Index to Financial Statements



UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

FORM 10-K

(Mark One)

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

For the fiscal year ended January 31 2016

, 2023

OR

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

For the transition period from to

___________to___________

Commission File Number: 000-28132

STREAMLINE HEALTH SOLUTIONS, INC.

(Exact name of registrant as specified in its charter)

Delaware31-1455414
Delaware31-1455414
(State or other jurisdiction of
(I.R.S. Employer
incorporation or organization)
(I.R.S. Employer
Identification No.)

1230 Peachtree Street, NE, Suite 600,
Atlanta,

2400 Old Milton Pkwy., Box 1353

Alpharetta, GA 30309

30009

(Address of principal executive offices) (Zip Code)

(404) 920-2396

(888)997-8732

(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:

Common Stock, $.01 par value
(Title of Class)
The NASDAQ Stock Market, Inc.
(Name of exchange on which listed)

Title of each classTrading SymbolName of each exchange on which registered
Common Stock, $0.01 par value per shareSTRMNasdaq Capital Market

Securities registered pursuant to Section 12(g) of the Act:

None

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ¨Nox

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes ¨Nox

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. Yesx No ¨

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yesx No ¨

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of the registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K, or any amendment to this Form 10-K. ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer, or a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting company” and “smaller reporting“emerging growth company” in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filer ¨
Accelerated filer ¨
Non-accelerated filer¨
Smaller reporting company x
(Do not check if a smaller reporting company)
Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report.

If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the filing reflect the correction of an error to previously issued financial statements.

Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received by any of the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b). ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ¨Nox

The aggregate market value of the voting and non-voting common stock held by non-affiliates of the registrant, computed using the closing price as reported by The NASDAQ Stock Market, Inc. for the Registrant’s Common Stock on July 31, 2015,2022, the last business day of the Registrant’s most recently completed second fiscal quarter, was $45,488,878.


$55,069,915.

The number of shares outstanding of the Registrant’s Common Stock, $.01 par value per share, as of April 15, 2016: 19,361,549.


24, 2023 was 58,610,540.

Documents incorporated by reference:

Portions of Streamline’s

Information required by Part III is incorporated by reference from the Registrant’s Proxy Statement for its 20162023 annual meeting of stockholders or an amendment to this Annual MeetingReport on Form 10-K, which will be filed with the Securities and Exchange Commission within 120 days after the end of Stockholders are incorporated by reference into Part III.its fiscal year ended January 31, 2023.

 





FORWARD-LOOKING STATEMENTS


We make forward-looking statements in this Annual Report on Form 10-K (the “Report”) and in other materials we file with the Securities and Exchange Commission (“SEC”) or otherwise make public. These statements about future events and expectations are “forward-looking” within the meaning of Sections 27A of the Securities Act of 1933, as amended, and 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). In this Report, both Part I, Item 1, “Business,” and Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” contain forward-looking statements. In addition, our senior management makes forward-looking statements to analysts, investors, the media, and others. Statements with respect to expected revenue, income, receivables, backlog, client attrition, acquisitions and other growth opportunities, sources of funding operations and acquisitions, the integration of our solutions, the performance of our channel partner relationships, the sufficiency of available liquidity, research and development, and other statements of our plans, beliefs or expectations are forward-looking statements. These and other statements using words such as “anticipate,” “believe,” “estimate,” “expect,” “intend,” “plan,” “project,” “target,” “can,” “could,” “may,” “should,” “will,” “would” and similar expressions also are forward-looking statements. Each forward-looking statement speaks only as of the date of the particular statement. The forward-looking statements we make are not guarantees of future performance, and we have based these statements on our assumptions and analyses in light of our experience and perception of historical trends, current conditions, expected future developments and other factors we believe are appropriate under the circumstances. Forward-looking statements by their nature involve substantial risks and uncertainties that could significantly affect expected results, and actual future results could differ materially from those described in such statements. Management cautions against putting undue reliance on forward-looking statements or projecting any future results based on such statements or present or historical earnings levels.


Among the factors that could cause actual future results to differ materially from our expectations are the risks and uncertainties described under “Risk Factors” set forth in Part I, Item 1A, “Risk Factors” herein, and the other cautionary statements in other documents we file with the SEC, including the following:

competitive products and pricing;
product demand and market acceptance;
entry into new markets;
the extent to which health epidemics and other outbreaks of communicable diseases, including the ongoing coronavirus, or COVID-19, pandemic and the efforts to mitigate it, could disrupt our operations and/or materially and adversely affect our business and financial conditions;
the possibility that any of the anticipated benefits of the acquisition of Avelead Consulting, LLC (“Avelead”) will not be realized or will not be realized within the expected time period, the businesses of the Company and the Avelead segment may not be integrated successfully or such integration may be more difficult, time-consuming or costly than expected, or revenues following the Avelead acquisition may be lower than expected;
new product and services development and commercialization;
key strategic alliances with vendors and channel partners that resell our products;
uncertainty in continued relationships with clients due to termination rights;
our ability to control costs;
availability, quality and security of products produced and services provided by third-party vendors;
the healthcare regulatory environment;
potential changes in legislation, regulation and government funding affecting the healthcare industry;

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competitive products and pricing;

product demand and market acceptance;
new product development;
key strategic alliances with vendors that resell our products;
our ability to control costs;
availability of products produced by third party vendors;
the healthcare regulatory environment;
potential changes in legislation, regulation and government funding affecting the healthcare industry;
healthcare information systems budgets;
availability of healthcare information systems trained personnel for implementation of new systems, as well as maintenance of legacy systems;
the success of our relationships with channel partners;
fluctuations in operating results;
critical accounting policies and judgments;
changes in accounting policies or procedures as may be required by the Financial Accounting Standards Board or other standard-setting organization;
changes in economic, business and market conditions impacting the healthcare industry, the markets in which we operate and nationally; and
our ability to maintain compliance with the terms of our credit facilities.

healthcare information systems budgets;
availability of healthcare information systems trained personnel for implementation of new systems, as well as maintenance of legacy systems;
the success of our relationships with channel partners;
fluctuations in operating results;
our future cash needs;
the consummation of resources in researching acquisitions, business opportunities or financings and capital market transactions;
the failure to adequately integrate past and future acquisitions into our business;
critical accounting policies and judgments;
changes in accounting policies or procedures as may be required by the Financial Accounting Standards Board or other standard-setting organizations;
changes in economic, business and market conditions impacting the healthcare industry and the markets in which we operate;
our ability to maintain compliance with the terms of our credit facilities; and
our ability to maintain compliance with the continued listing standards of the Nasdaq Capital Market (“Nasdaq”).

Most of these factors are beyond our ability to predict or control. Any of these factors, or a combination of these factors, could materially affect our future financial condition or results of operations and the ultimate accuracy of our forward-looking statements. There also are other factors that we may not describe (generally because we currently do not perceive them to be material) that could cause actual results to differ materially from our expectations.


We expressly disclaim any obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by law.


PART I


ITEM

Item 1. Business


Company Overview

Incorporated in 1989, the CompanyStreamline Health Solutions, Inc. is a leading provider of transformational data-driven solutions and services in the middle of the revenue cycle for healthcare organizations. providers throughout the United States and Canada. Streamline Health’s technology helps hospitals improve their financial performance by optimizing data and coding for every patient encounter prior to bill submission. By performing these activities before billing, providers can drive net revenue through reduced revenue leakage, overbilling, and days in accounts receivable. This enables providers to achieve more predictable revenue streams using technology rather than manual intervention.

The Company provides computer software-based solutions, through its Looking Glass® platform. Looking Glass® captures, aggregatesprofessional consulting and translatesauditing and coding services, which capture, aggregate, and translate structured and unstructured data to deliver intelligently organized, easily accessible predictive insights to its clients. Hospitals and certain hospital owned and operated physician groups use the knowledge generated by the Looking Glass® platformStreamline Health to help them reduce exposure to risk, improve clinical,their financial and operational performance and improve patient care.

performance.

The Company’s software solutions are delivered to clients either by purchased fixed-term or perpetual license, where such software is installed locally in the client’s data center, or by access to the Company’s data center systems through a secure connection in a software as a service (SaaS)(“SaaS”) delivery method.

method or by a fixed-term or perpetual license, where such software is installed locally in the client’s data center.

The Company operates exclusively in one segment as a provider of health information technology solutions and associated services that improve healthcare processes and information flows within a healthcare facility. The Company sells its solutions and services in North America to hospitals and health systems including physician practices, through its direct sales force and its reseller partnerships.

As part of the Company’s strategic expansion into the revenue cycle management, acute-care healthcare space, the Company acquired all of the equity interests of Avelead Consulting, LLC (“Avelead”) on August 16, 2021 on a cash- and debt-free basis. After the third fiscal quarter of 2022, the Company announced a restructuring in order to fully integrate the Avelead business with its other solutions by the end of fiscal 2022. As of that date, the Company’s management was combined under one leader, and the functions of sales and marketing, innovation, support, client success and implementation services were combined under common management.

Unless the context requires otherwise, references to “Streamline Health,” the “Company,” “we,” “us” and “our” in this Report are intended to mean Streamline Health Solutions, Inc. and its wholly-owned subsidiaries. All references to a fiscal year refer to the fiscal year commencing February 1 in that calendar year and ending on January 31 of the following calendar year.

Solutions

The Company offers solutions and services to assist its clients in all areasrevenue cycle management including its two flagship technologies RevID™ and eValuatorTM. RevID offers automated, 24-hour reconciliation of clinical activity to patient billing records prior to billing. eValuator provides 100% automated coding analysis prior to billing. In addition, the patient care lifecycleCompany offers an array of professional services, including Patient Engagement, Patient Care, Health Information Management (HIM), Codingsystem implementation. The Company’s solutions and Clinical Documentation Improvement (CDI), and Financial Management. Each suite of solutions isservices are designed to improve the flow of critical patientcoding information throughout the enterprise. Each of the Company’sThe solutions helpsand services help to transform andthe structure of information between disparate information technology systems into actionable data, giving the end user comprehensive access to clinical and business intelligence to enable betterenhance billing accuracy and decision-making. All solutionsSolutions can be accessed securely through SaaS or delivered either by a perpetual license or by a fixed-term license installed locallylocally.

RevID Automated Revenue Reconciliation – RevID is a cloud-based SaaS automated, 24-hour charge reconciliation tool. RevID identifies discrepancies between a provider’s clinical and billing departments and ensures that every medical service is tracked, accounted for, and ultimately accurately billed, thereby reducing revenue leakage. RevID functions on a pre-bill basis, allowing providers to catch mistakes and discrepancies prior to billing.

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eValuator Coding Analysis Platform - This technology is a cloud-based SaaS solution that delivers the capability of fully automated analysis on 100% of billing codes entered by a healthcare provider’s coding team. This is done on a pre-bill basis, enabling providers to identify and address their highest-impact cases prior to billing. Rule sets are enabled for inpatient, outpatient and pro-fee cases. With eValuator, providers can add an audit function on a pre-bill basis to all cases, allowing the provider to better optimize reimbursements and mitigate risk on its billing practices.

Data Comparison Engine (“DCE” or accessed securely through SaaS.    

Patient Engagement Solutions - These solutions assist clients with patient access at“Compare”) – Compare is a cloud-based SaaS system synchronization module that reconciles data in different software used by hospitals within their operations. Compare operates continuously and automates the very beginning of the care continuum, before care has been provided. Individual workflows include a patient portal, physician referral, patient eligibility and authorization, patient payment including charity management and patient scheduling. Manyreconciliation of these solutions assist clients insystems to identify discrepancies or errors occurring between systems. Additionally, the completion of patient records by capturing, storing and intelligently distributing the unstructured data that exists at all touch points throughout the patient care continuum. They createCompare module can be utilized as a permanent, document-based repository of historical health information that integrates seamlessly with existing clinical, financial and administrative information systems.
Patient Care Solutions - These solutions enable healthcare providersmaintenance check when a hospital adds additional disparate software systems or converts to improve their patient care through individual workflows such as clinical analytics, operating room management, physician portal and care coordination. The Company’s Looking Glass® platform delivers industry leading clinical analytics that foster an open, continuous learning culture inside a healthcare organization empowering it with real-time, on-demand predictive insight for improved patient outcomes.
HIM, new software system.

Coding & CDISolutions - These solutions provide– CDI provides an integrated web-basedon-premise or cloud-based software suite that enhances the productivity of CDI and Coding staff and enables the seamless sharing of patient data. This suite of solutions includes individual workflows such as content management, release of information, computer-assisted coding (eCAC), CDI, abstractingAbstracting and physician query. The eCAC solution includes patented Natural Language Processing (NLP) that streamlines concurrent chart review and coding workflows.

Physician Query.

Financial ManagementSolutions - These (FMBA) – FMBA has been sunset by the Company. FMBA solutions enable financial staff across the healthcare enterprise to drill down quickly and deeply into actionable and real-time financial data and key performance indicators to improve revenue realization and staff efficiency.realization. This suite of solutions includes individual workflows such as accounts receivable management, denials management, claims processing, spend management and audit management. These solutions provide dashboards, data mining tools

Professional Services

Audit and prescriptive reporting, whichCoding Services — The Company provides technology-enabled audit and coding services to help to simplify, facilitateclients review and optimize overall revenue cycle performancetheir internal clinical documentation and coding functions across the applicable segment of the healthcareclient’s enterprise. The financial management suiteCompany provides these services using experienced coders and auditors through use of solutions is usedits eValuator proprietary software to improve the qualitytargeting of records with the highest likelihood of requiring an audit. The audit services are provided for inpatient diagnostic-related group (DRG) code auditing, outpatient ambulatory payment classification (APC) auditing, hierarchical condition categories (HCC) auditing and accuracyPhysician/Pro-Fee services coding and auditing. The Company has attracted new clients on eValuator utilizing its coding and auditing services as a technology enabled service.

Software Services – Software services relates to implementation of our core software modules, including data collection, configuration of the data captured via our Patient Engagement solutions during patient admission, registrationsoftware based on the clients’ needs, training and scheduling. These solutions are also usedsupport. Support services include non-specified upgrades to increase the completion and accuracy of patient charts and related coding, improve accounts receivable collections, reduce and manage denials, and improve audit outcomes.





software.

Professional Services

Custom Integration ServicesThe Company’s professional services team worksare typically associated with clientshospital revenue cycle assistance and include troubleshooting, staff augmentation and “adhoc” services. Services may include, but are not limited to, design custom integrations that integrate data toreview of workflow processes, development and optimization of new workflows, optimization of interfaces, performance of audits and reconciliations, interim resources and project management of system implementations or from virtually any clinical, financial, or administrative system. By taking data and documents from multiple, disparate systems and bringing them into one streamlined system, clients are able to maximize efficiencies and increase operational performance.conversions. The Company has replaced its emphasis on professional services with technology solutions. The Company’s professional services team also creates custom integrationspremise is that transfer data fromtechnology on the Company’s solutions intofront end of the client’s external or internal systems.
Training Services — Training courses are offered to help clients quickly learn to use our solutionsrevenue cycle process will reduce waste and errors in the most efficient manner possible. Training sessions are available on-site or offcoding and the backend.

Discontinued Operations

Enterprise Content Management (“ECM Assets”) – This legacy technology product has existed since the inception of the Company. This product assists hospitals with workflow on electronic health records. Historically, this has been one of the largest products, in terms of revenue, for the Company. The ECM Assets were sold on February 24, 2020 to Hyland Software in a transaction accounted for as few as one person or multiple staff members.

Electronic Image Conversion — The Company’s electronic image conversion service allows organizationsa sale of assets. See Note 13 – Discontinued Operations to protect their repository of images while taking advantage of its content management technology. Electronic image conversion creates one repository that integrates directly with our clinical content management system. This service is available via the SaaS model or for locally-installed solutions.
Database Monitoring Services — The Company’s advanced database monitoring services for locally-installed clients help lighten the burden of ongoing system monitoring by the client’s information technology staffconsolidated financial statements included in Part II, Item 8, “Financial Statements and ensure a continual, stable production environment. The Company’s database administrators ensure the client’s system is running optimally with weekly, manual checksSupplementary Data”. For purposes of the database environment to identify system issuesfinancial information that may require further attention. Monitoring is done through protected connections to data security.contained herein, this business is accounted for as Discontinued Operations.

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Clients and Strategic Partners

The Company continues to provide transformational data-driven solutions to some of the finest, most well respectedwell-respected healthcare enterprises in the United States and Canada. Clients are geographically dispersed throughout North America,America. The Company provides these solutions through a combination of direct sales and relationships with heaviest concentration in the New York metropolitan area, Philadelphia, Texas, Southern California and the west coast of Florida.

In December 2007, the Company entered into an agreement with Telus Health (formerly Emergis, Inc.), a large international telecommunications corporation based in Canada, pursuant to which Telus Health integrates the Company’s document management repository and document workflow applications into its Oacis (Open Architecture Clinical Information System) Electronic Health Record solution. Through this agreement, the Company receives revenues from Canadian hospitals that use the document management system.
In May 2012, the Company entered into a cross marketing agreement with RevPoint Health (formerly nTelegent), an automated workflow process provider with embedded real-time quality assurance functionality designed to enhance the patient registration process, decrease denials, reduce returned mail and complement the solution’s core focus of improving upfront cash. Under the terms of the agreement, RevPoint is permitted to utilize the Streamline Health business analytics solution to facilitate the increase of upfront cash and cash on hand, as well as reduce accounts receivable days and bad debt for clients. The companies offer each other’s services to their respective client bases to help maximize revenue cycle performance.
In December 2012, the Company entered into a cross marketing agreement with RSource, a leading provider of receivables management recovery solutions for healthcare providers. Under the terms of the agreement, RSource utilizes the Streamline Health business analytics solution to facilitate the revenue recovery services it provides to its clients, known as RCover. With Streamline’s Looking Glass® Financial Management solutions, RSource is able to identify financial opportunities for its clients and to work with any data set to generate fast, sustainable return on investment. In addition, the companies offer each other's services to their respective client bases to help maximize revenue cycle performance.
strategic channel partners.

During fiscal year 2015, no2022, two individual clients accounted for 10% or more of our continuing operations revenue and represented approximately $7.9 million of total continuing operations revenue. During fiscal 2021, one individual client accounted for 10% or more of our continuing operations revenue and represented approximately $2.6 million of total revenues. Twocontinuing operations revenue. Four clients represented 13%, 12%, 12% and 12%10%, respectively, of totalcontinuing operations accounts receivable as of January 31, 2016.

During fiscal year 2014, no individual client accounted for 10% or more of our total revenues. Two2023, and three clients represented 24%, 16% and 10%15%, respectively, of totalcontinuing operations accounts receivable as of January 31, 2015.
2022. Many of our clients are invoiced on an annual basis.

For more information regarding our major clients, please see “Risks Relating to Our Business - Our sales have been concentrated in a small number of clients” in Part 1, Item 1A, Risk Factors.“Risk Factors” herein.

Acquisitions and Divestitures

The Company regularly evaluates opportunities for acquisitions and divestitures for portions of the Company that may not align with current growth strategies.

The Company acquired all of the equity interests of Avelead as part of the Company’s strategic expansion into the revenue cycle management, acute-care healthcare space. The acquisition was completed on August 16, 2021. The aggregate consideration for the purchase of Avelead was approximately $29.7 million (at fair value) consisting of (i) $12.5 million in cash, net of cash acquired, (ii) $6.5 million in common stock, and (iii) approximately $10.7 million in contingent consideration. The Company issued 5,021,972 shares of its restricted common stock to Avelead equity holders in connection with the acquisition. See Note 3 - Business Combination and Divestiture to our consolidated financial statements included in Part II Item 8, “Financial Statements and Supplementary Data” for additional information regarding the acquisition.

The Company divested its legacy ECM Assets, effective February 24, 2020, in a transaction accounted for as a sale of assets. This sale of assets is consistent with the Company’s efforts to offer and invest in products that serve the middle of the revenue cycle, primarily for acute care healthcare organizations. We applied the standard of ASC 205-20-1 to ascertain the timing of accounting for the discontinued operations. Based on ASC 205-20-1, the Company determined that it did not have the authority to sell the assets until the date of the stockholder approval which was February 21, 2020. Accordingly, the Company did not present the ECM Assets as held for sale in its fiscal 2019 financial statements. On February 21, 2020, the Company having the authority and ability to consummate the sale of the ECM Assets, met the criteria to present discontinued operations as described in ASC 205-20-1. Accordingly, the Company is reporting the results of operations and cash flows, and related balance sheet items associated with the ECM Assets in discontinued operations in the accompanying consolidated statements of operations, cash flows and balance sheets for the current and comparative prior periods. See Note 13 – Discontinued Operations to our consolidated financial statements included in Part II, Item 8, “Financial Statements and Supplementary Data”.

6

Business Segments

We manage our business

Under ASC 280-10-50-11, two or more operating segments may be aggregated into a single operating segment if they are considered to be similar. Operating segments are considered to be similar if they can be expected to have essentially the same economic characteristics and future prospects. Using the aggregation guidance, the Company determined that it has one operating segment due to the similar economic characteristics of the Company’s products, product development, distribution, regulatory environment and client base as a provider of computer software-based solutions and services for acute-care healthcare organizations.

For fiscal years 2022 and 2021, the Company had two reporting units for evaluation of goodwill; Streamline Solutions and Avelead Solutions. The Company has determined that effective January 1, 2023, it has one single business segment.reporting unit for purposes of evaluation of goodwill. At the end of fiscal 2022, the Company consolidated and combined its operations for Streamline Solutions and Avelead Solutions. For our total assets at January 31, 20162023 and 20152022 and total revenue and net loss for the fiscal years ended January 31, 20162023 and 2015,2022, see our consolidated financial statements included in Part II, Item 8, “Financial Statements and Supplementary Data” herein.




Contracts,

License and Services Fees

The Company enters into master agreements with its clients that specify the scope of the system to be installed andand/or services to be provided by the Company, as well as the agreed-upon aggregate pricepricing, applicable term duration and the timetable for the associated licenses and services. Typically

For clients purchasing software to be installed locally or provided on a SaaS model, these are multi-element arrangementsmultiple performance obligations that include either a perpetual or term license and right to access the applicable software functionality (whether installed locally at the client site (oror the right to use the Company’s solutions as a part of SaaS services), terms regarding maintenance and an initial maintenance termsupport services, and any third-party components including hardware and software (included with SaaS services), as well as professional services for implementation, integration, process engineering, optimization and training.training, as well as fees and payment terms for each of the foregoing. If the client purchases solutions via SaaS,on a perpetual license model, the client is billed the license fee up front. Maintenance and support is provided on a term basis for separate fees, with an initial term typically from one to five years in length. The maintenance and support fee is charged annually, in advance, commencing either upon contract execution or deployment of the solution in live production. If the client purchases solutions on a term-based model, the client is billed periodically a combined access fee for a specified term, typically from one to seven years in length. The SaaSaccess fee includes the access rights along with all maintenance and support services.

The Company also generally provides software and SaaS clients professional services for implementation, integration, process engineering, optimization and training. These services and the associated fees are separate from the license, maintenance and access fees. Professional services are typicallyprovided on either a fixed-fee or hourly arrangements billable to clients based on agreed-to payment milestones (fixed fee) or monthly.monthly payment structure on hours incurred (hourly). These services can either be included at the time the related locally installed software or SaaS solution is licensed as part of the initial purchase agreement or added as an addendum to the existing agreement for services required after the initial implementation. The Company recognizes revenue for implementation for certain of its eValuator SaaS solution over the contract term, as it has been determined that those implementation services are not a distinct performance obligation, whereas for other SaaS and Software solutions such as CDI, RevID and Compare, it has been determined that its implementation services are a distinct performance obligation and, accordingly, are recognized separately as professional services.

Coding and audit services are provided through a stand-alone services agreement or services addendum to an existing master services agreement with the client. These review services are available as either a one-time service or recurring monthly, quarterly or annual review structure. These services are typically provided on a per reviewed account/chart basis. Monthly minimums are required where material discounts have been offered. Revenue is generally recognized when the chart is reviewed (i.e, service is completed).

7

The commencement of revenue recognition on software solutions varies depending on the size and complexity of the system and/or services involved, the implementation or performance schedule requested by the client and usage by clients of SaaS.SaaS for software-based components. The Company’s agreements are generally non-cancellable but provide that the client may terminate its agreement upon a material breach by the Company and/or may delay certain aspects of the installation or associated payments in such events. The Company does allow for termination for convenience in certain situations. Therefore, it is difficult for the Company to accurately predict the revenue it expects to achieve in any particular period. The Company’s master agreements generally provide that the client may terminate its agreement uponperiod, and a material breach by the Company or may delay certain aspects of the installation. A termination or installation delay of one or more phases of an agreement, or the failure of the Company to procure additional agreements, could have a material adverse effect on the Company’s business, financial condition, and results of operations.operations, as further discussed in Part 1, Item 1A, “Risk Factors” herein. Historically, the Company has not experienced a material amount of contract cancellations; however, the Company sometimes experiences delays in the course of contract performance and the Company accounts for them accordingly.

Third-Party License fees

Fees

The Company incorporates software licensed from various third-party vendors into its proprietary software. In addition, third-party, stand-alone software is required to operate the Company’s proprietary software. The Company licenses these software products and pays the required license fees when such software is delivered to clients. For information regarding royalty agreements, see Note 3 to our consolidated financial statements included in Part II, Item 8 herein.

Associates

As of January 31, 2016,2023, the Company had 123 associates, with no112 employees, a net changes occurringdecrease of 22 employees during fiscal 2015.2022. All employees are full-time employees. The Company utilizes independent contractors to supplement its staff, as needed. None of the Company’s associates are represented by a labor union or subject to a collective bargaining agreement. The Company has never experienced a work stoppage and believes that its employee relations are good. The Company’s success depends, to a significant degree, on its management, sales and technical personnel.

For more information on contracts, backlog, acquisitions and research and development, see also Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations”.

Competition

The RevID product has competition in charge reconciliation, generally. The Company believes RevID’s automated charge reconciliation technique is unique in the industry as it specifically interacts with desperate clinical systems identifying unbilled services. There are products that purport to provide similar services, including nThrive’s Charge Capture Audit Tool and CloudMed’s ReVint Tool set. The Company anticipates that additional competition may develop as pre-bill, daily charge reconciliation becomes a standard within the industry.

The eValuator product has numerous competitors in the auditing software industry. The Company believes eValuator is unique in that it is designed and has the requisite workflow to perform audits on a pre-bill basis. The Company believes it is an industry leader in pre-bill auditing technology. We have seen competition on similar products that are being utilized by clients as a pre-bill auditing tool, such as PwC Smart and 3M, however, these similar products are intended to be utilized for post-bill auditing which is a different workflow than what is necessary for pre-bill auditing. We expect to have competition in the pre-bill technology industry. Client processes dictates that correcting errors prior to billing is more efficient and effective than having an audit after billing. There will be larger and more sophisticated competitors than our Company. Accordingly, using the time we have to gain market share prior to direct competition is critical to the Company’s success.

The Compare product has little direct competition outside of manual (Microsoft excel) based reconciliations. The Company believes that few systems exist that can accurately compare the various software systems used by hospitals. Examples of potential competitors include Vitalware, Craneware and nThrive’s Chargemaster toolkit. The Company believes Compare is unique in that it can be easily fine-tuned to work with a wide array of hospital systems to create a bespoke offering for specific clients, easing transitions to new platforms or as an ongoing maintenance check tool.

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Competition

Several

Regarding our Coding and CDI Solutions, eValuator Coding Analysis Platform, and Financial Management Solutions, several companies historically have dominated the clinical information system software market and several of these companies have either acquired, developed or are developing their own document management and workflow technologies.market. The industry is undergoing consolidation and realignment as companies position themselves to compete more effectively. Strategic alliances between vendors offering HIM workflow and document management technologies and vendors of other healthcare systems are increasing. Barriers to entry to this market include technological and application sophistication, the ability to offer a proven product, creating and utilizing a well-established client base and distribution channels, brand recognition, the ability to operate on a variety of operating systems and hardware platforms, the ability to integrate with pre-existing systems and capital for sustained development and marketing activities. The Company believes that these obstacles taken together represent a moderate to high-level barrier to entry. The Company has many competitors including clinical information system vendors that are larger, more established and have substantially more resources than the Company.

Regarding our Audit Services, there are numerous companies and independent consultants who offer these services. Barriers to entry to this market include creating and utilizing a well-established client base and distribution channels, brand recognition, establishing differentiators for our services and capital for sustained development and marketing activities.

The Company believes that these obstacles taken together represent a moderate to high-level barrier to entry. The Company believes that the principal competitive factors in its market are client recommendations and references, company reputation, system reliability, system features and functionality (including ease of use), technological advancements, client service and support, breadth and quality of the systems, the potential for enhancements and future compatible products, the effectiveness of marketing and sales efforts, price, and the size and perceived financial stability of the vendor. In addition, the Company believes that the speed with which companies in its market can anticipate the evolving healthcare industry structure and identify unmet needs are important competitive factors.

Additional Intellectual Property Rights

In addition to the software licenses described in other sections of this Item 1, “Business”, the Company also holds registered trademarks for its Streamline Health® and other key trademarks used in selling its products. These marks are currently active, with registrations being valid for a period of three years each. The Company actively renews these marks at the end of each registration period.

Regulation

Our clients derive a substantial portion of their revenue from third-party private and governmental payors, including through Medicare, Medicaid and other government-sponsored programs. Our clients also have express handling and retention obligations under information-based laws such as the Health Insurance Portability and Accountability Act of 1996. There are no material regulatory proposals of which the Company is aware that we believe currently have a high likelihood of passage that we anticipate would have a material impact on the operation or demand of the Company’s products and services. However, the Company acknowledges there is currently great uncertainty in the U.S. healthcare market, generally, from a regulatory perspective. In addition, there is regulatory uncertainty in the data and technology sectors as it relates to information security regulations. Material changes could have unanticipated impact on demand or usability of the Company’s solutions, require the Company to incur additional development and/or operating costs (on a one-time or recurring basis) or cause clients to terminate their agreements or otherwise be unable to pay amounts owed to the Company, as further discussed in Part 1, Item 1A, “Risk Factors” herein.

Environmental Matters

We believe we are compliant in all material aspects with all applicable environmental laws. We do not anticipate that such compliance will have a material effect on capital expenditures, earnings or the competitive position of our operations.

Code of Business Conduct and Ethics

We have a Code of Business Conduct and Ethics that guides and binds each of our employees, officers and directors which is available on the “Investor Relations” page of our website, www.streamlinehealth.net, under the “Corporate Governance” tab. We use an anonymous compliance hotline for employees and outside parties to report potential instances of noncompliance.

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Requests for Documents

Available Information

Copies of documents filed by the Company with the SEC, including annual reports on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K, proxy statements and all amendments to those reports and statements, if any, can be found at the web sitewebsite http://investor.streamlinehealth.net as soon as practicable after such material is electronically filed with, or




furnished to, the SEC. The information contained on the Company'sCompany’s website is not part of, or incorporated by reference into, this annual report on Form 10-K.Report. Copies can be downloaded free of charge from the Company's web siteCompany’s website or directly from the SEC web site, http:website, https://www.sec.gov. Also, copies of the Company’s annual report on Form 10-K will be made available, free of charge, upon written request to the Company, attention: Corporate Secretary, 1230 Peachtree Street, NE, Suite 600, Atlanta,2400 Old Milton Pkwy, Box 1353, Alpharetta, GA 30309.
Materials that the Company files with the SEC may also be read and copied at the SEC’s Public Reference Room at 100 F Street, NE, Washington, DC 20549, on official business days during the hours of 10:00 am to 3:00 pm. Information on the operation of the Public Reference Room may be obtained by calling the SEC at 1-800-SEC-0330.

ITEM30009.

Item 1A. Risk Factors

An investment in our common stock or other securities involves a number of risks. You should carefully consider each of the risks described below before deciding to invest in our common stock or other securities. If any of the following risks develops into actual events, our business, financial condition or results of operations could be negatively affected, the market price of our common stock or other securities could decline, and you may lose all or part of your investment.


Risks Relating to Our Business


Our sales have been concentrated in a small number of clients.

Our revenues have been concentrated in a relatively small number of large clients, and we have historically derived a substantial percentage of our total revenuescontinuing operations revenue from a few clients. For the fiscal years ended January 31, 20162023 and 2015,2022, our five largest clients accounted for 28%46% and 24%40%, respectively, of our total revenues, respectively.continuing operations revenue. If one or more clients terminate all or any portion of a master agreement, or delay installations or if we fail to procure additional agreements, there could be a material adverse effect on our business, financial condition and results of operations. See Note 9 - Major Clients to our consolidated financial statements included in Part II, Item 8, “Financial Statements and Supplementary Data”, herein for further information regarding representation of the Company’s largest individual major clients.

Over the last several years, we have completed acquisitions, and may undertake additional acquisitions in the future. Any failure to adequately integrate past and future acquisitions into our business could have a material adverse effect on us.

Acquisitions will require that we integrate into our existing operations separate companies that historically operated independently or as part of another, larger organization, and had different systems, processes and cultures. Acquisitions may require integration of finance and administrative organizations and involve exposure to different legal and regulatory regimes in jurisdictions in which we have not previously operated.

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Over the last several years, we have completed acquisitions of businesses through asset and stock purchases. We expect that we will make additional acquisitions in the future.

Acquisitions involve a number of risks, including, but not limited to:

the potential failure to achieve the expected benefits of the acquisition, including the inability to generate sufficient revenue to offset acquisition costs, or the inability to achieve expected synergies or cost savings;
unanticipated expenses related to acquired businesses or technologies and their integration into our existing businesses or technology;
the diversion of financial, managerial and other resources from existing operations;
the risks of entering into new markets in which we have little or no experience or where competitors may have stronger positions;
potential write-offs or amortization of acquired assets or investments;
the potential loss of key employees, clients or partners of an acquired business;
delays in client purchases due to uncertainty related to any acquisition;
potential unknown liabilities associated with an acquisition; and
the tax effects of any such acquisitions.

If we fail to successfully integrate acquired businesses or fail to implement our business strategies with respect to acquisitions, we may not be able to achieve projected results or support the amount of consideration paid for such acquired businesses, which could have an adverse effect on our business and financial condition.

Finally, if we finance acquisitions by issuing equity or convertible or other debt securities, our existing stockholders may be diluted, or we could face constraints related to the terms of and repayment obligations related to the incurrence of indebtedness. This could adversely affect the market price of our securities.

We could consume resources in researching acquisitions, business opportunities or financings and capital market transactions that are not ultimately consummated, which could materially adversely affect our financial condition and subsequent attempts to locate and acquire or invest in another business.

We anticipate that the investigation of each specific acquisition or business opportunity and the negotiation, drafting, and execution of relevant agreements, disclosure documents, and other instruments with respect to such transaction will require substantial management time and attention and substantial costs for financial advisors, accountants, attorneys and other advisors. If a decision is made not to consummate a specific acquisition, business opportunity or financing and capital market transaction, the costs incurred up to that point for the proposed transaction likely would not be recoverable. Furthermore, even if an agreement is reached relating to a specific acquisition, investment target or financing, we may fail to consummate the investment or acquisition for any number of reasons, including those beyond our control. Any such event could consume significant management time and result in a loss to us of the related costs incurred, which could adversely affect our financial position and our ability to consummate other acquisitions and investments.

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A significant increase in new software as a service (“SaaS”)SaaS contracts could reduce near-term profitability and require a significant cash outlay, which could adversely affect near term cash flow and financial flexibility.

flow.

If new or existing clients purchase significant amounts of our SaaS services, we may have to expend a significant amount of initial setup costs and time before those new clients are able to begin using such services, and we cannot begin to recognize revenues from those SaaS agreements until the commencement of such services. Accordingly, we anticipate that our near-term cash flow revenue and profitability may be adversely affected by significant incremental setup costs from new SaaS clients that would not be offset by revenue until new SaaS clients go into production. While we anticipate long-term growth in profitability through increases in recurring SaaS subscription fees and significantly improved profit visibility, any inability to adequately finance setup costs for new SaaS solutions could result in the failure to put new SaaS solutions into production and could have a material adverse effect on our liquidity, financial position and results of operations. In addition, this near-term cash flow demand could adversely impact our financial flexibility and cause us to forego otherwise attractive business opportunities or investments.

We may not see the anticipated market interest or growth in our software solutions. In addition, coding audit services and associated software and technologies represent a new market for the Company, and we may not see the anticipated market interest or growth due to being a new player in the industry.

The Company is currently investing in the eValuator platform as well as new software-based technologies relating to high automation and machine-based analytics regarding a client’s coding audit process. The return on this investment requires that the product developments continue to be defined and completed in a timely and cost-effective manner, there remains general interest in the marketplace (for both existing and future clients) for this technology, the demand for the product generates sufficient revenue in light of the development costs and that the Company is able to execute a successful product launch for these technologies. If the Company is unable to meet these requirements when launching these technologies, or if there is a delay in the launch process, the Company may not see an increase in revenue to offset the current development costs or otherwise translate to added growth and revenue for the Company.

Clients may exercise termination rights within their contracts, which may cause uncertainty in anticipated and future revenue streams.

The Company generally does not allow for termination of a client’s agreement except at the end of the agreed upon term or for cause. However, certain of the Company’s client contracts provide that the client may terminate the contract without cause prior to the end of the term of the agreement by providing written notice, sometimes with relatively short notice periods. The Company also provides trial or evaluation periods for certain clients, especially for new products and services. Furthermore, there can be no assurance that a client will not cancel all or any portion of an agreement, even without an express early termination right, and the Company may face additional costs or hardships collecting on amounts owed if a client terminates an agreement without such a right. Whether resulting from termination for cause or the limited termination for convenience rights discussed above, the existence of contractual relationships with these clients is not an assurance that we will continue to provide services for our clients through the entire term of their respective agreements. If clients representing a significant portion of our revenue terminated their agreements unexpectedly, we may not, in the short-term, be able to replace the revenue and income from such contracts and this would have a material adverse effect on the Company’s business, financial condition, results of operations and cash flows. In addition, client contract terminations could harm our reputation within the industry, especially any termination for cause, which could negatively impact our ability to obtain new clients.

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Changes in healthcare regulations impacting coding, payers and other aspects of the healthcare regulatory cycle could have substantial impact on our financial performance, growth and operating costs.

Our sales and profitability depend, in part, on the extent to which coverage of and reimbursement for medical care provided is available from governmental health programs, private health insurers, managed care plans and other third-party payors. Unanticipated regulatory changes could materially impact the need for and/or value of our solutions. For example, if governmental or other third-party payors materially reduce reimbursement rates or fail to reimburse our clients adequately, our clients may suffer adverse financial consequences. Changes in regulations affecting the healthcare industry, such as any increased regulation by governmental agencies of the purchase and sale of medical products, or restrictions on permissible discounts and other financial arrangements, could also directly impact the capabilities our solutions and services provide and the pricing arrangements we are required to offer to be competitive in the market. Similarly, the U.S. Congress may adopt legislation that may change, override, conflict with or pre-empt the currently existing regulations and which could restrict the ability of clients to obtain, use or disseminate patient health information and/or impact the value of the functionality our products and services provide.

These situations would, in turn, reduce the demand for our solutions or services and/or the ability for a client to purchase our solutions or services. This could have a material impact on our financial performance. In addition, the speed with which the Company can respond to and address any such changes when compared with the response of other companies in the same market (especially companies who may accurately anticipate the evolving healthcare industry structure and identify unmet needs) are important competitive factors. If the Company is not able to address the modifications in a timely manner compared with our competition, that may further reduce demand for our solutions and services.

The potential impact on us of new or changes in existing federal, state and local regulations governing healthcare information could be substantial.

Healthcare regulations issued to date have not had a material adverse effect on our business. However, we cannot predict the potential impact of new or revised regulations that have not yet been released or made final, or any other regulations that might be adopted. The U.S. Congress may adopt legislation that may change, override, conflict with or preemptpre-empt the currently existing regulations and which could restrict the ability of clients to obtain, use or disseminate patient health information. Although the features and architecture of our existing solutions can be modified, it may be difficult to address the changing regulation of healthcare information.


The healthcare industry is highly regulated. Any material changes in the political, economic or regulatory healthcare environment that affect the group purchasing business or the purchasing practices and operations of healthcare organizations, or that lead to consolidation in the healthcare industry, could require us to modify our services or reduce the funds available to providers to purchase our solutions and services.

