UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 | | | registered | | --- | --- | --- | | Title of each class Common Stock (Par Value $0.00) | Trading Symbol(s) HSTM | Name of each exchange on which Nasdaq Global Select Market | Commission File No.: 000-27701 HealthStream, Inc. (Registrant's telephone number, including area code) (Exact name of registrant as specified in its ...

HealthStream Announces First Quarter 2024 Results Page 1 April 22, 2024 Exhibit 99.1 Contact: Scott A. Roberts Chief Financial Officer (615) 301-3182 ir@healthstream.com Media: Mollie Condra, Ph.D. Vice President, Investor Relations & Communications (615) 301-3237 mollie.condra@healthstream.com HEALTHSTREAM ANNOUNCES FIRST QUARTER 2024 RESULTS NASHVILLE, Tenn. (April 22, 2024)— HealthStream, Inc. (the "Company") (Nasdaq: HSTM), a leading healthcare technology platform for workforce solutions, announced toda ...

NASHVILLE, Tenn.--(BUSINESS WIRE)--HealthStream, Inc. (the “Company”) (Nasdaq: HSTM), a leading healthcare technology platform for workforce solutions announced today that, as disclosed in the Company’s earnings release dated February 19, 2024, the Board of Directors has approved a 12 percent increase in the Company’s quarterly dividend to $0.028 per share, up from $0.025 per share—and declared a cash dividend for the first quarter of 2024 of $0.028 per share of the Company’s outstanding common stock. The f ...

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K ☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED DECEMBER 31, 2023 OR ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM TO (Registrant's telephone number, including area code) Securities Registered Pursuant To Section 12(b) Of The Act: | Title of each class | Trading Symbol(s ...

NASHVILLE, Tenn.--(BUSINESS WIRE)--HealthStream, Inc. (the "Company") (Nasdaq: HSTM), a leading healthcare technology platform for workforce solutions, announced today results for the fourth quarter and full-year ended December 31, 2023. Fourth Quarter 2023 Revenues of $70.6 million, up 3% from $68.5 million in the fourth quarter of 2022 Operating income of $4.3 million, up 38% from $3.1 million in the fourth quarter of 2022 Net income of $4.6 million, up 87% from $2.5 million in the fourth quarter o ...

NASHVILLE, Tenn.--(BUSINESS WIRE)--HealthStream, Inc. (Nasdaq: HSTM), a leading healthcare technology platform for workforce solutions, announced today that it will hold a conference call and webcast to discuss its fourth quarter & full-year 2023 financial results on Tuesday, February 20th, 2024. The Company’s financial results for the fourth quarter and full-year ended December 31st, 2023 will be released after the routine time for the close of the market on Monday, February 19th, 2024. HealthStream’s fou ...

Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended September 30, 2023 ☐ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant as specified in its charter) Tennessee 62-1443555 (State or other jurisdiction of incorporation or organization) ...

HealthStream, Inc. (NASDAQ:HSTM) Q2 2023 Earnings Conference Call July 25, 2023 9:00 AM ET Company Participants Mollie Condra - Vice President of Investor Relations and Communications Bobby Frist - Chief Executive Officer Scott Roberts - Chief Financial Officer Conference Call Participants Matt Hewitt - Craig-Hallum Richard Close - Canaccord Vincent Colicchio - Barrington Jack Melick - William Blair Operator Good morning, and welcome to the HealthStream's Second Quarter 2023 Earnings Conference Call. At thi ...

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended June 30, 2023 ☐ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant as specified in its charter) Tennessee 62-1443555 (State or other jurisdiction of incorporation or organization) 500 ...

