Document
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 10-K
(Mark One)
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x | ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the fiscal year ended January 31, 2018
OR
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¨ | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the transition period from to
Commission File Number: 000-28132
STREAMLINE HEALTH SOLUTIONS, INC.
(Exact name of registrant as specified in its charter)
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Delaware | | 31-1455414 |
(State or other jurisdiction of incorporation or organization) | | (I.R.S. Employer Identification No.) |
1230 Peachtree Street, NE, Suite 600,
Atlanta, GA 30309
(Address of principal executive offices) (Zip Code)
(404) 920-2396
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act:
Common Stock, $.01 par value
(Title of Class)
The NASDAQ Stock Market, Inc.
(Name of exchange on which listed)
Securities registered pursuant to Section 12(g) of the Act:
None
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ¨ No x
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes ¨ No x
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x No ¨
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes x No ¨
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of the registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K, or any amendment to this Form 10-K. x
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act. (Check one):
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Large accelerated filer ¨ | | Accelerated filer ¨ | | Non-accelerated filer ¨ | | Smaller reporting company x |
(Do not check if a smaller reporting company) |
Emerging growth company ¨ | | | | | | |
If an emerging growth company, indicate by check mark if the registrant 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. o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ¨ No x
The aggregate market value of the voting stock held by non-affiliates of the registrant, computed using the closing price as reported by The NASDAQ Stock Market, Inc. for the Registrant’s Common Stock on July 31, 2017, was $18,743,172.
The number of shares outstanding of the Registrant’s Common Stock, $.01 par value, as of March 23, 2018: 19,984,703.
Documents incorporated by reference:
Information required by Part III is incorporated by reference from Streamline’s Proxy Statement for its 2018 Annual Meeting of Stockholders or an amendment to this Annual Report on Form 10-K, which will be filed with the Securities and Exchange Commission within 120 days after the end of its fiscal year ended January 31, 2018.
FORWARD-LOOKING STATEMENTS
We make forward-looking statements in this Report and in other materials we file with the Securities and Exchange Commission (“SEC”) or otherwise make public. In this Report, both Part I, Item 1, “Business,” and Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” contain forward-looking statements. In addition, our senior management makes forward-looking statements to analysts, investors, the media and others. Statements with respect to expected revenue, income, receivables, backlog, client attrition, acquisitions and other growth opportunities, sources of funding operations and acquisitions, the integration of our solutions, the performance of our channel partner relationships, the sufficiency of available liquidity, research and development, and other statements of our plans, beliefs or expectations are forward-looking statements. These and other statements using words such as “anticipate,” “believe,” “estimate,” “expect,” “intend,” “plan,” “project,” “target,” “can,” “could,” “may,” “should,” “will,” “would” and similar expressions also are forward-looking statements. Each forward-looking statement speaks only as of the date of the particular statement. The forward-looking statements we make are not guarantees of future performance, and we have based these statements on our assumptions and analyses in light of our experience and perception of historical trends, current conditions, expected future developments and other factors we believe are appropriate under the circumstances. Forward-looking statements by their nature involve substantial risks and uncertainties that could significantly affect expected results, and actual future results could differ materially from those described in such statements. Management cautions against putting undue reliance on forward-looking statements or projecting any future results based on such statements or present or historical earnings levels.
Among the factors that could cause actual future results to differ materially from our expectations are the risks and uncertainties described under “Risk Factors” set forth in Part I, Item 1A, and the other cautionary statements in other documents we file with the SEC, including the following:
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• | competitive products and pricing; |
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• | product demand and market acceptance; |
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• | new product and services development and commercialization; |
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• | key strategic alliances with vendors and channel partners that resell our products; |
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• | uncertainty in continued relationships with clients due to termination rights; |
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• | our ability to control costs; |
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• | availability, quality and security of products produced and services provided by third-party vendors; |
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• | the healthcare regulatory environment; |
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• | potential changes in legislation, regulation and government funding affecting the healthcare industry; |
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• | healthcare information systems budgets; |
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• | availability of healthcare information systems trained personnel for implementation of new systems, as well as maintenance of legacy systems; |
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• | the success of our relationships with channel partners; |
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• | fluctuations in operating results; |
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• | critical accounting policies and judgments; |
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• | changes in accounting policies or procedures as may be required by the Financial Accounting Standards Board or other standard-setting organizations; |
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• | changes in economic, business and market conditions impacting the healthcare industry and the markets in which we operate; and |
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• | our ability to maintain compliance with the terms of our credit facilities. |
Most of these factors are beyond our ability to predict or control. Any of these factors, or a combination of these factors, could materially affect our future financial condition or results of operations and the ultimate accuracy of our forward-looking statements. There also are other factors that we may not describe (generally because we currently do not perceive them to be material) that could cause actual results to differ materially from our expectations.
We expressly disclaim any obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by law.
PART I
ITEM 1. Business
Company Overview
Incorporated in 1989, the Company is a provider of transformational data-driven solutions for healthcare, improving healthcare providers’ financial performance by moving later revenue cycle interventions earlier in the process via optimizing coding accuracy for every patient encounter prior to bill submission. By improving coding accuracy before billing, providers can reduce revenue leakage, mitigate the risk of overbilling, and reduce denials and days in accounts receivable. This enables providers to turn previously unpredictable revenue cycles into more predictable revenue streams.
The Company provides computer software-based solutions and auditing services, which capture, aggregate and translate structured and unstructured data to deliver intelligently organized, easily accessible predictive insights to its clients. Hospitals and physician groups use the knowledge generated by Streamline Health® to help them improve their financial performance.
The Company’s software solutions are delivered to clients either by a purchased fixed-term or perpetual license, where such software is installed locally in the client’s data center, or by access to the Company’s data center systems through a secure connection in a software as a service (“SaaS”) delivery method.
The Company operates exclusively in one segment as a provider of health information technology solutions and associated services that improve healthcare processes and information flows within a healthcare facility. The Company sells its solutions and services in North America to hospitals and health systems, including physician practices, through its direct sales force and its reseller partnerships.
Unless the context requires otherwise, references to “Streamline Health,” the “Company,” “we,” “us” and “our” are intended to mean Streamline Health Solutions, Inc. and its wholly-owned subsidiary. All references to a fiscal year refer to the fiscal year commencing February 1 in that calendar year and ending on January 31 of the following calendar year.
Solutions
The Company offers solutions and services to assist its clients in revenue cycle management including Health Information Management (HIM), Coding and Clinical Documentation Improvement (CDI) and Financial Management. The Company’s solutions are designed to improve the flow of critical patient information throughout the enterprise. The solutions and services help to transform and structure information between disparate information technology systems into actionable data, giving the end user comprehensive access to clinical and business intelligence to enable better decision-making. Solutions can be delivered either by a perpetual license installed locally, or by a fixed-term license installed locally or accessed securely through SaaS.
HIM, Coding & CDI Solutions - These solutions provide an integrated cloud-based software suite that enhances the productivity of CDI and Coding staff and enables the seamless sharing of patient data. This suite of solutions includes individual workflows such as content management (ECM), release of information, computer-assisted coding (eCAC), CDI, abstracting and physician query. The eCAC solution includes patented Natural Language Processing (NLP) that streamlines concurrent chart review and coding workflows.
eValuatorTM Coding Analysis Platform - This new technology is a cloud-based SaaS analytics solution that delivers the capability of a fully automated analysis on 100% of billing codes entered by a healthcare provider’s coding team. This is done on a pre-bill basis, enabling providers to identify and address their highest-impact cases prior to bill drop. Rule sets are enabled for inpatient, outpatient and pro-fee cases. With eValuator, providers can add an audit and review function on a pre-bill basis to all cases, allowing the provider to better optimize reimbursements and mitigate risk on its billing practices.
Financial Management Solutions - These solutions enable financial staff across the healthcare enterprise to drill down quickly and deeply into actionable and real-time financial data and key performance indicators to improve revenue realization and staff efficiency. This suite of solutions includes individual workflows such as accounts receivable management, denials management, claims processing, spend management and audit management. These solutions provide dashboards, data mining tools and prescriptive reporting, which help to simplify, facilitate and optimize overall revenue cycle performance of the healthcare enterprise. These solutions are also used to increase the completion and accuracy of patient charts and related coding, improve accounts receivable collections, reduce and manage denials, and improve audit outcomes.
Patient Care Solution - The Company’s Clinical Analytics solution enables healthcare providers to improve their patient care via cohort building and data visualization, fostering an open, continuous learning culture inside a healthcare organization, empowering it with real-time, on-demand predicative insight for improved patient outcomes.
Services
Audit Services — The Company provides technology-enabled coding audit services to help clients review and optimize their internal clinical documentation and coding functions across the applicable segment of the client’s enterprise. The Company provides these services using experienced auditors and proprietary software solutions, as well as third-party solutions that assist the audit team in performing its role and interacting with clients. The audit services are provided for inpatient DRG coding auditing, outpatient APC auditing, HCC auditing and Physician/Pro-Fee services coding auditing.
Custom Integration Services — The Company’s professional services team works with clients to design custom integrations that integrate data to or from virtually any clinical, financial, or administrative system. By taking data and documents from multiple, disparate systems and bringing them into one streamlined system, clients are able to maximize efficiencies and increase operational performance. The Company’s professional services team also creates custom integrations that transfer data from the Company’s solutions into the client’s external or internal systems.
Training Services — Training courses are offered to help clients quickly learn to use our solutions in the most efficient manner possible. Training sessions are available on-site or off-site for multiple staff members or as few as one person.
Electronic Image Conversion — The Company’s electronic image conversion service allows organizations to protect their repository of images while taking advantage of its content management technology. Electronic image conversion creates one repository that integrates directly with our clinical content management system. This service is available via the SaaS model or for locally-installed solutions.
Database Monitoring Services — The Company’s advanced database monitoring services for clients with locally-installed solutions help lighten the burden of ongoing system monitoring by the client’s information technology staff and ensure a continual, stable production environment. The Company’s database administrators ensure the client’s system is running optimally with weekly manual checks of the database environment to identify system issues that may require further attention. Monitoring is done through protected connections to data security.
Clients and Strategic Partners
The Company continues to provide transformational data-driven solutions to some of the finest, most well-respected healthcare enterprises in the United States and Canada. Clients are geographically dispersed throughout North America, with the heaviest concentration currently in the New York metropolitan area. The Company provides these solutions through a combination of direct sales and relationships with strategic channel partners. Additional information on certain key channel partner relationships the Company established this year can be found in our press releases for fiscal 2017.
During fiscal year 2017, no individual client accounted for 10% or more of our total revenues. Two clients represented 12% and 11%, respectively, of total accounts receivable as of January 31, 2018.
During fiscal year 2016, one individual client accounted for 10% or more of our total revenues. Three clients each represented 11% of total accounts receivable as of January 31, 2017.
For more information regarding our major clients, please see “Risks Relating to Our Business - Our sales have been concentrated in a small number of clients” in Part 1, Item 1A, “Risk Factors”.
Acquisitions and Divestitures
The Company regularly evaluates opportunities for acquisitions and divestitures for portions of the Company that may not align with current growth strategies. The Company acquired substantially all of the assets of Opportune IT Healthcare Solutions, Inc. (“Opportune IT”), a provider of coding compliance, recovery audit contractor consulting, and ICD-10 readiness and training to hospitals, physicians and medical groups, on September 8, 2016. The Company also divested the Streamline Health® Patient Engagement suite of solutions on December 1, 2016. Additional details regarding these acquisitions and divestitures as well as other key historic acquisitions and divestitures occurring prior to fiscal 2016 are further discussed in Note 3 - Acquisitions and Divestitures to our consolidated financial statements included in Part II, Item 8 herein.
Business Segments
We manage our business as one single business segment. For our total assets at January 31, 2018 and 2017 and total revenue and net loss for the fiscal years ended January 31, 2018 and 2017, see our consolidated financial statements included in Part II, Item 8 herein.
Contracts, License and Services Fees
The Company enters into agreements with its clients that specify the scope of the system to be installed and/or services to be provided by the Company, as well as the agreed-upon aggregate price, applicable term duration and the timetable for the associated licenses and services.
For clients purchasing software to be installed locally or provided on a SaaS model, these are multi-element arrangements that include either a perpetual or term license and right to access the applicable software functionality (whether installed locally at the client site or the right to use the Company’s solutions as a part of SaaS services), terms regarding maintenance and support services, terms for any third-party components such as hardware and software, and professional services for implementation, integration, process engineering, optimization and training, as well as fees and payment terms for each of the foregoing. If the client purchases solutions on a perpetual license model, the client is billed the license fee up front. Maintenance and support is provided on a term basis for separate fees, with an initial term typically from one to five years in length. The maintenance and support fee is charged annually in advance, commencing either upon contract execution or deployment of the solution in live production. If the client purchases solutions on a term-based model, the client is billed periodically a combined access fee for a specified term, typically from one to seven years in length. The access fee includes the access rights along with all maintenance and support services.
The Company also generally provides software and SaaS clients professional services for implementation, integration, process engineering, optimization and training. These services and the associated fees are separate from the license, maintenance and access fees. Professional services are provided on either a fixed-fee or hourly arrangements billable to clients based on agreed-to payment milestones (fixed fee) or monthly payment structure on hours incurred (hourly). These services can either be included at the time the related locally installed software or SaaS solution is licensed as part of the initial purchase agreement, or added on afterward as an addendum to the existing agreement for services required after the initial implementation.
For coding audit services clients, these review services are provided either through a stand-alone services agreement or services addendum to an existing master agreement with the client. These review services are available as either a one-time service or recurring monthly, quarterly or annual review structure. These services are typically provided on a per reviewed account/chart basis. Monthly minimums are required where material discounts have been offered. Payment typically occurs upon completion of the applicable review project.
The commencement of revenue recognition varies depending on the size and complexity of the system and/or services involved, the implementation or performance schedule requested by the client and usage by clients of SaaS for software-based components. The Company’s agreements are generally non-cancelable but provide that the client may terminate its agreement upon a material breach by the Company and/or or may delay certain aspects of the installation or associated payments in such events. The Company does allow for termination for convenience in certain situations. The Company also includes trial or evaluation periods for certain clients, especially for new or modified solutions. Therefore, it is difficult for the Company to accurately predict the revenue it expects to achieve in any particular period, and a termination or installation delay of one or more phases of an agreement, or the failure of the Company to procure additional agreements, could have a material adverse effect on the Company’s business, financial condition, and results of operations, as further discussed in Section 1A Risk Factors herein. Historically, the Company has not experienced a material amount of contract cancellations; however, the Company sometimes experiences delays in the course of contract performance and the Company accounts for them accordingly.
Third-Party License Fees
The Company incorporates software licensed from various third-party vendors into its proprietary software. Stand-alone third-party software is also required to operate certain of the Company’s proprietary software and/or SaaS services. The Company licenses these software products and pays the required license fees when such software is delivered to clients. For information regarding royalty agreements, see Note 3 - Acquisitions and Divestitures to our consolidated financial statements included in Part II, Item 8 herein.
Associates
As of January 31, 2018, the Company had 116 employees (with 113 as full-time employees and 3 as part-time employees), a net decrease of 13 during fiscal 2017. The Company utilizes independent contractors to supplement its staff, as needed. None of the Company’s associates are represented by a labor union or subject to a collective bargaining agreement. The Company has never experienced a work stoppage and believes that its employee relations are good. The Company’s success depends, to a significant degree, on its management, sales and technical personnel.
For more information on contracts, backlog, acquisitions and research and development, see also Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations”.
Competition
Regarding our Patient Care Solutions, HIM, Coding and CDI Solutions, eValuatorTM Coding Analysis Platform, and Financial Management Solutions, several companies historically have dominated the clinical information system software market and several of these companies have either acquired, developed or are developing their own document management and workflow technologies. The industry is undergoing consolidation and realignment as companies position themselves to compete more effectively. Strategic alliances between vendors offering HIM workflow and document management technologies and vendors of other healthcare systems are increasing. Barriers to entry to this market include technological and application sophistication, the ability to offer a proven product, creating and utilizing a well-established client base and distribution channels, brand recognition, the ability to operate on a variety of operating systems and hardware platforms, the ability to integrate with pre-existing systems and capital for sustained development and marketing activities. The Company has many competitors including clinical information system vendors that are larger, more established and have substantially more resources than the Company.
Regarding our Audit Services, there are numerous medium and small companies and independent consultants who offer these services. Barriers to entry to this market include creating and utilizing a well-established client base and distribution channels, brand recognition, establishing differentiators for our services and capital for sustained development and marketing activities.
The Company believes that these obstacles taken together represent a moderate to high-level barrier to entry. The Company believes that the principal competitive factors in its market are client recommendations and references, company reputation, system reliability, system features and functionality (including ease of use), technological advancements, client service and support, breadth and quality of the systems, the potential for enhancements and future compatible products, the effectiveness of marketing and sales efforts, price, and the size and perceived financial stability of the vendor. In addition, the Company believes that the speed with which companies in its market can anticipate the evolving healthcare industry structure and identify unmet needs are important competitive factors.
Additional Intellectual Property Rights
In addition to the software licenses described in other sections of this Item 1, “Business”, the Company also holds registered trademarks for its Streamline Health® and other key trademarks used in selling our products. These marks are currently active, with registrations being valid for a period of 3 years each. The Company actively renews these marks at the end of each registration period.
Regulation
Our clients derive a substantial portion of their revenue from third-party private and governmental payors, including through Medicare, Medicaid and other government-sponsored programs. Our clients also have express handling and retention obligations under information-based laws such as the Health Insurance Portability and Accountability Act of 1996. There are no material regulatory proposals of which the Company is aware that we believe currently have a high likelihood of passage that we anticipate would have a material impact on the operation or demand of the Company’s products and services. However, the Company acknowledges there is currently great uncertainty in the US healthcare market generally from a regulatory perspective. In addition, there is regulatory uncertainty in the data and technology sectors as it relates to information security regulations. Material changes could have unanticipated impact on demand or usability of the Company’s solutions, require the Company to incur additional development and/or operating costs (on a one-time or recurring basis) or cause clients to terminate their agreements or otherwise be unable to pay amounts owed to the Company, as further discussed in the risk factors in Part 1, Item 1A, “Risk Factors” herein.
Requests for Documents
Copies of documents filed by the Company with the SEC, including annual reports on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K, proxy statements and all amendments to those reports and statements, if any, can be found at the web site http://investor.streamlinehealth.net as soon as practicable after such material is electronically filed with, or furnished to, the SEC. The information contained on the Company's website is not part of, or incorporated by reference into, this annual report on Form 10-K. Copies can be downloaded free of charge from the Company's web site or directly from the SEC web site, http://www.sec.gov. Also, copies of the Company’s annual report on Form 10-K will be made available, free of charge, upon written request to the Company, attention: Corporate Secretary, 1230 Peachtree Street, NE, Suite 600, Atlanta, GA 30309.
Materials that the Company files with the SEC may also be read and copied at the SEC’s Public Reference Room at 100 F Street, NE, Washington, DC 20549, on official business days during the hours of 10:00 am to 3:00 pm. Information on the operation of the Public Reference Room may be obtained by calling the SEC at 1-800-SEC-0330.
ITEM 1A. Risk Factors
An investment in our common stock or other securities involves a number of risks. You should carefully consider each of the risks described below before deciding to invest in our common stock or other securities. If any of the following risks develops into actual events, our business, financial condition or results of operations could be negatively affected, the market price of our common stock or other securities could decline, and you may lose all or part of your investment.
Risks Relating to Our Business
Our sales have been concentrated in a small number of clients.
Our revenues have been concentrated in a relatively small number of large clients, and we have historically derived a substantial percentage of our total revenues from a few clients. For the fiscal years ended January 31, 2018 and 2017, our five largest clients accounted for 29% and 30% of our total revenues, respectively. If one or more clients terminate all or any portion of a master agreement, delay installations or if we fail to procure additional agreements, there could be a material adverse effect on our business, financial condition and results of operations. See Note 9 - Major Clients to our consolidated financial statements included in Part II, Item 8 herein for further notes regarding representation of the largest individual major clients.
A significant increase in new SaaS contracts could reduce near-term profitability and require a significant cash outlay, which could adversely affect near term cash flow and financial flexibility.
If new or existing clients purchase significant amounts of our SaaS services, we may have to expend a significant amount of initial setup costs and time before those new clients are able to begin using such services, and we cannot begin to recognize revenues from those SaaS agreements until the commencement of such services. Accordingly, we anticipate that our near-term cash flow, revenue and profitability may be adversely affected by significant incremental setup costs from new SaaS clients that would not be offset by revenue until new SaaS clients go into production. While we anticipate long-term growth in profitability through increases in recurring SaaS subscription fees and significantly improved profit visibility, any inability to adequately finance setup costs for new SaaS solutions could result in the failure to put new SaaS solutions into production, and could have a material adverse effect on our liquidity, financial position and results of operations. In addition, this near-term cash flow demand could adversely impact our financial flexibility and cause us to forego otherwise attractive business opportunities or investments.
Our eValuator platform, coding audit services and associated software and technologies represent a new market for the Company, and we may not see the anticipated market interest or growth due to being a new player in the industry.
The Company is currently investing in the eValuator platform as well as new software-based technologies relating to high automation and machine-based analytics regarding a client’s coding audit process. The return on this investment requires that the product developments continue to be defined and completed in a timely and cost-effective manner, there remains general interest in the marketplace (for both existing and future clients) for this technology, the demand for the product generates sufficient revenue in light of the development costs and that the Company is able to execute a successful product launch for these technologies. If the Company is unable to meet these requirements when launching these technologies, or if there is a delay in the launch process, the Company may not see an increase in revenue to offset the current development costs or otherwise translate to added growth and revenue for the Company.
Clients may exercise termination rights within their contracts, which may cause uncertainty in anticipated and future revenue streams.
The Company generally does not allow for termination of a client’s agreement except at the end of the agreed upon term or for cause. However, certain of the Company’s client contracts provide that the client may terminate the contract without cause prior to the end of the term of the agreement by providing written notice, sometimes with relatively short notice periods. The Company also provides trial or evaluation periods for certain clients, especially for new products and services. Furthermore, there can be no assurance that a client will not cancel all or any portion of an agreement, even without an express early termination right. And, the Company may face additional costs or hardships collecting on amounts owed if a client terminates an agreement without such a right. Whether resulting from termination for cause or the limited termination for convenience rights discussed above, the existence of contractual relationships with these clients is not an assurance that we will continue to provide services for our clients through the entire term of their respective agreements. If clients representing a significant portion of our revenue terminated their agreements unexpectedly, we may not, in the short-term, be able to replace the revenue and income from such contracts and this would have a material adverse effect on the Company’s business, financial condition, results of operations and cash flows. In addition, client contract terminations could harm our reputation within the industry, especially any termination for cause, which could negatively impact our ability to obtain new clients.
Changes in healthcare regulations impacting coding, payers and other aspects of the healthcare regulatory cycle could have substantial impact on our financial performance, growth and operating costs.
Our sales and profitability depend, in part, on the extent to which coverage of and reimbursement for medical care provided is available from governmental health programs, private health insurers, managed care plans and other third-party payors. Unanticipated regulatory changes could materially impact the need for and/or value of our solutions. For example, if governmental or other third-party payors materially reduce reimbursement rates or fail to reimburse our clients adequately, our clients may suffer adverse financial consequences. Changes in regulations affecting the healthcare industry, such as any increased regulation by governmental agencies of the purchase and sale of medical products, or restrictions on permissible discounts and other financial arrangements, could also directly impact the capabilities our solutions and services provide and the pricing arrangements we are required to offer to be competitive in the market. Similarly, the U.S. Congress may adopt legislation that may change, override, conflict with or preempt the currently existing regulations and which could restrict the ability of clients to obtain, use or disseminate patient health information and/or impact the value of the functionality our products and services provide.
These situations would, in turn, reduce the demand for our solutions or services and/or the ability for a client to purchase our solutions or services. This could have a material impact on our financial performance. In addition, the speed with which the Company can respond to and address any such changes when compared with the response of other companies in the same market (especially companies who may accurately anticipate the evolving healthcare industry structure and identify unmet needs) are important competitive factors. If the Company is not able to address the modifications in a timely manner compared with our competition, that may further reduce demand for our solutions and services.
The potential impact on us of new or changes in existing federal, state and local regulations governing healthcare information could be substantial.
Healthcare regulations issued to date have not had a material adverse effect on our business. However, we cannot predict the potential impact of new or revised regulations that have not yet been released or made final, or any other regulations that might be adopted. The U.S. Congress may adopt legislation that may change, override, conflict with or preempt the currently existing regulations and which could restrict the ability of clients to obtain, use or disseminate patient health information. Although the features and architecture of our existing solutions can be modified, it may be difficult to address the changing regulation of healthcare information.
