HealthStream
HSTM
#6874
Rank
$0.60 B
Marketcap
$20.45
Share price
0.25%
Change (1 day)
-34.43%
Change (1 year)

HealthStream - 10-Q quarterly report FY


Text size:
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 SEPTEMBER 30, 2001

Commission File No.: 001-8833

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


<TABLE>
<S> <C>
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)
</TABLE>

(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 November 9, 2001, 20,374,757 shares of the Registrant's common stock were
outstanding.
INDEX TO FORM 10-Q

HEALTHSTREAM, INC.


<TABLE>
<CAPTION>
PAGE
NUMBER
------

<S> <C> <C>
Part I. Financial Information

Item 1. Financial Statements

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

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

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

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

Condensed Consolidated Statements of Cash Flows (Unaudited) - Nine Months
Ended September 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 6. Exhibits and Reports on Form 8-K................................................................. 19

Signature........................................................................................ 20
</TABLE>
PART I. FINANCIAL INFORMATION
ITEM 1. Financial Statements

HEALTHSTREAM, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS


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

<S> <C> <C>
ASSETS
Current Assets:
Cash and cash equivalents ................................................. $ 19,830,572 $ 6,529,816
Short term investments .................................................... 7,451,450 20,354,738
Restricted cash ........................................................... 794,342 532,841
Interest receivable ....................................................... 578,534 618,621
Accounts receivable, net of allowance for doubtful accounts
of $198,000 in 2000 and $285,000 in 2001 ............................... 3,957,149 3,777,675
Accounts receivable - unbilled ............................................ 49,600 404,028
Prepaid development fees .................................................. 695,427 1,532,788
Notes receivable, current portion ......................................... 221,750 20,000
Other prepaid expenses and other current assets ........................... 1,075,776 1,033,521
------------ ------------
Total current assets ................................................... 34,654,600 34,804,028
Property and equipment:
Furniture and fixtures .................................................... 883,660 1,019,269
Construction in progress .................................................. 117,000 --
Equipment ................................................................. 3,893,720 4,819,475
Leasehold improvements .................................................... 885,630 1,021,995
------------ ------------
5,780,010 6,860,739
Less accumulated depreciation and amortization ............................ (1,505,004) (2,720,160)
------------ ------------
4,275,006 4,140,579
Intangible assets, net of accumulated amortization
of $5,847,000 in 2000 and $11,470,000 in 2001 ............................. 18,024,526 13,714,823
Investments .................................................................. 12,889,674 1,025,963
Note receivable, net of current portion ...................................... -- 215,000
Other assets ................................................................. 607,770 351,229
------------ ------------
Total assets ........................................................ $ 70,451,576 $ 54,251,622
============ ============

LIABILITIES AND SHAREHOLDERS' EQUITY
Current liabilities:
Accounts payable .......................................................... $ 1,150,996 $ 1,015,771
Accrued liabilities ....................................................... 1,719,906 1,566,783
Accrued royalties ......................................................... 1,500,000 90,591
Registration liabilities .................................................. 794,342 532,841
Deferred revenue .......................................................... 2,764,235 2,792,300
Current portion of capital lease obligations .............................. 288,831 172,024
------------ ------------
Total current liabilities ........................................... 8,218,310 6,170,310
Capital lease obligations, less current portion .............................. 216,072 150,649
Commitments and contingencies
Shareholders' equity:
Common stock, no par value, 75,000,000 shares authorized; 21,242,312 shares
and 20,374,757 shares issued and outstanding at December 31, 2000 and
September 30, 2001, respectively ....................................... 91,221,775 91,275,282
Accumulated other comprehensive income .................................... 30,556 268,469
Accumulated deficit ....................................................... (29,235,137) (43,613,088)
------------ ------------
Total shareholders' equity .......................................... 62,017,194 47,930,663
------------ ------------
Total liabilities and shareholders' equity .......................... $ 70,451,576 $ 54,251,622
============ ============
</TABLE>

See accompanying notes.


