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Healthcare - Medical - Healthcare Information Services - NASDAQ - US
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EARNINGS CALL TRANSCRIPT
EARNINGS CALL TRANSCRIPT 2016 - Q4
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Executives

Randy Salisbury - SVP and Chief Marketing Officer David Sides - President and Chief Executive Officer Nick Meeks - SVP and Chief Financial Officer.

Analysts

Matt Hewitt - Craig-Hallum Capital Group Kyle Davis - CG Capital.

Operator

Good day, everyone and welcome to the Streamline Health to report Fourth Quarter and Fiscal Year 2016 Financial Performance Conference Call. Today’s conference is being recorded. At this time, I would like to turn the conference over to Randy Salisbury, Senior Vice President and Chief Marketing Officer for Streamline. Please go ahead, sir..

Randy Salisbury

Thank you for joining us to review the financial results of Streamline Health Solutions for the fourth quarter and fiscal year end of 2016, which ended January 31, 2017. As the conference call operator indicated, my name is Randy Salisbury.

As Senior Vice President and Chief Marketing Officer here at Streamline Health, I manage all communications including Investor Relations. Joining me on the call today are David Sides, our President and Chief Executive Officer and Nick Meeks, Senior Vice President and Chief Financial Officer.

At the conclusion of today’s prepared remarks, we will open the call for a question-and-answer session. If anyone participating on today’s call does not have a full text copy of the release, you can retrieve it from the company’s website at streamlinehealth.net or at numerous financial websites.

Before we begin with prepared remarks, we want to be sure we are clear for everyone on the record how certain information, which maybe provided today as with all of our earnings calls, should be viewed. We therefore submit for the record the following statement.

First, statements made on this conference call that are not historical facts are considered to be forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995.

These are subject to risks, uncertainties, assumptions and other factors that could cause actual results to differ materially from those we may discuss. Please refer to the company’s press releases and filings made with the U.S.

Securities and Exchange Commission, including our most recent Form 10-K, annual report, for more information about these risks, uncertainties and assumptions and other factors. As always, we are presenting management’s current analysis of these items as of today.

Our participants on this call should take into account these risks when evaluating the topics we will discuss. And please note, Streamline Health is not undertaking any commitment or obligation to publicly revise any such forward-looking statements made today. Second, we will discuss non-GAAP financial measures such as adjusted EBITDA.

Management uses these measures to help provide better insight into our financial performance. However, certain items of income and expense are not included in these measures, so these calculations may differ from those which another entity may reach using their own non-GAAP measures.

To help you compare these amounts on consistent terms, please again refer to our website at streamlinehealth.net and our earnings release for a reconciliation of such non-GAAP measures to the most comparable GAAP measures. With that said, let me turn the call over to David Sides, President and Chief Executive Officer.

David?.

David Sides

Thank you, Randy, and good afternoon everyone. Today, I want to comment on our fourth quarter and year end performance, after which I will share some of our thoughts and plans for fiscal year 2017. As released earlier today, for the fourth quarter of fiscal 2016, we generated revenues of approximately $6.4 million, which is the same as Q4 a year ago.

Recurring revenues were 82.7% of total revenue for the fourth quarter, down by 1.6 percentage points over 84.4% in Q3, driven by the acquisition of Opportune IT in September 2016.

For the fiscal year 2016, we generated $27.1 million in revenue, which was within the range we provided in our third quarter earnings call last December and down approximately 4% as compared to $28.3 million in revenue in fiscal year 2015.

As stated in our third quarter call, the reasons for the 4% decline were the lower year-over-year contribution of perpetual license revenue from one of our larger reselling partners and the loss of 2 months of revenue from our former patient scheduling solution following the divestiture in early December.

Previewing my later marks on 2017 expectations, I attended the meeting last week with our largest channel partner and I am excited by the possibilities of that relationship for the second half of this year and beyond.

Turning our attention now to professional services, revenues were approximately $526,000 in the fourth quarter, a decrease of approximately 9% over same quarter a year ago and approximately $2.4 million for the fiscal year 2016, an increase of approximately 8.3% over fiscal year 2015.