The healthcare industry is highly regulated. Any material changes in the political, economic or regulatory healthcare environment that affect the group purchasing business or the purchasing practices and operations of healthcare organizations, or that lead to consolidation in the healthcare industry, could require us to modify our services or reduce the funds available to providers to purchase our solutions and services.
Our business, financial condition and results of operations depend upon conditions affecting the healthcare industry generally and hospitals and health systems particularly. Our ability to grow will depend upon the economic environment of the healthcare industry, as well as our ability to increase the number of solutions that we sell to our clients. The healthcare industry is highly regulated and is subject to changing political, economic and regulatory influences. Factors such as changes in reimbursement policies for healthcare expenses, consolidation in the healthcare industry, regulation, litigation and general economic conditions affect the purchasing practices, operation and, ultimately, the operating funds of healthcare organizations. In particular, changes in regulations affecting the healthcare industry, such as any increased regulation by governmental agencies of the purchase and sale of medical products, or restrictions on permissible discounts and other financial arrangements, could require us to make unplanned modifications to our solutions and services, or result in delays or cancellations of orders or reduce funds and demand for our solutions and services.
Our clients derive a substantial portion of their revenue from third-party private and governmental payors, including through Medicare, Medicaid and other government-sponsored programs. Our sales and profitability depend, in part, on the extent to which coverage of and reimbursement for medical care provided is available from governmental health programs, private health insurers, managed care plans and other third-party payors. If governmental or other third-party payors materially reduce reimbursement rates or fail to reimburse our clients adequately, our clients may suffer adverse financial consequences, which in turn, may reduce the demand for and ability to purchase our solutions or services.
We face significant competition, including from companies with significantly greater resources.
We currently compete with many other companies for the licensing of similar software solutions and related services. Several companies historically have dominated the clinical information systems software market and several of these companies have either acquired, developed or are developing their own content management, analytics and coding/clinical
documentation improvement solutions, as well as the resultant workflow technologies. The industry is undergoing consolidation and realignment as companies position themselves to compete more effectively. Many of these companies are larger than us and have significantly more resources to invest in their business. In addition, information and document management companies serving other industries may enter the market. Suppliers and companies with whom we may establish strategic alliances also may compete with us. Such companies and vendors may either individually, or by forming alliances excluding us, place bids for large agreements in competition with us. A decision on the part of any of these competitors to focus additional resources in any one of our three solutions stacks (content management, analytics and coding/clinical documentation improvement), workflow technologies and other markets addressed by us could have a material adverse effect on us.
The healthcare industry is evolving rapidly, which may make it more difficult for us to be competitive in the future.
The U.S. healthcare system is under intense pressure to improve in many areas, including modernization, universal access and controlling skyrocketing costs of care. We believe that the principal competitive factors in our market are client recommendations and references, company reputation, system reliability, system features and functionality (including ease of use), technological advancements, client service and support, breadth and quality of the systems, the potential for enhancements and future compatible solutions, the effectiveness of marketing and sales efforts, price and the size and perceived financial stability of the vendor. In addition, we believe that the speed with which companies in our market can anticipate the evolving healthcare industry structure and identify unmet needs is an important competitive factor. If we are unable to keep pace with changing conditions and new developments, we will not be able to compete successfully in the future against existing or potential competitors.
Rapid technology changes and short product life cycles could harm our business.
The market for our solutions and services is characterized by rapidly changing technologies, regulatory requirements, evolving industry standards and new product introductions and enhancements that may render existing solutions obsolete or less competitive. As a result, our position in the healthcare information technology market could change rapidly due to unforeseen changes in the features and functions of competing products, as well as the pricing models for such products. Our future success will depend, in part, upon our ability to enhance our existing solutions and services and to develop and introduce new solutions and services to meet changing requirements. Moreover, competitors may develop competitive products that could adversely affect our operating results. We need to maintain an ongoing research and development program to continue to develop new solutions and apply new technologies to our existing solutions but may not have sufficient funds with which to undertake such required research and development. If we are not able to foresee changes or to react in a timely manner to such developments, we may experience a material, adverse impact on our business, operating results and financial condition.
Our intellectual property rights are valuable, and any inability to protect them could reduce the value of our solutions and services.
Our intellectual property, which represents an important asset to us, has some protection against infringement through copyright and trademark law. We generally have little patent protection on our software. We rely upon license agreements, employment agreements, confidentiality agreements, nondisclosure agreements and similar agreements to maintain the confidentiality of our proprietary information and trade secrets. Notwithstanding these precautions, others may copy, reverse engineer or independently design technology similar to our solutions. If we fail to protect adequately our intellectual property through trademarks and copyrights, license agreements, employment agreements, confidentiality agreements, nondisclosure agreements or similar agreements, our intellectual property rights may be misappropriated by others, invalidated or challenged, and our competitors could duplicate our technology or may otherwise limit any competitive technology advantage we may have. It may be necessary to litigate to enforce or defend our proprietary technology or to determine the validity of the intellectual property rights of others. Any litigation, successful or unsuccessful, may result in substantial cost and require significant attention by management and technical personnel.
Due to the rapid pace of technological change, we believe our future success is likely to depend upon continued innovation, technical expertise, marketing skills and client support and services rather than on legal protection of our intellectual property rights. However, we have aggressively asserted our intellectual property rights when necessary and intend to do so in the future.
We could be subjected to claims of intellectual property infringement that could be expensive to defend.
While we do not believe that our solutions and services infringe upon the intellectual property rights of third parties, the potential for intellectual property infringement claims continually increases as the number of software patents and copyrighted and trademarked materials continues to rapidly expand. Any claim for intellectual property right infringement, even if not meritorious, could be expensive to defend. If we were held liable for infringing third party intellectual property rights, we could
incur substantial damage awards, and potentially be required to cease using the technology, produce non-infringing technology or obtain a license to use such technology. Such potential liabilities or increased costs could be material to us.
Over the last several years, we have completed a number of acquisitions and may undertake additional acquisitions in the future. Any failure to adequately integrate past and future acquisitions into our business could have a material adverse effect on us.
Over the last several years, we have completed several acquisitions of businesses through asset and stock purchases. We expect that we will make additional acquisitions in the future.
Acquisitions involve a number of risks, including, but not limited to:
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• | the potential failure to achieve the expected benefits of the acquisition, including the inability to generate sufficient revenue to offset acquisition costs, or the inability to achieve expected synergies or cost savings; |
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• | unanticipated expenses related to acquired businesses or technologies and their integration into our existing businesses or technology; |
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• | the diversion of financial, managerial and other resources from existing operations; |
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• | the risks of entering into new markets in which we have little or no experience or where competitors may have stronger positions; |
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• | potential write-offs or amortization of acquired assets or investments; |
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• | the potential loss of key employees, clients or partners of an acquired business; |
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• | delays in client purchases due to uncertainty related to any acquisition; |
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• | potential unknown liabilities associated with an acquisition; and |
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• | the tax effects of any such acquisitions. |
If we fail to successfully integrate acquired businesses or fail to implement our business strategies with respect to acquisitions, we may not be able to achieve projected results or support the amount of consideration paid for such acquired businesses, which could have an adverse effect on our business and financial condition.
Finally, if we finance acquisitions by issuing equity or convertible or other debt securities, our existing stockholders may be diluted, or we could face constraints related to the terms of and repayment obligations related to the incurrence of indebtedness. This could adversely affect the market price of our securities.
Third party products are essential to our software.
Our software incorporates software licensed from various vendors into our proprietary software. In addition, third-party, stand-alone software is required to operate some of our proprietary software modules. The loss of the ability to use these third-party products, or ability to obtain substitute third-party software at comparable prices, could have a material adverse effect on our ability to license our software.
Our solutions may not be error-free and could result in claims of breach of contract and liabilities.
Our solutions are very complex and may not be error-free, especially when first released. Although we perform extensive testing, failure of any solution to operate in accordance with its specifications and documentation could constitute a breach of the license agreement and require us to correct the deficiency. If such deficiency is not corrected within the agreed-upon contractual limitations on liability and cannot be corrected in a timely manner, it could constitute a material breach of a contract allowing the termination thereof and possibly subjecting us to liability. Also, we sometimes indemnify our clients against third-party infringement claims. If such claims are made, even if they are without merit, they could be expensive to defend. Our license and SaaS agreements generally limit our liability arising from these types of claims, but such limits may not be enforceable in some jurisdictions or under some circumstances. A significant uninsured or under-insured judgment against us could have a material adverse impact on us.
We could be liable to third parties from the use of our solutions.
Our solutions provide access to patient information used by physicians and other medical personnel in providing medical care. The medical care provided by physicians and other medical personnel are subject to numerous medical malpractice and other claims. We attempt to limit any potential liability of ours to clients by limiting the warranties on our solutions in our agreements with our clients (i.e., healthcare providers). However, such agreements do not protect us from third-party claims by patients who may seek damages from any or all persons or entities connected to the process of delivering patient care. We maintain insurance, which provides limited protection from such claims, if such claims result in liability to us. Although no such claims have been brought against us to date regarding injuries related to the use of our solutions, such claims may be made in the future. A significant uninsured or under-insured judgment against us could have a material adverse impact on us.
Our SaaS and support services could experience interruptions.
We provide SaaS for many clients, including the storage of critical patient, financial and administrative data. In addition, we provide support services to clients through our client support organization. We have redundancies, such as backup generators, redundant telecommunications lines and backup facilities built into our operations to prevent disruptions. However, complete failure of all generators, impairment of all telecommunications lines or severe casualty damage to the primary building or equipment inside the primary building housing our hosting center or client support facilities could cause a temporary disruption in operations and adversely affect clients who depend on the application hosting services. Any interruption in operations at our data center or client support facility could cause us to lose existing clients, impede our ability to obtain new clients, result in revenue loss, cause potential liability to our clients and increase our operating costs.
Our SaaS solutions are provided over an internet connection. Any breach of security or confidentiality of protected health information could expose us to significant expense and harm our reputation.
We provide remote SaaS solutions for clients, including the storage of critical patient, financial and administrative data. We have security measures in place to prevent or detect misappropriation of protected health information. We must maintain facility and systems security measures to preserve the confidentiality of data belonging to clients, as well as their patients, that resides on computer equipment in our data center, which we handle via application hosting services, or that is otherwise in our possession. Notwithstanding efforts undertaken to protect data, it can be vulnerable to infiltration as well as unintentional lapse. If confidential information is compromised, we could face claims for contract breach, penalties and other liabilities for violation of applicable laws or regulations, significant costs for remediation and re-engineering to prevent future occurrences and serious harm to our reputation.
The loss of key personnel could adversely affect our business.
Our success depends, to a significant degree, on our management, sales force and technical personnel. We must recruit, motivate and retain highly skilled managers, sales, consulting and technical personnel, including solution programmers, database specialists, consultants and system architects who have the requisite expertise in the technical environments in which our solutions operate. Competition for such technical expertise is intense. Our failure to attract and retain qualified personnel could have a material adverse effect on us.
Our future success depends upon our ability to grow, and if we are unable to manage our growth effectively, we may incur unexpected expenses and be unable to meet our clients’ requirements.
We will need to expand our operations if we successfully achieve greater demand for our products and services. We cannot be certain that our systems, procedures, controls and human resources will be adequate to support expansion of our operations. Our future operating results will depend on the ability of our officers and employees to manage changing business conditions and to implement and improve our technical, administrative, financial control and reporting systems. We may not be able to expand and upgrade our systems and infrastructure to accommodate these increases. Difficulties in managing any future growth, including as a result of integrating any prior or future acquisition with our existing businesses, could cause us to incur unexpected expenses or render us unable to meet our clients’ requirements, and consequently have a significant negative impact on our business, financial condition and operating results.
We may not have access to sufficient or cost-efficient capital to support our growth, execute our business plans and remain competitive in our markets.
As our operations grow and as we implement our business strategies, we expect to use both internal and external sources of capital. In addition to cash flow from normal operations, we may need additional capital in the form of debt or equity to operate and support our growth, execute our business plans and remain competitive in our markets. We may have no or limited
availability to such external capital, in which case our future prospects may be materially impaired. Furthermore, we may not be able to access external sources of capital on reasonable or favorable terms. Our business operations could be subject to both financial and operational covenants that may limit the activities we may undertake, even if we believe they would benefit our company.
Potential disruptions in the credit markets may adversely affect our business, including the availability and cost of short-term funds for liquidity requirements and our ability to meet long-term commitments, which could adversely affect our results of operations, cash flows and financial condition.
If internally generated funds are not available from operations, we may be required to rely on the banking and credit markets to meet our financial commitments and short-term liquidity needs. Our access to funds under our revolving credit facility or pursuant to arrangements with other financial institutions is dependent on the financial institution's ability to meet funding commitments. Financial institutions may not be able to meet their funding commitments if they experience shortages of capital and liquidity or if they experience high volumes of borrowing requests from other borrowers within a short period of time.
We must maintain compliance with the terms of our existing credit facilities or receive a waiver for any non-compliance. The failure to maintain compliance could have a material adverse effect on our ability to finance our ongoing operations and we may not be able to find an alternative lending source if a default occurs.
In November 2014, we entered into a Credit Agreement (the “Credit Agreement”) with Wells Fargo Bank, N.A., as administrative agent, and other lender parties thereto. Pursuant to the Credit Agreement, the lenders agreed to provide a $10,000,000 senior term loan and a $5,000,000 revolving line of credit to our primary operating subsidiary. The Credit Agreement includes customary financial covenants, including the requirements that the Company maintain certain minimum liquidity and achieve certain minimum EBITDA levels.
In order to draw upon its revolving line of credit, pursuant to the terms of the third amendment to the Credit Agreement entered into as of June 19, 2017, the Company is required to maintain minimum liquidity of at least (i) $5,000,000 through January 31, 2018, (ii) $4,000,000 from February 1, 2018 through and including January 31, 2019, and (iii) $3,000,000 from February 1, 2019 through and including the maturity date of the credit facility. The Company was in compliance with the applicable loan covenants at January 31, 2018.
If we do not maintain compliance with all of the continuing covenants and other terms and conditions of the credit facility or secure a waiver for any non-compliance, we could be required to repay outstanding borrowings on an accelerated basis, which could subject us to decreased liquidity and other negative impacts on our business, results of operations and financial condition. Furthermore, if we needed to do so, it may be difficult for us to find an alternative lending source. In addition, because our assets are pledged as a security under our credit facilities, if we are not able to cure any default or repay outstanding borrowings, our assets are subject to the risk of foreclosure by our lenders. Without a sufficient credit facility, we would be adversely affected by a lack of access to liquidity needed to operate our business. Any disruption in access to credit could force us to take measures to conserve cash, such as deferring important research and development expenses, which measures could have a material adverse effect on us.
Our outstanding preferred stock have significant redemption and repayment rights that could have a material adverse effect on our liquidity and available financing for our ongoing operations.
In August 2012, we completed a private offering of preferred stock, warrants and convertible notes to a group of investors for gross proceeds of $12 million. In November 2012, the convertible notes converted into shares of preferred stock. Subject to the terms of the Subordination and Intercreditor Agreement, the preferred stock is redeemable at the option of the holders thereof anytime after August 31, 2016 if not previously converted into shares of common stock. We may not achieve the thresholds required to trigger automatic conversion of the preferred stock, and alternatively, holders may not voluntarily elect to convert the preferred stock into common stock. The election of the holders of our preferred stock to redeem the preferred stock could subject us to decreased liquidity and other negative impacts on our business, results of operations and financial condition. Under the terms of the Subordination and Intercreditor Agreement among the preferred stockholders, the Company and Wells Fargo, our obligation to redeem the preferred stock is subordinated to our obligations under the senior term loan and the preferred stock may not be redeemed without the consent of Wells Fargo. For additional information regarding the terms, rights and preferences of the preferred stock, see Note 14 to our consolidated financial statements included in Part II, Item 8 herein and our other SEC filings.
Economic conditions in the U.S. and globally may have significant effects on our clients and suppliers that could result in material adverse effects on our business, operating results and stock price.
Economic conditions in the U.S. and globally could deteriorate and cause the worldwide economy to enter into a stagnant period that could materially adversely affect our clients' access to capital or willingness to spend capital on our solutions and services or their levels of cash liquidity with which to pay for solutions that they will order or have already ordered from us. Challenging economic conditions also would likely negatively impact our business, which could result in: (1) reduced demand for our solutions and services; (2) increased price competition for our solutions and services; (3) increased risk of collectability of cash from our clients; (4) increased risk in potential reserves for doubtful accounts and write-offs of accounts receivable; (5) reduced revenues; and (6) higher operating costs as a percentage of revenues.
All of the foregoing potential consequences of a deterioration of economic conditions are difficult to forecast and mitigate. As a consequence, our operating results for a particular period are difficult to predict, and, therefore, prior results are not necessarily indicative of future results. Any of the foregoing effects could have a material adverse effect on our business, results of operations, and financial condition and could adversely affect the market price of our common stock and other securities.
The variability of our quarterly operating results can be significant.
Our operating results have fluctuated from quarter-to-quarter in the past, and we may experience continued fluctuations in the future. Future revenues and operating results may vary significantly from quarter-to-quarter as a result of a number of factors, many of which are outside of our control. These factors include: the relatively large size of client agreements; unpredictability in the number and timing of system sales and sales of application hosting services; length of the sales cycle; delays in installations; changes in clients’ financial conditions or budgets; increased competition; the development and introduction of new products and services; the loss of significant clients or remarketing partners; changes in government regulations, particularly as they relate to the healthcare industry; the size and growth of the overall healthcare information technology markets; any liability and other claims that may be asserted against us; our ability to attract and retain qualified personnel; national and local general economic and market conditions; and other factors discussed in this report and our other filings with the SEC.
The preparation of our financial statements requires the use of estimates that may vary from actual results.
The preparation of consolidated financial statements in conformity with U.S. generally accepted accounting principles requires management to make significant estimates that affect the financial statements. One of our most critical estimates is the capitalization of software development costs. Due to the inherent nature of these estimates, we may be required to significantly increase or decrease such estimates upon determination of the actual results. Any required adjustments could have a material adverse effect on us and our results of operations.
Failure to improve and maintain the quality of internal control over financial reporting and disclosure controls and procedures or other lapses in compliance could materially and adversely affect our ability to provide timely and accurate financial information about us or subject us to potential liability.
In connection with the preparation of the consolidated financial statements for each of our fiscal years, our management conducts a review of our internal control over financial reporting. We are also required to maintain effective disclosure controls and procedures. Any failure to maintain adequate controls or to adequately implement required new or improved controls could harm operating results, or cause failure to meet reporting obligations in a timely and accurate manner.
Our operations are subject to foreign currency exchange rate risk.
In connection with our expansion into foreign markets, which primarily consists of Canada, we sometimes receive payment in currencies other than the U.S. dollar. Accordingly, changes in exchange rates, and in particular a strengthening of the U.S. dollar, will negatively affect our net sales and gross margins from our non-U.S. dollar denominated revenue, as expressed in U.S. dollars. There is also a risk that we will have to adjust the pricing of solutions denominated in foreign currencies when there has been significant volatility in foreign currency exchange rates.
We may have increases in tax expenses and uncertain future tax liabilities due to the recent enactment of the Tax Cuts and Jobs Act.
On December 22, 2017, the Tax Cuts and Jobs Act of 2017 (the "Tax Act") was enacted and contains significant changes to U.S. income tax law. Effective in 2018, the Tax Act reduces the U.S. statutory tax rate from 35 percent to 21 percent and creates new taxes focused on foreign-sourced earnings and related-party payments. The Securities and Exchange Commission staff issued Staff Accounting Bulletin No. 118 ("SAB 118") on December 22, 2017, which allows companies to record provisional amounts during a measurement period not to extend beyond one year of the enactment date. Due to the timing of
the enactment and the complexity involved in applying the provisions of the Tax Act, the Company made reasonable estimates of the effects and recorded provisional amounts in our financial statements as of January 31, 2018, in accordance with SAB 118. As the Company collects and prepares necessary data, and interprets the Tax Act and any additional guidance issued by the U.S. Treasury Department, the IRS, and other standard-setting bodies, the Company may make adjustments to the provisional amounts during fiscal 2019. Those adjustments may materially impact our provision for income taxes and effective tax rate in the period in which the adjustments are made and could impact our net income and our earnings per share, as well as our consolidated cash flows and liquidity.
Risks Relating to an Investment in Our Securities
The market price of our common stock is likely to be highly volatile as the stock market in general can be highly volatile.
The public trading of our common stock is based on many factors that could cause fluctuation in the price of our common stock. These factors may include, but are not limited to:
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• | General economic and market conditions; |
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• | Actual or anticipated variations in annual or quarterly operating results; |
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• | Lack of or negative research coverage by securities analysts; |
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• | Conditions or trends in the healthcare information technology industry; |
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• | Changes in the market valuations of other companies in our industry; |
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• | Announcements by us or our competitors of significant acquisitions, strategic partnerships, divestitures, joint ventures or other strategic initiatives; |
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• | Announced or anticipated capital commitments; |
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• | Ability to maintain listing of our common stock on The Nasdaq Stock Market; |
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• | Additions or departures of key personnel; and |
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• | Sales and repurchases of our common stock by us, our officers and directors or our significant stockholders, if any. |
Most of these factors are beyond our control. Further, as a result of our relatively small public float, our common stock may be less liquid, and the trading price for our common stock may be more affected by relatively small volumes of trading than is the case for the common stock of companies with a broader public ownership. These factors may cause the market price of our common stock to decline, regardless of our operating performance or financial condition.
If equity research analysts do not publish research reports about our business or if they issue unfavorable commentary or downgrade our common stock, the price of our common stock could decline.
The trading market for our common stock may rely in part on the research and reports that equity research analysts publish about our business and us. We do not control the opinions of these analysts. The price of our stock could decline if one or more equity analysts downgrade our stock or if those analysts issue other unfavorable commentary or cease publishing reports about our business or us. Furthermore, if no equity research analysts conduct research or publish reports about our business and us, the market price of our common stock could decline.
All of our debt obligations, our existing preferred stock and any preferred stock that we may issue in the future will have priority over our common stock with respect to payment in the event of a bankruptcy, liquidation, dissolution or winding up.
In any bankruptcy, liquidation, dissolution or winding up of the Company, our shares of common stock would rank in right of payment or distribution below all debt claims against us and all of our outstanding shares of preferred stock, if any. As a result, holders of our shares of common stock will not be entitled to receive any payment or other distribution of assets in the event of a bankruptcy or upon a liquidation or dissolution until after all of our obligations to our debt holders and holders of preferred stock have been satisfied. Accordingly, holders of our common stock may lose their entire investment in the event of
a bankruptcy, liquidation, dissolution or winding up of our company. Similarly, holders of our preferred stock would rank junior to our debt holders and creditors in the event of a bankruptcy, liquidation, dissolution or winding up of the Company.
There may be future sales or other dilution of our equity, which may adversely affect the market price of our common stock.
We are generally not restricted from issuing in public or private offerings additional shares of common stock or preferred stock (except for certain restrictions under the terms of our outstanding preferred stock), and other securities that are convertible into or exchangeable for, or that represent a right to receive, common stock or preferred stock or any substantially similar securities. Such offerings represent the potential for a significant increase in the number of outstanding shares of our common stock. The market price of our common stock could decline as a result of sales of common stock, preferred stock or similar securities in the market made after an offering or the perception that such sales could occur.
In addition to our currently outstanding preferred stock, the issuance of an additional series of preferred stock could adversely affect holders of shares of our common stock, which may negatively impact your investment.
Our Board of Directors is authorized to issue classes or series of preferred stock without any action on the part of the stockholders. The Board of Directors also has the power, without stockholder approval, to set the terms of any such classes or series of preferred stock that may be issued, including rights and preferences over the shares of common stock with respect to dividends or upon our dissolution, winding-up or liquidation, and other terms. If we issue preferred stock in the future that has a preference over the shares of our common stock with respect to the payment of dividends or upon our dissolution, winding up or liquidation, or if we issue preferred stock with voting rights that dilute the voting power of the shares of our common stock, the rights of the holders of shares of our common stock or the market price of our common stock could be adversely affected.
As of January 31, 2018, we had 2,949,995 shares of preferred stock outstanding. For additional information regarding the terms, rights and preferences of such stock, see Note 14 to our consolidated financial statements included in Part II, Item 8 herein and our other SEC filings.
We do not currently intend to pay dividends on our common stock and, consequently, your ability to achieve a return on your investment will depend solely on appreciation in the price of our common stock.
We have never declared or paid any cash dividends on our common stock and do not currently intend to do so for the foreseeable future. We currently intend to invest our future earnings, if any, to fund our growth. Therefore, you are not likely to receive any dividends on your common stock for the foreseeable future and the success of an investment in shares of our common stock will depend upon any future appreciation in its value. The trading price of our common stock could decline and you could lose all or part of your investment.
Sales of shares of our common stock or securities convertible into our common stock in the public market may cause the market price of our common stock to fall.
