Robert Frist
Analyst · William Blair. Your line is now open
Thank you, Mollie. Good morning everyone. Welcome to our third quarter 2019 earnings call. Our third quarter performance was in line with expectations with our expectations and revenues were up 4% over the same quarter last year. Adjusted EBITDA up 3% over the same quarter last year. Supported by strong cash flows from operations and a record-low days sales outstanding we ended the third quarter with a cash balance of approximately 173 million, so strong balance sheet. In a minute, Scotty will elaborate more fully on financial results, so I’m going to dive into some of the operational updates. To start today, I want to provide with updates with regards to three business transitions that we introduced and discussed in previous calls. All three transitions are designed to move us towards being a higher margin, more profitable company in the coming years. We’re about nine months into what I described as a 36-month journey. So, we’re about nine months and we’re about 25% through these migrations and I’m pleased to report we’re making steady progress on all of these transitions. During the quarter, for example, we contracted 48 new accounts for our new resuscitation offering. We increased new Verity platform subscriptions by 50% over the last quarter, and we added approximately 434,000 hStream subscriptions and support of our SaaS to PaaS migration or strategy. If we continue to progress on these three transitions, we expect to cross the 60% gross margin level at this time in 2020. So, we’re kind of excited that we expect to see some of those transitions start to playoff in the gross margin line by the middle of next year. So, let's look at each one in a little more detail. First, we have transitioned our sales and marketing efforts from the legacy resuscitation products to our new resuscitation offering, which includes the American Red Cross Resuscitation Suite program and Innosonian Skills program launched earlier this year. Since there are no new sales of the legacy resuscitation products, we expect revenue from those legacy products to continue declining sequentially each quarter through year-end 2019 and throughout 2020. So, we’re projecting sequential declines in revenues throughout 2020 on the legacy resuscitation products. Specifically, we anticipate revenues from legacy products to decline an additional 800,000 in the fourth quarter to approximately 12.6 million. This is a little bit lower than we had thought last quarter, but our new forecast puts us at about 12.6 million on legacy resuscitation products. We anticipate revenues from our legacy resuscitation products to be zero in the first quarter of 2021. As a reminder, the new Red Cross Resuscitation Suite program is comprised of basic life support, advanced life support and pediatric advanced life support competency driven development curriculum. It brings an updated highly adaptive competency-based solutions to healthcare professionals. It offers certification to healthcare professionals successfully demonstrating proficiency of life-saving resuscitation knowledge and skills. In fact, the program is live for several accounts and the first healthcare professionals have achieved certification through the program. I'm pleased to report strong sales momentum of our new resuscitation offering. And just looking back at the history of launch, we announced on January 15th of this year and in that first quarter, we had six new accounts during that launch quarter. In the second quarter, we had 15 new accounts, so an additional 15 accounts and we just announced 48 additional account in the third quarter. Together, through the first nine months of the year, therefore, these 69 accounts totaled over 22.3 million in contact order value signed for our new resuscitation offering. These new contacts are from a mix of hospitals and healthcare facilities from across the continuum of care, including new and transitioning customers. We're not expecting material financial contributions for 2019 from these contracts because many of these customers are running off their legacy resuscitation product licenses. We have a solid sales pipeline and encouraged by the market's reception to the new resuscitation offering that we believe is more innovative, more effective and more cost-efficient than legacy solutions. To support that, we've approved and are recruiting new sales representatives specifically in this solution area. So, that’s an area of investment for us. Second transition involves adoption and migration to our new SaaS-based Verity platform. In the first quarter of 2018, we announced the launch of Verity, our new SaaS-based platform for managing credentialing and privileging in health organizations. As of the end of the third quarter 2019, new customer accounts for the Verity platform grew over 50% to approximate 155 contracted customers. This rate means that on average, over four new customers per week were contracted during the third quarter. So, it’s an exciting time as we filled our building momentum around the new technology platform, both signing customers to migrate and our brand-new customers. So, the 155 customers are a nice balance of customers migrating and brand new, and they're also taking advantage of the privileging technologies that are built into the platform. Given the high quality of the new platform and our history of successfully migrating existing customers to improve solutions, we anticipate continued progress in terms of new sales and migrations of legacy customers. So, the migration journey is one that requires several years to fully accomplish. The third – and I want to talk about the third transition that we’ve talked about. The third transition involves our customers upgrading to the hStream platform, which is essential technology working behind the machines that powers all activity in the HealthStream ecosystem. Again, it’s an evolving technology platform and it’s nascent, but effective and active and some of our new solutions are directly powered by the new hStream technology. In the third quarter, we added approximately 434,000 hStream subscriptions bringing our cumulative total up to approximately 2.78 million subscriptions at the end of the third quarter. That's up from 2.34 million contracted subscriptions at the end of the second quarter of 2019. The HealthStream platform and service committees are enabling new functionality even in some of our most established applications such as the HealthStream Learning system. HealthStream Learning center customers who have upgraded to hStream now enjoy an advanced manager interface known as MyTeam. Initial reception to the upgrade continues to be positive and has exceeded our expectations with over 81,000 managers across 700 organizations actively using the new MyTeam technology. And again, MyTeam is an extension of capabilities of the old HealthStream Learning center. So, when a customer upgrades to hStream, they get new capabilities in their older legacy applications, the HealthStream Learning center. So, it’s an exciting way and upgrade path for the HealthStream Learning center when customers adopt MyTeam. So, we expect to see continued adoption of hStream over the next couple of years and we’re excited about the progress in the last two quarters, specifically. I want to remind everyone that these three business transitions, we’ve described them as multi-year journeys. We don't want anyone to have the perception or concept that these will be done or finished in the next six months. In fact, I opened by saying that we’re kind of nine months into a 36-month transition, and each one may take a little plus or minus 36 months, but we think we'll see financial benefits to these migrations over the course of the coming years, and be it through the bulk of these three transitions within 36 months. Again, we’re nine months into of the 36-month journey. Again, it’s a characterization, it’s not precise, but we want you to all understand that these are not short-term migrations, these are things that are going to take us a couple years to work our way through. But again, we’re encouraged by the early returns. As we announced in September, our Board of Directors appointed Scotty Roberts as CFO and Senior Vice President following his service as our Interim CFO since February. So, we’re excited to have him serving as the company’s CFO. He’s an exceptionally talented and competent executive. He brings 17 years of experience at HealthStream in public, financial reporting and all operations, including accounting and finance. Scotty makes a strong addition to the company's executive team serving as our top financial leader. At this time, I’ll turn it over to Scotty to provide a more detailed look into the financial metrics for the third quarter of 2019. He’s also going to give us a little bit of a outlook for the rest of the year in his guidance.