HealthStream
HSTM
#6877
Rank
$0.60 B
Marketcap
$20.45
Share price
0.25%
Change (1 day)
-33.08%
Change (1 year)

HealthStream - 10-Q quarterly report FY


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1
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

FORM 10-Q

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF
THE SECURITIES EXCHANGE ACT OF 1934

FOR THE QUARTER ENDED JUNE 30, 2001

Commission File No.: 001-8833

HEALTHSTREAM, INC.
(Exact name of registrant as specified in its charter)

TENNESSEE 62-1443555
--------- ----------
(State or other jurisdiction of (I.R.S. Employer Identification No.)
incorporation or organization)

209 10TH AVENUE SOUTH, SUITE 450
NASHVILLE, TENNESSEE 37203
-------------------- -----
(Address of principal executive offices) (Zip Code)

(615) 301-3100
--------------
(Registrant's telephone number, including area code)


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 [ ]

As of August 10, 2001, 20,366,057 shares of the Registrant's common stock were
outstanding.
2

INDEX TO FORM 10-Q

HEALTHSTREAM, INC.

<TABLE>
<CAPTION>
PAGE
NUMBER
------
<S> <C>
Part I. Financial Information

Item 1. Financial Statements

Condensed Consolidated Balance Sheets - December 31, 2000 and
June 30, 2001 (Unaudited)................................................. 1

Condensed Consolidated Statements of Operations (Unaudited) - Three Months
Ended June 30, 2000 and 2001.............................................. 2

Condensed Consolidated Statements of Operations (Unaudited) - Six Months
Ended June 30, 2000 and 2001.............................................. 3

Condensed Consolidated Statement of Shareholders' Equity (Unaudited)...... 4

Condensed Consolidated Statements of Cash Flows (Unaudited) - Six Months
Ended June 30, 2000 and 2001.............................................. 5

Notes to Condensed Consolidated Financial Statements...................... 7

Item 2. Management's Discussion and Analysis of Financial Condition and Results
of Operations............................................................. 11

Item 3. Quantitative and Qualitative Disclosures About Market Risk................ 18

Part II. Other Information

Item 1. Legal Proceedings......................................................... 19

Item 2. Changes in Securities and Use of Proceeds................................. 19

Item 4. Submission of Matters to a Vote of Security Holders....................... 19

Item 6. Exhibits and Reports on Form 8-K.......................................... 20

Signature................................................................. 21
</TABLE>
3

PART I. FINANCIAL INFORMATION
ITEM 1. Financial Statements

HEALTHSTREAM, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

<TABLE>
<CAPTION>
DECEMBER 31, JUNE 30,
2000 2001
------------ ------------
(NOTE 1) (UNAUDITED)

<S> <C> <C>
ASSETS
Current Assets:
Cash and cash equivalents ................................................. $ 19,830,572 $ 9,214,680
Short term investments .................................................... 7,451,450 18,432,361
Restricted cash ........................................................... 794,342 392,430
Interest receivable ....................................................... 578,534 525,803
Accounts receivable, net of allowance for doubtful accounts
of $198,000 in 2000 and $185,000 in 2001 .............................. 3,957,149 4,056,797
Accounts receivable - unbilled ............................................ 49,600 339,245
Prepaid development fees .................................................. 695,427 1,143,805
Notes receivable, current portion ......................................... 221,750 221,750
Other prepaid expenses and other current assets ........................... 1,075,776 1,251,555
------------ ------------
Total current assets ................................................... 34,654,600 35,578,426
Property and equipment:
Furniture and fixtures .................................................... 883,660 913,188
Construction in progress .................................................. 117,000 --
Equipment ................................................................. 3,893,720 4,485,180
Leasehold improvements .................................................... 885,630 954,183
------------ ------------
5,780,010 6,352,551
Less accumulated depreciation and amortization ............................ (1,505,004) (2,256,433)
------------ ------------
4,275,006 4,096,118
Intangible assets, net of accumulated amortization
of $5,847,000 in 2000 and $9,600,000 in 2001 .............................. 18,024,526 15,397,841
Investments .................................................................. 12,889,674 2,680,248
Note receivable, net of current portion ...................................... -- 215,000
Other assets ................................................................. 607,770 482,512
------------ ------------
Total assets ........................................................ $ 70,451,576 $ 58,450,145
============ ============
LIABILITIES AND SHAREHOLDERS' EQUITY
Current liabilities:
Accounts payable .......................................................... $ 1,150,996 $ 1,056,476
Accrued liabilities ....................................................... 1,719,906 1,821,014
Accrued royalties ......................................................... 1,500,000 90,110
Registration liabilities .................................................. 794,342 392,430
Deferred revenue .......................................................... 2,764,235 2,639,739
Current portion of capital lease obligations .............................. 288,831 174,074
------------ ------------
Total current liabilities ........................................... 8,218,310 6,173,843
Capital lease obligations, less current portion .............................. 216,072 140,788
Commitments and contingencies
Shareholders' equity:
Common stock, no par value, 75,000,000 shares authorized; 21,242,312 shares
and 20,366,057 shares issued and outstanding
at December 31, 2000 and June 30, 2001, respectively ................... 91,221,775 90,715,647
Accumulated other comprehensive income .................................... 30,556 244,295
Accumulated deficit ....................................................... (29,235,137) (38,824,428)
------------ ------------
Total shareholders' equity .......................................... 62,017,194 52,135,514
------------ ------------
Total liabilities and shareholders' equity .......................... $ 70,451,576 $ 58,450,145
============ ============
</TABLE>

See accompanying notes.




1
4

HEALTHSTREAM, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)

<TABLE>
<CAPTION>
THREE MONTHS ENDED JUNE 30,
2000 2001
------------ ------------
<S> <C> <C>
Revenues, net of warrant expense of $330,095 and $504,803
in 2000 and 2001 ..................................... $ 2,200,759 $ 3,523,348
Operating costs and expenses:
Cost of revenues ..................................... 1,039,726 1,112,227
Product development .................................. 1,238,562 1,284,341
Office consolidation charge .......................... -- 400,678
Selling, general and administrative expenses ......... 5,930,369 6,309,868
------------ ------------
Total operating costs and expenses ............. 8,208,657 9,107,114
------------ ------------
Loss from operations .................................... (6,007,898) (5,583,766)
------------ ------------
Other income (expense):
Interest and other income ............................ 486,894 388,812
Interest expense - related parties ................... (6,970) --
Interest expense ..................................... (28,440) (12,758)
------------ ------------
451,484 376,054
------------ ------------
Net loss ................................................ $ (5,556,414) $ (5,207,712)
============ ============
Net loss per share:
Basic ................................................ $ (0.30) $ (0.26)
============ ============
Diluted .............................................. $ (0.30) $ (0.26)
============ ============
Weighted average shares of common stock outstanding:
Basic ................................................ 18,595,372 19,654,707
============ ============
Diluted .............................................. 18,595,372 19,654,707
============ ============
</TABLE>

See accompanying notes.