1
HEALTHSTREAM, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)


<TABLE>
<CAPTION>
THREE MONTHS ENDED SEPTEMBER 30,
2000 2001
------------ ------------

<S> <C> <C>
Revenues, net of warrant expense of $194,735 and $549,077 in 2000 and 2001 $ 2,729,214 $ 3,077,708
Operating costs and expenses:
Cost of revenues ...................................................... 1,033,689 1,219,708
Product development ................................................... 1,616,874 1,263,250
Selling, general and administrative expenses .......................... 6,408,644 5,777,963
------------ ------------
Total operating costs and expenses .............................. 9,059,207 8,260,921
------------ ------------
Loss from operations ..................................................... (6,329,993) (5,183,213)
------------ ------------
Other income (expense):
Interest and other income ............................................. 1,077,550 403,664
Interest expense ...................................................... (13,839) (9,111)
------------ ------------
1,063,711 394,553
------------ ------------
Net loss ................................................................. $ (5,266,282) $ (4,788,660)
============ ============
Net loss per share:
Basic ................................................................. $ (0.27) $ (0.24)
============ ============
Diluted ............................................................... $ (0.27) $ (0.24)
============ ============
Weighted average shares of common stock outstanding:
Basic ................................................................. 19,639,809 19,846,341
============ ============
Diluted ............................................................... 19,639,809 19,846,341
============ ============
</TABLE>

See accompanying notes.


2
HEALTHSTREAM, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)


<TABLE>
<CAPTION>
NINE MONTHS ENDED SEPTEMBER 30,
2000 2001
------------ ------------

<S> <C> <C>
Revenues, net of warrant expense of $524,830 and $1,489,933 in 2000 and 2001 . $ 6,374,915 $ 9,655,142
Operating costs and expenses:
Cost of revenues .......................................................... 2,831,475 3,837,191
Product development ....................................................... 4,045,506 3,750,839
Office consolidation charge ............................................... -- 400,678
Selling, general and administrative expenses .............................. 15,518,453 17,399,830
------------ ------------
Total operating costs and expenses .................................. 22,395,434 25,388,538
------------ ------------
Loss from operations ......................................................... (16,020,519) (15,733,396)
------------ ------------
Other income (expense):
Interest and other income ................................................. 1,807,594 1,491,347
Write off of investment ................................................... -- (99,920)
Interest expense - related parties ........................................ (34,255) --
Interest expense .......................................................... (79,688) (35,982)
------------ ------------
1,693,651 1,355,445
------------ ------------
Net loss ..................................................................... $(14,326,868) $(14,377,951)
============ ============
Net loss per share:
Basic ..................................................................... $ (1.00) $ (0.73)
============ ============
Diluted ................................................................... $ (1.00) $ (0.73)
============ ============
Weighted average shares of common stock outstanding:
Basic ..................................................................... 14,326,112 19,822,894
============ ============
Diluted ................................................................... 14,326,112 19,822,894
============ ============
</TABLE>

See accompanying notes.


3
HEALTHSTREAM, INC.
CONDENSED CONSOLIDATED STATEMENT OF SHAREHOLDERS' EQUITY (UNAUDITED)


<TABLE>
<CAPTION>
ACCUMULATED
COMMON STOCK OTHER TOTAL
----------------------------- 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 ................................... -- -- (14,377,951) -- (14,377,951)
Unrealized gain on investment, net of
reclassification adjustment and tax .. -- -- -- 237,913 237,913
-------- ------------

Comprehensive loss ......................... -- -- -- -- (14,140,038)
------------

Exercise of stock options .................. 8,700 10,557 -- -- 10,557

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 ............. -- 1,489,933 -- -- 1,489,933
----------- ------------ ------------ -------- ------------

Balance at September 30, 2001 .............. 20,374,757 $ 91,275,282 $(43,613,088) $268,469 $ 47,930,663
=========== ============ ============ ======== ============
</TABLE>