Our business, financial condition and results of operations depend upon conditions affecting the healthcare industry generally and hospitals and health systems particularly. Our ability to grow will depend upon the economic environment of the healthcare industry, generally, as well as our ability to increase the number of solutions that we sell to our clients. The healthcare industry is highly regulated and is subject to changing political, economic and regulatory influences. Factors such as


changes in reimbursement policies for healthcare expenses, consolidation in the healthcare industry, regulation, litigation and general economic conditions affect the purchasing practices, operation and, ultimately, the operating funds of healthcare organizations. In particular, changes in regulations affecting the healthcare industry, such as any increased regulation by governmental agencies of the purchase and sale of medical products, or restrictions on permissible discounts and other financial arrangements, could require us to make unplanned modifications ofto our solutions and services, or result in delays or cancellations of orders or reduce funds and demand for our solutions and services.

Our clients derive a substantial portion of their revenue from third-party private and governmental payors, including through Medicare, Medicaid and other government-sponsored programs. Our sales and profitability depend, in part, on the extent to which coverage of and reimbursement for medical care provided is available from governmental health programs, private health insurers, managed care plans and other third-party payors. If governmental or other third-party payors materially reduce reimbursement rates or fail to reimburse our clients adequately, our clients may suffer adverse financial consequences, which in turn, may reduce the demand for and ability to purchase our solutions or services.

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We face significant competition, including from companies with significantly greater resources.

We currently compete with many other companies for the licensing of similar software solutions and related services. Several companies historically have dominated the clinical information systems software market and several of these companies have either acquired, developed, or are developing their own content management, analytics and coding/clinical documentation improvement solutions, as well as the resultant workflow technologies. The industry is undergoing consolidation and realignment as companies position themselves to compete more effectively. Many of these companies are larger than us and have significantly more resources to invest in their businesses.business. In addition, information and document management companies serving other industries may enter the market. Suppliers and companies with whom we may establish strategic alliances also may compete with us. Such companies and vendors may either individually, or by forming alliances excluding us, place bids for large agreements in competition with us. A decision on the part of any of these competitors to focus additional resources in any one of our three solutions stacks (content management,(coding audit solutions, analytics and coding/clinical documentation improvement), workflow technologies orand other markets addressed by us could have a material adverse effect on us.


The healthcare industry is evolving rapidly, which may make it more difficult for us to be competitive in the future.

The U.S. healthcare system is under intense pressure to improve in many areas, including modernization, universal access and controlling skyrocketing costs of care. We believe that the principal competitive factors in our market are client recommendations and references, company reputation, system reliability, system features and functionality (including ease of use), technological advancements, client service and support, breadth and quality of the systems, the potential for enhancements and future compatible solutions, the effectiveness of marketing and sales efforts, price and the size and perceived financial stability of the vendor. In addition, we believe that the speed with which companies in our market can anticipate the evolving healthcare industry structure and identify unmet needs areis an important competitive factors.factor. If we are unable to keep pace with changing conditions and new developments, we will not be able to compete successfully in the future against existing or potential competitors.


Rapid technology changes and short product life cycles could harm our business.

The market for our solutions and services is characterized by rapidly changing technologies, regulatory requirements, evolving industry standards and new product introductions and enhancements that may render existing solutions obsolete or less competitive. As a result, our position in the healthcare information technology market could change rapidly due to unforeseen changes in the features and functions of competing products, as well as the pricing models for such products. Our future success will depend, in part, upon our ability to enhance our existing solutions and services and to develop and introduce new solutions and services to meet changing requirements. Moreover, competitors may develop competitive products that could adversely affect our operating results. We need to maintain an ongoing research and development program to continue to develop new solutions and apply new technologies to our existing solutions but may not have sufficient funds with which to undertake such required research and development. If we are not able to foresee changes or to react in a timely manner to such developments, we may experience a material, adverse impact on our business, operating results and financial condition.


Our intellectual property rights are valuable, and any inability to protect them could reduce the value of our solutions and services.

Our intellectual property, which represents an important asset to us, has some protection against infringement through copyright and trademark law. We generally have little patent protection on our software. We rely upon license agreements, employment agreements, confidentiality agreements, nondisclosure agreements and similar agreements to maintain the confidentiality of our proprietary information and trade secrets. Notwithstanding these precautions, others may copy, reverse


engineer or independently design independently, technology similar to our solutions. If we fail to protect adequately our intellectual property through trademarks and copyrights, license agreements, employment agreements, confidentiality agreements, nondisclosure agreements or similar agreements, our intellectual property rights may be misappropriated by others, invalidated or challenged, and our competitors could duplicate our technology or may otherwise limit any competitive technology advantage we may have. It may be necessary to litigate to enforce or defend our proprietary technology or to determine the validity of the intellectual property rights of others. Any litigation, could be successful or unsuccessful, may result in substantial cost and require significant attention by management and technical personnel.

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Due to the rapid pace of technological change, we believe our future success is likely to depend upon continued innovation, technical expertise, marketing skills and client support and services rather than on legal protection of our intellectual property rights. However, we have in the past aggressively asserted our intellectual property rights when necessary and intend to do so in the future.


We could be subjected to claims of intellectual property infringement that could be expensive to defend.

While we do not believe that our solutions and services infringe upon the intellectual property rights of third parties, the potential for intellectual property infringement claims continually increases as the number of software patents and copyrighted and trademarked materials continues to rapidly expand. Any claim for intellectual property right infringement, even if not meritorious, could be expensive to defend. If we were held liable for infringing third party intellectual property rights, we could incur substantial damage awards, and potentially be required to cease using the technology, produce non-infringing technology or obtain a license to use such technology. Such potential liabilities or increased costs could be material to us.


Over the last several years,

If we have completed a number of acquisitions andare unable to maintain effective internal control over financial reporting, we may undertake additional acquisitionsfail to prevent or detect material misstatements in our financial statements, in which case investors may lose confidence in the future.accuracy and completeness of our financial statements.

In connection with the preparation of the consolidated financial statements for each of our fiscal years, our management conducts a review of our internal control over financial reporting. We are also required to maintain effective disclosure controls and procedures. Any failure to maintain adequate controls or to adequately integrate past and future acquisitions into our businessimplement required new or improved controls could have a material adverse effect on us.

Over the last several years, we have completed several acquisitions of businesses through asset and stock purchases. We expect that we will make additional acquisitions in the future.
Acquisitions involve a number of risks, including, but not limited to:

the potentialharm operating results, or cause failure to achieve the expected benefits of the acquisition, including the inability to generate sufficient revenue to offset acquisition costs, or the inability to achieve expected synergies or cost savings;

unanticipated expenses related to acquired businesses or technologiesmeet reporting obligations in a timely and their integration into our existing businesses or technology;

the diversion of financial, managerial, and other resources from existing operations;

the risks of entering into new markets in which we have little or no experience or where competitors may have stronger positions;

potential write-offs or amortization of acquired assets or investments;

the potential loss of key employees, clients, or partners of an acquired business;

delays in client purchases due to uncertainty related to any acquisition;

potential unknown liabilities associated with an acquisition; and

the tax effects of any such acquisitions.
If we fail to successfully integrate acquired businesses or fail to implement our business strategies with respect to acquisitions, we may not be able to achieve projected results or support the amount of consideration paid for such acquired businesses, which could have an adverse effect on our business and financial condition.
Finally, if we finance acquisitions by issuing equity or convertible or other debt securities, our existing stockholders may be diluted, or we could face constraints related to the terms of and repayment obligations related to the incurrence of indebtedness. This could adversely affect the market price of our securities.


accurate manner.

Third party products are essential to our software.

Our software incorporates software licensed from various vendors into our proprietary software. In addition, third-party, stand-alone software is required to operate some of our proprietary software modules. The loss of the ability to use these third-party products, or ability to obtain substitute third-party software at comparable prices, could have a material adverse effect on our ability to license our software.


Our solutions may not be error-free and could result in claims of breach of contract and liabilities.

Our solutions are very complex and may not be error-free, especially when first released. Although we perform extensive testing, failure of any solution to operate in accordance with its specifications and documentation could constitute a breach of the license agreement and require us to correct the deficiency. If such deficiency is not corrected within the agreed-upon contractual limitations on liability and cannot be corrected in a timely manner, it could constitute a material breach of a contract allowing the termination thereof and possibly subjecting us to liability. Also, we sometimes indemnify our clients against third-party infringement claims. If such claims are made, even if they are without merit, they could be expensive to defend. Our license and SaaS agreements generally limit our liability arising from these types of claims, but such limits may not be enforceable in some jurisdictions or under some circumstances. A significant uninsured or under-insured judgment against us could have a material adverse impact on us.


We could be liable to third parties from the use of our solutions.

Our solutions provide access to patient information used by physicians and other medical personnel in providing medical care. The medical care provided by physicians and other medical personnel are subject to numerous medical malpractice and other claims. We attempt to limit any potential liability of ours to clients by limiting the warranties on our solutions in our agreements with our clients (i.e., healthcare providers). However, such agreements do not protect us from third-party claims by patients who may seek damages from any or all persons or entities connected to the process of delivering patient care. We maintain insurance, which provides limited protection from such claims, if such claims result in liability to us. Although no such claims have been brought against us to date regarding injuries related to the use of our solutions, such claims may be made in the future. A significant uninsured or under-insured judgment against us could have a material adverse impact on us.

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Our SaaS and support services could experience interruptions.

We provide SaaS for many clients, including the storage of critical patient, financial and administrative data. In addition, we provide support services to clients through our client support organization. We have redundancies, such as backup generators, redundant telecommunications lines and backup facilities built into our operations to prevent disruptions. However, complete failure of all generators, or impairment of all telecommunications lines or severe casualty damage to the primary building or equipment inside the primary building housing our hosting center or client support facilities could cause a temporary disruption in operations and adversely affect clients who depend on the application hosting services. Any interruption in operations at our data center or client support facility could cause us to lose existing clients, impede our ability to obtain new clients, result in revenue loss, cause potential liability to our clients, and increase our operating costs.


Our business and operations would suffer in the event of computer system failures, cyber-attacks or a deficiency in our cybersecurity. Our SaaS solutions are provided over an internet connection. Anyconnection and any breach of security or confidentiality of protected health information could expose us to significant expense and harm our reputation.

Despite the implementation of security measures, our internal computer systems, and those of third parties on which we rely, are vulnerable to damage from a variety of causes, including computer viruses, malware, intentional or accidental mistakes or errors by users with authorized access to our computer systems, natural disasters, terrorism, war, telecommunication and electrical failures, cyber-attacks or cyber-intrusions over the Internet, or attachments to emails. The risk of a security breach or disruption, particularly through cyber-attacks or cyber intrusions, including by computer hackers, non-U.S. governments, extra-state actors and cyber terrorists, has generally increased as the number, intensity and sophistication of attempted attacks and intrusions from around the world have increased.

We provide remote SaaS solutions for clients, including the storage of critical patient, financial and administrative data. We have security measures in place to prevent or detect misappropriation of protected health information. We must maintain facility and systems security measures to preserve the confidentiality of data belonging to clients, as well as their patients, that resides on computer equipment in our data center, which we handle via application hosting services, or that is otherwise in our possession. Notwithstanding efforts undertaken to protect data, it can be vulnerable to infiltration as well as unintentional lapse. If any disruption or security breach was to result in a loss of or damage to our data or applications, or inappropriate disclosure of confidential or proprietary information, is compromised, we could face claims for contract breach, penalties and other liabilities for violation of applicable laws or regulations, significant costs for remediation and re-engineering to prevent future occurrences and serious harm to our reputation.


In the current environment, there are numerous and evolving risks to cybersecurity and privacy, including criminal hackers, hacktivists, state-sponsored intrusions, industrial espionage, employee malfeasance and human or technological error. High-profile security breaches at other companies and in government agencies have increased in recent years, and security industry experts and government officials have warned about the risks of hackers and cyber-attacks targeting businesses such as ours. Computer hackers and others routinely attempt to breach the security of technology products, services and systems, and to fraudulently induce employees, clients, or others to disclose information or unwittingly provide access to systems or data. We can provide no assurance that our current IT systems, software, or third-party services, or any updates or upgrades thereto will be fully protected against third-party intrusions, viruses, hacker attacks, information or data theft or other similar threats.

Legislative or regulatory action in these areas is also evolving, and we may be unable to adapt our IT systems to accommodate these changes. We have experienced and expect to continue to experience sophisticated attempted cyber-attacks of our IT networks. Although none of these attempted cyber-attacks has had a material adverse impact on our operations or financial condition, we cannot guarantee that any such incidents will not have such an impact in the future.

The loss of key personnel could adversely affect our business.

Our success depends, to a significant degree, on our management, sales force and technical personnel. We must recruit, motivate and retain highly skilled managers, sales, consulting and technical personnel, including solution programmers, database specialists, consultants and system architects who have the requisite expertise in the technical environments in which our solutions operate. Competition for such technical expertise is intense. Our failure to attract and retain qualified personnel could have a material adverse effect on us.

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Our future success depends upon our ability to grow, and if we are unable to manage our growth effectively, we may incur unexpected expenses and be unable to meet our clients’ requirements.

We will need to expand our operations if we successfully achieve greater demand for our products and services. We cannot be certain that our systems, procedures, controls and human resources will be adequate to support expansion of our operations. Our future operating results will depend on the ability of our officers and employees to manage changing business conditions and to implement and improve our technical, administrative, financial control and reporting systems. We may not be able to expand and upgrade our systems and infrastructure to accommodate these increases. Difficulties in managing any future growth, including as a result of integrating any prior or future acquisition with our existing businesses, could cause us to incur unexpected expenses or render us unable to meet our clients’ requirements, and consequently have a significant negative impact on our business, financial condition and operating results.


We may not have access to sufficient or cost-efficient capital to support our growth, execute our business plans and remain competitive in our markets.

As our operations grow and as we implement our business strategies, we expect to use both internal and external sources of capital. In addition to cash flow from normal operations, we may need additional capital in the form of debt or equity to operate and to support our growth, execute our business plans and remain competitive in our markets. We may have no or limited availability to such external capital, in which case our future prospects may be materially impaired. Furthermore, we may not be able to access external sources of capital on reasonable or favorable terms. Our business operations could be subject to both financial and operational covenants that may limit the activities we may undertake, even if we believe they would benefit our company.


Potentialthe Company.

Unstable market and economic conditions and potential disruptions in the credit markets may adversely affect our business, including the availability and cost of short-term funds for liquidity requirements and our ability to meet long-term commitments, which could adversely affect our results of operations, cash flows and financial condition.

If internally generated funds are not available from operations, we may be required to rely on the banking and credit markets to meet our financial commitments and short-term liquidity needs. Our access to funds under our revolving credit facility or pursuant to arrangements with other financial institutions is dependent on the financial institution'sinstitution’s ability to meet funding commitments. Financial institutions may not be able to meet their funding commitments if they experience shortages of capital and liquidity or if they experience high volumes of borrowing requests from other borrowers within a short period of time.

In addition, the global credit and financial markets have recently experienced extreme volatility and disruptions, including severely diminished liquidity and credit availability, declines in consumer confidence, declines in economic growth, inflationary pressure and interest rate changes and uncertainty about economic stability. More recently, the closures of Silicon Valley Bank and Signature Bank and their placement into receivership with the Federal Deposit Insurance Corporation (FDIC) created bank-specific and broader financial institution liquidity risk and concerns. Although the Department of the Treasury, the Federal Reserve, and the FDIC jointly released a statement that depositors at Silicon Valley Bank and Signature Bank would have access to their funds, even those in excess of the standard FDIC insurance limits, under a systemic risk exception, future adverse developments with respect to specific financial institutions or the broader financial services industry may lead to market-wide liquidity shortages, impair the ability of companies to access near-term working capital needs, and create additional market and economic uncertainty. There can be no assurance that future credit and financial market instability and a deterioration in confidence in economic conditions will not occur. Our general business strategy may be adversely affected by any such economic downturn, liquidity shortages, volatile business environment or continued unpredictable and unstable market conditions. If the equity and credit markets deteriorate, or if adverse developments are experienced by financial institutions, it may cause short-term liquidity risk and also make any necessary debt or equity financing more difficult, more costly and more dilutive. Failure to secure any necessary financing in a timely manner and on favorable terms could have a material adverse effect on our growth strategy, financial performance and stock price and could require us to delay or abandon clinical development plans. In addition, there is a risk that one or more of our current service providers, financial institutions, manufacturers and other partners may be adversely affected by the foregoing risks, which could directly affect our ability to attain our operating goals on schedule and on budget.

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We must maintain compliance with the terms of our existing credit facilities.facilities or receive a waiver for any non-compliance. The failure to do somaintain compliance could have a material adverse effect on our ability to finance our ongoing operations and we may not be able to find an alternative lending source if a default occurs.

In

On November 2014, we entered into29, 2022, the Company executed a CreditSecond Modification to the Second Amended and Restated Loan Agreement (the “Credit“Second Modification Debt Agreement”) with Wells Fargo Bank, N.A., as administrative agent, and other lender parties thereto. Pursuant. The Second Modification Debt Agreement includes an expansion of the Company’s total borrowing to the Credit Agreement, the lenders agreed to provideinclude a $10,000,000 senior term loan and a $5,000,000$2,000,000 revolving line of credit. The revolving line of credit will be co-terminus with the term loan and matures on August 26, 2026. There are no requirements to our primary operating subsidiary.draw on the line of credit. Amounts outstanding under the line of credit portion of the Second Amended and Restated Loan Agreement bear interest at a per annum rate equal to the Prime Rate (as published in The Wall Street Journal) plus 1.5%, with a Prime “floor” rate of 3.25%. The Second Modification Debt Agreement amended the covenants of the Second Amended and Restated Loan and Security Agreement. Refer to Note 5 – Debt for information regarding the second Modification Debt Agreement. At closing,January 31, 2023, there was no outstanding balance on the revolving line of credit.

On August 26, 2021, the Company repaid indebtednessand its subsidiaries entered into the Second Amended and Restated Loan and Security Agreement with Bridge Bank. Pursuant to the Second Amended and Restated Loan and Security Agreement, Bridge Bank agreed to provide the Company and its subsidiaries with a new term loan facility in the maximum principal amount of $10,000,000. Amounts outstanding under its prior credit facility using approximately $7,400,000the term loan of the proceeds provided bySecond Amended and Restated Loan and Security Agreement bear interest at a per annum rate equal to the term loan.Prime Rate (as published in The priorWall Street Journal) plus 1.5%, with a Prime “floor” rate of 3.25%. Pursuant to the Second Amended and Restated Loan and Security Agreement, the Company discontinued the existing $3,000,000 revolving credit facility with Fifth Third Bank was terminated concurrent withBridge Bank. At the entrytime of the Credit Agreement. discontinuance, there was no outstanding balance on the revolving credit facility.

The CreditSecond Amended and Restated Loan and Security Agreement includes customary financial covenants, includinghas a five-year term, and the requirements thatmaximum principal amount was advanced in a single-cash advance on or about the closing date. Interest accrued under the Second Amended and Restated Loan and Security Agreement is due monthly, and the Company maintain certain minimum liquidity and achieve certain minimum EBITDA levels.

On April 15, 2015, we received a waiver fromshall make monthly interest-only payments through the lender for noncompliance with the minimum EBITDA covenant at January 31, 2015. Pursuant to the termsone-year anniversary of the waiver and amendment toclosing date. From the Credit Agreement, from April 30, 2016 and each quarter thereafter, we must reach agreement with the lenders as to the minimum applicable amount of EBITDA we are required to achieve based on the most recent financial projections we submit to the lenders under the Credit Agreement. If we are unable to reach agreement with the lenders, or if the lenders do not approve our projections, we will be in immediate breachfirst anniversary of the minimum EBITDA covenant. Additionally, pursuant to the terms of the waiver and amendment to the Credit Agreement, we are required to maintain additional minimum liquidity of at least (i) $5,000,000closing date through April 15, 2015, (ii) $6,500,000 from April 16, 2015 through and including July 30, 2015, (iii) $7,000,000 from July 31, 2015 through and including January 30, 2016, and (iv) $7,500,000 from January 31, 2016 through and including the maturity date, the Company shall make monthly payments of principal and interest that increase over the term of the credit facility.agreement. The Company wasSecond Amended and Restated Loan and Security Agreement requires principal repayments of $500,000 in compliancethe second year, $1,000,000 in the third year, $2,000,000 in the fourth year, and $3,000,000 in the fifth year, respectively, with the applicable loan covenants at January 31, 2016.
remaining outstanding principal balance and all accrued but unpaid interest due in full on the maturity date. The Second Amended and Restated Loan and Security Agreement may also require early repayments if certain conditions are met. The Second Amended and Restated Loan and Security Agreement is secured by substantially all of the assets of the Company, its subsidiaries, and certain of its affiliates.

If we do not maintain compliance with all of the continuing covenants and other terms and conditions of theour existing credit facilityfacilities or secure a waiver for any non-compliance, we could be required to repay outstanding borrowings on an accelerated


basis, which could subject us to decreased liquidity and other negative impacts on our business, results of operations and financial condition. Furthermore, if we needed to do so, it may be difficult for us to find an alternative lending source. In addition, because our assets are pledged as a security under our credit facilities, if we are not able to cure any default or repay outstanding borrowings, our assets are subject to the risk of foreclosure by our lenders. Without a sufficient credit facility, we would be adversely affected by a lack of access to liquidity needed to operate our business. Any disruption in access to credit could force us to take measures to conserve cash, such as deferring important research and development expenses, which measures could have a material adverse effect on us.

18

Our outstanding preferred stock and warrants have significant redemption and repayment rights that could have a material adverse effect on our liquidity and available financing for our ongoing operations.
In August 2012, we completed a private offering of preferred stock, warrants and convertible notes to a group of investors for gross proceeds of $12 million. In November 2012, the convertible notes converted into shares of preferred stock. The preferred stock is redeemable at the option of the holders thereof anytime after August 31, 2016 if not previously converted into shares of common stock. We may not achieve the thresholds required to trigger automatic conversion of the preferred stock, and alternatively, holders may not voluntarily elect to convert the preferred stock into common stock. The election of the holders of our preferred stock to redeem the preferred stock could subject us to decreased liquidity and other negative impacts on our business, results of operations, and financial condition. Under the terms of the Subordination and Intercreditor Agreement among the preferred stockholders, the Company and Wells Fargo, our obligation to redeem the preferred stock is subordinated to our obligations under the senior term loan. For additional information regarding the terms, rights and preferences of the preferred stock and warrants, see Note 14 to our consolidated financial statements included in Part II, Item 8 herein and our other SEC filings.

Current economic

Economic conditions in the United StatesU.S. and globally may have significant effects on our clients and suppliers that could result in material adverse effects on our business, operating results and stock price.

Current economic

Economic conditions in the United StatesU.S. and globally could deteriorate and the concern thatcause the worldwide economy mayto enter into a prolonged stagnant period that could materially adversely affect our clients'clients’ access to capital or willingness to spend capital on our solutions and services or their levels of cash liquidity with which to pay for solutions that they will order or have already ordered from us. Continued challengingIn addition, the ongoing conflict between Russia and Ukraine could lead to disruption, instability and volatility in global markets and industries that could negatively impact our operations. The U.S. government, and other governments in jurisdictions in which we operate, have imposed severe sanctions and export controls against Russia and Russian interests and threatened additional sanctions and controls. The impact of these measures, as well as potential responses to them by Russia, is currently unknown and they could adversely affect our business, partners or clients. Challenging economic conditions also would likely negatively impact our business, which could result in: (1) reduced demand for our solutions and services; (2) increased price competition for our solutions and services; (3) increased risk of collectability of cash from our clients; (4) increased risk in potential reserves for doubtful accounts and write-offs of accounts receivable; (5) reduced revenues; and (6) higher operating costs as a percentage of revenues.

All of the foregoing potential consequences of the currenta deterioration of economic conditions are difficult to forecast and mitigate. As a consequence, our operating results for a particular period are difficult to predict, and, therefore, prior results are not necessarily indicative of future results. Any of the foregoing effects could have a material adverse effect on our business, results of operations, and financial condition and could adversely affect the market price of our common stock and other securities.


The variability of our quarterly operating results can be significant.

Our operating results have fluctuated from quarter-to-quarter in the past, and we may experience continued fluctuations in the future. Future revenues and operating results may vary significantly from quarter-to-quarter as a result of a number of factors, many of which are outside of our control. These factors include: the relatively large size of client agreements; unpredictability in the number and timing of system salessoftware licenses and sales of application hosting services; length of the sales cycle; delays in installations; changes in client'sclients’ financial conditionconditions or budgets; increased competition; the development and introduction of new products and services; the loss of significant clients or remarketing partners; changes in government regulations, particularly as they relate to the healthcare industry; the size and growth of the overall healthcare information technology markets; any liability and other claims that may be asserted against us; our ability to attract and retain qualified personnel; national and local general economic and market conditions; and other factors discussed in this reportReport and our other filings with the SEC.

19

The COVID-19 pandemic and resulting adverse economic conditions has had and will likely continue to have an adverse effect on our business, results of operations and financial condition.

The COVID-19 pandemic, and its attendant economic damage, has had an adverse impact on our revenue and may continue to adversely affect our business, results of operations and financial condition. These and other potential impacts of COVID-19 could therefore continue to materially and adversely affect our business, results of operations and financial condition. Even after the COVID-19 pandemic has subsided, we may experience adverse impacts to our business as a result of any economic recession or depression that has occurred or may occur in the future. For instance, changes in the behavior of customers, businesses and their employees as a result of the COVID-19 pandemic, including social distancing practices, even after formal restrictions have been lifted, are unknown. Furthermore, the financial condition of our customers and vendors may be adversely impacted, which may result in a decrease in the demand for our products, the inability and our franchisees’ ability to operate store locations or a disruption to our supply chain. Any of these events may, in turn, have a material adverse impact our business, results of operations and financial condition.

The preparation of our financial statements requires the use of estimates that may vary from actual results.

The preparation of consolidated financial statements in conformity with U.S. generally accepted accounting principles requires management to make significant estimates that affect the financial statements. One of our most critical estimates is the capitalization of software development costs. Due to the inherent nature of these estimates, we may be required to significantly increase or decrease such estimates upon determination of the actual results. Any required adjustments could have a material adverse effect on us and on theour results of operations, and could result in the restatement of our prior period financial statements.



operations.

Failure to improve and maintain the quality of internal control over financial reporting and disclosure controls and procedures or other lapses in compliance could materially and adversely affect our ability to provide timely and accurate financial information about us or subject us to potential liability.

In connection with the preparation of the consolidated financial statements for each of our fiscal years, our management conducts a review of our internal control over financial reporting. We are also required to maintain effective disclosure controls and procedures. Any failure to maintain adequate controls or to adequately implement required new or improved controls could harm operating results, or cause failure to meet reporting obligations in a timely and accurate manner.

20

Our operations are subject to foreign currency exchange rate risk.
In connection with our expansion into foreign markets, which primarily consists of Canada, we sometimes receive payment in currencies other than the U.S. dollar. Accordingly, changes in exchange rates, and in particular a strengthening of the U.S. dollar, will negatively affect our net sales and gross margins from our non-U.S. dollar-denominated revenue, as expressed in U.S. dollars. There is also a risk that we will have to adjust the pricing of solutions denominated in foreign currencies when there has been significant volatility in foreign currency exchange rates.

Risks Relating to an Investment in Our Securities


our Common Stock

The market price of our common stock is likely to be highly volatile as the stock market in general can be highly volatile.

The public trading of our common stock is based on many factors that could cause fluctuation in the price of our common stock. These factors may include, but are not limited to:


General economic and market conditions;

Actual or anticipated variations in annual or quarterly operating results;

Lack of or negative research coverage by securities analysts;

Conditions or trends in the healthcare information technology industry;

Changes in the market valuations of other companies in our industry;

Announcements by us or our competitors of significant acquisitions, strategic partnerships, divestitures, joint ventures or other strategic initiatives;

Announced or anticipated capital commitments;

Ability to maintain listing of our common stock on The Nasdaq Stock Market;

Additions or departures of key personnel; and

Sales and repurchases of our common stock by us, our officers and directors or our significant stockholders, if any.

General economic and market conditions;
Actual or anticipated variations in annual or quarterly operating results;
Lack of or negative research coverage by securities analysts;
Conditions or trends in the healthcare information technology industry;
Changes in the market valuations of other companies in our industry;
Announcements by us or our competitors of significant acquisitions, strategic partnerships, divestitures, joint ventures or other strategic initiatives;
Announced or anticipated capital commitments;
Ability to maintain listing of our common stock on Nasdaq;
Additions or departures of key personnel; and
Sales and repurchases of our common stock by us, our officers and directors or our significant stockholders, if any.

Most of these factors are beyond our control. Further, as a result of our relatively small public float, our common stock may be less liquid, and the trading price for our common stock may be more affected by relatively small volumes of trading than is the case for the common stock of companies with a broader public ownership. These factors may cause the market price of our common stock to decline, regardless of our operating performance or financial condition.


If equity research analysts do not publish research reports about our business or if they issue unfavorable commentary or downgrade our common stock, the price of our common stock could decline.

The trading market for our common stock may rely in part on the research and reports that equity research analysts publish about our business and us. We do not control the opinions of these analysts. The price of our stock could decline if one or more equity analysts downgrade our stock or if those analysts issue other unfavorable commentary or cease publishing reports about our business or us. Furthermore, if no equity research analysts conduct research or publish reports about our business and us, the market price of our common stock could decline.


All of our debt obligations our existing preferred stock and any preferred stock that we may issue in the future will have priority over our common stock with respect to payment in the event of a bankruptcy, liquidation, dissolution or winding up.


In any bankruptcy, liquidation, dissolution or winding up of the Company, our shares of common stock would rank in right of payment or distribution below all debt claims against us and all of our outstanding shares of preferred stock, if any. As a result, holders of our shares of common stock will not be entitled to receive any payment or other distribution of assets in the event of a bankruptcy or upon a liquidation or dissolution until after all of our obligations to our debt holders and holders of preferred stock have been satisfied. Accordingly, holders of our common stock may lose their entire investment in the event of a bankruptcy, liquidation, dissolution or winding up of our company.the Company. Similarly, holders of our preferred stock would rank junior to our debt holders and creditors in the event of a bankruptcy, liquidation, dissolution or winding up of the Company.

21

There may be future sales or other dilution of our equity, which may adversely affect the market price of our common stock.

We are generally not restricted from issuing in public or private offerings additional shares of common stock or preferred stock, (except for certain restrictions under the terms of our outstanding preferred stock), and other securities that are convertible into or exchangeable for, or that represent a right to receive, common stock or preferred stock or any substantially similar securities. Such offerings represent the potential for a significant increase in the number of outstanding shares of our common stock. The market price of our common stock could decline as a result of sales of common stock, or preferred stock or similar securities in the market made after an offering or the perception that such sales could occur.


In addition to our currently outstanding preferred stock, the

The issuance of an additional series of preferred stock could adversely affect holders of shares of our common stock, which may negatively impact your investment.

Our Board of Directors is authorized to issue classes or series of preferred stock without any action on the part of the stockholders. The Board of Directors also has the power, without stockholder approval, to set the terms of any such classes or series of preferred stock that may be issued, including rights and preferences over the shares of common stock with respect to dividends or upon our dissolution, winding-up andor liquidation, and other terms. If we issue preferred stock in the future that has a preference over the shares of our common stock with respect to the payment of dividends or upon our dissolution, winding up andor liquidation, or if we issue preferred stock with voting rights that dilute the voting power of the shares of our common stock, the rights of the holders of shares of our common stock or the market price of our common stock could be adversely affected.

As of January 31, 2016,2023, we had 2,949,995no shares of preferred stock outstanding. For additional information regarding the terms, rights and preferences of such stock, see Note 14 to our consolidated financial statements included in Part II, Item 8 herein and our other SEC filings.


We do not currently intend to pay dividends on our common stock and, consequently, your ability to achieve a return on your investment will depend solely on appreciation in the price of our common stock.

We have never declared or paid any cash dividends on our common stock and do not currently intend to do so for the foreseeable future. We currently intend to invest our future earnings, if any, to fund our growth. Therefore, you are not likely to receive any dividends on your common stock for the foreseeable future and the success of an investment in shares of our common stock will depend upon any future appreciation in its value. The trading price of our common stock could decline and you could lose all or part of your investment.


Sales of shares of our common stock or securities convertible into our common stock in the public market may cause the market price of our common stock to fall.

The issuance of shares of our common stock or securities convertible into our common stock in an offering from time to time could have the effect of depressing the market price for shares of our common stock. In addition, because our common stock is thinly traded, resales of shares of our common stock by our largest stockholders or insiders could have the effect of depressing market prices for our common stock.

If we are unable to maintain compliance with Nasdaq listing requirements, our stock could be delisted, and the trading price, volume and marketability of our stock could be adversely affected.

Our common stock is listed on Nasdaq. We cannot assure you that we will be able to maintain compliance with Nasdaq’s current listing standards, or that Nasdaq will not implement additional listing standards with which we will be unable to comply. Failure to maintain compliance with Nasdaq listing requirements could result in the delisting of our shares from Nasdaq, which could have a material adverse effect on the trading price, volume and marketability of our common stock. Furthermore, a delisting could adversely affect our ability to issue additional securities and obtain additional financing in the future or result in a loss of confidence by investors or employees.

22

Note Regarding Risk Factors

The risk factors presented above are all of the ones that we currently consider material. However, they are not the only ones facing our company.the Company. Additional risks not presently known to us, or which we currently consider immaterial, may also adversely affect us. There may be risks that a particular investor views differently from us, and our analysis might be wrong. If any of the risks that we face actually occur, our business, financial condition and operating results could be materially adversely affected and could differ materially from any possible results suggested by any forward-looking statements that we have made or might make. In such case, the market price of our common stock or other securities could decline and you could lose all or part of your investment. We expressly disclaim any obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by law.



ITEM

Item 1B. Unresolved Staff Comments

None.


ITEM

Item 2. Properties

The Company’s

In March 2020, the Company moved its principal offices areto a subleased office space at 11800 Amber Park Drive, Suite 125, Alpharetta, Georgia 30009. The office space totals 7,409 square feet and the sublease expired on March 31, 2023. In October 2021, we subleased this space to a third party for the remaining lease period.

On August 16, 2021, contemporaneous with the acquisition of Avelead, the Company assumed a lease of office space at 1172 Satellite Boulevard NW, Office Suite 100, Suwannee, Georgia 30024. The lease expired on February 28, 2022. The lease was renewed in February 2022 for one year on substantially the same terms. The tenant of the lease is an entity controlled by the former owner of Avelead and current Chief Strategy Officer of the Company. The lease expired on February 28, 2023 and was not renewed.

Prior to occupying the subleased office space located at 1230 Peachtree Street, NE, Suite 600, Atlanta, GA 30309. in Alpharetta, Georgia, the Company occupied shared office space under a membership agreement which provides for membership fees based on the number of contracted seats.

The Company leases all of its properties. For fiscal 2015,has moved to a virtual office model and does not have a physical office space. Our mailing address is 2400 Old Milton Pkwy, Box 1353, Alpharetta, GA 30009. We believe the aggregate rental expensevirtual environment is adequate for the Company's leased properties was $1,220,000. The following table provides information regarding each property currently leased by the Company.

Location
Area
(Sq. Feet)
Principal Business
Function
End of TermRenewal Option
Atlanta, GA24,335
Corporate OfficeNovember 30, 2022None
New York, NY10,350
Satellite OfficeNovember 29, 2019None

The Company believes that its facilities are adequate for itsCompany’s current needs and that suitableplanned future operations. Suitable alternative space is available to accommodate expansion of the Company’s operations.

ITEM

Item 3. Legal Proceedings

We are, from time to time, a party to various legal proceedings and claims, which arise in the ordinary course of business. Other than the matter described under Note 13 to our consolidated financial statements included in Part II, Item 8 herein, weWe are not aware of any legal matters that could have a material adverse effect on our consolidated results of operations, financial position or cash flows.


ITEM

Item 4. Mine Safety Disclosures

Not applicable.

23


PART II


ITEM

Item 5. Market For Registrant’s Common Equity, Related Stockholder Matters Andand Issuer Purchases Ofof Equity Securities

The Company’s common stock trades on Thethe NASDAQ StockCapital Market (“NASDAQ”) under the symbol STRM. The table below sets forth the high and low sales prices for the Company’s common stock for each of the quarters in fiscal years 2015 and 2014, as reported by NASDAQ. The closing price of the Company’s common stock on April 15, 2016 was $1.42 per share as reported by NASDAQ.

Fiscal Year 2015High Low
4th Quarter (November 1, 2015 through January 31, 2016)
$2.28
 $1.12
3rd Quarter (August 1, 2015 through October 31, 2015)
3.50
 1.91
2nd Quarter (May 1, 2015 through July 31, 2015)
2.98
 1.02
1st Quarter (February 1, 2015 through April 30, 2015)
4.25
 2.08

Fiscal Year 2014High Low
4th Quarter (November 1, 2014 through January 31, 2015)
$4.38
 $3.25
3rd Quarter (August 1, 2014 through October 31, 2014)
5.01
 3.22
2nd Quarter (May 1, 2014 through July 31, 2014)
5.77
 4.17
1st Quarter (February 1, 2014 through April 30, 2014)
6.75
 4.70

According to the Company’s stock transfer agent’s records, the Company had 21775 stockholders of record as of April 15, 2016.20, 2023. Because brokers and other institutions on behalf of stockholders hold many of such shares, the Company is unable to determine with complete accuracy the current total number of stockholders represented by these record holders. The Company estimates that it has approximately 3,200300 stockholders, based on information provided by the Company’s stock transfer agent from its search of individual participants in security position listings.

agent.

The Company has notnever declared or paid any cash dividends on its common stock sinceand does not currently intend to do so for the foreseeable future. The Company currently intends to invest its inceptionfuture earnings, if any, to fund its growth.

For the fiscal year ended January 31, 2023, we issued an aggregate of 371,231 shares of common stock to 180 Consulting (as defined below) as compensation for services provided pursuant to the Master Services Agreement, effective March 19, 2020, by and dividend payments are prohibited or restricted under financing agreements. For more informationbetween the Company and 180 Consulting and related statements of work. The shares were issued in a series of private placements in reliance on the restrictionsexemption from registration available under Section 4(a)(2) of the Securities Act, including Regulation D promulgated thereunder and the certificates representing such shares have a legend imprinted on dividends, see also “Liquiditythem stating that the shares have not been registered under the Securities Act and Capital Resources” in Part II, Item 7, “Management’s Discussioncannot be transferred until properly registered under the Securities Act or pursuant to an exemption from such registration.

180 Consulting has earned, cumulatively, through the Master Services Agreement, 915,204 shares of common stock through January 31, 2023. 100,927 shares of common stock were earned but not issued as of the end of our fiscal year ended January 31, 2023. In June 2022, the Company filed a Registration Statement on Form S-3 to register 272,653 shares of stock that were previously issued to 180 Consulting pursuant to Rule 416 of the Securities Act of 1933. See Note 12 – Commitments and Analysis of Financial Condition and Results of Operations”, and Note 6Contingencies to our consolidated financial statements included in Part II, Item 8, herein.

During“Financial Statements and Supplementary Data”.

The following table sets forth information with respect to our repurchases of common stock during the three months ended January 31, 2016, we did not repurchase any shares of the Company’s common stock.2023:

  Total Number of Shares Purchased (1)  Average Price Paid per Share  Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs  Maximum Number of Shares that May Yet Be Purchased under the Plans or Programs 
November 1 - November 30            
December 1 - December 31  17,256  $1.81       
January 1 - January 31            
Total  17,256  $1.81       

(1)Amount represents shares surrendered by employees to satisfy tax withholding obligations resulting from restricted stock that vested during the three months ended January 31, 2023.

Item 6. [Reserved]

24

ITEM 6.    Selected Financial Data
As a “smaller reporting company” as defined by

Item 10 of Regulation S-K, the Company is not required to provide this information.


ITEM 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Executive Overview


In fiscal 2015,

The Company has determined it can best assist healthcare providers in improving their revenue cycle management focused internally on a number of key areas that we believe will have a positive effect on our future performance,by providing solutions and externally on broadening our reach to the market. Some of these initiatives were communicatedservices in the Company’s three primary objectives for fiscal 2015 which were: grow sales, both inside and outsidemiddle portion of the revenue cycle, that is, the revenue cycle operations from initial charge capture to bill drop. We continue to make decisions supporting our existing client base; complete the links between our solutionsfocus in the Looking Glass® platform;middle of the revenue cycle. Our healthcare provider clients are acute-care hospitals and improve our professional services. Some, such as reduce operating costs, generate incremental cash flow, reduce our level of bank debt and change audit firms were not communicated as explicitly but were important areas of achievement for ourrelated clinics.

The Company nonetheless.