The issuance of shares of our common stock or securities convertible into our common stock in an offering from time to time could have the effect of depressing the market price for shares of our common stock. In addition, because our common stock is thinly traded, resales of shares of our common stock by our largest stockholders or insiders could have the effect of depressing market prices for our common stock.
Note Regarding Risk Factors
The risk factors presented above are all of the ones that we currently consider material. However, they are not the only ones facing our company. Additional risks not presently known to us, or which we currently consider immaterial, may also adversely affect us. There may be risks that a particular investor views differently from us, and our analysis might be wrong. If any of the risks that we face actually occur, our business, financial condition and operating results could be materially adversely affected and could differ materially from any possible results suggested by any forward-looking statements that we have made or might make. In such case, the market price of our common stock or other securities could decline and you could lose all or part of your investment. We expressly disclaim any obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by law.
ITEM 1B. Unresolved Staff Comments
None.
ITEM 2. Properties
The Company’s principal offices are located at 1230 Peachtree Street, NE, Suite 600, Atlanta, GA 30309. The Company leases all of its properties. For fiscal 2017, the aggregate rental expense for the Company's leased properties was $1,219,000. The following table provides information regarding each property currently leased by the Company.
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Location | Area (Sq. Feet) | | Principal Business Function | | End of Term | | Renewal Option |
Atlanta, GA | 24,335 |
| | Corporate Office | | November 30, 2022 | | None |
New York, NY | 10,350 |
| | Satellite Office | | November 29, 2019 | | None |
The Company believes that its facilities are adequate for its current needs and that suitable alternative space is available to accommodate expansion of the Company’s operations.
ITEM 3. Legal Proceedings
We are, from time to time, a party to various legal proceedings and claims, which arise in the ordinary course of business. We are not aware of any legal matters that could have a material adverse effect on our consolidated results of operations, financial position or cash flows.
ITEM 4. Mine Safety Disclosures
Not applicable.
PART II
ITEM 5. Market For Registrant’s Common Equity, Related Stockholder Matters And Issuer Purchases Of Equity Securities
The Company’s common stock trades on The NASDAQ Stock Market (“NASDAQ”) under the symbol STRM. The table below sets forth the high and low sales prices for the Company’s common stock for each of the quarters in fiscal years 2017 and 2016, as reported by NASDAQ. The closing price of the Company’s common stock on April 2, 2018 was $1.72 per share as reported by NASDAQ.
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Fiscal Year 2017 | High | | Low |
4th Quarter (November 1, 2017 through January 31, 2018) | $ | 1.85 |
| | $ | 1.25 |
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3rd Quarter (August 1, 2017 through October 31, 2017) | 2.69 |
| | 0.97 |
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2nd Quarter (May 1, 2017 through July 31, 2017) | 1.45 |
| | 0.99 |
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1st Quarter (February 1, 2017 through April 30, 2017) | 1.48 |
| | 0.93 |
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Fiscal Year 2016 | High | | Low |
4th Quarter (November 1, 2016 through January 31, 2017) | $ | 1.84 |
| | $ | 1.20 |
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3rd Quarter (August 1, 2016 through October 31, 2016) | 2.11 |
| | 1.36 |
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2nd Quarter (May 1, 2016 through July 31, 2016) | 1.78 |
| | 1.08 |
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1st Quarter (February 1, 2016 through April 30, 2016) | 1.82 |
| | 1.15 |
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According to the stock transfer agent’s records, the Company had 221 stockholders of record as of April 2, 2018. Because brokers and other institutions on behalf of stockholders hold many of such shares, the Company is unable to determine with complete accuracy the current total number of stockholders represented by these record holders. The Company estimates that it has approximately 3,200 stockholders, based on information provided by the Company’s stock transfer agent from its search of individual participants in security position listings.
The Company has not paid any cash dividends on its common stock since its inception and dividend payments are prohibited or restricted under financing agreements. For more information on the restrictions on dividends, see also “Liquidity and Capital Resources” in Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations”, and Note 6 - Debt to our consolidated financial statements included in Part II, Item 8 herein.
During the three months ended January 31, 2018, we did not repurchase any shares of the Company’s common stock.
ITEM 6. Selected Financial Data
As a “smaller reporting company” as defined by Item 10 of Regulation S-K, the Company is not required to provide this information.
ITEM 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations
Executive Overview
In fiscal 2016, the Company evaluated all of its solutions and determined it could best assist healthcare providers in improving their revenue cycle management by providing solutions and services in the middle portion of the revenue cycle, that is, the revenue cycle operations from initial charge capture to bill drop. As part of this evaluation, we determined that our Patient Engagement solution affected the beginning of the revenue cycle, early in the patient experience, and was therefore not as compatible with the Company’s new strategy of focusing on solutions affecting the middle of the revenue cycle. Because of this, and because the individuals at our clients making the decision to purchase our Patient Engagement solution and the rest of our solutions were different and we were not seeing the revenue growth opportunities we expected from our Patient Engagement solution, we sold the Patient Engagement solution near the end of fiscal 2016.
The Company also evaluated outside opportunities to add additional capabilities that focus on the middle portion of the revenue cycle. We determined that Opportune IT and its service offerings and associated technologies clearly addressed the middle of the revenue cycle through improved coding audit capabilities for our clients. We saw the acquisition as a strategic opportunity to enhance the portfolio of solutions available to our clients that fit within our new, focused strategy. As a result, the Company acquired the Opportune IT business in September 2016 and has focused growth and development resources to integrate and improve these services offerings and technologies.
With these transactions, we believe our suite of software and services is broad enough to compete with the primary competitors in the marketplace, but narrow enough to allow us to invest materially in development to maintain market leadership in key areas of focus.
Fiscal year 2017 was the first full year of this new, more narrowly focused effort to sell solutions and services in the middle of the revenue cycle, improving healthcare providers’ coding accuracy to help them capture all of the financial reimbursement they deserve for the patient care they provide. With this focus, the Company is committed to leading an industry movement to improve hospitals’ financial performance by moving mid-cycle billing interventions upstream, to improve coding accuracy before billing, enabling our clients to reduce revenue leakage, mitigate overbill risk, and reduce denials and days in accounts receivable.
By narrowing our focus to the middle of the revenue cycle we believe we have a more distinct and compelling value proposition that can help us attract more clients. By innovating new technologies, we have been able to expand our target markets beyond just hospitals and into outpatient centers, clinics and physician practices. Our coding solutions like CDI, Physician Query, Abstracting and eValuator™ are competitive in the market and enabled us to engage 15 new clients in fiscal year 2017. The new eValuator coding analysis platform is so right for the market, it is driving more attention to Streamline Health. Our current client base continues to show interest in eValuator, but we currently have an even greater number of new clients than existing clients signing up for the solution.
Importantly, we have instigated and maintained tight cost and investment controls so that the transition to focusing our efforts in the middle of the revenue cycle has not negatively affected our balance sheet.
Regardless of the state of the Affordable Care Act, the healthcare industry continues to face sweeping changes and new standards of care that are putting greater pressure on healthcare providers to be more efficient in every aspect of their operations. We believe these changes represent ongoing opportunities for our Company to work with our direct clients and partner with various resellers to provide information technology solutions to help providers meet these new requirements.
Results of Operations
Statements of Operations for the fiscal years ended January 31 (in thousands):
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| 2018 | | 2017 | | $ Change | | % Change |
System sales | $ | 1,343 |
| | $ | 2,513 |
| | $ | (1,170 | ) | | (47 | )% |
Professional services | 2,744 |
| | 2,396 |
| | 348 |
| | 15 | % |
Audit services | 1,216 |
| | 628 |
| | 588 |
| | 94 | % |
Maintenance and support | 13,171 |
| | 14,810 |
| | (1,639 | ) | | (11 | )% |
Software as a service | 5,864 |
| | 6,713 |
| | (849 | ) | | (13 | )% |
Total revenues | 24,338 |
| | 27,060 |
| | (2,722 | ) | | (10 | )% |
Cost of sales | 10,174 |
| | 11,527 |
| | (1,353 | ) | | (12 | )% |
Selling, general and administrative | 11,434 |
| | 13,088 |
| | (1,654 | ) | | (13 | )% |
Product research and development | 5,352 |
| | 7,454 |
| | (2,102 | ) | | (28 | )% |
Gain on sale of business | — |
| | (238 | ) | | 238 |
| | (100 | )% |
Total operating expenses | 26,960 |
| | 31,831 |
| | (4,871 | ) | | (15 | )% |
Operating loss | (2,622 | ) | | (4,771 | ) | | 2,149 |
| | (45 | )% |
Other income (expense), net | (561 | ) | | (403 | ) | | (158 | ) | | 39 | % |
Income tax benefit (expense) | 84 |
| | 12 |
| | 72 |
| | 600 | % |
Net loss | $ | (3,099 | ) | | $ | (5,162 | ) | | $ | 2,063 |
| | (40 | )% |
Adjusted EBITDA(1) | $ | 2,798 |
| | $ | 2,921 |
| | $ | (123 | ) | | (4 | )% |
_______________
| |
(1) | Non-GAAP measure meaning net earnings (loss) before net interest expense, tax expense (benefit), depreciation, amortization, stock-based compensation expense, transactional and other expenses that do not relate to our core operations. See “Use of Non-GAAP Financial Measures” below for additional information and reconciliation. |
The following table sets forth, for each fiscal year indicated, certain operating data as percentages of total revenues:
Statements of Operations(1)
|
| | | | | |
| Fiscal Year |
| 2017 | | 2016 |
System sales | 5.5 | % | | 9.3 | % |
Professional services | 11.3 |
| | 8.9 |
|
Audit services | 5.0 |
| | 2.3 |
|
Maintenance and support | 54.1 |
| | 54.7 |
|
Software as a service | 24.1 |
| | 24.8 |
|
Total revenues | 100.0 | % | | 100.0 | % |
Cost of sales | 41.8 |
| | 42.6 |
|
Selling, general and administrative | 47.0 |
| | 48.4 |
|
Product research and development | 22.0 |
| | 27.5 |
|
Gain on sale of business | — |
| | (0.9 | ) |
Total operating expenses | 110.8 |
| | 117.6 |
|
Operating loss | (10.8 | ) | | (17.6 | ) |
Other income (expense), net | (2.3 | ) | | (1.5 | ) |
Income tax benefit | 0.3 |
| | — |
|
Net loss | (12.7 | )% | | (19.1 | )% |
Cost of Sales to Revenues ratio, by revenue stream: | | | |
Systems sales | 144.9 | % | | 107.9 | % |
Services, maintenance and support | 40.3 | % | | 39.5 | % |
Software as a service | 22.5 | % | | 26.3 | % |
_______________
| |
(1) | Because a significant percentage of the operating costs are incurred at levels that are not necessarily correlated with revenue levels, a variation in the timing of systems sales and installations and the resulting revenue recognition can cause significant variations in operating results. As a result, period-to-period comparisons may not be meaningful with respect to the past results nor are they necessarily indicative of the future results of the Company in the near or long-term. The data in the table is presented solely for the purpose of reflecting the relationship of various operating elements to revenues for the periods indicated. |
Comparison of fiscal year 2017 with 2016
Revenues
|
| | | | | | | | | | | | | | |
| Fiscal Year | | 2017 to 2016 Change |
(in thousands): | 2017 | | 2016 | | $ | | % |
System Sales: | | | | | | | |
Proprietary software | $ | 277 |
| | $ | 1,059 |
| | $ | (782 | ) | | (74 | )% |
Term license | 998 |
| | 1,167 |
| | (169 | ) | | (14 | )% |
Hardware and third-party software | 68 |
| | 287 |
| | (219 | ) | | (76 | )% |
Professional services | 2,744 |
| | 2,396 |
| | 348 |
| | 15 | % |
Audit services | 1,216 |
| | 628 |
| | 588 |
| | 94 | % |
Maintenance and support | 13,171 |
| | 14,810 |
| | (1,639 | ) | | (11 | )% |
Software as a service | 5,864 |
| | 6,713 |
| | (849 | ) | | (13 | )% |
Total Revenues | $ | 24,338 |
| | $ | 27,060 |
| | $ | (2,722 | ) | | (10 | )% |
Proprietary software and term licenses — Proprietary software revenues recognized in fiscal 2017 were $277,000, as compared to $1,059,000 in fiscal 2016. The decreased fiscal 2017 revenues as compared to 2016 revenues are primarily attributable to a larger perpetual license sale of our Streamline Health® Abstracting™ solution in the second quarter of fiscal
2016. Term license revenues recognized in fiscal 2017 were $998,000, as compared to $1,167,000 in fiscal 2016. The decreased fiscal 2017 revenues as compared to 2016 revenues are primarily attributable to the expiration of one Clinical Analytics contract and the reduction of license fees on a separate Clinical Analytics contract.
Hardware and third-party software — Revenues from hardware and third-party software sales in fiscal 2017 were $68,000, as compared to $287,000 in fiscal 2016. Fluctuations from year to year are a function of client demand.
Professional services — Revenues from professional services in fiscal 2017 were $2,744,000, as compared to $2,396,000 in fiscal 2016. The increase was primarily attributable to a software version upgrade by a customer of our Streamline Health® Enterprise Content Management™ (“ECM”) solution, as well as implementation services in connection with a sale of Coding and CDI term licenses in the fourth quarter of fiscal 2016.
Maintenance and support — Revenues from maintenance and support in fiscal 2017 were $13,171,000, as compared to $14,810,000 in fiscal 2016. The decrease in maintenance and support revenues in fiscal 2017 resulted primarily from the sale of our Patient Engagement suite of solutions in the fourth quarter of fiscal 2016, as well as cancellations by two customers of our ECM solution.
Software as a service (SaaS) — Revenues from SaaS in fiscal 2017 were $5,864,000, as compared to $6,713,000 in fiscal 2016. The decrease in fiscal 2017 revenue was attributable to cancellations by a few customers of our Financial Management and ECM solutions, as well as the sale of our Patient Engagement suite of solutions in the fourth quarter of fiscal 2016.
Cost of Sales
|
| | | | | | | | | | | | | | |
| Fiscal Year | | 2017 to 2016 Change |
(in thousands): | 2017 | | 2016 | | $ | | % |
Cost of system sales | $ | 1,946 |
| | $ | 2,713 |
| | $ | (767 | ) | | (28 | )% |
Cost of professional services | 2,401 |
| | 2,724 |
| | (323 | ) | | (12 | )% |
Cost of audit services | 1,604 |
| | 1,100 |
| | 504 |
| | 46 | % |
Cost of maintenance and support | 2,904 |
| | 3,227 |
| | (323 | ) | | (10 | )% |
Cost of software as a service | 1,319 |
| | 1,764 |
| | (445 | ) | | (25 | )% |
Total cost of sales | $ | 10,174 |
| | $ | 11,528 |
| | $ | (1,354 | ) | | (12 | )% |
Cost of system sales includes amortization and impairment of capitalized software expenditures, royalties and the cost of third-party hardware and software. Cost of system sales, as a percentage of system sales, varies from period-to-period depending on hardware and software configurations of the systems sold. The decrease in cost of system sales in fiscal 2017 was primarily due to a reduction in amortization of capitalized software costs as a result of the sale of our Patient Engagement suite of solutions in the fourth quarter of fiscal 2016, as well as the internally-developed software acquired from Meta Health Technology, Inc. in 2012 reaching the end of its assigned economic life in the third quarter of fiscal 2017. We incurred $1,914,000 and $2,495,000 in overall software amortization expense in fiscal 2017 and 2016, respectively.
The cost of professional services includes compensation and benefits for professional services personnel, and related expenses. The decrease in cost of professional services from fiscal 2016 to 2017 was primarily due to the reduction in personnel expenses.
The cost of audit services includes compensation and benefits for audit services personnel, and related expenses. The increase in cost of audit services from fiscal 2016 to 2017 was due to the Company beginning to offer audit services in September 2016, following the acquisition of Opportune IT.
The cost of maintenance and support includes compensation and benefits for client support personnel and the cost of third-party maintenance contracts. The decrease from fiscal 2016 to 2017 was primarily due to a decrease in third-party maintenance contracts costs and personnel costs, and is in line with the decrease in the associated maintenance and support revenue.
The cost of SaaS is relatively fixed but subject to some fluctuation for the goods and services it requires. The decrease in cost of SaaS from fiscal 2016 to 2017 was primarily related to a reduction in SaaS personnel costs, as well in depreciation and amortization expense as several assets, including the internally-developed software acquired from Interpoint Partners, LLC in 2011, reached the end of their assigned economic lives.
Selling, General and Administrative Expense
|
| | | | | | | | | | | | | | |
| Fiscal Year | | 2017 to 2016 Change |
(in thousands): | 2017 | | 2016 | | $ | | % |
General and administrative expenses | $ | 7,121 |
| | $ | 8,282 |
| | $ | (1,161 | ) | | (14 | )% |
Sales and marketing expenses | 4,313 |
| | 4,806 |
| | (493 | ) | | (10 | )% |
Total selling, general, and administrative | $ | 11,434 |
| | $ | 13,088 |
| | $ | (1,654 | ) | | (13 | )% |
General and administrative expenses consist primarily of compensation and related benefits and reimbursable travel and living expenses related to the Company’s executive and administrative staff, general corporate expenses, amortization of intangible assets and occupancy costs. The decrease in these expenses in fiscal 2017 from fiscal 2016 was primarily due to a reduction in professional fees for accounting and legal services, stock compensation and severance expense, as well as a reduction in amortization expense as several intangible assets associated with the Meta acquisition in 2012 reached the end of their assigned economic lives.
Sales and marketing expenses consist primarily of compensation and related benefits and reimbursable travel and living expenses related to the Company’s sales and marketing staff, as well as advertising and marketing expenses, including expenses incurred in connection with trade shows. The decrease in sales and marketing expense in fiscal 2017 over 2016 was primarily due to a reduction in stock compensation, severance, and sales commission expense.
Product Research and Development
|
| | | | | | | | | | | | | | |
| Fiscal Year | | 2017 to 2016 Change |
(in thousands): | 2017 | | 2016 | | $ | | % |
Research and development expense | $ | 5,352 |
| | $ | 7,454 |
| | $ | (2,102 | ) | | (28 | )% |
Capitalized software development cost | 1,836 |
| | 1,979 |
| | (143 | ) | | (7 | )% |
Total research and development cost | $ | 7,188 |
| | $ | 9,433 |
| | $ | (2,245 | ) | | (24 | )% |
Product research and development expenses consist primarily of compensation and related benefits, the use of independent contractors for specific near-term development projects and an allocated portion of general overhead costs, including occupancy. The decrease in total research and development cost and in research and development expense from fiscal 2016 to 2017 was a result of a reduction in development personnel headcount and consultant fees and $366,000 in research and development tax credits awarded by the State of Georgia in fiscal 2017. Research and development expenses in fiscal 2017 and 2016, as a percentage of revenues, were 22% and 28%, respectively.
Gain on Sale of Business
|
| | | | | | | | | | | | | | |
| Fiscal Year | | 2017 to 2016 Change |
(in thousands): | 2017 | | 2016 | | $ | | % |
Gain on sale of business | $ | — |
| | $ | (238 | ) | | $ | 238 |
| | (100 | )% |
In the fourth quarter of fiscal 2016, we sold our Streamline Health® Patient Engagement suite of solutions to Document Storage Systems, Inc. (DSS) for $2,000,000 in cash. Our Streamline Health® Patient Engagement suite consisted primarily of patient scheduling and surgery management software, which was based upon the legacy ForSite2020 solution obtained in connection with the acquisition of Unibased in February 2014. As a result, we recorded a $238,000 gain on sale of business in fiscal 2016. We did not have any divestitures in fiscal 2017.
Other Income (Expense)
|
| | | | | | | | | | | | | | |
| Fiscal Year | | 2017 to 2016 Change |
(in thousands): | 2017 | | 2016 | | $ | | % |
Interest expense | $ | (475 | ) | | $ | (509 | ) | | $ | 34 |
| | (7 | )% |
Miscellaneous (expense) income | (87 | ) | | 106 |
| | (193 | ) | | (182 | )% |
Total other income | $ | (562 | ) | | $ | (403 | ) | | $ | (159 | ) | | 39 | % |
Interest expense consists of interest and commitment fees on the line of credit and interest on the term loans, and is inclusive of deferred financing cost amortization. Amortization of deferred financing cost and debt discount were $71,000 in both fiscal 2017 and 2016. Interest expense was lower in fiscal 2017 primarily attributed to the expiration of two capital lease arrangements.
The decrease in miscellaneous income from 2016 to 2017 was primarily due to revaluation adjustments to our warrants liability, which were driven by the fluctuations in the Company’s stock price and the warrants’ expiration on February 16, 2018. In fiscal 2017 and 2016, valuation adjustments to our warrants liability included in miscellaneous income totaled $46,000 and $159,000, respectively.
Provision for Income Taxes
We recorded tax benefit of $84,000 and tax expense of $12,000 in fiscal 2017 and 2016, respectively. Please refer to Note 8 - Income Taxes to our consolidated financial statements included in Part II, Item 8 herein for details on current and deferred tax (expense) benefit for federal and state income taxes.
Backlog
|
| | | | | | | |
| January 31 |
| 2018 | | 2017 |
Company proprietary software | $ | 984,000 |
| | $ | 11,504,000 |
|
Third-party hardware and software | — |
| | 150,000 |
|
Professional services | 2,048,000 |
| | 4,068,000 |
|
Audit services | 1,293,000 |
| | 1,847,000 |
|
Maintenance and support | 15,420,000 |
| | 19,193,000 |
|
Software as a service | 13,048,000 |
| | 13,861,000 |
|
Total | $ | 32,793,000 |
| | $ | 50,623,000 |
|
At January 31, 2018, the Company had contracts and purchase orders from clients and remarketing partners for systems and related services that have not been delivered or installed, which if fully performed, would generate future revenues of $32,793,000 compared with $50,623,000 at January 31, 2017.
The Company’s proprietary software backlog consists of signed agreements to purchase either perpetual software licenses or term licenses. Typically, perpetual licenses included in backlog are either not yet generally available or the software is generally available and the client has not taken possession of the software. Term licenses included in backlog consist of signed agreements where the client has already taken possession, but the payment for the software is bundled with maintenance and support fees over the life of the contract. The decrease in backlog is primarily due to the termination of a multi-year term license agreement for our Streamline Health® Clinical Analytics solution.
Third-party hardware and software consists of signed agreements to purchase third-party hardware or third-party software licenses that have not been delivered to the client. These are products that the Company resells as components of the solution a client purchases and are expected to be delivered in the next twelve months as implementations commence.
Professional services backlog consists of signed contracts for services that have yet to be performed. Typically, backlog is recognized within twelve months of the contract signing. The decrease in professional services backlog is a result of the completion of several large projects during fiscal 2017. Our new eValuator solution requires less in terms of professional services efforts; therefore new eValuator bookings did not contribute to our professional services backlog as much as they contributed to our SaaS backlog.
Audit services backlog consists of signed contracts for audit services that have yet to be performed. Typically, backlog is recognized within twelve months of the contract signing. The Company began offering audit services in September 2016, following the acquisition of Opportune IT. As we became more familiar with the changing nature of some audit services engagements, we adjusted the backlog calculation to only include agreements that have clearly definable service periods. The decrease in audit services backlog is primarily due to this adjustment.
Maintenance and support backlog consists of maintenance agreements for perpetual licenses and/or third party software or hardware, in each case consisting of signed agreements to purchase such services but that represent future performance for the contracted maintenance and support term. Clients typically prepay maintenance and support fees on an annual basis with some monthly pre-payment arrangements existing. Maintenance and support fees are generally billed 30-60 days prior to the beginning of the maintenance period. Maintenance and support backlog at January 31, 2018 was $15,420,000, as compared to $19,193,000 at January 31, 2017. The decrease in maintenance and support backlog is primarily due to revenue recognition on multi-year contracts and a cancellation by a customer of our ECM solution. The Company expects to recognize $12,105,000 out of January 31, 2018 maintenance and support backlog in fiscal 2018.
Relating specifically to SaaS-model client agreements signed as of January 31, 2018, the Company expects to generate revenues of $13,048,000 from such SaaS agreements through their respective renewal dates in fiscal years 2018 through 2020. The Company expects to recognize $4,213,000 out of January 31, 2018 SaaS backlog in fiscal 2018. The commencement of revenue recognition for SaaS varies depending on the size and complexity of the system, the implementation schedule requested by the client and ultimately the official go-live on the system. Therefore, it is difficult for the Company to accurately predict the revenue it expects to achieve in any particular period. The decrease in SaaS backlog is a result of revenue recognition on multi-year contracts exceeding new bookings in fiscal 2017.
Additional commentary regarding the average duration of client contracts and risks relating to termination can be found in Part I, Item 1, “Business” (see specifically the Contracts, License and Services Fees section) and Part I, Item 1A, “Risk Factors” herein.
