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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 11, 2024
 
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 11, 2024, Streamline Health Solutions, Inc. (the “Company”) issued a press release announcing second quarter fiscal 2024 financial results for the quarter ended July 31, 2024. 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
 
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 11, 2024
By:
/s/ Bryant J. Reeves, III
   
Bryant J. Reeves, III
   
Chief Financial Officer
 
 
EX-99.1 2 ex_723236.htm EXHIBIT 99.1 ex_723236.htm

Exhibit 99.1

 

Streamline Health® Reports Fiscal Second Quarter 2024 Financial Results

 

 

Net loss of ($2.8 million) during the second quarter of fiscal 2024 compared to a net loss of ($2.5 million) during the second quarter of fiscal 2023

 

 

Adjusted EBITDA improved to a loss of ($0.3 million) for the second quarter of fiscal 2024 compared to a loss of ($0.9 million) for the second quarter of fiscal 2023

 

 

Company reiterated $15.5 million implemented SaaS ARR adjusted EBITDA breakeven run rate expectation

 

 

Company updated expectation for achievement of SaaS ARR adjusted EBITDA breakeven run rate to the second half of fiscal 2025

 

Atlanta, GA, September 11, 2024 (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 fiscal 2024, which was the three month period ended July 31, 2024, and the six-month period ended July 31, 2024.

 

Fiscal Second Quarter and Six-Months Ended July 31, 2024 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 2024 was $4.5 million compared to $5.8 million during the second quarter of fiscal 2023. For the six months ended July 31, 2024, revenue totaled $8.8 million compared to $11.1 million during the same period in fiscal 2023. The change in total revenue was attributable to previously announced client non-renewals offset by successful implementation of new SaaS contracts.

 

SaaS revenue for the second quarter of fiscal 2024 totaled $3.1 million, 69% of total revenue, compared to SaaS revenue of $3.5 million, 61% of total revenue during the second quarter of fiscal 2023. For the six months ended July 31, 2024, SaaS revenue totaled $5.8 million, 66% of total revenue, compared to $6.7 million, 61% of total revenue, during the same period of fiscal 2023. As previously reported, the Company had a SaaS contract which did not renew at the end of its 2023 fiscal year. On a pro forma basis, excluding the revenue recognized from the SaaS contract that did not renew, SaaS revenue grew 19% during the second quarter of fiscal 2024 compared to the second quarter of fiscal 2023, and 21% during the six months ended July 31, 2024, compared to the same period in fiscal 2023.

 

Net loss for the second quarter of fiscal 2024 was ($2.8 million) compared to a net loss of ($2.5 million) during the second quarter of fiscal 2023. The increased net loss during the second quarter of fiscal 2024 reflected lower total revenues, higher interest expense and non-cash valuation adjustments offset by a $1.7 million reduction in operating expenses resulting from the Company’s strategic restructuring executed during fiscal 2023. Net loss for the six months ended July 31, 2024 was ($5.5 million) compared to ($5.4 million) in the same period of fiscal 2023. The slight increase in net loss resulted from lower revenues and higher interest and valuation adjustment expenses offset by cost savings achieved through the previously announced strategic restructuring.

 







 

Cash and cash equivalents as of July 31, 2024, were $3.5 million compared to $3.2 million as of January 31, 2024. The Company had no outstanding balance on its revolving credit facility as of July 31, 2024, compared to $1.5 million as of January 31, 2024.

 

Fiscal Second Quarter and Six Months Ended July 31, 2024 Non-GAAP Financial Results

 

Adjusted EBITDA for the second quarter of fiscal 2024 was ($0.3 million) compared to ($0.9 million) during the second quarter of fiscal 2023. Adjusted EBITDA for the six months ended July 31, 2024, was ($1.0 million) compared to ($2.2 million) during the same period in fiscal 2023. The significant improvement of adjusted EBITDA despite lower total revenue is the result of the Company’s focus on the growth of its SaaS revenue solutions as well as significant cost savings achieved through the previously announced strategic restructuring.

 

As of July 31, 2024, the Company’s total Booked SaaS Annual Contract Value (“ACV”) was $13.6 million compared to $15.0 million as of January 31, 2024. During the second quarter of fiscal 2024, the company won new contracts which totaled $0.8 million of ACV and received notifications of non-renewals for contracts with aggregate ACV of $2.8 million. Clients gave various reasons for their non-renewal, including full outsourcing of health system revenue cycles. $10.7 million of the Booked SaaS ACV was implemented as of July 31, 2024 compared to $11.1 million as of January 31, 2024.

 

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.

