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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 13, 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 September 13, 2023, Streamline Health Solutions, Inc. (the “Company”) issued a press release announcing second quarter fiscal 2023 financial results for the quarter ended July 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 September 13, 2023, regarding Second Quarter Fiscal 2023 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 13, 2023 By: /s/ Thomas J. Gibson
    Thomas J. Gibson
    Chief Financial Officer

 

   

 

Exhibit 99.1

 

Streamline Health® Reports Fiscal Second Quarter Financial Results

 

13% growth of SaaS revenue in the first half of fiscal 2023 compared to the first half of fiscal 2022

 

Atlanta, GA, September 13, 2023 (Globe Newswire) – 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 of 2023 which ended July 31, 2023.

 

Fiscal Second Quarter and Six Months Ended July 31, 2023 GAAP Financial Results

 

The following financial results have been prepared in accordance with Generally Accepted Accounting Principles (“GAAP”).

 

Total revenue for the second quarter of fiscal 2023 was $5.8 million as compared to $6.0 million during the second quarter of fiscal 2022. For the six months ended July 31, 2023, revenue totaled $11.1 million as compared to $11.9 million during the same period of fiscal 2022. The change in total revenue was attributable to lower professional services revenue offset by higher SaaS revenue. As previously reported, the Company had a large professional services contract which did not renew at the end of its 2022 fiscal year. This professional services product is not expected to be part of the Company’s core business going forward.

 

During the second quarter and first six months of fiscal 2023, SaaS revenue grew $0.4 million and $0.8 million, respectively, as compared to the prior year periods.

 

Net loss for the second quarter of fiscal 2023 was ($2.5 million) compared to a net a loss of ($3.3 million) during the second quarter of fiscal 2022. For the first six months of fiscal 2023, net loss totaled ($5.4 million) compared to a net loss of ($6.1 million) during the first six months of fiscal 2022. The improvement in net loss was the result of lower headcount associated with the non-renewal of a large professional services contract, as well as cost savings achieved through the previously announced integration of the Avelead and eValuator divisions and non-cash valuation adjustments. The Company believes the decreased net loss on lower total revenue demonstrates the value of growing our high-margin SaaS business.

 

Fiscal Second Quarter and Six Months Ended July 31, 2023 Non-GAAP Financial Results

 

Adjusted EBITDA for the second quarter of fiscal 2023 was ($0.9 million) compared to ($1.1 million) during the second quarter of fiscal 2022. For the six months ended July 31, 2023, adjusted EBITDA was ($2.2 million) compared to ($2.4 million) during the six months ended July 31, 2022.

 

   

 

 

As of July 31, 2023, the Company’s total Booked SaaS Annual Contract Value (“ACV”) was $17.6 million compared to $17.2 million as of January 31, 2023. $3.4 million of the Booked SaaS ACV was unimplemented as of July 31, 2023. 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

 

“The Streamline Health team has made significant progress as an organization in fiscal 2023. Our innovation team made significant advancements during the first half of the year which we expect to result in improved implementation timelines and lower expenses, while the services team has ensured our clients are receiving world-class support regardless of solution,” stated Tee Green, Chief Executive Officer, Streamline Health. “While our growth team has been encumbered by significant macro headwinds, health systems remain excited about the potential to transform their revenue cycle with our suite of pre-bill solutions which ensure they are accurately paid for all of the care they’ve provided.”

 

Conference Call

 

The Company will conduct a conference call on Thursday, September 14, 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. Following the conference call, management will host one-on-one meetings at the Lake Street Capital Markets 7th Annual Best Ideas Growth Conference in New York, NY.

 

A replay of the conference call will be available from Thursday, September 14, 2023, at 12:00 PM ET to Thursday, September 21, 2023, at 12:00 PM ET by dialing 877-660-6853 or 201-612-7415 with conference ID 13741041. 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, anticipated bookings, recognition of revenue from contracts included in Booked SaaS ACV, anticipated cost savings, expected improved implementation timelines and lower expenses for our clients, industry trends and market growth, adjusted EBITDA, 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 generate cash from operations, the availability of additional debt and equity financing to fund the Company’s ongoing operations, 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, 
   2023   2022   2023   2022 
Revenues:                    
Software as a service  $3,531,000   $3,117,000   $6,706,000   $5,948,000 
Maintenance and support   1,100,000    1,118,000    2,257,000    2,228,000 
Professional fees and licenses   1,139,000    1,757,000    2,139,000    3,751,000 
Total revenues   5,770,000    5,992,000    11,102,000    11,927,000 
Operating expenses:                    
Cost of software as a service   1,893,000    1,532,000    3,482,000    3,029,000 
Cost of maintenance and support   32,000    90,000    121,000    136,000 
Cost of professional fees and licenses   1,022,000    1,582,000    2,130,000    3,248,000 
Selling, general and administrative expense   4,107,000    3,934,000    7,913,000    8,435,000 
Research and development   1,305,000    1,461,000    3,006,000    2,773,000 
Acquisition-related costs   9,000    49,000    44,000    139,000 
Total operating expenses   8,368,000    8,648,000    16,696,000    17,760,000 
Operating loss   (2,598,000)   (2,656,000)   (5,594,000)   (5,833,000)
Other (expense) income:                    
Interest expense   (267,000)   (189,000)   (515,000)   (321,000)
Acquisition earnout valuation adjustments   359,000    (475,000)   723,000    25,000 
Other   (1,000)   50,000    31,000    83,000 
Loss before income taxes   (2,507,000)   (3,270,000)   (5,355,000)   (6,046,000)
Income tax expense   (8,000)   (2,000)   (61,000)   (13,000)
Net loss  $(2,515,000)  $(3,272,000)  $(5,416,000)  $(6,059,000)
                     