I stated last quarter that we believe that our bookings for the fourth quarter for 2016 will continue to be strong as our investment in sales and marketing begins to take hold. I am pleased with the $2.9 million we booked in the quarter, especially given that the bookings were almost exclusively software sales.

We also are seeing interest in each of our solutions, with the bookings in the quarter covering at least one instance of every solution we sell in the coding and auditing arena, from abstracting to CDI to our new coding audit services suite.

Adjusted EBITDA for the fourth quarter was $533,000, up approximately 13% from $472,000 in the fourth quarter of 2015. Adjusted EBITDA for the fiscal year 2016 totaled $2.9 million or approximately 11% of revenue, a slight improvement over our fiscal year 2015 adjusted EBITDA of $2.8 million just under 10%.

In GAAP terms, our net loss for the fourth quarter was $1 million and $5.2 million for the fiscal year. This compares to last year’s performance when our net loss for Q4 was $1.4 million and $4.3 million for the fiscal year. Nick Meeks, our CFO, will address these items more specifically in his prepared remarks coming up in a few minutes.

Looking at our overall financial position, I believe we made great progress on our objective to continue strengthening our balance sheet and improve our operational efficiency, while continuing to invest in the development of key solutions we believe fit urgent market needs.

Reducing operating cost, generating incremental cash flow and reducing our level of bank debt is something we focus on every year. The comparison of our year end metrics from 2015 to 2016 makes this point.

In fiscal year 2016, we reduced our term loan by $2.8 million from $8.5 million at the end of last fiscal year to approximately $5.7 million at the end of this fiscal year. We maintained cash on hand at a level similar to that of our bank debt, while buying our audit services company and selling our patient scheduling solutions.

Additionally, cash from operations was $1 million, down from $5.9 million at the end of 2015. Cash profitability decreased by approximately $0.5 million year-over-year as we invested in sales while the majority of the reduction came from our outsized improvements we were able to harvest from working capital in fiscal year 2015.

Our adjusted EBITDA increased modestly to $2.9 million even as our revenue declined in 2016 for the reasons I mentioned earlier. The strengthening of our financial performance continues to provide us with the ability to be active in the marketplace regarding strategic acquisitions.

When we find the right asset or assets to augment our vision of helping healthcare providers optimize the revenue cycle, we will explore opportunities to add those solutions to our offerings. The strategic shift via acquisition and divestiture we made in the second half of last year has sharpened our focus on the middle of the revenue cycle.

This is where we believe our primary decision-makers, CFOs, HIM directors and revenue cycle directors are highly focused. Our services and software can help any healthcare provider and these decision makers transform their revenue cycles into revenue streams.

Let me give you an example of what our clients and prospects face in today’s healthcare environment and the opportunity these create. Accuracy in billing codes, especially following the transition to ICD-10, is impacting provider revenue intake in a meaningful way.

Industry data suggests that back during the days of ICD-9, hospitals average nearly 95% accuracy for their inpatient coding performance. However, the transition to ICD-10 led to a nearly ten-fold expansion in the number of codes available for patient records.

Through the second quarter of last year, the average accuracy per hospital for inpatient coding dropped to just 84.9%, the national coding contest, facilitated by Central Learning, found that the post ICD-10 accuracy rates may be far lower, more like 55% on average for inpatient coding.

And one sample low coding accuracy resulted in an average of $1,877 lost per inpatient case. For a facility with 30,000 discharges per year, this represents $56 million in potential lost revenue.

Coding inaccuracy contributes to revenue loss, both by neglecting to include chargeable medical services and by increasing the likelihood of a denial or delay for the claim. As many as one in five claims is denied or delayed, which can equate to as much as a 3% dip in a healthcare provider’s revenue stream.

A $1 billion institution therefore loses or delays receipt of upwards of $30 million annually. Recent data suggests that coding accuracy plays a material role here.

For example, the Centers for Medicare and Medicaid Services, CMS, reported that 10% of Medicare fee for service claims submitted are denied, with 22% of those denials resulting from invalid codes or incomplete or invalid information. We are talking real money here and one can better understand the pressure our clients and prospects are under.

Our solutions can help our clients better avoid these revenue losses. Take our new eValuator solution.