As our industry continues to move from “volume to value”, wherein compensation models change to reward healthcare providers for improving the health of their patients (“value”) at a set price as opposed to paying for a plethora of tests and procedures (“volume”) our position as a leading provider of enterprisehas introduced two flagship software solutions for the middle of the revenue cycle: RevID and eValuator.

With the focus on the middle of the revenue cycle, optimizationthe Company is perfectly matchedcommitted to the market. This value statement can be summed up in our new tag line: Quality is the new revenue™.

All of our Looking Glass solutions are designedleading an industry movement to helpimprove hospitals’ financial performance by moving billing interventions upstream to improve coding accuracy before billing, enabling our clients optimizeto reduce revenue leakage, mitigate under-billing and over-billing risk, reduce both denials and limit days in a time when healthcare providers are experiencing substantial pressure on both revenue and margins. In 2014, 16 hospitals in the United States filed for

bankruptcy. In 2015, at least 10 more hospitals filed Chapter 11. The reasons stated for the financial failures are usually increased costs to deliver medical care and smaller health networks. (Source: Value Healthcare Services, 2016).
The Looking Glass® platform suite of solutions, from Patient Engagement to Patient Care, HIM, CDI and Coding and Financial Management workflows delivers data-driven insights to help healthcare providers optimize revenue cycle management. Our integrated solutions and analytics enable providers to improve quality in the new value-based world.
Our clients have shifted theiraccounts receivable.

By narrowing our focus to the front-endmiddle of patient engagementthe revenue cycle, we believe there is a distinct and compelling value proposition that can help us attract more clients. By innovating and acquiring new technologies, we have been able to be more proactiveexpand our target markets beyond just hospitals and into outpatient centers, clinics and physician practices. Our revenue cycle solutions like eValuator, RevID, and Compare are competitive in managing their patient population. They wantthe market and enabled us to lower their patientengage thirteen significant new clients in fiscal 2022. These new clients are some of the most recognizable names in healthcare as we have focused our salesforce on industry-leading clients whose processes are often duplicated by smaller facilities.

Acquisitions and Divestitures:

The Company divested its ECM Assets on February 24, 2020. As discussed above, such divestiture is consistent with the Company’s efforts to focus on the middle of the revenue cycle and its pre-bill technology, eValuator. Management believes that the revenue cycle technology platforms have higher growth opportunities than its legacy products, including the ECM Assets. The Company accounted for the disposal of the ECM Assets as a sale of assets. See Note 13 – Discontinued Operations to our consolidated financial statements included in Part II, Item 8, “Financial Statements and Supplementary Data”.

On August 16, 2021, the Company completed an acquisition of Avelead, a recognized leader in providing solutions and services expenses and to improve financial clearance and point of sale collection execution before a patient receives care.  Our Patient Engagement solutions enable us to deepen our front-end patient access offerings that are critically important to the process of assisting our clients in managing the risk inherent in their Accountable Care Organization relationships.

With the transition to ICD-10 coding last October, and the expansion by nearly tenfold the number of codes availablerevenue integrity for billing purposes, our HIM, Coding and Clinical Documentation Improvement (CDI) solutions become more important to help healthcare providers protect,nationwide. The Company believes Avelead’s solutions will complement and optimize revenue. These solutions also provideextend the mechanismvalue the Company can deliver to code quality indicators.
Our Clinical Analytics solution visualizesits clients. Refer to Note 3 – Business Combination and Divestiture in our consolidated financial statements included in Part I, Item I, “Financial Statements” for clients their performance against those quality measures and provides drill down capabilities to analyzefurther information on the root causeAvelead acquisition.

Macro-Economic Conditions:

Regardless of quality variation. Clients can also use Looking Glass® Clinical Analytics to predictively model the population level impactsstate of a change in clinical practice.

Our Looking Glass® Financial Management solutions for revenue cycle management, including business analytics, accounts receivable, denials and audit management workflows, help clients better manage their collections and cash flow.
Thethe Affordable Care Act, the healthcare industry continues to face sweeping changes and new standards of care that are putting greater pressure on healthcare providers to be more efficient in every aspect of their operations. TheseWe believe these changes represent ongoing opportunities for our Company to work with our currentdirect clients and partner with various resellers to provide information technology solutions to help themproviders meet these new requirements.

The COVID-19 pandemic, and its attendant economic damage, has had an adverse impact on our revenue.

The Company believes the lingering effects of the COVID-19 pandemic may continue to impact our acute care healthcare clients including (i) lower margins in hospitals primarily due to increased cost of personnel and materials, (ii) higher than normal personnel turnover in clinical and administrative departments as the labor force looks outside the acute care healthcare space, and (iii) a backlog of IT projects that were deferred during COVID-19 that places pressure on the hospital system to manage new projects. As events continue to change, the Company is unable to accurately predict the ultimate impact that the COVID-19 pandemic will have on the results of operations due to uncertainties including, but not limited to, the severity of the disease, the impact of new subvariants and the public’s response to the outbreak; however, the Company is actively managing the business to respond to the impact.

25

In addition, the U.S. government, and other governments in jurisdictions in which we operate, have imposed severe sanctions and export controls against Russia and Russian interests and threatened additional sanctions and controls. The impact of these measures, as well as potential responses to them by Russia, is currently unknown and they could adversely affect our business, partners or clients.

Results of Operations


Statements of Operations for the fiscal years ended January 31 (in thousands):

 2016 2015 $ Change % Change
System sales$2,946
 $1,215
 $1,731
 142 %
Professional services2,212
 2,580
 (368) (14)%
Maintenance and support15,145
 16,157
 (1,012) (6)%
Software as a service8,011
 7,673
 338
 4 %
Total revenues28,314
 27,625
 689
 2 %
Cost of sales11,401
 13,004
 (1,603) (12)%
Selling, general and administrative13,443
 16,226
 (2,783) (17)%
Product research and development9,093
 9,756
 (663) (7)%
Impairment of intangible assets
 1,952
 (1,952) (100)%
Total operating expenses33,937
 40,938
 (7,001) (17)%
Operating loss(5,623) (13,313) 7,690
 (58)%
Other income (expense), net1,340
 415
 925
 223 %
Income tax benefit(8) 887
 (895) (101)%
Net loss$(4,290) $(12,011) $7,721
 (64)%
Adjusted EBITDA(1)$2,761
 $(987) $3,748
 380 %
_______________

  2023  2022 (2)  $ Change  % Change 
Software as a Service $12,326  $8,077  $4,249   53%
Maintenance and Support  4,483   4,323   160   4%
Professional fees and licenses  8,080   4,979   3,101   62%
Total revenues  24,889   17,379   7,510   43%
Cost of sales  13,395   8,577   4,818   56%
Selling, general and administrative  16,134   11,931   4,203   35%
Research and development  6,042   4,782   1,260   26%
Acquisition-related costs  149   2,856   (2,707)  (95)%
Total operating expenses  35,720   28,146   7,574   27%
Operating loss  (10,831)  (10,767)  (64)  (1)%
Other (expense) income, net  (477)  3,959   (4,436)  (112)%
Income tax expense  (71)  (109)  38   (35)%
Loss from continuing operations $(11,379) $(6,917) $(4,462)  (65)%
Adjusted EBITDA(1) $(3,757) $(2,037) $(1,720)  (84)%

(1)
(1)Non-GAAP measure meaning net earnings (loss) before net interest expense, tax expense (benefit), depreciation, amortization, stock-based compensation expense, transactional and other expenses that do not relate to our core operations. See “Use of Non-GAAP Financial Measures” below for additional information and reconciliation.

(2)We acquired all of the equity interests of Avelead on August 16, 2021. All of the revenue and expenses associated with Avelead are included from that date to the end of the Company’s fiscal year ended January 31, 2023.


The following table sets forth, for each fiscal year indicated, certain operating data as percentages of total revenues:

Statements of Operations(1)


 Fiscal Year
 2015 2014
System sales10.4 % 4.4 %
Professional services7.8
 9.3
Maintenance and support53.5
 58.5
Software as a service28.3
 27.8
Total revenues100.0 % 100.0 %
Cost of sales40.3
 47.1
Selling, general and administrative47.5
 58.7
Product research and development32.1
 35.3
Impairment of intangible assets
 7.1
Total operating expenses119.9
 148.2
Operating loss(19.9) (48.2)
Other income (expense), net4.7
 1.5
Income tax benefit
 3.2
Net loss(15.2)% (43.5)%
Cost of Sales to Revenues ratio, by revenue stream:   
Systems sales94.3 % 291.1 %
Services, maintenance and support35.6 % 34.9 %
Software as a service30.5 % 38.1 %
_______________
Operations (1)

  Fiscal Year 
  2022  2021 
Software as a service  49.5%  46.5%
Maintenance and support  18.0   24.9 
Professional fees and licenses  32.5   28.6 
Total revenues  100.0%  100.0%
Cost of sales  53.8%  49.4%
Selling, general and administrative  64.8   68.7 
Research and development  24.3   27.5 
Acquisition-related costs  0.6   16.4 
Total operating expenses  143.5%  162.0%
Operating loss  (43.5)%  (62.0)%
Other (expense) income, net  (1.9)  22.8 
Income tax expense  (0.3)  (0.6)
Loss from continuing operations  (45.7)%  (39.8)%
         
Cost of Sales to Revenues ratio, by revenue stream:        
Software as a service  51.6%  42.3%
Maintenance and support  9.5%  7.7%
Professional fees and licenses  81.8%  96.9%

(1)
(1)Because a significant percentage of the operating costs are incurred at levels that are not necessarily correlated with revenue levels, a variation in the timing of systems salessoftware licenses and installations and the resulting revenue recognition can cause significant variations in operating results. As a result, period-to-period comparisons may not be meaningful with respect to the past results nor are they necessarily indicative of the future results of the Company in the near or long-term. The data in the table is presented solely for the purpose of reflecting the relationship of various operating elements to revenues for the periods indicated.

Comparison of Fiscal 2022 with 2021

Revenues

  Fiscal Year  2022 to 2021 Change 
(in thousands): 2022  2021  $  % 
Software as a service $12,326  $8,077  $4,249   53%
Maintenance and support  4,483   4,323   160   4%
Professional fees and licenses  8,080   4,979   3,101   62%
Total Revenues $24,889  $17,379  $7,510   43%

Software as a service (SaaS) — Revenues from SaaS are primarily comprised of the Company’s flagship products; eValuator, RevID and Compare. Revenues from SaaS in fiscal 2022 were $12,326,000, as compared to $8,077,000 in fiscal 2021. The increase in SaaS revenue in fiscal 2022 includes $3,441,000 from Avelead products, primarily due to a full twelve months of revenue recognition compared to partial year 2015revenue in fiscal 2021. Avelead was acquired on August 16, 2021, resulting in a partial year of revenue in fiscal 2021 and a full year of revenue in fiscal 2022. The remaining increase in fiscal 2022 revenue was attributable to growth associated with 2014

Revenues
 Fiscal Year 2015 to 2014 Change
(in thousands):2015 2014 $ %
System Sales:       
Proprietary software$2,927
 $1,164
 $1,763
 151 %
Hardware and third-party software19
 51
 (32) (63)%
Professional services2,212
 2,580
 (368) (14)%
Maintenance and support15,145
 16,157
 (1,012) (6)%
Software as a service8,011
 7,673
 338
 4 %
Total Revenues$28,314
 $27,625
 $689
 2 %
the Company’s eValuator product. The Company expects substantial growth in its SaaS business, year-over-year, and sequentially, in each quarter of fiscal 2023. At January 31, 2023, the Company had approximately $5.40 million, in SaaS annual contract value for contracts that had not been implemented.

 27 
Proprietary software — Proprietary software includes revenue from perpetual

Maintenance and term software license sales. Proprietary software revenues recognized in fiscal 2015 were $2,927,000, as compared to $1,164,000 in fiscal 2014. The increased fiscal 2015 revenues as compared to 2014 revenues is primarily attributable to $1,600,000in Coding and CDI perpetual license fees recognized for one sale during fiscal 2015.

.

Hardware and third-party softwaresupport — Revenues from hardwaremaintenance and third-party software sales in fiscal 2015 were $19,000, as compared to $51,000 in fiscal 2014. Fluctuationssupport are derived from year to year are a function of client demand.
Professional services — Revenues from professional services in fiscal 2015 were $2,212,000, as compared to $2,580,000 in fiscal 2014. The decrease was primarily attributable to an increased focus on professional services components that are essential to the functionality of the software, for which revenues are deferredour legacy CDI and recognized ratably over the term of the customer relationship. In addition, fluctuations over periods result from the nature of recognizing professional services revenues once certain milestones are met.
Maintenance and supportAbstracting products. Revenues from maintenance and support in fiscal 2015 were $15,145,000,2022 remained consistent as compared to $16,157,000 in fiscal 2014.2021. The Company expects a slight decrease infor the maintenance and support inrevenue for fiscal 2015 resulted primarily2023 from customer cancellationspricing pressure and deferral of revenue basedterminations offset with minimal new sales as the Company’s focus continues to be on collectibility considerations.
Software as a service (SaaS)its SaaS products.

Professional fees and licenses — Revenues from SaaSprofessional fees and licenses include proprietary software, term license, professional services and audit and coding services revenues. Total professional fees and licenses revenues in fiscal 20152022 were $8,011,000,$8,080,000 compared to $4,979,000 in fiscal 2021 for a total increase of $3,101,000.

Software license revenues recognized in fiscal 2022 were $663,000, as compared to $7,673,000$582,000 in fiscal 2014. 2021. The year-to-year increase was attributablesoftware license sales come primarily from our channel partners. The Company has the ability to go-lives that occurredinfluence sales of these products; however, the timing is difficult to manage as sales are essentially the result of these channel partners. Term license revenue for fiscal 2022 increased $81,000 from fiscal 2021, to $556,000 as one client’s multi-year term license renewed during the 2015 fiscal year, which initiated revenue recognition.

Revenues from remarketing partners — Total revenue from GE Healthcare was $412,0002022. Professional services revenues in fiscal 2015, up from $335,0002022 were $4,319,000 as compared to $2,026,000 in fiscal 2014. 2021. The Company’s remarketing agreement with GE Healthcare remains in effect, however, the Company has not obtained any net new clients from the relationship since fiscal 2010.
Cost of Sales
  
Fiscal Year 2015 to 2014 Change
(in thousands):2015 2014 $ %
Cost of system sales$2,778
 $3,536
 $(758) (21)%
Cost of professional services3,144
 3,459
 (315) (9)%
Cost of maintenance and support3,037
 3,088
 (51) (2)%
Cost of software as a service2,442
 2,920
 (478) (16)%
Total cost of sales$11,401
 $13,003
 $(1,602) (12)%
Cost of system sales includes amortization and impairment of capitalized software expenditures, royalties, and the cost of third-party hardware and software. Cost of system sales, as a percentage of system sales, varies from period-to-period depending on hardware and software configurations of the systems sold. The decrease in expense in fiscal 2015 was primarily due to a reduction in software amortization expense. We incurred $2,748,000 and $3,352,000 in overall software amortization expense in fiscal 2015 and 2014, respectively.
The cost of professional services includes compensation and benefits for personnel, and related expenses. The decrease from fiscal 2014 to 2015 was primarily due to the reduction in independent contractors and personnel expenses, as well as the increase in professional services components that are essentialincluded $1,855,000 from professional service contracts from Avelead. Avelead was acquired on August 16, 2021, resulting in a partial year of results for fiscal 2021 as compared to the functionalitya full year of results for fiscal 2022. We anticipate a decrease in professional services revenue in fiscal 2023 as a result of the termination of a large client’s consulting contract effective January 31, 2023. The large client contract that cancelled accounted for nearly $2,900,000 of revenue in fiscal 2022. The large client professional services contract had low margins compared to our SaaS solutions and the Company does not intend to pursue such professional services contracts in the future.

Audit and coding services revenues recognized in fiscal 2022 were $2,542,000, as compared to $1,896,000 in fiscal 2021. Looking ahead to fiscal 2023, the Company continues to see demand for on-shore, technically proficient coders and auditors in the marketplace. The Company believes it has a competitive advantage utilizing eValuator for these audit and coding services. The Company expects the audit and coding services business to remain stable during fiscal 2023 as it may be sold with our eValuator solution as a technology enabled service.

Cost of Revenue

  Fiscal Year  2022 to 2021 Change 
(in thousands): 2022  2021  $  % 
Cost of software as a service $6,358  $3,417  $2,941   86%
Cost of maintenance and support  427   334   93   28%
Cost of professional fees and licenses  6,610   4,826   1,784   37%
Total cost of sales $13,395  $8,577  $4,818   56%

Cost of software as a service (SaaS) - The cost of SaaS solutions consists of costs associated with (i) amortization of capitalized software, (ii) royalties payable to third-parties for use of their coding related content, and (iii) personnel and network related expenses to provision the application for each client. The increase in cost of SaaS included $2,149,000 related to Avelead. Avelead was acquired on August 16, 2021 resulting in a partial year of results in fiscal 2021 compared to a full year of results in fiscal 2022. The royalty and network related agreements are becoming variable as the cost is derived by attributes of the client’s accessing the system. The remaining year-over-year increase was driven by personnel expenses. The Company continued to invest in additional personnel to support SaaS solutions as the client base has been expanding. The Company expects the costs in these categories will continue to rise, in line with revenue, in fiscal 2023 as the Company continues to invest in RevID, Compare and eValuator.

Certain costs in SaaS solutions are tied to volumes. These costs include coding tools supporting eValuator and a third-party system that is intended to help move data from the hospital system to our systems. Included in the cost of SaaS solutions are non-cash amounts of $2,068,000, including the amortization of capitalized software, which directimpacts margin by 17%. Current margins are lower than we expect in the future for SaaS solutions as we are implementing several new clients. Certain costs, are deferredsuch as labor and recognized ratably over the associatedthird-party content providers, negatively impact gross margin before a client is fully implemented and revenue recognition term.is recognized.

28

Cost of maintenance and supportThe cost of maintenance and support includes compensation and benefits for client support personnelpersonnel. The cost of maintenance in fiscal 2022, compared to fiscal 2021, remained flat and in line with the change in maintenance and support revenue. We expect to see the cost of third-party maintenance contracts.and support for fiscal 2023 to remain relatively consistent as our maintenance and support teams focus on serving our SaaS solutions.

Cost of professional fees and licenses – Cost of revenue, professional fees and licenses, includes cost of software licenses, cost of professional services and cost of audit and coding services. The decrease total cost of sales, professional fees and licenses was $6,610,000 and $4,826,000 for fiscal year 2022 and fiscal year 2021 respectively. The increase in cost of professional fees and licenses includes $1,611,000 from fiscal 2014 to 2015 waslegacy Avelead professional services, primarily due to the reductiona full twelve months of expenses compared to a partial year of expenses in support personnel.

fiscal 2021. Avelead was acquired on August 16, 2021, resulting in a partial year of results for fiscal 2021 as compared to a full year of results in fiscal 2022. The implied gross margin on professional fees and licenses revenue increased in fiscal year 2022 as compared to fiscal year 2021 primarily due to (i) higher revenue from software licenses and (ii) improved margin on a large professional services contract as we lowered the cost of SaaS is relatively fixed but subjectpersonnel used on the project. The large professional services contract that was cancelled by the client, with a cancellation effective date of January 31, 2023, was staffed by employees and contract labor. The employees and contract labor servicing the large contract were terminated consistent with the end of the revenue. There are no operating losses expected to some fluctuation forwind down the goods and services it requires. The decrease was primarily related to reduced personnel and rent expense due to the closure of our Cincinnati, OH office.
labor associated with this contract.

Selling, General and Administrative Expense

  
Fiscal Year 2015 to 2014 Change
(in thousands):2015 2014 $ %
General and administrative expenses$9,011
 $11,799
 $(2,788) (24)%
Sales and marketing expenses4,432
 4,283
 149
 3 %
Total selling, general, and administrative$13,443
 $16,082
 $(2,639) (16)%

  Fiscal Year  2022 to 2021 Change 
(in thousands): 2022  2021  $  % 
General and administrative expenses $10,569  $7,896  $2,673   34%
Sales and marketing expenses  5,565   4,035   1,530   38%
Total selling, general, and administrative expense $16,134  $11,931  $4,203   35%

General and administrative expenses consist primarily of compensation and related benefits, and reimbursable travel and livingentertainment expenses related to the Company’sour executive and administrative staff, general corporate expenses, amortization of


intangible assets, and occupancy costs. Avelead was acquired on August 16, 2021, resulting in a partial year of operations for fiscal 2021 as compared to a full year of operations for fiscal 2022, comprising $1,187,000 of the increase in general and administrative expenses for fiscal 2022. For fiscal 2022, increases of $1,206,000 were also driven by employee related expenses, primarily by salaries, and with increases for performance bonuses and severance expense, accounting for $145,000 and $305,000, respectively. All is considered part of the Company’s strategic plan to simplify the Company’s business in order to drive sustainable growth and improved profitability and cash flows. The decreaseCompany previously announced an “alignment” bringing the Avelead business together with its eValuator business. The resulting severance expense is included in expense in fiscal 2015 was primarily due to decreased bad debt expenseeach of general and professional fees.
administrative expenses and sales and marketing expense.

Sales and marketing expenses consist primarily of compensation and related benefits and reimbursable travel and livingentertainment expenses related to the Company’sour sales and marketing staff, as well as advertising and marketing expenses, including trade shows and similar sales and marketing expenses. Theshows. For fiscal 2022, Avelead comprised $1,101,000 of the increase in sales and marketing expenseexpenses as compared to fiscal 2021, as Avelead was acquired on August 16, 2021, resulting in a partial year of operations for fiscal 2015 over 2014 reflects2021 as compared to a full year of operations for fiscal 2022. The Company has also seen an increase in total compensation fortravel to client sites, as well as industry trade shows, resulting in greater travel expenses. The Company expects that face-to-face meetings with hospital systems will result in higher sales staff.

Product bookings.

Research and Development

  Fiscal Year  2022 to 2021 Change 
(in thousands): 2022  2021  $  % 
Research and development expense $6,042  $4,782  $1,260   26%
Capitalized research and development cost  2,019   1,431   588   41%

29

  
Fiscal Year 2015 to 2014 Change
(in thousands):2015 2014 $ %
Research and development expense$9,093
 $9,756
 $(663) (7)%
Capitalized software development cost
 620
 (620) (100)%
Total research and development cost$9,093
 $10,376
 $(1,283) (12)%
Product research

Research and development expenses consist primarily of compensation and related benefits, the use of independent contractors for specific near-term development projects and an allocated portion of general overhead costs, including occupancy.occupancy costs, if material. Total costs in each of research and development expense and capitalized research and development cost for fiscal 2022 include $2,612,000 related to Avelead compared to fiscal 2021 which included $978,000 related to Avelead. Avelead was acquired on August 16, 2021, resulting in a partial year of results for fiscal 2021 as compared with a full year of results for fiscal 2022. The decrease inremaining fiscal 2022 increased spend was with our development partner (see Commitments and Contingencies). The Company continues to focus on research and development activities on those products with its highest growth prospects, primarily eValuator, RevID and Compare. The Company expects fiscal 2023 total research and development cost fromspend to continue at approximately the same level as fiscal 2014 to 2015 was primarily due to a reduction in development staffing. Our development efforts shifted to solutions involving development costs that are not capitalized due to rapid release cycles. Research and development expenses in2022. For fiscal 2015 and 2014,2022, as a percentage of revenues,revenue, total research and development costs were 32% and 35%, respectively.

Impairment of intangible assets
 Fiscal Year 2015 to 2014 Change
(in thousands):2015 2014 $ %
Impairment of intangible assets$
 $1,952
 $(1,952) (100)%
Management determined in fiscal 2014 that the concerted effort to rebrand the Company’s solutions under a single, harmonized Looking Glass® marketing platform moving forward, eroded, in total, the value of the Meta Trade name. As a result, we recorded a $1,952,000 loss on impairment of intangible asset in fiscal 2014.
Other Income (Expense)
  
Fiscal Year 2015 to 2014 Change
(in thousands):2015 2014 $ %
Interest expense$(884) $(749) $(135) 18 %
Loss on early extinguishment of debt
 (430) 430
 (100)%
Miscellaneous income2,224
 1,592
 632
 40 %
Total other income$1,340
 $413
 $927
 224 %
Interest expense consists of interest and commitment fees on the line of credit, interest on the term loans, and interest on the 2013 note payable, and is inclusive of deferred financing cost and debt discount amortization. Amortization of deferred financing cost and debt discount were $71,000 in both fiscal 2015 and 2014. Interest expense was higher in fiscal 2015 primarily as a result of higher principal outstanding and interest rate.
. In fiscal 2014, we recorded a $115,000 loss related to2022, the termination of the interest rate swap contract prior to its maturity and a $315,000 loss related to the repayment of the senior term loan to Fifth Third Bank upon entering into a new credit agreement with Wells Fargo Bank in November 2014.
The increase in miscellaneous income from 2014 to 2015Company was primarily due to the receipt of $750,000 in cashawarded $56,000 from the Unibased escrow disbursement, partially offset byState of Georgia for its annual research and development tax credit. At the royalty valuation adjustment. Inend of fiscal 20152022, the cumulative balance of unused research and 2014, valuation adjustmentsdevelopment credits was $181,000. These research and development tax credits can be applied to our warrants liability included in miscellaneous income totaled $1,629,000 and $2,283,000, respectively. In fiscal 2014, the income from valuation adjustment of warrants liability was partially offset by a $181,000 loss on disposals of fixed assets, a $235,000 loss related to vacating our Cincinnati office, and a $129,000 loss related to valuation adjustments to our royalty liability.


Provision for Income Taxes
We recorded tax expense of $8,000 and tax benefit of $887,000 in fiscal 2015 and 2014, respectively. Please refercurrent Georgia payroll taxes due.

Acquisition-related Costs

  Fiscal Year  2022 to 2021 Change 
(in thousands): 2022  2021  $  % 
Acquisition-related costs $149  $2,856  $(2,707)  (95)%

Refer to Note 8 - “Income Taxes” to our2 – Summary of Significant Accounting Policies – Other Operating Costs – Acquisition-related costs – in the consolidated financial statements included in Part II, Item 8, herein“Financial Statements and Supplementary Data” for further details on currentwith respect to acquisition-related costs. For fiscal 2022, the Company incurred certain acquisition-related costs related to the acquisition of Avelead totaling $149,000, consisting primarily of fees for professional services. For fiscal 2021, the Company incurred acquisition-related costs related to the acquisition of Avelead totaling $2,856,000. Of the total costs related to the acquisition of Avelead in fiscal 2021, $705,000 was related to bonuses paid to certain executives in executing priorities, primarily the acquisition.

Other (Expense) income

  Fiscal Year  2022 to 2021 Change 
(in thousands): 2022  2021  $  % 
Interest expense $(749) $(236) $(513)  217%
Loss on early extinguishment of debt  -   (43)  43   (100)%
Acquisition earnout valuation adjustments  71   1,851   (1,780)  (96)%
Miscellaneous income  201   60   141   235%
PPP Loan Forgiveness  -   2,327   (2,327)  (100)%
Total other (expense) income $(477) $3,959  $(4,436)  (112)%

Interest expense consists of interest associated with the term loan, deferred financing costs, less interest related to capitalization of software. Interest expense increased for fiscal 2022 from the prior year period primarily due to the $10,000,000 term loan with Bridge Bank (See Note 5 – Debt) and deferredhigher interest rates. Further, interest rates have increased at an accelerated pace in fiscal 2022. Federal Reserve has been reacting to inflation through interest rate increases. Recent interest rate increases are expected to continue at a slower pace than that experienced in fiscal 2022. The interest rate increases that have been put into effect to date, are expected to continue to increase interest expense (year-over-year) into fiscal 2023.

Acquisition earnout valuation adjustments for fiscal 2022 include a valuation adjustment of $71,000 compared to an adjustment of $1,851,000 for fiscal 2021. The valuation adjustment is related to the acquisition earnout liabilities associated with the Avelead acquisition (Refer to Note 3 – Business Combination and Divestiture of the consolidated financial statements included in Part II, Item 8, “Financial Statements and Supplementary Data”).

Miscellaneous income for fiscal 2022 and fiscal 2021 primarily includes income related to the sublease of the Alpharetta location (Refer to Note 4 – Operating Leases).

PPP loan forgiveness for fiscal 2021 reflects the financial impact of the forgiveness of the Company’s $2,301,000 PPP loan along with the accrued interest of $26,000.

30

Provision for Income Taxes

For continuing operations fiscal 2022 and fiscal 2021, we recorded income tax (expense) benefitexpense of $71,000 and $109,000, respectively, which is comprised of estimated federal, state, and local income tax provisions. The Company has a substantial amount of net operating losses for federal and state income taxes.

Backlog
 2015 2014
Company proprietary software$21,586,000
 $20,888,000
Third-party hardware and software200,000
 244,000
Professional services5,803,000
 7,485,000
Maintenance and support23,292,000
 21,304,000
Software as a service16,264,000
 22,574,000
Total$67,145,000
 $72,495,000
At January 31, 2016, thetax purposes. The Company had master agreements and purchase orders from clients and remarketing partners for systems and related services that have not been delivered or installed, which if fully performed, would generate future revenues of $67,145,000 compared with $72,495,000 at January 31, 2015.
The Company’s proprietary software backlog consists of signed agreements to purchase either perpetual software licenses or term licenses. Typically, perpetual licenses included in backlog are either not yet generally available or the software is generally available and the client has not taken possession of the software. Term licenses included in backlog consist of signed agreements where the client has already taken possession, but the payment for the software is bundled with maintenance and support fees over the life of the contract. Therecorded an increase in backlog is due to renewals exceeding the amount recognized out of the prior period backlog.
Third-party hardware and software consists of signed agreements to purchase third-party hardware or third-party software licenses that have not been delivered to the client. These are products that the Company resells as componentsfederal income tax valuation allowance in each of the solution a client purchasesfiscal 2022 and are expected to be delivered in the next twelve months as implementations commence.
Professional services backlog consists2021 of signed contractsapproximately $2.0 million which offset related tax benefits for services that have yet to be performed. Typically, backlog is recognized within twelve months of the contract signing. The decrease in professional services backlog is a result of revenue recognition exceeding bookings.
Maintenance and support backlog consists of maintenance agreements for licenses of the Company’s proprietary software and third-party hardware and software with clients and remarketing partners for which either an agreement has been signed or a purchase order under a master agreement has been received. The Company includes in backlog the signed agreements through their respective renewal dates. Typical maintenance contracts are for a one-year term and are renewed annually. Clients typically prepay maintenance and support that is billed 30-60 days prior to the beginning of the maintenance period. The Company does not expect any significant client attrition over the next 12 months. Maintenance and support backlog at January 31, 2016 was $23,292,000, as compared to $21,304,000 at January 31, 2015. The increase in maintenance and support is due to renewals exceeding revenue recognized during the period. The Company expects to recognize $12,430,000 out of January 31, 2016 backlog in fiscal 2016.
At January 31, 2016, the Company had entered into SaaS agreements that are expected to generate revenues of $16,264,000 through their respective renewal dates in fiscal years 2016 through 2021. The Company expects to recognize $7,223,000 out of January 31, 2016 SaaS backlog in fiscal 2016. Typical SaaS terms are one to seven years in length. SaaS backlog and terms are as follows:

(in thousands):
SaaS Backlog at
January 31, 2016
 
Average
Remaining Months
in Term
7-year term$1,010
 32
6-year term459
 30
5-year term9,943
 22
4-year term210
 21
3-year term4,269
 18
Less than 3-year term373
 12
Total SaaS backlog$16,264
  
The commencement of revenue recognition for SaaS varies depending on the size and complexity of the system, the implementation schedule requested by the client and ultimately the official go-live on the system. Therefore, it is difficult for the Company to accurately predict the revenue it expects to achieve in any particular period.
All of the Company’s master agreements are generally non-cancelable but provide that the client may terminate its agreement upon a material breach by the Company, or may delay certain aspects of the installation. There can be no assurance that a client will not cancel all or any portion of a master agreement or delay portions of the agreement. A termination or delay in one or more phases of an agreement, or the failure of the Company to procure additional agreements, could have a material adverse effect on the Company’s financial condition and results of operations.

operating losses.

Use of Non-GAAP Financial Measures

In order to provide investors with greater insight and allow for a more comprehensive understanding of the information used by management and the boardBoard of directorsDirectors in its financial and operational decision-making, the Company has supplemented the Consolidated Financial Statements presented on a GAAP basis in this annual report on Form 10-KReport with the following non-GAAP financial measures: EBITDA, Adjusted EBITDA, Adjusted EBITDA Margin and Adjusted EBITDA per diluted share.

Margin.

These non-GAAP financial measures have limitations as analytical tools and should not be considered in isolation or as a substitute for analysis of Company results as reported under GAAP. The Company compensates for such limitations by relying primarily on our GAAP results and using non-GAAP financial measures only as supplemental data. We also provide a reconciliation of non-GAAP to GAAP measures used. Investors are encouraged to carefully review this reconciliation. In addition, because these non-GAAP measures are not measures of financial performance under GAAP and are susceptible to varying calculations, these measures, as defined by the Company,us, may differ from and may not be comparable to similarly titled measures used by other companies.

EBITDA, Adjusted EBITDA, Adjusted EBITDA Margin, and Adjusted EBITDA per diluted share

Margin

We define: (i) EBITDA as net earnings (loss) before net interest expense, income tax expense (benefit), depreciation and amortization; (ii) Adjusted EBITDA as net earnings (loss) before net interest expense, income tax expense (benefit), depreciation, amortization, stock-basedshare-based compensation expense, transaction related expenses, and other expenses or benefits that do not relate to our core operations;operations such as severance and impairment charges and debt forgiveness; and (iii) Adjusted EBITDA Margin as Adjusted EBITDA as a percentage of GAAP net revenue; and (iv) Adjusted EBITDA per diluted share as Adjusted EBITDA divided by adjusted diluted shares outstanding.revenue. EBITDA, Adjusted EBITDA, Adjusted EBITDA Margin and Adjusted EBITDA per diluted shareMargin are used to facilitate a comparison of our operating performance on a consistent basis from period to period and provide for a more complete understanding of factors and trends affecting our business than GAAP measures alone. These measures assist management and the board and may be useful to investors in comparing our operating performance consistently over time as they remove the impact of our capital structure (primarily interest charges), asset base (primarily depreciation and amortization), items outside the control of the management team (taxes), and expenses that do not relate to our core operations including: transaction-related expenses (such as professional and advisory services), corporate restructuring expenses (such as severances), and other operating costs that are expected to be non-recurring.non-recurring in nature. Adjusted EBITDA removes the impact of share-based compensation expense, which is another non-cash item. Adjusted EBITDA per diluted share includes incremental shares in the share count that are considered anti-dilutive in a GAAP net loss position.

The boardBoard of directorsDirectors and management also use these measures (i) as (i) one of the primary methods for planning and forecasting overall expectations and for evaluating, on at least a quarterly and annual basis, actual results against such expectations; and (ii) as a performance evaluation metric in determining achievement of certain executive and associate incentive compensation programs.


Our lender uses a measurement that is similar to the Adjusted EBITDA measurement described herein to assess our operating performance. The lender under our credit agreementSecond Amended and Restated Loan and Security Agreement requires delivery of compliance reports certifying compliance with financial covenants, certain of which are based on thisa measurement that is similar to the Adjusted EBITDA measurement reviewed by our management and boardBoard of directors.Directors.

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EBITDA, Adjusted EBITDA and Adjusted EBITDA Margin are not measures of liquidity under GAAP or otherwise and are not alternatives to cash flow from continuing operating activities, despite the advantages regarding the use and analysis of these measures as mentioned above. EBITDA, Adjusted EBITDA, Adjusted EBITDA Margin, and Adjusted EBITDA per diluted shareMargin, as disclosed in this annual report on Form 10-K,Report have limitations as analytical tools, and you should not consider these measures in isolation or as a substitute for analysis of our results as reported under GAAP; nor are these measures intended to be measures of liquidity or free cash flow for our discretionary use. Some of the limitations of EBITDA and its variations are:

EBITDA does not reflect our cash expenditures or future requirements for capital expenditures or contractual commitments;
EBITDA does not reflect changes in, or cash requirements for, our working capital needs;
EBITDA does not reflect the interest expense, or the cash requirements to service interest or principal payments under our credit agreements;
EBITDA does not reflect income tax payments we are required to make; and
Although depreciation and amortization are non-cash charges, the assets being depreciated and amortized often will have to be replaced in the future, and EBITDA does not reflect any cash requirements for such replacements.

EBITDA does not reflect our cash expenditures or future requirements for capital expenditures or contractual commitments;
EBITDA does not reflect changes in, or cash requirements for, our working capital needs;
EBITDA does not reflect the interest expense, or the cash requirements to service interest or principal payments under our Second Amended and Restated Loan and Security Agreement;
EBITDA does not reflect income tax payments that we may be required to make; and
Although depreciation and amortization are non-cash charges, the assets being depreciated and amortized often will have to be replaced in the future, and EBITDA does not reflect any cash requirements for such replacements.

Adjusted EBITDA has all the inherent limitations of EBITDA. To properly and prudently evaluate our business, the Company encourages readers to review the GAAP financial statements included elsewhere in this annual report on Form 10-K,Report, and not rely on any single financial measure to evaluate our business. We also strongly urge readers to review the reconciliation of these non-GAAP financial measures to the most comparable GAAP measure in this section, along with the Consolidated Financialconsolidated financial statements included in Part II, Item 8, “Financial Statements included elsewhere in this annual report on Form 10-K.

and Supplementary Data”.

The following table sets forth a reconciliation ofreconciles EBITDA and Adjusted EBITDA to net loss a comparable GAAP-based measure, as well as Adjusted EBITDA per diluted share to loss per diluted share.from continuing operations for the fiscal years ended January 31, 2023 and 2022 (amounts in thousands). All of the items included in the reconciliation from EBITDA and Adjusted EBITDA to net loss and the related per share calculationsfrom continuing operations are either recurring non-cash items, or items that management does not consider in assessing our on-going operating performance. In the case of the non-cash items, management believes that investors may find it useful to assess the Company’s comparative operating performance because the measures without such items are less susceptible to variances in actual performance resulting from depreciation, amortization and other expenses that do not relate to our core operations and are more reflective of other factors that affect operating performance. In the case of items that do not relate to our core operations, management believes that investors may find it useful to assess our operating performance if the measures are presented without these items because their financial impact does not reflect ongoing operating performance.


The following table reconciles EBITDA and Adjusted EBITDA to net loss, and Adjusted EBITDA per diluted share to loss per diluted share for the fiscal years ended January 31, 2016 and 2015 (amounts in thousands, except per share data):
 Fiscal Year
Adjusted EBITDA Reconciliation2015 2014
Net loss$(4,290) $(12,011)
Interest expense884
 749
Tax expense (benefit)8
 (887)
Depreciation1,245
 1,005
Amortization of capitalized software development costs (1)3,073
 3,678
Amortization of intangible assets1,345
 1,396
     Amortization of other costs136
 166
EBITDA2,402
 (5,904)
Stock-based compensation expense2,386
 1,934
Loss on impairment of intangible assets
 1,952
Loss on early extinguishment of debt
 430
Loss on disposal of fixed assets92
 181
Non-cash valuation adjustments to assets and liabilities (2)(1,669) (2,154)
Transaction related professional fees, advisory fees, and other internal direct costs93
 182
Associate severances and other costs relating to transactions or corporate restructuring206
 901
Other non-recurring operating expenses (income) (3)(750) 1,491
Adjusted EBITDA$2,761
 $(987)
Adjusted EBITDA Margin (4)10% (4)%
    
Adjusted EBITDA per diluted share2015 2014
Loss per share — diluted$(0.30) $(0.71)
Adjusted EBITDA per adjusted diluted share (5)$0.15
 $(0.05)
Diluted weighted average shares18,689,854
 18,261,800
Includable incremental shares — adjusted EBITDA (6)
 
Adjusted diluted shares18,689,854
 18,261,800
_______________
(1)32Fiscal 2015 includes $1,615,000 relating to internally developed legacy software, $326,000 relating to acquired internally developed software from Interpoint, $729,000 relating to internally developed software acquired from Meta, and $403,000 relating to internally developed software acquired from Unibased. Fiscal 2014 includes $2,220,000 relating to internally developed legacy software, $326,000 relating to acquired internally developed software from Interpoint, $729,000 relating to internally developed software acquired from Meta, and $403,000 relating to internally developed software acquired from Unibased.