Basic and Diluted Earnings Per Share:                    
Net loss per common share – basic and diluted  $(0.04)  $(0.07)  $(0.10)  $(0.13)
Weighted average number of common shares – basic and diluted   56,357,684    47,231,296    56,164,282    47,129,879 

 

   

 

 

STREAMLINE HEALTH SOLUTIONS, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

 

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

 

   July 31, 2023   January 31, 2023 
   (Unaudited)     
ASSETS          
Current assets:          
Cash and cash equivalents  $4,087,000   $6,598,000 
Accounts receivable, net of allowance for credit losses of $94,000 and $132,000, respectively   2,790,000    7,719,000 
Contract receivables   940,000    960,000 
Prepaid and other current assets   895,000    710,000 
Total current assets   8,712,000    15,987,000 
Non-current assets:          
Property and equipment, net of accumulated amortization of $266,000 and $246,000 respectively   106,000    79,000 
Right-of use asset for operating lease       32,000 
Capitalized software development costs, net of accumulated amortization of $7,107,000 and $6,224,000, respectively   6,105,000    5,846,000 
Intangible assets, net of accumulated amortization of $3,527,000 and $2,627,000, respectively   13,893,000    14,793,000 
Goodwill   23,089,000    23,089,000 
Other   1,410,000    1,695,000 
Total non-current assets   44,603,000    45,534,000 
Total assets  $53,315,000   $61,521,000 
LIABILITIES AND STOCKHOLDERS’ EQUITY          
Current liabilities:          
Accounts payable  $657,000   $626,000 
Accrued expenses   1,939,000    3,265,000 
Current portion of term loan   1,000,000    750,000 
Deferred revenues   6,724,000    8,361,000 
Current portion of operating lease obligation       35,000 
Acquisition earnout liability   3,015,000    3,738,000 
Total current liabilities   13,335,000    16,775,000 
Non-current liabilities:          
Term loan, net of current portion and deferred financing costs   8,517,000    8,964,000 
Deferred revenues, less current portion   212,000    167,000 
Other non-current liabilities   147,000    104,000 
Total non-current liabilities   8,876,000    9,235,000 
Total liabilities   22,211,000    26,010,000 
Stockholders’ equity:          
Common stock, $0.01 par value per share, 85,000,000 shares authorized; 58,895,071 and 57,567,210 shares issued and outstanding, respectively   589,000    576,000 
Additional paid in capital   132,933,000    131,973,000 
Accumulated deficit   (102,418,000)   (97,038,000)
Total stockholders’ equity   31,104,000    35,511,000 
Total liabilities and stockholders’ equity  $53,315,000   $61,521,000 

 

   

 

 

STREAMLINE HEALTH SOLUTIONS, INC.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

 

(rounded to the nearest thousand dollars)

 

   Six Months Ended July 31, 
   2023   2022 
Net loss  $(5,416,000)  $(6,059,000)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:          
Depreciation and amortization   2,134,000    2,199,000 
Acquisition earnout valuation adjustments   (723,000)   (25,000)
Provision for deferred income taxes   43,000     
Share-based compensation expense   1,109,000    657,000 
Provision for credit losses       21,000 
Changes in assets and liabilities:          
Accounts and contract receivables   4,985,000    329,000 
Other assets   (146,000)   (742,000)
Accounts payable   31,000    (109,000)
Accrued expenses and other liabilities   (1,361,000)   364,000 
Deferred revenue   (1,592,000)   414,000 
Net cash used in operating activities   (936,000)   (2,951,000)
Cash flows from investing activities:          
Purchases of property and equipment   (47,000)   (10,000)
Capitalization of software development costs   (1,026,000)   (871,000)
Net cash used in investing activities   (1,073,000)   (881,000)
Cash flows from financing activities:          
Repayment of bank term loan   (250,000)    
Payments related to settlement of employee share-based awards   (252,000)   (141,000)
Other       6,000 
Net cash used in financing activities   (502,000)   (135,000)
Net decrease in cash and cash equivalents   (2,511,000)   (3,967,000)
Cash and cash equivalents at beginning of period   6,598,000    9,885,000 
Cash and cash equivalents at end of period  $4,087,000   $5,918,000 

 

   

 

 

STREAMLINE HEALTH SOLUTIONS, INC.

NEW BOOKINGS

 

(Unaudited, rounded to the nearest thousand dollars)

 

   July 31, 2023 
   Three Months Ended   Six Months Ended 
Software as a service   765,000    2,841,000 
Maintenance and support   -    - 
Professional fees and licenses   266,000    364,000 
Q2 2023 Bookings  $1,031,000    3,205,000 
Q2 2022 Bookings  $5,152,000    14,015,000 

 

   

 

 

STREAMLINE HEALTH SOLUTIONS, INC.

RECONCILIATION OF NET LOSS TO NON-GAAP ADJUSTED EBITDA

 

(Unaudited, in thousands)

 

   Three Months Ended   Six Months Ended 
   July 31, 2023   July 31, 2022   July 31, 2023   July 31, 2022 
Adjusted EBITDA Reconciliation                    
Loss from continuing operations  $(2,515)  $(3,272)  $(5,416)  $(6,059)
Interest expense   267    189    515    321 
Income tax expense   8    2    61    13 
Depreciation and amortization   1,050    1,076    2,081    2,159 
EBITDA  $(1,190)  $(2,005)  $(2,759)  $(3,566)
Share-based compensation expense   537    331    1,109    657 
Non-cash valuation adjustments   (359)   475    (723)   (25)
Acquisition-related costs, severance, and transaction-related bonuses   119    122    176    623 
Other non-recurring charges       (19)   (33)   (67)
Adjusted EBITDA  $(893)  $(1,096)  $(2,230)  $(2,378)

 

   

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