Termination rights in the Company’s master agreements are generally limited to termination for cause, except for select exceptions, as further discussed in the Contracts, License and Services Fees section of Part I, Item 1, “Business” herein. However, there can be no assurance that a client will not cancel all or any portion of an agreement or delay portions of an agreement, as further discussed in Part I, Item 1A, “Risk Factors” herein. Such events could have a material adverse effect on the Company’s ability to recognize amounts and the Company’s financial condition and results of operations.
Use of Non-GAAP Financial Measures
In order to provide investors with greater insight, and allow for a more comprehensive understanding of the information used by management and the Board of Directors in its financial and operational decision-making, the Company has supplemented the Consolidated Financial Statements presented on a GAAP basis in this annual report on Form 10-K with the following non-GAAP financial measures: EBITDA, Adjusted EBITDA, Adjusted EBITDA Margin and Adjusted EBITDA per diluted share.
These non-GAAP financial measures have limitations as analytical tools and should not be considered in isolation or as a substitute for analysis of Company results as reported under GAAP. The Company compensates for such limitations by relying primarily on our GAAP results and using non-GAAP financial measures only as supplemental data. We also provide a reconciliation of non-GAAP to GAAP measures used. Investors are encouraged to carefully review this reconciliation. In addition, because these non-GAAP measures are not measures of financial performance under GAAP and are susceptible to varying calculations, these measures, as defined by the Company, may differ from and may not be comparable to similarly titled measures used by other companies.
EBITDA, Adjusted EBITDA, Adjusted EBITDA Margin, and Adjusted EBITDA per diluted share
We define: (i) EBITDA as net earnings (loss) before net interest expense, income tax expense (benefit), depreciation and amortization; (ii) Adjusted EBITDA as net earnings (loss) before net interest expense, income tax expense (benefit), depreciation, amortization, stock-based compensation expense, transaction expenses and other expenses that do not relate to our core operations; (iii) Adjusted EBITDA Margin as Adjusted EBITDA as a percentage of GAAP net revenue; and (iv) Adjusted EBITDA per diluted share as Adjusted EBITDA divided by adjusted diluted shares outstanding. EBITDA, Adjusted EBITDA, Adjusted EBITDA Margin and Adjusted EBITDA per diluted share are used to facilitate a comparison of our operating performance on a consistent basis from period to period and provide for a more complete understanding of factors and trends affecting our business than GAAP measures alone. These measures assist management and the board and may be useful to investors in comparing our operating performance consistently over time as they remove the impact of our capital structure (primarily interest charges), asset base (primarily depreciation and amortization), items outside the control of the management team (taxes) and expenses that do not relate to our core operations including: transaction-related expenses (such as professional and advisory services), corporate restructuring expenses (such as severances) and other operating costs that are expected to be non-recurring. Adjusted EBITDA removes the impact of share-based compensation expense, which is another non-cash item. Adjusted EBITDA per diluted share includes incremental shares in the share count that are considered anti-dilutive in a GAAP net loss position.
The Board of Directors and management also use these measures (i) as one of the primary methods for planning and forecasting overall expectations and for evaluating, on at least a quarterly and annual basis, actual results against such expectations; and (ii) as a performance evaluation metric in determining achievement of certain executive and associate incentive compensation programs.
Our lender uses a measurement that is similar to the Adjusted EBITDA measurement described herein to assess our operating performance. The lender under our Credit Agreement requires delivery of compliance reports certifying compliance with financial covenants, certain of which are based on a measurement that is similar to the Adjusted EBITDA measurement reviewed by our management and Board of Directors.
EBITDA, Adjusted EBITDA and Adjusted EBITDA Margin are not measures of liquidity under GAAP or otherwise, and are not alternatives to cash flow from continuing operating activities, despite the advantages regarding the use and analysis of these measures as mentioned above. EBITDA, Adjusted EBITDA, Adjusted EBITDA Margin, and Adjusted EBITDA per diluted share, as disclosed in this annual report on Form 10-K have limitations as analytical tools, and you should not consider these measures in isolation or as a substitute for analysis of our results as reported under GAAP; nor are these measures intended to be measures of liquidity or free cash flow for our discretionary use. Some of the limitations of EBITDA and its variations are:
| |
• | EBITDA does not reflect our cash expenditures or future requirements for capital expenditures or contractual commitments; |
| |
• | EBITDA does not reflect changes in, or cash requirements for, our working capital needs; |
| |
• | EBITDA does not reflect the interest expense, or the cash requirements to service interest or principal payments under our credit agreement; |
| |
• | EBITDA does not reflect income tax payments that we may be required to make; and |
| |
• | Although depreciation and amortization are non-cash charges, the assets being depreciated and amortized often will have to be replaced in the future, and EBITDA does not reflect any cash requirements for such replacements. |
Adjusted EBITDA has all the inherent limitations of EBITDA. To properly and prudently evaluate our business, the Company encourages readers to review the GAAP financial statements included elsewhere in this annual report on Form 10-K, and not rely on any single financial measure to evaluate our business. We also strongly urge readers to review the reconciliation of these non-GAAP financial measures to the most comparable GAAP measure in this section, along with the consolidated financial statements included elsewhere in Part II, Item 8 herein.
The following table reconciles EBITDA and Adjusted EBITDA to net loss, and Adjusted EBITDA per diluted share to loss per diluted share for the fiscal years ended January 31, 2018 and 2017 (amounts in thousands, except per share data). All of the items included in the reconciliation from EBITDA and Adjusted EBITDA to net loss and the related per share calculations are either recurring non-cash items, or items that management does not consider in assessing our on-going operating performance. In the case of the non-cash items, management believes that investors may find it useful to assess the Company’s comparative operating performance because the measures without such items are less susceptible to variances in actual performance resulting from depreciation, amortization and other expenses that do not relate to our core operations and are more reflective of other factors that affect operating performance. In the case of items that do not relate to our core operations, management believes that investors may find it useful to assess our operating performance if the measures are presented without these items because their financial impact does not reflect ongoing operating performance.
The following table reconciles EBITDA and Adjusted EBITDA to net loss, and Adjusted EBITDA per diluted share to loss per diluted share for the fiscal years ended January 31, 2018 and 2017 (amounts in thousands, except per share data):
|
| | | | | | | |
(amounts in thousands, except per share data) | Fiscal Year |
Adjusted EBITDA Reconciliation | 2017 | | 2016 |
Net loss | $ | (3,099 | ) | | $ | (5,162 | ) |
Interest expense | 475 |
| | 509 |
|
Tax expense (benefit) | (84 | ) | | (12 | ) |
Depreciation | 774 |
| | 1,100 |
|
Amortization of capitalized software development costs (1) | 2,113 |
| | 2,771 |
|
Amortization of intangible assets | 1,161 |
| | 1,345 |
|
Amortization of other costs | 270 |
| | 254 |
|
EBITDA | 1,610 |
| | 805 |
|
Stock-based compensation expense | 1,109 |
| | 1,787 |
|
Gain on sale of business (2) | — |
| | (238 | ) |
Loss (gain) on disposal of fixed assets | (16 | ) | | 1 |
|
Non-cash valuation adjustments to assets and liabilities (3) | 95 |
| | (65 | ) |
Transaction related professional fees, advisory fees, and other internal direct costs | — |
| | 392 |
|
Associate severances and other costs relating to transactions or corporate restructuring | — |
| | 239 |
|
Adjusted EBITDA | $ | 2,798 |
| | $ | 2,921 |
|
Adjusted EBITDA Margin (4) | 11 | % | | 11 | % |
| | | |
Adjusted EBITDA per Diluted Share Reconciliation | 2017 | | 2016 |
Loss per share — diluted | $ | (0.16 | ) | | $ | (0.31 | ) |
Adjusted EBITDA per adjusted diluted share (5) | $ | 0.12 |
| | $ | 0.13 |
|
Diluted weighted average shares | 19,876,383 |
| | 19,528,341 |
|
Includable incremental shares — adjusted EBITDA (6) | 3,244,825 |
| | 3,327,130 |
|
Adjusted diluted shares | 23,121,208 |
| | 22,855,471 |
|
_______________
| |
(1) | Fiscal 2017 includes $1,705,000 relating to internally-developed legacy software, $395,000 relating to internally-developed software acquired from Meta, and $13,000 relating to internally-developed software acquired from Opportune IT. Fiscal 2016 includes $1,429,000 relating to internally-developed legacy software, $272,000 relating to acquired internally-developed software from Interpoint, $729,000 relating to internally-developed software acquired from Meta, $336,000 relating to internally-developed software acquired from Unibased, and $5,000 relating to internally-developed software acquired from Opportune IT. For more information regarding our acquisitions, please see Note 3 - Acquisitions and Divestitures to our consolidated financial statements included in Part II, Item 8 herein. |
| |
(2) | Fiscal 2016 gain relates to the sale of our Streamline Health® Patient Engagement suite of solutions. |
| |
(3) | Fiscal 2017 and 2016 include valuation adjustments for warrants liability of $(46,000) and $(159,000), respectively. |
| |
(4) | Adjusted EBITDA as a percentage of GAAP net revenues. |
| |
(5) | Adjusted EBITDA per adjusted diluted share for the Company's common stock is computed using the more dilutive of the two-class method or the if-converted method. |
| |
(6) | The number of incremental shares that would be dilutive under profit assumption, only applicable under a GAAP net loss. If GAAP profit is earned in the current period, no additional incremental shares are assumed. |
Application of Critical Accounting Policies
The following is a summary of the Company’s most critical accounting policies. See Note 2 - Significant Accounting Policies to our consolidated financial statements included in Part II, Item 8 herein for a complete discussion of the significant accounting policies and methods used in the preparation of our consolidated financial statements.
Revenue Recognition
The Company recognizes revenue for perpetual and term licenses in accordance with ASC 985-605, Software-Revenue Recognition and ASC 605-25, Revenue Recognition — Multiple-element Arrangements. The Company commences revenue recognition when the following criteria all have been met:
| |
• | Persuasive evidence of an arrangement exists, |
| |
• | Delivery has occurred or services have been rendered, |
| |
• | The arrangement fees are fixed or determinable, and |
| |
• | Collection is considered probable. |
If the Company determines that any of the above criteria has not been met, the Company will defer recognition of the revenue until all the criteria have been met. If non-standard acceptance periods or non-standard performance criteria, cancellation or right of refund terms are required, revenue is recognized upon the satisfaction of such criteria, as applicable.
Multiple Element Arrangements
We record revenue for non-software related products and services pursuant to Accounting Standards Update No. 2009-13, Revenue Recognition (Topic 605), “Multiple-Deliverable Revenue Arrangements — a consensus of the FASB Emerging Issues Task Force” (“ASU 2009-13”). The Company follows this accounting guidance for revenue recognition of multiple deliverable revenue arrangements (meaning the delivery or performance of multiple products, services and/or rights to use assets) to determine whether such arrangements contain more than one unit of accounting. To qualify as a separate unit of accounting, the delivered item must have value to the client on a stand-alone basis (meaning the item can be sold separately by any vendor or the client could resell the item on a stand-alone basis). Additionally, if the arrangement includes a general right of return relative to the delivered item, delivery or performance of the undelivered items must be considered probable and substantially in the control of the vendor.
Allowance for Doubtful Accounts
Accounts and contract receivables are comprised of amounts owed the Company for solutions and services provided. Contracts with individual clients and resellers determine when receivables are due and payable. In determining the allowances for doubtful accounts, the unpaid receivables are reviewed monthly to determine the payment status based upon the most currently available information. During these monthly reviews, the Company determines the required allowances for doubtful accounts for estimated losses resulting from the unwillingness or inability of its clients or resellers to make required payments.
Capitalized Software Development Costs
Software development costs are accounted for in accordance with either ASC 985-20, Software — Costs of Software to be Sold, Leased or Marketed, or ASC 350-40, Internal-Use Software. Costs associated with the planning and designing phase of software development are classified as research and development costs and are expensed as incurred. Once technological feasibility has been determined, a portion of the costs incurred in development, including coding, testing and quality assurance, are capitalized until available for general release to clients, and subsequently reported at the lower of unamortized cost or net realizable value. Amortization is calculated on a solution-by-solution basis and is over the estimated economic life of the software. Amortization for our legacy software systems is provided on a solution-by-solution basis over the estimated economic life of the software, using the straight-line method. Amortization commences when a solution is available for general release to clients. Acquired internally-developed software from acquisitions is amortized using the straight-line method. Unamortized capitalized costs determined to be in excess of the net realizable value of a solution are expensed at the date of such determination. The Company reviews, on an on-going basis, the carrying value of its capitalized software development expenditures, net of accumulated amortization.
Goodwill and Intangible Assets
Goodwill and other intangible assets were recognized in conjunction with the Interpoint, Meta, CLG, Opportune IT and Unibased acquisitions, taking into account the divestiture discussed in Note 3 - Acquisitions and Divestitures to our consolidated financial statements included in Part II, Item 8 herein. Identifiable intangible assets include purchased intangible assets with finite lives, which primarily consist of internally-developed software, client relationships, supplier agreements, non-compete agreements, customer contracts and license agreements. Finite-lived purchased intangible assets are amortized over their expected period of benefit, which generally ranges from six months to 15 years, using the straight-line and undiscounted expected future cash flows methods.
We assess the useful lives and possible impairment of existing recognized goodwill on at least an annual basis, and goodwill and intangible assets when an event occurs that may trigger such a review. Factors considered important which could trigger a review include:
| |
• | significant under-performance relative to historical or projected future operating results; |
| |
• | significant changes in the manner of use of the acquired assets or the strategy for the overall business; |
| |
• | identification of other impaired assets within a reporting unit; |
| |
• | disposition of a significant portion of an operating segment; |
| |
• | significant negative industry or economic trends; |
| |
• | significant decline in the Company’s stock price for a sustained period; and |
| |
• | a decline in the market capitalization relative to the net book value. |
Determining whether a triggering event has occurred involves significant judgment by the Company.
Income Taxes
Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and for tax credits and loss carry-forwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. In assessing net deferred tax assets, we consider whether it is more likely than not that some or all of the deferred tax assets will not be realized. We establish a valuation allowance when it is more likely than not that all or a portion of deferred tax assets will not be realized. See Note 8 - Income Taxes to our consolidated financial statements included in Part II, Item 8 herein for further details.
Common Stock Warrants
The fair value of the common stock warrants are computed using the Black-Scholes option pricing model based on the following assumptions: annual volatility, risk-free rate, dividend yield and expected life. The model also includes assumptions to account for anti-dilutive provisions within the warrant agreement. See Note 2 - Significant Accounting Policies to our consolidated financial statements included in Part II, Item 8 herein for more information.
Liquidity and Capital Resources
The Company’s liquidity is dependent upon numerous factors including: (i) the timing and amount of revenues and collection of contractual amounts from clients, (ii) amounts invested in research and development and capital expenditures, and (iii) the level of operating expenses, all of which can vary significantly from quarter-to-quarter. The Company’s primary cash requirements include regular payment of payroll and other business expenses, principal and interest payments on debt and capital expenditures. Capital expenditures generally include computer hardware and computer software to support internal development efforts or infrastructure in the SaaS data center. Operations are funded with cash generated by operations and borrowings under credit facilities. The Company believes that cash flows from operations and available credit facilities are adequate to fund current obligations for the next twelve months. Cash and cash equivalent balances at January 31, 2018 and 2017 were $4,620,000 and $5,654,000, respectively. Continued expansion may require the Company to take on additional debt or raise capital through issuance of equities, or a combination of both. There can be no assurance the Company will be able to raise the capital required to fund further expansion.
The Company has liquidity through the Credit Agreement described in more detail in Note 6 - Debt to our consolidated financial statements included in Part II, Item 8 herein. The Company’s primary operating subsidiary has a $5,000,000 revolving line of credit that has not been drawn upon as of the date of this report. In order to draw upon the revolving line of credit, the Company’s primary operating subsidiary must comply with customary financial covenants, including the requirement that the Company maintain minimum liquidity of at least (i) $5,000,000 through January 31, 2018, (ii) $4,000,000 from February 1, 2018 through and including January 31, 2019, and (iii) $3,000,000 from February 1, 2019 through and including the maturity date of the credit facility. Pursuant to the Credit Agreement’s definition, the liquidity of the Company’s primary operating
subsidiary as of January 31, 2018 was $9,620,000, which satisfies the minimum liquidity financial covenant in the Credit Agreement.
The Credit Agreement also requires the Company to achieve certain minimum EBITDA levels, calculated pursuant to the Credit Agreement and measured on a quarter-end basis, of at least the required amounts in the table set forth in Note 6 - Debt to our consolidated financial statements included in Part II, Item 8 herein for the applicable period set forth therein. Our lender uses a measurement that is similar to the Adjusted EBITDA, a non-GAAP financial measure described above. The required minimum EBITDA level for the period ended January 31, 2018 was $(700,000). The Company’s actual Adjusted EBITDA for this period was approximately $2,798,000.
Based upon the borrowing base formula set forth in the Credit Agreement, as of January 31, 2018, the Company had access to the full amount of the $5,000,000 revolving line of credit.
The Credit Agreement expressly permits transactions between affiliates that are parties to the Credit Agreement, which includes the Company and its primary operating subsidiary, including loans made between such affiliate loan parties. However, the Credit Agreement prohibits the Company and its subsidiary from declaring or paying any dividend or making any other payment or distribution, directly or indirectly, on account of equity interests issued by the Company if such equity interests: (a) mature or are mandatorily redeemable pursuant to a sinking fund obligation or otherwise (except as a result of a change of control or asset sale so long as any rights of the holders thereof upon the occurrence of a change of control or asset sale event shall be subject to the prior repayment in full of the loans and all other obligations that are accrued and payable upon the termination of the Credit Agreement), (b) are redeemable at the option of the holder thereof, in whole or in part, (c) provide for the scheduled payments of dividends in cash, or (d) are or become convertible into or exchangeable for indebtedness or any other equity interests that would constitute disqualified equity interests pursuant to clauses (a) through (c) hereof, in each case, prior to the date that is 180 days after the maturity date of the Credit Agreement.
Significant cash obligations
|
| | | | | | | |
(in thousands) | Fiscal Year |
2017 | | 2016 |
Term loans | $ | 4,626 |
| | $ | 5,738 |
|
Capital lease | — |
| | 91 |
|
Royalty liability | 2,469 |
| | 2,351 |
|
Please reference Note 3 — Acquisitions and Note 6 — Debt to our consolidated financial statements included in Part II, Item 8 for additional information.
Operating cash flow activities
|
| | | | | | | |
(in thousands) | Fiscal Year |
2017 | | 2016 |
Net loss | $ | (3,099 | ) | | $ | (5,162 | ) |
Non-cash adjustments to net loss | 5,811 |
| | 7,147 |
|
Cash impact of changes in assets and liabilities | (681 | ) | | (977 | ) |
Net cash provided by operating activities | $ | 2,031 |
| | $ | 1,008 |
|
The increase in net cash provided by operating activities is primarily due to higher collections in fiscal 2017, as a result of the Company’s efforts to resolve issues that were delaying payments.
The Company’s clients typically have been well-established hospitals, medical facilities or major health information system companies that resell the Company’s solutions, which have good credit histories, and payments have been received within normal time frames for the industry. However, some healthcare organizations have experienced significant operating losses as a result of limits on third-party reimbursements from insurance companies and governmental entities. Agreements with clients often involve significant amounts and contract terms typically require clients to make progress payments. Adverse economic events, as well as uncertainty in the credit markets, may adversely affect the liquidity for some of our clients.
Investing cash flow activities
|
| | | | | | | |
(in thousands) | Fiscal Year |
2017 | | 2016 |
Purchases of property and equipment | $ | (49 | ) | | $ | (506 | ) |
Proceeds from sales of property and equipment | 20 |
| | — |
|
Capitalized software development costs | (1,836 | ) | | (1,979 | ) |
Payment for acquisitions, net of cash acquired | — |
| | (1,400 | ) |
Proceeds from sale of business | $ | — |
| | $ | 2,000 |
|
Net cash used in investing activities | $ | (1,865 | ) | | $ | (1,885 | ) |
Cash used for investing activities in fiscal 2017 was comparable to the amount used in fiscal 2016. However, while in fiscal 2017 the use of cash was mostly associated with internal software development costs, in fiscal 2016 we also used cash to acquire equipment and pay for Opportune IT’s acquisition. The increased cash outflows in fiscal 2016 were offset by the proceeds received from the sale of our Streamline Health® Patient Engagement suite of solutions.
The Company estimates that to replicate its existing internally-developed software would cost significantly more than the stated net book value of $4,307,000, including the acquired internally-developed software of Opportune IT at January 31, 2018. Many of the programs related to capitalized software development continue to have significant value to our current solutions and those under development, as the concepts, ideas and software code are readily transferable and are incorporated into new solutions.
Financing cash flow activities
|
| | | | | | | |
(in thousands) | Fiscal Year |
2017 | | 2016 |
Principal repayments on term loans | $ | (1,112 | ) | | $ | (2,797 | ) |
Principal payments on capital lease obligations | (91 | ) | | (569 | ) |
Proceeds from exercise of stock options and stock purchase plan | 45 |
| | 26 |
|
Other | (42 | ) | | (11 | ) |
Net cash used in financing activities | $ | (1,200 | ) | | $ | (3,351 | ) |
The decrease in cash used in financing activities in fiscal 2017 over the prior year was primarily the result of higher prepayments towards our term loan in fiscal 2016, as well as the termination of two capital leases, one during the third quarter of fiscal 2016 and another in the third quarter of fiscal 2017.
ITEM 7A. Quantitative and Qualitative Disclosures About Market Risk
As a “smaller reporting company,” as defined by Item 10 of Regulation S-K, we are not required to provide this information.
ITEM 8. Financial Statements And Supplementary Data
INDEX TO CONSOLIDATED FINANCIAL STATEMENTS AND SCHEDULE COVERED BY REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
All other financial statement schedules are omitted because they are not applicable or the required information is included in the consolidated financial statements or notes thereto.
Report of Independent Registered Public Accounting Firm
To the Board of Directors and Stockholders of Streamline Health Solutions, Inc
Opinion on the Financial Statements
We have audited the accompanying consolidated balance sheets of Streamline Health Solutions, Inc. and and its subsidiary (the Company) as of January 31, 2018 and 2017, the related consolidated statements of operations, changes in stockholders' equity, and cash flows for the years then ended, and the related notes to the consolidated financial statements and schedule (collectively, the financial statements). In our opinion, the financial statements present fairly, in all material respects, the financial position of the Company as of January 31, 2018 and 2017, and the results of its operations and its cash flows for the years then ended, in conformity with accounting principles generally accepted in the United States of America.
Basis for Opinion
These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s financial statements based on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (PCAOB) and are required to be independent with respect to the Company in accordance with U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. As part of our audits we are required to obtain an understanding of internal control over financial reporting but not for the purpose of expressing an opinion on the effectiveness of the Company's internal control over financial reporting. Accordingly, we express no such opinion.
Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that our audits provide a reasonable basis for our opinion.
/s/ RSM US LLP
We have served as the Company's auditor since 2015.