  Fiscal Year 
(in thousands) 2022  2021 
Adjusted EBITDA Reconciliation        
Loss from continuing operations $(11,379) $(6,917)
Interest expense  749   236 
Income tax expense  71   109 
Depreciation and amortization  4,233   3,646 
EBITDA  (6,326)  (2,926)
Share-based compensation expense  1,680   2,216 
Non-cash valuation adjustments  (71)  (1,851)
Acquisition-related costs, severance, and transaction-related bonuses  1,149   2,856 
Forgiveness of PPP Loan and accrued interest     (2,327)
Other non-recurring expenses  (189)  (48)
Loss on early extinguishment of debt     43 
Adjusted EBITDA $(3,757) $(2,037)
Adjusted EBITDA margin (1)  (15)%  (12)%

(1)
(2)Fiscal 2015 and 2014 include valuation adjustments for warrants liability of $(1,629,000) and $(2,283,000), respectively.
(3)Decrease in fiscal 2015 is due to receipt from disbursement of Unibased escrow account. Increase in fiscal 2014 is primarily due to professional services fees that are deemed non-recurring.
(4)Adjusted EBITDA as a percentage of GAAP net revenues.
(5)Adjusted EBITDA per adjusted diluted share for the Company's common stock is computed using the more dilutive of the two-class method or the if-converted method.
(6)The number of incremental shares that would be dilutive under profit assumption, only applicable under a GAAP net loss. If GAAP profit is earned in the current period, no additional incremental shares are assumed.

Application of Critical Accounting Policies

The following is a summary of the Company’s most critical accounting policies. SeeRefer to Note 2 – Significant Accounting Policies to our Consolidated Financial Statementsconsolidated financial statements included in Part II, Item 8, herein“Financial Statements and Supplementary Data” for a complete discussion of the significant accounting policies and methods used in the preparation of our Consolidated Financial Statements.


consolidated financial statements.

Revenue Recognition

The Company derives revenue from the sale of internally developed software, either by licensing for local installation or by a SaaS delivery model, through our direct sales force or through third-party resellers. Licensed, locally installed clients on a perpetual model utilize our support and maintenance services for a separate fee, whereas term-based locally installed license fees and SaaS fees include support and maintenance. The Company also derives revenue from professional services that support the implementation, configuration, training and optimization of the applications, as well as audit and consulting services The Company recognizes revenue to depict the transfer of promised goods or services to clients in an amount that reflects the consideration to which the entity expects to be entitled in exchange for perpetual and term licenses in accordance with ASC 985-605, Software-Revenue Recognition and ASC 605-25 Revenue Recognition — Multiple-element arrangements. The Company commencesthose goods or services.

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Performance obligations are the unit of accounting for revenue recognition whenand generally represent the following criteria all have been met:

Persuasive evidence of an arrangement exists,
Delivery has occurreddistinct goods or services that are promised to the client. If we determine that we have been rendered,
The arrangement fees are fixed or determinable, and
Collection is considered probable.
If the Company determines that any of the above criteria has not been met, the Companysatisfied a performance obligation, we will defer recognition of the revenue until all the criteriaperformance obligation is deemed to be satisfied. Maintenance and support and SaaS agreements are generally non-cancellable or contain significant penalties for early cancellation, although clients typically have been met. Ifthe right to terminate their contracts for cause if we fail to perform material obligations. However, if non-standard acceptance periods, or non-standard performance criteria, or cancellation or right of refund terms are required, revenue is recognized upon the satisfaction of such criteria, as applicable.
Multiple Element Arrangements
We recordcriteria. Significant judgment is required to determine the standalone selling price (“SSP”) for each performance obligation, the amount allocated to each performance obligation and whether it depicts the amount that the Company expects to receive in exchange for the related product and/or service. The Company recognizes revenue for non-software related productsimplementation for certain of its eValuator SaaS solution over the contract term, as it has been determined that those implementation services are not a distinct performance obligation. Services for other SaaS and Software solutions such as CDI, RevID and Compare, have been determined as a distinct performance obligation. For these agreements, the Company estimates SSP of its software licenses using the residual approach when the software license is sold with other services pursuant to Accounting Standards Update No. 2009-13, Revenue Recognition (Topic 605), “Multiple-Deliverable Revenue Arrangements — a consensus ofand observable SSPs exist for the FASB Emerging Issues Task Force” (“ASU 2009-13”).other services. The Company follows this accounting guidanceestimates the SSP for maintenance, professional services, software as a service and audit services based on observable standalone sales.

Refer to Note 2 – Significant Accounting Policies to our consolidated financial statements included in Part II, Item 8, “Financial Statements and Supplementary Data” for additional information regarding our revenue recognition of multiple deliverable revenue arrangements (meaning the delivery or performance of multiple products, services and/or rights to use assets) to determine whether such arrangements contain more than one unit of accounting. To qualify as a separate unit of accounting, the delivered item must have value to the client on a stand-alone basis (meaning the item can be sold separately by any vendor or the client could resell the item on a stand-alone basis). Additionally, if the arrangement includes a general right of return relative to the delivered item, delivery or performance of the undelivered items must be considered probable and substantially in the control of the vendor.

policies.

Allowance for Doubtful Accounts

Accounts and contract receivables are comprised of amounts owed the Company for solutions and services provided. Contracts with individual clients and resellers determine when receivables are due and payable. In determining the allowances for doubtful accounts, the unpaid receivables are reviewed monthlyperiodically to determine the payment status based upon the most currently available information as to the status of the receivables.information. During these monthlyperiodic reviews, the Company determines the required allowances for doubtful accounts for estimated losses resulting fromto reduce total receivables reported to reflect only the unwillingness or inability of its clients or resellersamounts expected to make required payments.

be paid.

Capitalized Software Development Costs

Software development costs for software to be sold, leased, or marketed are accounted for in accordance with either ASCAccounting Standards Codification (“ASC”) 985-20, Software — Costs of Software to be Sold, Leased or Marketed, or ASC 350-40 Internal-Use Software. Costs associated with the planning and designingdesign phase of software development are classified as research and development costs and are expensed as incurred. Once technological feasibility has been determined,established, a portion of the costs incurred in development, including coding, testing and quality assurance, are capitalized until available for general release to clients, and subsequently reported at the lower of unamortized cost or net realizable value. Amortization is calculated on a solution-by-solution basis and is included in cost of professional fees and licenses on the consolidated statements of operations. Annual amortization is measured at the greater of a) the ratio of the software product’s current gross revenues to the total of current and expected gross revenues or b) straight-line over the estimated economic life of the software. Amortization for our legacy software systems is provided on a solution-by-solution basis over the estimatedremaining economic life of the software using the straight-line method. Amortization commences when a solution is available for general release to clients. Acquired internally developed software from acquisitions is amortized using the straight-line method.(typically two years). Unamortized capitalized costs determined to be in excess of the net realizable value of a solution are expensed at the date of such determination.

Internal-use software development costs are accounted for in accordance with ASC 350-40, Internal-Use Software. The costs incurred in the preliminary stages of development are expensed as research and development costs as incurred. Once an application has reached the development stage, internal and external costs incurred to develop internal-use software are capitalized and amortized on a straight-line basis over the estimated useful life of the software (typically three to four years). Maintenance and enhancement costs, including those costs in the post-implementation stages, are typically expensed as incurred, unless such costs relate to substantial upgrades and enhancements to the software that result in added functionality, in which case the costs are capitalized and amortized on a straight-line basis over the estimated useful life of the software. The Company reviews on an on-going basis, the carrying value of itsfor impairment whenever facts and circumstances exist that would suggest that assets might be impaired or that the useful lives should be modified. Amortization expense related to capitalized internal-use software development expenditures, netcosts is included in Cost of accumulated amortization.software as a service on the consolidated statements of operations.

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Goodwill and Intangible Assets


Goodwill and other intangible assets were recognized in conjunction with the acquisitions of Interpoint Partners, LLC (“Interpoint”), Meta Health Technology, Inc. (“Meta”), Clinical Looking Glass,Glass® (“CLG”), Opportune IT, Unibased Systems Architecture, Inc. (“Unibased”), and Unibased acquisitions.Avelead. Identifiable intangible assets include purchased intangible assets with finite lives, which primarily consist of internally-developed software, client relationships, supplier agreements, non-compete agreements customer contracts, and license agreements. Finite-lived purchased intangible assets are amortized over their expected period of benefit, which generally ranges from one month to 15 years, using the straight-line and undiscounted expected future cash flows methods. The indefinite-lived intangible asset related to the Meta trade name, which was not amortized, but tested for impairment on at least an annual basis. In fiscal 2014, the Meta trade name was deemed impaired and its corresponding balance was fully written off (see Note 7 - Goodwill and Intangible Assets to our consolidated financial statements included in Part II, Item 8 herein).



method.

We assess the useful lives and possible impairment of existing recognized goodwill on at least an annual basis, and goodwill and intangible assets when an event occurs that may trigger such a review. Factors considered important which could trigger a review include:


significant under performance relative to historical or projected future operating results;
significant changes in the manner of use of the acquired assets or the strategy for the overall business;
identification of other impaired assets within a reporting unit;
disposition of a significant portion of an operating segment;
significant negative industry or economic trends;
significant decline in the Company's stock price for a sustained period; and
a decline in the market capitalization relative to the net book value.

significant under-performance relative to historical or projected future operating results;
significant changes in the manner of use of the acquired assets or the strategy for the overall business;
identification of other impaired assets within a reporting unit;
disposition of a significant portion of an operating segment;
significant negative industry or economic trends;
significant decline in the Company’s stock price for a sustained period; and
a decline in the market capitalization relative to the net book value.

Determining whether a triggering event has occurred involves significant judgment by the Company.

Upon its most recent annual review, the Company concluded that the fair value of its goodwill substantially exceeded the carrying value of its goodwill.

Income Taxes

Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and for tax creditcredits and loss carry-forwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. In assessing net deferred tax assets, we consider whether it is more likely than not that some or all of the deferred tax assets will not be realized. We establish a valuation allowance when it is more likely than not that all or a portion of deferred tax assets will not be realized. SeeRefer to Note 87 – Income Taxes to our consolidated financial statements included in Part II, Item 8, herein“Financial Statements and Supplementary Data” for further details.

Common Stock Warrants
As of January 31, 2015, the fair value of the common stock warrants was computed using Monte-Carlo simulations. The estimated fair value of the warrant liabilities as of January 31, 2016 was computed using the Black-Scholes option pricing model. Both valuations were based on assumptions regarding annual volatility, risk-free rate, dividend yield and expected life. The models also include assumptions to account for anti-dilutive provisions within the warrant agreement (see
Note 2 - Significant Accounting Policies to our consolidated financial statements included in Part II, Item 8 herein).
Contractual Obligations

We have various contractual obligations and commitments to make future payments including debt agreements and operating lease obligations.

The following table summarizes our significant contractual obligations and commitments as of January 31, 2016. Except as set forth in the following table, we do not have any material long-term purchase obligations or other long-term liabilities that are reflected on our consolidated balance sheet as of January 31, 2016:
 Payments Due by Period
(in thousands)Less than 1 year 1-3 Years 3-5 Years More than 5 years Total
Long-term debt obligations$674
 $1,797
 $6,064
 $
 $8,535
Interest expense on long-term debt550
 933
 308
 
 1,791
Capital lease obligations (1)618
 93
 
 
 711
Operating lease obligations971
 2,046
 1,471
 964
 5,452
Total contractual obligations$2,813
 $4,869
 $7,843
 $964
 $16,489
_______________
(1)Future minimum lease payments include principal plus interest.

The estimated interest expense payments on long-term debt reflected in the table above were based on both the amount outstanding and the respective interest rates in effect as of January 31, 2016. Interest expense on the senior term loan was computed based on an interest rate of 6.58%.

Liquidity and Capital Resources


The Company’s liquidity is dependent upon numerous factors including: (i) the timing and amount of revenues and collection of contractual amounts from clients, (ii) amounts invested in research and development and capital expenditures, and (iii) the level of operating expenses, all of which can vary significantly from quarter-to-quarter. The Company’s primary cash requirements include regular payment of payroll and other business expenses, principal and interest payments on debt and minor amounts of capital expenditures. Capital expenditures generally include computer hardware and computer software to support internal development efforts or infrastructure in the SaaS data center.center infrastructure. Operations are funded with cash generated by operations and borrowings under the bank credit facilities. The Company believes that cash flows from operations and available credit facilities are adequate to fund current obligations for twelve months from the next twelve months.date of issuance of the audit report on the Company’s consolidated financial statements. Cash and cash equivalent balances at January 31, 20162023 and 20152022 were $9,882,000$6,598,000 and $6,523,000,$9,885,000, respectively.

Capital Raise

On October 24, 2022, the Company entered into purchase agreements with certain investors pursuant to which the Company agreed to issue and sell in a registered direct offering (the “2022 Offering”) an aggregate of 6,299,989 shares of common stock, par value $0.01 per share, at a purchase price of $1.32 per share. The gross proceeds to the Company from the 2022 Offering were approximately $8,316,000. The Company intends to use the proceeds of the 2022 Offering for general corporate purposes. The 2022 Offering closed on October 26, 2022.

On February 25, 2021, the Company entered into an underwriting agreement with Craig-Hallum Capital Group LLC, as the sole managing underwriter, relating to the underwritten public offering of an aggregate of 10,062,500 shares of the Company’s common stock, par value $0.01 per share, which included 1,312,500 shares of common stock sold pursuant to the underwriter’s exercise of an option to purchase additional shares of common stock to cover over-allotments (the “2021 Offering”). The price to the public in the 2021 Offering was $1.60 per share of common stock. The gross proceeds to the Company from the 2021 Offering were approximately $16,100,000, before deducting underwriting discounts, commissions, and estimated offering expenses. The 2021 Offering closed on March 2, 2021.

The Company believes that cash flows from operations, the cash from the 2022 Offering and available credit facilities are adequate to fund current obligations for the next twelve months from issuance of the financial statements included in this report. Continued expansion may require the Company to take on additional debt or raise capital through issuance of equities, or a combination of both. There can be no assurance the Company will be able to raise the capital required to fund further expansion.

Authorized Shares Amendment

On May 24, 2021, the Company amended its Certificate of Incorporation, as amended, to increase the total number of authorized shares of the Company’s common stock from 45,000,000 shares to 65,000,000 shares (the “Charter Amendment”). The Charter Amendment was initially approved by the board of directors of the Company, subject to stockholder approval, approved by the Company’s stockholders at the 2021 Annual Meeting of Stockholders of the Company, held on May 20, 2021 (the “2021 Annual Meeting”), and ratified by the Company’s stockholders at a special meeting of stockholders held on July 29, 2021 (the “2021 Special Meeting).

Also, at the 2021 Annual Meeting, the Company’s stockholders approved an amendment to the Streamline Health Solutions, Inc. Third Amended and Restated 2013 Stock Incentive Plan (the “2013 Plan”) to increase the number of shares of the Company’s common stock authorized for issuance thereunder by 2,000,000 shares, from 6,223,246 shares to 8,223,246 shares (the “Third Amended 2013 Plan Amendment”). The Company’s stockholders ratified the approval and effectiveness of the Third Amended 2023 Plan Amendment at the 2021 Special Meeting.

At the 2022 Annual Meeting of Stockholders (the “2022 Annual Meeting”) held on June 7, 2022, the Company’s stockholders approved an amendment to the 2013 Plan to increase the number of shares of the Company’s common stock authorized for issuance thereunder by 2,000,000 shares, from 8,223,246 shares to 10,223,246 shares. The Company’s stockholders also approved an amendment to the Company’s Certificate of Incorporation, as amended, to increase the total number of authorized shares of the Company’s common stock from 65,000,000 shares to 85,000,000 shares.

36

Credit Facility

The Company has additional liquidity through the CreditSecond Modification to the Second Amended and Restated Loan Agreement described in more detail in Note 6(the “Second Modification Debt Agreement”). On November 29, 2022, the Company executed the Second Modification Debt Agreement. The Second Modification Debt Agreement includes an expansion of the Company’s total borrowing to our consolidated financial statements included in Part II, Item 8 herein.include a $2,000,000 revolving line of credit. The Company’s primary operating subsidiary has a $5,000,000 revolving line of credit that has not been drawn upon aswill be co-terminus with the term loan and matures on August 26, 2026. There are no requirements to draw on the line of credit. Amounts outstanding under the line of credit portion of the dateSecond Amended and Restated Loan Agreement bear interest at a per annum rate equal to the Prime Rate (as published in The Wall Street Journal) plus 1.5%, with a Prime “floor” rate of this report. In order3.25%. The Second Modification Debt Agreement amended the covenants of the Second Amended and Restated Loan and Security Agreement. Refer to draw uponNote 5 – Debt for information regarding the Second Modification Debt Agreement. At January 31, 2023, there was no outstanding balance on the revolving line of credit,credit.

Under the Company’s primary operating subsidiary must complySecond Modification Debt Agreement, the Company has a term loan facility with an initial, maximum, principal amount of $10,000,000. Amounts outstanding under the Second Modification Debt Agreement bear interest at a per annum rate equal to the Prime Rate (as published in The Wall Street Journal) plus 1.5%, with a Prime “floor” rate of 3.25%.

The Second Modification Debt Agreement includes customary financial covenants includingas follows:

a.Minimum Cash. Borrowers shall, at all times, maintain unrestricted cash in an amount not less than Two Million Dollars ($2,000,000).
b.Maximum Debt to ARR Ratio. Borrowers’ Maximum Debt to ARR Ratio, measured on a quarterly basis as of the last day of each fiscal quarter, shall not be greater than the amount set forth under the heading “Maximum Debt to ARR Ratio” as of, and for each of the dates appearing adjacent to such “Maximum Debt to ARR Ratio”.

Quarter Ending

Maximum Debt to

ARR Ratio

October 31, 20220.80 to 1.00
January 31, 20230.70 to 1.00
April 30, 20230.65 to 1.00
July 31, 20230.60 to 1.00
October 31, 20230.55 to 1.00
January 31, 20240.50 to 1.00

c.Maximum Debt to Adjusted EBITDA Ratio. Commencing with the quarter ending April 30, 2024, Borrowers’ Maximum Debt to Adjusted EBITDA Ratio, measured on a quarterly basis as of the last day of each fiscal quarter for the trailing four (4) quarter period then ended, shall not be greater than the amount set forth under the heading “Maximum Debt to Adjusted EBITDA Ratio” as of, and for each of the dates appearing adjacent to such “Maximum Debt to Adjusted EBITDA Ratio”.

Quarter EndingMaximum Debt to Adjusted EBITDA Ratio
April 30, 20243.50 to 1.00
July 31, 2024, and on the last day of each quarter, thereafter2.00 to 1.00

d.Fixed Charge Coverage Ratio. Commencing with the quarter ending April 30, 2024, Borrowers shall maintain a Fixed Charge Coverage Ratio of not less than 1.20 to 1.00, measured on a quarterly basis as of the last day of each fiscal quarter for the trailing four (4) quarter period then ended.

37

The Second Modification Debt Agreement also includes customary negative covenants, subject to exceptions, which limit transfers, capital expenditures, indebtedness, certain liens, investments, acquisitions, dispositions of assets, restricted payments, and the requirement thatbusiness activities of the Company, maintain minimum liquidityas well as customary representations and warranties, affirmative covenants and events of at least $7,500,000. Pursuantdefault, including cross defaults and a change of control default. The line of credit also is subject to the Credit Agreement’s definition, the liquidity of the Company’s primary operating subsidiary as of January 31, 2016 was $14,882,000, which satisfies the minimum liquidity financial covenant in the Credit Agreement.

The Credit Agreement also requires the Company to achieve certain minimum EBITDA levels, calculated pursuant to the Credit Agreement and measured on a quarter-end basis, of at least the required amounts in the table set forth in Note 6 to our consolidated financial statements included in Part II, Item 8 herein for the applicable period set forth therein. The required minimum EBITDA level forcustomary prepayment requirements. For the period ended January 31, 2016 was $500,000. The Company’s actual EBITDA for this period was approximately $2,761,000.
Based upon the borrowing base formula set forth in the Credit Agreement, as of January 31, 2016,2023, the Company had accesswas in compliance with the Second Modification Debt Agreement covenants.

PPP Loan

The Coronavirus Aid, Relief, and Economic Security Act, also known as the CARES Act, was signed into law on March 17, 2020. Among other things, the CARES Act provided for a business loan program known as the Paycheck Protection Program (“PPP”). Qualifying companies were able to borrow, through the full amountU.S. Small Business Administration (“SBA”), up to two months of the $5,000,000 revolving line of credit.

The Credit Agreement expressly permits transactions between affiliates that are parties to the Credit Agreement, which includespayroll expenses. On April 21, 2020, the Company and its primary operating subsidiary, including loans made between such affiliate loan parties. However,received approximately $2,301,000 through the Credit Agreement prohibitsSBA under the Company and its subsidiary from declaring or paying any dividend or making any other payment or distribution, directly or indirectly, on account of equity interests issuedPPP. These funds were utilized by the Company if such equity interests: (a) mature or are mandatorily redeemable pursuantto fund payroll expenses and avoid staffing reductions during the slowdown resulting from COVID-19. The loan required principal payments, beginning after the seventh monthly anniversary, and was required to be paid in two years. The PPP loan bore an interest rate of 1.0% per annum. In June 2021, the Company received notification that the PPP loan principal amount of $2,301,000 and accrued interest of $26,000 had been forgiven in full.

Significant cash obligations

  As of January, 31 
(in thousands) 2023  2022 
Term loan (1) $9,714  $9,904 
         

(1)Term loan balance is reported net of deferred financing costs of $36,000 and $96,000 as of January 31, 2023 and 2022, respectively. Refer to Note 5 – Debt to our consolidated financial statements included in Part II, Item 8, “Financial Statements and Supplementary Data” for additional information. The term loan balance as of January 31, 2023 and January 31, 2022 was bank term debt.

Operating cash flow activities

  Fiscal Year 
(in thousands) 2022  2021 
Loss from continuing operations $(11,379) $(6,917)
Non-cash adjustments to net loss  6,120   1,884 
Cash impact of changes in assets and liabilities  (1,884)  1,149 
Net cash used in operating activities $(7,143) $(3,884)

The higher use of cash from operating activities for fiscal 2022 is due to the higher net loss from operations compared to fiscal 2021. The Company had a higher net loss from operations and higher non-cash adjustments to net loss primarily due to higher rates of amortization and lower gains than fiscal 2022 on the PPP loan forgiveness and acquisition earnouts associated with the Avelead acquisition. The Company’s accounts receivable was significantly higher in fiscal 2022 as compared with that of fiscal 2021 due to (i) timing of collection on certain annual invoices, (ii) higher term license due to a sinking fund obligation or otherwise (exceptmulti-year term renewal, and (iii) the timing of software license sales. Within non-cash adjustments to net loss for fiscal 2021, the Company reported forgiveness of the PPP loan of $2,301,000 and related interest of $26,000.

38

Investing cash flow activities

  Fiscal Year 
(in thousands) 2022  2021 
Investment in Avelead, net of cash $  $(12,470)
Purchases of property and equipment  (10)  (41)
Proceeds from sale of ECM Assets     800 
Capitalized software development costs  (1,924)  (1,458)
Net cash used in investing activities $(1,934) $(13,169)

The cash used in investing activities for fiscal 2022 and fiscal 2021 includes capitalized software development costs. The Company expects continued capitalizable projects associated with the Company’s flagship products. The increase in capitalized software development costs is primarily from the acquisition of Avelead in fiscal 2021. The Company experienced a full year of capitalization in fiscal 2022 compared with a partial year in fiscal 2021. Refer to Note 3 – Business Combination and Divestiture for more information on the acquisition of Avelead.  The cash used in investing activities for fiscal 2021 included the cash used to acquire Avelead and capitalized software development costs, offset by the release of escrowed funds in fiscal 2021 from the sale of the ECM Assets. Refer to Note 13– Discontinued Operations for more information on the sale of the ECM Assets.

Financing cash flow activities

  Fiscal Year 
(in thousands) 2022  2021 
Proceeds from issuance of common stock $8,316  $16,100 
Payments of acquisition earnout liabilities  (2,012)   
Payments for costs directly attributable to the issuance of common stock  (52)  (1,313)
Repayment of bank term loan  (250)   
Proceeds from term loan payable     10,000 
Payments related to settlement of employee shared-based awards  (197)  (464)
Payment of deferred financing costs  (20)  (168)
Other  6   (6)
Net cash provided by financing activities $5,791  $24,149 

The cash provided by financing activities for fiscal 2022 was primarily attributable to the 2022 Offering of the Company’s common stock, which closed on October 26, 2022, offset by earnout payments related to the Avelead acquisition. Refer to Note 8 – Equity for additional information. The cash provided by financing activities for fiscal 2021 was primarily from the public Offering of the Company’s common stock, which closed on March 2, 2021. Additionally, the Company received proceeds of $10,000,000 as a result of a change of control or asset sale so long as any rights of the holders thereof upon the occurrence of a change of control or asset sale event shall be subject to the prior repayment in full of the loansSecond Amended and all other obligations that are accruedRestated Loan and payable upon the termination of the Credit Agreement), (b) are redeemable at the option of the holder thereof, in whole or in part, (c) provide for the scheduled payments of dividends in cash, or (d) are or become convertibleSecurity Agreement entered into or exchangeable for indebtedness or any other equity interests that would constitute disqualified equity interests pursuant to clauses (a) through (c) hereof, in each case, prior to the date that is 180 days after the maturity date of the Credit Agreement.

Significant cash obligations
(in thousands)Fiscal Year
2015 2014
Term loans$8,535
 $10,000
Capital lease686
 1,365
Royalty liability2,292
 2,386
Please reference Note 3 — Acquisitions and Note 6 — Debt to our consolidated financial statements included in Part II, on August 26, 2021.

Item 8 for additional information.

Operating cash flow activities
(in thousands)Fiscal Year
2015 2014
Net loss$(4,290) $(12,011)
Non-cash adjustments to net loss6,763
 8,499
Cash impact of changes in assets and liabilities3,408
 500
Annual operating cash flow$5,881
 $(3,012)

The increase in net cash provided by operating activities in fiscal 2015 is primarily due to a reduction in loss, aided by the Company’s effort to decrease expenses, and the collection of accounts receivable, due to the Company’s efforts to resolve issues that were delaying payments.
The Company’s clients typically have been well-established hospitals or medical facilities or major health information system companies that resell the Company’s solutions, which have good credit histories and payments have been received within normal time frames for the industry. However, some healthcare organizations have experienced significant operating losses as a result of limits on third-party reimbursements from insurance companies and governmental entities. Agreements with clients often involve significant amounts and contract terms typically require clients to make progress payments. Adverse economic events, as well as uncertainty in the credit markets, may adversely affect the liquidity for some of our clients.
Investing cash flow activities
(in thousands)Fiscal Year
2015 2014
Purchases of property and equipment$(518) $(2,125)
Capitalized software development costs
 (620)
Payment for acquisitions, net of cash acquired
 (6,058)
Annual investing cash flow$(518) $(8,803)
The decrease in cash used for investing activities is primarily a result of the cash expended to acquire the Unibased business, as well as asset purchases related to the expansion of our Atlanta office and the new Atlanta data center in the prior year. In addition, our development efforts shifted to solutions involving development costs that are not capitalized due to rapid release cycles.
The Company estimates that to replicate its existing internally-developed software would cost significantly more than the stated net book value of $6,124,000, including acquired internally developed software of Interpoint, Meta, and Unibased, at January 31, 2016. Many of the programs related to capitalized software development continue to have significant value to our current solutions and those under development, as the concepts, ideas, and software code are readily transferable and are incorporated into new solutions.
Financing cash flow activities
(in thousands)Fiscal Year
2015 2014
Proceeds from term loans$
 $10,000
Principal repayments on term loans(1,465) (8,298)
Principal repayments on note payable
 (900)
Payment of deferred financing costs2
 (573)
Other(540) 184
Annual financing cash flow$(2,003) $413
The increase in cash used in financing activities in fiscal 2015 over the prior year was primarily the result of net proceeds from term loans in fiscal 2014 with the closing of the Credit Agreement with Wells Fargo, as well as an increase in principal payments on capital lease obligations in the current year.

ITEM 7A. Quantitative and Qualitative Disclosures About Market Risk

As a “smaller reporting company,” as defined by Item 10 of Regulation S-K, we are not required to provide this information.

39
Foreign currency exchange risk. Certain of our contracts are denominated in Canadian dollars. As our Canadian sales have not historically been significant to our operations, we do not believe that changes in the Canadian dollar relative to the U.S. dollar will have a significant impact on our financial condition, results of operations or cash flows. We currently do not transact any other business in any currency other than the U.S. dollar. As we continue to grow our operations, we may increase the amount of our sales to foreign clients. Although we do not expect foreign currency exchange risk to have a significant impact on our future operations, we will assess the risk on a case-specific basis to determine whether any forward currency hedge instrument would be warranted.
Interest rate risk. We had outstanding borrowings on our term loan of $8,535,000 as of January 31, 2016. The term loan bears interest at LIBOR plus an applicable margin. To the extent we do not hedge our variable rate debt, interest rates and interest expense could increase significantly. A hypothetical 100 basis point increase in LIBOR, which would represent

potential interest rate change exposure on our outstanding term loan, would have resulted in an approximate $73,000 increase to our interest expense for the entire fiscal year ended January 31, 2016.

ITEM

Item 8. Financial Statements Andand Supplementary Data

INDEX TO CONSOLIDATED FINANCIAL STATEMENTS AND SCHEDULE COVERED BY REPORTREPORTS OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM



All other financial statement schedules are omitted because they are not applicable or the required information is included in the consolidated financial statements or notes thereto.

40


REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the

 

Report of Independent Registered Public Accounting Firm

Stockholders and Board of Directors and Shareholders

of

Streamline Health Solutions, Inc.

Opinion on the Consolidated Financial Statements

We have audited the accompanying consolidated balance sheetsheets of Streamline Health Solutions, Inc. and subsidiaryits subsidiaries (the “Company”) as of January 31, 2016,2023 and 2022, the related consolidated statements of operations, comprehensive loss, changes in stockholders’ equity, and cash flows for each of the year then ended. Our audit also includedyears in the two-year period ended January 31, 2023, and the related notes and financial statement schedule II (collectively referred to as the “financial statements”). In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of the Company listedas of January 31, 2023 and 2022, and the results of their operations and their cash flows for each of the years in Schedule II. the two-year period ended January 31, 2023, in conformity with accounting principles generally accepted in the United States of America (“U.S. GAAP”).

Basis for Opinion

These financial statements and financial statement schedule are the responsibility of the Company’s management. Our responsibility is to express an opinion on thesethe Company’s financial statements and schedules based on our audit.

audits.

We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (“PCAOB”) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our auditaudits in accordance with the standards of the Public Company Accounting Oversight Board (United States).PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement.misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. Our audit included considerationAs part of our audits, we are required to obtain an understanding of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control over financial reporting. Accordingly, we express no such opinion. An audit includes

Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures include examining, on a test basis, evidence supportingregarding the amounts and disclosures in the financial statements. An auditOur audits also includes assessingincluded evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the financial statement presentation.statements. We believe that our audit providesaudits provide a reasonable basis for our opinion.

In

Critical Audit Matters

The critical audit matters communicated below are matters arising from the current-period audit of the financial statements that were communicated or required to be communicated to the audit committee and that: (1) relate to accounts or disclosures that are material to the financial statements and (2) involved our especially challenging, subjective, or complex judgments. The communication of critical audit matters does not alter in any way our opinion on the consolidated financial statements referred to above present fairly, in all material respects, the financial position of Streamline Health Solutions, Inc. and subsidiary as of January 31, 2016 and the results of their operations and their cash flows for the year ended January 31, 2016, in conformity with U.S. generally accepted accounting principles. Also in our opinion, the related financial statement schedule, when considered in relation to the basic consolidated financial statements, taken as a whole, presents fairlyand we are not, by communicating the critical audit matters below, providing separate opinions on the critical audit matters or on the accounts or disclosures to which they relate.

Critical Audit Matter - Capitalized Software Development Costs

As described in all material respectsNote 2 to the information set forth therein.


/s/ RSM US LLP

Atlanta, Georgia
April 20, 2016


REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

The Board of Directors and Stockholders
Streamline Health Solutions, Inc:
We have audited the accompanying consolidated balance sheet of Streamline Health Solutions, Inc. and subsidiary as of January 31, 2015, and the related consolidated statements of operations, comprehensive loss, changes in stockholders’ equity, and cash flows for the year ended January 31, 2015. In connection with our audit of the consolidated financial statements, we also have audited the 2014 financial statement schedule II. These consolidated financial statementsCompany develops software within the scope of both ASC 350-40, Internal-Use Software (“Topic 350”) and financial statement scheduleASC 985-20, Software – Costs of Software to be Sold, Leased or Marketed (“Topic 985”).

41

Internal-use software development costs are the responsibility of the Company’s management. Our responsibility is to express an opinion on these consolidated financial statements and financial statement schedule based on our audit.

We conducted our auditaccounted for in accordance with Topic 350. Costs associated with the standardspreliminary stages of development are classified as research and development costs and expensed as incurred. Costs associated with the application development stage are capitalized. Maintenance and enhancement costs, including costs in the post-implementation stages, are typically expensed as incurred, unless such costs relate to substantial upgrades and enhancements that result in added functionality, in which case the costs are capitalized. Capitalized amounts are amortized on a straight-line basis over the estimated useful life of the Public Company Accounting Oversight Board (United States). Those standards requiresoftware.

Development costs for software to be sold, leased, or marketed are accounted for in accordance with Topic 985. Costs associated with the planning and design phase of software development are classified as research and development costs and expensed as incurred. Once technological feasibility has been established, a portion of the costs incurred in development, including coding, testing and quality assurance, are capitalized until the software is available for general release to clients, and subsequently reported at the lower of unamortized cost or net realizable value. Capitalized amounts are amortized at the greater of amortization derived from either a straight-line basis or the ratio of current revenues to total current and anticipated revenues.

We identified capitalized software development costs as a critical audit matter. Our principal considerations for this determination were the high degree of auditor judgment and subjectivity required in evaluating management’s determination of the activities and costs that qualify for capitalization and the relevant software development guidance to be applied under the applicable accounting standards.

The primary procedures we plan and perform theperformed to address this critical audit matter included:

We obtained an understanding of the Company’s process for determining the activities and costs that qualify for capitalization and the relevant software development guidance to be applied under the applicable accounting standards.
We tested the mathematical accuracy of the roll forward of capitalized software and related amortization expense. We also tested the completeness and accuracy of applicable system-generated reports, including reconcilements of details to associated sub-ledgers.
For a sample of capitalized costs, we evaluated the relevance of the software development guidance applied, by performing the following:

oWe inspected underlying documentation and assessed the eligibility of costs for capitalization, in relation to applicable guidance, and whether such costs were incurred during the application development stage or after the attainment of technological feasibility, as applicable.
oWe recalculated the capitalized amount based on hours incurred for direct payroll related costs or associated vendor contracts and invoices for work performed by third parties.
oWe evaluated the software implementation timelines and related underlying documentation supporting the capitalization periods for implementation and development as well as the dates software was placed in service.
oWe inquired of product managers for significant projects to assess the nature of the costs, the time devoted to capitalizable activities and the underlying documentation.

For eligible costs within the scope of Topic 985, we assessed whether amortization was the greater of amortization derived from either a straight-line basis or the ratio of current revenues to total current and anticipated revenues.

Critical Audit Matter - Valuation of Contingent Consideration

As described in Note 3 to obtain reasonable assurance about whether the financial statements, are free of material misstatement. An audit includes examining, on August 16, 2021, the Company acquired Avelead Consulting, LLC, which included a test basis, evidence supportingcontingent consideration arrangement. The contingent consideration was recorded at fair value on the amountsacquisition date and disclosuresis revalued each reporting period until final settlement with changes in the financial statements. Anfair value recognized within the consolidated statement of operations. The Company estimated the fair value of the contingent consideration using a Monte Carlo simulation. The method required management to make significant estimates and assumptions related to forecasted revenue, discount rates and revenue volatility.

42

We identified the valuation of contingent consideration as a critical audit also includes assessingmatter. Our principal consideration for this determination included the accounting principles usedhigh degree of auditor judgement and subjectivity in evaluating management’s valuation methodologies, particularly as it related to evaluating the inputs and significant estimates madeassumptions used to develop the fair value measurements.

The primary procedures we performed to address this critical audit matter included:

We obtained an understanding of management’s process for determining the fair value measurements of the contingent consideration.
We evaluated forward-looking assumptions, such as forecasted revenue used by management by performing procedures that included, but were not limited to, comparisons to historical performance data, to assess their reasonableness.
Utilizing a valuation specialist, we evaluated the significant assumptions and methods utilized in developing the fair value of the contingent consideration, including:

oWe evaluated the reasonableness of the Company’s third-party valuation models and methodologies and reviewed significant assumptions.
oWe developed an independent calculation of the discount rates used and compared our rates to those used by management.
oWe performed independent simulations using a Monte Carlo technique to determine the fair value of the contingent consideration and test the accuracy of management’s valuation technique and application.

/s/ FORVIS, LLP (Formerly, Dixon Hughes Goodman LLP)

We have served as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion.

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of Streamline Health Solutions, Inc. and subsidiary as of January 31, 2015, and the results of their operations and their cash flows for the year ended January 31, 2015, in conformity with U.S. generally accepted accounting principles. Also in our opinion, the related 2014 financial statement schedule, when considered in relation to the basic consolidated financial statements taken as a whole, presents fairly, in all material respects, the information set forth therein.


/s/ KPMG LLP

Company’s auditor since 2019.

Atlanta, Georgia

April 27, 2023

43
April 16, 2015


 

STREAMLINE HEALTH SOLUTIONS, INC. AND SUBSIDIARY


SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS


 January 31
 2016 2015
ASSETS   
Current assets:   
Cash and cash equivalents$9,882,136
 $6,522,600
Accounts receivable, net of allowance for doubtful accounts of $155,407 and $665,962, respectively4,199,315
 6,935,270
Contract receivables119,697
 191,465
Prepaid hardware and third party software for future delivery5,858
 55,173
Prepaid client maintenance contracts956,913
 935,858
Other prepaid assets941,532
 1,437,680
Deferred income taxes
 220,004
Other current assets97,986
 207,673
Total current assets16,203,437
 16,505,723
Non-current assets:   
Property and equipment:   
Computer equipment2,647,135
 2,381,923
Computer software801,895
 964,857
Office furniture, fixtures and equipment683,443
 683,443
Leasehold improvements729,348
 724,015
 4,861,821
 4,754,238
Accumulated depreciation and amortization(2,407,746) (1,617,423)
Property and equipment, net2,454,075
 3,136,815
Contract receivables, less current portion8,711
 43,553
Capitalized software development costs, net of accumulated amortization of $14,919,948 and $11,846,468, respectively6,123,638
 9,197,118
Intangible assets, net8,155,325
 9,500,317
Deferred financing costs, net of accumulated amortization of $84,531 and $13,677, respectively270,147
 387,199
Goodwill16,184,667
 16,184,667
Other non-current assets746,018
 823,723
Total non-current assets33,942,581
 39,273,392
 $50,146,018
 $55,779,115

(rounded to the nearest thousand dollars, except share and per share information)

  2023  2022 
  January 31, 
  2023  2022 
ASSETS        
Current assets:        
Cash and cash equivalents $6,598,000  $9,885,000 
Accounts receivable, net of allowance for doubtful accounts of $132,000 and $76,000, respectively  7,719,000   3,823,000 
Contract receivables  960,000   843,000 
Prepaid and other current assets  710,000   568,000 
Total current assets  15,987,000   15,119,000 
Non-current assets:        
Property and equipment, net of accumulated amortization of $246,000 and $192,000 respectively  79,000   123,000 
Right-of use asset for operating lease  32,000   218,000 
Capitalized software development costs, net of accumulated amortization of $6,224,000 and $5,202,000, respectively  5,846,000   5,555,000 
Intangible assets, net of accumulated amortization of $2,627,000 and $5,121,000, respectively  14,793,000   16,763,000 
Goodwill  23,089,000   23,089,000 
Other  1,695,000   948,000 
Total non-current assets  45,534,000   46,696,000 
Total assets $61,521,000  $61,815,000 

See accompanying notes to consolidated financial statements.