By running every claim coded through Streamline Health’s eValuator prior to transmission, the healthcare provider can add an entirely new level of automated coding review to identify errors and with the speed and accuracy of automated software versus human eyes.

If eValuator determines the record contains a potential error, it provides a detailed narrative on the error identified and the recommended corrections to the coding or audit staff in order to expedite coding review and its billing. This can help assure the client’s management team that the charts are accurately coded.

And the solution continues to get smarter over time, its underlying rules set is continually updated both for new coding releases and to broaden the scope of potential errors discovered. We think this is a real differentiator for us in the marketplace.

We also have the opportunity to offer our eValuator solution with our base coding audit services package, which includes our coding opportunity report engine or CORE, auto workflow technology and our coding audit services.

In fact, the pathway to market for eValuator is to initially provide clients with the base coding audit services package, then to upgrade them to eValuator as an additional solution. Hospital systems today have tens of thousands of patients billed annually, often with a highly manual review process.

We can help them improve the handling of every one of them. We envision a future where hospitals everywhere can turn tangled revenue cycles into dynamic revenue streams from charge capture to bill drop, unbroken streams of revenue that are carried by connected systems and workflows driven by analytics that get continually smarter.

Our clients and prospects need to keep pace with the increasing complexity and sophistication of medical science and the information captured around care.

This means we need to help hospitals master the exponential growth in codes used to classify diagnosis and treatment and help them work around the [security] [ph] of coders, [indiscernible] translating intricate patient encounters into accurate bills. We provide seamless workflows that help bridge care through to billing.

We help automate routine activities and avoid mistakes with adaptive technology that stays a step ahead of regulatory requirements and clinical innovations.

Our services and solutions help hospitals ensure that their clinical data is successful for coding and billing with technology like abstracting, but the data is complete using our clinical documentation improvement and physician query software that is as accurate as possible, relying on our CORE and eValuator technologies and that they are continually improving by virtue of feedback from our analytics and learning from providing coding audit services.

This improved focus and simplified message will appear on our new website later this month and will be the backbone of all of our marketing and sales presentations and communications going forward. I will now turn the call over to Nick Meeks, who will provide greater detail on our financial results for the quarter and year.

Nick?.

Nick Meeks

Thanks David and good afternoon, everyone. As always, allow me to begin by thanking my own team, the whole of Streamline and our auditors for a smooth reporting effort. Beginning with income statement, David already covered revenue and EBITDA.

I would add first that beyond stock based compensation expense, EBITDA was further adjusted by approximately $250,000 in expenses related to strategic transactions during the year.

With respect to the expense structure, I wanted to highlight that while overall SG&A expense decreased by nearly $400,000, that represents a decrease of approximately $800,000 on the general and administrative side and an increased investment of $400,000 on sales.

During the third quarter call, I mentioned the expectation that there would be a non-cash write-off related to the sale of our scheduling assets. The magnitude of that adjustment was approximately $238,000 in the fourth quarter.

The approximately $5.2 million net loss for the year was driven primarily by the approximately $7.2 million of depreciation, amortization and stock based compensation expense recorded during this year.

Moving on to the balance sheet, we finished the year with approximately $5.7 million of cash on hand after reducing our debt by $2.8 million and paying $1.4 million for the Opportune IT acquisition. We also closed out all save one of the non-real estate leases during the fiscal year and we will eliminate the straggler during the year upcoming.

On the cash flow statement, as David mentioned, we generated $1 million of cash from operations through the year, net of against $1.8 million use of cash in investing and $3.4 million use of cash in financing, the latter being predominantly early debt retirement.

While we were not able to match the dramatic $3.4 million in working capital improvements we harvested during fiscal year 2015, we were able to mostly sustain those improvements. And the $2 million of cash profitability during the fiscal year leaves me comfortable with the financial flexibility of the business.

With respect to future visibility, backlog decreased over the end of the third fiscal quarter by approximately 8% or $4.3 million to $50.6 million. This change was driven by the divestiture of our scheduling assets, partially offset by sales in the quarter.

I would also note here that due to the variable nature of some of our audit services engagements, we only record in backlog those agreements with clearly definable backlog terms. That concludes my remarks and I will now turn the call back over to David Sides.

David?.