2
5

HEALTHSTREAM, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)

<TABLE>
<CAPTION>
SIX MONTHS ENDED JUNE 30,
2000 2001
------------ ------------
<S> <C> <C>
Revenues, net of warrant expense of $330,095 and $940,855
in 2000 and 2001 ..................................... $ 3,645,701 $ 6,577,310
Operating costs and expenses:
Cost of revenues ..................................... 1,797,786 2,617,483
Product development .................................. 2,428,632 2,487,559
Office consolidation charge .......................... -- 400,678
Selling, general and administrative expenses ......... 9,109,810 11,621,773
------------ ------------
Total operating costs and expenses ............. 13,336,228 17,127,493
------------ ------------
Loss from operations .................................... (9,690,527) (10,550,183)
------------ ------------
Other income (expense):
Interest and other income ............................ 730,044 1,087,683
Write off of investment .............................. -- (99,920)
Interest expense - related parties ................... (34,255) --
Interest expense ..................................... (65,849) (26,871)
------------ ------------
629,940 960,892
------------ ------------
Net loss ................................................ $ (9,060,587) $ (9,589,291)
============ ============
Net loss per share:
Basic ................................................ $ (0.78) $ (0.48)
============ ============
Diluted .............................................. $ (0.78) $ (0.48)
============ ============
Weighted average shares of common stock outstanding:
Basic ................................................ 11,669,264 19,811,171
============ ============
Diluted .............................................. 11,669,264 19,811,171
============ ============
</TABLE>

See accompanying notes.




3
6

HEALTHSTREAM, INC.
CONDENSED CONSOLIDATED STATEMENT OF SHAREHOLDERS' EQUITY (UNAUDITED)


<TABLE>
<CAPTION>
ACCUMULATED
OTHER TOTAL
COMMON STOCK ACCUMULATED COMPREHENSIVE SHAREHOLDERS
SHARES AMOUNT DEFICIT INCOME EQUITY
----------- ------------ ------------ -------- ------------
<S> <C> <C> <C> <C> <C>
Balance at December 31, 2000 ............... 21,242,312 $ 91,221,775 $(29,235,137) $ 30,556 $ 62,017,194
----------- ------------ ------------ -------- ------------
Net loss ................................... -- -- (9,589,291) -- (9,589,291)

Unrealized gain on investment, net of
reclassification adjustment and tax .. -- -- -- 213,739 213,739
-------- ------------
Comprehensive loss ......................... -- -- -- -- (9,375,552)
------------
Issuance of common stock in acquisitions ... 181,250 300,186 -- -- 300,186

Issuance of common stock to Employee Stock
Purchase Plan ........................... 53,606 56,956 -- -- 56,956

Repurchase of shares in connection with
WebMD renegotiation .................. (1,111,111) (1,981,444) -- -- (1,981,444)

Valuation of WebMD repurchase right ........ -- 120,000 -- -- 120,000

Issuance of stock options to advisory boards -- 57,319 -- -- 57,319

Recognition of warrant expense ............. -- 940,855 -- -- 940,855
----------- ------------ ------------ -------- ------------
Balance at June 30, 2001 ................... 20,366,057 $ 90,715,647 $(38,824,428) $244,295 $ 52,135,514
=========== ============ ============ ======== ============
</TABLE>




4
7

HEALTHSTREAM, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)

<TABLE>
<CAPTION>
SIX MONTHS ENDED JUNE 30,
2000 2001
------------ ------------
<S> <C> <C>
OPERATING ACTIVITIES:
Net loss ............................................................ $ (9,060,587) $ (9,589,291)
Adjustments to reconcile net loss to net cash used in
operating activities:
Depreciation .................................................. 309,171 805,162
Amortization .................................................. 2,266,863 3,753,000
Gain on WebMD renegotiation ................................... -- (1,500,000)
Office consolidation charge ................................... -- 400,678
Noncash warrant expense ....................................... 330,095 940,855
Amortization of content fees .................................. -- 216,237
Amortization of fixed royalties ............................... -- 127,692
Noncash compensation expense .................................. 45,900 35,250
Issuance of stock options to advisory boards .................. -- 57,319
Loss on write off of investment ............................... -- 99,920
Gain on sale of investment .................................... (94,438) --
Changes in operating assets and liabilities, excluding
effects of acquisitions:
Restricted cash ............................................ -- 401,912
Interest receivable ........................................ -- 52,731
Accounts receivable ........................................ (822,358) (189,472)
Accounts receivable - unbilled ............................. (326,609) (289,645)
Prepaid development fees ................................... -- (664,615)
Other prepaid expenses and other current assets ............ (786,243) (678,639)
Other assets ............................................... 131,733 (304,742)
Accounts payable ........................................... 387,753 (94,520)
Accrued royalties and other liabilities .................... 240,187 (220,120)
Registration liabilities ................................... -- (401,912)
Deferred revenue ........................................... (427,501) (282,153)
------------ ------------
Net cash used in operating activities .................... (7,806,034) (7,324,353)

INVESTING ACTIVITIES:
Acquisition of companies, net of cash acquired ...................... (1,481,807) (328,988)
Proceeds from sale of investment .................................... 122,271 --
Issuance of note receivable ......................................... -- (215,000)
Purchase of property and equipment .................................. (1,318,360) (633,022)
------------ ------------
Net cash used in investing activities .................... (2,677,896) (1,177,010)
</TABLE>





5
8
HEALTHSTREAM, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED), CONTINUED

<TABLE>
<CAPTION>
SIX MONTHS ENDED JUNE 30,
2000 2001
------------ ------------
<S> <C> <C>
FINANCING ACTIVITIES:
Repurchase of common stock from WebMD ............................... -- (1,981,444)
Proceeds from issuance of common stock, net of underwriting discount 54,151,750 --
Expenses of issuing common stock .................................... (1,977,629) --
Repayment of note payable ........................................... (1,180,000) --
Issuance of common stock to Employee Stock Purchase Plan ............ -- 56,956
Proceeds from exercise of stock options ............................. 356,866 --
Payments on notes payable - related party ........................... (82,559) --
Repurchase of common stock in connection with initial public offering (14,213) --
Payment on notes payable ............................................ (50,000) --
Payments on capital lease obligations ............................... (95,826) (190,041)
------------ ------------
Net cash provided by (used in) financing activities ...... 51,108,389 (2,114,529)
------------ ------------
Net increase (decrease) in cash and cash equivalents ................ 40,624,459 (10,615,892)
Cash and cash equivalents at beginning of period .................... 13,632,144 19,830,572
------------ ------------
Cash and cash equivalents at end of period .......................... $ 54,256,603 $ 9,214,680
============ ============
Total cash, restricted cash, investments and accrued interest
at end of period ................................................. $ 54,256,603 $ 31,245,522
============ ============
SUPPLEMENTAL CASH FLOW INFORMATION:
Interest paid ....................................................... $ 95,576 $ 14,113
============ ============
Capital lease obligations incurred .................................. $ 325,050 $ --
============ ============
Preferred stock converted into common stock ......................... $ 19,172,060 $ --
============ ============
Notes payable - related parties converted into common stock ......... $ 1,293,000 $ --
============ ============
Effects of acquisitions:
Estimated fair value of assets acquired .................... $ 1,196,740 $ 5,000
Purchase price in excess of net assets acquired ............ 13,920,389 1,036,491
Estimated fair value of liabilities assumed ................ (3,427,806) (412,317)
Stock issued ............................................... (10,090,200) (300,186)
------------ ------------
Cash paid .................................................. 1,599,123 328,988
Less cash acquired ......................................... (117,316) --
------------ ------------
Net cash paid for acquisitions ............................. $ 1,481,807 $ 328,988
============ ============
</TABLE>

See accompanying notes.