44


 January 31,
 2016 2015
LIABILITIES AND STOCKHOLDERS’ EQUITY   
Current liabilities:   
Accounts payable$1,136,779
 $2,298,851
Accrued compensation935,324
 865,865
Accrued other expenses328,551
 563,838
Current portion of term loan673,807
 500,000
Deferred revenues10,447,280
 9,289,076
Current portion of capital lease obligation592,642
 781,961
Total current liabilities14,114,383
 14,299,591
Non-current liabilities:   
Term loan7,861,084
 9,500,000
Warrants liability205,113
 1,834,380
Royalty liability2,291,888
 2,385,826
Lease incentive liability, less current portion369,406
 342,129
Capital lease obligation93,257
 582,911
Deferred revenues, less current portion1,212,709
 964,933
Deferred income tax liabilities
 229,579
Total non-current liabilities12,033,457
 15,839,758
Total liabilities26,147,840
 30,139,349
Series A 0% Convertible Redeemable Preferred Stock, $.01 par value per share, $8,849,985 redemption and liquidation value, 4,000,000 shares authorized, 2,949,995 issued and outstanding, net of unamortized preferred stock discount of $875,935 and $2,212,007, respectively7,974,050
 6,637,978
Stockholders’ equity:   
Common stock, $.01 par value per share, 45,000,000 shares authorized; 18,783,540 and 18,553,389 shares issued and outstanding, respectively187,836
 185,534
Additional paid in capital79,700,577
 78,390,424
Accumulated deficit(63,864,285) (59,574,170)
Total stockholders’ equity16,024,128
 19,001,788
 $50,146,018
 $55,779,115

  January 31, 
  2023  2022 
LIABILITIES AND STOCKHOLDERS’ EQUITY        
Current liabilities:        
Accounts payable $626,000  $778,000 
Accrued expenses  3,265,000   1,803,000 
Current portion of term loan  750,000   250,000 
Deferred revenues  8,361,000   5,794,000 
Current portion of operating lease obligation  35,000   204,000 
Current portion of acquisition earnout liability  3,738,000   4,672,000 
Total current liabilities  16,775,000   13,501,000 
Non-current liabilities:        
Term loan, net of deferred financing costs  8,964,000   9,654,000 
Deferred revenues, less current portion  167,000   136,000 
Operating lease obligations, less current portion     33,000 
Acquisition earnout liability, less current portion     4,161,000 
Other non-current liabilities  104,000   286,000 
Total non-current liabilities  9,235,000   14,270,000 
Total liabilities  26,010,000   27,771,000 
         
Commitments and contingencies – Note 12  -     
Stockholders’ equity        
Common stock, $0.01 par value per share, 85,000,000 and 65,000,000 shares authorized, respectively; 57,567,210 and 47,840,950 shares issued and outstanding, respectively  576,000   478,000 
Additional paid in capital  131,973,000   119,225,000 
Accumulated deficit  (97,038,000)  (85,659,000)
Total stockholders’ equity  35,511,000   34,044,000 
Total liabilities and stockholders’ equity $61,521,000  $61,815,000 

See accompanying notes to consolidated financial statements.

45


STREAMLINE HEALTH SOLUTIONS, INC. AND SUBSIDIARY



SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS


 Fiscal Year
 2015 2014
Revenues:   
Systems sales$2,946,304
 $1,214,879
Professional services2,212,002
 2,580,167
Maintenance and support15,145,480
 16,157,371
Software as a service8,010,672
 7,672,990
Total revenues28,314,458
 27,625,407
Operating expenses:   
Cost of systems sales2,778,041
 3,536,495
Cost of professional services3,143,881
 3,458,984
Cost of maintenance and support3,036,550
 3,087,842
Cost of software as a service2,442,143
 2,920,403
Selling, general and administrative13,442,799
 16,225,574
Research and development9,093,353
 9,756,206
Impairment of intangible assets
 1,952,000
Total operating expenses33,936,767
 40,937,504
Operating loss(5,622,309) (13,312,097)
Other income (expense):   
Interest expense(884,226) (748,969)
Loss on early extinguishment of debt
 (429,849)
Miscellaneous income2,224,423
 1,592,449
Loss before income taxes(4,282,112) (12,898,466)
Income tax (expense) benefit(8,003) 887,009
Net loss(4,290,115) (12,011,457)
Less: deemed dividends on Series A Preferred Shares(1,336,072) (1,038,310)
Net loss attributable to common shareholders$(5,626,187) $(13,049,767)
Basic net loss per common share$(0.30) $(0.71)
Number of shares used in basic per common share computation18,689,854
 18,261,800
Diluted net loss per common share$(0.30) $(0.71)
Number of shares used in diluted per common share computation18,689,854
 18,261,800

(rounded to the nearest thousand dollars, except share and per share information)

  2022  2021 
  Fiscal Year 
  2022  2021 
Revenues:        
Software as a service $12,326,000  $8,077,000 
Maintenance and support  4,483,000   4,323,000 
Professional fees and licenses  8,080,000   4,979,000 
Total revenues  24,889,000   17,379,000 
Operating expenses:        
Cost of software as a service  6,358,000   3,417,000 
Cost of maintenance and support  427,000   334,000 
Cost of professional fees and licenses  6,610,000   4,826,000 
Selling, general and administrative expense  16,134,000   11,931,000 
Research and development  6,042,000   4,782,000 
Acquisition-related costs  149,000   2,856,000 
Total operating expenses  35,720,000   28,146,000 
Operating loss  (10,831,000)  (10,767,000)
Other expense:        
Interest expense  (749,000)  (236,000)
Loss on early extinguishment of debt     (43,000)
Acquisition earnout valuation adjustments  71,000   1,851,000 
Other  201,000   60,000 
PPP loan forgiveness     2,327,000 
Loss from continuing operations before income taxes  (11,308,000)  (6,808,000)
Income tax expense  (71,000)  (109,000)
Loss from continuing operations  (11,379,000)  (6,917,000)
Income from discontinued operations:        
Income from discontinued operations     401,000 
Income tax expense     (26,000)
Income from discontinued operations, net of tax     375,000 
Net loss $(11,379,000) $(6,542,000)
         
Basic Earnings Per Share:        
Continuing operations $(0.23) $(0.16)
Discontinued operations     0.01 
Net income $(0.23) $(0.15)
Weighted average number of common shares – basic  49,324,858   42,815,239 
         
Diluted Earnings Per Share:        
Continuing operations $(0.23) $(0.16)
Discontinued operations     0.01 
Net loss per common share – diluted $(0.23) $(0.15)
Weighted average number of common shares - diluted  49,324,858   43,273,574 

See accompanying notes to consolidated financial statements.




STREAMLINE HEALTH SOLUTIONS, INC. AND SUBSIDIARY


SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS


 Fiscal Year
 2015 2014
    
Net loss$(4,290,115) $(12,011,457)
Other comprehensive gain (loss), net of tax:   
Fair value of interest rate swap liability
 (3,436)
Reclassification adjustment for loss on settlement of interest rate swap liability realized in net loss
 114,522
Other comprehensive income$
 $111,086
Comprehensive loss$(4,290,115) $(11,900,371)

CHANGES IN STOCKHOLDERS’ EQUITY

(rounded to the nearest thousand dollars, except share information)

  Common     Additional     Total 
  stock  Common  paid in  Accumulated  stockholders’ 
  shares  stock  capital  deficit  equity 
Balance at January 31, 2021  31,597,975  $316,000  $96,290,000  $(79,117,000) $17,489,000 
Exercise of Stock Options  3,300      4,000      4,000 
Restricted stock issued  1,462,874   14,000   (14,000)      
Issuance of Common Stock  15,084,472   151,000   22,503,000      22,654,000 
Offering Expenses          (1,313,000)     (1,313,000)
Restricted stock forfeited  (50,100)            
Surrender of stock  (257,571)  (3,000)  (461,000)     (464,000)
Share-based compensation expense        2,216,000      2,216,000 
Net income           (6,542,000)  (6,542,000)
Balance at January 31, 2022  47,840,950   478,000   119,225,000   (85,659,000)  34,044,000 
Balance  47,840,950   478,000   119,225,000   (85,659,000)  34,044,000 
Exercise of Stock Options  5,000      6,000      6,000 
Restricted stock issued  1,876,962   19,000   (19,000)      
Issuance of Common Stock  8,171,027   82,000   11,246,000      11,328,000 
Offering Expenses        (52,000)     (52,000)
Restricted stock forfeited  (199,300)  (2,000)  2,000       
Surrender of stock  (127,429)  (1,000)  (196,000)     (197,000)
Share-based compensation expense        1,761,000      1,761,000 
Net loss           (11,379,000)  (11,379,000)
Net income (loss)           (11,379,000)  (11,379,000)
Balance at January 31, 2023  57,567,210  $576,000  $131,973,000  $(97,038,000) $35,511,000 
Balance  57,567,210  $576,000  $131,973,000  $(97,038,000) $35,511,000 

See accompanying notes to consolidated financial statements.

47


STREAMLINE HEALTH SOLUTIONS, INC. AND SUBSIDIARY


SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY


 Common stock shares Common stock Additional paid in capital Accumulated
deficit
 Accumulated
other
comprehensive
loss
 Total stockholders’ equity
Balance at January 31, 201418,175,787
 $181,758
 $76,983,088
 $(47,562,713) $(111,086) $29,491,047
Stock issued pursuant to Employee Stock Purchase Plan and exercise of stock options257,296
 2,573
 512,551
 
 
 515,124
Restricted stock issued120,306
 1,203
 (1,203) 
 
 
Interest rate swap
 
 
 
 111,086
 111,086
Share-based compensation expense
 
 1,934,298
 
 
 1,934,298
Deemed dividends on Series A Preferred Stock
 
 (1,038,310) 
 
 (1,038,310)
Net loss
 
 
 (12,011,457) 
 (12,011,457)
Balance at January 31, 201518,553,389
 $185,534
 $78,390,424
 $(59,574,170) $
 $19,001,788
Stock issued pursuant to Employee Stock Purchase Plan and exercise of stock options111,971
 1,120
 260,918
 
 
 262,038
Restricted stock issued118,180
 1,182
 (1,182) 
 
 
Share-based compensation expense
 
 2,386,489
 
 
 2,386,489
Deemed dividends on Series A Preferred Stock
 
 (1,336,072) 
 
 (1,336,072)
Net loss
 
 
 (4,290,115) 
 (4,290,115)
Balance at January 31, 201618,783,540
 $187,836
 $79,700,577
 $(63,864,285) $
 $16,024,128

CASH FLOWS

(rounded to the nearest thousand dollars)

  2022  2021 
  Fiscal Year 
  2022  2021 
Cash flows from operating activities:        
Net loss $(11,379,000) $(6,542,000)
LESS: Income from discontinued operations, net of tax     (375,000)
Loss from continuing operations, net of tax  (11,379,000)  (6,917,000)
         
Adjustments to reconcile net loss to net cash used in operating activities:        
Depreciation and amortization  4,313,000   3,697,000 
Acquisition earnout valuation adjustments  (71,000)  (1,851,000)
Loss on early extinguishment of debt     43,000 
Provision for deferred income taxes  9,000   95,000 
Share-based compensation expense  1,680,000   2,216,000 
Provision for accounts receivable allowance  189,000   11,000 
Forgiveness of PPP loan     (2,327,000)
Changes in assets and liabilities:        
Accounts and contract receivables  (4,202,000)  (129,000)
Other assets  (1,197,000)  (346,000)
Accounts payable  (152,000)  17,000 
Accrued expenses and other liabilities  1,069,000   533,000 
Deferred revenues  2,598,000   1,074,000 
Net cash used in operating activities – continuing operations  (7,143,000)  (3,884,000)
Net cash provided by operating activities – discontinued operations     380,000 
Cash flows from investing activities:        
Investment in Avelead, net of cash acquired     (12,470,000)
Purchases of property and equipment  (10,000)  (41,000)
Proceeds from sale of ECM Assets     800,000 
Capitalization of software development costs  (1,925,000)  (1,458,000)
Net cash used in investing activities – continuing operations  (1,935,000)  (13,169,000)
Cash flows from financing activities:        
Proceeds from issuance of common stock  8,316,000   16,100,000 
Payment of acquisition earnout liabilities  (2,012,000)   
Payments for costs directly attributable to the issuance of common stock  (52,000)  (1,313,000)
Repayment of bank term loan  (250,000)   
Proceeds from term loan payable     10,000,000 
Payments related to settlement of employee shared-based awards  (197,000)  (464,000)
Payment of deferred financing costs  (20,000)  (168,000)
Other  6,000   (6,000)
Net cash provided by financing activities – continuing operations  5,791,000   24,149,000 
Net (decrease) increase in cash and cash equivalents  (3,287,000)  7,476,000 
Cash and cash equivalents at beginning of period  9,885,000   2,409,000 
Cash and cash equivalents at end of period $6,598,000  $9,885,000 
         
Supplemental cash flow disclosures:        
Interest paid, net of amounts capitalized $651,000  $153,000 
Income taxes paid $23,000  $21,000 

See accompanying notes to consolidated financial statements.

48


 

STREAMLINE HEALTH SOLUTIONS, INC. AND SUBSIDIARY


CONSOLIDATED STATEMENTS OF CASH FLOWS
 Fiscal Year
 2015 2014
Operating activities:   
Net loss$(4,290,115) $(12,011,457)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities, net of effect of acquisitions:   
Depreciation1,245,400
 1,005,283
Amortization of capitalized software development costs3,073,479
 3,677,991
Amortization of intangible assets1,344,992
 1,396,317
Amortization of other deferred costs206,881
 189,107
Amortization of debt discount
 47,552
Valuation adjustment for warrants liability(1,629,267) (2,283,345)
Deferred tax expense (benefit)(9,575) (720,582)
Other valuation adjustments(39,299) 128,855
Gain from early extinguishment of lease liability(33,059) 
Loss on impairment of intangible assets
 1,952,000
Loss from early extinguishment of debt
 315,327
Loss on disposal of fixed assets92,448
 180,793
Loss on exit of operating lease
 234,823
Share-based compensation expense2,386,490
 1,934,298
Provision for accounts receivable124,235
 440,771
Changes in assets and liabilities, net of assets acquired:   
Accounts and contract receivables2,718,330
 2,157,977
Other assets575,774
 (637,348)
Accounts payable(1,117,986) 600,263
Accrued expenses(174,133) (1,422,571)
Deferred revenues1,405,980
 (197,698)
Net cash provided by (used in) operating activities5,880,575
 (3,011,644)
Investing activities:   
Purchases of property and equipment(518,254) (2,125,240)
Capitalization of software development costs
 (619,752)
Payment for acquisition, net of cash acquired
 (6,058,225)
Net cash used in investing activities(518,254) (8,803,217)
Financing activities:   
Proceeds from term loan
 10,000,000
Principal repayments on term loans(1,465,109) (8,297,620)
Principal repayments on note payable
 (900,000)
Principal payments on capital lease obligation(815,826) (368,386)
Recovery (payment) of deferred financing costs2,111
 (573,002)
Proceeds from exercise of stock options and stock purchase plan276,039
 551,583
Net cash (used in) provided by financing activities(2,002,785) 412,575
Increase (decrease) in cash and cash equivalents3,359,536
 (11,402,286)
Cash and cash equivalents at beginning of year6,522,600
 17,924,886
Cash and cash equivalents at end of year$9,882,136
 $6,522,600


 Fiscal Year
 2015 2014
Supplemental cash flow disclosures:   
Interest paid$917,212
 $518,919
Income taxes paid (received)$(35,861) $(80,467)
Supplemental disclosure of non-cash financing activities:   
Deemed dividends on Series A Preferred Stock$1,336,072
 $1,038,310

See accompanying notes to consolidated financial statements.


STREAMLINE HEALTH SOLUTIONS, INC. AND SUBSIDIARY

SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS


January 31, 20162023 and 2015


2022

NOTE 1 — ORGANIZATION AND DESCRIPTION OF BUSINESS

Streamline Health Solutions, Inc. and subsidiary (“we”each of its wholly-owned subsidiaries, Streamline Health, LLC, Avelead Consulting, LLC, Streamline Consulting, LLC and Streamline Pay & Benefits, LLC, (collectively, unless the context requires otherwise, “we”, “us”, “our”, “Streamline”, or the “Company”) operates in one segment as a provider of healthcare information technology solutions and associated services. The Company provides these capabilities through the licensing of its Electronic Health Information Management, Patient Financial Services, Coding and Clinical Documentation Improvement& CDI, eValuator coding analysis platform, RevID, and other Workflowworkflow software applications and the use of such applications by software as a service.service (“SaaS”). The Company also provides audit services to help clients optimize their internal clinical documentation and coding functions, as well as implementation and consulting services to complement its software solutions. The Company’s software and services enable hospitals and integrated healthcare delivery systems in the United States and Canada to capture, store, manage, route, retrieve and process vast amounts of patient clinical, financial and other healthcare provider information.

information related to the patient revenue cycle.

Fiscal Year

All references to a fiscal year refer to the fiscal year commencing February 1 in that calendar year and ending on January 31 of the following calendar year.


NOTE 2 — SIGNIFICANT ACCOUNTING POLICIES

Basis of Presentation

The consolidated financial statements include the accounts of Streamline Health Solutions, Inc. and its wholly-owned subsidiary,subsidiaries, Streamline Health, Inc.LLC, Avelead Consulting, LLC, Streamline Consulting Solutions, LLC and Streamline Pay & Benefits, LLC. All significant intercompany transactions and balances are eliminated in consolidation. All amounts in the consolidated financial statements, notes and tables have been rounded to the nearest thousand dollars, except share and per share amounts, unless otherwise indicated.

Refer to Note – 3 Business Combination and Divestiture. Under ASC 280-10-50-11, two or more operating segments may be aggregated into a single operating segment if they are considered to be similar. Operating segments are considered to be similar if they can be expected to have essentially the same economic characteristics and future prospects. Using the aggregation guidance, the Company determined that it has one operating segment due to the similar economic characteristics of the Company’s products, product development, distribution, regulatory environment and client base as a provider of computer software-based solutions and services for acute-care healthcare organizations. For fiscal years 2022 and 2021, the Company has two reporting units for evaluation of goodwill. These two reporting units are the legacy Streamline business and Avelead.

On February 24, 2020, the Company sold a portion of its business (the ECM Assets). The results of operations, cash flows and related balance sheet items associated with the ECM Assets are reported in discontinued operations in the accompanying consolidated statements of operations and cash flows and the consolidated balance sheet for the comparative prior periods. Refer to Note 13 – Discontinued Operations for further details.

49

Use of Estimates

The preparation of financial statements in conformity with U.S. generally accepted accounting principles (“GAAP”) requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. On an ongoing basis, management evaluates its estimates and judgments, including those related to the recognition of revenue, stock-based compensation, capitalization of software development costs, intangible assets, the allowance for doubtful accounts, contingent consideration and income taxes. Actual results could differ from those estimates.

Cash and Cash Equivalents

Financial instruments that potentially subject the Company to concentrations of credit risk consist principally of cash demand deposits. Cash deposits are placed in Federal Deposit Insurance Corporation (“FDIC”) insured financial institutions. Cash deposits may exceed FDIC insured levels from time to time. For purposes of the Consolidated Balance Sheetsconsolidated balance sheets and Consolidated Statementsconsolidated statements of Cash Flows,cash flows, the Company considers all highly liquidhighly-liquid investments purchased with an original maturity of three months or less to be cash equivalents.

Non-Cash Items

The Company had the following items that were non-cash items related to the consolidated statements of cash flows:

SCHEDULE OF NON-CASH ITEMS RELATED TO CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

  2022  2021 
  Fiscal Year 
  2022  2021 
Forgiveness of PPP loan and accrued interest $  $2,327,000 
Payment of acquisition earnout liabilities in restricted common stock  3,012,000    
Capitalized software purchased with stock (Note 12)  81,000    

Receivables

Accounts and contract receivables are comprised of amounts owed to the Company for licensed software, professional services, including coding audit services, consulting services, maintenance services, and software as a service and are presented net of the allowance for doubtful accounts. The timing of revenue recognition may not coincide with the billing terms of the client contract, resulting in unbilled receivables or deferred revenues; therefore, certain contract receivables represent revenues recognized prior to client billings. Individual contract terms with clients or resellers determine when receivables are due. Accounts receivable represent amounts that the entity has an unconditional right to consideration. For billings where the criteria for revenue recognition have not been met, deferred revenue is recorded until all revenue recognition criteria have been met.

the Company satisfies the respective performance obligations.

Allowance for Doubtful Accounts

The Company adjusts accounts receivable down to net realizable value with its allowance methodology. In determining the allowance for doubtful accounts, aged receivables are analyzed monthlyperiodically by management. Each identified receivable is reviewed based upon the most recent information available including client comments, if any, and the status of any open or unresolved issues with the client preventing the payment thereof. Corrective action, if necessary, is taken by the Company to resolve open issues related to unpaid receivables. During these monthlyperiodic reviews, the Company determines the required allowances for doubtful accounts for estimated losses resulting from the unwillingness or inability of its clients or resellers to make required payments. The allowance for doubtful accounts was approximately $155,000 and $666,000 at January 31, 2016 and 2015, respectively. The Company believes that its reserve is adequate, however, results may differ in future periods.

50

Bad debt expense for fiscal years 2015 and 2014 was as follows:
 2015 2014
Bad debt expense$124,000
 $441,000

Accrued Expenses

Accrued expenses consisted of the following:

SCHEDULE OF ACCRUED EXPENSES

  2023  2022 
  January 31, 
  2023  2022 
Employee benefits and related compensation $2,079,000  $803,000 
Professional fees and services  294,000   283,000 
Third party licenses  285,000   77,000 
Customer concessions  226,000   152,000 
State income and sales taxes payable  331,000   460,000 
Interest, primarily on Term Loan  50,000   28,000 
Total accrued expenses $3,265,000  $1,803,000 

Concessions Accrual

The Company offers certain service line agreements within its client contracts such as uptime, support hours, and levels of support. Our contracts may include and we may offer credit to clients when these service line agreements are not met. The service line agreements are accounted for as variable consideration. As a result, we record an estimate of these concessions against our recorded revenue. In determining the concessionconcessions accrual, the Company evaluates historical concessions granted relative to revenue.revenue as well as future potential risk that these service line agreements will not be met. The Company records a provision, reducing revenue, each period for the estimated amount of concessions incurred on the revenue recorded. The Company evaluates the amount of the concession accrual each period. Historically, concessions have not been significant. The concession accrual included in accrued other expenses on the Company'sCompany’s consolidated balance sheetsheets was $54,000$226,000 and $58,000$152,000 as of January 31, 20162023 and 2015,2022, respectively.

Property and Equipment

Property and equipment are stated at cost. Depreciation is computed using the straight-line method, over the estimated useful lives of the related assets. Estimated useful lives are as follows:

SCHEDULE OF ESTIMATED USEFUL LIFE OF PROPERTY AND EQUIPMENT

Computer equipment and software3-43-4 years
Office equipment5 years
Office furniture and fixtures5-7 years
Leasehold improvementsTerm of lease or estimated useful life, whichever is shorter

Depreciation expense for property and equipment in fiscal 20152022 and 20142021 was $1,245,000$54,000 and $1,005,000,$68,000, respectively.

Normal repairrepairs and maintenance isare expensed as incurred. Replacements are capitalized and the property and equipment accounts are relieved of the items being replaced or disposed of, if no longer of value. The related cost and accumulated depreciation of the disposed assets are eliminated and any gain or loss on disposition is included in the results of operations in the year of disposal.

Leases
On April 10, 2012,

The Company wrote-off fully depreciated fixed assets during fiscal 2021 of $198,000. There was no impact to the Company entered intoconsolidated statements of operations as this eliminated the asset and accumulated depreciation of the fully depreciated fixed assets.

Leases

We determine whether an amendedarrangement is a lease at inception. Right-of-use assets represent our right to use an underlying asset for the lease term, and lease liabilities represent our obligation to make lease 8,582 square feetpayments arising from the lease.

Operating lease right-of-use assets and liabilities are recognized at commencement date based on the present value of office space at 1230 Peachtree St. NE in Atlanta, Georgia. The lease commenced upon taking possession ofpayments over the space and would have ended 72 months thereafter. The Company took possession of the space during the third quarter of fiscal 2012. Upon relocation, the Company completely vacated the previously leased premises within the same building. The provisions ofexpected lease term. Right-of-use assets represent our right to use an underlying asset for the lease provided for rent abatementterm and lease liabilities represent our obligation to make lease payments arising from the lease. Since our lease arrangements do not provide an implicit rate, we use our estimated incremental borrowing rate for the first four monthsexpected remaining lease term at commencement date in determining the present value of thefuture lease term. Upon taking possession of the premises, thepayments. We recognize operating lease cost on a straight-line basis by aggregating any rent abatement was aggregated with the total expected rental payments and was amortized on a straight-line basisamortizing the expense ratably over the term of the lease.

On December 13, 2013, Sublease income is recognized as other income over the Company entered into an amended lease obligation to lease 24,335 square feet of office space in the same building as the office space in Atlanta, Georgia. The lease commenced upon taking possession of the space and ends 102 months thereafter. The Company took possession of the new space during the second quarter of fiscal 2014. Upon relocation, the Company completely vacated the previously leased premises within the building. The provisionsperiod of the lease, provided for rent abatement foras the first eight monthssublease is outside of the lease term. Upon taking possession of the premises, the rent abatement and the unamortized balance of deferred rent associated with the previously leased premises were aggregated with the total expected rental payments, and are being amortized on a straight-line basis over the term of the new lease.
On August 16, 2012, as part of the acquisition of Meta Health Technology, the Company assumed a lease agreementCompany’s normal business operations. See Note 4 – Operating Leases for office space of approximately 10,000 square feet, at 330 Seventh Ave., New York, New York. This lease term expired on August 31, 2014. During the third quarter of fiscal 2014, the Company relocated its New York office to 105 Madison Avenue, New York, New York. The lease commenced upon taking possession of the space and ends 63 months thereafter. The provisions of the lease for the new office space of 10,350 square feet provided for rent abatement for the first two months of the lease term. Upon taking possession of the premises, the rent abatement was aggregated with the total expected rental payments, and is being amortized on a straight-line basis over the term of the lease.
The Company has capital leases to finance office equipment and maintenance services purchases. The balance of fixed assets acquired under these capital leases is $1,652,000 and $1,515,000 as of January 31, 2016 and 2015, respectively, and the balance of accumulated depreciation is $1,166,000 and $494,000 for the respective periods. The amortization expense of leased assets is included in depreciation expense.



further details.

Debt Issuance Costs

Costs

Cost related to the issuance of debt arethe Loan and Security Agreement and Second Amended and Restated Loan and Security Agreement were capitalized and amortized to interest expense on a straight-line basis, which is not materially different from the effective interest method, over the term of the related debt.

Interest Rate Swap

In December 2013, the Company entered into an interest rate swap agreement to hedge against interest rate exposure of its variable rate debt, obligation. The interest rate swap settled any accrued interest for cashand presented on the first day of each calendar month until expiration. At such dates,Company’s consolidated balance sheets as a direct deduction from the differences to be paid or received on the interest rate swaps was included in interest expense. The interest rate swap qualified for cash flow hedge accounting treatment and as such, the change in the fair valuescarrying amount of the interest rate swap was recorded on the Company's consolidated balance sheet as an asset or liability with the effectivenon-current portion of the interest rate swaps' gains or losses reported as a component of other comprehensive loss and the ineffective portion reported in net loss.
The fair value of the Company's interest rate swap was based on Level 2 inputs as described in ASC Topic 820, Fair Value Measurements and Disclosures, which include observable inputs such as dealer-quoted prices for similar assets or liabilities, and represented the estimated amount the Company would receive or pay to terminate the agreement taking into consideration various factors, including current interest rates, credit risk and counterparty credit risk.
During the third quarter of fiscal 2014, the interest rate swap was terminated prior to its maturity, and losses accumulated in other comprehensive loss were reclassified into earnings.
our term loan.

Impairment of Long-Lived Assets

The Company reviews the carrying value of long-lived assets for impairment whenever facts and circumstances exist that would suggest that assets might be impaired or that the useful lives should be modified. Among the factors the Company considers in making the evaluation are changes in market position and profitability. If facts and circumstances are present which may indicate impairment is probable,that the carrying amount of the assets may not be recoverable, the Company will prepare a projection of the undiscounted cash flows of the specific asset or asset group and determine if the long-lived assets are recoverable based on these undiscounted cash flows. If impairment is indicated, an adjustment will be made to reduce the carrying amount of these assets to their fair value.

values.

Capitalized Software Development Costs

Software development costs for software to be sold, leased, or marketed are accounted for in accordance with ASC 985-20, Software — Costs of Software to be Sold, Leased or Marketed. Costs associated with the planning and designingdesign phase of software development including coding and testing activities necessary to establish technological feasibility, are classified as research and development costs and are expensed as incurred. Once technological feasibility has been determined,established, a portion of the costs incurred in development, including coding, testing and quality assurance, are capitalized until available for general release to clients, and subsequently reported at the lower of unamortized cost or net realizable value. The Company capitalized such costs, including interest, of $0 and $620,000 in fiscal 2015 and 2014, respectively. The Company acquired $2,017,000 of internally developed software in 2014 through the acquisition of Unibased, whichAmortization is described in Note 3 - Acquisitions, and $3,646,000 through the acquisition of Meta in 2012.

Amortization for the Company's legacy software systems is providedcalculated on a solution-by-solution basis and is included in cost of professional fees and licenses on the consolidated statements of operations. Annual amortization is measured at the greater of a) the ratio of the software product’s current gross revenues to the total of current and expected gross revenues or b) straight-line over the estimatedremaining economic life of the software typically five years, using(typically two years). Unamortized capitalized costs determined to be in excess of the straight-line method. Amortization commences whennet realizable value of a solution are expensed at the date of such determination. Capitalized software development costs for software to be sold, leased, or marketed, net of accumulated amortization, totaled $522,000 and $846,000 as of January 31, 2023 and 2022, respectively.

Internal-use software development costs are accounted for in accordance with ASC 350-40, Internal-Use Software. The costs incurred in the preliminary stages of development are expensed as research and development costs as incurred. Once an application has reached the development stage, internal and external costs incurred to develop internal-use software are capitalized and amortized on a straight-line basis over the estimated useful life of the software (typically three to four years). Maintenance and enhancement costs, including those costs in the post-implementation stages, are typically expensed as incurred, unless such costs relate to substantial upgrades and enhancements to the software that result in added functionality, in which case the costs are capitalized and amortized on a straight-line basis over the estimated useful life of the software. The Company reviews the carrying value for impairment whenever facts and circumstances exist that would suggest that assets might be impaired or that the useful lives should be modified. Amortization expense related to capitalized internal-use software development costs is availableincluded in Cost of software as a service on the consolidated statements of operations. Capitalized software development costs for general releaseinternal-use software, net of accumulated amortization, totaled $5,324,000 and $4,709,000 as of January 31, 2023 and 2022, respectively.

The estimated useful lives of software (including software to clients. Acquired internally developedbe sold and internal-use software) are reviewed frequently and adjusted as appropriate to reflect upcoming development activities that may include significant upgrades and/or enhancements to the existing functionality. The Company reviews, on an on-going basis, the carrying value of its capitalized software from the Interpoint, Meta, and Unibased acquisitions is amortized using the straight-line method.

development expenditures, net of accumulated amortization.

Amortization expense on all internally developedcapitalized software development was $3,073,000$2,423,000 and $3,678,000$2,173,000 in fiscal 20152022 and 2014,2021, respectively. Further, the Company recognized an impairment of approximately $0 and $84,000 in fiscal 2022 and fiscal 2021, respectively, related to cancelled or abandoned enhancement projects during fiscal 2022 and was includedfiscal 2021 that has been recognized within amortization expense. Additionally, in fiscal 2022, approximately $694,000 of fully amortized and abandoned assets, including previously acquired assets, were cleared from their corresponding capitalization and accumulated amortization balance sheet accounts.

52

 

The Company uses the “carry-over” method for amortizing capitalized software development costs. Under the “carry-over” method, the costs of the enhancements are added to the unamortized costs of the previous version of the product and the combined amount is amortized over the remaining useful life of the product. Including unamortized cost of the original product with the cost of the enhancement for purposes of applying the net realizable value test and amortization provisions is consistent with accounting guidance for software companies that improve their software and discontinue selling or marketing the older versions.

SCHEDULE OF AMORTIZATION EXPENSE FOR INTERNALLY DEVELOPED SOFTWARE

  2022  2021 
  Fiscal Year 
  2022  2021 
Amortization expense on internally-developed software included in:        
Cost of software as a service $2,068,000  $1,675,000 
Cost of professional fees and licenses  355,000   498.000 
Total amortization expense on internally-developed software $2,423,000  $2,173,000 

The interest capitalized to software development cost reduces the Company’s interest expense recognized in the consolidated statements of operations as follows:

 Fiscal Year
Amortization expense on internally developed software included in:2015 2014
Cost of systems sales$2,747,000
 $3,352,000
Cost of software as a service326,000
 326,000
Total amortization expense on internally developed software$3,073,000
 $3,678,000
operations.

Research and development expense net of capitalized amounts, was $9,093,000$6,042,000 and $9,756,000$4,782,000 in fiscal 20152022 and 2014,2021, respectively.



Fair Value of Financial Instruments

The FASB’s authoritative guidance on fair value measurements establishes a framework for measuring fair value, and expands disclosure about fair value measurements. This guidance enables the reader of the financial statements to assess the inputs used to develop those measurements by establishing a hierarchy for ranking the quality and reliability of the information used to determine fair values. Under this guidance, assets and liabilities carried at fair value must be classified and disclosed in one of the following three categories:

Level 1: Quoted market prices in active markets for identical assets or liabilities.

Level 2: Observable market basedmarket-based inputs or unobservable inputs that are corroborated by market data.

Level 3: Unobservable inputs that are not corroborated by market data.

The carrying amounts of cash and cash equivalents, accounts receivable, accounts payable and accrued expenses approximate fair value based on the short-term maturity of these instruments. Cash and cash equivalents are classified as Level 1. The carrying amountFor fiscal years 2022 and 2021, there were no transfers of the Company’s long-term debt approximates fair value since the variable interest rates being paid on the amounts approximate the market interest rate. Long-term debt is classified as Level 2.

assets or liabilities between Levels 1, 2, or 3.

The table below provides information on our liabilities that are measured at fair value on a recurring basis:

 Total Fair Value 
Quoted Prices in Active Markets
(Level 1)
 
Significant Other Observable Inputs
(Level 2)
 
Significant Unobservable Inputs
(Level 3)
At January 31, 2016       
Warrants liability (1)$205,000
 $
 $
 $205,000
Royalty liability (2)2,292,000
 
 
 2,292,000
        
At January 31, 2015       
Warrants liability (3)$1,834,000
 $
 $
 $1,834,000
Royalty liability (2)2,386,000
 
 
 2,386,000
_______________

SCHEDULE OF FAIR VALUE ASSETS AND LIABILITIES MEASURED ON RECURRING BASIS

  Total Fair  

Quoted Prices in

Active Markets

  

Significant Other

Observable Inputs

  

Significant

Unobservable Inputs

 
  Value  (Level 1)  (Level 2)  (Level 3) 
At January 31, 2023                
Acquisition earnout liability (1) $3,738,000  $  $  $3,738,000 
At January 31, 2022                
Acquisition earnout liability (1) $8,833,000  $  $  $8,833,000 

(1)
(1)The initial fair value of warrants liability was determined by management with the assistance of an independent third-party valuation specialist, and by management thereafter. See Note 4 - Derivative Liabilities, and Note 14 - Private Placement Investment for further details. Changes in fair value of the warrants are recognized within miscellaneous income in the consolidated statements of operations.
(2)The initial fair value of royalty liability was determined by management with the assistance of an independent third-party valuation specialist, and by management thereafter.

The fair value of the royaltyacquisition earnout liability is determined based onupon a probability-weighted discounted cash flow that was completed at the probability-weighted revenue scenarios for the Looking Glass® Clinical Analytics solution licensed from Montefiore Medical Center (discussed in Note 3 - Acquisitions). Fair value adjustments are included within miscellaneous income in the consolidated statementsdate of operations.

(3)The fair value of warrants liabilityacquisition and updated as of January 31, 2015 was determined by management2023. The change in the fair value of the acquisition earnout ability decreased $5,095,000 for the year ended January 31, 2023, which includes payment of $5,024,000 of the first year earnout, and a $71,000 change recognized in “Acquisition earnout valuation adjustments” in the accompanying consolidated statement of operations.

The probability-weighted discounted cash flow is calculated using a Monte Carlo valuation method. The valuation model provides numerous outcomes. The outcomes are averaged and discounted to present value, which provides the current value point estimate. The significant inputs include our forecast of Avelead SaaS revenue, the probabilities associated with the assistanceeach of an independent third-party valuation specialist using Monte-Carlo simulations. See Note 4 - Derivative Liabilities for further details.(i) a change in control or (ii) a certain client termination, as well as other normal and customary inputs to financial models, including but not limited to, risk factors and interest rates.

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The fair value of the Company’s term loan under its Second Amended and Restated Loan and Security Agreement was determined through an analysis of the interest rate spread from the date of closing the loan (August 2021) to the date of the most recent balance sheets, January 31, 2023 and January 31, 2022. The term loan bears interest at a per annum rate equal to the Prime Rate (as published in The Wall Street Journal) plus 1.5%, with a Prime “floor” rate of 3.25%. The prime rate is variable and, thus accommodates changes in the market interest rate. However, the interest rate spread (the 1.5% added to the Prime Rate) is fixed. We estimated the impact of the changes in the interest rate spread by analogizing the effect of the change in the Corporate bond rates, reduced for any changes in the market interest rate. This provided us with an estimated change to the interest rate spread of approximately 0.5% from the date we entered the debt agreement to January 31, 2023 and January 31, 2022. The fair value of the debt as of January 31, 2023 and January 31, 2022 was estimated to be $9,550,000 and $9,798,000, respectively, or a discount to book value of $200,000 and $202,000, respectively. Long-term debt is classified as Level 2.

Revenue Recognition

The Company derives

We derive revenue from the sale of internally developedinternally-developed software, either by licensing for local installation or by software as a service (SaaS),SaaS delivery model, through theour direct sales force or through third-party resellers. Licensed, locally-installed clients on a perpetual model utilize the Company’sour support and maintenance services for a separate fee, whereas term-based locally installed license fees and SaaS fees include support and maintenance. The CompanyWe also derivesderive revenue from professional services that support the implementation, configuration, training and optimization of the applications. Additional revenues are also derived from reselling third-party softwareapplications, as well as audit services and hardware components.

The Company recognizesconsulting services.

We recognize revenue in accordance with Accounting Standards Codification (ASC) 606, Revenue from Contracts with Clients (“ASC 985-605, Software-Revenue Recognition and ASC 605-25 Revenue Recognition — Multiple-Element Arrangements. The Company commences606”), under the core principle of recognizing revenue to depict the transfer of promised goods or services to clients in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.

We commence revenue recognition when(Step 5 below) in accordance with that core principle after applying the following criteria all have been met:


Persuasive evidencesteps:

Step 1: Identify the contract(s) with a client
Step 2: Identify the performance obligations in the contract
Step 3: Determine the transaction price
Step 4: Allocate the transaction price to the performance obligations in the contract
Step 5: Recognize revenue when (or as) the entity satisfies a performance obligation

Often contracts contain more than one performance obligation. Performance obligations are the unit of an arrangement exists,

Delivery has occurredaccounting for revenue recognition and generally represent the distinct goods or services have been rendered,
The arrangement feesthat are fixed or determinable,promised to the client. Revenue is recognized net of any taxes collected from clients and
Collection is considered probable.
subsequently remitted to governmental authorities.

If we determine that any of the above criteriawe have not been met,satisfied a performance obligation, we will defer recognition of the revenue until all the criteria have been met.performance obligation is satisfied. Maintenance and support and SaaS agreements entered into are generally non-cancelable,non-cancellable or contain significant penalties for early cancellation, although clients typically have the right to terminate their contracts for cause if the Company failswe fail to perform material obligations. However, if non-standard acceptance periods, or non-standard performance criteria, or cancellation or right of refund terms are required, revenue is recognized upon the satisfaction of such criteria, as applicable.criteria.

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Multiple Element Arrangements

 

The Company appliesdetermined transaction price is allocated based on the provisions of Accounting Standards Update No. 2009-13, Revenue Recognition (Topic 605), “Multiple-Deliverable Revenue Arrangements — a consensusstandalone selling price of the FASB Emerging Issues Task Force” (“ASU 2009-13”). ASU 2009-13 amendedperformance obligations in contract. Significant judgment is required to determine the accounting standards for revenue recognition for multiple deliverable revenue arrangements to:

Provide updated guidance on how deliverables of an arrangement are separated, and how consideration is allocated;
Eliminate the residual method and require entities to allocate revenue using the relative selling price method and;
Require entities to allocate revenue to an arrangement using the estimatedstandalone selling price (“ESP”SSP”) for each performance obligation, the amount allocated to each performance obligation and whether it depicts the amount that the Company expects to receive in exchange for the related product and/or service. The Company recognizes revenue for implementation of deliverables ifits eValuator SaaS solution over the contract term, as it doeshas been determined that those implementation services are not a distinct performance obligation. Services for other SaaS and Software solutions such as CDI, RevID and Compare, have vendor specific objective evidence (“VSOE”) or third party evidence (“TPE”)been determined as a distinct performance obligation. For these agreements, the Company estimates SSP of selling price.