David Sides

Thank you, Nick. As I mentioned at the outset of my prepared remarks, I want to spend a few minutes looking ahead to our fiscal year 2017. Last year, I detailed three strategic objectives for our company. And I continue to believe that those are the three things we must remain focused on to be successful.

First, we need to continue to be more client centric, I believe that with improved relationships comes the opportunity to expand our business with both current and prospective clients. We are beginning to see this renewed energy paying off.

I mentioned on our December earnings call and in the fourth quarter, we closed a meaningful expansion with an existing client, University Hospitals in Cleveland, for our CDI technology.

And last month, we published a press release announcing the expansion of our long-term relationship with Nebraska Medicine as they signed on to use our coding audit services.

These are just a couple of examples of the benefits we believe we will continue to realize on the client relationship management program we instituted at this time last year, when we made our account managers fully responsible for all revenue activities inside our existing client base.

Today, our sales pipeline has many more of these client expansion opportunities. Our focus on greater client centricity also helped us maintain a 4% to 6% revenue attrition rate that we have experienced historically, other than fiscal year 2014 when the rate spiked to approximately 13% for unique reasons.

Our second strategic objective remains sales growth. Our recent investments in sales and marketing to expand our market presence through direct and indirect sales resources are starting to deliver results. Shaun Priest, our Chief Growth Officer, will mark his first anniversary with our company this week.

When we hired Shaun, we challenged him to re-architect our sales approach, to enhance our presence, to better direct sales and better management of indirect sales through partnerships.

During his first year with us, we have added resources to our inside sales team, replace the entire outside sales group and added resources to our channel partner sales team. We now have very experienced regional vice presidents of sales. All of them have previous experience and success in selling CDI and coding technology and coding audit services.

Our investment in and successful transformation of our sales resources are translating into results. The announcement last week of the West Coast-based hospital we signed to use our coding audit services represents a new client for us, sold by our new West Coast regional vice president of sales.

And the announcement last month, our new reseller agreement with Allscripts is a direct result of having dedicated partner channel resources focused solely on gaining and growing new partners to help us sell our services and solutions into the marketplace.

Hal Walsh, VP of Channel Partners, did a very nice job of marshaling our resources to get the contract signed. And now, he is working directly with Allscripts to help them close new clients for our abstracting and physician query technologies. Finally, our third strategic objective is to improve our innovation.

Last year, I challenged our team to rebalance our design and development efforts from what had been primarily a stability-driven emphasis to one that is more focused on innovation in order to meet future client needs and drive greater quality in a value-based world.

Improvements in our existing coding technology suite will increase the market competitiveness of those solutions moving forward and I am pleased with the progress we have made there. Perhaps the best example of progress against this objective was bringing to market both the core and eValuator technology in the timeframes we have.

We officially launched eValuator during HIMSS in February after a rapid development effort to advance that solution to market readiness. While based on technology we acquired last fall, these solutions now contain meaningful new functionalities and capabilities we developed in the past few months. 2015 was my first year as CEO of Streamline.

It was dominated by efforts in rationalizing our expense structure and unifying an organization that was the product of multiple acquisitions. Last year, we have pivoted our focus to reshaping our sales strategy and finding the team that would execute that strategy as well as sharpening our focus on the middle of the revenue cycle.

As we push into 2017, our focus is now on executing that sales strategy and responding to the signals we received from that market. Those early signals are positive and I believe will lead to appreciable growth for Streamline in 2017 and beyond.

We continue to build a strong pipeline, especially in coding audit services and associated technologies through our outbound prospecting and amongst our existing clients.

These initial client contracts are smaller than our standard software contracts and we believe they offer us the flexibility to grow with these new clients as we demonstrate a positive return on investment and introduce them to our new software solutions that can further help them improve their coding accuracy and efficiency and minimize human errors.

These smaller contracts will affect our Q1 bookings performance, but we believe we have many more prospective opportunities in this area that can grow into more sizable bookings over time. Only 1.5 months after introducing eValuator at HIMSS, the level of interest expressed has been incredibly exciting.

We are currently advancing opportunities within our client base and beyond that potentially represent nearly 1 million annual discharges at some of the most prestigious healthcare systems in the country. I am optimistic that we will see our first eValuator sale close in Q2 of this year and that will be the first of many to come.