6
9

HEALTHSTREAM, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

1. BASIS OF PRESENTATION

The accompanying unaudited condensed consolidated financial statements
have been prepared in accordance with accounting principles generally accepted
in the United States for interim financial information and with the instructions
to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include
all of the information and footnotes required by generally accepted accounting
principles for complete financial statements. In the opinion of management, all
adjustments (consisting of normal recurring accruals) considered necessary for a
fair presentation have been included. All significant inter-company transactions
have been eliminated in consolidation. Operating results for the three and six
months ended June 30, 2001 are not necessarily indicative of the results that
may be expected for the year ending December 31, 2001.

The balance sheet at December 31, 2000 has been derived from the
audited financial statements at that date but does not include all of the
information and footnotes required by accounting principles generally accepted
in the United States for complete financial statements. For further information,
refer to the financial statements and footnotes thereto for the year ended
December 31, 2000 (included in the Company's Annual Report on Form 10-K, filed
with the Securities and Exchange Commission).

During the second quarter of 2000, the Company began recognizing
revenues under a services agreement with HCA Information Technology & Services,
Inc. formerly known as Columbia Information Systems, an affiliate of HCA Inc.
formerly known as HCA - The Healthcare Company (collectively referred to herein
as "HCA"). The Company granted HCA a warrant to purchase HealthStream, Inc.
common stock. The accompanying Condensed Consolidated Statements of Operations
reflect revenues related to the services provided, net of the amortization of
the fair value of the related warrant as a reduction of the revenues
proportionately over the term of the four-year agreement. The amortization will
fluctuate based on the revenues received from this agreement and will vary as a
percentage of revenues based on the estimated revenues over the course of the
agreement.

2. MERGERS AND ACQUISITIONS

m3 the Healthcare Learning Company. On January 28, 2000, the Company acquired
substantially all of the assets and liabilities of Multimedia Marketing, Inc.
d/b/a m3 the Healthcare Learning Company ("m3") for $0.6 million in cash and
818,037 shares of the Company's common stock. m3 provided interactive,
multimedia education and training solutions to hospitals and other healthcare
organizations. A portion of the shares was held in an escrow account for one
year, subject to claims for indemnification pursuant to the agreement and plan
of merger. In connection with the acquisition, the Company assumed $1.2 million
of long-term debt, which was repaid with the proceeds of the Company's initial
public offering. The acquisition was accounted for as a purchase. Intangible
assets acquired consisted of goodwill and customer lists of $8.4 million and
$1.0 million, respectively, and are being amortized on a straight-line basis
over three years.

EMINet, Inc. On January 28, 2000, the Company acquired substantially all of the
assets of Emergency Medicine Internetwork, Inc. d/b/a EMINet ("EMINet") for $0.6
million in cash and 269,902 shares of the Company's common stock. A portion of
the shares are held in escrow, subject to claims for indemnification pursuant to
the asset purchase agreement. In addition, the Company issued 2,170 additional
shares of common stock based on achievement of revenue goals subsequent to the
acquisition. EMINet sold approved online medical education content to emergency
medical services personnel. The acquisition was accounted for as a purchase.
Intangible assets acquired consisted of goodwill and customer lists of $2.8
million and $0.5 million, respectively, and are being amortized on a
straight-line basis over three years.




7
10

HEALTHSTREAM, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

Education Design, Inc. On July 1, 2000, the Company acquired substantially all
of the assets of Education Design, Inc. ("EDI") for $3.0 million in cash and
184,421 shares of the Company's common stock. Three-quarters of the shares were
held in an escrow account for one year, subject to any claims for
indemnification pursuant to the asset purchase agreement. In addition,
approximately $300,000 of cash and 31,711 shares of the Company's common stock
were provided to the employees of EDI, subject to certain restricted stock award
agreements. EDI provided services for live educational events that are supported
by the medical device industry. The acquisition was accounted for as a purchase.
Intangible assets acquired consisted of goodwill, content, customer lists, and a
non-competition agreement of $1.9 million, $1.5 million, $0.3 million, and $0.1
million, respectively, and are being amortized on a straight-line basis over
five years, five years, three years and one year, respectively.

SynQuest Technologies, Inc. On September 18, 2000, the Company acquired
substantially all of the assets of SynQuest Technologies, Inc. ("SynQuest") for
787,087 shares of the Company's common stock and assumption of certain debt and
other liabilities, $2.3 million of which were repaid in connection with the
purchase transaction. Approximately two-thirds of the shares will be held in an
escrow account subject to any claims or are subject to certain stock vesting
agreements. SynQuest provided online training and education to hospitals and
healthcare organizations. The acquisition was accounted for as a purchase.
Intangible assets acquired consisted of goodwill, content, and customer lists of
$2.1 million, $2.0 million, $0.5 million, respectively, and are being amortized
on a straight-line basis over five years, three years, and three years,
respectively. The allocation of purchase price is preliminary and may be subject
to change as a result of changes in estimates related to the acquired business.

de'MEDICI Systems. On January 26, 2001, the Company acquired substantially all
of the assets of de'MEDICI Systems ("de'MEDICI"), a business unit of Lippincott
Williams & Wilkins, Inc., for approximately $360,000 in cash and 181,250 shares
of the Company's common stock. de'MEDICI provided computer based education and
training to over 230 hospitals and healthcare organizations. The acquisition was
accounted for as a purchase. Intangible assets acquired consisted of goodwill,
customer lists and trade name of $0.6 million, $0.3 million and $0.1 million,
respectively, and are being amortized on a straight-line basis over five years,
three years, and three years, respectively. The allocation of purchase price is
preliminary and may be subject to change as a result of changes in estimates
related to the acquired business.

The following unaudited pro forma results of operations give effect to
the operations of the acquired companies as if the respective acquisitions had
occurred on the first day of 2000. The pro forma results of operations do not
purport to represent what the Company's results of operations would have been
had such transactions in fact occurred at the beginning of the period presented
or to project the Company's results of operations in any future period.