4
HEALTHSTREAM, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)


<TABLE>
<CAPTION>
NINE MONTHS ENDED SEPTEMBER 30,
2000 2001
------------ ------------

<S> <C> <C>
OPERATING ACTIVITIES:
Net loss .................................................................. $(14,326,868) $(14,377,951)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation ........................................................ 549,803 1,269,995
Amortization ........................................................ 3,830,039 5,623,000
Gain on WebMD renegotiation ......................................... -- (1,500,000)
Noncash warrant expense ............................................. 524,830 1,489,933
Amortization of content fees ........................................ -- 336,333
Office consolidation charge ......................................... -- 400,678
Amortization of fixed royalties ..................................... -- 130,963
Noncash compensation expense ........................................ 63,525 52,875
Issuance of stock options to advisory boards ........................ -- 57,319
Loss on write off of investment ..................................... -- 99,920
Gain on sale of investment .......................................... (94,438) --
Provision for allowance for doubtful accounts ....................... 25,800 87,000
Changes in operating assets and liabilities, excluding effects of
acquisitions:
Restricted cash .................................................. (23,821) 261,501
Interest receivable .............................................. -- (40,087)
Accounts receivable .............................................. (2,003,290) (2,650)
Accounts receivable - unbilled ................................... (155,553) (354,428)
Prepaid development fees ......................................... -- (1,173,694)
Other prepaid expenses and other current assets .................. (1,488,888) (530,110)
Other assets ..................................................... (333,248) 256,541
Accounts payable ................................................. 404,723 (135,225)
Accrued royalties and other liabilities .......................... 1,546,543 (473,870)
Registration liabilities ......................................... 22,232 (261,501)
Deferred revenue ................................................. 162,762 (139,713)
------------ ------------
Net cash used in operating activities .......................... (11,295,849) (8,923,171)

INVESTING ACTIVITIES:
Acquisition of companies, net of cash acquired ............................ (6,716,369) (328,988)
Proceeds from sale or maturities of investments ........................... 122,271 2,733,727
Issuance of note receivable ............................................... -- (215,000)
Repayments on note receivable ............................................. -- 128,119
Purchase of investments ................................................... (20,145,192) (3,518,553)
Purchase of property and equipment ........................................ (2,070,309) (997,050)
------------ ------------
Net cash used in investing activities .......................... $(28,809,599) $ (2,197,745)
============ ============
</TABLE>


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


<TABLE>
<CAPTION>
NINE MONTHS ENDED SEPTEMBER 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 ....................................... 600,786 10,557
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 ......................................... (154,589) (265,909)
------------ ------------
Net cash provided by (used in) financing activities ................ 51,293,546 (2,179,840)
------------ ------------

Net increase (decrease) in cash and cash equivalents .......................... 11,188,098 (13,300,756)

Cash and cash equivalents at beginning of period .............................. 13,632,144 19,830,572
------------ ------------

Cash and cash equivalents at end of period .................................... $ 24,820,242 $ 6,529,816
============ ============

Total cash, restricted cash, investments and accrued interest at end of period $ 45,871,085 $ 29,061,979
============ ============

SUPPLEMENTAL CASH FLOW INFORMATION:
Interest paid ................................................................. $ 95,576 $ 14,113
============ ============
Capital lease obligations incurred ............................................ $ 325,050 $ 83,679
============ ============
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 .............................. $ 3,856,537 $ 5,000
Purchase price in excess of net assets acquired ...................... 22,229,304 1,036,491
Estimated fair value of liabilities assumed .......................... (6,236,377) (412,317)
Stock issued ......................................................... (12,931,850) (300,186)
------------ ------------

Cash paid ............................................................ 6,917,614 328,988
Less cash acquired ................................................... (201,245) --
------------ ------------

Net cash paid for acquisitions ....................................... $ 6,716,369 $ 328,988
============ ============
</TABLE>

See accompanying notes.


6
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 nine months ended September 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, we 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"). We
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. As discussed in note 8 below, this agreement
was revised subsequent to September 30, 2001.

2. MERGERS AND ACQUISITIONS

m3 the Healthcare Learning Company. On January 28, 2000, we 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, we assumed $1.2 million of
long-term debt, which was repaid with the proceeds of our 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, we 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, we 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.

Education Design, Inc. On July 1, 2000, we 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


7
HEALTHSTREAM, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)


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, we 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, we 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>
NINE MONTHS ENDED
SEPTEMBER 30, 2000
------------------

<S> <C>
Revenues..................................................................................... $ 10,220,000
Net loss..................................................................................... $(17,480,000)
Net loss per share:
Basic................................................................................... $ (0.89)
Diluted................................................................................. $ (0.89)
</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.

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


8
HEALTHSTREAM, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

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 6,200,000 at
September 30, 2000 and approximately 5,600,000 at September 30, 2001.