Terms used in evaluation are as follows:
VSOE —its software licenses using the price at which an elementresidual approach when the software license is sold as a separate stand-alone transaction
TPE —with other services and observable SSPs exist for the price of an element, charged by another company that is largely interchangeable in any particular transaction
ESP — the Company’s best estimate of the selling price of an element of the transaction
other services. The Company follows accounting guidanceestimates the SSP for revenue recognition of multiple-element arrangements to determine whether such arrangements contain more than one unit of accounting. Multiple-element arrangements require the delivery or performance of multiple solutions,maintenance, professional services, and/or rights to use assets. To qualify as a separate unit of accounting, the delivered item must have value to the client on a stand-alone basis. Stand-alone value to a client is defined in the guidance as those that can be sold separately by any vendor or the client could resell the item on a stand-alone basis. Additionally, if the arrangement includes a general right of return relative to the delivered item, delivery or performance of the undelivered item or items must be considered probable and substantially in the control of the vendor.
The Company has a defined pricing methodology for all elements of the arrangement and proper review of pricing to ensure adherence to Company policies. Pricing decisions include cross-functional teams of senior management, which uses market conditions, expected contribution margin, size of the client’s organization, and pricing history for similar solutions when establishing the selling price.
Software as a Service
The Company uses ESP to determine the value for a software as a service arrangementand audit services based on observable standalone sales.

Contract Combination

The Company may execute more than one contract or agreement with a single client. The Company evaluates whether the agreements were negotiated as a package with a single objective, whether the amount of consideration to be paid in one agreement depends on the price and/or performance of another agreement, or whether the goods or services promised in the agreements represent a single performance obligation. The conclusions reached can impact the allocation of the transaction price to each performance obligation and the timing of revenue recognition related to those arrangements.

The Company has utilized the portfolio approach as the Company cannot establish VSOE and TPE ispractical expedient. We have applied the revenue model to a portfolio of contracts with similar characteristics where we expected that the financial statements would not a practical alternative duediffer materially from applying it to differences in functionality from the Company's competitors. Similar to proprietaryindividual contracts within that portfolio.

Software Licenses

The Company’s software license sales, pricing decisions rely on the relative size ofarrangements provide the client purchasingwith the solution,right to use functional intellectual property. Implementation, support, and include calculating the equivalent value of maintenance and support onother services are typically considered distinct performance obligations when sold with a present value basis over the term of the initial agreement period. Typically revenue recognition commences upon client go-live on the system, and is recognized ratably over the contract term.

Systems Sales
The Company uses the residual method to determine fair value for proprietary software licenses sold in a multi-element arrangement as the Company cannot establish fair value for all of the delivered elements. Typically pricing decisions for proprietary software rely on the relative size and complexity of the client purchasing the solution. Third-party components are resold at prices based on a cost plus margin analysis. The proprietary software and third-party components do not need any significant modification to achieve their intended use. Whenlicense unless these revenues meet all the criteria for revenue recognition andservices are determined to be separate units of accounting, revenuesignificantly modify the software. Revenue is recognized.recognized at a point in time. Typically, this is upon shipment of components or

electronic download of software. Proprietary licenses are perpetual in nature, and license fees do not include rights to version upgrades, fixes or service packs.

Maintenance and Support Services

The

Our maintenance and support components are not essential toobligations include multiple discrete performance obligations, with the functionality oftwo largest being unspecified product upgrades or enhancements, and technical support, which can be offered at various points during a contract period. We believe that the software and clients renew maintenance contracts separately from software purchases at renewal rates materially similar to the initial rate charged for maintenance on the initial purchase of software. The Company uses VSOE of fair value to determine fair value ofmultiple discrete performance obligations within our overall maintenance and support services. Generally, maintenance and support is calculatedobligations can be viewed as a percentage ofsingle performance obligation since both the list price ofunspecified upgrades and technical support are activities to fulfill the proprietary license being purchased by a client. Clients have the option of purchasing additional annual maintenance service renewals each year for which ratesperformance obligation and are not materially different from the initial rate, but typically include a nominal rate increase based on the consumer price index. Annual maintenancerendered concurrently. Maintenance and support agreements entitle clients to technology support, version upgrades, bug fixes and service packs.

Term Licenses
We cannot establish VSOE of fair value of the undelivered element in term license arrangements. However, as the only undelivered element is post-contract customerrecognize maintenance and support the entire fee is recognized ratablyrevenue over the contract term. Typically, revenue recognition commences once the client goes live on the system. Similar

Software-Based Solution Professional Services

The Company provides various professional services to proprietary license sales, pricing decisions rely on the relative size of the client purchasing the solution. Theclients with software portion of our codinglicenses. These include project management, software implementation and clinical documentation improvement solutions generally does not require materialsoftware modification services. Revenues from arrangements to achieve their contracted function.

Professional Services
Professional services components that are not essential to the functionality of the software, from time to time, are sold separately by the Company. Similarprovide professional services are sold bygenerally distinct from the other vendors,promises in the contract and clients can elect to perform similar services in-house. When professional services revenues are a separate unit of accounting, revenues are recognized as the related services are performedperformed. Consideration payable under these arrangements is either fixed fee or on a time-and-materials basis and is recognized over time as the services are performed.

Software as a Service

SaaS-based contracts include a right to use of the Company’s platform and support which represent a single promise to provide continuous access to its software solutions. Implementation services for the Company’s eValuator product are included as part of the single promise for its respective contracts. The Company recognizes revenue for implementation of the eValuator product over the contract term as it is determined that the implementation on eValuator is not a distinct performance obligation. Implementation services for other SaaS products are deemed to be separate performance obligations.

Audit Services

The Company provides technology-enabled coding audit services to help clients review and optimize their internal clinical documentation and coding functions across the applicable segment of the client’s enterprise. Audit services are a separate performance obligation. We recognize revenue over time as the services are performed.

Disaggregation of Revenue

The following table provides information about disaggregated revenue by type and nature of revenue stream:

SCHEDULE OF DISAGGREGATON OF REVENUE

  2022  2021 
  Fiscal Year 
  2022  2021 
Over time revenue $16,809,000  $12,400,000 
Point in time revenue  8,080,000   4,979,000 
Total revenue $24,889,000  $17,379,000 

The Company disaggregates revenue into each of (i) over time and (ii) point in time revenue. For over time revenue, revenue is recognized incrementally, as each portion of the performance obligation is satisfied. The Company includes revenue categories of (i) SaaS and (ii) maintenance and support as over time revenue. For point in time revenue, the performance obligation is recognized at the point in time when the obligation is fully satisfied. The Company includes revenue categories of (i) software licenses, (ii) professional services, and (iii) audit services as point in time revenue. For fiscal years ended January 31, 2023 and January 31, 2022, Avelead accounts for $6,231,000 of the over time revenue and $3,590,000 of the point in time revenue, respectively.

Contract Assets and Deferred Revenues

The Company receives payments from clients based upon a proportional performance methodology.

Professional services components that are essentialcontractual billing schedules. Contract receivables include amounts related to the functionalityCompany’s contractual right to consideration for completed performance obligations not yet invoiced. Deferred revenues include payments received in advance of performance under the software,contract. Our contract receivables and deferred revenue are not considered a separate unitreported on an individual contract basis at the end of accounting,each reporting period. Contract receivables are classified as current or noncurrent based on the timing of when we expect to bill the client. Deferred revenue is classified as current or noncurrent based on the timing of when we expect to recognize revenue. In the year ended January 31, 2023, we recognized approximately $5,636,000 in revenue ratablyfrom deferred revenues outstanding as of January 31, 2022. Revenue allocated to remaining performance obligations was $25,070,000 as of January 31, 2023, of which the Company expects to recognize approximately 73% over the life ofnext 12 months and the client, which approximatesremainder thereafter.

Deferred costs (costs to fulfill a contract and contract acquisition costs)

We defer the duration of the initial contract term. The Company defers the associated direct costs, forwhich include salaries and benefits, expense for professional services contracts.related to SaaS contracts as a cost to fulfill a contract. These deferred costs will be amortized on a straight-line basis over the identical term as the associated SaaS revenues.contractual term. As of January 31, 20162023, and 2015, the Company2022, we had deferred costs of $571,000$94,000 and $570,000125,000, respectively, net of accumulated amortization of $265,000$176,000 and $275,000,$93,000, respectively. Amortization expense of these costs was $136,000$83,000 and $166,000$110,000 in fiscal 20152022 and 2014,2021, respectively. There were no impairment losses for these capitalized costs for the fiscal years 2022 and 2021.

Contract acquisition costs, which consist of sales commissions paid or payable, is considered incremental and recoverable costs of obtaining a contract with a client. Sales commissions for initial and renewal contracts are deferred and then amortized on a straight-line basis over the contract term. As a practical expedient, we expense sales commissions as incurred when the amortization period of related deferred commission costs would have been one year or less.

56
The Company uses VSOE of fair value based

Deferred commissions costs paid and payable, which are included on the hourly rate charged when services are sold separately, to determine fair valueconsolidated balance sheets within other non-current assets totaled $1,534,000 and $806,000, respectively, as of professional services. The Company typically sells professional servicesJanuary 31, 2023 and 2022. In fiscal 2022 and 2021, amortization expense associated with deferred sales commissions was $411,000 and $339,000, respectively, and was included in selling, general and administrative expenses on an hourly-fee basis. The Company monitors projects to assure that the expectedconsolidated statements of operations. There were no impairment losses for these capitalized costs for fiscal years 2022 and historical rate earned remains within a reasonable range to the established selling price.

2021.

Concentrations

Financial instruments, which potentially expose the Company to concentrations of credit risk, consist primarily of accounts receivable. The Company’s accounts receivable are concentrated in the healthcare industry. However, the Company’s clients typically are well-established hospitals, medical facilities or major health information systems companies with good credit histories that resell the Company’s solutions that have good credit histories.solutions. Payments from clients have been received within normal time frames for the industry. However, some hospitals and medical facilities have experienced significant operating losses as a result of limits on third-party reimbursements from insurance companies and governmental entities and extended payment of receivables from these entities is not uncommon.

To date, the Company has relied on a limited number of clients and remarketing partners for a substantial portion of its total revenues. The Company expects that a significant portion of its future revenues will continue to be generated by a limited number of clients and its remarketing partners.

The Company currently buys all of its hardware and some major software components of its healthcare information systems from third-party vendors. Although there are a limited number of vendors capable of supplying these components, management believes that other suppliers could provide similar components on comparable terms.
Business Combinations

The assets acquired, liabilities assumed, and contingent consideration are recorded at their fair value on the acquisition date with subsequent changes recognized in earnings. These estimates are inherently uncertain and are subject to refinement. Management develops estimates based on assumptions as a part of the purchase price allocation process to value the assets acquired and liabilities assumed as of the business combination date. As a result, during the purchase price measurement period, which may be up to one year from the business combination date, the Company may record adjustments to the assets acquired and liabilities assumed, with the corresponding offset to goodwill. After the purchase price measurement period, the Company will record adjustments to assets acquired or liabilities assumed subsequent to the purchase price measurement period in operating expenses in the period in which the adjustments were determined.
The Company records acquisition and transaction related expenses in the period in which they are incurred. Acquisition and transaction related expenses primarily consist of legal, banking, accounting and other advisory fees of third parties related to potential acquisitions.

Goodwill and Intangible Assets


Goodwill and other intangible assets were recognized in conjunction with the Interpoint, Meta, CLG,Avelead acquisition, and Unibased acquisitions.certain other acquisitions from fiscal years 2013 and prior (prior to divestiture of such assets). Identifiable intangible assets include purchased intangible assets with finite lives, which primarily consist of internally developedinternally-developed software and client relationships, supplier agreements, non-compete agreements, customer contracts, and license agreements.relationships. Finite-lived purchased intangible assets are amortized over their expected period of benefit, which generally ranges from one to 15 years, using the straight-line and undiscounted expected future cash flows methods. The indefinite-lived intangible asset related to the Meta trade name was not amortized, but was tested for impairment on at least an annual basis. In fiscal 2014, the Meta trade name was deemed impaired and its corresponding balance was fully written off (see Note 7 - Goodwill and Intangible Assets).


method.

The Company assesses the useful lives and possible impairment of existing recognized goodwill and intangible assets when an event occurs that may trigger such a review. Factors considered important which could trigger a review include:


significant under performance relative to historical or projected future operating results;
significant changes in the manner of use of the acquired assets or the strategy for the overall business;
identification of other impaired assets within a reporting unit;
disposition of a significant portion of an operating segment;
significant negative industry or economic trends;
significant decline in the Company's stock price for a sustained period; and
a decline in the market capitalization relative to the net book value.

significant underperformance relative to historical or projected future operating results;
significant changes in the manner of use of the acquired assets or the strategy for the overall business;
identification of other impaired assets within a reporting unit;
disposition of a significant portion of an operating segment;
significant negative industry or economic trends;
significant decline in the Company’s stock price for a sustained period; and
a decline in the market capitalization relative to the net book value.

Determining whether a triggering event has occurred involves significant judgment by the Company.


The Company assesses goodwill annually (as of November 1), or more frequently when events and circumstances, such as the ones mentioned above, occur indicating that the recorded goodwill may be impaired. TheDuring the years ended January 31, 2023 and 2022, the Company did not note any of the above qualitative factors, which would be considered a triggering event for goodwill impairment. In assessing qualitative factors to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount, the Company assesses relevant events and circumstances that may impact the fair value and the carrying amount of a reporting unit. The identification of relevant events and circumstances and how these may impact a reporting unit'sunit’s fair value or carrying amount involve significant judgments by management. These judgments include the consideration of macroeconomic conditions, industry and market considerations, cost factors, overall financial performance, events which are specific to the Company and trends in the market price of the Company'sCompany’s common stock. Each factor is assessed to determine whether it impacts the impairment test positively or negatively, and the magnitude of any such impact.

57

The two-step goodwill impairment test requires the Company to identify its reporting units and to determine estimates of the fair values of those reporting units as of the impairment testing date.

 

Reporting units are determined based on the organizational structure the entity has in place at the date of the impairment test. A reporting unit is an operating segment or component business unit with the following characteristics: (a) it has discrete financial information, (b) segment management regularly reviews its operating results (generally an operating segment has a segment manager who is directly accountable to and maintains regular contact with the chief operating decision maker to discuss operating activities, financial results, forecasts or plans for the segment), and (c) its economic characteristics are dissimilar from other units (this contemplates the nature of the products and services, the nature of the production process, the type or class of customerclient for the products and services and the methods used to distribute the products and services).



The Company determined that it has one operating segment and onetwo reporting unit.

To conduct a quantitative two-step goodwill impairment test, the fair value of the reporting unit is first compared to its carrying value. If the reporting unit's carrying value exceeds its fair value, the Company performs the second step and records an impairment loss to the extent that the carrying value of goodwill exceeds its implied fair value. The Company estimates the fair value of its reporting unit using a blend of market and income approaches. The market approach consists of two separate methods, including reference to the Company's market capitalization, as well as the guideline publicly traded company method. The market capitalization valuation method is based on an analysis of the Company's stock price on and around the testing date, plus a control premium. The guideline publicly traded company method was made by reference to a list of publicly traded software companies providing services to healthcare organizations, as determined by management. The market value of common equity for each comparable company was derived by multiplying the price per share on the testing date by the total common shares outstanding, plus a control premium. Selected valuation multiples are then determined and applied to appropriate financial statistics based on the Company's historical and forecasted results. units.

The Company estimates the fair value of its reporting unit using the income approach, via discounted cash flow valuation models which include, but are not limited to, assumptions such as a “risk-free” rate of return on an investment, the weighted average cost of capital of a market participant and future revenue, operating margin, working capital and capital expenditure trends. Determining the fair valuesvalue of reporting units and goodwill includes significant judgment by management, and different judgments could yield different results.

The Company performed its annual assessment of goodwill, during the fourth quarter of fiscal 2015, using the two-step approach described above. The first step of the goodwill impairment test, used to identify potential impairment, compares the fair value of a reporting unit with its carrying amount, including goodwill. Based on the analysis performed, for step one, the fair value of the reporting unitunits exceeded the carrying amount of the reporting unit, including goodwill, and, therefore, ana goodwill impairment loss was not recognized. As the Company passed step one of the analysis, step two was not required.

Severances
From time to time, we will enter into termination agreements with associates that may include supplemental cash payments, as well as contributions to health and other benefits for a specific time period subsequent to termination. In fiscal 2015 and 2014, we incurred $43,000 and $666,000 in severance expenses. At January 31, 2016 and 2015, we had accrued for $26,000 and $159,000 in severances, respectively.

Equity Awards

The Company accounts for share-based payments based on the grant-date fair value of the awards with compensation cost recognized as expense over the requisite vestingservice period. For awards to non-employees, the Company recognizes compensation expense in the same manner as if the entity had paid cash for the goods or services. The Company incurred total annual compensation expense related to stock-based awards of $2,386,000 and $1,934,000$1,761,000 in fiscal 20152022, which includes $81,000 of capitalized non-employee stock compensation, and 2014, respectively.

$2,216,000 in fiscal 2021.

The fair value of the stock options granted in fiscal 2015 and 2014 wasare estimated at the date of grant using a Black-Scholes option pricing model. Option pricing model input assumptions such as expected term, expected volatility and risk-free interest rate impact the fair value estimate. Further, the forfeiture rate impacts the amount of aggregate compensation.The Company recognizes forfeitures as they occur. These assumptions are subjective and are generally derived from external (such as, risk-free rate of interest) and historical data (such as, volatility factor, expected term and forfeiture rates). Future grants of equity awards accounted for as stock-based compensation could have a material impact on reported expenses depending upon the number, value and vesting period of future awards.

The Company issues restricted stock awards in the form of Company common stock. The fair value of these awards is based on the market close price per share on the day of grant.grant date. The Company expenses the compensation cost of these awards as the restriction period lapses, which is typically a one-yearone- to four-year service period to the Company.

Common Stock Warrants
As In fiscal 2022 and 2021, 127,429 and 257,571 shares of January 31, 2016,common stock were surrendered to the fair valueCompany to satisfy tax withholding obligations totaling $197,000 and $464,000, respectively, in connection with the vesting of restricted stock awards. Shares surrendered by the restricted stock award recipients in accordance with the applicable plan are deemed cancelled, and therefore are not available to be reissued. The Company awarded 890,731 and 562,500 shares of restricted stock to its executive officers and directors of the common stock warrants was computed using the Black-Scholes option pricing model. The estimated fair value of the warrant liabilities as of January 31, 2015 was computed using Monte-Carlo simulations. Both valuations were based on assumptions regarding annual volatility, risk-free rate, dividend yieldCompany in fiscal 2022 and expected life. The models also include assumptions to account for anti-dilutive provisions within the warrant agreement.
Other Comprehensive Income

Total other comprehensive income for fiscal years 2015 and 2014 was approximately zero and $111,000,2021, respectively. Total other comprehensive income relates to the change in the unrealized loss on the Company's interest rate swap arrangement. The Company's interest rate swap arrangement is further described in Note 6 - Debt.

Income Taxes

Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and for tax credit and loss carry-forwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. In assessing net deferred tax assets, the Company considers whether it is more likely than not that some or all of the deferred tax assets will not be realized. The Company establishes a valuation allowance when it is more likely than not that all or a portion of deferred tax assets will not be realized. See Note 87 - Income Taxes for further details.

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The Company provides for uncertain tax positions and the related interest and penalties based upon management’s assessment of whether certain tax positions are more likely than not to be sustained upon examination by tax authorities. At January 31, 2016,2023, the Company believes it has appropriately accounted for any uncertain tax positions. As part of the Meta acquisition, the Company assumed a current liability for an uncertain tax position. The Company has recorded zero reserves for uncertain tax positions and corresponding interest and penalties as of both January 31, 2016 and January 31, 2015.

Net LossEarnings (Loss) Per Common Share

The Company presents basic and diluted earnings per share (“EPS”) data for itsour common stock. Basic EPS is calculated by dividing the net loss attributable to shareholders of the Company by the weighted average number of shares of common stock outstanding during the period. Diluted EPS is calculated based on the profit or loss attributable to shareholders and the weighted average number of shares of common stock outstanding adjusted for the effects of all potential dilutive common stock issuances related to options, unvested restricted stock, warrants and convertible preferred stock. Potential common stock dilution related to outstanding stock options, unvested restricted stock and warrants is determined using the treasury stock method, while potential common stock dilution related to Series A Convertible Preferred Stock is determined using the “if converted” method.


The Company's unvested restricted stock awards and Series A Convertible Preferred stock are considered participating securities under ASC 260, “Earnings Per Share” which means the security may participate in undistributed earnings with common stock. The Company's

Our unvested restricted stock awards are considered participatingnon-participating securities because they entitle holders are not entitled to non-forfeitable rights to dividends or dividend equivalents during the vesting term. The holders of the Series A Preferred Stock would be entitled to share in dividends, on an as-converted basis, if the holders of common stock were to receive dividends, other than dividends in the form of common stock. In accordance with ASC 260, a company is required to use the two-class method when computing EPS when a company has a security that qualifies as a “participating security.” The two-class method is an earnings allocation formula that determines EPS for each class of common stock and participating security according to dividends declared (or accumulated) and participation rights in undistributed earnings. In determining the amount of net earnings to allocate to common stock holders, earnings are allocated to both common and participating securities based on their respective weighted-average shares outstanding for the period. Diluted EPS for the Company's common stock is computed using the more dilutive of the two-class method or the if-converted method.


In accordance with ASC 260, securities are deemed not to not be participating in losses if there is no obligation to fund such losses. For the years ended January 31, 2016 and 2015, the unvested restricted stock awards and the Series A Preferred Stock were deemed not to be participating since there was a net loss from operations for the years ended January 31, 2016 and 2015. As of both January 31, 2016 and 2015, there were 2,949,995 shares of preferred stock outstanding, each share is convertible into one share of the Company's common stock. For the years ended January 31, 2016 and 2015, the Series A Convertible Preferred Stock would have an anti-dilutive effect if included in Diluted EPS and, therefore, was not included in the calculation. As of January 31, 2016 and 2015, there were 112,380 and 120,306 unvested restricted shares offor our common stock outstanding, respectively. These unvested restricted shares were excluded fromis computed using the calculation as their effect would have been antidilutive.
treasury stock method.

The following is the calculation of the basic and diluted net loss per share of common stock:

SCHEDULE OF BASIC AND DILUTED NET LOSS PER SHARE OF COMMON STOCK

  2022  2021 
  Fiscal Year 
  2022  2021 
Basic earnings (loss) per share:        
Continuing operations        
Loss from continuing operations, net of tax $(11,379,000) $(6,917,000)
Basic net loss per share of common stock from continuing operations $(0.23) $(0.16)
         
Discontinued operations        
Income available to common stockholders from discontinued operations $  $375,000 
Basic net earnings per share of common stock from discontinued operations $  $0.01 
         
Diluted earnings (loss) per share (1):        
Continuing operations        
Loss available to common stockholders from continuing operations $(11,379,000) $(6,917,000)
Diluted net loss per share of common stock from continuing operations $(0.23) $(0.16)
         
Discontinued operations        
Income available to common stockholders from discontinued operations $  $375,000 
Diluted net earnings per share of common stock from discontinued operations $  $0.01 
         
Net loss $(11,379,000) $(6,542,000)
         
Weighted average shares outstanding - Basic (1)(1)  49,324,858   42,815,239 
Effect of dilutive securities - Stock options and Restricted stock (2)(2)     458,335 
Weighted average shares outstanding – Diluted  49,324,858   43,273,574 
Basic net loss per share of common stock $(0.23) $(0.15)
Diluted net loss per share of common stock $(0.23) $(0.15)

(1)Excludes the effect of unvested restricted shares of common stock, which are considered non-participating securities. As of January 31, 2023 and 2022, there were 1,848,031 and 1,043,350 unvested restricted shares of common stock, respectively.
(2)Diluted net loss per share excludes the effect of shares that are anti-dilutive. As of January 31, 2023, there were 628,598 outstanding stock options and 1,848,031 unvested restricted shares of common stock. As of January 31, 2022, there were 1,062,130 outstanding stock options and 1,043,350 unvested restricted shares of common stock.

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 Fiscal Year
 2015 2014
Net loss$(4,290,115) $(12,011,457)
Less: deemed dividends on Series A Preferred Stock(1,336,072) (1,038,310)
Net loss attributable to common shareholders$(5,626,187) $(13,049,767)
Weighted average shares outstanding used in basic per common share computations18,689,854
 18,261,800
Stock options and restricted stock
 
Number of average shares used in diluted per common share computation18,689,854
 18,261,800
Basic net loss per share of common stock$(0.30) $(0.71)
Diluted net loss per share of common stock$(0.30) $(0.71)
Diluted net loss per share excludes the effectacquisition of 2,411,879 Avelead totaling $149,000 and 2,437,323 outstanding stock options in fiscal 2015 and 2014$2,856,000, respectively. The inclusion of these shares would have been anti-dilutive. For fiscal 20152022, these expenses consisted primarily of professional service fees. For fiscal 2021, of the total acquisition-related costs, $705,000 was from bonuses paid to certain executives in executing priorities, primarily related to the acquisition, and 2014, the outstanding common stock warrants of 1,400,000 would have an anti-dilutive effect if included in Diluted EPS and, therefore, were not included in the calculation.
$850,000 related to professional fees.

Loss Contingencies

We are subject to the possibility of various loss contingencies arising in the normal course of business. We consider the likelihood of the loss or impairment of an asset or the incurrence of a liability as well as our ability to reasonably estimate the amount of loss in determining loss contingencies. An estimated loss contingency is accrued when it is probable that a liability has been incurred or an asset has been impaired, and the amount of loss can be reasonably estimated. We regularly evaluate current information available to us to determine whether to accrue for a loss contingency and adjust any previous accrual.

Recent

Accounting Pronouncements

Recently Adopted

In August 2014, the FASB issued an accounting standard update relating to disclosures of uncertainties about an entity’s ability to continue as a going concern. The update provides guidance about management’s responsibility to evaluate whether there is substantial doubt about an entity’s ability to continue as a going concern and to provide related footnote disclosures in the event that there is such substantial doubt. The update will be effective for us on February 1, 2017.

In May 2014,July 2021, the FASB issued ASU 2014-09, Revenue from Contracts2021-05, Lessors - Certain Leases with Customers (Topic 606), which supersedes the revenue recognition requirements inVariable Lease Payments to ASC 605, Revenue Recognition. The core principle of theTopic 842, Leases (“ASC 842”) (“ASU 2021-05”). ASU 2021-05 provides additional ASC 842 classification guidance isas it relates to a lessor’s accounting for certain leases with variable lease payments. ASU 2021-05 requires a lessor to classify a lease with variable payments that do not depend on an entity should recognize revenue to depict the transfer of promised goodsindex or services to customers inrate as an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goodsoperating lease if either a sales-type lease or services. Thedirect financing lease classification would trigger a day-one loss. ASU also requires additional disclosure about the nature, amount, timing and uncertainty of revenue and cash flows arising from customer contracts, including significant judgments and changes in judgments and assets recognized from costs incurred to obtain or fulfill a contract. In July 2015, the FASB delayed the effective date by one year and the guidance will now be2021-05 became effective for usthe Company on February 1, 2018. Early adoption is permitted.2022. The guidance is to be applied using one of two retrospective application methods. We are currently evaluating the impact of the adoption of this accounting standard updateASU did not have a material impact on our internal processes, operating results, and financial reporting.
In April 2015, the FASB issued an accounting standard update relating to simplifying the presentation of debt issuance costs. The amendments in this update require that debt issuance costs related to a recognized debt liability be presented in the balance sheet as a direct deduction from the carrying amount of that debt liability, consistent with debt discounts. The update will be effective for us on February 1, 2016.
In September 2015, the FASB issued an accounting standard update relating to the accounting for business combinations. The amendments in this update require that an acquirer recognize adjustments to provisional amounts that are identified during the measurement period in the reporting period in which the adjustment amounts are determined. The amendments in this update require that the acquirer record, in the same period’sCompany’s consolidated financial statements the effect on earnings of changes in depreciation, amortization, or other income effects, if any, as a result of the change to the provisional amounts, calculated as if the accounting had been completed at the acquisition date. The amendments in this update require an entity to present separately on the face of the income statement or disclose in the notes the portion of the amount recorded in current-period earnings by line item that would have been recorded in previous reporting periods if the adjustment to the provisional amounts had been recognized as of the acquisition date. The update will be effective for us on February 1, 2016.

disclosures.

Recent Accounting Pronouncements Not Yet Adopted

In November 2015,2019, the FASB issued ASU No. 2015-17, Balance Sheet Classification2016-13, Financial Instruments—Credit Losses (Topic 326): Measurement of Deferred Taxes, to simplify the presentation of the deferred income taxes. TheCredit Losses on Financial Instruments, which improves guidance around accounting for financial losses on accounts receivable. For smaller reporting entities, ASU requires that all deferred tax assets and liabilities, along with any related valuation allowance, be classified as noncurrent on the balance sheet. The guidance does not change the existing requirement that only permits offsetting within a tax-paying component of an entity. This guidance2016-13 is effective for annual periods beginning after December 15, 2016, and interim periods within those annual periods, but may be adopted earlier. The Company elected to early adopt ASU 2015-17 prospectively in the fourth quarter of fiscal 2015. As a result, all deferred tax assets and liabilities will be presented as noncurrent on the consolidated balance sheet as of January 31, 2016. There was no impact on our results of operations as a result of the adoption of ASU 2015-17.

In February 2016, the FASB issued ASU No. 2016-02, Leases (Topic 842), to increase transparency and comparability among organizations by recognizing lease assets and lease liabilities on the balance sheet and disclosing key information about leasing arrangements. The ASU is effective for annual periods beginning after December 15, 2018,2022, including interim periods within those fiscal years. The update will beCompany’s adoption of ASU 2016-13 is effective for us on February 1, 2019. Early adoption2023. An analysis of contract receivables, including credit losses, was conducted during the first quarter of fiscal 2023. Based on the balance of the update is permitted. Theallowance for bad debt reserve as of January 31, 2023 and the result of the analysis of contract receivables during first quarter of fiscal 2023, the Company is evaluating the impact ofdoes not anticipate that the adoption of this updateASU will have a material impact on our consolidated financial statements and related disclosures.

statements.

NOTE 3 — ACQUISITIONS

On October 25, 2013, we entered into a Software License and Royalty Agreement (the “Royalty Agreement”) with Montefiore Medical Center (“Montefiore”) pursuant to which it entered into an agreement for an exclusive, worldwide 15-year license of Montefiore’s proprietary clinical analytics platform solution, Clinical Looking Glass® (“CLG”), now known as our Looking Glass® Clinical Analytics solution. In addition, Montefiore assigned to us the existing license agreement with a customer using CLG. As consideration under the Royalty Agreement, Streamline paid Montefiore a one-time initial base royalty fee of $3,000,000, and we are obligated to pay on-going quarterly royalty amounts related to future sublicensing of CLG by Streamline. Additionally, Streamline has committed that Montefiore will receive at least an additional $3,000,000 of on-going royalty payments within the first six and one-half years of the license term. As of January 31, 2016 and 2015, the present value of this royalty liability was $2,292,000 and $2,386,000, respectively.
On February 3, 2014, we completed the acquisition of Unibased Systems Architecture, Inc. (“Unibased”), a provider of patient access solutions, including enterprise scheduling and surgery management software, for healthcare organizations throughout the United States, pursuant to an Agreement and Plan of Merger dated January 16, 2014 (the “Merger Agreement”). BUSINESS COMBINATION AND DIVESTITURE

Avelead Acquisition

The total purchase price for Unibased was $6,500,000, subject to net working capital and other customary adjustments. A portion of the total purchase price was withheld in escrow as described in the Merger Agreement for certain transaction and indemnification of claimed damages. In April 2015, the Company received $750,000 from the cash withheld in escrow, which is included in miscellaneous income. 

Pursuant to the Merger Agreement, we acquired all of the issued and outstandingequity interests of Avelead as part of the Company’s strategic expansion into the revenue cycle management, acute-care healthcare space (the “Transaction”). The Transaction was completed on August 16, 2021.

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The aggregate consideration for the purchase of Avelead was approximately $29.7 million (at fair value) consisting of (i) $12.5 million in cash, net of cash acquired, (ii) $6.5 million in common stock, and (iii) approximately $10.7 million in contingent consideration (see below). The Company issued 5,021,972 shares of Unibased, and Unibased becameits restricted common stock (the “Acquisition Restricted Common Stock”). The Acquisition Restricted Common Stock has a wholly-owned subsidiary of Streamline. Under the termsfair value as of the Mergerclosing date of acquisition of $6.5 million. Additionally, the Company contracted two types of contingent consideration; the first is referred to herein as “SaaS Contingent Consideration” and the second is referred to herein as “Renewal Contingent Consideration.” The SaaS Contingent Consideration and Renewal Contingent Consideration have an aggregate value of approximately $10.7 million as of the date of closing. The owners of Avelead are also referred to herein as “Sellers” and are enumerated in the UPA (as defined below).

The Unit Purchase Agreement Unibased stockholders received(hereafter referred to as the “UPA”), stated that the purchase price for Avelead at closing included a cash for each sharepayment of Unibased$11.9 million. Additionally, the Company paid $285,000 of the Sellers’ closing costs, $285,000 related to the working capital adjustment as defined in the UPA. Finally, at closing, the Company issued the Acquisition Restricted Common Stock with a fair value of approximately $6.5 million, based on a 30-day average of the closing price of the Company’s common stock held. The preliminary purchase price was allocatedprior to the tangibleclosing date. The SaaS Contingent Consideration and intangiblethe Renewal Contingent Consideration described in more detail below were included in the UPA as potential future consideration for the Transaction. These are reflected on the Company’s consolidated balance sheet as “Acquisition earnout liability.”

The Company acquired Avelead on a cash-free and debt-free basis. The Transaction was structured as a purchase of units (equity), however, Avelead was taxed as a partnership. Accordingly, the Company realized a step-up in the tax basis of the assets acquired and the goodwill is tax deductible. The gross deferred tax assets and liabilities assumed based on their estimated fair values aswill be consolidated, and the gross deferred tax assets have a full valuation allowance.

The contingent consideration is comprised of the acquisition date“SaaS Contingent Consideration” and “Renewal Contingent Consideration” which are described in more detail as follows:


 Balance at February 3, 2014
Assets purchased: 
Cash$59,000
Accounts receivable221,000
Other assets61,000
Internally-developed software2,017,000
Client relationships647,000
Trade name26,000
Goodwill (1)4,251,000
Total assets purchased7,282,000
Liabilities assumed: 
Accounts payable and accrued liabilities362,000
Deferred revenue obligation, net793,000
Deferred income taxes9,000
Net assets acquired$6,118,000
Cash paid$6,118,000
_______________

The SaaS Contingent Consideration is calculated based upon Avelead’s recurring SaaS revenue recognized during the first and second year. The Company will pay the SaaS Contingent Consideration as follows: (i) 50% in cash and (ii) 50% in shares of Company common stock valued at the time the earnout is paid subject to a collar, as described below.

The first year of SaaS Contingent Consideration was calculated as 75% of Avelead’s recognized SaaS revenue from September 1, 2021 to August 31, 2022. The first-year payment was subject to a deduction of $665,000 spread equally between the cash and common stock portion of the earnout consideration. Assuming that Avelead is within 80% of its forecasted SaaS revenue in the first year earnout, the Company agreed to a floor and ceiling on the value of the Company’s restricted common stock issued as consideration for the earnout. That collar had a floor of $3.50 per share and a ceiling of $5.50 per share for the first year earnout. This first year SaaS Contingent Consideration was paid on November 21, 2022 (see below).
(1)Goodwill represents
The second year of SaaS Contingent Consideration is calculated as 40% of Avelead’s recognized SaaS revenue from September 1, 2022 to August 31, 2023. The second year earnout will be paid on or about October 15, 2023, subject to a dispute and resolution period. Assuming that Avelead is within 80% of its forecasted SaaS revenue in the excesssecond year earnout, the Company agreed to a floor and ceiling on the Company’s restricted common stock issued as consideration for the earnout. That collar has a floor of purchase price over$4.50 per share and a ceiling of $6.50 per share for the estimated fair value of net tangible and intangible assets acquired, which is not deductible for tax purposes.second year earnout.

1If Avelead does not achieve 80% of its forecasted revenue, the price per share will revert back to the Company’s market price based upon a 30-day average.

The operating results of Unibased are not material for proforma disclosure.
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NOTE 4 — DERIVATIVE LIABILITIES
As discussed further in Note 14 - Private Placement Investment, in conjunction with the 2012 private placement investment,

The Renewal Contingent Consideration is tied directly to a successful renewal of a specific client of Avelead. To meet the definition of a renewal, Avelead must achieve a minimum threshold of contracted revenue in an updated, annual, renewed contract with the specified client. The renewal occurs on or about June 1, 2022 and June 1, 2023. The Company will remit the Renewal Contingent Consideration on or about each of October 15, 2022 and 2023, respectively. The Renewal Contingent Consideration is payable in shares of Company restricted common stock valued as of the date of closing. Accordingly, upon achieving the Renewal Contingent Consideration, the Company will issue 627,747 shares of restricted common stock on or about each of October 15, 2022 and October 15, 2023, subject to a dispute and resolution period. The Renewal Contingent Consideration is either earned or not earned based upon the renewal of the specified client at the minimum amount of contracted revenue. There is no pro-ration of the underlying Renewal Contingent Consideration. This first year SaaS Contingent Consideration was paid on November 21, 2022 (see below).

On November 21, 2022, the Company made the first year earnout payments and issued common stock warrants exercisable for up to 1,200,000shares of common stock, at an exercise pricepar value $0.01 per share, subject to certain restrictions, to the selling shareholders of Avelead in accordance with the UPA. In connection with the first year earnout payment, the Company made cash payments of $3.992,012,000 and issued 1,243,292 unregistered securities in the form of restricted common stock, par value $0.01 per share.share, for the SaaS Contingent Consideration and 627,746 unregistered securities in the form of restricted common stock, par value $0.01 per share, for the Renewal Contingent Consideration. The warrants were initially classified in stockholders' equity as additional paid-in capital at the allocated amount, net of allocated transaction costs, of $1,425,000. Effective October 31, 2012, upon stockholder approval of anti-dilution provisions that reset the warrant's exercise price if a dilutive issuance occurs, the warrants were reclassified as non-current derivative liabilities. The fairestimated aggregate value of the warrants was first year earnout payment is $4,139,000 at4,000,000 for the SaaS Contingent Consideration and $1,000,000 for the Renewal Contingent Consideration. The second year earnout payment, if any, under the UPA will be payable on or about October 31, 2012, with the difference between the fair value and carrying value recorded to additional paid-in capital. Effective as of the reclassification as derivative2023. These liabilities the warrants are re-valuedreflected at each reporting date, with changes in fair value recognized in earnings each reporting period as a credit or charge to miscellaneous income (expense). The fair value of the warrants at January 31, 2016 and 2015 was $205,000 and $1,834,000, respectively. The change in fiscal 2015 and 2014 reflects $1,629,000 and $2,283,000, respectively, of miscellaneous income recognized in the consolidated statements of operations as a result of decreases in the fair value of the warrants. future commitment on the Company’s consolidated balance sheet, as Acquisition Earnout Liability.

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The estimatedcomponents of the total consideration are as follows:

COMPONENTS OF TOTAL CONSIDERATION

(in thousands)    
Components of total consideration, net of cash acquired:    
Cash $11,900 
Cash, seller expenses  285 
Cash, working capital adjustment  285 
Restricted Common Stock  6,554 
Acquisition earnout liabilities  10,684(a)(a)
Total consideration $29,708 

(a)Acquisition earnout liabilities represent the net present value and risk adjusted probability of the required future payments underlying the Company’s SaaS Contingent Consideration and Renewal Contingent Consideration as described above. The first year earnout paid out on November 21, 2022, consisting of cash in the amount $2,012,000 and 1,871,038 restricted shares of common stock. The acquisition second year earnout liability is shown as a short-term liability as of January 31, 2023.

