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Streamline Health Solutions (STRM) investor relations material

Streamline Health Solutions Q1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q1 2026 earnings summary16 Jun, 2025

Executive summary

  • Entered into a definitive merger agreement with Mist Holding Co./MDaudit; shareholders to receive $5.34 per share in cash, a 138% premium, upon closing, subject to customary conditions and approvals.

  • SaaS revenue grew 23% year-over-year, offsetting declines in maintenance and support; total revenue up 11–12% to $4.8 million for the quarter ended April 30, 2025.

  • Net loss narrowed to $1.6–$1.65 million from $2.7–$2.74 million year-over-year; Adjusted EBITDA turned positive at $0.2–$0.226 million versus a loss of $0.7 million in the prior year.

  • Company faces substantial doubt about its ability to continue as a going concern due to liquidity constraints and forecasted covenant non-compliance.

  • Material weaknesses in internal controls over financial reporting remain unresolved as of April 30, 2025.

Financial highlights

  • Total revenue increased 11–12% year-over-year to $4.8 million, driven by SaaS growth.

  • SaaS revenue: $3.4 million, up 23% year-over-year, now 70% of total revenue.

  • Net loss improved to $1.6–$1.65 million from $2.7–$2.74 million year-over-year.

  • Adjusted EBITDA was $0.2–$0.226 million (5% margin), up from negative $0.7 million (-16% margin) in the prior year.

  • Cash and cash equivalents decreased to $1.4–$1.45 million from $2.18–$2.2 million at prior fiscal year-end.

Outlook and guidance

  • SaaS revenue expected to remain flat for the remainder of fiscal 2025; maintenance and support revenue anticipated to decline due to contract non-renewals.

  • Merger with MDaudit expected to close in Q3 2025, with shareholders to receive $5.34 per share.

  • Company expects continued cost-saving measures and focus on flagship SaaS products.

  • Management projects probable non-compliance with certain financial covenants in the next 12 months, raising going concern risks.

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Frequently asked questions

Streamline Health Solutions, Inc. provides health information technology solutions and associated services for hospitals and health systems in the United States and Canada. It offers electronic document management system that manages and integrates clinical, administrative, and financial workflows across all departments of a healthcare provider organization, including patient access, revenue cycle management, clinical operations, medical records management, legal/compliance and risk management, physician practices, and other ancillary areas; enterprise content management solutions to capture unstructured information from various sources and transfer or store it in an immediate accessible way; and eValuator Enterprise Suite solution that monitors the status of key process indicators.

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