Payments related to settlement of employee share-based awards   (141,000)   (291,000)
Payment for deferred financing costs       (38,000)
Other   6,000    (5,000)
Net cash (used in) provided by financing activities   (135,000)   14,448,000 
Net (decrease) increase in cash and cash equivalents   (3,967,000)   13,438,000 
Cash and cash equivalents at beginning of period   9,885,000    2,409,000 
Cash and cash equivalents at end of period  $5,918,000   $15,847,000 

 

 

 

 

STREAMLINE HEALTH SOLUTIONS, INC. AND SUBSIDIARIES

NEW BOOKINGS

 

(Unaudited, rounded to the nearest thousand dollars)

 

   July 31, 2022 
   Three Months Ended   Six Months Ended 
Systems Sales   52,000    52,000 
Professional Services   576,000    1,415,000 
Audit Services   37,000    37,000 
Maintenance and Support   39,000    39,000 
Software as a Service   4,448,000    12,472,000 
Q2 2022 Bookings  $5,152,000    14,015,000 
Q2 2021 Bookings  $1,627,000    4,206,000 

 

(1) Q2 2021 Bookings exclude Avelead as it was not acquired until August 16, 2021

 

 

 

 

STREAMLINE HEALTH SOLUTIONS, INC. AND SUBSIDIARIES

Reconciliation of Loss From Continuing Operations to non-GAAP Adjusted EBITDA

(Unaudited, rounded to the nearest thousand dollars)

 

   Three Months Ended   Six Months Ended 
In thousands, except per share data  July 31, 2022   July 31, 2021   July 31, 2022   July 31, 2021 
Adjusted EBITDA Reconciliation                    
Loss from continuing operations  $(3,272)  $(71)  $(6,059)  $(2,534)
Interest expense   189    9    321    22 
Income tax (benefit)/ expense   2    (4)   13    5 
Depreciation   13    16    27    37 
Amortization of capitalized software development costs   418    478    847    984 
Amortization of intangible assets   528    116    1,056    231 
Amortization of other costs   117    126    229    242 
EBITDA  $(2,005)  $670   $(3,566)  $(1,013)
Share-based compensation expense   331    557    657    1,122 
Non-cash valuation adjustments   475        (25)    
Acquisition-related costs   49    336    139    777 
Forgiveness of PPP loan and accrued interest       (2,327)       (2,327)
Other non-recurring charges   (19)       (67)   16 
Severance   73        484     
Adjusted EBITDA  $(1,096)  $(764)  $(2,378)  $(1,425)
Adjusted EBITDA margin (1)   (18)%   (27)%   (20)%   (24)%
                     
Adjusted EBITDA per Diluted Share Reconciliation                    
Loss from continuing operations per common share — diluted  $(0.07)  $   $(0.13)  $(0.06)
Net loss per common share — diluted (3)  $(0.07)  $   $(0.13)  $(0.05)
Adjusted EBITDA per adjusted diluted share (2)  $(0.02)  $(0.02)  $(0.05)  $(0.04)
                     
Basic weighted average shares    47,231,296    41,288,709    47,129,879    39,393,333 
Includable incremental shares — adjusted EBITDA (4)   179,653    448,522    218,576    567,665 
Adjusted diluted shares   47,410,949    41,737,231    47,348,455    39,960,998 

 

  (1) Adjusted EBITDA as a percentage of GAAP net revenue.
  (2)

Adjusted EBITDA per adjusted diluted share for the Company’s common stock is computed using the treasury stock method. Since the Company was in a loss position for the periods presented, adjusted EBITDA per adjusted diluted share is the same as adjusted EBITDA per adjusted share as the inclusion of all potential common shares outstanding would have been anti-dilutive.

  (3) Since the Company was in a loss position for the periods presented, diluted net loss per common share is the same as basic net loss per common share as the inclusion of all potential common shares outstanding would have been anti-dilutive.
  (4) The number of incremental shares that would be dilutive under an assumption that the Company is profitable during the reported period, which is only applicable for a period in which the Company reports profit.