4. INITIAL PUBLIC OFFERING

On April 14, 2000, we completed our initial public offering ("IPO") of
5,275,000 shares of our common stock for net proceeds of $42.2 million. On
April 14, 2000, we 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., our chief executive officer and chairman, also converted into
553,711 shares of common stock. Prior to the IPO, we 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, we 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, we terminated its prior agreement with WebMD and
entered into a new business arrangement. Under the new, non-exclusive
three-year agreement, we are 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,
we gave WebMD the right to sell the shares back to us 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. We reacquired the shares on February 16, 2001. In connection with the
termination of the prior WebMD agreement, we 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.

6. OFFICE CONSOLIDATION CHARGE

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


9
HEALTHSTREAM, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)


7. RECENT ACCOUNTING PRONOUNCEMENTS

In June 2001, the Financial Accounting Standards Board (FASB) 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.

We will apply the new rules on accounting for goodwill and other
intangible assets beginning in the first quarter of 2002. While we have not
completed our assessment of the impact of these Statements, we have estimated
the impact based on our current level of amortization expense for all
intangibles and the current weighted average shares outstanding. Based on this
estimate, application of the non amortization provisions of the Statement would
result in a decrease in net loss of approximately $7.5 million, ($0.38 per
share) per year. During late 2001 and early 2002, we will perform the first of
the required impairment tests of goodwill and indefinite lived intangible
assets as of January 1, 2002. We have not yet determined what the effect of
these tests will be on the Company's earnings and financial position.

In August 2001, the FASB issued Statement of Financial Accounting
Standards No. 144, Accounting for the Impairment or Disposal of Long-Lived
Assets ("SFAS 144"), which supersedes SFAS 121, Accounting for the Impairment
of Long-Lived Assets and for Long-Lived Assets to Be Disposed Of, and the
accounting and reporting provisions of APB Opinion No. 30, Reporting the
Effects of Disposal of a Segment of a Business, and Extraordinary, Unusual and
Infrequently Occurring Events and Transactions. SFAS 144 removes goodwill from
its scope and clarifies other implementation issues related to SFAS 121. SFAS
144 also provides a single framework for evaluating long-lived assets to be
disposed of by sale. We do not expect SFAS 144 to have a material effect on our
results of operations or financial position.

8. CONTINGENCIES AND SUBSEQUENT EVENT

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.

Effective October 1, 2001, we entered into a new four-year agreement
with HCA, replacing the prior agreement, which had approximately two and
one-half years remaining. Together with HCA, we mutually agreed to cancel the
warrant held by HCA to purchase HealthStream common stock. As a result, we will
no longer amortize the remaining cost of the warrant as a reduction of
revenues. The terms of the new agreement provide for a minimum of $12 million
of revenue related to delivery of ASP and other learning services. In addition,
the agreement establishes HealthStream as the endorsed provider of e-learning
solutions to HealthTrust Purchasing Group (HPG), a group purchasing
organization of which HCA is a member.


10
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 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
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
-        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. Effective October 1, 2001, the
Company entered into a new four year agreement with HCA, replacing the prior
agreement which had approximately two and one-half years remaining. In
addition, together with HCA, we mutually agreed to cancel the warrant held by
HCA to purchase HealthStream common stock. As a result, we will no longer
amortize the remaining cost of the warrant as a reduction of revenues. The
terms of the new agreement provide for a minimum of $12 million of revenue
related to delivery of ASP and other learning services. In addition, the
agreement establishes HealthStream as the endorsed provider of e-learning
solutions to HealthTrust Purchasing Group (HPG), a group purchasing
organization of which HCA is a member.

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, we terminated our prior agreement with WebMD and
entered into a new business arrangement. Under the new, non-exclusive
three-year agreement, we are 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, we gave WebMD the right to sell the shares
back to us 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. We reacquired the shares on February
16, 2001. In connection with the termination of the prior WebMD agreement, we
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.


13
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 and
telecommunication 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 SEPTEMBER 30, 2000 COMPARED TO THREE MONTHS ENDED SEPTEMBER
30, 2001

Revenues. Revenues increased approximately $0.3 million, from $2.7
million in 2000 to $3.1 million in 2001, due to revenues attributable to
organic growth and acquired businesses. The increase attributable to organic
growth is associated with our ASP-based products, which was partially offset by
a decline in installed product and live events. During the third quarter of
2000, approximately 40% of revenues related to services to healthcare
organizations and 60% 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 $0.2 million, from $1.0
million in 2000 to $1.2 million in 2001. While cost of revenues did not
significantly increase, the components changed from 2000 to 2001. During the
third quarter 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,
primarily associated with content development and installed product services.
Cost of revenues, as a percentage of revenues, increased from approximately 38%
in 2000 to approximately 40% in 2001, primarily as a result of increased fixed
costs related to our live event services.