The acquisition earnout liability is re-measured on a quarterly basis and the change to the liability is recorded as a valuation adjustment recorded through “acquisition earnout valuation adjustments” in the accompanying consolidated statements of operations. The valuation adjustment recorded for the period ended January 31, 2023, was $71,000. A range of possible outcomes is not available under the specific valuation method that was used in determining fair value of the acquisition earnout liability.

The Company is presenting the allocation of the total consideration to net tangible and intangible assets as of the date of the closing of Avelead as follows:

SCHEDULE OF ALLOCATION OF THE TOTAL CONSIDERATION

(in thousands)    
Net tangible assets:    
Accounts receivable $1,246 
Unbilled revenue  200 
Prepaid expenses  178 
Fixed assets  37 
Accounts payable  (490)
Accrued expenses  (397)
Deferred revenues  (863)
Net tangible assets  (89)
Goodwill  12,377 
Client Relationships (SaaS)  8,370 
Client Relationships (Consulting)  1,330 
Internally Developed Software  6,380 
Trademarks and Tradenames  1,340 
Net assets acquired and liabilities assumed $29,708 

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The Company determined the fair value of the warrant liabilities as of January 31, 2016 was computedclient relationship intangible assets and the trade name and developed software technology intangible assets using the Black-Scholes option pricing model based on the following assumptions: annual volatility of 60.1%; risk-free rate of 0.6%, dividend yield of 0.0% and expected life of two years. The estimated fair value of the warrant liabilities as of January 31, 2015 was computed using Monte-Carlo simulations based on the following assumptions: annual volatility of 55%; risk-free rate of 0.8%, dividend yield of 0.0% and expected life of three years.


NOTE 5 — OPERATING LEASES
The Company rents office and data center space and equipment under non-cancelable operating leases that expire at various times through fiscal year 2022. Future minimum lease payments under non-cancelable operating leases for the next five fiscal years and thereafter are as follows:

 Facilities Equipment Fiscal Year Totals
2016$969,000
 $2,000
 $971,000
20171,007,000
 
 1,007,000
20181,039,000
 
 1,039,000
2019967,000
 
 967,000
2020504,000
 
 504,000
Thereafter964,000
 
 964,000
Total$5,450,000
 $2,000
 $5,452,000
Rent and leasing expense for facilities and equipment was $1,274,000 and $1,652,000 for fiscal years 2015 and 2014, respectively.

NOTE 6 — DEBT
Term Loan and Line of Credit
In December 2013, we amended and restated our previously outstanding senior credit agreement and amended the subordinated credit agreement with Fifth Third Bank to increase the senior term loan to $8,500,000, reduce the interest rates, and extend the maturity of the senior term loanmulti-period excess earning method and the $5,000,000 revolving line of credit to December 1, 2018 and December 1, 2015,relief from royalty method, respectively. In January 2014, we paid the subordinated term loan in full. The outstanding senior term loan was secured by substantially all of our assets. The senior term loan principal balance was payable in monthly installments of $101,000, which started in January 2014 and would have continued through the maturity date, with the full remaining unpaid principal balance due at maturity. Borrowings under the senior term loan bore interest at a rate of LIBOR plus 5.25%. However,intangible assets recorded as a result of our interest rate swap, the interest rateAvelead acquisition, and their related estimated useful lives are as follows:

SCHEDULE OF INTANGIBLE ASSETS ESTIMATED USEFUL LIVES

Estimated

Useful Lives

GoodwillIndefinite
Client Relationships (SaaS)10 years
Client Relationships (Consulting)8 years
Internally Developed Software9 years
Trademarks and Tradenames15 years

The Company’s unaudited pro forma revenues and (loss) income from continuing operations, assuming Avelead was fixedacquired on February 1, 2020, are as follows. The unaudited pro forma information is not necessarily indicative of the results of operations that the Company would have reported had the acquisition actually occurred at 6.42% until October 27, 2014, when the interest rate swapbeginning of these periods nor is it necessarily indicative of future results. The unaudited pro forma financial information does not reflect the impact of events occurring after the acquisition. The nature and amount of any material, nonrecurring pro forma adjustments directly attributable to the business combination are included in the pro forma revenue and net earnings reflected below (unaudited):

SCHEDULE OF PRO FORMA REVENUE AND NET EARNINGS

  2022 
Unaudited Pro forma Year Ended
January 31, 2022
 
Revenues $22,631,000 
Operating expenses  (31,278,000)
Acquisition-related costs  (4,284,000 
Operating loss  (12,931,000)
     
Other (expense) income  1,312,000 
PPP loan forgiveness  3,059,000 
Income tax expense  (109,000)
Loss from continuing operations $(8,669,000)

Included in the accompanying consolidated statement of operations for the year ended January 31, 2022 (following the closing of the Avelead acquisition) are $4,524,000 and $(1,506,000) of Avelead revenue and loss from continuing operations.

Refer to Note 2 – Summary of Significant Accounting Policies – Other operating costs -Acquisition-related costs. Costs related to the acquisition of Avelead are expensed as incurred.

The Company entered into one employment agreement and one separation agreement with each of the two Sellers. Included in the transaction costs of Avelead is the cost of a two-year separation agreement with one Seller. This separation agreement was terminated. Accruedexpensed at the closing of the transaction as there were no material future obligations of the Seller to the Company within acquisition-related costs. The employment agreement is a two-year employment agreement that entitles the Seller to a six-month separation pay in the case of termination without cause. The expense for the employment agreement is recognized ratably over the service period customary with other employment agreements within selling, general, and unpaid interestadministrative expense.

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The Company granted options to purchase 583,333 shares of the Company’s common stock to the Sellers at the closing of the Avelead acquisition. These options have a strike price of $1.53 per share, the closing stock price on the seniortrading date immediately preceding the closing. 500,000 options were awarded to one Seller that will vest, monthly, over a three (3) year service period. The remaining 83,333 options were awarded to another Seller and vested immediately upon issuance. The Company utilized the Black-Scholes method to determine the grant-date fair value of these options. The 83,333 options have a grant-date fair value of approximately $6,000 and are recorded in acquisition-related cost in the accompanying consolidated statement of operations. The 500,000 options have a grant-date fair value of approximately $395,000 and are expensed over the vesting period within selling, general, and administrative expenses.

Additionally, the Company granted 100,000 restricted stock awards (RSAs) to certain Avelead employees as of the closing date.

NOTE 4 — OPERATING LEASES

We determine whether an arrangement is a lease at inception. Right-of-use assets represent our right to use an underlying asset for the lease term loan was due monthly through maturity. We paid $116,000and lease liabilities represent our obligation to make lease payments arising from the lease. Operating lease right-of-use assets and liabilities are recognized at commencement date based on the present value of lease payments over the expected lease term. Since our lease arrangements do not provide an implicit rate, we use our incremental borrowing rate for the expected remaining lease term at commencement date for new and existing leases in closing feesdetermining the present value of future lease payments. Operating lease expense is recognized on a straight-line basis over the lease term.

Alpharetta Office Lease

On October 1, 2021, the Company entered into an agreement with a third-party to sublease its office space in connectionAlpharetta, Georgia, (the “Sublease Agreement”). The sublease term is for 18 months which coincides with this senior term loan, which was recorded as a debt discount and amortizedthe Company’s underlying lease (see below). The Company expects to interest expensereceive $292,000 from the sublessee over the term of the loan usingsublease. The sublease did not relieve the effective interest method.

BorrowingsCompany of its original obligation under the revolving line of credit bore interest at a rate equal to LIBOR plus 3.50%. We paid a commitment fee of 0.40% on the unused revolving line of credit on a quarterly basis.
On November 21, 2014, we entered into a Credit Agreement (the “Credit Agreement”) with Wells Fargo Bank, N.A., as administrative agent,lease, and other lender parties thereto. Pursuant to the Credit Agreement, the lenders agreed to provide a $10,000,000 senior term loan and a $5,000,000 revolving line of credit to our primary operating subsidiary. Amounts outstanding under the Credit Agreement bear interest at either LIBOR or the base rate, as elected bytherefore the Company plusdid not adjust the operating lease right-of-use asset and related liability. The Company incurred an applicable margin. Subjectamount of fees and expenses to enter into the Company’s leverage ratio, the applicable LIBOR rate margin varies from 4.25% to 5.25%, and the applicable base rate margin varies from 3.25% to 4.25%. Pursuant to the terms of the amendment to the CreditSublease Agreement entered intothat were recorded as of April 15, 2015, going forward the applicable LIBOR rate margin varies from 4.25% to 6.25%, and the applicable base rate margin varies from 3.25% to 5.25%. The term loan and line of credit mature on November 21, 2019 and provide support“acquisition-related costs” for working capital, capital expenditures and other general corporate purposes, including permitted acquisitions. At closing, the Company repaid indebtedness under its prior credit facility using approximately $7,400,000 of the proceeds provided by the term loan. The prior credit facility with Fifth Third Bank was terminated concurrent with the entry of the Credit Agreement and unamortized debt financing costs and discount of $315,000 associated with the terminated debt was included in loss on early extinguishment of debt. Financing costs of $355,000 associated with the new credit facility are being amortized over its term on a straight-line basis, which is not materially different from the effective interest method.
The Credit Agreement includes customary financial covenants, including the requirements that the Company maintain minimum liquidity and achieve certain minimum EBITDA levels (as defined in the Credit Agreement). In addition, the credit facility prohibits the Company from paying dividends on the common and preferred stock. In addition to the changes to the rate margins referenced above, the April 2015 amendment to the Credit Agreement reset the financial covenants. As such, the Company is required to maintain minimum liquidity of at least (i) $5,000,000 through April 15, 2015, (ii) $6,500,000 from April 16, 2015 through and including July 30, 2015, (iii) $7,000,000 from July 31, 2015 through and including January 30, 2016, and (iv) $7,500,000 from January 31, 2016 through and including the maturity date of the credit facility.
The following table shows our future minimum EBITDA covenant thresholds, as modified by the amendment to the Credit Agreement:

For the four-quarter period ended Minimum EBITDA
April 30, 2015 $(2,500,000)
July 31, 2015 (1,750,000)
October 31, 2015 (750,000)
January 31, 2016 500,000
For the four-quarter period ending April 30, 2016, and fiscal quarters thereafter, the minimum EBITDA will be determined within 30 days following delivery of, and based upon, the projections then most recently delivered by the Company.
2021. As of January 31, 2016,2023, the Company recorded $195,000 as other income related to the sublease.

The Company entered into a lease for office space in Alpharetta, Georgia, on March 1, 2020. The lease expired on March 31, 2023. At inception, the Company recorded a right-of use asset of $540,000, and related current and long-term operating lease obligation in the accompanying consolidated balance sheet. As of January 31, 2023, operating lease right-of use assets totaled $32,000, and the associated lease liability of $35,000 is included in current liabilities. The Company used a discount rate of 6.5% to determine the lease liability. As of January 31, 2023 and 2022, the Company had no outstanding borrowings underlease operating costs of approximately $194,000 and $194,000, respectively. The Company paid cash of approximately $210,000 and $203,000 for the revolving linelease in fiscal 2022 and fiscal 2021, respectively.

Maturities of credit,operating lease liabilities associated with the Company’s operating lease as of January 31, 2023 are as follows for payments due based upon the Company’s fiscal year:

SCHEDULE OF MATURITIES OF OPERATING LEASE LIABILITIES

     
2023 $36,000 
Total lease payments  36,000 
Less present value adjustment  (1,000)
Present value of lease liabilities $35,000 

Suwanee Office Lease

Upon acquiring Avelead on August 16, 2021 (refer to Note 3 – Business Combination and had accrued $2,000 Divestiture), the Company assumed an operating lease agreement for the corporate office space of Avelead. The 36-month term lease commenced March 1, 2019 and initially expired on February 28, 2022. As of January 31, 2023, the Company recorded $73,000 in unused balance commitment fees.


Note Payable
In November 2013, as partrent expense. The lessor is an entity controlled by one of the settlementSellers that is employed by the Company. In February 2022, the Company renewed the lease for twelve months. The Company made monthly lease payments of $5,998.67 for a total of $71,984 over the term of the earn-out consideration in connection with the 2011 Interpoint acquisition, we issued an unsecured, subordinated three-year note in the amount of $900,000 (“Note Payable”) that would have maturedlease. The lease expired on November 1, 2016February 28, 2023 and accrued interest on the unpaid principal amount outstanding at a per annum rate equal to 8%. Annual principal payments of $300,000 were due on November 1, 2014, 2015 and 2016. At closing of the Credit Agreement with Wells Fargo described above, we repaid our indebtedness under this note using approximately $600,000 of the proceeds provided by the term loan.was not renewed.

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NOTE 5 — DEBT

Outstanding principal balances on debt consisted of the following at:

  January 31, 2016 January 31, 2015
Senior term loan $8,535,000
 $10,000,000
Capital lease 686,000
 1,365,000
Total 9,221,000
 11,365,000
Less: Current portion 1,266,000
 1,282,000
Non-current portion of long-term debt $7,955,000
 $10,083,000
Future repayments of long-term debt by fiscal year consisted

SCHEDULE OF OUTSTANDING DEBT

  January 31, 2023  January 31, 2022 
Term loan $9,750,000  $10,000,000 
Deferred financing cost  (36,000)  (96,000)
Total  9,714,000   9,904,000 
Less: Current portion  (750,000)  (250,000)
Non-current portion of debt $8,964,000  $9,654,000 

Debt Modification

On November 29, 2022, the Company executed the Second Modification to the Second Amended and Restated Debt Agreement (the “Second Modification Debt Agreement”). The Second Modification Debt Agreement includes an expansion of the followingCompany’s total borrowing to include a $2,000,000 revolving line of credit. The revolving line of credit is co-terminus with the term loan and matures on August 26, 2026. There are no requirements to draw on the line of credit. Amounts outstanding under the line of credit portion of the Second Modification Debt Agreement bear interest at a per annum rate equal to the Prime Rate (as published in The Wall Street Journal) plus 1.5%, with a Prime “floor” rate of 3.25%. The Second Modification Debt Agreement amended the covenants. At January 31, 2016:

  Senior Term Loan Capital Lease (1) Total
2016 $674,000
 $618,000
 $1,292,000
2017 898,000
 93,000
 991,000
2018 898,000
 
 898,000
2019 6,064,000
 
 6,064,000
Total repayments $8,534,000
 $711,000
 $9,245,000
_______________
2023, there was no outstanding balance on the revolving line of credit.

Under the Second Modification Debt Agreement, the Company has a term loan facility with an initial maximum principal amount of $10,000,000. Amounts outstanding under the Second Modification Debt Agreement bear interest at a per annum rate equal to the Prime Rate (as published in The Wall Street Journal) plus 1.5%, with a Prime “floor” rate of 3.25%.

The Second Modification Debt Agreement includes customary financial covenants as follows:

a.Minimum Cash. Borrowers shall, at all times, maintain unrestricted cash in an amount not less than Two Million Dollars ($2,000,000).
(1)Future minimum lease payments include principal plus interest.
b.Maximum Debt to ARR Ratio. Borrowers’ Maximum Debt to ARR Ratio, measured on a quarterly basis as of the last day of each fiscal quarter, shall not be greater than the amount set forth under the heading “Maximum Debt to ARR Ratio” as of, and for each of the dates appearing adjacent to such “Maximum Debt to ARR Ratio”.

SCHEDULE OF MAXIMUM DEBT TO ARR RATIO

Quarter Ending

Maximum Debt to

ARR Ratio

October 31, 20220.80 to 1.00
January 31, 20230.70 to 1.00
April 30, 20230.65 to 1.00
July 31, 20230.60 to 1.00
October 31, 20230.55 to 1.00
January 31, 20240.50 to 1.00

c.Maximum Debt to Adjusted EBITDA Ratio. Commencing with the quarter ending April 30, 2024, Borrowers’ Maximum Debt to Adjusted EBITDA Ratio, measured on a quarterly basis as of the last day of each fiscal quarter for the trailing four (4) quarter period then ended, shall not be greater than the amount set forth under the heading “Maximum Debt to Adjusted EBITDA Ratio” as of, and for each of the dates appearing adjacent to such “Maximum Debt to Adjusted EBITDA Ratio”.

Interest Rate Swap
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As

SCHEDULE OF MAXIMUM DEBT TO ADJUSTED EBITDA RATIO

Quarter EndingMaximum Debt to
Adjusted EBITDA
Ratio
April 30, 20243.50 to 1.00
July 31, 2024 and on the last day of each quarter, thereafter2.00 to 1.00

d.Fixed Charge Coverage Ratio. Commencing with the quarter ending April 30, 2024, Borrowers shall maintain a Fixed Charge Coverage Ratio of not less than 1.20 to 1.00, measured on a quarterly basis as of the last day of each fiscal quarter for the trailing four (4) quarter period then ended.

The Second Modification Debt Agreement also includes customary negative covenants, subject to exceptions, which limit transfers, capital expenditures, indebtedness, certain liens, investments, acquisitions, dispositions of assets, restricted payments, and the business activities of the Company, as well as customary representations and warranties, affirmative covenants and events of default, including cross defaults and a change of control default. The line of credit also is subject to customary prepayment requirements. For the period ended January 31, 2014,2023, the Company maintained one effective hedging relationship via one distinctwas in compliance with the Second Modification Debt Agreement covenants. Substantially all the assets of the Company are collateralized by the Second Modification Debt Agreement.

The Company recorded $20,000 in deferred financing costs related to the Second Modification Debt Agreement. These deferred financing costs are being amortized over the remaining term of the loan. The Company also incurred $50,000 in financing costs at the earlier of the term date of the loan, or pre-payment. These costs are being accreted, through interest expense, to the full value of the $250,000 over the remaining term of the loan. The full value of $250,000 includes the $200,000 costs incurred in connection with the Second Amended and Restated Loan Agreement (see below).

Term Loan Agreement

On August 26, 2021, the Company and its subsidiaries entered into the Second Amended and Restated Loan and Security Agreement with Bridge Bank. Pursuant to the Second Amended and Restated Loan and Security Agreement, Bridge Bank agreed to provide the Company and its subsidiaries with a new term loan facility in the maximum principal amount of $10,000,000. Amounts outstanding under the term loan of the Second Amended and Restated Loan and Security Agreement bear interest at a per annum rate swapequal to the Prime Rate (as published in The Wall Street Journal) plus 1.5%, with a Prime “floor” rate of 3.25%.

The Second Amended and Restated Loan and Security Agreement has a five-year term, and the maximum principal amount was advanced in a single-cash advance on or about the closing date. Interest accrued under the Second Amended and Restated Loan and Security Agreement is due monthly, and the Company shall make monthly interest-only payments through the one-year anniversary of the closing date. From the first anniversary of the closing date through the maturity date, the Company shall make monthly payments of principal and interest that increase over the term of the agreement. The Second Amended and Restated Loan and Security Agreement requires principal repayments on the anniversary date of the closing of the debt agreement (maturing December 1, 2020)of $500,000 in the second year, $1,000,000 in the third year, $2,000,000 in the fourth year, and $3,000,000 in the fifth year, respectively, with the remaining outstanding principal balance and all accrued but unpaid interest due in full on the maturity date. The Second Amended and Restated Loan and Security Agreement may also require early repayments if certain conditions are met.

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The Company recorded $130,000 in deferred financing costs related to the Second Amended and Restated Loan and Security Agreement. These deferred financing costs are being amortized over the term of the loan. The Company will also incur $200,000 in financing costs at the earlier of the term date of the loan, or pre-payment. These costs are being accreted, through interest expense, to the full value of the $200,000 over the term of the loan.

Term Loan related to “The Coronavirus Aid, Relief, and Economic Security Act”

The Coronavirus Aid, Relief, and Economic Security Act, also known as the CARES Act, was signed into law on March 17, 2020. Among other things, the CARES Act provided for a business loan program known as the Paycheck Protection Program (“PPP”). Qualifying companies were able to borrow, through the U.S. Small Business Administration (“SBA”), which requiredup to two months of payroll expenses. On April 21, 2020, the Company received approximately $2,301,000 through the SBA under the PPP. These funds were utilized by the Company to payfund payroll expenses and avoid further staffing reductions during the slowdown resulting from COVID-19.

The PPP loan carried an interest at a fixed rate of 6.42%1.0% per annum. Principal and receive interest at a variable rate. This interest rate swap agreementpayments were due, beginning on the tenth month from the effective date, sufficient to satisfy the loan on the second anniversary date. However, under certain criteria, the loan could be forgiven.

In June 2021, the Company was designated to hedge $8,500,000 of a variable rate debt obligation. The one-month LIBOR rate on each reset date determinednotified that the variable portionfull $2,301,000 of the interest rate swap for the following month. The interest rate swap settled anyPPP loan and accrued interest for cashof $26,000 had been forgiven. The loan amount and accrued interest were recognized as an extinguishment of debt and has been recorded as other income on the first dayconsolidated statement of each calendar month, until expiration. At such dates, the differences to be paid or received on the interest rate swap were included in interest expense. No premium or discount was incurred upon the Company entering into the interest rate swap, because the pay and receive rates on the interest rate swap represented prevailing rates for the counterparty at the time the interest rate swap was entered into.

The interest rate swap qualified for cash flow hedge accounting treatment and as such, the Company had effectively hedged its exposure to variability in the future cash flows attributable to the one-month LIBOR on its $8,500,000 of variable rate obligation. The change in the fair value of the interest rate swap was recorded on the Company’s consolidated balance sheet as an asset or liability with the effective portion of the interest rate swap’s gains or losses reported as a component of other comprehensive loss and the ineffective portion reported in earnings (interest expense). As of January 31, 2014, the

Company had a fair value liability of approximately $111,000 for the effective portion of the interest rate swap. During the third quarter of fiscal 2014, the interest rate swap was terminated prior to its maturity, and losses accumulated in other comprehensive loss were reclassified into earnings.

operations.

NOTE 76GOODWILL AND INTANGIBLE ASSETS

The goodwill activity is summarized as follows:
 Goodwill
Balance January 31, 2014$11,934,000
Goodwill acquired during fiscal 20144,251,000
Balance January 31, 2015 and January 31, 2016$16,185,000

Intangible assets net, consist of the following:

SCHEDULE OF INTANGIBLE ASSETS

  January 31, 2023
  Estimated    Accumulated    
  Useful Life Gross Assets  Amortization  Net Assets 
Finite-lived assets:              
Client relationships 8-10 years $9,700,000  $1,463,000  $8,237,000 
Internally Developed Software 9 years $6,380,000  $1,034,000  $5,346,000 
Trademarks and Tradenames 15 years $1,340,000  $130,000  $1,210,000 
Total   $17,420,000  $2,627,000  $14,793,000 

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 January 31, 2016
Estimated
Useful Life
 Gross Assets 
Accumulated
Amortization
 Net Assets
Definite-lived assets:       
Trade name1 year $26,000
 $26,000
 $
Client relationships10-15 years 5,932,000
 2,220,000
 3,712,000
Covenants not to compete0.5-15 years 856,000
 667,000
 189,000
Supplier agreements5 years 1,582,000
 1,094,000
 488,000
License agreement15 years 4,431,000
 665,000
 3,766,000
Total  $12,827,000
 $4,672,000
 $8,155,000
 January 31, 2015
Estimated
Useful Life
 Gross Assets 
Accumulated
Amortization
 Net Assets
Definite-lived assets:       
Trade name1 year $26,000
 $26,000
 $
Client relationships10-15 years 5,932,000
 1,548,000
 4,384,000
Covenants not to compete0.5-15 years 856,000
 606,000
 250,000
Supplier agreements5 years 1,582,000
 778,000
 804,000
License agreement15 years 4,431,000
 369,000
 4,062,000
Total  $12,827,000
 $3,327,000
 $9,500,000

In fiscal 2014, management determined that the concerted effort to rebrand the Company’s solutions under a single, harmonized Looking Glass® marketing platform moving forward, eroded, in total, the value of the Meta Trade name. As a result, the

  January 31, 2022
  Estimated    Accumulated    
  Useful Life Gross Assets  Amortization  Net Assets 
Finite-lived assets:              
Client relationships 8-10 years $14,164,000  $4,755,000  $9,409,000 
Internally Developed Software 9 years  6,380,000   325,000   6,055,000 
Trademarks and Tradenames 15 years  1,340,000   41,000   1,299,000 
Total   $21,884,000  $5,121,000  $16,763,000 

The Company recorded a $1,952,000 loss, which is reflected in Impairment ofrecognized amortization expense on intangible assets on the Consolidated Statements of Operations.

$1,971,000 and $1,281,000 for fiscal 2022 and 2021, respectively.

Amortization over the next five fiscal years for intangible assets is estimated as follows:

 Annual Amortization Expense
2016$1,298,000
20171,088,000
2018863,000
2019826,000
2020791,000
Thereafter3,289,000
Total$8,155,000

the consolidated statements of operations as this eliminated the asset and accumulated amortization of the fully amortized intangible assets.

NOTE 87INCOME TAXES

Income

For fiscal 2022 and 2021, income taxes for continuing operations consist of the following:

SCHEDULE OF INCOME TAXES FOR CONTINUING OPERATION

  2022  2021 
  Fiscal Year 
  2022  2021 
Current tax expense:        
Federal $  $ 
State  (62,000)  (14,000)
Total current tax expense $(62,000) $(14,000)
Deferred tax expense:        
Federal $(6,000) $(80,000)
State  (3,000)  (15,000)
Total deferred tax expense $(9,000) $(95,000)
Total provision $(71,000) $(109,000)

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 Fiscal Year
 2015 2014
Current tax (expense) benefit:   
Federal$
 $131,816
State(17,578) 34,611
 (17,578) 166,427
Deferred tax benefit:   
Federal8,838
 663,681
State737
 56,901
 9,575
 720,582
Current and deferred tax (expense) benefit$(8,003) $887,009

The income tax (expense) benefit for income taxesexpense differs from the amount computed using the federal statutory income tax raterates of 21% for fiscal 2022 and 2021 continuing operations as follows:

 Fiscal Year
 2015 2014
Federal tax benefit at statutory rate$1,455,816
 $4,385,479
State and local taxes, net of federal benefit (expense)(267,997) 325,966
Change in valuation allowance(1,629,786) (4,030,864)
Permanent items:   
Incentive stock options(513,708) (421,366)
Transaction costs
 (5,291)
Escrow refund255,000
 
Change in fair value of warrants liability553,951
 776,337
Other(28,914) (44,719)
Reserve for uncertain tax position
 164,127
Other167,635
 (262,660)
Income tax (expense) benefit$(8,003) $887,009



SCHEDULE OF EFFECTIVE INCOME TAX RATE RECONCILIATION

  2022  2021 
  Fiscal Year 
  2022  2021 
Federal tax benefit at statutory rate $(2,390,000) $(1,430,000)
State and local tax expense, net of federal  52,000   26,000 
Increase in valuation allowance  2,029,000   1,950,000 
Permanent items:        
PPP loan     (483,000)
Other  20,000   3,000 
Reserve for uncertain tax position  18,000   (24,000)
Federal R&D tax credit  (91,000)  (120,000)
Stock-based compensation  289,000   (45,000)
Other  2,000   (8,000)
Income tax expense $(71,000) $(109,000)

The Company provides deferred income taxes for temporary differences between assets and liabilities recognized for financial reporting and income tax purposes. The income tax effects of these temporary differences and credits are as follows:

 January 31,
 2016 2015
Deferred tax assets:   
Allowance for doubtful accounts$58,379
 $245,252
Deferred revenue244,163
 372,275
Accruals203,291
 174,658
Net operating loss carryforwards15,179,685
 14,905,174
Stock compensation expense592,654
 438,659
Property and equipment78,295
 
AMT credit102,144
 102,144
Other17,794
 8,912
Total deferred tax assets16,476,405
 16,247,074
Valuation allowance(14,184,030) (12,554,242)
Net deferred tax assets2,292,375
 3,692,832
Deferred tax liabilities:   
Property and Equipment
 (21,755)
Definite-lived intangible assets(2,292,375) (3,671,077)
Indefinite-lived intangibles
 (9,575)
Total deferred tax liabilities(2,292,375) (3,702,407)
Net deferred tax liabilities$
 $(9,575)

SCHEDULE OF DEFERRED TAX ASSETS AND LIABILITIES

  2023  2022 
  January 31, 
  2023  2022 
Deferred tax assets:        
Allowance for doubtful accounts $39,000  $24,000 
Deferred revenue  122,000   60,000 
Accruals  232,000   168,000 
Net operating loss carryforwards  11,242,000   10,908,000 
Stock compensation expense  342,000   510,000 
Finite-lived intangible assets  1,344,000  
R&D tax credit  1,407,000   1,334,000 
Other  2,000   23,000 
Total deferred tax assets  14,730,000   13,027,000 
Valuation allowance  (14,347,000)  (12,318,000)
Net deferred tax assets  383,000  709,000 
Deferred tax liabilities:        
Property and equipment  (5,000)  (6,000)
Finite-lived intangible liabilities  (482,000)  (798,000)
Total deferred tax liabilities  (487,000)  (804,000)
Net deferred tax liabilities $(104,000) $(95,000)

At January 31, 2016,2023, the Company had U.S. federal net operating loss carry forwards of $44,347,000, which$49,884,000 and $29,083,000 of these net operating losses expire at various dates through fiscal 2035.2038. The Company also has an Alternative Minimum Taxremaining $20,801,000 of these net operating losslosses can be carried forward indefinitely under the provisions of the Tax Cuts and Jobs Act (TCJA). The TCJA also eliminated the ability to carry forward of $39,656,000, which has an unlimited carry forward period.back net operating losses. The Company also had state net operating loss carry forwards of $16,144,000,$24,095,000 and Federal R&D credit carry forwards of $1,666,000 and Georgia R&D credit carry forwards of $94,000, all of which expire on or beforeat various dates through fiscal 2035.2042.

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In assessing the realizability of deferred tax assets, management considers whether it is more likely than not that all or some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the periods in which those temporary differences become deductible. Management considers the scheduled reversal of deferred tax liabilities, projected future taxable income and tax planning strategies in making this assessment. The Company established a valuation allowance of $14,184,000$14,347,000 and $12,554,000$12,318,000 at January 31, 20162023 and 2015,2022, respectively. The increase in the valuation allowance of $1,630,000$2,029,000 was driven primarily by losses incurred during the year ended January 31, 2016. Management believes it is more likely than not the Company will realize the remaining deferred tax assets, net of existing valuation allowances, in future years.

Due to the reporting requirements of ASC 718, $1,592,000 of theCompany’s federal net operating loss carryforward (tax effected $588,000) is not recorded on the Company’s balance sheet because the loss was created by the tax benefits of stock option exercises, which cannot be recognized for book purposes until the benefit has been realized by actually reducing taxes payable. When recognized, the tax benefit of these losses will be accounted for as a credit to additional paid in capital rather than a reduction of the income tax provision.
losses.

The Company and its subsidiarysubsidiaries are subject to U.S. federal income tax as well as income taxes in multiple state and local jurisdictions. The Company has concluded all U.S. federal tax matters for years through January 31, 2011.2019. All material state and local income tax matters have been concluded for years through January 31, 2010.

2018. The Company did not haveis no longer subject to IRS examination for periods prior to the tax year ended January 31, 2019; however, carry forward losses that were generated prior to the tax year ended January 31, 2019 may still be adjusted by the IRS if they are used in a future period.

The Company has recorded a reserve, including interest and penalties, for uncertain tax positions of $333,000 and $315,000as of both January 31, 20162023 and 2015.2022, respectively. As of both January 31, 20162023 and 2015,2022, the Company had no accrued interest and penalties associated with unrecognized tax benefits.

A reconciliation of the beginning and ending amounts of gross unrecognized tax benefits (excluding interest and penalties) is as follows:

Index

SCHEDULE OF GROSS UNRECOGNIZED TAX BENEFITS

  2022  2021 
Beginning of fiscal year $315,000  $339,000 
Additions for tax positions for the current year  11,000   4,000 
Additions for tax positions of prior years  7,000    
Subtractions for tax positions of prior years     (28,000)
End of fiscal year $333,000  $315,000 

NOTE 8 — EQUITY

Capital Raise

On October 24, 2022, the Company entered into purchase agreements with certain investors pursuant to Financial Statementswhich the Company agreed to issue and sell in a registered direct offering (the “2022 Offering”) an aggregate of 6,299,989 shares of common stock, par value $0.01 per share, at a purchase price of $1.32 per share. The gross proceeds to the Company from the 2022 Offering were approximately $8,316,000. The Company intends to use the proceeds of the 2022 Offering for general corporate purposes. The 2022 Offering closed on October 26, 2022.

On February 25, 2021, the Company entered into an underwriting agreement with Craig-Hallum Capital Group LLC, as the sole managing underwriter, relating to the underwritten public offering of an aggregate of 10,062,500 shares of the Company’s common stock, par value $0.01 per share, which included 1,312,500 shares of common stock sold pursuant to the underwriter’s exercise of an option to purchase additional shares of common stock to cover over-allotments (the “2021 Offering”). The price to the public in the 2021 Offering was $1.60 per share of common stock. The gross proceeds to the Company from the 2021 Offering were approximately $16.1 million, before deducting underwriting discounts, commissions and estimated offering expenses. The 2021 Offering closed on March 2, 2021.

Registration of Shares Issued to 180 Consulting

On May 3, 2021, the Company filed a Registration Statement on Form S-3 (Registration No. 333-255723), which was subsequently amended on June 23, 2021, for purposes of registering for resale 248,424 shares of common stock issued to 180 Consulting, LLC (“180 Consulting”). The Registration Statement was declared effective by the SEC on July 14, 2021.

On June 22, 2022, the Company filed a Registration Statement on Form S-3 (Registration No. 333-265773) for purposes of registering for resale 272,653 shares of common stock issued to 180 Consulting, LLC (“180 Consulting”). The Registration Statement was declared effective by the SEC on July 1, 2022.

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 2015 2014
Beginning of fiscal year$
 $121,000
Additions for tax positions of prior years
 
Reductions for tax positions of prior years
 
Reductions attributable to lapse of statute of limitations
 (121,000)
End of fiscal year$
 $

Authorized Shares Increase

On May 24, 2021, the Company amended its Certificate of Incorporation to increase the total number of authorized shares of the Company’s common stock from 45,000,000shares to 65,000,000shares (the “Charter Amendment”). The Charter Amendment was previously approved by the board of directors of the Company, subject to stockholder approval, approved by the Company’s stockholders at the 2021 Annual Meeting and ratified by the Company’s stockholders at the 2021 Special Meeting.

Also at the 2021 Annual Meeting, the Company’s stockholders approved an amendment to the Streamline Health Solutions, Inc. Third Amended and Restated 2013 Stock Incentive Plan to increase the number of shares of the Company’s common stock authorized for issuance thereunder by 2,000,000 shares, from 6,223,246 shares to 8,223,246 shares (the “Third Amended 2013 Plan Amendment”). The Company’s stockholders ratified the approval and effectiveness of the Third Amended 2013 Plan Amendment at the 2021 Special Meeting.

At the 2022 Annual Meeting, the Company’s stockholders approved an amendment to the Streamline Health Solutions, Inc. Third Amended and Restated 2013 Stock Incentive Plan to increase the number of shares of the Company’s common stock authorized for issuance thereunder by 2,000,000 shares, from 8,223,246 shares to 10,223,246 shares. The Company’s stockholders also approved an amendment to the Company’s Certificate of Incorporation, as amended, to increase the total number of authorized shares of the Company’s common stock from 65,000,000 shares to 85,000,000 shares.

NOTE 9 — MAJOR CLIENTS

During fiscal year 2015, no2022, two individual clients accounted for 10% or more of our continuing operations revenue. These clients accounted for 20% and 12%, respectively, of total continuing operations revenue for fiscal 2022. During fiscal 2021, one individual client accounted for 10% or more of our continuing operations revenue. This client accounted for 15% of total revenues. Twocontinuing operations revenue for fiscal 2021. Four clients represented 13%13%, 12%, 12% and 12%10%, respectively, of totalcontinuing operations accounts receivable as of January 31, 2016.

During fiscal year 2014, no individual client accounted for 10% or more of our total revenues. Two2023, and three clients represented 16%24%, 16%, and 10%15%, respectively, of totalcontinuing operations accounts receivable as of January 31, 2015.

2022. Many of our clients are invoiced on an annual basis.

NOTE 10 — EMPLOYEE RETIREMENT PLAN

The Company has established a 401(k) retirement plan that covers all associates. Company contributions to the plan may be made at the discretion of the board of directors. The Company matches 100%Company’s matched amount is 50% up to the first 4% of compensation deferred by each associate in the 401(k) plan.associate. The total compensation expense for this matching contribution was $499,000$258,000 and $440,000$188,000 in fiscal 20152022 and 2014,2021, respectively.


NOTE 11 — EMPLOYEE STOCK PURCHASE PLAN

The Company has an Employee Stock Purchase Plan under which associates may purchase up to 1,000,000 shares of common stock. Under the plan, eligible associates may elect to contribute, through payroll deductions, up to 10% of their base pay to a trust during any plan year, i.e., January 1 through December 31 of the same year. Semi-annually, typically in January and July of each year, the plan issues for the benefit of the employees shares of common stock at the lesser of (a) 85% of the fair market value of the common stock on the first day of the vesting period, January 1 or July 1, or (b) 85% of the fair market value of the common stock on the last day of the vesting period, June 30 or December 31 of the same year. At January 31, 2016, 528,164 shares remain that can be purchased under the plan.
The Company recognized compensation expense of $20,000 and $14,000 for fiscal years 2015 and 2014, respectively, under this plan.
During fiscal 2015, 27,071 shares were purchased at the price of $2.38 per share and 42,050 shares were purchased at the price of $1.20 per share; during fiscal 2014, 11,141 shares were purchased at the price of $4.08 per share and 9,900 shares were purchased at the price of $3.68 per share. The cash received for shares purchased from the plan was $115,000 and $82,000 in fiscal 2015 and 2014, respectively.
The purchase price at June 30, 2016, will be 85% of the lower of (a) the closing price on January 4, 2016 ($1.41) or (b) the closing price on June 30, 2016.

NOTE 12 — STOCK BASEDSTOCK-BASED COMPENSATION

Stock Option Plans

The Company’s Third Amended and Restated 2013 Stock Incentive Plan (the “2013 Plan”) authorizesreplaced the 2005 Incentive Compensation Plan (the “2005 Plan”). The 2005 Plan expired based upon its terms. Accordingly, all the outstanding awards and any unallocated pool of un-issued options under the 2005 Plan were re-characterized to the 2013 Plan. Under these plans, the Company is authorized to issue up to 4,500,000 equity awards (stock options, stock appreciation rights or “SAR’s”“SARs”, and restricted stock) to directors and associates of the Company. TheUnder the 2013 Plan, replacedas amended, the 2005 Incentive Compensation Plan (the “2005 Plan”). Outstanding awards under the 2005 Plan continueCompany is authorized to be governed by the termsissue a number of the 2005 Plan until exercised, expired or otherwise terminated or canceled, but no further equity awards are allowedshares not to be granted under the 2005 Plan.exceed 10,223,246. The options granted under the 2013 Plan and 2005 Plan have terms of ten years or less, and typically vest and become fully exercisable ratably over three years of continuous service to the Company from the date of grant.grant. At January 31, 20162023 and 2015,2022, options to purchase 2,186,879628,958 and 1,737,323937,130 shares of the Company’s common stock, respectively, havehad been granted and are outstanding.were outstanding under these plans. There are no SAR’sSARs outstanding.

72
In fiscal 2015 and 2014, inducement

Inducement grants wereare approved by the Company's Board of DirectorsCompany’s compensation committee pursuant to NASDAQ Marketplace Rule 5635(c)(4). The terms of the grants were nearly identical to the terms and conditions of the Company’s stock incentive plans in effect at the time of each inducement grant.


For the year ended January 31, 2016,2023 and 2022, with regard to inducement grants, no stock options were issued, 405,417no options expired, 69,583no options were forfeited, and no stock options were exercised. For the year endedAs of January 31, 2015, 300,000 stock options were issued, 125,694 options expired, 99,722 were forfeited,2023 and 205,556 were exercised. At January 31, 2016 and 2015,2022, there were 225,0000 and 700,000125,000 options outstanding, respectively. Please see “Restricted Stock” section for information on the restricted shares.
respectively, under inducement grants.