Atlanta, Georgia,
April 25, 2018
STREAMLINE HEALTH SOLUTIONS, INC. AND SUBSIDIARY
CONSOLIDATED BALANCE SHEETS
|
| | | | | | | |
| January 31 |
| 2018 | | 2017 |
ASSETS | | | |
Current assets: | | | |
Cash and cash equivalents | $ | 4,619,834 |
| | $ | 5,654,093 |
|
Accounts receivable, net of allowance for doubtful accounts of $349,058 and $198,449, respectively | 3,001,170 |
| | 4,489,789 |
|
Contract receivables | 223,791 |
| | 466,423 |
|
Prepaid hardware and third party software for future delivery | 5,858 |
| | 5,858 |
|
Prepaid client maintenance contracts | 506,911 |
| | 595,633 |
|
Other prepaid assets | 742,232 |
| | 732,496 |
|
Other current assets | 546,885 |
| | 439 |
|
Total current assets | 9,646,681 |
| | 11,944,731 |
|
Non-current assets: | | | |
Property and equipment: | | | |
Computer equipment | 2,852,776 |
| | 3,110,274 |
|
Computer software | 730,950 |
| | 827,642 |
|
Office furniture, fixtures and equipment | 683,443 |
| | 683,443 |
|
Leasehold improvements | 729,348 |
| | 729,348 |
|
| 4,996,517 |
| | 5,350,707 |
|
Accumulated depreciation and amortization | (3,834,153 | ) | | (3,447,198 | ) |
Property and equipment, net | 1,162,364 |
| | 1,903,509 |
|
Capitalized software development costs, net of accumulated amortization of $18,658,183 and $16,544,797, respectively | 4,307,351 |
| | 4,584,245 |
|
Intangible assets, net | 5,835,151 |
| | 6,996,599 |
|
Goodwill | 15,537,281 |
| | 15,537,281 |
|
Other non-current assets | 642,226 |
| | 672,133 |
|
Total non-current assets | 27,484,373 |
| | 29,693,767 |
|
| $ | 37,131,054 |
| | $ | 41,638,498 |
|
See accompanying notes to consolidated financial statements.
|
| | | | | | | |
| January 31, |
| 2018 | | 2017 |
LIABILITIES AND STOCKHOLDERS’ EQUITY | | | |
Current liabilities: | | | |
Accounts payable | $ | 421,425 |
| | $ | 1,116,525 |
|
Accrued compensation | 342,351 |
| | 496,706 |
|
Accrued other expenses | 609,582 |
| | 484,391 |
|
Current portion of term loan | 596,984 |
| | 655,804 |
|
Deferred revenues | 9,481,807 |
| | 9,916,454 |
|
Current portion of capital lease obligations | — |
| | 91,337 |
|
Total current liabilities | 11,452,149 |
| | 12,761,217 |
|
Non-current liabilities: | | | |
Term loan, net of current portion and deferred financing cost of $128,275 and $199,211, respectively | 3,901,353 |
| | 4,883,286 |
|
Warrants liability | — |
| | 46,191 |
|
Royalty liability | 2,469,193 |
| | 2,350,754 |
|
Lease incentive liability, less current portion | 274,128 |
| | 339,676 |
|
Deferred revenues, less current portion | 332,645 |
| | 568,515 |
|
Total non-current liabilities | 6,977,319 |
| | 8,188,422 |
|
Total liabilities | 18,429,468 |
| | 20,949,639 |
|
Series A 0% Convertible Redeemable Preferred Stock, $.01 par value per share, $8,849,985 redemption and liquidation value, 4,000,000 shares authorized, 2,949,995 issued and outstanding | 8,849,985 |
| | 8,849,985 |
|
Stockholders’ equity: | | | |
Common stock, $.01 par value per share, 45,000,000 shares authorized; 20,005,977 and 19,695,391 shares issued and outstanding, respectively | 200,060 |
| | 196,954 |
|
Additional paid in capital | 81,776,606 |
| | 80,667,771 |
|
Accumulated deficit | (72,125,065 | ) | | (69,025,851 | ) |
Total stockholders’ equity | 9,851,601 |
| | 11,838,874 |
|
| $ | 37,131,054 |
| | $ | 41,638,498 |
|
See accompanying notes to consolidated financial statements.
STREAMLINE HEALTH SOLUTIONS, INC. AND SUBSIDIARY
CONSOLIDATED STATEMENTS OF OPERATIONS
|
| | | | | | | |
| Fiscal Year |
| 2017 | | 2016 |
Revenues: | | | |
Systems sales | $ | 1,343,288 |
| | $ | 2,512,579 |
|
Professional services | 2,744,070 |
| | 2,395,987 |
|
Audit services | 1,216,285 |
| | 627,919 |
|
Maintenance and support | 13,170,644 |
| | 14,809,935 |
|
Software as a service | 5,863,788 |
| | 6,713,485 |
|
Total revenues | 24,338,075 |
| | 27,059,905 |
|
Operating expenses: | | | |
Cost of systems sales | 1,946,347 |
| | 2,712,663 |
|
Cost of professional services | 2,400,534 |
| | 2,724,078 |
|
Cost of audit services | 1,603,572 |
| | 1,100,154 |
|
Cost of maintenance and support | 2,904,181 |
| | 3,226,511 |
|
Cost of software as a service | 1,318,628 |
| | 1,763,705 |
|
Selling, general and administrative | 11,434,276 |
| | 13,088,074 |
|
Research and development | 5,352,189 |
| | 7,453,638 |
|
Gain on sale of business | — |
| | (238,103 | ) |
Total operating expenses | 26,959,727 |
| | 31,830,720 |
|
Operating loss | (2,621,652 | ) | | (4,770,815 | ) |
Other income (expense): | | | |
Interest expense | (474,657 | ) | | (508,859 | ) |
Miscellaneous (expense) income | (86,735 | ) | | 106,084 |
|
Loss before income taxes | (3,183,044 | ) | | (5,173,590 | ) |
Income tax benefit | 83,830 |
| | 12,024 |
|
Net loss | (3,099,214 | ) | | (5,161,566 | ) |
Less: deemed dividends on Series A Preferred Shares | — |
| | (875,935 | ) |
Net loss attributable to common shareholders | $ | (3,099,214 | ) | | $ | (6,037,501 | ) |
Net loss per common share - basic and diluted | $ | (0.16 | ) | | $ | (0.31 | ) |
Weighted average number of common shares - basic and diluted | 19,876,383 |
| | 19,528,341 |
|
See accompanying notes to consolidated financial statements.
STREAMLINE HEALTH SOLUTIONS, INC. AND SUBSIDIARY
CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY
|
| | | | | | | | | | | | | | | | | | |
| Common stock shares | | Common stock | | Additional paid in capital | | Accumulated
deficit | | Total stockholders’ equity |
Balance at January 31, 2016 | 18,783,540 |
| | $ | 187,836 |
| | $ | 79,700,577 |
| | $ | (63,864,285 | ) | | $ | 16,024,128 |
|
Stock issued pursuant to Employee Stock Purchase Plan | 67,667 |
| | 676 |
| | 75,906 |
| | — |
| | 76,582 |
|
Restricted stock issued | 858,225 |
| | 8,582 |
| | (8,582 | ) | | — |
| | — |
|
Surrender of stock upon vesting of restricted stock to satisfy tax withholding obligations | (8,241 | ) | | (82 | ) | | (11,620 | ) | | — |
| | (11,702 | ) |
Restricted stock forfeited | (5,800 | ) | | (58 | ) | | 58 |
| | — |
| | — |
|
Share-based compensation expense | — |
| | — |
| | 1,787,367 |
| | — |
| | 1,787,367 |
|
Deemed dividends on Series A Preferred Stock | — |
| | — |
| | (875,935 | ) | | — |
| | (875,935 | ) |
Net loss | — |
| | — |
| | — |
| | (5,161,566 | ) | | (5,161,566 | ) |
Balance at January 31, 2017 | 19,695,391 |
| | $ | 196,954 |
| | $ | 80,667,771 |
| | $ | (69,025,851 | ) | | $ | 11,838,874 |
|
Stock issued pursuant to Employee Stock Purchase Plan | 47,282 |
| | 473 |
| | 44,040 |
| | — |
| | 44,513 |
|
Restricted stock issued | 295,337 |
| | 2,953 |
| | (2,953 | ) | | — |
| | — |
|
Surrender of stock upon vesting of restricted stock to satisfy tax withholding obligations | (32,033 | ) | | (320 | ) | | (41,493 | ) | | — |
| | (41,813 | ) |
Share-based compensation expense | — |
| | — |
| | 1,109,241 |
| | — |
| | 1,109,241 |
|
Net loss | — |
| | — |
| | — |
| | (3,099,214 | ) | | (3,099,214 | ) |
Balance at January 31, 2018 | 20,005,977 |
| | $ | 200,060 |
| | $ | 81,776,606 |
| | $ | (72,125,065 | ) | | $ | 9,851,601 |
|
See accompanying notes to consolidated financial statements.
STREAMLINE HEALTH SOLUTIONS, INC. AND SUBSIDIARY
CONSOLIDATED STATEMENTS OF CASH FLOWS |
| | | | | | | |
| Fiscal Year |
| 2017 | | 2016 |
Cash flows from operating activities: | | | |
Net loss | $ | (3,099,214 | ) | | $ | (5,161,566 | ) |
Adjustments to reconcile net loss to net cash provided by operating activities, net of effect of acquisitions: | | | |
Depreciation | 774,074 |
| | 1,099,957 |
|
Amortization of capitalized software development costs | 2,113,385 |
| | 2,771,437 |
|
Amortization of intangible assets | 1,161,448 |
| | 1,344,980 |
|
Amortization of other deferred costs | 340,502 |
| | 324,496 |
|
Valuation adjustment for warrants liability | (46,191 | ) | | (158,922 | ) |
Other valuation adjustments | 141,038 |
| | 94,009 |
|
Gain on sale of business | — |
| | (238,103 | ) |
Loss (gain) on disposal of fixed assets | (15,947 | ) | | 567 |
|
Share-based compensation expense | 1,109,241 |
| | 1,787,367 |
|
Provision for accounts receivable | 233,550 |
| | 121,025 |
|
Changes in assets and liabilities, net of assets acquired: | | | |
Accounts and contract receivables | 1,497,701 |
| | (344,445 | ) |
Other assets | (695,444 | ) | | 449,673 |
|
Accounts payable | (695,100 | ) | | (51,071 | ) |
Accrued expenses | (117,311 | ) | | (690,094 | ) |
Deferred revenues | (670,517 | ) | | (341,008 | ) |
Net cash provided by operating activities | 2,031,215 |
| | 1,008,302 |
|
Cash flows from investing activities: | | | |
Purchases of property and equipment | (48,616 | ) | | (506,040 | ) |
Proceeds from sales of property and equipment | 19,959 |
| | — |
|
Capitalization of software development costs | (1,836,491 | ) | | (1,978,946 | ) |
Payment for acquisition | — |
| | (1,400,000 | ) |
Proceeds from sale of business | — |
| | 2,000,000 |
|
Net cash used in investing activities | (1,865,148 | ) | | (1,884,986 | ) |
Cash flows from financing activities: | | | |
Principal repayments on term loans | (1,111,689 | ) | | (2,796,590 | ) |
Payments related to settlement of employee shared-based awards | (41,813 | ) | | (11,702 | ) |
Principal payments on capital lease obligations | (91,337 | ) | | (569,189 | ) |
Proceeds from exercise of stock options and stock purchase plan | 44,513 |
| | 26,122 |
|
Net cash used in financing activities | (1,200,326 | ) | | (3,351,359 | ) |
Decrease in cash and cash equivalents | (1,034,259 | ) | | (4,228,043 | ) |
Cash and cash equivalents at beginning of year | 5,654,093 |
| | 9,882,136 |
|
Cash and cash equivalents at end of year | $ | 4,619,834 |
| | $ | 5,654,093 |
|
|
| | | | | | | |
| Fiscal Year |
| 2017 | | 2016 |
Supplemental cash flow disclosures: | | | |
Interest paid | $ | 418,058 |
| | $ | 441,951 |
|
Income taxes paid | $ | 7,594 |
| | $ | 5,290 |
|
Supplemental disclosure of non-cash financing activities: | | | |
Deemed dividends on Series A Preferred Stock | $ | — |
| | $ | 875,935 |
|
See accompanying notes to consolidated financial statements.
STREAMLINE HEALTH SOLUTIONS, INC. AND SUBSIDIARY
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
January 31, 2018 and 2017
NOTE 1 — ORGANIZATION AND DESCRIPTION OF BUSINESS
Streamline Health Solutions, Inc. and its subsidiary (“we”, “us”, “our”, “Streamline”, or the “Company”) operates in one segment as a provider of healthcare information technology solutions and associated services. The Company provides these capabilities through the licensing of its HIM, Coding & CDI, eValuatorTM Coding Analysis Platform, Financial Management and Patient Care solutions and other workflow software applications and the use of such applications by software as a service (“SaaS”). The Company also provides audit services to help clients optimize their internal clinical documentation and coding functions, as well as implementation and consulting services to complement its software solutions. The Company’s software and services enable hospitals and integrated healthcare delivery systems in the United States and Canada to capture, store, manage, route, retrieve and process patient clinical, financial and other healthcare provider information related to the patient revenue cycle.
Fiscal Year
All references to a fiscal year refer to the fiscal year commencing February 1 in that calendar year and ending on January 31 of the following calendar year.
NOTE 2 — SIGNIFICANT ACCOUNTING POLICIES
Basis of Presentation
The consolidated financial statements include the accounts of Streamline Health Solutions, Inc. and its wholly-owned subsidiary, Streamline Health, Inc. All significant intercompany transactions and balances are eliminated in consolidation.
Use of Estimates
The preparation of financial statements in conformity with U.S. generally accepted accounting principles requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. On an ongoing basis, management evaluates its estimates and judgments, including those related to stock-based compensation, capitalization of software development costs, intangible assets, allowance for doubtful accounts, and income taxes. Actual results could differ from those estimates.
Cash and Cash Equivalents
Financial instruments that potentially subject the Company to concentrations of credit risk consist principally of cash demand deposits. Cash deposits are placed in Federal Deposit Insurance Corporation (“FDIC”) insured financial institutions. Cash deposits may exceed FDIC insured levels from time to time. For purposes of the consolidated balance sheets and consolidated statements of cash flows, the Company considers all highly-liquid investments purchased with an original maturity of three months or less to be cash equivalents.
Receivables
Accounts and contract receivables are comprised of amounts owed to the Company for licensed software, professional services, including coding audit and maintenance services, and software as a service and are presented net of the allowance for doubtful accounts. The timing of revenue recognition may not coincide with the billing terms of the client contract, resulting in unbilled receivables or deferred revenues; therefore certain contract receivables represent revenues recognized prior to client billings. Individual contract terms with clients or resellers determine when receivables are due. For billings where the criteria for revenue recognition have not been met, deferred revenue is recorded until all revenue recognition criteria have been met.
Allowance for Doubtful Accounts
In determining the allowance for doubtful accounts, aged receivables are analyzed monthly by management. Each identified receivable is reviewed based upon the most recent information available and the status of any open or unresolved issues with the client preventing the payment thereof. Corrective action, if necessary, is taken by the Company to resolve open issues related to unpaid receivables. During these monthly reviews, the Company determines the required allowances for doubtful accounts for estimated losses resulting from the unwillingness or inability of its clients or resellers to make required
payments. The allowance for doubtful accounts was approximately $349,000 and $198,000 at January 31, 2018 and 2017, respectively. The Company believes that its reserve is adequate, however results may differ in future periods.
Bad debt expense for fiscal years 2017 and 2016 was as follows:
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| | | | | | | |
| 2017 | | 2016 |
Bad debt expense | $ | 234,000 |
| | $ | 121,000 |
|
Concessions Accrual
In determining the concessions accrual, the Company evaluates historical concessions granted relative to revenue. The concession accrual included in accrued other expenses on the Company's consolidated balance sheet was $48,000 and $52,000 as of January 31, 2018 and 2017, respectively.
Property and Equipment
Property and equipment are stated at cost. Depreciation is computed using the straight-line method, over the estimated useful lives of the related assets. Estimated useful lives are as follows:
|
| |
Computer equipment and software | 3-4 years |
Office equipment | 5 years |
Office furniture and fixtures | 7 years |
Leasehold improvements | Term of lease or estimated useful life, whichever is shorter |
Depreciation expense for property and equipment in fiscal 2017 and 2016 was $774,000 and $1,100,000, respectively.
Normal repair and maintenance is expensed as incurred. Replacements are capitalized and the property and equipment accounts are relieved of the items being replaced or disposed of, if no longer of value. The related cost and accumulated depreciation of the disposed assets are eliminated and any gain or loss on disposition is included in the results of operations in the year of disposal.
Leases
On December 13, 2013, the Company entered into an amended lease obligation to lease 24,335 square feet of office space in Atlanta, Georgia. The lease commenced upon taking possession of the space and ends in November 2022. The provisions of the lease provided for rent abatement for the first eight months of the lease term. Upon taking possession of the premises, the rent abatement and the unamortized balance of deferred rent associated with the previously leased premises were aggregated with the total expected rental payments and are being amortized on a straight-line basis over the term of the lease.
In fiscal 2014, the Company entered into a lease obligation to lease 10,350 square feet of office space in New York, New York. The lease commenced upon taking possession of the space and ends in November 2019. The lease agreement provided for rent abatement for the first two months of the lease term. Upon taking possession of the premises, the rent abatement was aggregated with the total expected rental payments, and is being amortized on a straight-line basis over the term of the lease.
The Company had capital leases to finance office equipment purchases that continued into the third quarter of fiscal 2017. The amortization expense of the leased equipment is included in depreciation expense. As of January 31, 2018 and 2017, the Company had capital lease obligations outstanding totaling zero and $91,000, respectively
Debt Issuance Costs
Costs related to the issuance of debt are capitalized and amortized to interest expense on a straight-line basis, which is not materially different from the effective interest method, over the term of the related debt. Deferred financing costs are presented on the Company’s consolidated balance sheets as a direct deduction from the carrying amount of the non-current portion of our term loan.
Impairment of Long-Lived Assets
The Company reviews the carrying value of long-lived assets whenever facts and circumstances exist that would suggest that assets might be impaired or that the useful lives should be modified. Among the factors the Company considers in making the evaluation are changes in market position and profitability. If facts and circumstances are present which may indicate impairment is probable, the Company will prepare a projection of the undiscounted cash flows of the specific asset or asset
group and determine if the long-lived assets are recoverable based on these undiscounted cash flows. If impairment is indicated, an adjustment will be made to reduce the carrying amount of these assets to their fair value.
Capitalized Software Development Costs
Software development costs associated with the planning and designing phase of software development, including coding and testing activities necessary to establish technological feasibility, are classified as research and development and are expensed as incurred. Once technological feasibility has been determined, a portion of the costs incurred in development, including coding, testing and quality assurance, are capitalized and subsequently reported at the lower of unamortized cost or net realizable value. The Company capitalized such costs, including interest, of $1,836,000 and $1,979,000 in fiscal 2017 and 2016, respectively. The Company assumed $350,000 in internally-developed software costs in 2016 through the acquisition of Opportune IT, which is described in Note 3 - Acquisitions and Divestitures.
Amortization for the Company's legacy software systems is provided on a solution-by-solution basis over the estimated economic life of the software, typically three to five years, using the straight-line method. Amortization commences when a solution is available for general release to clients. Acquired internally-developed software from acquisitions is amortized using the straight-line method.
Amortization expense on all internally-developed software was $2,113,000 and $2,771,000 in fiscal 2017 and 2016, respectively, and was included in the consolidated statements of operations as follows:
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| | | | | | | |
| Fiscal Year |
Amortization expense on internally-developed software included in: | 2017 | | 2016 |
Cost of systems sales | $ | 1,914,000 |
| | $ | 2,495,000 |
|
Cost of software as a service | 186,000 |
| | 271,000 |
|
Cost of audit services | 13,000 |
| | 5,000 |
|
Total amortization expense on internally-developed software | $ | 2,113,000 |
| | $ | 2,771,000 |
|
Research and development expense was $5,352,000 and $7,454,000 in fiscal 2017 and 2016, respectively.
Fair Value of Financial Instruments
The FASB’s authoritative guidance on fair value measurements establishes a framework for measuring fair value, and expands disclosure about fair value measurements. This guidance enables the reader of the financial statements to assess the inputs used to develop those measurements by establishing a hierarchy for ranking the quality and reliability of the information used to determine fair values. Under this guidance, assets and liabilities carried at fair value must be classified and disclosed in one of the following three categories:
Level 1: Quoted market prices in active markets for identical assets or liabilities.
Level 2: Observable market-based inputs or unobservable inputs that are corroborated by market data.
Level 3: Unobservable inputs that are not corroborated by market data.
The carrying amounts of cash and cash equivalents, accounts receivable, accounts payable and accrued expenses approximate fair value based on the short-term maturity of these instruments. Cash and cash equivalents are classified as Level 1. The carrying amount of the Company’s long-term debt approximates fair value since the variable interest rates being paid on the amounts approximate the market interest rate. Long-term debt is classified as Level 2.
The table below provides information on our liabilities that are measured at fair value on a recurring basis: |
| | | | | | | | | | | | | | | |
| Total Fair Value | | Quoted Prices in Active Markets (Level 1) | | Significant Other Observable Inputs (Level 2) | | Significant Unobservable Inputs (Level 3) |
At January 31, 2018 | | | | | | | |
Warrants liability (1) | $ | — |
| | $ | — |
| | $ | — |
| | $ | — |
|
Royalty liability (2) | 2,469,000 |
| | — |
| | — |
| | 2,469,000 |
|
| | | | | | | |
At January 31, 2017 | | | | | | | |
Warrants liability (1) | $ | 46,000 |
| | $ | — |
| | $ | — |
| | $ | 46,000 |
|
Royalty liability (2) | 2,351,000 |
| | — |
| | — |
| | 2,351,000 |
|
_______________
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(1) | The initial fair value of warrants liability was determined by management with the assistance of an independent third-party valuation specialist, and by management thereafter. The Company issued common stock warrants in conjunction with the private placement investment, which were exercisable for up to 1,200,000 of the Company's common stock at an exercise price of $3.99 per share in whole or in part until February 16, 2018. See Note 4 - Derivative Liabilities and Note 14 - Private Placement Investment for further details. Changes in fair value of the warrants are recognized within miscellaneous (expense) income in the consolidated statements of operations. |
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(2) | The initial fair value of royalty liability was determined by management with the assistance of an independent third-party valuation specialist, and by management thereafter. The fair value of the royalty liability is determined based on the probability-weighted revenue scenarios for the Streamline Health® Clinical Analytics solution licensed from Montefiore Medical Center (discussed in Note 3 - Acquisitions and Divestitures). Fair value adjustments are included within miscellaneous (expense) income in the consolidated statements of operations. |
Revenue Recognition
We derive revenue from the sale of internally-developed software, either by licensing for local installation or by software as a service (“SaaS”) delivery model, through our direct sales force or through third-party resellers. Licensed, locally-installed clients on a perpetual model utilize our support and maintenance services for a separate fee, whereas term-based locally installed license fees and SaaS fees include support and maintenance. We also derive revenue from professional services that support the implementation, configuration, training and optimization of the applications, as well as audit services provided to help clients review their internal coding audit processes. Additional revenues are also derived from reselling third-party software and hardware components.
We recognize revenue in accordance with Accounting Standards Codification (ASC) 985-605, Software-Revenue Recognition, ASC 605-25, Revenue Recognition — Multiple-Element Arrangements, and ASC 605-10-S99.
We commence revenue recognition when all of the following criteria have been met:
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• | Persuasive evidence of an arrangement exists, |
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• | Delivery has occurred or services have been rendered, |
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• | The arrangement fees are fixed or determinable, and |
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• | Collectibility is reasonably assured. |
If we determine that any of the above criteria have not been met, we will defer recognition of the revenue until all the criteria have been met. Maintenance and support and SaaS agreements are generally non-cancelable or contain significant penalties for early cancellation, although clients typically have the right to terminate their contracts for cause if we fail to perform material obligations. However, if non-standard acceptance periods, non-standard performance criteria or cancellation or right of refund terms are required, revenue is recognized upon the satisfaction of such criteria, as applicable.
Multiple Element Arrangements
We follow the accounting revenue guidance under Accounting Standards Update (ASU) 2009-13, Revenue Recognition (Topic 605), Multiple-Deliverable Revenue Arrangements — a consensus of the FASB Emerging Issues Task Force.
Terms used in evaluation are as follows:
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• | VSOE (vendor-specific objective evidence) — the price at which an element is sold as a separate stand-alone transaction |
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• | TPE (third-party evidence) — the price of an element, charged by another company that is largely interchangeable in any particular transaction |
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• | ESP (estimated selling price) — our best estimate of the selling price of an element of the transaction |
We follow accounting guidance for revenue recognition of multiple-element arrangements to determine whether such arrangements contain more than one unit of accounting. Multiple-element arrangements require the delivery or performance of multiple solutions, services and/or right-to-use assets. To qualify as a separate unit of accounting, the delivered item must have value to the client on a stand-alone basis. An item has stand-alone value to a client when it can be sold separately by any vendor or the client could resell the item on a stand-alone basis.
We have a defined pricing methodology for all elements of the arrangement and proper review of pricing to ensure adherence to our policies. Pricing decisions include cross-functional teams of senior management, which use market conditions, expected contribution margin, size of the client’s organization and pricing history for similar solutions when establishing the selling price.
Software as a Service
We use ESP to determine the value for a software-as-a-service arrangement as we cannot establish VSOE, and TPE is not a practical alternative due to differences in functionality from our competitors. Similar to proprietary license sales, pricing decisions rely on the relative size of the client purchasing the solution. Typically, revenue recognition commences once the client goes live on the system and is recognized ratably over the contract term.
Systems Sales
We use the residual method to determine fair value for proprietary perpetual software licenses sold in a multi-element arrangement. Under the residual method, we allocate the total value of the arrangement first to the undelivered elements based on their VSOE and allocate the remainder to the proprietary perpetual software license fees.
Typically, pricing decisions for proprietary software rely on the relative size and complexity of the client purchasing the solution. Third-party components are resold at prices based on a cost-plus margin analysis. The proprietary software and third-party components do not need any significant modification to achieve their intended use. When these revenues meet all criteria for revenue recognition, and are determined to be separate units of accounting, revenue is recognized. Typically, this is upon shipment of components or electronic download of software.