14
Product Development. Product development expenses decreased $0.3
million, from $1.6 million in 2000 to $1.3 million in 2001. The decrease in
product development expenses related to lower personnel costs associated with
the consolidation of support functions of the multiple platforms acquired
during 2000. Product development as a percentage of revenues decreased from
approximately 59% in 2000 to 41% in 2001 as a result of increased growth in
revenues from ASP-based products and reduced development focus on our client
server products.

Selling, General and Administrative. Selling, general and
administrative expenses decreased $0.6 million, from $6.4 million in 2000 to
$5.8 million in 2001. General and administrative expenses decreased from $3.4
million in 2000 to $1.8 million in 2001. Sales and marketing expenses,
including personnel costs, increased $0.2 million, from $1.2 million in 2000 to
$1.4 million in 2001. Depreciation and amortization expenses increased $0.8
million from approximately $1.8 million in 2000 to $2.6 million in 2001. As a
percentage of revenues, selling, general and administrative expenses decreased
from approximately 235% in 2000 to approximately 188% in 2001.

General and administrative expenses decreased by $1.6 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 accrued
during the third quarter of 2000 were not repeated in 2001. In addition to the
decrease in royalties, personnel expenses declined from 2000 to 2001 due to the
consolidation of corporate functions.

Sales and marketing expenses increased $0.2 million from $1.2 million
in 2000 to $1.4 million in 2001, and the components of this spending changed.
The increase in sales and marketing expenses relates primarily to the addition
of sales personnel in connection with the September 2000 acquisition of
SynQuest. The increase in personnel expenses from 2000 to 2001 was offset by
declines in advertising expenses from 2000 to 2001.

Depreciation and amortization increased by $0.8 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 $0.7 million,
from approximately $1.1 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 as well as lower rates of return in 2001
when compared to 2000.

Net Loss. Net loss decreased $0.5 million from $5.3 million in 2000 to
$4.8 million in 2001 due to the factors described above.

NINE MONTHS ENDED SEPTEMBER 30, 2000 COMPARED TO NINE MONTHS ENDED SEPTEMBER
30, 2001

Revenues. Revenues increased $3.3 million, from $6.4 million in 2000
to $9.7 million in 2001, due to revenues attributable to acquired businesses
and organic growth. Of the increase, approximately $1.8 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 our ASP-based products. This increases were also offset by
declines in sales of installed learning management systems from 2000 to 2001.
For both 2000 and 2001, revenues were split almost evenly between those related
to services to healthcare organizations and revenues related to services to
pharmaceutical and medical device companies, including revenues from the Web
distribution network.


15
Cost of Revenues. Cost of revenues increased $1.0 million, from $2.8
million in 2000 to $3.8 million in 2001. This increase is primarily
attributable to personnel costs associated with event development and
registration services, however this increase was offset by a decline in
installation and training personnel associated the sales of our installed
learning management systems. 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 44% 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 decreased $0.2
million, from $4.0 million in 2000 to $3.8 million in 2001. The decrease in
product development expenses related to decreased personnel costs associated
with consolidation of support functions of the multiple platforms acquired
during 2000. Product development as a percentage of revenues decreased from
approximately 63% in 2000 to 39% 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 nine months ended September
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 $1.9 million, from $15.5 million in 2000 to
$17.4 million in 2001. General and administrative expenses decreased $1.6
million from $7.3 million in 2000 to $5.7 million in 2001. Sales and marketing
expenses, including personnel costs, increased from $3.8 million in 2000 to
$4.4 million in 2001. Depreciation and amortization expenses increased from
$4.4 million in 2000 to $7.3 million in 2001. As a percentage of revenues,
selling, general and administrative expenses decreased from approximately 243%
in 2000 to 180% in 2001.

General and administrative expenses, excluding the $1.5 million gain
on renegotiation of the WebMD agreement, were comparable between years, however
the components of this category changed. When compared to 2000, content and
royalty expenses declined approximately $2.3 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 $0.6 million to $4.4 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 $2.9 million due to
increases in amortization and depreciation associated with the 2000 and 2001
acquisitions.