The prospects for eValuator compared with the potential of audit services and excitement level around our channel partners are all great indicators for Streamline’s future. That said, accepting professional licenses in year sales will have only a measured impact on revenue performance this year, but they will supercharge 2018 growth.

The growth in our sales pipeline for recurring revenue sales, coupled with the expansion of reseller partners that will be writing perpetual license revenue contracts, gives us the confidence to project our 2017 revenue to grow between 7% and 9% to approximately $29 million to $29.5 million.

We expect our partnership with Optum360 to deliver material perpetual license contract in the year that our new relationship with Allscripts will bear similar fruit.

That said, we anticipate a decline in our Q1 2017 revenue due to the effect of the roll-off of some of last year’s client attrition and continued challenges in predicting timing for contract execution through some of our channel partner relationships, but we fully expect to generate growing revenues in each of the succeeding quarters as our direct and indirect sales efforts payoff as I just mentioned.

Our forecast for adjusted EBITDA for fiscal year 2017 is between $3 million and $3.5 million. And our projections for cash generation during the year are in the $1 million plus range. One final note, I stated last quarter that I believe the move toward value-based healthcare will not change on the new Trump administration.

We saw that the recent efforts to replace and/or replace the Affordable Care Act without an appropriate care and value-based focused replacement, has faced challenges in Washington. Last week, I attended the Health Evolution Summit and heard Secretary Price speak on Friday about value-based care.

He reiterated that the administration is committed to value-based care in many of the projects that have started because it works for both the government and consumers to look at how do we increase quality while reducing cost.

While the current administration could resurrect a new healthcare bill, I have more conviction than ever that this important industry shift to value-based healthcare will continue.

We firmly believe that our focus on revenue cycle optimization will remain compelling for the long-term as healthcare providers, big and small, need to improve their efficiency from charge capture to bill drop and that the strategic moves we have made and will make going forward will continue to support our brand promise, which remains quality is the new revenue.

That concludes my remarks. But before turning the call over to the operator, I want to thank our Streamline Health associates for their continued hard work and dedication to our clients, to our shareholders, to each other. I will now turn the call over to the operator for our Q&A session.

Operator?.

Operator

Thank you. [Operator Instructions] And your first question will come from Matt Hewitt with Craig-Hallum Capital Group..

Matt Hewitt

Good afternoon, gentlemen. Thank you for the update. And I guess congratulations on the progress that you saw in 2016..

David Sides

Thanks, Matt..

Matt Hewitt

First off and I think, David, you might have just touched on this briefly, but I was wondering if you could give us a little sense of the hospital selling environment.

There has been a bit of a mixed message that’s been given since the election, some seeing delays in hospital purchasing, others not seeing that and then leading up to the expectation for a vote here recently with Trumpcare. How has that affected your selling ability? What are you hearing from customers? Anything along those lines would be helpful.

Thank you..

David Sides

Thanks, Matt. So from the selling environment perspective, we haven’t seen much change from our clients. The ACA didn’t really help our – necessarily our piece. We are in the middle of the revenue cycle. So, we weren’t in a part of the process that would have been helped or hurt by that being repealed or not.

And similarly with the ACHA, it wasn’t going to necessarily change things for us. I think it was having more of an effect on the payer side than the provider side perhaps. One thing we do like is that there has been a shift from meaningful use that people are disappointed with interoperability there. And so there is not as much from a push.

And so you are seeing IT budgets in our perspective free up for projects to have really good return on investments. We think we have good solutions there that can help coding accuracy and both controlled risk and reward from that.

So we actually see people looking for concrete ways to show a return on investment, where maybe with meaningful use, they were spending money on IT just to get systems in. Now they are looking for what are ways that we can get a real return on that big IT investment. And we are well positioned there.

So we still see a good hospital buying environment for us to sell into and are pleased with our position here in the middle, with something like coding that’s not going to go away, whether there is macro changes on the exchanges or how insurance work either way.

People are going to be paying by coding, the medical chart and that’s exactly where we are..

Matt Hewitt

Okay.

Shifting gears to, I guess the sales channels, the Nebraska and the more recently, the West Coast, were those Q4 or were those Q1 events?.

