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. Since that time in 2016, the Company continues to make decisions supporting our focus in the middle of the revenue cycle. In late fiscal 2017, the Company introduced a new product for the middle of the revenue cycle, eValuator. This product has significant implications to the timing and accuracy of our customers' invoicing through rules that are created to review the accuracy of invoicing prior to the physical invoices being released. This is a notable change to existing processes of our customers. The development activities continued through the end of fiscal 2018. There are continued development efforts planned for eValuator in fiscal 2020, generally, in the same levels as fiscal 2019 and 2018.

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.





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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 three significant new clients in fiscal year 2019. These three new clients are some of the largest names in healthcare as we moved upstream to clients that were more likely to change their internal processes to the pre-bill audit.

The Company divested its ECM Assets on February 24, 2020 (after its fiscal year end of January 31, 2020). As discussed (above), this continues the Company's efforts to focus on the middle of the revenue cycle and its pre-bill technology, eValuator. Management believes that the revenue cycle technology platforms have higher growth opportunities than its legacy products, including the ECM Assets. The Company accounted for the sale of the ECM Assets as a sale of assets. See Note 14 to the audited consolidated financial statements for more information about the sale of the assets.

The Company has continued to implement and maintain tight cost and investment controls so that the transition to focusing our efforts in the middle of the revenue cycle has not resulted in a negative impact to our cash flows. While there have been lower revenues as a result of the Company's focus on the mid-revenue cycle products, the Company's earnings and EBITDA have expanded. During fiscal 2019, the Company recorded non-recurring costs that are added back to adjusted EBITDA. These costs include; (i) $789,000 for executive transition, (ii) $631,000 of transaction costs toward the sale of the ECM Assets, (iii) $388,000 for severance related to the Company's previously disclosed workforce rationalization plan, (iv) $150,000 related to the extinguishment of the Wells Fargo term loan and revolving credit facility, and (v) $230,000 related to the Company's correction of immaterial errors (See Note 2 to the audited consolidated financial statements).

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.

As reported nationally, near the end of the Company's fiscal year ended January 31, 2020, an outbreak of a novel strain of coronavirus (COVID-19) emerged globally. Additionally, there was a number of cases in the United States by the balance sheet date, January 31, 2020. The Company serves acute care hospitals throughout the United States. While the Company has not been materially impacted by the "shelter in place" movements of local and state governments across the United States, it is not possible to reliably estimate the length or severity of the pandemic, and whether it may have an adverse financial impact on the Company's financial condition.





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Results of Operations


Statements of Operations for the fiscal years ended January 31 (in thousands):





                                        2020         2019       $ Change       % Change
Systems sales                         $  1,219     $  2,472     $  (1,253 )          (51 )%
Professional services                    1,801        1,336           465             35 %
Audit services                           1,712        1,118           594             53 %
Maintenance and support                 11,309       12,586        (1,277 )          (10 )%
Software as a service                    4,702        4,853          (151 )           (3 )%
Total revenues                          20,743       22,365        (1,622 )           (7 )%
Cost of sales                            7,480        8,137          (657 )           (8 )%
Selling, general and administrative      9,811       10,554          (743 )           (7 )%
Research and development                 3,555        4,261          (706 )          (17 )%
Executive transition cost                  789            -           789            100 %
Rationalization charges                    388            -           388            100 %
Transaction costs                          861            -           861            100 %
Impairment of long-lived assets              -        3,681        (3,681 )         (100 )%
Loss on exit of operating lease              -        1,034        (1,034 )         (100 )%
Total operating expenses                22,884       27,667        (4,783 )          (17 )%
Operating loss                          (2,141 )     (5,302 )       3,161            (60 )%
Other expense, net                        (700 )       (563 )        (137 )           24 %
Income tax benefit                         (22 )          -           (22 )          100 %
Net loss                              $ (2,863 )   $ (5,865 )   $   3,002            (51 )%
Adjusted EBITDA(1)                    $  3,133     $  2,889     $     244              8 %





(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.