 

The Company reiterated that it believes its adjusted EBITDA breakeven run rate is $15.5 million of implemented SaaS ARR, but due to the aforementioned client non-renewals, the Company has revised its expected timeline to achieve this run rate from the second half of fiscal 2024 to the second half of fiscal 2025. Due to the continued unpredictability of timing related to the closing of new contracts, the Company has not provided more specific guidance related to the timing of bookings.

 

Management Commentary

 

“During the first half of this year we have expanded the value we provide to the healthcare revenue cycle through our product enhancements for workforce automation and opportunity identification,” stated Ben Stilwill, President and Chief Executive Officer of the Company. “The Streamline team is focused on expanding our client footprint, maintaining a high caliber of client service, improving our solutions and progressing our financial goals and our mission to ensure our nation’s health systems are paid for all of the care they provide.”

 







 

Conference Call

 

The Company will conduct a conference call on Thursday, September 12, 2024, 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 12, 2024 at 12:00 PM ET to Thursday, September 19, 2024 at 12:00 PM ET by dialing 877-660-6853 or 201-612-7415 with conference ID 13748721. 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

 

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, restructuring expenses, impairment of goodwill and long-lived assets and transactional related expenses including: gains and losses on debt and equity conversions, associate severances and related alignment expenses, associate inducements, and professional and advisory fees. A table reconciling this measure to “net loss,” to the extent relevant items were recognized in the periods covered, 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 from previously announced strategic restructuring, 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, achievement of a breakeven SaaS ARR run rate, 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
Vice President, Finance
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,

 
   

2024

   

2023

   

2024

   

2023

 

Revenues:

                               

Software as a service

  $ 3,078,000     $ 3,531,000     $ 5,801,000     $ 6,706,000  

Maintenance and support

    883,000       1,100,000       1,773,000       2,257,000  

Professional fees and licenses

    515,000       1,139,000       1,233,000       2,139,000  

Total revenues

    4,476,000       5,770,000       8,807,000       11,102,000  

Operating expenses:

                               

Cost of software as a service

    1,495,000       1,893,000       2,844,000       3,482,000  

Cost of maintenance and support

    43,000       32,000       84,000       121,000  

Cost of professional fees and licenses

    840,000       1,022,000       1,727,000       2,130,000  

Selling, general and administrative expense

    2,989,000       4,116,000       6,181,000       7,957,000  

Research and development

    1,324,000       1,305,000       2,435,000       3,006,000  

Total operating expenses

    6,691,000       8,368,000       13,271,000       16,696,000  

Operating loss

    (2,215,000 )     (2,598,000 )     (4,464,000 )     (5,594,000 )

Other (expense) income:

                               

Interest expense

    (496,000 )     (267,000 )     (961,000 )     (515,000 )

Valuation adjustments

    (91,000 )     359,000       (115,000 )     723,000  

Other

    (1,000 )     (1,000 )     (2,000 )     31,000  

Loss before income taxes

    (2,803,000 )     (2,507,000 )     (5,542,000 )     (5,355,000 )

Income tax expense

          (8,000 )           (61,000 )

Net loss

  $ (2,803,000 )   $ (2,515,000 )   $ (5,542,000 )   $ (5,416,000 )

Basic and Diluted Earnings Per Share:

                               

Net loss per common share – basic and diluted

  $ (0.05 )   $ (0.04 )   $ (0.09 )   $ (0.10 )

Weighted average number of common shares – basic and diluted

    60,110,178       56,357,684       59,167,134       56,164,282  

 



 

STREAMLINE HEALTH SOLUTIONS, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

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

 

 

 

   

July 31, 2024

   

January 31, 2024

 
   

(Unaudited)

         

ASSETS

               

Current assets:

               

Cash and cash equivalents

  $ 3,536,000     $ 3,190,000  

Accounts receivable, net of allowance for credit losses of $59,000 and $86,000, respectively

    2,521,000       4,237,000  

Contract receivables

    969,000       780,000  

Prepaid and other current assets

    659,000       629,000  

Total current assets

    7,685,000       8,836,000  

Non-current assets:

               

Property and equipment, net of accumulated amortization of $316,000 and $291,000 respectively

    64,000       88,000  

Capitalized software development costs, net of accumulated amortization of $8,848,000 and $7,960,000, respectively

    5,403,000       5,798,000  

Intangible assets, net of accumulated amortization of $4,837,000 and $4,019,000, respectively

    11,253,000       12,071,000  

Goodwill

    13,276,000       13,276,000  

Other

    1,344,000       1,666,000  

Total non-current assets

    31,340,000       32,899,000  

Total assets

  $ 39,025,000     $ 41,735,000  
                 

LIABILITIES AND STOCKHOLDERS’ EQUITY

               