David Sides

We had, I think one of each. And we – we are trying to get some of the news out about those as far as we had a new client footprint. And we are getting more new client footprints with the coding audit services. And then the next phases to expand those into additional modules sold into that same account.

So Nebraska Medicine, they had been a client of ours for some time and they are now a client of services. And so our next step is to then sell them CDI technology, abstracting technology or eValuator coding accuracy technology and/or workflow technology for audit.

So we are trying to get the story out that we are both getting new clients and we are seeing with existing clients expansion into some of our new modules, which is we think positive.

And we mentioned in the call that we also sold for the first time in some time basically almost one of every product, which was a really nice quarter for us to have kind of a breadth of new sales of each solution..

Matt Hewitt

Right.

As far as – how should we be thinking about – maybe that you don’t necessarily need to go into a deals specifically, but how should we be thinking about average size for some of – for the different offering buckets, whether it’s on the coding side or the audit side, I mean could you give us a general sense for how those deals will flow through bookings and then to revenues?.

David Sides

And so if you think about it, there is the average deal size may be about 400-bed or 500-bed hospital. Most of our solutions are priced modestly in the $200,000 to $250,000 per year range for those clients.

So that’s how I think about when you look at most of these, maybe the audit services could be smaller depending on the number of charts that we are auditing, but in that kind of range..

Matt Hewitt

Okay. That’s really helpful.

Shifting into or shifting to the Allscripts agreement, what does the pipeline look like, if I remember correctly, there was an opportunity with a potential large reseller agreement and this dates back a couple of years ago, I know something that was in the works and at the time, it wasn’t disclosed who it was, I don’t know if that’s Allscripts now, but there was a decent pipeline there where there was a number of customers that needed some of the solutions that you provide, one I guess looking back, is that Allscripts and two, could you describe what the pipeline looks like, is there an immediate need within their install base where you can see incremental growth, maybe even ahead of what you had anticipated with your guidance today?.

David Sides

Yes. So Matt, it was Allscripts we are working on a year ago. We started talking with them at HIM a year ago. They have, if you watch them, they have been doing a good job of selling new bookings, getting to growth. So we are happy to be working with them on – with their clients on ways that we can bring some technology to their coding process.

So we think there is a real good opportunity there, early days on the pipeline. We are meeting with them in two weeks at the Becker’s Conference in Chicago to go through things in more detail. So we can’t quantify the impact of it today, other than they are a very large player obviously with a lot of clients and a lot of reach.

So we are really excited to be working with them..

Matt Hewitt

Well, that’s great.

Two more for me, first on I just want to clarify one point that you made in your guidance, Q1 would be down, is that down sequentially or down year-over-year?.

David Sides

It could be down sequentially depending on the timing. We are working on a couple of perpetual opportunities. And we felt like it would be better to be conservative and say it could be down sequentially from Q4, but that could change in the next three weeks. But given where we are today, we – I thought we would be the conservative.

And then we can see a good Q2 ramp, but just to be sure that we are not surprising the market if we come up with that number that’s without a perpetual in Q1..

Matt Hewitt

Fair enough, alright.

Last one for me, the audit services, maybe if you could talk, since closing that acquisition in Q3, maybe talk a little bit about the pipeline, what are you expecting from a margin profile for that business, obviously it’s very early days, I would expect you to ramp that business, but how should we be thinking about that and then an update on the cross-selling opportunities within the respective install bases? Thank you..

Nick Meeks

Hey Matt, it’s Nick. I would expect kind of contribution margins in high-20s to low-30s from that business moving forward. As in Nebraska Medicine deal that was announced, it was a cross-sell to that within that client base. I think there will be several others.

There has been one additional small one where we did some training in the hospital down in Florida. But the pipeline is developing nicely, both net new and within the existing client base. And I think it’s really a function of we are seeing a very large distribution of deal size there, if you will.

Some hospitals audit a lot and they do it all externally. Some hospitals audit a little and they do it less frequently and so we are seeing a big standard deviation in terms of deal size there. But I think the pipeline is developing nicely, both in terms of volume of deals and overall….

Matt Hewitt

Great. Thank you very much for taking the questions..

Nick Meeks

You bet..