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The following table sets forth, for each fiscal year indicated, certain operating data as percentages of total revenues:

Statements of Operations (1)





                                                          Fiscal Year
                                                       2019         2018
Systems sales                                             5.9 %       11.1 %
Professional services                                     8.7          6.0
Audit services                                            8.3          5.0
Maintenance and support                                  54.5         56.2
Software as a service                                    22.7         21.7
Total revenues                                          100.1 %      100.0 %
Cost of sales                                            36.1         36.4
Selling, general and administrative                      47.3         47.2
Research and development                                 17.1         19.1
Executive transition cost                                 3.8            -
Rationalization charges                                   1.9            -
Transaction costs                                         4.2            -
Impairment of long-lived assets                             -         16.5
Loss on exit of operating lease                             -          4.6
Total operating expenses                                110.4        123.8
Operating loss                                          (10.3 )      (23.7 )
Other expense, net                                       (3.4 )       (2.5 )
Income tax benefit                                       (0.1 )          -
Net loss                                                (13.8 )%     (26.2 )%

Cost of Sales to Revenues ratio, by revenue stream: Systems sales

                                            83.8 %       38.1 %
Services, maintenance and support                        34.0 %       41.2 %
Software as a service                                    30.1 %       20.4 %





(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.




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Comparison of fiscal year 2019 with 2018





Revenues



                                          Fiscal Year                 2019 to 2018 Change
(in thousands):                       2019           2018             $                 %
Systems sales:
Proprietary software - perpetual
license                            $      936     $    1,398     $       (462 )            (33 )%
Term license                              180            899             (719 )            (80 )%
Hardware and third-party
software                                  103            175              (72 )            (41 )%
Professional services                   1,801          1,336              465               35 %
Audit services                          1,712          1,118              594               53 %
Maintenance and support                11,309         12,586           (1,277 )            (10 )%
Software as a service                   4,702          4,853             (151 )             (3 )%
Total Revenues                     $   20,743     $   22,365     $     (1,622 )             (7 )%



Proprietary software and term licenses - Proprietary software revenues recognized in fiscal 2019 were $936,000, as compared to $1,398,000 in fiscal 2018. The decreased fiscal 2019 revenues as compared to 2018 revenues are primarily attributable to two larger perpetual license sales of our Streamline Health® Abstracting; one in our first quarter and one in our second quarter of fiscal 2018. These perpetual license sales have been gaining traction from a significant distributor partner to the Company. The Company continues to see a positive trend in the volumes with this significant distributor partner. Term license revenue for fiscal 2019 decreased $719,000 from fiscal 2018, to $180,000. The decrease is related to the lower revenues from certain Clinical Analytics contracts that terminated in fiscal 2018.

Hardware and third-party software - Revenues from hardware and third-party software sales in fiscal 2019 were $103,000, as compared to $175,000 in fiscal 2018. Fluctuations from year to year are a function of client demand and the customers' timing of replacing or enhancing their scanning capabilities through our vendors. This revenue stream is from the ECM Assets. The ECM Assets were sold to Hyland Software on February 24, 2020 in a transaction accounted for a sale of assets. See Note 14 of the audited consolidated financial statements for additional information.

Professional services - Revenues from professional services in fiscal 2019 were $1,801,000, as compared to $1,336,000 in fiscal 2018. The increases in professional services revenue are primarily due to the completion of large implementation projects in fiscal 2019. These professional fees are driven, primarily, from certain large CDI & Abstracting projects that were sold in 2018 and 2019, and the related implementation and services associated with these. A portion of this revenue is related to the ECM Assets that were sold on February 24, 2020 in a transaction accounted for as a sale of assets. See Note 14 of the audited consolidated financial statements for additional information on the transaction.

Audit services - Audit services revenue for fiscal 2019 increased, to $1,712,000 from $1,118,000 in fiscal 2018. Audit services revenue was positively impacted by the Company's audit services personnel using the eValuator solution to increase efficiency and effectiveness. Looking ahead to fiscal 2020, the Company continues to see demand for on-shore, technically proficient auditors in the marketplace. The Company has technically proficient and on-shore resources to address this need.

Maintenance and support - Revenues from maintenance and support in fiscal 2019 were $11,309,000 as compared to $12,586,000 in fiscal 2018. The decrease in maintenance and support revenues in fiscal 2019 resulted primarily from pricing pressure and certain terminations on the Company's content management software solution, ECM Assets. The Company believes it has mitigated future pricing pressure and terminations through aggressively pursuing long-term contracts with our significant legacy product customers. These activities have proven useful, as they have resulted in substantially better visibility in the near-term revenue base for our Company. This "Maintenance and Support" revenue category will be most impacted by the Company's divestiture of the ECM Assets. See Note 14 to the audited consolidated financial statements for additional information on the sale of the ECM Assets.