Other Income/Expense. Other income and expense decreased $0.3 million,
from approximately $1.7 million in 2000 to $1.4 million in 2001 related to
decreased interest income which resulted from lower balances invested during
2001 when compared to 2000. Lower investment balances are attributable to both
cash burn and cash used for acquisitions. In addition, the rates of return
realized in 2001 were lower than 2000.

Net Loss. Net loss increased $0.1 million from $14.3 million in 2000
to $14.4 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
Net cash used in operating activities was $11.3 million in the first
nine months of 2000 and $9.7 million in the first nine months of 2001. Cash
used in operating activities during the nine months ended September 30, 2000,
which excludes the effects of acquisitions, was attributable to a $14.3 million
net operating loss and increases in accounts and unbilled receivables, prepaid
and other current assets, and other assets, and increases 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 nine months ended
September 30, 2001 related to the $14.4 million net loss, the non cash gain on
the WebMD renegotiation, increases in unbilled receivables, prepaid
development, prepaid expenses and other current assets, decreases in accounts
payable, accrued liabilities, and registration liabilities. 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 and other assets.

Net cash used in investing activities was $28.8 million in the first
nine months of 2000 and $1.4 million in the first nine months of 2001. Cash
used in investing activities during the first nine months of 2000 related to
the purchase of $20.1 million in investments, $6.7 million related to the 2000
acquisitions and $2.1 million of cash paid for the purchase of property and
equipment. In the first nine 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 nine 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 $1.0 million for the purchase of property and
equipment, which was offset by the receipt of $0.2 million for the repayment of
a note.

Cash provided by financing activities was $51.3 million in the first
nine months of 2000 while $2.2 million was used in financing activities in the
first nine months of 2001. During the first nine months of 2000, cash provided
by financing activities related to $54.2 million received from the sale of
common stock and $0.6 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 nine months of 2001
related to $2.0 million related to the repurchase of common stock from WebMD
and $0.3 million related to payments under capital lease arrangements.

In connection with our agreement with HCA, we will receive payments
for services of at least $12.0 million over the four-year term of the
agreement. As discussed above, effective October 1, 2001, the Company and HCA
mutually agreed to cancel HCA's warrant to purchase HealthStream's common
stock. No future amortization will be recognized as a reduction of revenues.

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
$0.5 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. We have variable
commitments of approximately $100,000 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 September 30, 2001, our primary source of liquidity was $29.1
million of cash and cash equivalents, restricted cash, investments and related
interest receivable. As of October 31, 2001, the Company had cash, restricted
cash, investments and related interest receivable of $28.0 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


17
acceptable terms or our inability to use our common stock to finance
acquisitions could harm our business, results of operations and financial
condition.

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.

In August 2001, the FASB issued Statement of Financial Accounting
Standards No. 144, Accounting for the Impairment or Disposal of Long-Lived
Assets ("SFAS 144"), which supersedes SFAS 121, Accounting for the Impairment
of Long-Lived Assets and for Long-Lived Assets to Be Disposed Of, and the
accounting and reporting provisions of APB Opinion No. 30, Reporting the
Effects of Disposal of a Segment of a Business, and Extraordinary, Unusual and
Infrequently Occurring Events and Transactions. SFAS 144 removes goodwill from
its scope and clarifies other implementation issues related to SFAS 121. SFAS
144 also provides a single framework for evaluating long-lived assets to be
disposed of by sale. We do not expect SFAS 144 to have a material effect on our
results of operations or financial position.

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 September 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 October 31, 2001, we had
approximately $28.0 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 $280,000.

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 6. EXHIBITS AND REPORTS ON FORM 8-K.

(a) Exhibits

10.1 Education Services Provider Agreement dated October 1, 2001
between HealthStream, Inc. and HCA Information Technology & Services, Inc.*
(incorporated by reference to Current Report on Form 8-K filed on November 1,
2001)

* Confidential treatment has been requested with respect to
certain portions of this exhibit. Such portions were omitted and included in
the confidential treatment request filed separately with the Securities and
Exchange Commission.

(b) Reports on Form 8-K

Report filed on November 1, 2001 regarding new agreement with
HCA Information Technology & Services, Inc. and cancellation of warrant to
purchase common stock of HealthStream held by CIS Holdings, Inc.


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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
November 13, 2001


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