David Sides

Thank you, Matt..

Operator

From CG Capital, we will hear from Kyle Davis..

Kyle Davis

Hello gentlemen, good afternoon..

David Sides

Hi Kyle..

Kyle Davis

Have you had any conversation with your strategic partners about CORE and eValuator, is there any chance of selling through those channels?.

David Sides

Yes. So we have talked with – so there are new acquired – some of that technology, we really kind of built those applications out since we acquired Opportune IT in September. And we officially announced both at HIM this year.

So to answer your question, with all of our current channel partners, we have talked about both technologies with them and said, you have existing paper, if this is something that would be useful with your client base, here is how we would like to expand it.

So I am flying out tonight to talk with the partner about that some more, some discussions we have had there. But interest certainly in the eValuator, and CORE both if they are doing audit, looks really good. The eValuator solution has return on investment piece.

We can run historical data through eValuator and give an idea of the quantification of the difference we could make. So in the sales process, that can be pretty compelling with the clients we have run through so far. So we are seeing a lot of up-tick there because we give them the true data.

This code was incorrect and it caused you this much money in revenue. This code was incorrect and it’s a risk to your organization if someone were to claim that back. So the total of improving your accuracy can be worth this. So we have had good discussions so far. We haven’t signed that with any of our current partners, but we are working on it.

And we expect to get something in the next few months. And just the pipeline of that so far is probably excluding our channel partners, we probably see a pipeline of about 1 million discharges through all of the work that we have done on our own, new clients and the cross-sell into our base..

Kyle Davis

Okay.

And with those initial conversations that you have been having, what’s the feedback, the general feedback that you have been hearing?.

David Sides

The feedback has been good. So the – we charge on a per discharge basis. So if you are a client, you can see really good return on investment. Most of the time, they are looking at least 5x the return. We are talking about how we integrate the technology, so one of the things that we work on is integrating to other EMRs and the suppliers.

And we have got that integration work done in the last six months. That’s a big box to take going forward. So you kind of have to meet the technical criteria first. And we are making it through those pieces where we have a number of clients that are starting to purchase and implement that technology.

And so we are getting a growing reference list of clients.

So one of the next things that you hit is you have 3 to 5 clients using the technology and we can start to answer that affirmatively and that’s moving us through the next stage, because as you know, most of our channel partners are large players in the industry and so they are kind of looking at clients of approximate scale.

We are moving those conversations forward and we will see how that works out to this year. But I think we will see some good success and uptake through those partners with their clients this year..

Kyle Davis

Okay, great.

And in regards to mixing the audit services and the technology, can you give some color to how that sales cycle works the timing of it, just usually software takes a bit longer than services to sell, so I am just a little curious for some more color there?.

David Sides

So you are right. It takes more time to get through the software sales cycle. The good thing about both of these technologies and most of our other technologies is that they are cloud-based. So once you get the sale, we can get the implementation and revenue more quickly than we could, if you look in our past 2 years ago.

We typically start with a discussion around return on investment, what problem are we trying to solve, kind of a challenger sale model flow. And then from there, proposed solutions to that or what the return on investment would look like.

So I’d say you are looking at from a first contact to decision process, somewhere between 3 and 5 months, then you add on contracting which is typically a little bit slower with hospitals you are looking at another couple of months. So, we are trying to get the sales cycle closer to 2 to 3 quarters instead of what’s typically a year’s sales cycle.

And we will see it, right. So we launched since February, we think we will sign a client in Q2. So that would have been essentially a two-quarter sales cycle. So we are excited about that possibility. And as that proves out, that will be an accelerant to our growth this year and a lot into 2018..

Kyle Davis

Alright. Thank you. Thank you and thanks for answering my questions..

Operator

[Operator Instructions] And at this time, I would like to turn the conference over to management for any additional or concluding remarks..

Randy Salisbury

Thank you again for your interest in and support of Streamline Health. If you have any additional questions or need information, please contact me at randy.salisbury@streamlinehealth.net. We look forward to speaking with you again in June when we will discuss our first quarter 2017 financial performance. Good day..

Operator

Ladies and gentlemen, that does conclude today’s presentation and we do thank everyone for your participation. You may now disconnect..

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