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Software as a service (SaaS) - Revenues from SaaS in fiscal 2019 were $4,702,000, as compared to $4,853,000 in fiscal 2018. The decrease in fiscal 2019 revenue was attributable to cancellations by a few customers of our Financial Management solutions, offset by growth associated with the Company's new eValuator product. The Company's new eValuator product had three, new, significant sales in the second quarter, of fiscal 2019. These did not have substantial impact to the full year fiscal 2019 revenue, however, will have a significant impact to the Company's fiscal 2020 revenue, because of the way revenue is recognized on these SaaS products. eValuator revenue was $360,000 in fiscal 2018, that grew approximately three times, to $970,000 for fiscal 2019.





Cost of Sales



                                      Fiscal Year            2019 to 2018 Change
(in thousands):                    2019        2018           $                %
Cost of systems sales             $ 1,022     $   942     $       80               8 %
Cost of professional services       2,103       2,657           (554 )           (21 )%
Cost of audit services              1,255       1,373           (118 )            (9 )%
Cost of maintenance and support     1,685       2,173           (488 )           (22 )%
Cost of software as a service       1,415         992            423              43 %
Total cost of sales               $ 7,480     $ 8,137     $     (657 )            (8 )%



Total cost of sales includes personnel directly affiliated with earning the revenue, amortization and impairment of capitalized software expenditures, depreciation and amortization, royalties and the cost of third-party hardware and software. The Company realized cost savings from its cost containment efforts in all categories of total cost of sales. The decrease in expense for fiscal 2019 compared with fiscal 2018 was derived primarily due to its cost reduction initiatives completed in fiscal 2017 and 2018, with the impacts being fully realized in fiscal 2019. These cost increases offset a reduction in amortization on internally-developed software. We incurred amortization expense on internally-developed software of $1,458,000 and $1,160,000 in fiscal 2019 and 2018, respectively. Increases in amortization expense for internally-developed software correlate to increases in the number and magnitude of projects placed into service.

Cost of systems sales varies from period-to-period depending on hardware and software configurations of the systems sold. The increase in cost of systems sales in fiscal 2019 from 2018 was primarily due to an increase in amortization of capitalized software costs due to an increased number of projects being placed into service in fiscal 2018 and 2019.

The cost of professional services includes compensation and benefits for personnel and related expenses. The decrease in expense for fiscal 2019 as compared with 2018 is primarily due to the decrease in professional services personnel as the implementation effort for SaaS implementations requires substantially less time than our legacy on-premise products.

The cost of audit services includes compensation and benefits for audit services personnel, and related expenses. The decrease in expense for fiscal 2019 compared to 2018 is attributed to the reduction in personnel. Again, the Company is beginning to receive renewed interest in its audit services as a result of the Company's on-shore capabilities and expertise in pre-billing audit and coding services. Further, the internal use of eValuator is making our coders and auditors more efficient. Accordingly, the Company is experiencing lower cost on higher volumes of revenue for Audit Services.

The cost of maintenance and support includes compensation and benefits for client support personnel and the cost of third-party maintenance contracts. The decrease in expense for fiscal 2019 as compared with 2018 was primarily due to a decrease in personnel costs and a reduction in third-party maintenance contracts. The decrease in the cost of maintenance and support is proportionate with the decrease in the corresponding revenue.

The cost of SaaS solutions is relatively fixed, subject to inflation for the goods and services it requires. The increase in expense for fiscal 2019 as compared to 2018 was primarily due to the increase in amortization expense as a result of the increased number projects being put into service in fiscal year 2018 and 2019, primarily related to the increased investment in eValuator.





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Selling, General and Administrative Expense





                                               Fiscal Year               2019 to 2018 Change
(in thousands):                            2019          2018            $                %
General and administrative expenses      $   5,951     $   6,782     $     (831 )            (12 )%
Sales and marketing expenses                 3,860         3,772             88                2 %
Total selling, general, and
administrative expense                   $   9,811     $  10,554     $     (743 )             (7 )%



General and administrative expenses consist primarily of compensation and related benefits, reimbursable travel and entertainment expenses related to our executive and administrative staff, general corporate expenses, amortization of intangible assets, and occupancy costs. The decrease in general and administrative expenses for fiscal 2019 as compared to fiscal 2018 is primarily the result of lower bonus expense. A large portion of the bonuses for fiscal year 2019 are included in the Company's CEO transition cost, while fiscal year 2018 bonuses of $799,000 were included in general and administrative expenses. The bonuses recorded in fiscal 2018 was $647,000 higher than fiscal year 2019 within general and administrative costs. The Company continues to critically analyze the overhead cost of the Company, relative to is revenue. The Company announced a rationalization as of January 30, 2020, where the Company reduced its headcount by 20% and will result in approximately $2,500,000 of annualized savings. This will benefit future periods in terms of lower cost.