<TABLE>
<CAPTION>
SIX MONTHS
ENDED
JUNE 30,
2000
-------------
<S> <C>
Revenues............................................... $ 7,156,000
Net loss............................................... $ (11,372,000)
Net loss per share:
Basic............................................. $ (0.92)
Diluted........................................... $ (0.92)
</TABLE>

Since the pro forma impact of the de'MEDICI acquisition is not material
to the results presented for 2001, no pro forma disclosures are presented. In
accordance with SFAS 128, escrowed shares and any shares subject to restrictions
or vesting are excluded from the weighted average shares outstanding for
purposes of calculating net loss per share since such shares are anti-dilutive.




8
11

HEALTHSTREAM, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

3. NET LOSS PER SHARE

Basic net loss per share is computed by dividing the net loss available
to common shareholders for the period by the weighted-average number of common
shares outstanding during the period. Diluted loss per share is computed by
dividing the net loss for the period by the weighted average number of common
and dilutive potential common shares outstanding during the period. Potential
common shares, composed of incremental common shares issuable upon the exercise
of stock options and warrants, escrowed or restricted shares, and common shares
issuable on assumed conversion of series A, B, and C convertible preferred stock
(prior to the IPO), are included in diluted net loss per share only when these
shares are dilutive. The total number of shares excluded from the calculations
of dilutive loss per share was approximately 5,600,000 at June 30, 2000 and
approximately 5,800,000 at June 30, 2001.

4. INITIAL PUBLIC OFFERING

On April 14, 2000, the Company completed its initial public offering
("IPO") of 5,275,000 shares of its common stock for net proceeds of $42.2
million. On April 14, 2000, the Company completed a private placement of
1,111,111 shares of its common stock to WebMD, formerly Healtheon/WebMD
Corporation ("WebMD"), for net proceeds of $10.0 million. Upon consummation of
the IPO, all series A, B, and C convertible preferred stock converted by its
terms into 7,131,153 shares of our common stock. In addition, a $1,293,000
promissory note payable to Robert A. Frist, Jr., the Company's chief executive
officer and chairman, also converted into 553,711 shares of common stock. Prior
to the IPO, the Company effected a 1.85 for one common stock split. All share
and per share information has been restated to reflect the stock split.

During May 2000, the Company repaid the long-term note payable assumed
in connection with the acquisition of m3 using a portion of the proceeds of the
IPO.

5. RELATIONSHIP WITH WEBMD

In February 2000, we entered into an agreement with WebMD which
provided for us to be the exclusive provider of education, continuing education
and training services for healthcare organizations, healthcare professionals and
healthcare workers on Web sites owned or operated by WebMD. The agreement
provided for payments to WebMD of $6.0 million per year for five years on a
quarterly basis as guaranteed minimum royalties. In the first year, $2.0 million
of the $6.0 million payment was to be applied toward mutually agreed upon
branding and promotion services. Under the agreement, we were to receive 100% of
any revenues from the sale of our products and services until we recovered all
payments to WebMD, after which we would receive 75% and WebMD would receive 25%
of any revenues.

On January 5, 2001, the Company terminated its prior agreement with
WebMD and entered into a new business arrangement. Under the new, non-exclusive
three-year agreement, the Company is a preferred provider of continuing medical
education, continuing education and board preparation courses for WebMD's
professional portal. Under this new arrangement, financial consideration is
based entirely on revenues generated from the sale of HealthStream's services to
WebMD's professional portal customers.

The arrangement also terminated the lock-up agreement related to 1.1
million shares of HealthStream common stock that WebMD purchased in a private
offering just prior to the Company's IPO. In connection with this termination,
HealthStream gave WebMD the right to sell the shares back to HealthStream at any
time through March 30, 2001. On February 8, 2001, WebMD exercised its right to
sell the 1.1 million shares of HealthStream common stock back to the Company at
$1.7833 per share. The Company reacquired the shares on February 16, 2001. In
connection with the termination of the prior WebMD agreement, HealthStream
recognized a gain of $1.5 million, representing the reversal of the scheduled
$1.5 million fixed payment that was accrued during the quarter ended September
30, 2000.




9
12

HEALTHSTREAM, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

6. OFFICE CONSOLIDATION CHARGE

During the quarter ended June 30, 2001, the Company recorded a non
recurring office consolidation charge of $400,678 as a result of closure of its
Dallas and Boston offices. The charge consisted of lease obligations of
approximately $245,000 and impairment of certain fixed assets of approximately
$155,000.

7. RECENT ACCOUNTING PRONOUNCEMENTS

In June 2001, the Financial Accounting Standards Board issued
Statements of Financial Accounting Standards No. 141, Business Combinations, and
No. 142, Goodwill and Other Intangible Assets, effective for fiscal years
beginning after December 15, 2001. Under the new rules, goodwill and intangible
assets deemed to have indefinite lives will no longer be amortized but will be
subject to annual impairment tests in accordance with the Statements. Other
intangible assets will continue to be amortized over their useful lives.

The Company will apply the new rules on accounting for goodwill and
other intangible assets beginning in the first quarter of 2002. While the
Company has not completed its assessment of the impact of these Statements,
application of the non amortization provisions of the Statement would result in
an decrease in net loss of approximately $7.5 million, ($0.38 per share) per
year. This estimate is based on the Company's current level of amortization
expense for all intangibles and the current weighted average shares outstanding.
During 2002, the Company will perform the first of the required impairment tests
of goodwill and indefinite lived intangible assets as of January 1, 2002. The
Company has not yet determined what the effect of these tests will be on the
earnings and financial position of the Company.

8. CONTINGENCIES

On November 17, 2000, a complaint was filed by Challenger Corporation
in the Circuit Court of Tennessee for the Thirtieth Judicial District at Memphis
against HealthStream, SynQuest Technologies, Inc. and two individual
shareholders of SynQuest Technologies. The complaint asserts that HealthStream
violated the terms of a licensing agreement entered into between HealthStream
and the plaintiff and that HealthStream allegedly failed to pay royalties due to
the plaintiff pursuant to the terms of that agreement. The plaintiff also
alleges that HealthStream induced SynQuest Technologies to breach a marketing
agreement allegedly entered into between SynQuest and the plaintiff.
Alternatively, the plaintiff alleges that HealthStream, which purchased certain
assets of SynQuest, is liable for SynQuest's alleged breach of the marketing
agreement pursuant to the legal theory of successor liability. The aggregate
damages alleged total approximately $9.0 million. We believe the allegations in
the complaint are without merit, intend to defend the litigation vigorously and
do not believe this litigation will have a material adverse effect on our
financial condition or results of operations.




10
13

ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS

SPECIAL CAUTIONARY NOTICE REGARDING FORWARD-LOOKING STATEMENTS

This Quarterly Report includes various forward-looking statements that
are subject to risks and uncertainties. Forward-looking statements include
without limitation, statements preceded by, followed by, or that otherwise
include the words "believes," "expects," "anticipates," "intends," "estimates"
or similar expressions. For those statements, HealthStream, Inc. claims the
protection of the safe harbor for forward-looking statements contained in the
Private Securities Litigation Reform Act of 1995.

