Streamline Health Solutions, Inc. provides healthcare IT solutions that optimize revenue cycle management for hospitals and healthcare providers primarily in North America.

# Company Overview - Streamline Health Solutions, Inc.

## Business Description
- **Industry:** Healthcare Information Technology (Health IT)
- **Primary Focus:** Revenue cycle management solutions for healthcare providers in the US and Canada
- **Core Function:** Helping hospitals improve financial performance by optimizing data and coding prior to billing

## Key Solutions & Services
- **Software Solutions:**
  - **RevID:** Cloud-based SaaS; automates daily revenue reconciliation by identifying discrepancies between clinical activities and billings, enabling correction before billing.
  - **eValuator:** Cloud-based SaaS; fully automated coding analysis of 100% billing codes prior to billing, including inpatient, outpatient, and professional fee cases.
  - **Data Comparison Engine ("Compare"):** Cloud SaaS module (sunset product); automates system data reconciliation to identify discrepancies.
  - **Coding & CDI Solutions:** Cloud or on-premise; improves productivity of clinical documentation improvement (CDI) and coding staff, sharing patient data seamlessly.
  - **Financial Management Solutions (FMBA):** Sunset; provided financial data analytics for revenue realization (no longer active).

- **Professional Services:**
  - Audit and coding review services, primarily supporting solutions like eValuator
  - Implementation support, system configuration, workflow review, staff training
  - Troubleshooting, staff augmentation, ad hoc revenue cycle consulting

## Delivery Methods
- SaaS (cloud-based) via secure online access
- Licensed software installed locally (perpetual or fixed-term licenses)

## Clients and Customers
- Serves hospitals and hospital-owned physician groups
- Market: North America (US & Canada)
- **Customer Concentration:**
  - No client accounts for 10% or more of revenue in fiscal 2024
  - In fiscal 2023, one client contributed approximately 22% ($5.1 million) of total revenue
  - Significant clients' accounts receivable as of Jan 31, 2025:
    - 3 clients: 20%, 20%, and 14%
  - As of Jan 31, 2024:
    - 4 clients: 14%, 12%, 12%, and 11%

## Employees
- **Number of Employees:** 70 as of January 31, 2025
- **Change in Workforce:** Decreased by 7 employees during fiscal 2024
- No employees are represented by labor unions

## Revenue and Income (Fiscal Year Ended January 31, 2025)
- **Total Revenue:** $17.9 million
  - **SaaS Revenue:** $11.8 million (decreased from $14.1 million in FY 2023)
  - **Maintenance & Support:** $3.5 million (decreased from $4.3 million)
  - **Professional Fees & Licenses:** $2.6 million (decreased from $4.2 million)
- **Net Loss:** $10.2 million (improved from $18.7 million loss in FY 2023)

## Financial Highlights
- **Gross Margin Trends:** Decline in SaaS and support margins due to client non-renewals and pricing pressures
- **Recent Acquisitions:** Acquired Avelead in August 2021 for approximately $29.7 million, including cash, stock, and contingent consideration
- **Operations:** Operates a single segment focused on healthcare IT solutions and related services
- **Market Capitalization (as of July 31, 2024):** Approximately $23.5 million
- **Shares Outstanding:** 4,331,315 shares as of April 28, 2025
- **Stock Symbol:** NASDAQ: STRM

This summary reflects the company's core activities, customer base, financial status, and workforce based solely on the provided documentation.

Streamline Health Solutions, Inc. is a healthcare information technology company providing advanced SaaS solutions for revenue cycle management, focusing on automated billing and compliance for healthcare providers.

# Streamline Health Solutions, Inc. Overview

## Company Overview
- **Incorporation Year:** 1989
- **Headquarters:** Alpharetta, Georgia, USA
- **Industry:** Healthcare Information Technology (HIT)
- **Segment:** Operates in a single segment focused on health information technology solutions and associated services for healthcare providers.
  
## Employee Information
- **Total Employees:** 77 (as of January 31, 2024)
- **Employment Changes:** Decreased by 35 employees during fiscal 2023.
- **Contractors:** The Company uses independent contractors as needed, none of whom are represented by a labor union.

## Customer Base
- **Clientele:** Primarily serves healthcare providers, including hospitals and hospital-owned physician groups across the United States and Canada.
- **Revenue Concentration:** In fiscal 2023, a single client accounted for approximately 19% ($4.4 million) of the total revenue, while five major clients contributed to 38% of total revenue.
- **Accounts Receivable:** As of January 31, 2024, major clients represented 14%, 12%, 12%, and 11% of accounts receivable.

## Financial Performance
- **Total Revenue:** Approximately $25.7 million for fiscal year ending January 31, 2024.
- **Client Contract Renewals:** A SaaS client representing a significant portion of revenue did not renew its contract, effective December 31, 2023.

## Solutions Offered
1. **RevID™:**
   - Automated revenue reconciliation software.
   - Provides daily charge reconciliation and identifies discrepancies between clinical and billing departments.
   - Aims to reduce revenue leakage.

2. **eValuator™:**
   - Coding analysis platform that delivers automated pre-bill coding review.
   - Analyzes 100% of billing codes to ensure accuracy and compliance before billing to mitigate risk.

3. **Data Comparison Engine (DCE):**
   - Synchronizes and reconciles data from disparate hospital software systems.
   - Identifies discrepancies and issues across systems continuously.

4. **Coding & Clinical Documentation Improvement (CDI) Solutions:**
   - Integrated software suite for enhancing productivity in coding and documentation processes.

5. **Audit and Coding Services:**
   - Technology-enabled audit services to optimize clinical documentation and coding.

## Business Model
- **Delivery Method:** 
  - Solutions are provided via Software as a Service (SaaS) in the cloud or through perpetual and fixed-term licenses installed on-site.
- **Professional Services:**
  - Implementation, integration, training, and ongoing support are offered alongside software solutions.

## Regulatory Environment
- The Company must navigate complex healthcare regulations, including those related to reimbursement rates from government and private payers.

## Competitive Landscape
- **Competition:** Faces competition from larger health IT companies with more resources, including firms such as PwC and 3M for its eValuator product.
- **Market Position:** The Company positions RevID and eValuator as industry leaders in pre-bill reconciliation and auditing technology.

## Recent Developments
- The Company is exploring acquisitions aligned with its growth strategies, with a recent acquisition of Avelead aimed at expanding its reach in the revenue cycle management sector.

## Risks
- **Client Concentration:** Revenue is heavily reliant on a few large clients, making the company vulnerable to contract terminations.
- **Regulatory Changes:** Changes in healthcare laws can impact revenue and demand for the Company’s solutions.
- **Market Competition:** Intense competition in health IT could affect the Company's market share.

This summary encapsulates the essence of Streamline Health Solutions, Inc., highlighting its value proposition, financial metrics, customer details, and the competitive landscape it operates in.

STREAMLINE HEALTH SOLUTIONS INC.

10-K / May 2, 2025

10-K / April 30, 2024

10-K / May 2, 2025

Company Overview - Streamline Health Solutions, Inc.

Business Description

Key Solutions & Services

Delivery Methods

Clients and Customers

Employees

Revenue and Income (Fiscal Year Ended January 31, 2025)

Financial Highlights