Sales and marketing expenses consist primarily of compensation and related benefits and reimbursable travel and entertainment expenses related to our sales and marketing staff, as well as advertising and marketing expenses, including expenses related to trade shows. The slight increase in sales and marketing expense for fiscal 2019 compared with 2018 was primarily due to the Company's continued investment in its sales and marketing efforts. The Company's previously announced a rationalization that has little impact on sales and marketing expenses. The Company expects to continue investment in sales and marketing at the same levels of fiscal 2019, for fiscal 2020 in an effort to grow certain products, primarily eValuator, through personnel cost, trade shows expense, and sales, marketing, and investor relations consultant fees.





Research and Development



                                             Fiscal Year                 2019 to 2018 Change
(in thousands):                          2019           2018             $                 %
Research and development expense      $    3,555     $    4,261     $      (706 )             (17 )%
Plus: Capitalized research and
development cost                           3,358          3,003             355                12 %
Total research and development cost   $    6,913     $    7,264     $      (351 )              (5 )%




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 costs. The Company invested in its technology relatively consistently between fiscal 2019 and 2018. The lower total cost comes from fewer personnel and the Company's desire to focus development activities on those products with its highest growth prospects. However, more of the cost in fiscal 2019 was apportioned to enhancements. This is primarily related to the Company's investment in its new eValuator product. In fiscal 2018 tax year, the Company was awarded $94,000. At the end of fiscal 2019, the cumulative balance of unused research and development credits is $108,000. These research and development tax credit can be applied to current Georgia Payroll Taxes due. The fiscal 2020 and future research and development tax credits are expected to be approximately $70,000 per year. Total research and development cost will come down, in fiscal year 2020 and beyond, due to the sale of the ECM Assets (see Note 14 to audited consolidated financial statements) and the Company's previously announced efforts to focus its development activity to those products with higher growth potential.





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Executive Transition Cost



                               Fiscal Year            2019 to 2018 Change
(in thousands):               2019       2018          $               %
Executive transition cost   $    789     $   -     $     789             100 %




We recorded $789,000 in cost related to replacing the Company's CEO in the fiscal year ended January 31, 2020. These costs, which include placement fees, retention bonuses for existing key personnel and certain required consulting costs were previously announced and expected to total $800,000 for fiscal year 2019. Each of these costs are directly attributable to the successful placement of our new CEO with the Company.





Rationalization Costs



                             Fiscal Year            2019 to 2018 Change
(in thousands):             2019       2018          $               %

Rationalization charges   $    388     $   -     $     388             100 %



In the fourth quarter of fiscal 2019, we implemented a rationalization plan to make the operation of the Company more efficient and for the purpose of aligning its personnel needs and capital requirements in light of the Company's sale of its enterprise content management business. The rationalization plan included a reduction in workforce resulting in the termination of approximately twenty (20) employees, or approximately twenty percent (20%) of the Company's workforce. As a result of the rationalization plan, the Company recorded $388,000 in one-time severance and other employee termination-related costs and expects to realize annualized savings of approximately $2,500,000, excluding the impact of any additional hires necessary to strengthen and invest in the eValuator™ platform. The Company is not currently aware of any other significant charges it will incur as a result of the rationalization plan.





Transaction Costs



                       Fiscal Year            2019 to 2018 Change
(in thousands):       2019       2018          $               %
Transaction costs   $    861     $   -     $     861             100 %



In fiscal 2019, the Company incurred cost to (i) sale the ECM Assets and (ii) account for the immaterial correction of an error. In the sale of the ECM Assets, the Company incurred approximately $631,000 of cost from its financial adviser and legal cost that were not conditioned upon the successful sale of the ECM Assets. These costs were accrued as of January 31, 2020. The Company incurred approximately $1,300,000 of additional transaction cost that were incurred or conditioned upon closing the sale of the ECM Assets that are recorded in February 2020 (the date of closing the ECM Assets). Separately, the Company incurred approximately $230,000 of legal and accounting cost in conjunction with the company's immaterial correction of an error (See Note 2 to the consolidated financial statements). These costs were necessary to file the Company's third quarter, 10-Q, for the period ended October 30, 2019 and this was completed on January 8, 2020.