The following important factors, in addition to those discussed
elsewhere in this Quarterly Report, could affect the future financial results of
the Company and could cause actual results to differ materially from those
expressed in forward-looking statements contained in this document:

- our limited operating history;

- variability and length of our sales cycle and our product mix;

- our history of losses and expectations of continued losses;

- our ability to manage rapid growth;

- successful implementation of the Company's operating and
growth strategy;

- our ability to identify, complete and integrate the operations
or realize the anticipated results of acquisitions;

- fluctuations in quarterly operating results caused by a
variety of factors including the timing of sales and
development contracts as well as the adoption of the Internet
as a tool for online training and continuing education in the
healthcare industry;

- successful establishment and maintenance of new and existing
relationships with content partners; and

- global and/or regional economic factors and potential changes
in laws and regulations, including, without limitation,
changes in federal, state and international laws regulating
education, training and Internet transactions.

For additional information concerning risks and uncertainties that may
affect the Company's results of operations, please see the risks outlined under
the heading "Risk Factors" in the Company's Annual Report on Form 10-K filed
with the Securities and Exchange Commission.

OVERVIEW

HealthStream was originally incorporated in 1990 and initiated online
operations in March 1999. The Company has evolved from a multimedia content
development service provider to a facilitator of computer based training
capabilities targeted at the healthcare industry. Revenues are derived from the
following categories: provision of services through our application service
provider ("ASP") products, content subscriptions, licenses of installed learning
management systems, maintenance and technical support services, content and
courseware development, sponsorship services, sales of CD-ROM products, Web cast
events, event development and registration services, Web site development,
online products and training services. Our products and services are targeted at
healthcare organizations and pharmaceutical and medical device companies.



11
14

ASP-based products and services, including content subscriptions, are
provided on a monthly subscription fee basis based on the number of people
within a facility and the content offerings. Revenue derived from our ASP-based
products are recognized ratably over the term of the service agreement. The
Company also offers training services for ASP users to facilitate integration of
this technology. Fees for training are based on the time and efforts of the
personnel involved. Revenue for transaction-based online course sales is
recognized when the course is delivered. Revenues provided under a service
agreement that included the grant of a warrant to HCA are recognized as services
are rendered, net of the amortization of the fair value of the related warrant
as a reduction of the revenues proportionately over the term of the four-year
agreement. Revenue recognition policies for ASP-based products and services vary
significantly from our installed products.

Revenues from installed learning management system fees are recognized
upon shipment or installation of the software. Revenues related to installed
learning management systems may be subject to fluctuations because purchases of
these licenses typically are included in customers' capital expenditure budgets.
Charges for services such as training, maintenance and technical support are
either based on a fixed fee, estimated usage or actual time incurred.
Maintenance and technical support revenues are recognized over the term of the
service period. Sponsorship revenue is recognized ratably over the term unless
usage exceeds the ratable portion. Revenues derived from the sale of products
requiring significant modification, conversion or customization are recorded
based on the percentage of completion method using labor hours. Multimedia
development revenues are recognized based on the percentage of a project that is
completed, while revenues for live event development services are recognized
based on the percentage of completion method using labor hours. Event
registration services are recognized upon completion of the related event. All
other service revenues are recognized as the related services are performed or
products are delivered.

Historically, we have marketed our training and education delivery system
directly or licensed it to resellers to re-brand and distribute under their
private label. Our primary reseller relationship was with Lippincott Williams &
Wilkins, Inc. ("LWW"), a leading medical sciences publisher. LWW's business
unit, de'MEDICI Systems, combined its line of training content mandated by the
Occupational Safety and Hazards Administration ("OSHA") and the Joint Commission
on the Accreditation of Healthcare Organizations ("JCAHO") with our installed
learning management systems and their sales force sold the resulting solution
directly into healthcare organizations. In January 2001, we purchased de'MEDICI
Systems from LWW and acquired the existing base of more than 230 customers.

We expect to continue to generate revenues by marketing our products and
services to healthcare workers through healthcare organizations. We expect that
the portion of our revenues related to our ASP-based products and services will
increase. Specifically, we will seek to generate revenues from healthcare
workers by marketing to their employers or sponsoring organizations.

An integral part of the Company's strategy is to acquire companies that
complement our products and services. Because of the financial impact of the
Company's recent acquisitions, the period-to-period comparisons of our financial
results are not necessarily meaningful.

We have acquired the following companies since January 1, 2000:

- m3 the Healthcare Learning Company, which provided
computer-based training to over 450 hospitals and healthcare
facilities, primarily in the areas of OSHA and JCAHO regulatory
training, for $600,000 in cash, the assumption of $1.2 million
in long-term debt and 818,036 shares of our common stock;

- EMINet, which provided Web-based educational content for
emergency medical services personnel, for $640,000 in cash and
272,072 shares of our common stock;

- Education Design Inc., which provided services for live
educational events that are supported by the medical device
industry, for $3.0 million in cash and 184,421 shares of the
Company's common stock. In addition, approximately $300,000 of
cash and 31,711 shares of the Company's common stock were
provided to the employees of EDI, subject to certain restricted
stock award agreements.



12
15

- SynQuest Technologies, Inc., which provided online training and
education to hospitals and healthcare organizations, for
787,087 shares of the Company's common stock and the assumption
of certain debt and other liabilities, $2.3 million of which
were repaid in connection with the purchase transaction.

- de'MEDICI Systems, which provided computer based education and
training to over 230 hospitals and healthcare organizations,
for approximately $360,000 and 181,250 shares of the Company's
common stock.

In February 2000, we entered into a four-year agreement with HCA
pursuant to which we provide online training and education, courseware
development and administrative management and consulting services to HCA and its
affiliated and managed healthcare providers. Under this agreement, the Company
is billing a minimum of $12 million for the aforementioned services over the
four year term, with the minimum in the first year approximating $2.0 million.

In February 2000, we entered into an agreement with WebMD which
provided for us to be the exclusive provider of education, continuing education
and training services for healthcare organizations, healthcare professionals and
healthcare workers on Web sites owned or operated by WebMD. The agreement
provided for payments to WebMD of $6.0 million per year for five years on a
quarterly basis as guaranteed minimum royalties. In the first year, $2.0 million
of the $6.0 million payment was to be applied toward mutually agreed upon
branding and promotion services. Under the agreement, we were to receive 100% of
any revenues from the sale of our products and services until we recovered all
payments to WebMD, after which we would receive 75% and WebMD would receive 25%
of any revenues. WebMD purchased $10.0 million of our common stock at the
initial public offering price in a private sale.