Maintenance and Support Services
The maintenance and support components are not essential to the functionality of the software, and clients renew maintenance contracts separately from software purchases at renewal rates materially similar to the initial rate charged for maintenance on the initial purchase of software. We use VSOE of fair value to determine fair value of maintenance and support services. Rates are set based on market rates for these types of services, and our rates are comparable to rates charged by our competitors, which are based on the knowledge of the marketplace by senior management. Generally, maintenance and support is calculated as a percentage of the list price of the proprietary license being purchased by a client. Clients have the option of purchasing additional annual maintenance service renewals each year for which rates are not materially different from the initial rate but typically include a nominal rate increase based on the consumer price index. Annual maintenance and support agreements entitle clients to technology support, version upgrades, bug fixes and service packs.
Term Licenses
We cannot establish VSOE fair value of the undelivered element in term license arrangements. However, as the only undelivered element is post-contract customer support, the entire fee is recognized ratably over the contract term. Typically, revenue recognition commences once the client goes live on the system. Similar to proprietary license sales, pricing decisions rely on the relative size of the client purchasing the solution.
Software-Based Solution Professional Services
Professional services components that are not essential to the functionality of the software, from time to time, are sold separately by us. Similar services are sold by other vendors, and clients can elect to perform similar services in-house. When professional services revenues are a separate unit of accounting, revenues are recognized as the services are performed. We use VSOE of fair value based on the hourly rate charged when services are sold separately, to determine fair value of professional services. We typically sell professional services on an hourly or fixed fee basis. We recognize hourly fees in revenue as services
are rendered and fixed fee projects are recognized using the percentage-of-completion method or upon acceptance based on the contract language. We monitor projects to assure that the expected and historical rate earned remains within a reasonable range to the established selling price.
Professional services components related to SaaS are essential to the functionality of the software and are not considered a separate unit of accounting . We recognize revenue ratably over the life of the client, which approximates the duration of the initial contract term. We defer the associated direct costs for salaries and benefits expense for professional services contracts. These deferred costs will be amortized over the identical term as the associated revenues. As of January 31, 2018 and 2017, we had deferred costs of $471,000 and $500,000, respectively, net of accumulated amortization of $312,000 and $370,000, respectively. Amortization expense of these costs was $270,000 and $254,000 in fiscal 2017 and 2016, respectively.
Audit Services
Professional services relating to audit services are provided separately from software solutions, even those that may relate to coding and coding audit processes. These services are not essential to any software offering and are a separate unit of accounting. Accordingly, the revenues are recognized as the services are performed.
Concentrations
Financial instruments, which potentially expose the Company to concentrations of credit risk, consist primarily of accounts receivable. The Company’s accounts receivable are concentrated in the healthcare industry. However, the Company’s clients typically are well-established hospitals, medical facilities or major health information systems companies that resell the Company’s solutions that have good credit histories. Payments from clients have been received within normal time frames for the industry. However, some hospitals and medical facilities have experienced significant operating losses as a result of limits on third-party reimbursements from insurance companies and governmental entities and extended payment of receivables from these entities is not uncommon.
To date, the Company has relied on a limited number of clients and remarketing partners for a substantial portion of its total revenues. The Company expects that a significant portion of its future revenues will continue to be generated by a limited number of clients and its remarketing partners.
The Company currently buys all of its hardware and some major software components of its healthcare information systems from third-party vendors. Although there are a limited number of vendors capable of supplying these components, management believes that other suppliers could provide similar components on comparable terms.
Business Combinations
The assets acquired, liabilities assumed and contingent consideration are recorded at their fair value on the acquisition date with subsequent changes recognized in earnings. These estimates are inherently uncertain and are subject to refinement. Management develops estimates based on assumptions as a part of the purchase price allocation process to value the assets acquired and liabilities assumed as of the business combination date. As a result, the Company may recognize adjustments to provisional amounts of assets acquired or liabilities assumed in operating expenses in the reporting period in which the adjustments are determined.
The Company records acquisition and transaction related expenses in the period in which they are incurred. Acquisition and transaction-related expenses primarily consist of legal, banking, accounting and other advisory fees of third parties associated with potential acquisitions.
Goodwill and Intangible Assets
Goodwill and other intangible assets were recognized in conjunction with the Interpoint, Meta, CLG and Opportune IT acquisitions, as well as the Unibased acquisition (prior to divestiture of such assets). Identifiable intangible assets include purchased intangible assets with finite lives, which primarily consist of internally-developed software, client relationships, supplier agreements, non-compete agreements, customer contracts and license agreements. Finite-lived purchased intangible assets are amortized over their expected period of benefit, which generally ranges from one to 15 years, using the straight-line and undiscounted expected future cash flows methods. See Note 3 - Acquisitions and Divestitures for information on the sale of our Streamline Health® Patient Engagement suite of solutions in fiscal 2016, which the Company obtained in connection with its acquisition of Unibased in February 2014.
The Company assesses the useful lives and possible impairment of intangible assets when an event occurs that may trigger such a review. Factors considered important which could trigger a review include:
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• | significant underperformance relative to historical or projected future operating results; |
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• | significant changes in the manner of use of the acquired assets or the strategy for the overall business; |
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• | identification of other impaired assets within a reporting unit; |
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• | disposition of a significant portion of an operating segment; |
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• | significant negative industry or economic trends; |
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• | significant decline in the Company's stock price for a sustained period; and |
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• | a decline in the market capitalization relative to the net book value. |
Determining whether a triggering event has occurred involves significant judgment by the Company.
The Company assesses goodwill annually (as of November 1), or more frequently when events and circumstances, such as the ones mentioned above, occur indicating that the recorded goodwill may be impaired. During the years ended January 31, 2018 and 2017, the Company did not note any of the above qualitative factors, which would be considered a triggering event for impairment. In assessing qualitative factors to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount, the Company assesses relevant events and circumstances that may impact the fair value and the carrying amount of a reporting unit. The identification of relevant events and circumstances and how these may impact a reporting unit's fair value or carrying amount involve significant judgments by management. These judgments include the consideration of macroeconomic conditions, industry and market considerations, cost factors, overall financial performance, events which are specific to the Company and trends in the market price of the Company's common stock. Each factor is assessed to determine whether it impacts the impairment test positively or negatively, and the magnitude of any such impact.
The two-step goodwill impairment test requires the Company to identify its reporting units and to determine estimates of the fair values of those reporting units as of the impairment testing date. Reporting units are determined based on the organizational structure the entity has in place at the date of the impairment test. A reporting unit is an operating segment or component business unit with the following characteristics: (a) it has discrete financial information, (b) segment management regularly reviews its operating results (generally an operating segment has a segment manager who is directly accountable to and maintains regular contact with the chief operating decision maker to discuss operating activities, financial results, forecasts or plans for the segment), and (c) its economic characteristics are dissimilar from other units (this contemplates the nature of the products and services, the nature of the production process, the type or class of customer for the products and services and the methods used to distribute the products and services).
The Company determined that it has one operating segment and one reporting unit.
To conduct a quantitative two-step goodwill impairment test, the fair value of the reporting unit is first compared to its carrying value. If the reporting unit's carrying value exceeds its fair value, the Company performs the second step and records an impairment loss to the extent that the carrying value of goodwill exceeds its implied fair value. The Company estimates the fair value of its reporting unit using a blend of market and income approaches. The market approach consists of two separate methods, including reference to the Company's market capitalization, as well as the guideline publicly traded company method. The market capitalization valuation method is based on an analysis of the Company's stock price on and around the testing date, plus a control premium. The guideline publicly traded company method was made by reference to a list of publicly traded software companies providing services to healthcare organizations, as determined by management. The market value of common equity for each comparable company was derived by multiplying the price per share on the testing date by the total common shares outstanding, plus a control premium. Selected valuation multiples are then determined and applied to appropriate financial statistics based on the Company's historical and forecasted results. The Company estimates the fair value of its reporting unit using the income approach, via discounted cash flow valuation models which include, but are not limited to, assumptions such as a “risk-free” rate of return on an investment, the weighted average cost of capital of a market participant and future revenue, operating margin, working capital and capital expenditure trends. Determining the fair value of reporting unit and goodwill includes significant judgment by management, and different judgments could yield different results.
The Company performed its annual assessment of goodwill during the fourth quarter of fiscal 2017, using the two-step approach described above. The first step of the goodwill impairment test, used to identify potential impairment, compares the fair value of a reporting unit with its carrying amount, including goodwill. Based on the analysis performed for step one, the fair value of the reporting unit exceeded the carrying amount of the reporting unit, including goodwill, and, therefore, an impairment loss was not recognized. As the Company passed step one of the analysis, step two was not required.
Severances
From time to time, we will enter into termination agreements with associates that may include supplemental cash payments, as well as contributions to health and other benefits for a specific time period subsequent to termination. In fiscal 2017 and 2016, we incurred $58,000 and $360,000 in severance expenses, respectively. At January 31, 2018 and 2017, we had accrued for zero and $9,000 in severances, respectively.
Equity Awards
The Company accounts for share-based payments based on the grant-date fair value of the awards with compensation cost recognized as expense over the requisite service period. The Company incurred total annual compensation expense related to stock-based awards of $1,109,000 and $1,787,000 in fiscal 2017 and 2016, respectively.
The fair value of the stock options granted in fiscal 2017 and 2016 was estimated at the date of grant using a Black-Scholes option pricing model. Option pricing model input assumptions such as expected term, expected volatility and risk-free interest rate impact the fair value estimate. Further, the forfeiture rate impacts the amount of aggregate compensation. These assumptions are subjective and are generally derived from external (such as, risk-free rate of interest) and historical data (such as, volatility factor, expected term and forfeiture rates). Future grants of equity awards accounted for as stock-based compensation could have a material impact on reported expenses depending upon the number, value and vesting period of future awards.
The Company issues restricted stock awards in the form of Company common stock. The fair value of these awards is based on the market close price per share on the grant date. The Company expenses the compensation cost of these awards as the restriction period lapses, which is typically a one-year service period to the Company. In fiscal 2017 and 2016, 32,033 and 8,241 shares of common stock were surrendered to the Company to satisfy tax withholding obligations totaling $42,000 and $12,000, respectively, in connection with the vesting of restricted stock awards. Shares surrendered by the restricted stock award recipients in accordance with the applicable plan are deemed canceled, and therefore are not available to be reissued. The Company awarded 220,337 and 828,225 shares of restricted stock to officers and directors of the Company in fiscal 2017 and 2016, respectively.
Common Stock Warrants
As of January 31, 2018 and 2017, the fair value of the common stock warrants was computed using the Black-Scholes option pricing model based on assumptions regarding annual volatility, risk-free rate, dividend yield and expected life. The model also includes assumptions to account for anti-dilutive provisions within the warrant agreement. The warrants expired on February 16, 2018.
Income Taxes
Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and for tax credit and loss carry-forwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. In assessing net deferred tax assets, the Company considers whether it is more likely than not that some or all of the deferred tax assets will not be realized. The Company establishes a valuation allowance when it is more likely than not that all or a portion of deferred tax assets will not be realized. See Note 8 - Income Taxes for further details.
The Company provides for uncertain tax positions and the related interest and penalties based upon management’s assessment of whether certain tax positions are more likely than not to be sustained upon examination by tax authorities. At January 31, 2018, the Company believes it has appropriately accounted for any uncertain tax positions. The Company has recorded $286,000 and $263,000 in reserves for uncertain tax positions and corresponding interest and penalties, respectively, as of January 31, 2018 and January 31, 2017.
Net Loss Per Common Share
The Company presents basic and diluted earnings per share (“EPS”) data for its common stock. Basic EPS is calculated by dividing the net loss attributable to common stockholders of the Company by the weighted average number of shares of common stock outstanding during the period. Diluted EPS is calculated based on the profit or loss attributable to common stockholders and the weighted average number of shares of common stock outstanding adjusted for the effects of all potential dilutive common stock issuances related to options, unvested restricted stock, warrants and convertible preferred stock. Potential common stock dilution related to outstanding stock options, unvested restricted stock and warrants is determined using the treasury stock method, while potential common stock dilution related to Series A Convertible Preferred Stock is determined using the “if converted” method.
The Company's unvested restricted stock awards and Series A Convertible Preferred Stock are considered participating securities under ASC 260, Earnings Per Share, which means the security may participate in undistributed earnings with common stock. The Company's unvested restricted stock awards are considered participating securities because they entitle holders to non-forfeitable rights to dividends or dividend equivalents during the vesting term. The holders of the Series A Convertible Preferred Stock would be entitled to share in dividends, on an as-converted basis, if the holders of common stock were to receive dividends, other than dividends in the form of common stock. In accordance with ASC 260, a company is required to use the two-class method when computing EPS when a company has a security that qualifies as a “participating security.” The two-class method is an earnings allocation formula that determines EPS for each class of common stock and participating security according to dividends declared (or accumulated) and participation rights in undistributed earnings. In determining the amount of net earnings to allocate to common stockholders, earnings are allocated to both common and participating securities based on their respective weighted-average shares outstanding for the period. Diluted EPS for the Company's common stock is computed using the more dilutive of the two-class method or the if-converted method.
In accordance with ASC 260, securities are deemed not to be participating in losses if there is no obligation to fund such losses. For the years ended January 31, 2018 and 2017, the unvested restricted stock awards and the Series A Preferred Stock were deemed not to be participating since there was a net loss from operations. As of both January 31, 2018 and 2017, there were 2,949,995 shares of preferred stock outstanding, each share being convertible into one share of the Company's common stock. For the years ended January 31, 2018 and 2017, 293,568 and 377,135, respectively, unvested restricted shares of common stock were excluded from the diluted EPS calculation as their effect would have been anti-dilutive.
The following is the calculation of the basic and diluted net loss per share of common stock:
|
| | | | | | | |
| Fiscal Year |
| 2017 | | 2016 |
Net loss | $ | (3,099,214 | ) | | $ | (5,161,566 | ) |
Less: deemed dividends on Series A Preferred Stock | — |
| | (875,935 | ) |
Net loss attributable to common shareholders | $ | (3,099,214 | ) | | $ | (6,037,501 | ) |
Weighted average shares outstanding - Basic | 19,876,383 |
| | 19,528,341 |
|
Stock options and restricted stock | — |
| | — |
|
Weighted average shares outstanding - Diluted | 19,876,383 |
| | 19,528,341 |
|
Basic net loss per share of common stock | $ | (0.16 | ) | | $ | (0.31 | ) |
Diluted net loss per share of common stock | $ | (0.16 | ) | | $ | (0.31 | ) |
Diluted net loss per share excludes the effect of 2,173,156 and 2,100,480 outstanding stock options in fiscal 2017 and 2016, respectively. The inclusion of these shares would have been anti-dilutive. For fiscal 2017 and 2016, the outstanding common stock warrants of 1,400,000 would have an anti-dilutive effect if included in Diluted EPS and, therefore, were not included in the calculation.
Loss Contingencies
We are subject to the possibility of various loss contingencies arising in the course of business. We consider the likelihood of the loss or impairment of an asset or the incurrence of a liability as well as our ability to reasonably estimate the amount of loss in determining loss contingencies. An estimated loss contingency is accrued when it is probable that a liability has been incurred or an asset has been impaired and the amount of loss can be reasonably estimated. We regularly evaluate current information available to us to determine whether to accrue for a loss contingency and adjust any previous accrual.
Recent Accounting Pronouncements
In May 2014, the FASB issued ASU 2014-09, Revenue from Contracts with Customers (Topic 606), which supersedes the revenue recognition requirements in ASC 605, Revenue Recognition. The core principle of the guidance is that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. ASU 2014-09 defines a five-step process to achieve this principle and, in doing so, it is possible more judgment and estimates may be required within the revenue recognition process than required under existing GAAP, including identifying performance obligations in the contract, estimating the amount of variable consideration to include in the transaction price and allocating the transaction price to each separate performance obligation. The ASU also requires additional disclosure about the nature, amount, timing and uncertainty of revenue and cash flows arising from customer contracts, including significant judgments and changes in judgments and
assets recognized from costs incurred to obtain or fulfill a contract. In July 2016, the FASB delayed the effective date by one year and the guidance became effective for us on February 1, 2018. The new revenue recognition guidance permits two methods of adoption: retrospectively to each prior reporting period presented (full retrospective method), or retrospectively with the cumulative effect of initially applying the guidance recognized at the date of initial application as an adjustment to retained earnings (modified retrospective method). We have decided to adopt the standard effective February 1, 2018 using the modified retrospective method.
We have completed our assessment of our systems, available data and processes that will be affected by the implementation of this new revenue recognition guidance. The Company’s formal accounting policies have been established. As a result of the implementation of this standard, the Company expects to record an adjustment to increase retained earnings as of February 1, 2018. At this time, we estimate this increase to be approximately $1.4 million, related primarily to the timing of revenue. The most significant impact relates to our accounting for term software license revenue. We expect revenue related to SaaS-based offerings, hardware sales, maintenance and support, and audit services to remain substantially unchanged. For arrangements which include both software license and maintenance and support components, we expect to recognize the revenue attributed to license upfront at a point in time rather than over the term of the contract. We also expect to recognize license revenues upfront rather than be restricted to payment amounts due under extended payment term contracts as required under the previous guidance. Due to the complexity of certain of our license contracts, the actual revenue license recognition treatment will be dependent on contract-specific terms and may vary in some instances from upfront recognition and be delayed until acceptance from the client is obtained and documented. Additionally, the new revenue recognition guidance requires the capitalization of all incremental costs of obtaining a contract with a customer that an entity expects to recover. We currently already capitalize sales commissions associated with new and renewal contracts. As part of our implementation efforts, we did not identify any other costs that would be eligible for capitalization under the new guidance. As result, we do not expect to record any deferral for such costs upon adoption of the new guidance on February 1, 2018.
In February 2016, the FASB issued ASU 2016-02, Leases (Topic 842), to increase transparency and comparability among organizations by recognizing lease assets and lease liabilities on the balance sheet and disclosing key information about leasing arrangements. The ASU is effective for annual periods beginning after December 15, 2018, including interim periods within those fiscal years. The update will be effective for us on February 1, 2019. Early adoption of the update is permitted. We are currently evaluating the impact of the adoption of this update on our consolidated financial statements and related disclosures.
In August 2016, the FASB issued ASU 2016-15, Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts and Cash Payments, to clarify how certain cash receipts and cash payments should be presented and classified in the statement of cash flows. The ASU should be applied using a retrospective transition method to each period presented. The standard became effective for us on February 1, 2018. Early adoption of this update is permitted. We are currently evaluating the impact of the adoption of this new standard on our consolidated financial statements and related disclosures.
In January 2017, the FASB issued ASU 2017-01, Business Combinations (Topic 805): Clarifying the Definition of a Business, to clarify the definition of a business to assist entities with evaluating whether transactions should be accounted for as acquisitions (or disposals) of assets or businesses. The standard became effective for us on February 1, 2018. We do not expect that the adoption of this ASU will have a significant impact on our consolidated financial statements.
In January 2017, the FASB issued ASU 2017-04, Intangibles—Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment, which removes Step 2 from the goodwill impairment test. The standard will be effective for us on February 1, 2020. Early adoption of this update is permitted. We do not expect that the adoption of this ASU will have a significant impact on our consolidated financial statements.
In May 2017, the FASB issued ASU 2017-09, Compensation - Stock Compensation (Topic 718), Scope of Modification Accounting, to clarify which changes to the terms or conditions of a share-based payment award require an entity to apply modification accounting in Topic 718. The update became effective for us on February 1, 2018. We do not expect that the adoption of this ASU will have a significant impact on our consolidated financial statements.
NOTE 3 — ACQUISITIONS AND DIVESTITURES
Acquisition of Interpoint Partners, LLC
On December 7, 2011, the Company completed the acquisition of substantially all of the assets of Interpoint Partners, LLC (“Interpoint”) for a total initial purchase price of $5,124,000, consisting of cash of $2,124,000 and issuance of a convertible subordinated note for $3,000,000. The note was converted into 1,529,729 shares of common stock on June 15, 2012 at a price of $2.00 per share. All consideration was paid prior to fiscal year 2016.
Acquisition of Meta Health Technology, Inc.
On August 16, 2012, the Company acquired substantially all of the outstanding stock of Meta Health Technology, Inc., a New York corporation (“Meta”) for a total purchase price of approximately $14,790,000, consisting of cash payment of $13,288,000 and the issuance of 393,086 shares of our common stock at an agreed upon price of $4.07 per share. As of October 31, 2012 the Company had acquired 100% of Meta’s outstanding shares, and the Company merged Meta with and into the Company on January 30, 2014. All consideration was paid prior to fiscal year 2016.
Acquisition of a Montefiore Medical Center Solution
On October 25, 2013, we entered into a Software License and Royalty Agreement (the “Royalty Agreement”) with Montefiore Medical Center (“Montefiore”) pursuant to which it entered into an agreement for an exclusive, worldwide 15-year license of Montefiore’s proprietary clinical analytics platform solution, Clinical Looking Glass® (“CLG”), now known as our Clinical Analytics solution. In addition, Montefiore assigned to us the existing license agreement with a customer using CLG. As consideration under the Royalty Agreement, Streamline paid Montefiore a one-time initial base royalty fee of $3,000,000, and we are obligated to pay on-going quarterly royalty amounts related to future sublicensing of CLG by Streamline. Additionally, Streamline has committed that Montefiore will receive at least an additional $3,000,000 of on-going royalty payments within the first six and one-half years of the license term. As of January 31, 2018 and 2017, the present value of this royalty liability was $2,469,000 and $2,351,000, respectively.
Acquisition of Unibased Systems Architecture, Inc. and Related Divestiture
On February 3, 2014, we completed the acquisition of Unibased Systems Architecture, Inc. (“Unibased”), a provider of patient access solutions, including enterprise scheduling and surgery management software, for healthcare organizations throughout the United States, pursuant to an Agreement and Plan of Merger dated January 16, 2014 (the “Merger Agreement”). The total purchase price for Unibased was $6,500,000, subject to net working capital and other customary adjustments.
On December 1, 2016, we received a cash payment of $2,000,000 for the sale of our Streamline Health® Patient Engagement suite of solutions, which is based upon the legacy ForSite2020 solution acquired from Unibased in February 2014. As a result, we recognized a gain on sale of business of $238,000 in fiscal 2016, which represents the amount by which the sale proceeds exceeded net assets associated with Patient Engagement operations, including accounts receivable, intangible assets and deferred revenue. We used the proceeds to make two prepayments of $500,000 on our term loan with Wells Fargo, one in the fourth quarter of fiscal 2016 and another in the second quarter of fiscal 2017.
Acquisition of Opportune IT Healthcare Solutions, Inc.
On September 8, 2016, we completed the acquisition of substantially all of the assets of Opportune IT Healthcare Solutions, Inc. (“Opportune IT”), a provider of coding compliance, recovery audit contractor consulting and ICD-10 readiness and training services to hospitals, physicians and medical groups. As consideration under the asset purchase agreement, we made a cash payment for the total purchase price of $1,400,000. The Company also assumed certain current operating liabilities of Opportune IT. The purchase price has been allocated to the tangible and intangible assets acquired and liabilities assumed based on their estimated fair values as of the acquisition date as follows:
|
| | | |
| Balance at September 8, 2016 |
Assets purchased: | |
Accounts and contracts receivable | $ | 792,000 |
|
Other assets | 32,000 |
|
Internally-developed software | 350,000 |
|
Intangible assets | 650,000 |
|
Total assets purchased | 1,824,000 |
|
Liabilities assumed: | |
Accounts payable and accrued liabilities | 424,000 |
|
Net assets acquired | $ | 1,400,000 |
|
Cash paid | $ | 1,400,000 |
|
The operating results of Opportune IT are not material for purposes of proforma disclosure.
NOTE 4 — DERIVATIVE LIABILITIES
As discussed further in Note 14 - Private Placement Investment, in conjunction with the 2012 private placement investment, the Company issued common stock warrants exercisable for up to 1,200,000 shares of common stock at an exercise price of $3.99 per share until February 16, 2018. The warrants were initially classified in stockholders' equity as additional paid-in capital at the allocated amount, net of allocated transaction costs of $1,425,000. Effective October 31, 2012, upon stockholder approval of anti-dilution provisions that reset the warrants’ exercise price if a dilutive issuance occurs, the warrants were reclassified as non-current derivative liabilities. The fair value of the warrants was $4,139,000 at October 31, 2012, with the difference between the fair value and carrying value recorded to additional paid-in capital. Effective as of the reclassification as derivative liabilities, the warrants are re-valued at each reporting date, with changes in fair value recognized in earnings each reporting period as a credit or charge to miscellaneous income (expense). The fair value of the warrants at January 31, 2018 and 2017 was zero and $46,000, respectively. The change in fiscal 2017 and 2016 reflects $46,000 and $159,000, respectively, of miscellaneous income recognized in the consolidated statements of operations as a result of decreases in the fair value of the warrants. The estimated fair value of the warrants liabilities as of January 31, 2017 was computed using the Black-Scholes option pricing model based on the following assumptions: annual volatility of 62.6%, risk-free rate of 0.5%, dividend yield of 0.0% and expected life of one year. The estimated fair value of the warrants liabilities as of January 31, 2018 was computed using the Black-Scholes option pricing model based on the following assumptions: annual volatility of 57.4%, risk-free rate of 0.0%, dividend yield of 0.0% and expected life of zero years.