Impairment of Long-Lived Assets





                                     Fiscal Year          2019 to 2018 Change
(in thousands):                   2019       2018            $              %

Impairment of long-lived assets $ - $ 3,681 $ (3,681 ) (100 )%

The Company acquired a product known as Clinical Analytics in its portfolio in October 2013. As a result of its focused attention in the marketplace on the middle of the revenue cycle, the Company moved away from selling the product. The Company identified a triggering event in the fourth quarter of fiscal 2018 for impairment of long-lived asset associated with Clinical Analytics. The Company sole customer on Clinical Analytics terminated its contract. Upon review, the Company has determined that the market for Clinical Analytics and for the middle of the revenue cycle are very different, and accordingly, the Company does not anticipate or forecast future sales for this product. The Company has determined that intangible assets and remaining software development associated with Clinical Analytics were fully impaired and should be removed from its balance sheet. In the fourth quarter of fiscal 2018, we took a charge to income of $3,681,000 for impairment of the long-lived intangible assets ($3,226,000) and the remaining software development costs ($455,000) associated with this product. The Company has no other intangible assets or software development that is not associated with its core solutions in the middle of the revenue cycle.





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Loss on Exit of Operating Lease





                                     Fiscal Year          2019 to 2018 Change
(in thousands):                   2019       2018            $              %

Loss on exit of operating lease $ - $ 1,034 $ (1,034 ) (100 )%

In an effort to reduce ongoing operating expenses, we closed our New York office in the second quarter of fiscal 2018 and subleased the office space for the remaining period of the original lease term, which ended on November 2019. As a result of vacating and subleasing the office, we recorded a $472,000 loss on exit of the operating lease in the second quarter of fiscal 2018, which captures the net cash flows associated with the vacated premises, including receipts of rent from our sublessee totaling $384,000, and the $48,000 loss incurred on the disposal of fixed assets. In addition, in the third quarter of fiscal 2018, we assigned our then current Atlanta office lease that would have expired in November 2022 and entered into a membership agreement to occupy shared office space in Atlanta. As a result of assigning the office lease, we recorded a $562,000 loss on exit of the operating lease in fiscal 2018.

Refer to Note 12 - Commitments and Contingencies in our consolidated financial statements included in Part II, Item 8 for further details and development with respect to the shared office arrangement in Atlanta.





Other Expense

                                          Fiscal Year           2019 to 2018 Change
(in thousands):                         2019       2018          $                %
Interest expense                       $ (309 )   $ (384 )   $       75             (20 )%
Loss on early extinguishment of debt     (150 )        -           (150 )           100 %
Miscellaneous expense                    (241 )     (179 )          (62 )            35 %
Total other expense                    $ (700 )   $ (563 )   $     (137 )            24 %



Interest expense consists of interest and commitment fees on the revolving credit facility and interest on the term loans, and is inclusive of deferred financing cost amortization. Amortization of deferred financing cost was $82,000 and $69,000 in fiscal 2019 and 2018, respectively. Interest expense was lower in fiscal 2019 as compared with 2018 primarily due to higher amounts of interest expense that is capitalized to software development cost. The interest capitalized to software development in fiscal 2019 and 2018 was $191,000 and $69,000, respectively. The interest capitalized to software development cost reduces the Company's interest expense recognized in the consolidated statements of operations.

The Company refinanced its term loan and revolving credit facility to a new bank on December 12, 2019. Upon completion of the refinancing, the Company had charges to income for (i) the write-off of deferred finance cost on the refinanced debt and (ii) legal and finance cost to close out the previous indebtedness. Aggregate extinguishment costs of $150,000 were recorded in the fourth quarter of fiscal 2019.

The increase in miscellaneous expense in fiscal 2019 as compared to fiscal 2018 was primarily a result of losses from (i) certain failed financing cost, and (ii) losses from the acquisition of certain options from individuals that were about to expire, and were vacillating between in the money and out of the money. The Company had a minor amount of failed financing cost that it recorded as a miscellaneous expense on certain banks that it was not successful in completing the refinance. Additionally, the Company purchased certain options that were close to being "in the money" to allow the forfeited options back into the Company's Employee Stock Compensation Plan pool. Other items reported in miscellaneous expense are the valuation adjustments on the Montefiore minimum royalty liability and certain foreign exchange losses. The foreign exchange losses have been extinguished in fiscal 2019 due to a conversion of a contract that was required to be settled in Canadian dollars, to the contract being settled in US dollars. Refer to Note 12 - Commitments and Contingencies to our consolidated financial statements included in Part II, Item 8 for further information concerning the Montefiore liability.