On January 5, 2001, the Company terminated its prior agreement with
WebMD and entered into a new business arrangement. Under the new, non-exclusive
three-year agreement, the Company is a preferred provider of continuing medical
education, continuing education and board preparation courses for WebMD's
professional portal. Under this new arrangement, financial consideration is
based entirely on revenues generated from the sale of HealthStream's services to
WebMD's professional portal customers. The arrangement also terminated the
lock-up agreement related to 1.1 million shares of HealthStream common stock
that WebMD purchased in a private offering just prior to the Company's IPO. In
connection with this termination, HealthStream gave WebMD the right to sell the
shares back to HealthStream at any time through March 30, 2001. On February 8,
2001, WebMD exercised its right to sell the 1.1 million shares of HealthStream
common stock back to the Company at $1.7833 per share. The Company reacquired
the shares on February 16, 2001. In connection with the termination of the prior
WebMD agreement, HealthStream recognized a gain of $1.5 million representing the
reversal of the scheduled $1.5 million fixed payment, which was accrued during
the quarter ended September 30, 2000.

To date, we have incurred substantial costs to develop our
technologies, create, license and acquire our content, build brand awareness,
develop our infrastructure and expand our business, and have yet to achieve
significant revenues. As a result, we have incurred operating losses in each
fiscal quarter since 1994. We expect operating losses and negative cash flow to
continue for the foreseeable future as we plan to increase our operating
expenses to help expand our business. These costs could have a material adverse
effect on our future financial condition or operating results. We believe that
period-to-period comparisons of our financial results are not necessarily
meaningful, and should not be relied upon as an indication of our future
performance.




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16

RESULTS OF OPERATIONS

REVENUES AND EXPENSE COMPONENTS

The following descriptions of the components of revenues and expenses apply to
the comparison of results of operations.

Revenues. Revenues consist of the provision of services through our ASP-based
products, the licensing of the Company's installed learning management systems,
maintenance and support services, content subscriptions, content and courseware
development, Web cast events, event development and registration services,
sponsorship services, Web site development, professional and technical
consulting services, online products, sale of CD-ROMs and training services.

Cost of Revenues. Cost of revenues consists primarily of salaries and employee
benefits, materials, and depreciation associated with event development and
registration services, ASP-based products, and development of interactive media
projects as well as royalties paid to content providers and distribution
partners based on a percentage of revenues.

Product Development. Product development expenses consist primarily of salaries
and employee benefits, depreciation, third-party content acquisition costs,
costs associated with the development of content and expenditures associated
with maintaining and operating our Web sites and training delivery and
administration platforms.

Office Consolidation Charge. The Company recorded a non recurring office
consolidation charge as a result of closure of its Dallas and Boston offices.
The charge consisted of lease obligations and impairment of certain fixed
assets.

Selling, General and Administrative. General and administrative expenses consist
primarily of salaries and employee benefits, facility costs, depreciation,
amortization of intangibles, fees for professional services and royalties paid
to content providers that are of a fixed nature. Sales and marketing expenses
consist primarily of salaries and employee benefits, bonuses, advertising,
promotions and related marketing costs.

Other Income/Expense. The primary component of other expense is interest expense
related to debt, loans from related parties and capital leases. The primary
component of other income is interest income related to interest earned on cash,
cash equivalents and investments.

THREE MONTHS ENDED JUNE 30, 2000 COMPARED TO THREE MONTHS ENDED JUNE 30, 2001

Revenues. Revenues increased $1.3 million, from $2.2 million in 2000 to
$3.5 million in 2001, due to revenues attributable to acquired businesses and
organic growth. Of the increase, $1.0 million is attributable to event
development and registration services associated with the EDI acquisition, while
the remaining increase related to organic growth associated with our ASP-based
products and Web cast events. During the second quarter of 2000, approximately
60% of revenues related to services to healthcare organizations and 40% related
to services to pharmaceutical and medical device companies, including revenues
from the Web distribution network. During 2001, revenues were split almost
evenly between services to healthcare organizations and services to
pharmaceutical and medical device companies, including revenues from the Web
distribution network.

Cost of Revenues. Cost of revenues increased $0.1 million, from $1.0
million in 2000 to $1.1 million in 2001. While cost of revenues did not
significantly increase, the components changed from 2000 to 2001. During the
first half of 2001, cost of revenues included costs associated with event
development and registration services and related personnel, Web cast event
personnel, ASP implementation and other personnel. During 2000, cost of revenues
included more development, installation and training personnel. Cost of
revenues, as a percentage of revenues, decreased from approximately 47% in 2000
to approximately 32% in 2001, primarily as a result of increased revenues
related to our ASP-based products and services.




14
17

Product Development. Product development expenses increased $0.1
million, from $1.2 million in 2000 to $1.3 million in 2001. The slight increase
in product development expenses related to increased personnel costs. Product
development as a percentage of revenues decreased from approximately 56% in 2000
to 36% in 2001 as a result of increased growth in revenues from ASP-based
products and reduced development focus on our client server products.

Office Consolidation Charge. During the quarter ended June 30, 2001,
the Company recorded a non recurring office consolidation charge of $0.4 million
as a result of closure of its Dallas and Boston offices. The charge consisted of
lease obligations of approximately $0.2 million and impairment of certain fixed
assets of approximately $0.2 million.

Selling, General and Administrative. Selling, general and
administrative expenses increased $0.4 million, from $5.9 million in 2000 to
$6.3 million in 2001. General and administrative expenses decreased from $2.9
million in 2000 to $2.3 million in 2001. Sales and marketing expenses, including
personnel costs, increased $0.1 million, from $1.5 million in 2000 and $1.6
million in 2001. Depreciation and amortization expenses increased $0.9 million
from approximately $1.5 million in 2000 to $2.4 million in 2001. As a percentage
of revenues, selling, general and administrative expenses decreased from
approximately 269% in 2000 to approximately 179% in 2001.

General and administrative expenses decreased by $0.6 million due to a
decline in royalties to WebMD. As a result of the renegotiation of the WebMD
agreement during the first quarter of 2001, $1.5 million of royalties paid
during the second quarter of 2000 were not repeated in 2001. This decrease in
royalties was offset by increases in personnel and related facilities and travel
associated with the acquisitions that occurred during the second half of 2000.

Sales and marketing expenses were comparable between 2000 and 2001,
however the components of this spending changed. During 2000, the Company
incurred expenses for direct marketing campaigns and brand advertising
campaigns. During 2001, the Company's sales and marketing spending were
primarily related to sales and marketing personnel and relationship specific
campaigns.

Depreciation and amortization increased by $0.9 million due to the
amortization of intangibles including goodwill, non-competition agreements and
customer lists related to the acquisitions noted above. In addition,
depreciation increased as a result of acquired fixed assets and additions
related to additional personnel. Other Income/Expense. Other income and expense
decreased $0.1 million, from approximately $0.5 million in 2000 to $0.4 million
in 2001 due to decreased interest income, which resulted from lower cash and
investment balances in 2001 when compared to 2000.

