HEALTHSTREAM INC annual report, FY2011

HealthStream, Inc. — FY 2011 Form 10-K

Reporting period: Fiscal year ended December 31, 2011. Although the request references 2011 Q4, this is an annual report; fourth-quarter results are highlighted separately below. HealthStream provides online healthcare workforce learning and survey/research services. Its HealthStream Learning Center had approximately 2.75 million contracted subscribers at year-end, including 2.57 million implemented.

Financial results and key metrics

MetricFY 2011FY 2010Change
Revenue$82.1 million$65.8 million+24.8%
Operating income$11.3 million$7.1 million+60.6%
Operating margin13.8%10.7%+3.1 percentage points
Net income$6.9 million$4.2 million+67.2%
Diluted EPS$0.29$0.18+$0.11
Adjusted EBITDA$17.5 million$12.6 million+39.2%
Cash from operations$19.8 million$16.1 million+$3.6 million

Learning revenue rose 28.6% to $58.1 million; Research revenue increased 16.5% to $24.0 million. Subscription-based learning revenue grew 28.4%, supported by subscriber growth and higher courseware consumption. Cost of revenue excluding depreciation and amortization rose 28.4% and increased to 37.9% of revenue from 36.8%, reflecting royalties and personnel costs. Net margin was approximately 8.5% in 2011 versus 6.3% in 2010.

Q4 2011: Revenue was $21.9 million versus $17.6 million in Q4 2010 (+24.1%); operating income was $3.0 million versus $1.6 million; net income was $1.8 million versus $1.2 million. Diluted EPS was $0.07 versus $0.05. Quarterly revenue and margins can vary with research survey timing and volume.

Liquidity and capital: Year-end cash and cash equivalents were $76.9 million and marketable securities were $12.5 million, totaling approximately $89.5 million. Working capital was $78.6 million. The company had no debt outstanding and had full availability under its $20 million revolving credit facility, which matured in July 2012. Financing cash flow included $55.1 million from a November stock offering of approximately 3.6 million shares. Investing cash flow was a use of $17.1 million, including $6.1 million of capitalized software development and $4.1 million of property and equipment purchases. Deferred revenue was $22.8 million. No dividend was anticipated.

Material changes versus the prior year

  • Revenue growth accelerated to 24.8% from 14.6% in 2010; operating income and net income increased substantially.
  • Fully implemented subscribers increased 14% to approximately 2.57 million; contracted subscribers rose 12% to approximately 2.75 million. HLC subscriber renewal was 99%, and renewal of annual contract value was 106%.
  • Cash and investments increased sharply, principally following the $55.1 million equity offering. Year-end shares outstanding increased to 25.9 million from 21.8 million.
  • The tax provision was $4.4 million compared with $2.9 million. The prior-year comparison is affected by a $8.9 million tax benefit recognized in 2009, making 2009 net income not directly comparable.
  • Capitalized software development increased to $6.1 million from $2.0 million. The company acquired a 50% interest in Laerdal’s AVS product for $3.5 million and launched SimStore through its SimVentures collaboration.

Outlook, commentary, and risks

Management forecast FY 2012 revenue growth of 21%–25%: 28%–32% for Learning and approximately 6%–9% for Research. Operating income was expected to grow 20%–26%; diluted share equivalents were estimated at 27.4–27.6 million, and the effective book tax rate at 39%–40%. Planned 2012 capital expenditures, including hardware, software, capitalized development, and office space, were $8–$9 million. Management expected existing liquidity and operating cash generation to cover anticipated needs for at least 12 months. These are forward-looking estimates and actual results may differ.

  • Growth depends on winning new customers, renewals, adoption of new products, and successful execution of the Laerdal collaboration; competition and long, variable sales cycles may constrain results.
  • Customer concentration is material, though no single customer exceeded 10% of revenue in 2011. Subscription contracts generally require renewal, and customers may not renew or may reduce pricing or activity.
  • Research revenue is affected by variable survey schedules and project timing. Revenue recognition for subscriptions and certain services depends on implementation, usage, survey activity, or performance milestones.
  • Key exposures include healthcare spending pressure, privacy and cybersecurity regulation, service interruptions, data/reporting errors, third-party content and technology, and retention of skilled staff. The company also noted goodwill of $21.1 million and identifiable intangible assets of $2.0 million, which could be impaired if assumptions or business performance deteriorate.
  • Federal and state net operating loss carryforwards were approximately $14.5 million and $12.6 million, respectively; management expected substantial utilization within about 24 months. Cash taxes may rise after these are used. The credit facility’s July 2012 maturity and renewal or replacement terms merit attention.
  • SimVentures recorded $0.8 million in revenue and $1.3 million in expenses in 2011; the new simulation products were still in early commercialization.

Ernst & Young issued unqualified opinions on the financial statements and internal control over financial reporting; management also concluded controls were effective. The filing reported no material legal proceedings, while noting ordinary-course claims were possible and not expected by management to have a material adverse effect.

Important facts for investors to verify

  1. Whether 2012 segment growth and operating-income guidance was achieved, especially the relatively slower Research outlook.
  2. Subscriber additions, renewal rates, pricing, courseware consumption, and the conversion of contracted subscribers still being implemented.
  3. Cash generation and working-capital trends, including the increase in days sales outstanding from 57 to 60 days.
  4. Capitalized software spending and returns from SimVentures, AVS, SimStore, and related products; assess whether capitalization and amortization assumptions remain appropriate.
  5. Revolving-credit-facility renewal or replacement after July 2012, and the effect of share issuance and option dilution on per-share growth.
  6. Use and expiration limitations of tax attributes, and the potential impact of higher cash tax payments as NOLs are exhausted.