  28







Provision for Income Taxes


We recorded tax expense of $22,000 and zero in fiscal 2019 and 2018, respectively. Refer to Note 7 - Income Taxes to our consolidated financial statements included in Part II, Item 8 for details on the provision for income taxes.

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 related expenses and other expenses that do not relate to our core operations such as severances and impairment charges; (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 Loan and Security 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.





  29






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 Loan and Security 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 in Part II, Item 8.

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, 2020 and 2019 (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.





  30







                                                                     Fiscal Year
In thousands, except per share data                            2019              2018
Adjusted EBITDA Reconciliation
Net loss                                                   $      (2,863 )   $      (5,865 )
Interest expense                                                     309               384
Income tax expense                                                    22                 -
Depreciation                                                         137               450
Amortization of capitalized software development costs             1,458             1,160
Amortization of intangible assets                                    554               937
Amortization of other costs                                          237               346
EBITDA                                                              (146 )          (2,588 )
Share-based compensation expense                                     934               629
Impairment of long-lived assets                                        -             3,681
Loss on disposal of fixed assets                                       -                 7
Non-cash valuation adjustments to assets and liabilities              64               126
Executive transition cost (1)                                        725                 -
Rationalization charges                                              388                 -
Transaction costs                                                    861                 -
Loss on early extinguishment of debt                                 150                 -
Loss on exit of operating lease                                        -             1,034
Other non-recurring expenses                                         157                 -
Adjusted EBITDA                                            $       3,133     $       2,889
Adjusted EBITDA margin (2)                                            15 %              13 %

Adjusted EBITDA per Diluted Share Reconciliation
Net income (loss) per common share - diluted               $       (0.13 )   $       (0.30 )
Adjusted EBITDA per adjusted diluted share                 $        0.12     $        0.13
Diluted weighted average shares (3)                           22,739,679        19,540,980
Includable incremental shares - adjusted EBITDA (4)            2,343,382         3,065,402
Adjusted diluted shares                                       25,083,061        22,606,382





(1) Executive transition cost on the consolidated statement of operations

includes $64,000 in stock compensation expense for fiscal 2019, which is

included within Share-based compensation expense in the Adjusted EBITDA

calculation above.

(2) Adjusted EBITDA as a percentage of GAAP net revenues.

(3) 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.

(4) 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. Refer to Note 2 - Significant Accounting Policies to our consolidated financial statements included in Part II, Item 8 for a complete discussion of the significant accounting policies and methods used in the preparation of our consolidated financial statements.





  31







Revenue Recognition


The Company derives revenue from the sale of internally-developed software, either by licensing for local installation or by a 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. The Company also derives 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. The Company recognizes 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.

Performance obligations are the unit of accounting for revenue recognition and generally represent the distinct goods or services that are promised to the customer. If we determine that we have not satisfied a performance obligation, we will defer recognition of the revenue until the performance obligation is deemed to be satisfied. 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. Significant judgment is required to determine the standalone selling price ("SSP") for each performance obligation, the amount allocated to each performance obligation and whether it depicts the amount that the Company expects to receive in exchange for the related product and/or service. As the selling prices of the Company's software licenses are highly variable, the Company estimates SSP of its software licenses using the residual approach when the software license is sold with other services and observable SSPs exist for the other services. The Company estimates the SSP for maintenance, professional services, and audit services based on observable standalone sales.

Refer to Note 2 - Significant Accounting Policies to our consolidated financial statements included in Part II, Item 8 for additional information regarding our revenue recognition policies.

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 periodically to determine the payment status based upon the most currently available information. During these periodic 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 for software to be sold, leased, or marketed are accounted for in accordance with Accounting Standards Codification ("ASC") 985-20, Software - Costs of Software to be Sold, Leased or Marketed. Costs associated with the planning and design phase of software development are classified as research and development costs and are expensed as incurred. Once technological feasibility has been established, 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 included in Cost of system sales on the consolidated statements of operations. Annual amortization is measured at the greater of a) the ratio of the software product's current gross revenues to the total of current and expected gross revenues or b) straight-line over the remaining economic life of the software (typically three to five years). Unamortized capitalized costs determined to be in excess of the net realizable value of a solution are expensed at the date of such determination.