Current liabilities:

               

Accounts payable

  $ 1,413,000     $ 1,253,000  

Accrued expenses

    1,948,000       2,023,000  

Current portion of term loan

    2,000,000       1,500,000  

Deferred revenues

    6,591,000       7,112,000  

Acquisition earnout liability

    577,000       1,794,000  

Total current liabilities

    12,529,000       13,682,000  

Non-current liabilities:

               

Term loan, net of current portion and deferred financing costs

    6,611,000       7,566,000  

Line of credit

          1,500,000  

Notes payable, net of deferred financing costs

    3,853,000        

Deferred revenues, less current portion

    134,000       173,000  

Total non-current liabilities

    10,598,000       9,239,000  

Total liabilities

    23,127,000       22,921,000  

Commitments and contingencies

               

Stockholders’ equity:

               

Common stock, $0.01 par value per share, 85,000,000 shares authorized; 63,307,832 and 58,945,498 shares issued and outstanding, respectively

    633,000       590,000  

Additional paid in capital

    136,506,000       133,923,000  

Accumulated deficit

    (121,241,000 )     (115,699,000 )

Total stockholders’ equity

    15,898,000       18,814,000  

Total liabilities and stockholders’ equity

  $ 39,025,000     $ 41,735,000  

 







 

STREAMLINE HEALTH SOLUTIONS, INC.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(rounded to the nearest thousand dollars)

 

 

   

Six Months Ended July 31,

 
   

2024

   

2023

 

Net loss

  $ (5,542,000 )   $ (5,416,000 )
                 

Adjustments to reconcile net loss to net cash used in operating activities:

               

Depreciation and amortization

    2,290,000       2,134,000  

Accrued interest expense - notes payable

    326,000        

Valuation adjustments

    115,000       (723,000 )

Benefit for deferred income taxes

          43,000  

Share-based compensation expense

    1,032,000       1,109,000  

Provision for credit losses

    (58,000 )      

Changes in assets and liabilities:

               

Accounts and contract receivables

    1,585,000       4,985,000  

Other assets

    (71,000 )     (146,000 )

Accounts payable

    78,000       31,000  

Accrued expenses and other liabilities

    (75,000 )     (1,361,000 )

Deferred revenue

    (560,000 )     (1,592,000 )

Net cash used in operating activities

    (880,000 )     (936,000 )

Cash flows from investing activities:

               

Purchases of property and equipment

          (47,000 )

Capitalization of software development costs

    (426,000 )     (1,026,000 )

Net cash used in investing activities

    (426,000 )     (1,073,000 )

Cash flows from financing activities:

               

Repayment of bank term loan

    (500,000 )     (250,000 )

Repayment of line of credit

    (1,500,000 )      

Proceeds from issuance of common stock

    100,000        

Proceeds from notes payable

    4,400,000        

Payments of acquisition earnout liabilities

    (686,000 )      

Payments for deferred financing costs

    (86,000 )      

Payments related to repurchase of common shares to satisfy employee tax withholding

    (77,000 )     (252,000 )

Other

    1,000        

Net cash provided (used in) by financing activities

    1,652,000       (502,000 )

Net increase (decrease) in cash and cash equivalents

    346,000       (2,511,000 )

Cash and cash equivalents at beginning of period

    3,190,000       6,598,000  

Cash and cash equivalents at end of period

  $ 3,536,000     $ 4,087,000  

 



 

STREAMLINE HEALTH SOLUTIONS, INC.

RECONCILIATION OF NET LOSS 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, 2024

   

July 31, 2023

   

July 31, 2024

   

July 31, 2023

 

Adjusted EBITDA Reconciliation

                               

Net Loss

  $ (2,803 )   $ (2,515 )   $ (5,542 )   $ (5,416 )

Interest expense

    496       267       961       515  

Income tax expense

          8             61  

Depreciation and amortization

    1,056       1,050       2,073       2,081  

EBITDA

  $ (1,251 )   $ (1,190 )   $ (2,508 )   $ (2,759 )

Share-based compensation expense

    533       537       1,032       1,109  

Non-cash valuation adjustments

    91       (359 )     115       (723 )

Acquisition-related costs, severance, and transaction-related bonuses

    325       119       356       176  

Other non-recurring charges

                      (33 )

Adjusted EBITDA

  $ (302 )   $ (893 )   $ (1,005 )   $ (2,230 )

 

 

Source: Streamline Health Solutions, Inc.