PART I. FINANCIAL INFORMATION [Item 1. Financial Statements](index=3&type=section&id=Item%201.%20Financial%20Statements) HealthStream's unaudited condensed consolidated financial statements for Q1 2023 cover balance sheets, income statements, comprehensive income, equity, and cash flows, with notes on accounting policies and key financial events [Condensed Consolidated Balance Sheets (Unaudited)](index=3&type=section&id=Condensed%20Consolidated%20Balance%20Sheets%20(Unaudited)) Total assets increased to **$503.16 million** by March 31, 2023, with rises in current assets, liabilities, and shareholders' equity | Metric | March 31, 2023 (in thousands) | December 31, 2022 (in thousands) | Change (YoY) | | :-------------------------------- | :------------------------------ | :------------------------------- | :----------- | | Total Assets | $503,159 | $497,741 | +1.09% | | Total Current Assets | $125,108 | $114,377 | +9.38% | | Total Liabilities | $166,538 | $163,677 | +1.75% | | Total Shareholders' Equity | $336,039 | $334,064 | +0.59% | [Condensed Consolidated Statements of Income (Unaudited)](index=4&type=section&id=Condensed%20Consolidated%20Statements%20of%20Income%20(Unaudited)) Net revenues increased **5% to $68.95 million**, but operating income fell **28%** and net income decreased **9%**, with diluted EPS flat | Metric | Three Months Ended March 31, 2023 (in thousands) | Three Months Ended March 31, 2022 (in thousands) | Change (YoY) | | :-------------------------------- | :--------------------------------------------- | :--------------------------------------------- | :----------- | | Revenues, net | $68,946 | $65,367 | +5.48% | | Operating income | $2,891 | $4,035 | -28.37% | | Net income | $2,623 | $2,893 | -9.26% | | Diluted EPS | $0.09 | $0.09 | 0.00% | | Dividends declared per share | $0.025 | $— | N/A | [Condensed Consolidated Statements of Comprehensive Income (Unaudited)](index=5&type=section&id=Condensed%20Consolidated%20Statements%20of%20Comprehensive%20Income%20(Unaudited)) Comprehensive income decreased **18.24% to $2.59 million** in Q1 2023, due to lower net income and negative foreign currency adjustments | Metric | Three Months Ended March 31, 2023 (in thousands) | Three Months Ended March 31, 2022 (in thousands) | Change (YoY) | | :-------------------------------- | :--------------------------------------------- | :--------------------------------------------- | :----------- | | Net income | $2,623 | $2,893 | -9.26% | | Total other comprehensive (loss) income | $(35) | $272 | -112.87% | | Comprehensive income | $2,588 | $3,165 | -18.24% | [Condensed Consolidated Statements of Shareholders' Equity (Unaudited)](index=6&type=section&id=Condensed%20Consolidated%20Statements%20of%20Shareholders'%20Equity%20(Unaudited)) Shareholders' equity rose slightly to **$336.04 million**, influenced by net income and stock-based compensation, offset by cash dividends - HealthStream declared its first quarterly cash dividend of **$0.025 per share**, with a second dividend also approved[32](index=32&type=chunk)[33](index=33&type=chunk)[89](index=89&type=chunk) | Metric | March 31, 2023 (in thousands) | December 31, 2022 (in thousands) | | :-------------------------------- | :------------------------------ | :------------------------------- | | Total Shareholders' Equity | $336,039 | $334,064 | | Net income | $2,623 | N/A | | Dividends declared | $(767) | N/A | | Stock-based compensation | $945 | N/A | [Condensed Consolidated Statements of Cash Flows (Unaudited)](index=7&type=section&id=Condensed%20Consolidated%20Statements%20of%20Cash%20Flows%20(Unaudited)) Operating cash flow remained stable, but investing cash outflow surged due to an acquisition, while financing cash outflow decreased | Cash Flow Activity | Three Months Ended March 31, 2023 (in thousands) | Three Months Ended March 31, 2022 (in thousands) | Change (YoY) | | :-------------------------------- | :--------------------------------------------- | :--------------------------------------------- | :----------- | | Net cash provided by operating activities | $20,541 | $20,655 | -0.55% | | Net cash used in investing activities | $(16,916) | $(3,962) | +327.00% | | Net cash used in financing activities | $(791) | $(20,223) | -96.09% | | Cash and cash equivalents at end of period | $48,836 | $43,370 | +12.59% | - Investing activities for Q1 2023 included **$6.6 million** for the eeds acquisition and **$7.6 million** for capitalized software development[84](index=84&type=chunk) [Notes to Condensed Consolidated Financial Statements (Unaudited)](index=8&type=section&id=Notes%20to%20Condensed%20Consolidated%20Financial%20Statements%20(Unaudited)) These notes provide detailed explanations of HealthStream's accounting policies and significant financial events, including segment transition, revenue recognition, income taxes, equity changes, earnings per share calculations, marketable securities, the eeds acquisition, and the revolving credit facility [1. OVERVIEW AND BASIS OF PRESENTATION](index=8&type=section&id=1.%20OVERVIEW%20AND%20BASIS%20OF%20PRESENTATION) HealthStream provides SaaS applications for healthcare via its hStream platform, consolidating into a single reportable segment - HealthStream provides Software-as-a-Service (SaaS) based applications for healthcare organizations, focused on clinical development, talent management, training, education, assessment, competency management, safety and compliance, scheduling, and provider credentialing[18](index=18&type=chunk)[53](index=53&type=chunk) - The company operates under a "One HealthStream" approach, with the hStream technology platform at its core, facilitating interoperability among applications to enhance value[18](index=18&type=chunk)[21](index=21&type=chunk)[54](index=54&type=chunk) - Effective January 1, 2023, HealthStream transitioned to a single reportable segment, consolidating its Workforce Solutions and Provider Solutions segments under a "One HealthStream" enterprise approach[22](index=22&type=chunk)[23](index=23&type=chunk)[55](index=55&type=chunk)[56](index=56&type=chunk) [2. REVENUE RECOGNITION AND SALES COMMISSIONS](index=8&type=section&id=2.%20REVENUE%20RECOGNITION%20AND%20SALES%20COMMISSIONS) HealthStream recognizes revenue primarily from subscription services, which grew **6%**, and expects **$504 million** from remaining performance obligations - Revenue is recognized based on a five-step model when control of promised goods or services is transferred to the customer[24](index=24&type=chunk)[25](index=25&type=chunk) | Revenue Source | Three Months Ended March 31, 2023 (in thousands) | Three Months Ended March 31, 2022 (in thousands) | Change (YoY) | | :----------------- | :--------------------------------------------- | :--------------------------------------------- | :----------- | | Subscription services | $66,015 | $62,075 | +6.35% | | Professional services | $2,931 | $3,292 | -11.00% | | Total revenues, net | $68,946 | $65,367 | +5.48% | - Approximately **$504 million** of revenue is expected to be recognized from remaining performance obligations, with about **44%** recognized over the next 12 months[28](index=28&type=chunk) - Amortization of deferred sales commissions increased to **$2.7 million** for Q1 2023, up from **$2.5 million** in Q1 2022, and is included in sales and marketing expenses[29](index=29&type=chunk) [3. INCOME TAXES](index=10&type=section&id=3.%20INCOME%20TAXES) Income tax provision decreased to **$0.5 million** in Q1 2023, lowering the effective tax rate to **16%** due to discrete tax benefits | Metric | Three Months Ended March 31, 2023 (in thousands) | Three Months Ended March 31, 2022 (in thousands) | Change (YoY) | | :----------------- | :--------------------------------------------- | :--------------------------------------------- | :----------- | | Income tax provision | $518 | $866 | -40.20% | | Effective tax rate | 16% | 23% | -7 percentage points | - The effective tax rate for Q1 2023 was **16%**, reflecting statutory corporate income tax, state and foreign taxes, permanent tax differences, and discrete tax benefits of **$53