Internal-use software development costs are accounted for in accordance with ASC 350-40, Internal-Use Software. The costs incurred in the preliminary stages of development are expensed as research and development costs as incurred. Once an application has reached the development stage, internal and external costs incurred to develop internal-use software are capitalized and amortized on a straight-line basis over the estimated useful life of the software (typically three to five years). Maintenance and enhancement costs, including those costs in the post-implementation stages, are typically expensed as incurred, unless such costs relate to substantial upgrades and enhancements to the software that result in added functionality, in which case the costs are capitalized and amortized on a straight-line basis over the estimated useful life of the software. The Company reviews the carrying value for impairment whenever facts and circumstances exist that would suggest that assets might be impaired or that the useful lives should be modified. Amortization expense related to capitalized internal-use software development costs is included in Cost of software as a service on the consolidated statements of operations.





  32






Goodwill and Intangible Assets

Goodwill and other intangible assets were recognized in conjunction with the acquisitions of Interpoint Partners, LLC ("Interpoint"), Meta Health Technology, Inc. ("Meta"), Clinical Looking Glass® ("CLG"), Opportune IT and Unibased Systems Architecture, Inc. ("Unibased"). Identifiable intangible assets include purchased intangible assets with finite lives, which primarily consist of internally-developed software, client relationships, non-compete agreements and license agreements. Finite-lived purchased intangible assets are amortized over their expected period of benefit, which generally ranges from one month to 10 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. Refer to Note 7 - Income Taxes to our consolidated financial statements included in Part II, Item 8 for further details.

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 SaaS data center infrastructure. 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, 2020 and 2019 were $1,649,000 and $2,376,000, 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.





  33







The Company has liquidity through the Loan and Security Agreement described in more detail in Note 5 - Debt to our consolidated financial statements included in Part II, Item 8. The Company has a $2,000,000 revolving credit facility, which can be advanced based upon 80% of eligible accounts receivable, as defined in the Loan and Security Agreement. In order to draw upon the revolving credit facility, the Company's must comply with certain financial covenants, including the requirement that the Company maintain certain minimum Bank EBITDA levels, calculated pursuant to the Loan and Security Agreement, measured on a monthly basis over a trailing three-month period then ended, and which shall not deviate by the greater of (i) thirty percent of its projected Bank EBITDA or (ii) $150,000. Our lender uses a measurement that is similar to the Adjusted EBITDA, a non-GAAP financial measure described above. The bank uses an Adjusted EBITDA that is further reduced by the Company's spend on capitalized software development for the period. The required minimum EBITDA level for the period ended January 31, 2020 was $364,000. The Company was not in compliance with its minimum EBITDA covenant as of January 31, 2020. Accordingly, Bridge Bank provided a waiver of this covenant as of January 31, 2020. The Company's future EBITDA covenants for fiscal year 2020 are based upon its budget prepared and submitted by the Company to Bridge Bank which necessarily excludes the ECM Assets (and revenues and expenses). Accordingly, the Company does not believe that this covenant violation would continue in the future.

The Loan and Security Agreement also requires the Company to (i) achieve a minimum asset coverage ratio of at least 0.75 to 1.00 from December 31, 2019 through November 30, 2020 and of at least 1.50 to 1.00 each month thereafter, and (ii) not deviate by more than 15% percent from its revenue projections over a trailing 3-month basis or not deviate its recurring revenue by more than 20% over a cumulative year-to-date basis from its revenue projections. Pursuant to the Loan and Security Agreement's definition, the Company's minimum asset coverage ratio as of January 31, 2020 was 1.29, which satisfies the minimum asset coverage ratio financial covenant in the Loan and Security Agreement.

The Company was in compliance with the asset coverage ratio covenant, however, was not compliant with the EBITDA covenant, as described above. An appropriate waiver was received by Bridge Bank for the covenant violation as of January 31, 2020. Based upon the borrowing base formula set forth in the Loan and Security Agreement, as of January 31, 2020, the Company had access to the full amount of the $2,000,000 revolving credit facility.

The Loan and Security Agreement prohibits the Company 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 Loan and Security 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 Loan and Security Agreement.

Upon closing and funding of the sale of the ECM Assets, the Company repaid the Term Loan; however, the Company will continue to have access to the revolving credit facility. Accordingly, the Company has classified the term loan as current as of January 31, 2020, because of its intent and ability to repay the Term Loan, in full, upon closing and funding the sale of the ECM Assets.