Net Loss. Net loss decreased $0.4 million from $5.6 million in 2000 to
$5.2 million in 2001 due to the factors described above.

SIX MONTHS ENDED JUNE 30, 2000 COMPARED TO SIX MONTHS ENDED JUNE 30, 2001

Revenues. Revenues increased $3.0 million, from $3.6 million in 2000 to
$6.6 million in 2001, due to revenues attributable to acquired businesses and
organic growth. Of the increase, approximately $1.7 million related to the event
development and registration business acquired in July 2000 from EDI, while the
remaining net increase is primarily attributable to increased organic revenues
from both our ASP-based products and Web cast events. During the first half of
2000, approximately 55% of revenues related to services to healthcare
organizations and 45% related to services to pharmaceutical and medical device
companies, including revenues from the Web distribution network. Revenues for
2001 were split almost evenly between services to healthcare organizations and
services to pharmaceutical and medical device companies, including revenues from
the Web distribution network.




15
18

Cost of Revenues. Cost of revenues increased $0.8 million, from $1.8
million in 2000 to $2.6 million in 2001. Of the increase, $0.6 million is
primarily attributable to personnel costs associated with event development and
registration services. The remainder of the increase is associated with
additional personnel associated with our ASP-based products and services. Cost
of revenues, as a percentage of revenues, decreased from approximately 49% in
2000 to 40% in 2001, primarily as a result of increased revenues related to our
ASP-based products and services.

Product Development. Product development expenses increased $0.1
million, from $2.4 million in 2000 to $2.5 million in 2001. The slight increase
in product development expenses related to increased personnel costs. Product
development as a percentage of revenues decreased from approximately 67% in 2000
to 38% in 2001 as a result of increased growth in revenues from ASP-based
products and reduced development focus on our client server products.

Office Consolidation Charge. During the six months ended June 30, 2001,
the Company recorded a non recurring office consolidation charge of $0.4 million
as a result of closure of its Dallas and Boston offices. The charge consisted of
lease obligations of approximately $0.2 million and impairment of certain fixed
assets of approximately $0.2 million.

Selling, General and Administrative. Selling, general and
administrative expenses increased $2.5 million, from $9.1 million in 2000 to
$11.6 million in 2001. General and administrative expenses were $3.9 million in
both 2000 and 2001. Sales and marketing expenses, including personnel costs,
increased from $2.6 million in 2000 to $2.9 million in 2001. Depreciation and
amortization expenses increased from $2.6 million in 2000 to $4.8 million in
2001. As a percentage of revenues, selling, general and administrative expenses
decreased from approximately 250% in 2000 to 177% in 2001.

General and administrative expenses were comparable between years,
however the components of this category changed. When compared to 2000, content
and royalty expenses declined approximately $0.9 million as a result of the
renegotiation of the WebMD agreement during the first quarter of 2001. This
decrease was offset by increases in personnel and facility costs related to the
EDI and SynQuest acquisitions and increases in severance expenses related to
consolidation of duplicative functions.

Sales and marketing expenses increased $0.3 million to $2.9 million
primarily as a result of sales personnel added in connection with the SynQuest
acquisition. This increase was partially offset by a decline in spending on
direct marketing and advertising campaigns.

Depreciation and amortization increased by $2.2 million due to
increases in amortization and depreciation associated with the 2000 and 2001
acquisitions.

Other Income/Expense. Other income and expense increased $0.4 million,
from approximately $0.6 million in 2000 to $1.0 million in 2001 related to
increased interest income which resulted from the investment of the proceeds of
the Company's IPO during the second quarter of 2000. This increase in interest
income was offset by a loss of approximately $100,000 related to the write off
of an investment. In addition, interest expense decreased approximately $100,000
related to the conversion of related party notes and repayment of debt in
connection with the Company's IPO.

Net Loss. Net loss increased $0.5 million from $9.1 million in 2000 to
$9.6 million in 2001 due to the factors described above.

LIQUIDITY AND CAPITAL RESOURCES

Since our inception, we have financed our operations largely through
the public and private placements of equity securities, loans from related
parties and, to a lesser extent, from revenues generated from custom development
fees and product sales. In April 2000 we completed an initial public offering of
common stock resulting in net proceeds of $42.2 million and a concurrent private
placement of common stock to WebMD resulting in net proceeds of $10.0 million.




16
19

Net cash used in operating activities was $7.8 million in the first six
months of 2000 and $7.3 million in the first six months of 2001. Cash used in
operating activities during the six months ended June 30, 2000, which excludes
the effects of acquisitions, was attributable to a $9.1 million net operating
loss and increases in accounts and unbilled receivables, prepaid and other
current assets, and decreases in deferred revenue which were partially offset by
increases in depreciation, amortization and non cash warrant amortization, as
well as increases in accounts payable and accrued liabilities. Cash used in
operating activities during the six months ended June 30, 2001 related to the
$9.6 million net loss, the non-cash gain on the WebMD renegotiation, increases
in accounts and unbilled receivables, prepaid development, prepaid expenses and
other current assets, other assets, decreases in accrued liabilities,
registration liabilities and deferred revenue. These operating uses of cash were
offset by non cash warrant expense, the office consolidation charge, increases
in depreciation and amortization as well as a decline in restricted cash.

Net cash used in investing activities was $2.7 million in the first six
months of 2000 and $1.2 million in the first six months of 2001. Cash used in
investing activities during the first six months of 2000 related primarily to
the m3 and EMINet acquisitions totaled $1.5 million and cash paid for the
purchase of property and equipment totaled $1.3 million. In the first six months
of 2000, these outflows were partially offset by the receipt of $0.1 million
from the sale of investments by the Company. During the first six months of
2001, cash outflows related to $0.3 million for the purchase of de'MEDICI
Systems, $0.2 million from the issuance of a note receivable and the $0.6
million for the purchase of property and equipment.

Cash provided by financing activities was $51.1 million in the first
six months of 2000 while $2.1 million was used in financing activities in the
first six months of 2001. During the first six months of 2000, cash provided by
financing activities related to $54.2 million received from the sale of common
stock and $0.4 million received in connection with the exercise of stock
options, which was partially offset by $2.0 million of expenses related to the
common stock offering and $1.4 million of repayments of debt and capital leases.
Cash used in financing activities during the first six months of 2001 related
primarily to $2.0 million related to the repurchase of common stock from WebMD.

In connection with our agreement with HCA, HCA is paying us revenues of
at least $12.0 million over the four-year term of the agreement. As discussed
above, the Company expects to amortize the estimated fair value of the warrant
($8.8 million) as a reduction of revenues proportionately over the term of this
agreement. This amortization will fluctuate based on the revenues received from
this agreement and will vary as a percentage of revenues based on the estimated
revenues over the course of the agreement.

We also expect to incur additional product development costs, some of
which will be capitalized, and sales and marketing costs to grow our business.
As a result of the anticipated growth in personnel, development and online
transactions, we expect that our capital expenditures will be approximately $2.0
million during the remainder of 2001.