NOTE 5 — OPERATING LEASES
The Company rents office space and equipment under non-cancelable operating leases that expire at various times through fiscal year 2022. Future minimum lease payments under non-cancelable operating leases for the next five fiscal years are as follows:
|
| | | | | | | | | | | |
| Facilities | | Equipment | | Fiscal Year Totals |
2018 | $ | 1,039,000 |
| | $ | 11,000 |
| | $ | 1,050,000 |
|
2019 | 967,000 |
| | 11,000 |
| | 978,000 |
|
2020 | 504,000 |
| | 11,000 |
| | 515,000 |
|
2021 | 519,000 |
| | 2,000 |
| | 521,000 |
|
2022 | 445,000 |
| | — |
| | 445,000 |
|
Total | $ | 3,474,000 |
| | $ | 35,000 |
| | $ | 3,509,000 |
|
Rent and leasing expense for facilities and equipment was $1,234,000 and $1,271,000 for fiscal years 2017 and 2016, respectively.
NOTE 6 — DEBT
Term Loan and Line of Credit
On November 21, 2014, we entered into a Credit Agreement (the “Credit Agreement”) with Wells Fargo Bank, N.A., as administrative agent, and other lender parties thereto. Pursuant to the Credit Agreement, the lenders agreed to provide a $10,000,000 senior term loan and a $5,000,000 revolving line of credit to our primary operating subsidiary. Amounts outstanding under the Credit Agreement bear interest at either LIBOR or the base rate, as elected by the Company, plus an applicable margin. Subject to the Company’s leverage ratio, under the terms of the original Credit Agreement, the applicable LIBOR rate margin varied from 4.25% to 5.25%, and the applicable base rate margin varied from 3.25% to 4.25%. Pursuant to the terms of the amendment to the Credit Agreement entered into as of April 15, 2015, the applicable LIBOR rate margin was amended to vary from 4.25% to 6.25%, and the applicable base rate margin was amended to vary from 3.25% to 5.25%. The term loan and line of credit mature on November 21, 2019 and provide support for working capital, capital expenditures and other general corporate purposes, including permitted acquisitions. The outstanding senior term loan is secured by substantially all of our assets. The senior term loan principal balance is payable in quarterly installments, which started in March 2015 and will continue through the maturity date, with the full remaining unpaid principal balance due at maturity. In November 2014, the Company repaid indebtedness under its prior credit facility using approximately $7,400,000 of the proceeds provided by the term loan. The prior credit facility with Fifth Third Bank was terminated concurrent with the entry into the Credit Agreement. Financing costs of $355,000 associated with the new credit facility are being amortized over its term on a straight-line basis, which is not materially different from the effective interest method.
The Credit Agreement includes customary financial covenants, including the requirements that the Company maintain minimum liquidity and achieve certain minimum EBITDA levels (as defined in the Credit Agreement). In addition, the Credit Agreement prohibits the Company from paying dividends on the common and preferred stock. Pursuant to the terms of the third amendment to the Credit Agreement entered into as of June 19, 2017, the Company is required to maintain minimum liquidity of at least (i) $5,000,000 through January 31, 2018, (ii) $4,000,000 from February 1, 2018 through and including January 31, 2019, and (iii) $3,000,000 from February 1, 2019 through and including the maturity date of the credit facility.
The following table shows our minimum trailing four quarter period EBITDA covenant thresholds, as modified by the third amendment to the Credit Agreement:
|
| | | | |
For the four-quarter period ending | | Minimum EBITDA |
July 31, 2017 | | $ | (1,250,000 | ) |
October 31, 2017 | | (1,000,000 | ) |
January 31, 2018 | | (700,000 | ) |
April 30, 2018 | | (35,869 | ) |
July 31, 2018 | | 414,953 |
|
October 31, 2018 | | 1,080,126 |
|
January 31, 2019 | | 1,634,130 |
|
April 30, 2019 | | 1,842,610 |
|
July 31, 2019 | | 2,657,362 |
|
October 31, 2019 and each fiscal quarter thereafter | | 3,613,810 |
|
The Company was in compliance with the applicable financial loan covenants at January 31, 2018.
As of January 31, 2018, the Company had no outstanding borrowings under the revolving line of credit, and had accrued $18,000 in unused line fees. Based upon the borrowing base formula set forth in the Credit Agreement, as of January 31, 2018, the Company had access to the full amount of the $5,000,000 revolving line of credit.
Outstanding principal balances on debt consisted of the following at:
|
| | | | | | | | |
| | January 31, 2018 | | January 31, 2017 |
Senior term loan | | $ | 4,626,000 |
| | $ | 5,738,000 |
|
Capital lease | | — |
| | 91,000 |
|
Total | | 4,626,000 |
| | 5,829,000 |
|
Deferred financing cost | | (128,000 | ) | | (199,000 | ) |
| | 4,498,000 |
| | 5,630,000 |
|
Less: Current portion | | (597,000 | ) | | (747,000 | ) |
Non-current portion of long-term debt | | $ | 3,901,000 |
| | $ | 4,883,000 |
|
In May 2016, as a result of excess cash flows achieved as of January 31, 2016 and as required pursuant to the mandatory prepayment provisions of the Credit Agreement, we made a $1,738,000 payment of principal towards the term loan with Wells Fargo. We used the proceeds from the sale of our Patient Engagement suite of solutions to make two prepayments on our term loan with Wells Fargo, one in December 2016 and one in June 2017, each in the amount of $500,000. As a result of these prepayments, the schedule of future principal payments was revised to reduce each future principal payment on a pro rata basis.
Future principal repayments of debt consisted of the following at January 31, 2018:
|
| | | | |
| | Senior Term Loan (1) |
2018 | | $ | 597,000 |
|
2019 | | 4,029,000 |
|
Total repayments | | $ | 4,626,000 |
|
_______________
(1) Term loan balance on the consolidated balance sheet is reported net of deferred financing costs of $128,000.
NOTE 7 — GOODWILL AND INTANGIBLE ASSETS
The goodwill activity is summarized as follows:
|
| | | |
| Goodwill |
Balance at January 31, 2016 | $ | 16,185,000 |
|
Adjustments to goodwill related to sale of business during fiscal 2016 | (648,000 | ) |
Balance at January 31, 2017 and January 31, 2018 | $ | 15,537,000 |
|
Intangible assets, net, consist of the following:
|
| | | | | | | | | | | | | |
| January 31, 2018 |
Estimated Useful Life | | Gross Assets | | Accumulated Amortization | | Net Assets |
Finite-lived assets: | | | | | | | |
Client relationships | 5-15 years | | $ | 5,805,000 |
| | $ | 3,308,000 |
| | $ | 2,497,000 |
|
Covenants not to compete | 0.5-15 years | | 986,000 |
| | 823,000 |
| | 163,000 |
|
Supplier agreements | 5 years | | 1,582,000 |
| | 1,582,000 |
| | — |
|
License agreement | 15 years | | 4,431,000 |
| | 1,256,000 |
| | 3,175,000 |
|
Total | | | $ | 12,804,000 |
| | $ | 6,969,000 |
| | $ | 5,835,000 |
|
|
| | | | | | | | | | | | | |
| January 31, 2017 |
Estimated Useful Life | | Gross Assets | | Accumulated Amortization | | Net Assets |
Finite-lived assets: | | | | | | | |
Client relationships | 5-15 years | | 5,805,000 |
| | 2,692,000 |
| | 3,113,000 |
|
Covenants not to compete | 0.5-15 years | | 986,000 |
| | 744,000 |
| | 242,000 |
|
Supplier agreements | 5 years | | 1,582,000 |
| | 1,411,000 |
| | 171,000 |
|
License agreement | 15 years | | 4,431,000 |
| | 960,000 |
| | 3,471,000 |
|
Total | | | $ | 12,804,000 |
| | $ | 5,807,000 |
| | $ | 6,997,000 |
|
Amortization over the next five fiscal years for intangible assets is estimated as follows:
|
| | | |
| Annual Amortization Expense |
2018 | $ | 937,000 |
|
2019 | 885,000 |
|
2020 | 823,000 |
|
2021 | 786,000 |
|
2022 | 500,000 |
|
Thereafter | 1,904,000 |
|
Total | $ | 5,835,000 |
|
NOTE 8 — INCOME TAXES
Income taxes consist of the following:
|
| | | | | | | |
| Fiscal Year |
| 2017 | | 2016 |
Current tax (expense) benefit: | | | |
Federal | $ | — |
| | $ | 15,000 |
|
State | (11,573 | ) | | (2,976 | ) |
Total current provision | (11,573 | ) | | 12,024 |
|
Deferred tax benefit: | | | |
Federal | 95,403 |
| | — |
|
State | — |
| | — |
|
Total Deferred tax benefit | 95,403 |
| | — |
|
Current and deferred tax benefit | $ | 83,830 |
| | $ | 12,024 |
|
The income tax benefit differs from the amount computed using the federal statutory income tax rate of 32.9 percent as follows:
|
| | | | | | | |
| Fiscal Year |
| 2017 | | 2016 |
Federal tax benefit at statutory rate of 32.9 percent | $ | 1,047,221 |
| | $ | 1,771,675 |
|
State and local taxes, net of federal benefit (expense) | 195,117 |
| | 84,402 |
|
Change in valuation allowance | 4,504,875 |
| | (2,134,096 | ) |
Permanent items: | | | |
Incentive stock options | (112,349 | ) | | (361,245 | ) |
Change in fair value of warrants liability | 15,197 |
| | 54,033 |
|
Goodwill basis difference recognized upon asset sale | — |
| | (220,112 | ) |
Section 162(m) disallowance | — |
| | (22,647 | ) |
Other | (24,673 | ) | | (23,272 | ) |
Reserve for uncertain tax position | (18,509 | ) | | (262,525 | ) |
R&D Credit (Federal) | 219,305 |
| | 1,045,453 |
|
R&D Credit (State) | (129,111 | ) | | 267,172 |
|
Tax Cuts and Jobs Act | (5,827,034 | ) | | — |
|
Other | 213,791 |
| | (186,814 | ) |
Income tax benefit | $ | 83,830 |
| | $ | 12,024 |
|
The Company provides deferred income taxes for temporary differences between assets and liabilities recognized for financial reporting and income tax purposes. The income tax effects of these temporary differences and credits are as follows:
|
| | | | | | | |
| January 31, |
| 2018 | | 2017 |
Deferred tax assets: | | | |
Allowance for doubtful accounts | $ | 91,360 |
| | $ | 72,886 |
|
Deferred revenue | 154,574 |
| | 282,112 |
|
Accruals | 71,286 |
| | 120,165 |
|
Net operating loss carryforwards | 10,617,120 |
| | 15,141,861 |
|
Stock compensation expense | 235,920 |
| | 501,120 |
|
Property and equipment | 108,537 |
| | 132,934 |
|
AMT credit | — |
| | 102,144 |
|
R&D credit | 1,144,058 |
| | 1,050,100 |
|
Other | 116,603 |
| | 106,833 |
|
Total deferred tax assets | 12,539,458 |
| | 17,510,155 |
|
Valuation allowance | (11,812,860 | ) | | (16,318,124 | ) |
Net deferred tax assets | 726,598 |
| | 1,192,031 |
|
Deferred tax liabilities: | | | |
Definite-lived intangible assets | (726,598 | ) | | (1,192,031 | ) |
Total deferred tax liabilities | (726,598 | ) | | (1,192,031 | ) |
Net deferred tax liabilities | $ | — |
| | $ | — |
|
At January 31, 2018, the Company had U.S. federal net operating loss carry forwards of $45,973,000, which expire at various dates through fiscal 2037. The Company also had state net operating loss carry forwards of $18,230,000, which expire through fiscal 2037. Federal and state R&D credit carry forwards will expire through fiscal 2037 and 2027, respectively.
In assessing the realizability of deferred tax assets, management considers whether it is more likely than not that all or some portion of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the periods in which those temporary differences become deductible. Management considers the scheduled reversal of deferred tax liabilities, projected future taxable income and tax planning strategies in making this assessment. The Company established a valuation allowance of $11,813,000 and $16,318,000 at January 31, 2018 and 2017, respectively. The decrease in the valuation allowance of $4,505,000 was driven primarily by the federal tax rate change from the passage of the Tax Cuts and Jobs Act.
The Company and its subsidiary are subject to U.S. federal income tax as well as income taxes in multiple state and local jurisdictions. The Company has concluded all U.S. federal tax matters for years through January 31, 2013. All material state and local income tax matters have been concluded for years through January 31, 2012. The Company is no longer subject to IRS examination for periods prior to the tax year ended January 31, 2013; however, carryforward losses that were generated prior to the tax year ended January 31, 2013 may still be adjusted by the IRS if they are used in a future period.
The Company has recorded a reserve, including interest and penalties, for uncertain tax positions of $286,000 and $263,000 as of January 31, 2018 and 2017, respectively. As of January 31, 2018 and 2017, the Company had no accrued interest and penalties associated with unrecognized tax benefits.
A reconciliation of the beginning and ending amounts of gross unrecognized tax benefits (excluding interest and penalties) is as follows:
|
| | | | | | | |
| 2017 | | 2016 |
Beginning of fiscal year | $ | 290,000 |
| | $ | — |
|
Additions for tax positions for the current year | 62,000 |
| | 59,000 |
|
Additions for tax positions of prior years | 3,000 |
| | 231,000 |
|
Subtractions for tax positions of prior years | (60,000 | ) | | — |
|
End of fiscal year | $ | 295,000 |
| | $ | 290,000 |
|
Impact of the Tax Cuts and Jobs Act
The Tax Act was signed into law on December 22, 2017. Among other things, the Tax Act reduces the U.S. federal corporate tax rate from 34.0 percent to 21.0 percent effective January 1, 2018 and allows for 100 percent expensing of certain fixed assets placed in service after September 27, 2017.
On December 22, 2017, Staff Accounting Bulletin No. 118 (“SAB 118”) was issued to address the application of U.S. GAAP in situations where a registrant does not have the necessary information available, prepared, or analyzed (including computations) in reasonable detail to finalize the calculations for certain income tax effects of the Tax Cuts and Jobs Act. In accordance with SAB 118, the Company has determined that the net tax expense of $5.8 million recorded in connection with the tax effect of the Tax Act is a provisional amount and a reasonable estimate as of January 31, 2018. Additional work is necessary to finalize the calculation for certain income tax effects of the Tax Cuts and Jobs Act, which we expect to complete with the filing of our 2017 U.S. federal income tax return.
NOTE 9 — MAJOR CLIENTS
During fiscal year 2017, no individual client accounted for 10% or more of our total revenues. Two clients represented 12% and 11%, respectively, of total accounts receivable as of January 31, 2018.
During fiscal year 2016, one individual client accounted for 10% or more of our total revenues. Three clients each represented 11% of total accounts receivable as of January 31, 2017.
NOTE 10 — EMPLOYEE RETIREMENT PLAN
The Company has established a 401(k) retirement plan that covers all associates. Company contributions to the plan may be made at the discretion of the board of directors. The Company matches 100% up to the first 4% of compensation deferred by each associate in the 401(k) plan. The total compensation expense for this matching contribution was $524,000 and $541,000 in fiscal 2017 and 2016, respectively.
NOTE 11 — EMPLOYEE STOCK PURCHASE PLAN
The Company has an Employee Stock Purchase Plan under which associates may purchase up to 1,000,000 shares of common stock. Under the plan, eligible associates may elect to contribute, through payroll deductions, up to 10% of their base pay to a trust during any plan year, i.e., January 1 through December 31 of the same year. Semi-annually, typically in January and July of each year, the plan issues, for the benefit of the employees, shares of common stock at the lesser of (a) 85% of the fair market value of the common stock on the first day of the vesting period (January 1 or July 1), or (b) 85% of the fair market value of the common stock on the last day of the vesting period (June 30 or December 31 of the same year). At January 31, 2018, 455,265 shares remain that can be purchased under the plan.
The Company recognized compensation expense of $19,000 and $5,000 for fiscal years 2017 and 2016, respectively, under this plan.
During fiscal 2017, 21,234 shares were purchased at the price of $0.98 per share and 26,048 shares were purchased at the price of $0.91 per share; during fiscal 2016, 25,617 shares were purchased at the price of $1.02 per share. The cash received for shares purchased from the plan was $45,000 and $26,000 in fiscal 2017 and 2016, respectively.
The purchase price at June 30, 2018 will be 85% of the lower of (a) the closing price on January 2, 2018 ($1.68) or (b) the closing price on June 30, 2018.
NOTE 12 — STOCK-BASED COMPENSATION
Stock Option Plans
The Company’s Second Amended and Restated 2013 Stock Incentive Plan (the “2013 Plan”) replaced the 2005 Incentive Compensation Plan (the “2005 Plan”). Under these plans, the Company is authorized to issue equity awards (stock options, stock appreciation rights or “SARs”, and restricted stock) to directors and associates of the Company. Outstanding awards under the 2005 Plan continue to be governed by the terms of the 2005 Plan until exercised, expired or otherwise terminated or canceled, but no further equity awards are allowed to be granted under the 2005 Plan. Under the 2013 Plan, the Company is authorized to issue a number of shares not to exceed (i) 2,300,000 plus (ii) the number of shares remaining available for issuance under the 2005 Plan as of the date the 2005 Plan was replaced, plus (iii) the number of shares that become available under the 2005 Plan pursuant to forfeiture, termination, lapse, or satisfaction of a 2005 Plan award in cash or property other than shares of common stock. The options granted under the 2013 Plan and 2005 Plan have terms of ten years or less, and typically vest and become fully exercisable ratably over three years of continuous service to the Company from the date of
grant. At January 31, 2018 and 2017, options to purchase 1,873,156 and 1,800,480 shares of the Company’s common stock, respectively, have been granted and are outstanding. There are no SARs outstanding.
In fiscal 2016 and 2014, inducement grants were approved by the Company’s Board of Directors pursuant to NASDAQ Marketplace Rule 5635(c)(4). The terms of the grants were nearly identical to the terms and conditions of the Company’s stock incentive plans in effect at the time of each inducement grant. For the year ended January 31, 2018, with regard to inducement grants, no stock options were issued, no options expired, no options were forfeited and no stock options were exercised. For the year ended January 31, 2017, with regard to inducement grants, 75,000 stock options were issued, no options expired, no options were forfeited and no stock options were exercised. As of both January 31, 2018 and 2017, there were 300,000 options outstanding.
Please see “Restricted Stock” section for information on the restricted shares.
A summary of stock option activity follows:
|
| | | | | | | | | | | | |
| Options | | Weighted Average Exercise Price | | Remaining Life in Years | | Aggregate intrinsic value |
Outstanding as of February 1, 2017 | 2,100,480 |
| | $ | 4.16 |
| | | | |
Granted | 265,000 |
| | 1.17 |
| | | | |
Exercised | — |
| | — |
| | | | |
Expired | (133,323 | ) | | 4.73 |
| | | | |
Forfeited | (59,001 | ) | | 2.24 |
| | | | |
Outstanding as of January 31, 2018 | 2,173,156 |
| | $ | 3.42 |
| (1) | 7.11 | | $ | 3,868,218 |
|
Exercisable as of January 31, 2018 | 1,626,404 |
| | $ | 3.98 |
| (2) | 6.67 | | $ | 2,894,999 |
|
Vested or expected to vest as of January 31, 2018 | 2,102,078 |
| | $ | 3.47 |
| | 7.07 | | $ | 3,741,699 |
|
_______________
| |
(1) | The exercise prices range from $1.06 to $8.10, of which 677,499 shares are between $1.06 and $2.00 per share, 525,240 shares are between $2.19 and $4.00 per share, and 970,417 shares are between $4.02 and $8.10 per share. |
| |
(2) | The exercise prices range from $1.18 to $8.10, of which 254,332 shares are between $1.18 and $2.00 per share, 442,155 shares are between $2.19 and $4.00 per share, and 929,917 shares are between $4.02 and $8.10 per share. |
For fiscal 2017 and 2016, the weighted average grant date fair value of options granted during the year was $0.65 and $0.79, respectively, and the total intrinsic value of options exercised during the year was zero for both fiscal years.
The fiscal 2017 and 2016 stock-based compensation was estimated at the date of grant using a Black-Scholes option pricing model with the following weighted average assumptions for each fiscal year:
|
| | | | | |
| 2017 | | 2016 |
Expected life | 6 years |
| | 6 years |
|
Risk-free interest rate | 2.65 | % | | 2.10 | % |
Weighted average volatility factor | 0.65 |
| | 0.58 |
|
Dividend yield | — |
| | — |
|
Forfeiture rate | 13 | % | | 22 | % |
At January 31, 2018, there was $320,000 of unrecognized compensation cost related to non-vested stock-option awards. That cost is expected to be recognized over a remaining weighted average period of 1.2 years. The expense associated with stock option awards was $563,000 and $1,321,000, respectively, for fiscal 2017 and 2016. Cash received from the exercise of options was zero in both fiscal 2017 and 2016. Cash received from purchases pursuant to the Employee Stock Purchase Plan was $45,000 and $26,000, respectively, in fiscal 2017 and 2016.
The 2005 Plan and the 2013 Plan contain change in control provisions whereby any outstanding equity awards under the plans subject to vesting, which have not fully vested as of the date of the change in control, shall automatically vest and become immediately exercisable. One of the change in control provisions is deemed to occur if there is a change in beneficial ownership, or authority to vote, directly or indirectly, of securities representing 20% or more of the total of all of the Company’s then-outstanding voting securities, unless through a transaction arranged by or consummated with the prior
approval of the Board of Directors. Other change in control provisions relate to mergers and acquisitions or a determination of change in control by the Company’s Board of Directors.
Restricted Stock
The Company is authorized to grant restricted stock awards to associates and directors under the 2013 Plan. The Company has also issued restricted stock as inducement grants to certain new employees. The restrictions on the shares granted generally lapse over a one- to four-year term of continuous employment from the date of grant. The grant date fair value per share of restricted stock, which is based on the closing price of our common stock on the grant date, is expensed on a straight-line basis as the restriction period lapses. The shares represented by restricted stock awards are considered outstanding at the grant date, as the recipients are entitled to voting rights. A summary of restricted stock award activity for fiscal 2017 and 2016 is presented below:
|
| | | | | | |
| Non-vested Number of Shares | | Weighted Average Grant Date Fair Value |
Non-vested balance at January 31, 2016 | 112,380 |
| | $ | 2.62 |
|
Granted | 858,225 |
| | 1.59 |
|
Vested | (112,380 | ) | | 2.56 |
|
Forfeited | — |
| | — |
|
Non-vested balance at January 31, 2017 | 858,225 |
| | $ | 1.59 |
|
Granted | 295,337 |
| | 1.17 |
|
Vested | (331,975 | ) | | 1.47 |
|
Forfeited | — |
| | — |
|
Non-vested balance at January 31, 2018 | 821,587 |
| | $ | 1.59 |
|
At January 31, 2018, there was $741,000 of unrecognized compensation cost related to restricted stock awards. That cost is expected to be recognized over a remaining period of 1.3 years.
The expense associated with restricted stock awards was $546,000 and $466,000, respectively, for fiscal 2017 and 2016.
NOTE 13 — COMMITMENTS AND CONTINGENCIES
Litigation
We are, from time to time, a party to various legal proceedings and claims, which arise in the ordinary course of business. We are not aware of any legal matters that could have a material adverse effect on the Company’s consolidated results of operations, financial position or cash flows.