  34






The Coronavirus Aid, Relief, and Economic Security Act, also known as the CARES Act, was signed into law on March 17, 2020. Among other things, the Cares Act provided for a business loan program known as the Paycheck Protection Act ("PPP"). Companies are able to borrow, through the SBA, up to two months of payroll. The Company has filed for approximately $2,300,000 through the SBA for the PPP loan program. The Company has not signed definitive debt agreements, nor has it been notified of funding as it relates to this program.

As discussed in Note 14 to the audited and consolidated financial statements, the Company signed a definitive agreement to sell its legacy ECM business to Hyland Software and plans to use the proceeds of the sale to pay off its term loan with Bridge Bank and to fund the continuing development and incremental investment in sales and marketing in support of its eValuator™ cloud-based pre- and post-bill coding analysis platform. The closing of the transaction is subject to customary closing conditions, including the approval of the transaction by Streamline Health's stockholders, and the Company closed the transaction on February 24, 2020. As a result, the Company received approximately $6.0 million in cash and cash equivalents after all transaction related expenses and repaying its term loan.

Significant cash obligations





                          As of January, 31
(in thousands)             2020         2019
Term loan (1)           $    3,825     $ 3,948
Royalty liability (2)          969         905



Refer to Note 12 - Commitments and Contingencies, Note 5 - Debt and Note 14 - Subsequent Events to our consolidated financial statements included in Part II, Item 8 for additional information. Subsequent to year end, the Company settled the term loan at the time of closing on the sale of the ECM Assets on February 24, 2020. The term loan is reflected as current in the accompanying consolidated balance sheet as the Company had the intention and ability to settle the loan as a result of the closing of sale of the ECM Assets.

Operating cash flow activities





                                                           Fiscal Year
(in thousands)                                          2019         2018
Net loss                                              $ (2,863 )   $ (5,865 )
Non-cash adjustments to net loss                         3,576        8,452

Cash impact of changes in assets and liabilities (721 ) (1,190 ) Net cash (used in) provided by operating activities $ (8 ) $ 1,397

The decrease in net cash provided by operating activities is primarily due to the impacts of the Company's non-recurring expenses of approximately $2.3 million for fiscal 2019 that was not present in fiscal 2018. These cost include; (i) $789,000 for executive transition, (ii) $631,000 of transaction cost toward the sale of the ECM Assets, (iii) $388,000 for severance related to the Company's previously disclosed workforce rationalization plan, (iv) $150,000 related to the extinguishment of the Wells Fargo term loan and revolving credit facility, and $230,000 related to the Company's correction of immaterial errors (See Note 2 to the consolidated financial statements).

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.





  35






Investing cash flow activities





                                                     Fiscal Year
(in thousands)                                    2019         2018
Purchases of property and equipment             $    (52 )   $    (21 )
Proceeds from sales of property and equipment          -           21
Capitalized software development costs            (3,358 )     (3,003 )
Net cash used in investing activities           $ (3,410 )   $ (3,003 )

Cash used for investing activities in fiscal 2019 was approximately $407,000 higher than fiscal 2018. See research and development cost (above). The reason that the investment in capitalized software development costs in fiscal 2019 was higher than 2018 is related, primarily, to the apportionment of costs to capitalized costs.

The Company estimates that to replicate its existing internally-developed software would cost significantly more than the stated net book value of $7,598,000, including the acquired internally-developed software of Opportune IT, at January 31, 2020. 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





                                                                Fiscal Year
(in thousands)                                            2019              2018
Proceeds from issuance of common stock                $       9,663     $           -
Payments for costs directly attributable to the
issuance of common stock                                       (711 )               -
Proceeds from term loan                                       4,000                 -
Principal payments on term loan                              (4,030 )            (597 )
Payments related to settlement of employee
shared-based awards                                             (99 )             (62 )
Redemption of Series A Convertible Preferred Stock           (5,791 )               -
Fees paid for redemption of Series A Convertible
Preferred Stock                                                 (22 )               -
Payment of deferred financing costs                            (325 )             (23 )
Other                                                             6                44

Net cash provided by (used in) financing activities $ 2,691 $ (638 )

The substantial increase in cash from financing activities in fiscal 2019 over the prior year was primarily the result of the Company's private placement that occurred in the third quarter of fiscal 2019. The Company raised $9,663,000 (before expenses) to redeem the Company's preferred shares. The Company executed on the private placement and redemption of the preferred stock to finalize its ability to refinance the company's senior debt. The redemption of the preferred was beneficial to the Company in selling its ECM Assets. Each of the initiatives built upon themselves and were dependent upon one-another to achieve them all.

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