Our arrangements with content, development and distribution partners
have typically provided for payments based on revenues, and we expect to
continue similar arrangements in the future. In addition to such percentage
payments, we have fixed payment commitments of approximately $200,000 during the
remainder of 2001. We also have fixed educational grant commitments of
approximately $70,000 during the remainder of 2001 and approximately $70,000
during 2002. We have variable commitments of approximately $250,000 related to
agreements under which other organizations have agreed to provide content
development services for us. Payments under these development arrangements are
contingent upon the delivery of services.

As of June 30, 2001, our primary source of liquidity was $31.2 million
of cash and cash equivalents, restricted cash, investments and related interest
receivable. As of July 31, 2001, the Company had cash, restricted cash,
investments and related interest receivable of $30.1 million. We believe that
our existing cash, restricted cash, investments and interest receivable will be
sufficient to meet anticipated cash needs for working capital, capital
expenditures and acquisitions for at least the next 12 months. Our growth
strategy may include acquiring companies that complement our products and
services. We anticipate that these acquisitions, if any, will be effected
through a combination of issuance of our common stock and cash payments. Failure
to generate sufficient cash flow from operations, failure to raise additional
capital when required in sufficient amounts and on acceptable terms or our
inability to use our common stock to finance acquisitions could harm our
business, results of operations and financial condition.



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RECENT ACCOUNTING PRONOUNCEMENTS

In June 2001, the Financial Accounting Standards Board issued
Statements of Financial Accounting Standards No. 141, Business Combinations, and
No. 142, Goodwill and Other Intangible Assets, effective for fiscal years
beginning after December 15, 2001. Under the new rules, goodwill and intangible
assets deemed to have indefinite lives will no longer be amortized but will be
subject to annual impairment tests in accordance with the Statements. Other
intangible assets will continue to be amortized over their useful lives.

The Company will apply the new rules on accounting for goodwill and
other intangible assets beginning in the first quarter of 2002. While the
Company has not completed its assessment of the impact of these Statements,
application of the non amortization provisions of the Statement would result in
an decrease in net loss of approximately $7.5 million, ($0.38 per share) per
year. This estimate is based on the Company's current level of amortization
expense for all intangibles and the current weighted average shares outstanding.
During 2002, the Company will perform the first of the required impairment tests
of goodwill and indefinite lived intangible assets as of January 1, 2002. The
Company has not yet determined what the effect of these tests will be on the
earnings and financial position of the Company.

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURE ABOUT MARKET RISK

We are exposed to market risk from changes in interest rates. We do not
have any foreign currency exchange rate risk or commodity price risk.

As of June 30, 2001, we had no outstanding indebtedness other than
capital lease arrangements. Accordingly, the Company is not exposed to
significant market risk. The Company is exposed to market risk with respect to
the cash and cash equivalents that it invests. At July 31, 2001, we had
approximately $30.1 million of cash, restricted cash, investments and accrued
interest that were invested in a combination of short and long-term investments.
At this investment level, a hypothetical 10% decrease in the interest rate would
decrease interest income and increase net loss on an annualized basis by
approximately $301,000.

The Company manages its investment risk by investing in corporate debt
securities, foreign corporate debt and secured corporate debt securities with
minimum acceptable credit ratings. For certificates of deposit and corporate
obligations, ratings must be A2/A or better; A1/P1 or better for commercial
paper; A2/A or better for taxable or tax advantaged auction rate securities and
AAA or better for tax free auction rate securities. The Company also requires
that all securities must mature within 24 months from the original settlement
date, the average portfolio shall not exceed 18 months, and the greater of 10%
or $5.0 million shall mature within 90 days. Further, the Company's investment
policy also limits concentration exposure and other potential risk areas.

The above market risk discussion and the estimated amounts presented
are forward-looking statements of market risk assuming the occurrence of certain
adverse market conditions. Actual results in the future may differ materially
from those projected as a result of actual developments in the market.




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PART II - OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS.

On November 17, 2000, a complaint was filed by Challenger Corporation
in the Circuit Court of Tennessee for the Thirtieth Judicial District at Memphis
against HealthStream, SynQuest Technologies, Inc. and two individual
shareholders of SynQuest Technologies. The complaint asserts that HealthStream
violated the terms of a licensing agreement entered into between HealthStream
and the plaintiff and that HealthStream allegedly failed to pay royalties due to
the plaintiff pursuant to the terms of that agreement. The plaintiff also
alleges that HealthStream induced SynQuest Technologies to breach a marketing
agreement allegedly entered into between SynQuest and the plaintiff.
Alternatively, the plaintiff alleges that HealthStream, which purchased certain
assets of SynQuest, is liable for SynQuest's alleged breach of the marketing
agreement pursuant to the legal theory of successor liability. The aggregate
damages alleged total approximately $9.0 million. We believe the allegations in
the complaint are without merit, intend to defend the litigation vigorously and
do not believe this litigation will have a material adverse effect on our
financial condition or results of operations.

ITEM 2. CHANGES IN SECURITIES AND USE OF PROCEEDS.

None

ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS.

On May 31, 2001, the Company held its Annual Meeting of Shareholders.
At the Annual Meeting, the shareholders of the Company elected the following
persons to serve as Class I directors to serve until the Annual Meeting of
Shareholders in 2004 and until such time as their respective successors are duly
elected and qualified with the number of votes cast for, against or withheld as
set forth opposite their names:

<TABLE>
<CAPTION>
Votes
-----------------------------
Withheld
Nominee For Authority
- --------------------------- ---------- ----------
<S> <C> <C>
Thompson Dent 14,058,207 420,536
James Daniell 14,389,937 88,806
William Stead 14,389,997 88,746
</TABLE>

The shareholders of the Company elected the following person to serve as a Class
II director to serve until the Annual Meeting of Shareholders in 2002 and until
such time as her respective successor is duly elected and qualified with the
number of votes cast for, against or withheld as set forth opposite her name:

<TABLE>
<CAPTION>
Votes
-----------------------------
Withheld
Nominee For Authority
- --------------------------- ---------- ----------
<S> <C> <C>
Linda Rebrovick 14,389,997 88,746
</TABLE>




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The shareholders of the Company ratified that Ernst & Young LLP will
audit the Company's consolidated financial statements for 2001 with the
following number of votes cast for, against or abstaining:

<TABLE>
<CAPTION>
Votes
---------------------------------------
For Against Abstain
---------- ------- -------
<S> <C> <C> <C>
14,473,122 4,425 1,196
</TABLE>

ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K.

(a) Exhibits

None

(b) Reports on Form 8-K

None




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SIGNATURE

Pursuant to the requirements 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.


HEALTHSTREAM, INC.



By: /s/ ARTHUR E. NEWMAN
----------------------------------------
Arthur E. Newman
Chief Financial Officer
August 13, 2001
























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