NOTE 14 – PRIVATE PLACEMENT INVESTMENT
On August 16, 2012, the Company completed a $12,000,000 private placement investment (“private placement investment”) with affiliated funds and accounts of Great Point Partners, LLC, Noro-Moseley Partners VI, L.P., and another investor. The investment consisted of the following instruments: issuance of 2,416,785 shares of a new Series A 0% Redeemable Convertible Preferred Stock (“Series A Preferred Stock”) at $3.00 per share, common stock warrants (“warrants”) exercisable for up to 1,200,000 shares of the Company's common stock at an exercise price of $3.99 per share and convertible subordinated notes payable in the aggregate principal amount of $5,699,577, which upon stockholder approval, converted into 1,583,210 shares of Series A Preferred Stock. The proceeds were allocated among the instruments based on their relative fair values as follows:
|
| | | | | | | | | |
| | Fair Value at August 16, 2012 | | Proceeds Allocation at August 16, 2012 |
Instruments: | | | | | |
Series A Preferred Stock | | $ | 9,907,820 |
| | $ | 6,546,146 |
| (1) |
Convertible subordinated notes payable | | 5,699,577 |
| | 3,765,738 |
| (2) |
Warrants | | 2,856,000 |
| | 1,688,116 |
| (3) |
Total investment | | $ | 18,463,397 |
| | $ | 12,000,000 |
| |
_______________
| |
(1) | The Series A Preferred Stock convert on a 1:1 basis into common stock, but differ in value from common stock due to the downside protection relative to common stock in the event the Company liquidates, and the downside protection, if, after four years, the holder has not converted and the stock is below $3.00. The fair value of Series A Preferred Stock was determined using a Monte-Carlo simulation following a Geometric Brownian Motion, using the following assumptions: annual volatility of 75%, risk-free rate of 0.9% and dividend yield of 0.0%. The model also utilized the following assumptions to account for the conditions within the agreement: after four years, if the simulated common stock price fell below a price of $3.00 per share, the convertible preferred stock would automatically convert to common stock on a 1:1 basis moving forward at a price of $3.00 per share and a forced conversion if the simulated stock price exceeded $8.00 per share. |
| |
(2) | The fair value of convertible subordinated notes payable was determined based on its current yield as compared to that of those currently outstanding in the marketplace. Management reviewed the convertible note agreement and determined that the note's interest rate is a reasonable representative of a market rate; therefore the face or principal amount of the loan is a reasonable estimate of its fair value. |
| |
(3) | The fair value of the common stock warrants was determined using a Monte-Carlo simulation following a Geometric Brownian motion, using the following assumptions: annual volatility of 75%, risk-free rate of 0.9%, dividend yield of 0.0% and expected life of 5 years. Because the dilutive down-round financing was subject to stockholder approval, which had not happened at the time of the valuation, the model utilized the assumption that the down-round financing would not occur within the simulation. |
The Company incurred legal, placement and other adviser fees of $1,894,000, including $754,000 in costs for warrants issued to placement agents. The total transaction costs were allocated among the instruments of the private placement investment based on their relative fair values as follows: $611,000 to subordinated convertible notes as deferred financing costs, $1,020,000 to Series A Preferred Stock as discount on Series A Preferred Stock and $263,000 to warrants as a charge to additional paid in capital.
Series A Convertible Preferred Stock
In connection with the private placement investment, the Company issued 2,416,785 shares of Series A Preferred Stock at $3.00 per share. Each share of the Series A Preferred Stock is convertible into one share of the Company's common stock. The price per share of Series A Preferred Stock and the conversion price for the common stock was less than the “market value” of the common stock of $3.82 (as defined in the rules of the Nasdaq Stock Market) on the date of execution of the definitive agreements. The Series A Preferred Stock does not pay a dividend, however, the holders are entitled to receive dividends on shares of Preferred Stock equal (on an as-if-converted-to-common-stock basis) to and in the same form as dividends (other than dividends in the form of common stock) actually paid on shares of the common stock. The Series A Preferred Stock has voting rights on a modified as-if-converted-to-common-stock-basis. The Series A Preferred Stock has a non-participating liquidation right equal to the original issue price plus accrued unpaid dividends, which are senior to the Company’s common stock. The Series A Preferred Stock can be converted to common shares at any time by the holders or, at the option of the Company, if the arithmetic average of the daily volume weighted average price of the common stock for the ten day period prior to the
measurement date is greater than $8.00 per share and the average daily trading volume for the sixty day period immediately prior to the measurement date exceeds 100,000 shares. The conversion price is $3.00 per share, subject to certain adjustments.
The allocation of the proceeds and transaction costs based on relative fair values of the instruments resulted in recognition of a discount on the Series A Preferred Stock of $4,410,000, including a discount attributable to a beneficial conversion feature of $2,686,000, which was fully amortized from the date of issuance to the earliest redemption date in fiscal 2016. For the years ended January 31, 2018 and 2017, the Company recognized zero and $876,000, respectively, of amortization of the discount on Series A Preferred Stock as deemed dividends charged to additional paid in capital, computed under the effective interest rate method. The value of the beneficial conversion feature is calculated as the difference between the effective conversion price of the Series A Preferred Stock and the fair market value of the common stock into which the Series A Preferred Stock are convertible at the commitment date.
On November 1, 2012, upon shareholder approval, the convertible subordinated notes were converted into shares of Series A Convertible Preferred Stock. The convertible subordinated notes had an aggregate principal amount of $5,699,577 and converted into an aggregate of 1,583,210 shares of Preferred Stock. The Company recorded a loss upon conversion of $5,913,000, which represented the difference between the aggregate fair value of the Preferred Stock issued of $9,183,000, based on a $5.80 fair value per share, and the total of carrying value of the notes and unamortized deferred financing cost of $3,270,000. The shares of Series A Preferred Stock issued for the conversion of notes payable are recorded at their aggregate redemption value of $4,750,000 with the difference between the fair value and redemption value of $4,433,000 recorded as additional paid in capital. The fair value of the Preferred Stock was determined using a Monte-Carlo simulation based on the following assumptions: annual volatility of 75%, risk-free rate of 0.8% and dividend yield of 0.0%. The model also utilized the following assumptions to account for the conditions within the agreement: after four years, if the simulated common stock price fell below a price of $3.00 per share, the convertible preferred stock would automatically convert to common stock on a 1:1 basis moving forward at a price of $3.00 per share and a forced conversion if the simulated stock price exceeded $8.00 per share.
At any time following August 31, 2016, subject to the Subordination and Intercreditor Agreement among the preferred stockholders, the Company and Wells Fargo, each share of Series A Preferred Stock is redeemable at the option of the holder for an amount equal to the initial issuance price of $3.00 (adjusted to reflect stock splits, stock dividends or like events) plus any accrued and unpaid dividends thereon. The Series A Preferred Stock are classified as temporary equity as the securities are redeemable solely at the option of the holder.
In fiscal 2013, 1,050,000 shares of the Company's Series A Convertible Preferred Stock were converted into Common Stock. As a result, Series A Convertible Preferred Stock was reduced by $3,150,000, with the offsetting increase to Common Stock and Additional Paid-in Capital. As of January 31, 2018 and 2017, 2,949,995 shares of Series A Convertible Preferred Stock remained outstanding.
Common Stock Warrants
In conjunction with the private placement investment, the Company issued common stock warrants exercisable for up to 1,200,000 of the Company's common stock at an exercise price of $3.99 per share. The warrants expired on February 16, 2018.
On October 19, 2012, the Company also issued 200,000 warrants to its placement agents as a portion of the fees for services rendered in connection with the private placement investment. The warrants are exercisable through April 30, 2018 at a stated exercise price of $4.06 per share and can be exercised in whole or in part. The warrants also include a cashless exercise option that allows the holder to receive a number of shares of common stock based on an agreed upon formula in exchange for the warrants rather than paying cash to exercise. The warrants have no reset provisions. The warrants had a grant date fair value of $754,000, and are classified as equity on the consolidated balance sheet. The estimated fair value of the warrants was determined by using Monte-Carlo simulations based on the following assumptions: annual volatility of 75%, risk-free rate of 0.9%, dividend yield of 0.0% and expected life of five years.
The following table sets forth the warrants issued and outstanding as of January 31, 2018:
|
| | | | | | |
| Number of Shares Issuable | | Weighted Average Exercise Price |
Warrants - private placement | 1,200,000 |
| | $ | 3.99 |
|
Warrants - placement agent | 200,000 |
| | 4.06 |
|
Total | 1,400,000 |
| | $ | 4.00 |
|
The fair value of the private placement warrants was zero and $46,000 at January 31, 2018 and 2017, respectively. No warrants were exercised or canceled during fiscal 2017 and 2016.
NOTE 15 — SUBSEQUENT EVENTS
We have evaluated subsequent events through April 25, 2018 and have determined that there are no subsequent events after January 31, 2018 for which disclosure is required.
Schedule II
Valuation and Qualifying Accounts and Reserves
Streamline Health Solutions, Inc.
For the two years ended January 31, 2018
|
| | | | | | | | | | | | | | | | | | | |
| | | Additions | | | | |
Description | Balance at Beginning of Period | | Charged to Costs and Expenses | | Charged to Other Accounts | | Deductions | | Balance at End of Period |
| (in thousands) |
Year ended January 31, 2018: | | | | | | | | | |
Allowance for doubtful accounts | $ | 198 |
| | $ | 234 |
| | $ | — |
| | $ | (83 | ) | | $ | 349 |
|
Year ended January 31, 2017: | | | | | | | | | |
Allowance for doubtful accounts | $ | 155 |
| | $ | 121 |
| | $ | 17 |
| | $ | (95 | ) | | $ | 198 |
|
ITEM 9. Changes In And Disagreements With Accountants On Accounting And Financial Disclosure
None.
ITEM 9A. Controls And Procedures
Conclusions Regarding the Effectiveness of Disclosure Controls and Procedures
The Company maintains disclosure controls and procedures that are designed to ensure that there is reasonable assurance that the information required to be disclosed in the Company’s reports under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), is recorded, processed, summarized and reported within the time periods specified in the SEC's rules and forms, and that such information is accumulated and communicated to the Company’s management, including its Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure based on the definition of “disclosure controls and procedures” in Exchange Act Rules 13a-15(e) and 15d-15(e). In designing and evaluating the disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives, and management necessarily was required to apply its judgment in evaluating the cost-benefit relationship of possible controls and procedures. In addition, projections of any evaluation of effectiveness of our disclosure controls and procedures to future periods are subject to the risk that controls or procedures may become inadequate because of changes in conditions, or that the degree of compliance with the controls or procedures may deteriorate.
As of the end of the period covered by this report, an evaluation was performed under the supervision and with the participation of the Company’s senior management, including the Chief Executive Officer (principal executive officer) and Chief Financial Officer (principal financial officer), of the effectiveness of the design and operation of the Company’s disclosure controls and procedures to provide reasonable assurance of achieving the desired objectives of the disclosure controls and procedures. Based on such evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that, as of the end of the period covered by this report, our disclosure controls and procedures were effective.
Management’s Report on Internal Control over Financial Reporting
Management is responsible for establishing and maintaining adequate internal control over financial reporting as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act. Internal control over financial reporting is a process designed by, and under the supervision of, our Chief Executive Officer and Chief Financial Officer and effected by management and our Board of Directors to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with U.S. GAAP. Internal control over financial reporting includes those policies and procedures that:
| |
• | Pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of assets of the Company. |
| |
• | Provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with U.S. GAAP and that receipts and expenditures of the Company are being made in accordance with authorization of our management and our Board of Directors. |
| |
• | Provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of our assets that could have a material effect on our consolidated financial statements. |
Because of its inherent limitations, internal control over financial reporting may not prevent or detect all misstatements. Also, projections of any evaluation of the effectiveness of our internal control over financial reporting to future periods are subject to the risk that controls may become inadequate because of changes in conditions or that the degree of compliance with the policies or procedures may deteriorate.
Management, with the participation of the chief executive officer and chief financial officer, assessed the effectiveness of the Company’s internal control over financial reporting as of January 31, 2018, using criteria established in Internal Control - Integrated Framework (1992) issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) and concluded that the Company’s internal control over financial reporting was effective as of January 31, 2018.
This annual report on Form 10-K does not include an attestation report of our independent public accounting firm regarding internal control over financial reporting. Management’s report is not subject to attestation by our independent public accounting firm pursuant to SEC rules that permit us to provide only management’s report in this annual report on Form 10-K.
Changes in Internal Control Over Financial Reporting
There have been no changes in the Company’s internal control over financial reporting during the fiscal quarter ended January 31, 2018 that has materially affected, or is reasonably likely to materially affect, internal control over financial reporting.
ITEM 9B. Other Information
None.
PART III
ITEM 10. Directors, Executive Officers And Corporate Governance
Information regarding directors, executive officers and corporate governance will be set forth in the proxy statement for our 2018 annual meeting of stockholders or an amendment to this Annual Report on Form 10-K, which will be filed with the Securities and Exchange Commission within 120 days after the end of the fiscal year covered by this Annual Report on Form 10-K, and is incorporated herein by reference.
ITEM 11. Executive Compensation
Information regarding executive compensation will be set forth in the proxy statement for our 2018 annual meeting of stockholders or an amendment to this Annual Report on Form 10-K, which will be filed with the Securities and Exchange Commission within 120 days after the end of the fiscal year covered by this Annual Report on Form 10-K, and is incorporated herein by reference.
ITEM 12. Securities Ownership Of Certain Beneficial Owners And Management And Related Stockholder Matters
Information regarding security ownership of certain beneficial owners and management and related stockholder matters will be set forth in the proxy statement for our 2018 annual meeting of stockholders or an amendment to this Annual Report on Form 10-K, which will be filed with the Securities and Exchange Commission within 120 days after the end of the fiscal year covered by this Annual Report on Form 10-K, and is incorporated herein by reference.
ITEM 13. Certain Relationships, Related Transactions And Directors Independence
Information regarding certain relationships and related transactions and director independence will be set forth in the proxy statement for our 2018 annual meeting of stockholders or an amendment to this Annual Report on Form 10-K, which will be filed with the Securities and Exchange Commission within 120 days after the end of the fiscal year covered by this Annual Report on Form 10-K, and is incorporated herein by reference.
ITEM 14. Principal Accounting Fees And Services
Information regarding principal accountant fees and services will be set forth in the proxy statement for our 2018 annual meeting of stockholders or an amendment to this Annual Report on Form 10-K, which will be filed with the Securities and Exchange Commission within 120 days after the end of the fiscal year covered by this Annual Report on Form 10-K, and is incorporated herein by reference.
PART IV
ITEM 15. Exhibits, Financial Statement Schedules
(a) See Index to Consolidated Financial Statements and Schedule Covered by Reports of Registered Public Accounting Firms included in Part II, Item 8 of this annual report on Form 10-K. See Index to Exhibits contained in this annual report on Form 10-K.
(b) Exhibits
See Index to Exhibits contained in this annual report on Form 10-K.
ITEM 16. Form 10-K Summary
None.
INDEX TO EXHIBITS
EXHIBITS
|
| |
| Certificate of Incorporation of Streamline Health Solutions, Inc. f/k/a/ LanVision Systems, Inc., as amended through August 19, 2014 (Incorporated by reference from Exhibit 3.1 of the Form 10-Q, as filed with the SEC on September 15, 2014). |
| Bylaws of Streamline Health Solutions, Inc., as amended and restated through March 28, 2014, (Incorporated by reference from Exhibit 3.1 of Form 8-K, as filed with the Commission on April 3, 2014). |
| Certificate of Designation of Preferences, Rights and Limitations of Series A 0% Convertible Preferred Stock of Streamline Health Solutions, Inc. (Incorporated by reference from Exhibit 10.1 of the Form 8-K, as filed with the Commission on November 1, 2012). |
4.1 | Specimen Common Stock Certificate of Streamline Health Solutions, Inc. (Incorporated by reference from the Registration Statement on Form S-1, File Number 333-01494, as filed with the Commission on April 15, 1996). |
| Streamline Health Solutions, Inc. 1996 Employee Stock Purchase Plan, as amended and restated effective July 1, 2013 (Incorporated by reference from the Registration Statement on Form S-8, File Number 333-188763, as filed with the Commission on May 22, 2013). |
| 2005 Incentive Compensation Plan of Streamline Health Solutions, Inc. (Incorporated by reference from Exhibit 10.1 of the Form 8-K, as filed with the Commission on May 26, 2005). |
| Amendment No. 1 to 2005 Incentive Compensation Plan of Streamline Health Solutions, Inc.(Incorporated by reference to Annex 1 of Definitive Proxy Statement on Schedule 14A, as filed with the Commission on April 13, 2011). |
| Amendment No. 2 to 2005 Incentive Compensation Plan of Streamline Health Solutions, Inc. (Incorporated by reference to Exhibit 4.3 of Registration Statement on Form S-8, as filed with the Commission on November 15, 2012). |
| Streamline Health Solutions, Inc. Second Amended and Restated 2013 Stock Incentive Plan (incorporated by reference to Appendix A to the Company’s Definitive Proxy Statement on Schedule 14A filed on May 2, 2017) |
| Form of Restricted Stock Award Agreement for Non-Employee Directors (Incorporated by reference from Exhibit 10.2 of the Form 8-K, as filed with the Commission August 25, 2014). |
| Form of Restricted Stock Award Agreement for Executives (Incorporated by reference from Exhibit 10.3 of the Form 8-K, as filed with the Commission August 25, 2014). |
| Form of Stock Option Agreement for Executives (Incorporated by reference from Exhibit 10.4 of the Form 8-K, as filed with the Commission August 25, 2014). |
| Employment Agreement dated September 10, 2014 by and between Streamline Health Solutions, Inc. and David W. Sides (Incorporated by reference from Exhibit 10.1 of the Form 10-Q, as filed with the Commission on December 9, 2014). |
| Amendment to Employment Agreement dated January 8, 2015 by and between Streamline Health Solutions, Inc. and David W. Sides (Incorporated by reference from Exhibit 10.2 of the Form 8-K, as filed with the Commission on January 9, 2015). |
| Amendment No. 2 to Employment Agreement dated April 19, 2016 by and between Streamline Health Solutions, Inc. and David W. Sides (Incorporated by reference from Exhibit 10.4(b) of the Form 10-K, as filed with the Commission on April 20, 2016). |
| Employment Agreement among Streamline Health Solutions, Inc., Streamline Health, Inc. and Nicholas A. Meeks effective May 22, 2013 (Incorporated by reference from Exhibit 10.2 of the Form 8-K, as filed with the Commission on May 20, 2013). |
| Amendment No. 1 to Employment Agreement dated June 4, 2015 between Streamline Health Solutions, Inc. and Nicholas A. Meeks (Incorporated by reference from Exhibit 10.1 of the Form 10-Q, as filed with the Commission on June 9, 2015). |
| Amendment No. 2 to Employment Agreement dated April 19, 2016 between Streamline Health Solutions, Inc. and Nicholas A. Meeks (Incorporated by reference from Exhibit 10.5(b) of the Form 10-K, as filed with the Commission on April 20, 2016). |
|
| |
| Employment Agreement dated February 3, 2014 by and between Streamline Health Solutions, Inc. and Randolph W. Salisbury (Incorporated by reference from Exhibit 10.24 of the Form 10-K, as filed with the Commission on June 13, 2014). |
| Amendment No. 1 to Employment Agreement dated June 4, 2015 between Streamline Health Solutions, Inc. and Randolph W. Salisbury (Incorporated by reference from Exhibit 10.2 of the Form 10-Q, as filed with the Commission on June 9, 2015). |
| Employment Agreement dated March 15, 2016 between Streamline Health Solutions, Inc. and Shaun L. Priest (Incorporated by reference from Exhibit 10.8 of the Form 10-K, as filed with the Commission on April 20, 2016). |
| Form of Indemnification Agreement for all directors and officers of Streamline Health Solutions, Inc. (Incorporated by reference from Exhibit 10.1 of the Form 8-K, as filed with the Commission on June 7, 2006). |
| Reseller Agreement between IDX Information Systems Corporation and Streamline Health Solutions, Inc. entered into on January 30, 2002 (Incorporated by reference from Exhibit 10.11 of the Form 10-K for the fiscal year ended January 31, 2002, as filed with the Commission on April 29, 2002). |
| First Amendment to the Reseller Agreement between IDX Information Systems Corporation and Streamline Health Solutions, Inc. entered into on May 3, 2002 (Incorporated by reference from Exhibit 10 of the Form 10-Q for the quarter ended April 30, 2002, as filed with the Commission on June 4, 2002). |
| Software License and Royalty Agreement dated October 25, 2013 between Streamline Health, Inc. and Montefiore Medical Center (Incorporated by reference from Exhibit 10.2 of the Form 10-Q, as filed with the Commission on December 17, 2013). |
| Credit Agreement dated as of November 21, 2014 by and among Wells Fargo Bank, N.A., the lenders party thereto, Streamline Health Solutions, Inc. and Streamline Health, Inc. (Incorporated by reference from Exhibit 10.2 of the Form 10-Q, as filed with the Commission on December 9, 2014). |
| Subordination and Intercreditor Agreement dated as of November 21, 2014 by and among each subordinated creditor signatory thereto, Streamline Health Solutions, Inc. and Wells Fargo Bank, N.A (Incorporated by reference from Exhibit 10.12(a) of the Form 10-K, as filed with the Commission on April 20, 2016). |
| Waiver and First Amendment to Credit Agreement dated as of April 15, 2015 by and among Wells Fargo Bank, N.A., the lenders party thereto, Streamline Health Solutions, Inc. and Streamline Health, Inc. (Incorporated by reference from Exhibit 10.13(a) of the Form 10-K, as filed with the Commission on April 16, 2015). |
| Second Amendment to Credit Agreement dated as of April 29, 2016 by and among Wells Fargo Bank, N.A., the lenders party thereto, Streamline Health Solutions, Inc. and Streamline Health, Inc. (Incorporated by reference from Exhibit 10.1 of the Form 10-Q, as filed with the Commission on June 8, 2016). |
| Third Amendment to Credit Agreement dated as of June 19, 2017 by and among Wells Fargo Bank, N.A., the lenders party thereto, Streamline Health Solutions, Inc. and Streamline Health, Inc. (Incorporated by reference from Exhibit 10.1 of the Form 10-Q, as filed with the Commission on September 13, 2017). |
| Settlement Agreement and Mutual Release dated as of November 20, 2013 by and among Streamline Health Solutions, Inc., IPP Acquisition, LLC, IPP Holding Company, LLC, W. Ray Cross, as seller representative, and each of the members of IPP Holding Company, LLC named therein (Incorporated by reference from Exhibit 10.3 of the Form 10-Q, as filed with the Commission on December 17, 2013). |
| Subordinated Promissory Note dated November 20, 2013 made by IPP Acquisition, LLC and Streamline Health Solutions, Inc. (Incorporated by reference from Exhibit 10.4 of the Form 10-Q, as filed with the Commission on December 17, 2013). |
| Securities Purchase Agreement, among Streamline Health Solutions, Inc, and each purchaser identified on the signature pages thereto, dated August 16, 2012 (Incorporated by reference from Exhibit 10.4 of the Form 8-K, as filed with the Commission on August 21, 2012). |
| Code of Business Conduct and Ethics (Incorporated by reference from Exhibit 14.1 of the Form 10-K, as filed with the Commission on April 16, 2015). |
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| Subsidiaries of Streamline Health Solutions, Inc. |
| Consent of Independent Registered Public Accounting Firm - RSM US LLP |
| Certification by Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. |
| Certification by Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. |
| Certification by Chief Executive Officer pursuant to U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. |
| Certification by Chief Financial Officer pursuant to U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. |
101 | The following financial information from Streamline Health Solutions, Inc.'s Annual Report on Form 10- K for the fiscal year ended January 31, 2018 filed with the SEC on April 25, 2018, formatted in XBRL includes: (i) Consolidated Balance Sheets at January 31, 2018 and 2017, (ii) Consolidated Statements of Operations for the two years ended January 31, 2018, (iii) Consolidated Statements of Changes in Stockholders' Equity for the two years ended January 31, 2018, (iv) Consolidated Statements of Cash Flows for the two years ended January 31, 2018, and (v) the Notes to Consolidated Financial Statements. |
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# | Management Contracts and Compensatory Arrangements. |
Our SEC file number reference for documents filed with the SEC pursuant to the Securities Exchange Act of 1934, as amended, is 000-28132.
SIGNATURES
Pursuant to the requirements of section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
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| | STREAMLINE HEALTH SOLUTIONS, INC. |
| By: | /S/ DAVID W. SIDES |
| | David W. Sides Chief Executive Officer |
DATE: April 25, 2018
Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant in the capacities and on the date indicated.
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/S/ DAVID W. SIDES | Chief Executive Officer and Director (Principal Executive Officer) | April 25, 2018 |
David W. Sides | |
/s/ JONATHAN R. PHILLIPS | Director | April 25, 2018 |
Jonathan R. Phillips | |
/s/ MICHAEL K. KAPLAN | Director | April 25, 2018 |
Michael K. Kaplan | |
/s/ ALLEN S. MOSELEY | Director | April 25, 2018 |
Allen S. Moseley | |
/s/ MICHAEL G. VALENTINE | Director | April 25, 2018 |
Michael G. Valentine | |
/s/ JUDITH E. STARKEY | Director | April 25, 2018 |
Judith E. Starkey | |
/s/ KENAN H. LUCAS | Director | April 25, 2018 |
Kenan H. Lucas | |
/s/ NICHOLAS A. MEEKS | Chief Financial Officer (Principal Financial and Accounting Officer) | April 25, 2018 |
Nicholas A. Meeks | |