A summary of stock option activity follows:

 Options Weighted Average Exercise Price Remaining Life in Years Aggregate intrinsic value
Outstanding as of February 1, 20152,437,323
 $4.52
    
Granted1,011,828
 3.02
    
Exercised(75,000) 2.15
    
Expired(704,326) 3.67
    
Forfeited(257,946) 4.97
    
Outstanding as of January 31, 20162,411,879
 $4.16
(1)8.09 $4,003,719
Exercisable as of January 31, 20161,000,037
 $4.75
(2)6.82 $1,660,061
Vested or expected to vest as of January 31, 20161,990,872
 $4.25
 7.90 $3,304,848
_______________
(1)The exercise prices range from $1.53 to $8.17, of which 207,924 shares are between $1.53 and $2.00 per share, 862,938 shares are between $2.08 and $4.00 per share, and 1,341,017 shares are between $4.02 and $8.17 per share.
(2)The exercise prices range from $1.53 to $8.17, of which 97,924 shares are between $1.53 and $2.00 per share, 268,356 shares are between $2.08 and $4.00 per share, and 633,757 shares are between $4.02 and $8.17 per share.

For

SCHEDULE OF STOCK OPTION ACTIVITY

     Weighted       
     Average  Remaining  Aggregate 
  Options  Exercise
Price
  Life in
Years
  intrinsic
value
 
Outstanding as of January 31, 2022  1,062,130  $2.65   6.11  $21,000 
Granted              
Exercised  (5,000)  1.18         
Expired  (428,172)  3.68         
Forfeited              
Outstanding as of January 31, 2023  628,958  $1.95   7.31  $360,000 
Exercisable as of January 31, 2023  365,069  $3.36   3.72  $193,000 
Vested or expected to vest as of January 31, 2023  628,958  $1.95   7.31  $360,000 

No options were granted in fiscal 2015 and 2014, the2022. 583,333 options were granted in fiscal 2021, with a weighted average grant date fair value of options granted during the year was $1.64 and $2.90, respectively, and the total intrinsic value of options exercised during the year was $125,000 and $990,000, respectively.


$1.53.

The fiscal 20152022 and 20142021 stock-based compensation was estimated at the date of grant using a Black-Scholes option pricing model with the following weighted average assumptions for each fiscal year:

 2015 2014
Expected life6 years
 6 years
Risk-free interest rate1.51% 1.35%
Weighted average volatility factor0.59
 0.60
Dividend yield
 
Forfeiture rate30% 22%

SCHEDULE OF WEIGHTED AVERAGE ASSUMPTIONS

  2022  2021 
Expected life     5.01 years 
Risk-free interest rate     0.75%
Weighted average volatility factor     0.72 
Dividend yield      
Forfeiture rate      

At January 31, 2016,2023, there was $1,588,000$203,000 of unrecognized compensation cost related to non-vested stock-option awards. That cost is expected to be recognized over a remaining weighted average period of 1.81.54 years. The expense associated with stock option awards was $1,783,000$132,000 and $1,655,000,$69,000, respectively, for fiscal 20152022 and 2014.2021. Cash received from the exercise of options and purchases pursuant to the Employee Stock Purchase Plan was $276,000 and $552,000, respectively,$6,000 in fiscal 2015 and 2014.

2022. No options were exercised during fiscal 2021.

The 2005 Plan and the 2013 Plan containcontains change in control provisions whereby any outstanding equity awards under the plans subject to vesting, which have not fully vested as of the date of the change in control, shall automatically vest and become immediately exercisable. One of the change in control provisions is deemed to occur if there is a change in beneficial ownership, or authority to vote, directly or indirectly, of securities representing 20%20% or more of the total of all of the Company’s then outstandingthen-outstanding voting securities, unless through a transaction arranged by or consummated with the prior approval of the Board of Directors. Other change in control provisions relate to mergers and acquisitions or a determination of change in control by the Company’s Board of Directors.

73

Restricted Stock

The Company is authorized to grant restricted stock awards to associates and directors under the 2013 Plan. The Company has also issued restricted stock as inducement grants to certain new employees. The restrictions on the shares granted generally lapse over a one-yearone- to four-year term of continuous employment from the date of grant. On November 1, 2022, our CEO was awarded 50,000 shares of restricted stock that will vest in three substantially equal annual installments commencing on the first anniversary of the date of grant. On May 20, 2022, our CEO was awarded 150,000 shares of restricted stock that will vest in three substantially equal annual installments commencing on the first anniversary of the date of grant. On March 4, 2021, our CEO was awarded 150,000 shares of restricted stock that will vest in four substantially equal quarterly installments commencing on the first anniversary of the date of grant. The grant date fair value per share of restricted stock, which is based on the closing price of our common stock on the grant date, is expensed on a straight-line basis


as the restriction period lapses. The shares represented by restricted stock awards are considered outstanding at the grant date, as the recipients are entitled to voting rights. A summary of restricted stock award activity for fiscal 20142022 and 20152021 is presented below:

Non-vested Number of Shares Weighted Average Grant Date Fair Value
Non-vested balance at January 31, 201429,698
 $6.01
Granted120,306
 4.31
Vested(29,698) 6.65
Forfeited/expired
 
Non-vested balance at January 31, 2015120,306
 $4.31
Granted118,180
 2.62
Vested(120,306) 4.31
Forfeited/expired(5,800) 4.31
Non-vested balance at January 31, 2016112,380
 $2.62

SCHEDULE OF RESTRICTED STOCK AWARD ACTIVITY

     Weighted 
  Non-vested  Average 
  Number of  Grant Date 
  Shares  Fair Value 
Non-vested balance at January 31, 2021  931,125  $1.09 
Granted  1,257,500   1.71 
Vested  (1,095,175)  1.33 
Forfeited  (50,100)  1.48 
Non-vested balance at January 31, 2022  1,043,350  $1.57 
Granted  1,505,731   1.47 
Vested  (501,750)  1.63 
Forfeited  (199,300)  1.49 
Non-vested balance at January 31, 2023  1,848,031  $1.48 

At January 31, 2016,2023, there was $77,000$1,958,000 of unrecognized compensation cost related to restricted stock awards. That cost is expected to be recognized over a remaining period of one year or less.

2.20 years.

The expense associated with restricted stock awards for associates and directors was $582,000$983,000 and $265,000,$1,667,000, respectively, for fiscal 20152022 and 2014.2021.

74

NOTE 13 — 12— COMMITMENTS AND CONTINGENCIES

Litigation

Consulting Agreement with 180 Consulting

On March 19, 2020 the Company entered into a Master Services Agreement (the “MSA”) with 180 Consulting, pursuant to which 180 Consulting has provided and will continue to provide a variety of consulting services in support of eValuator products including product management, operational consulting, staff augmentation, internal systems platform integration and software engineering services, among others, through separate executed statements of work (“SOWs”). On September 20, 2021, the Company entered into a separate MSA in support of Avelead products. The Company has entered into twelve SOWs under the eValuator MSA, and two under the Avelead MSA. Some of the SOWs include the ability to earn stock at a conversion rate to be calculated 20 days after the execution of the related SOW. The MSA includes a termination clause upon a 90-day written notice. While no related party has a direct or indirect material interest in this MSA or the related SOWs, individuals providing services to us under the MSA and the SOWs may share workspace and administrative costs with 121G Consulting. 180 Consulting earned 394,127 shares for the year ended January 31, 2023 and has earned an aggregate of 915,204 shares through January 31, 2023. For services rendered by 180 Consulting during fiscal 2022, the Company incurred fees of $2,540,000, and $81,000 of capitalized non-employee stock compensation. In addition, on March 8, 2023, the Company issued to 180 Consulting an aggregate of 100,927 shares as compensation for services previously rendered during the three-months ended January 31, 2023. Such 100,927 shares were issued in a private placement in reliance on the exemption from registration available under Section 4(a)(2) of the Securities Act, including Regulation D promulgated thereunder. For services rendered by 180 Consulting during fiscal 2021, the Company incurred fees of $1,439,000.

Inclusive of the MSA executed with 180 Consulting are SOWs that provide for the Company to sublicense a software through 180 Consulting that is owned by 121G. This is a services agreement for access to software that assists the Company in implementing and integrating with our clients’ technology. The license agreement is designed such that there is no material financial benefit that accrues to 121G. 180 Consulting licenses the software from 121G at cost. The Company paid approximately $301,000 and $227,000 for the SOWs that include the sublicense agreement in each of the fiscal years ended January 31, 2023 and 2022, respectively, which are included in the aforementioned totals above.

Litigation

We are, from time to time, a party to various legal proceedings and claims, which arise in the ordinary course of business. Other than the matter described below, the Company isWe are not aware of any legal matters that couldare reasonably possible to have a material adverse effect on the Company’s consolidated results of operations, financial position or cash flows.

NOTE 13 – DISCONTINUED OPERATIONS

On February 12, 2014,24, 2020, the Company entered into a strategic alliance agreement with CentraMed, Inc. (“CentraMed”). On May 6, 2014,consummated the Company signed an asset purchase agreement with CentraMed. This purchase agreement provided forpreviously announced sale of the Company’s purchase of substantially all of CentraMed’s assets relatedlegacy Enterprise Content Management business (the “ECM Assets”) pursuant to its business of providing healthcare analytics and consulting servicesthat certain Asset Purchase Agreement, dated December 17, 2019, as amended (the “Asset Purchase Agreement”), to hospitals, physicians, and other providers. The agreement provided the Company the right to terminate the agreement in a number of circumstances, including if the Company was not satisfied, in its sole and absolute discretion, with the results of its due diligence review; the Company’s senior lender did not consentHyland Software, Inc. (the “Purchaser”),

Pursuant to the transactions contemplated byAsset Purchase Agreement, the agreement; orPurchaser acquired the Company’s Board did not authorize the transactions contemplated by the agreement. On January 12, 2015, the Company terminated the purchase agreement in accordance with its termination rights.

On March 9, 2015, CentraMed asserted claims againstECM Assets and assumed certain liabilities of the Company for breacha purchase price of contract, misrepresentation, tortious interference with contracts and prospective economic relationships and bad faith$16.0 million, subject to certain adjustments for client prepayments as set forth in connection with the strategic alliance agreement and the asset purchase agreement. On March 24, 2015,Asset Purchase Agreement.

At closing, the Company rejectedreceived approximately $5.4 million in net proceeds after (i) repaying the aforementioned claimsCompany’s $4.0 million term loan with Bridge Bank, (ii) adjusting for certain client prepayments, (iii) recording the escrow funds of $800,000 and denied any liability to CentraMed.(iv) incurring certain transaction costs. The Company intends to contest vigorously any action instituted against it by CentraMed. Because of the many questions of fact and law that may arise, the outcome of this matter is uncertain at this point. Basedgain on the information available to us at present, we cannot reasonably estimate a rangesale of loss for this matter and, accordingly, we have not accrued any liability associated with this matter.



NOTE 14 – PRIVATE PLACEMENT INVESTMENT
On August 16, 2012, the Company completed a $12,000,000 private placement investment (“private placement investment”) with affiliated funds and accounts of Great Point Partners, LLC, and Noro-Moseley Partners VI, L.P., and another investor. The investment consisted of the following instruments: issuance of 2,416,785 shares of a new Series A 0% Redeemable Convertible Preferred Stock (“Series A Preferred Stock”) at $3.00 per share, common stock warrants (“warrants”) exercisable for up to 1,200,000 shares of the Company's common stock at an exercise price of $3.99 per share, and convertible subordinated notes payable in the aggregate principal amount of $5,699,577, which upon stockholder approval, converted into 1,583,210 shares of Series A Preferred Stock. The proceeds were allocated among the instruments based on their relative fair valuesassets is summarized as follows:

SCHEDULE OF GAIN ON SALE OF ASSETS

     
Net Proceeds, including escrowed funds $12,088,000 
Net tangible assets sold:    
Accounts Receivable  (1,130,000)
Prepaid Expenses  (576,000)
Deferred Revenues  4,010,000 
Net tangible assets sold  2,304,000 
Capitalized software development costs  (1,772,000)
Goodwill  (4,825,000)
Transaction cost  (1,782,000)
Gain on sale of discontinued operations $6,013,000 

  Adjusted Fair Value at August 16, 2012 Proceeds Allocation at August 16, 2012
Instruments:     
Series A Preferred Stock $9,907,820
 $6,546,146
(1)
Convertible subordinated notes payable 5,699,577
 3,765,738
(2)
Warrants 2,856,000
 1,688,116
(3)
Total investment $18,463,397
 $12,000,000
 
_______________

(1)
The Series A Preferred Stock convert on a 1:1 basis into common stock, but differ in value from common stock due to the downside protection relative to common stock in the event the Company liquidates, and the downside protection, if, after four years, the holder has not converted and the stock is below $3.00. The fair value of Series A Preferred Stock was determined using a Monte-Carlo simulation following a Geometric Brownian Motion, using the following assumptions: annual volatility of 75%, risk-free rate of 0.9% and dividend yield of 0.0%. The model also utilized the following assumptions to account for the conditions within the agreement: after four years, if the simulated common stock price fell below a price of $3.00 per share, the convertible preferred stock would automatically convert to common stock on a 1:1 basis moving forward at a price of exactly $3.00 per share and a forced conversion if the simulated stock price exceeded $8.00 per share.
75
(2)

The fair value of convertible subordinated notes payable was determined based on its current yield as compared to that of those currently outstanding in the marketplace. Management reviewed the convertible note agreement and determined that the note's interest rate is a reasonable representative of a market rate; therefore the face or principal amount of the loan is a reasonable estimate of its fair value.

(3)
The fair value of the common stock warrants was determined using a Monte-Carlo simulation following a Geometric Brownian motion, using the following assumptions: annual volatility of 75%, risk-free rate of 0.9%, dividend yield of 0.0% and expected life of 5 years. Because the dilutive down-round financing was subject to stockholder approval, which had not happened at the time of the valuation, the model utilized the assumption that the down-round financing would not occur within the simulation.
The Company incurred legal, placement and other adviser fees of $1,894,000, including $754,000 in costs for warrants issued to placement agents. The total transaction costs were primarily broker costs and costs of legal and accounting to effect the transaction. The Company allocated among$4,825,000 in goodwill to the instrumentssale of the private placement investmentECM Assets using a valuation of the ECM Assets and the remaining, go-forward business, to bifurcate its existing goodwill as of February 24, 2020. The amount of goodwill to be included in that carrying amount was based on their relative fair values as follows: $611,000 to subordinated convertible notes as deferred financing costs, $1,020,000 to Series A Preferred Stock as discount on Series A Preferred Stock and $263,000 to warrants as a charge to additional paid in capital.
Series A Convertible Preferred Stock
In connection with the private placement investment, the Company issued 2,416,785 shares of Series A Preferred Stock at $3.00 per share. Each share of the Series A Preferred Stock is convertible into one share of the Company's common stock. The price per share of Series A Preferred Stock and the conversion price for the common stock was less than the “market value” of the common stock of $3.82 (as defined in the rules of the Nasdaq Stock Market) on the date of execution of the definitive agreements. The Series A Preferred Stock does not pay a dividend, however, the holders are entitled to receive dividends on shares of Preferred Stock equal (on an as-if-converted-to-common-stock basis) to and in the same form as dividends (other than dividends in the form of common stock) actually paid on shares of the common stock. The Series A Preferred Stock has voting rights on a modified as-if-converted-to-common-stock-basis. The Series A Preferred Stock has a non-participating liquidation right equal to the original issue price plus accrued unpaid dividends, which are senior to the Company’s common stock. The Series A Preferred Stock can be converted to common shares at any time by the holders, or at the option of the Company if the arithmetic average of the daily volume weighted average price of the common stock for the ten day period prior to the

measurement date is greater than $8.00 per share, and the average daily trading volume for the sixty day period immediately prior to the measurement date exceeds 100,000 shares. The conversion price is $3.00 per share, subject to certain adjustments.
The allocation of the proceeds and transaction costs based on relative fair values of the instruments resultedbusiness to be disposed of and the portion of the reporting unit that will be retained using our fair value approach as outlined in recognitionNote 2. Further, in accordance ASC 350-20-35-3A, when only a portion of a discount on the Series A Preferred Stock of $4,410,000, including a discount attributablegoodwill is allocated to a beneficial conversion featurebusiness to be disposed of, $2,686,000, whichthe remaining portion of the goodwill associated with the reporting unit to be retained was tested for impairment and no impairment was recognized.

For fiscal 2021, the Company recorded the following into discontinued operations in the accompanying consolidated statements of operations:

SCHEDULE OF DISCONTINUED OPERATIONS IN STATEMENTS OF OPERATIONS

  2021 
Revenues:    
Transition service fees $498,000 
Total revenues $498,000 
     
Expenses:    
Cost of Sales $5,000 
Transition service cost  92,000 
Total expenses $97,000 
Income from discontinued operations $401,000 

The Company entered into an agreement with the Purchaser of the ECM Assets to maintain the current data center through a transition period. The transition services did not have a finite ending date at the signing of the agreement. However, the transition services were completed in the third quarter of fiscal 2021.

NOTE 14 - RELATED PARTY TRANSACTIONS

Refer to Note 3 – Business Combination and Divestiture. The Company acquired Avelead on August 16, 2021. In addition, the Company assumed a consulting agreement with AscendTek, LLC (“AscendTek”), a software development and system design company. AscendTek is being amortized fromowned by one of the dateSellers of issuanceAvelead. The Company entered into a separation agreement with this Seller of Avelead on closing of the Avelead acquisition. From the acquisition date to the earliest redemption date. For the yearsyear ended January 31, 2016 and 2015,2022, the Company recognized $1,336,000incurred approximately $64,000 in research and $1,038,000, respectively, of amortization ofdevelopment services provided by AscendTek. For the discount on Series A Preferred Stock as deemed dividends charged to additional paidfiscal year ended January 31, 2023, the Company incurred approximately $40,000 in capital, computed under the effective interest rate method. The value of the beneficial conversion feature is calculated as the difference between the effective conversion price of the Series A Preferred Stockresearch and the fair market value of the common stock into which the Series A Preferred Stock are convertible at the commitment date.

On November 1, 2012, upon shareholder approval, the convertible subordinated notes were converted into shares of Series A Convertible Preferred Stock. The convertible subordinated notes had an aggregate principal amount of $5,699,577 and converted into an aggregate of 1,583,210 shares of Preferred Stock.development services provided by AscendTek. The Company recorded a loss upon conversion of $5,913,000, which represented the difference between the aggregate fair value of the Preferred Stock issued of $9,183,000, based on a $5.80 fair value per share, and the total of carrying value of the notes and unamortized deferred financing cost of $3,270,000. The shares of Series A Preferred Stock issued for the conversion of notes payable are recorded at their aggregate redemption value of $4,750,000terminated its relationship with the difference between the fair value and redemption value of $4,433,000 recorded as additional paid in capital. The fair value of the Preferred Stock was determined using a Monte-Carlo simulation based on the following assumptions: annual volatility of 75%, risk-free rate of 0.8%, and dividend yield of 0.0%. The model also utilized the following assumptions to account for the conditions within the agreement: after four years, if the simulated common stock price fell below a price of $3.00 per share, the convertible preferred stock would automatically convert to common stock on a 1:1 basis moving forward at a price of exactly $3.00 per share and a forced conversion if the simulated stock price exceeded $8.00 per share.
The following table sets forth the activity of the Series A Preferred Stock, classified as temporary equity,AscendTek during the periods presented:
 Number of Shares Series A Preferred Stock
Series A Preferred Stock, January 31, 20142,949,995
 $5,599,668
Accretion of Preferred Stock discount
 1,038,310
Series A Preferred Stock, January 31, 20152,949,995
 6,637,978
Accretion of Preferred Stock discount
 1,336,072
Series A Preferred Stock, January 31, 20162,949,995
 $7,974,050
At any time following Augustthird quarter of fiscal 2022. Additionally, we assumed a lease for corporate office space from a Seller that is now employed by the Company. This lease term ended February 2022 but was renewed for a term of 12 months through February 2023. For the year ended January 31, 2016, subject to the Subordination and Intercreditor among the preferred stockholders,2023, the Company and Wells Fargo, each sharerecorded rent expense of Series A Preferred Stock is redeemable at the option of the holder for an amount equal to the initial issuance price of $3.00 (adjusted to reflect stock splits, stock dividends or like events) plus any accrued and unpaid dividends thereon. The Series A Preferred Stock are classified as temporary equity as the securities are redeemable solely at the option of the holder.
In fiscal 2013, 1,050,000 shares of the Company's Series A Convertible Preferred Stock were converted into Common Stock. As a result, Series A Convertible Preferred Stock was reduced by $3,150,000, with the offsetting increase to Common Stock and Additional Paid-in Capital. As of January 31, 2016 and 2015, 2,949,995 shares of Series A Convertible Preferred Stock remained outstanding.
Common Stock Warrants
In conjunction with the private placement investment, the Company issued common stock warrants exercisable for up to 1,200,000 of the Company's common stock at an exercise price of $3.99 per share. The warrants can be exercised in whole or in part until February 16, 2018. The warrants also include a cashless exercise option which allows the holder to receive a number of shares of common stock based on an agreed upon formula in exchange for the warrant rather than paying cash to exercise. The proceeds, net of transaction costs, allocated to the warrants of $1,425,000 were classified as equity on August 16, 2012, the date of issuance.
Effective October 31, 2012, upon shareholder approval of anti-dilution provisions that reset the warrants’ exercise price if a dilutive issuance occurs, the warrants were reclassified as derivative liabilities. The provisions require the exercise price to reset to the lower price at which the dilutive issuance is consummated, if the dilutive issuance occurs prior to the second anniversary of the warrants’ issuance. If a dilutive issuance occurs after the second anniversary of the warrants’ issuance, then

the exercise price will be reset in accordance with a weighted average formula that provides for a partial reset, based on the number of shares raised in the dilutive issuance relative to the number of common stock equivalents outstanding at the time of the dilutive issuance. The change in fair value of the warrants was accounted for as an adjustment to stockholders’ equity for the period between the date of the contract’s last classification as equity to the date of reclassification to liability. The fair value of the warrants was $4,139,000 at October 31, 2012. These warrants have been accounted for as derivative liabilities effective October 31, 2012, and as such, are re-valued at each reporting date, with changes in fair value recognized in earnings each reporting period as a charge or credit to other expenses.
On October 19, 2012, the Company also issued 200,000 warrants to its placement agents as a portion of the fees for services rendered in connection with the private placement investment. The warrants are exercisable through April 30, 2018 at a stated exercise price of $4.06 per share and can be exercised in whole or in part. The warrants also include a cashless exercise option that allows the holder to receive a number of shares of common stock based on an agreed upon formula in exchange for the warrants rather than paying cash to exercise. The warrants have no reset provisions. The warrants had a grant date fair value of $754,000, and are classified as equity on the consolidated balance sheet. The estimated fair value of the warrants was determined by using Monte-Carlo simulations based on the following assumptions: annual volatility of 75%; risk-free rate of 0.9%, dividend yield of 0.0% and expected life of five years.
The following table sets forth the warrants issued and outstanding as of January 31, 2016:
 Number of Shares Issuable Weighted Average Exercise Price
Warrants - private placement1,200,000
 $3.99
Warrants - placement agent200,000
 4.06
Total1,400,000
 $4.00
The fair value of the private placement warrants was $205,000 and $1,834,000 at January 31, 2016 and 2015, respectively. No warrants were exercised or canceled during fiscal 2015 and 2014.
$73,000. See Note 4 – Operating Leases.

NOTE 15 — SUBSEQUENT EVENTS

We have evaluated subsequent events through April 20, 2016 and have determined that there are no subsequent eventsoccurring after January 31, 20162023, and based on our evaluation we did not identify any events that would have required recognition or disclosure in these consolidated financial statements, except for the following:

Silicon Valley Bank (“SVB”) and Signature Bank were closed on March 10, 2023 and March 12, 2023, respectively, by the California Department of Financial Protection and Innovation, which disclosure is required.appointed the Federal Deposit Insurance Corporation (FDIC) as receiver. At the time of closing, the Company did not maintain any of its cash or cash equivalents with SVB or Signature Bank, and the Company has no current direct investment in or contractual relationships with SVB, Signature Bank or their respective holding companies. The Company does not believe it will be impacted by the closure of SVB or Signature Bank and will continue to monitor the situation as it evolves.

76


Schedule II

Valuation and Qualifying Accounts and Reserves

Streamline Health Solutions, Inc.

Inc and Subsidiaries.

For the two years ended January 31, 2016

   Additions    
DescriptionBalance at Beginning of Period Charged to Costs and Expenses Charged to Other Accounts Deductions Balance at End of Period
 (in thousands)
Year ended January 31, 2016:         
Allowance for doubtful accounts$666
 $48
 $
 $(559) $155
Year ended January 31, 2015:         
Allowance for doubtful accounts$267
 $441
 $1
 $(43) $666


ITEM2023

(in thousands of dollars)

Description 

Balance at Beginning

of Period

  

Charged to Costs and

Expenses

  

(1)

Deductions

  

Balance at

End of

Period

 
             
Year ended January 31, 2023:                           
Allowance for doubtful accounts $76  $   189  $(133) $132 
Year ended January 31, 2022:                
Allowance for doubtful accounts $65  $11  $  $76 

(1)Uncollectible accounts written off, net of recoveries.

Item 9. Changes In Andin and Disagreements Withwith Accountants Onon Accounting Andand Financial Disclosure

None.


ITEM

Item 9A. Controls Andand Procedures


Conclusions Regarding the Effectiveness

Evaluation of Disclosure Controls and Procedures

The Company maintains disclosure controls

Our President and procedures that are designed to ensure that there is reasonable assurance that the information required to be disclosed in the Company’s reports under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), is recorded, processed, summarized and reported within the time periods specified in the SEC's rules and forms, and that such information is accumulated and communicated to the Company’s management, including its Chief Executive Officer (who serves as our principal executive officer) and our Senior Vice President and Chief Financial Officer (who serves as appropriate, to allow timely decisions regarding required disclosure based onour principal financial officer) have evaluated the definition of “disclosure controls and procedures” in Exchange Act Rules 13a-15(e) and 15d-15(e). In designing and evaluating the disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives, and management necessarily was required to apply its judgment in evaluating the cost-benefit relationship of possible controls and procedures. In addition, projections of any evaluation of effectiveness of our disclosure controls and procedures to future periods are subject to the risk that controls or procedures may become inadequate because of changes(as defined in conditions, or that the degree of compliance with the controls or procedures may deteriorate.

As of the end of the period covered by this report, an evaluation was performed under the supervision and with the participation of the Company’s senior management, including the Chief Executive Officer (principal executive officer) and Chief Financial Officer (principal financial officer), of the effectiveness of the design and operation of the Company’s disclosure controls and procedures to provide reasonable assurance of achieving the desired objectives of the disclosure controls and procedures. Based on such evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that,Exchange Act Rule 13a-15(c)) as of the end of the period covered by this report,Report (January 31, 2023). Based on that evaluation, our President and Chief Executive Officer and Senior Vice President and Chief Financial Officer have concluded that our disclosure controls and procedures were effective.

effective as of January 31, 2023.

Management’s Report on Internal Control overOver Financial Reporting

Management

Our management is responsible for establishing and maintaining adequate internal control over financial reporting as such term is defined in RulesRule 13a-15(f) and 15d-15(f) underof the Exchange Act. InternalOur internal control over financial reporting is a process designed by, and under the supervision of, our President and Chief Executive Officer and Senior Vice President and Chief Financial Officer and effected by our management and our Board of Directors to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with U.S. GAAP. Internal control over financial reporting includes those policies and procedures that:

Pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of assets of the Company.
Provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with U.S. GAAP and that receipts and expenditures of the Company are being made in accordance with authorization of our management and our Board of Directors.

Provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of our assets that could have a material effect on our consolidated financial statements.
Because of its inherent limitations, internal control over financial reporting may not prevent or detect all misstatements. Also, projections of any evaluation of the effectiveness of our internal control over financial reporting to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

77
Management, with the participation

An internal control material weakness is a significant deficiency, or combination of significant deficiencies, that results in more than a remote likelihood that a material misstatement of the chiefconsolidated financial statements will not be prevented or detected.

Our management, including our principal executive officer and chiefprincipal financial officer, assessedconducted an evaluation of the effectiveness of the Company’sour internal control over financial reporting as of January 31, 2016, using2023, and concluded that our internal control over financial reporting was effective as of January 31, 2023. In making the assessment of internal control over financial reporting, management used the criteria established in Internal Control - Integrated Framework (1992) issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) and concluded that the Company’s internal control over financial reporting was effective as of January 31, 2016.

This annual report on Form 10-K does not include an attestation report of our independent public accounting firm regarding internal control over financial reporting. Management’s report is not subject to attestation by our independent public accounting firm pursuant to SEC rules that permit us to provide only management’s report in this annual report on Form 10-K.

.

Changes in Internal Control Over Financial Reporting

There have beenwere no changes in the Company’sour internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) that occurred during the fourth fiscal quarteryear ended January 31, 20162023 that hashave materially affected, or isare reasonably likely to materially affect, our internal control over financial reporting.





ITEMenable management to conclude that our consolidated financial statements included in this report fairly, in all material respects, our financial condition and results of operations as of the year ended January 31, 2023.

Item 9B. Other Information

None.

78
None.


PART III


ITEM

Item 10. Directors, Executive Officers Andand Corporate Governance

Information regarding directors, executive officers and corporate governance will be set forth in the proxy statement for our 2016 annual meeting2023 Annual Meeting, which will be filed with the SEC within 120 days after the end of stockholdersthe fiscal year covered by this Report and is incorporated herein by reference.


ITEM

Item 11. Executive Compensation

Information regarding executive compensation will be set forth in the proxy statement for our 2016 annual meeting2023 Annual Meeting, which will be filed with the SEC within 120 days after the end of stockholdersthe fiscal year covered by this Report and is incorporated herein by reference.


ITEM

Item 12. Securities Ownership Ofof Certain Beneficial Owners Andand Management Andand Related Stockholder Matters

Information regarding security ownership of certain beneficial owners and management and related stockholder matters will be set forth in the proxy statement for our 2016 annual meeting2023 Annual Meeting, which will be filed with the SEC within 120 days after the end of stockholdersthe fiscal year covered by this Report and is incorporated herein by reference.


ITEM

Item 13. Certain Relationships and Related Transactions Andand Directors Independence

Information regarding certain relationships and related transactions and director independence will be set forth in the proxy statement for our 2016 annual meeting2023 Annual Meeting, which will be filed with the SEC within 120 days after the end of stockholdersthe fiscal year covered by this Report and is incorporated herein by reference.


ITEM

Item 14. Principal Accountant Fees and Services

The Independent Registered Public Accounting Fees And Services

Firm is FORVIS, LLP (PCAOB Firm ID No. 686) located in Atlanta, Georgia. Information regarding principal accountant fees and services will be set forth in the proxy statement for our 2016 annual meeting2023 Annual Meeting, which will be filed with the SEC within 120 days after the end of stockholdersthe fiscal year covered by this Report and is incorporated herein by reference.

79

PART IV


ITEM 15.    

(32)Item 15. Exhibits and Financial Statement Schedules) See Index to Consolidated Financial Statements and Schedule Covered by Reports of Registered Public Accounting Firms included in Part II, Item 8, “Financial Statements and Supplementary Data,” of this Report. See Index to Exhibits contained in this Report.

(b) Exhibits Financial Statement Schedules

See Index to Consolidated Financial Statements and Schedule Covered by Reports of Registered Public Accounting Firms included in Part II, Item 8 of this annual report on Form 10-K.
(b). Exhibits

See Index to Exhibits contained in this annual report on Report.

Item 16. Form 10-K.


SIGNATURES
Pursuant to the requirements of section 13 or 15(d) 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.

STREAMLINE HEALTH SOLUTIONS, INC.
By:
/S/    DAVID W. SIDES
David W. Sides
Chief Executive Officer
DATE: April 20, 2016

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant in the capacities and on the date indicated.

/S/    DAVID W. SIDES
Chief Executive Officer
and Director
(Principal Executive Officer)
April 20, 2016
David W. Sides
/s/    JONATHAN R. PHILLIPSDirectorApril 20, 2016
Jonathan R. Phillips
/s/    MICHAEL K. KAPLANDirectorApril 20, 2016
Michael K. Kaplan
/s/ ALLEN S. MOSELEYDirectorApril 20, 2016
Allen S. Moseley
/s/ MICHAEL G. VALENTINEDirectorApril 20, 2016
Michael G. Valentine
/s/ JUDITH E. STARKEYDirectorApril 20, 2016
Judith E. Starkey
/s/    NICHOLAS A. MEEKSChief Financial Officer (Principal Financial Officer)April 20, 2016
Nicholas A. Meeks
/s/    MICHAEL W. HALLORAN
Controller
(Principal Accounting Officer)
April 20, 2016
Michael W. Halloran


10-K Summary

None.

INDEX TO EXHIBITS

EXHIBITS

EXHIBITS
3.12.1Asset Purchase Agreement, dated December 17, 2019, by and among the Company, Streamline Health, Inc., and Hyland Software, Inc. (Incorporated by reference from Exhibit 2.1 of the Company’s Current Report on Form 8-K, as filed with the SEC on December 18, 2019).
2.2Amendment No. 1 to the Asset Purchase Agreement, dated January 7, 2020, by and among the Company, Streamline Health, Inc., and Hyland Software, Inc. (Incorporated by reference from Exhibit 10.6 of the Company’s Quarterly Report on Form 10-Q, as filed with the SEC on January 7, 2020).
2.3Unit Purchase Agreement, dated August 16, 2021, by and among Streamline Health Solutions, Inc., Avelead Consulting, LLC, Jawad Shaikh and Badar Shaikh (Incorporated by reference from Exhibit 2.1 of the Company’s Current Report on Form 8-K, as filed with the SEC on August 18, 2021).
3.1Certificate of Incorporation of Streamline Health Solutions, Inc. f/k/a/ LanVision Systems, Inc., as amended through August 19, 2014 (Incorporated by reference from Exhibit 3.1 of the Company’s Quarterly Report on Form 10-Q, as filed with the SEC on September 15, 2014).
3.2Certificate of Amendment of Certificate of Incorporation of Streamline Health Solutions, Inc. (Incorporated by reference from Exhibit 3.1 of the Company’s Current Report on Form 8-K, as filed with the SEC on May 24, 2021).
3.3Certificate of Amendment of Certificate of Incorporation of Streamline Health Solutions, Inc. (Incorporated by reference from Exhibit 3.1 of the Company’s Current Report on Form 8-K, as filed with the SEC on June 8, 2022).
3.4Amended and Restated Bylaws of Streamline Health Solutions, Inc., as amended and restated through March 28,29, 2014 (Incorporated by reference from Exhibit 3.1 of the Company’s Current Report on Form 8-K, as filed with the CommissionSEC on April 3, 2014).
3.34.1Certificate of Designation of Preferences, Rights and Limitations of Series A 0% Convertible Preferred Stock of Streamline Health Solutions, Inc. (Incorporated by reference from Exhibit 10.1 of the Form 8-K, as filed with the Commission on November 1, 2012).
4.1Specimen Common Stock Certificate of Streamline Health Solutions, Inc. (Incorporated by reference from the Company’s Registration Statement on Form S-1, File Number 333-01494, as filed with the CommissionSEC on April 15, 1996).
10.1#4.2*Description of Registrant’s Securities Registered Pursuant to Section 12 of the Securities Exchange Act of 1934.
10.1#Streamline Health Solutions, Inc. 1996 Employee Stock Purchase Plan, as amended and restated effective July 1, 2013 (Incorporated by reference from the Registration Statement on Form S-8, File Number 333-188763, as filed with the Commission on May 22, 2013).
10.2(a)#10.2#2005 Incentive Compensation Plan of Streamline Health Solutions, Inc. (Incorporated by reference from Exhibit 10.1 of the Company’s Current Report on Form 8-K, as filed with the CommissionSEC on May 26, 2005).
10.2(b)10.2(a)#Amendment No. 1 to 2005 Incentive Compensation Plan of Streamline Health Solutions, Inc.(Incorporated by reference to Annex 1 of Definitive Proxy Statement on Schedule 14A, as filed with the Commission on April 13, 2011).
10.2(c)#Amendment No. 2 to 2005 Incentive Compensation Plan of Streamline Health Solutions, Inc. (Incorporated by reference tofrom Exhibit 4.3 of the Company’s Registration Statement on Form S-8, as filed with the CommissionSEC on November 15, 2012).
10.3#10.2(b)#Amendment No. 3 to 2005 Incentive Compensation Plan of Streamline Health Solutions, Inc. (Incorporated by reference from Exhibit 10.2(c) of the Company’s Current Report on Form 8-K, as filed with the SEC on October 20, 2020).
10.2(c)#Streamline Health Solutions, Inc. Third Amended and Restated 2013 Stock Incentive Plan (Incorporated by reference from Appendix A to the Company’s Definitive Proxy Statement on Schedule 14A, as filed with the CommissionSEC on July 21, 2014)April 22, 2019).

80

10.3#Amendment No. 1 to Streamline Health Solutions, Inc. Third Amended and Restated 2013 Stock Incentive Plan (Incorporated by reference from Exhibit 10.1 of the Company’s Current Report on Form 8-K, as filed with the SEC on May 24, 2021).
10.3(a)#Form of Restricted Stock Award Agreement for Non-Employee Directors (Incorporated by reference from Exhibit 10.2 of the Company’s Current Report on Form 8-K, as filed with the CommissionSEC on August 25, 2014).
10.3(b)#Form of Restricted Stock Award Agreement for Executives (Incorporated by reference from Exhibit 10.3 of the Company’s Current Report on Form 8-K, as filed with the CommissionSEC on August 25, 2014).
10.3(c)#Form of Stock Option Agreement for Executives (Incorporated by reference from Exhibit 10.4 of the Company’s Current Report on Form 8-K, as filed with the CommissionSEC on August 25, 2014).
10.4#10.3(d)#Employment Agreement, dated October 17, 2019, by and between the Company and Wyche T. “Tee” Green, III (Incorporated by reference from Exhibit 10.2 of the Company’s Current Report on Form 8-K, as filed with the SEC on October 18, 2019).
10.3(e)Employment Agreement dated September 10, 20142018 by and between Streamline Health Solutions, Inc. and David W. SidesThomas J. Gibson (Incorporated by reference from Exhibit 10.1 of the Company’s Quarterly Report on Form 10-Q, as filed with the CommissionSEC on December 9, 2014)September 12, 2018).
10.4(a)#10.4#Amendment to Employment Agreement dated January 8, 2015 by and between Streamline Health Solutions, Inc. and David W. Sides (Incorporated by reference from Exhibit 10.2 of the Form 8-K, as filed with the Commission on January 9, 2015).
10.4(b)#*Amendment No. 2 to Employment Agreement dated April 19, 2016 by and between Streamline Health Solutions, Inc. and David W. Sides.
10.5#Employment Agreement among Streamline Health Solutions, Inc., Streamline Health, Inc. and Nicholas A. Meeks effective May 22, 2013 (Incorporated by reference from Exhibit 10.2 of the Form 8-K, as filed with the Commission on May 20, 2013).
10.5(a)#Amendment No. 1 to Employment Agreement dated June 4, 2015 between Streamline Health Solutions, Inc. and Nicholas A. Meeks (Incorporated by reference from Exhibit 10.1 of the Form 10-Q, as filed with the Commission on June 9, 2015).
10.5(b)#*Amendment No. 2 to Employment Agreement dated April 19, 2016 between Streamline Health Solutions, Inc. and Nicholas A. Meeks.

10.6#Employment Agreement dated September 8, 2013 between Streamline Health Solutions, Inc. and Jack W. Kennedy Jr. (Incorporated by reference from Exhibit 10.1 of the Form 10-Q, as filed with the Commission on December 16, 2013).
10.6(a)#Amendment No. 1 to Employment Agreement dated March 6, 2014 between Streamline Health Solutions, Inc. and Jack W. Kennedy Jr. (Incorporated by reference from Exhibit 10.14(b) of the Form 10-K, as filed with the Commission on June 13, 2014).
10.6(b)#Amendment No. 2 to Employment Agreement dated June 4, 2015 between Streamline Health Solutions, Inc. and Jack W. Kennedy Jr. (Incorporated by reference from Exhibit 10.3 of the Form 10-Q, as filed with the Commission on June 9, 2015).
10.6(c)#Amendment No. 3 to Employment Agreement dated December 4, 2015 between Streamline Health Solutions, Inc. and Jack W. Kennedy Jr. (Incorporated by reference from Exhibit 10.1 of the Form 10-Q, as filed with the Commission on December 10, 2015).
10.7#Employment Agreement dated February 3, 20145, 2020 by and between Streamline Health Solutions, Inc. and Randolph W. Salisbury (Incorporated by reference from Exhibit 10.2410.1 of the Company’s Current Report on Form 10-K,8-K, as filed with the CommissionSEC on June 13, 2014)February 6, 2020).
10.7(a)#10.5#Amendment No. 1 to Employment Agreement dated June 4, 2015August 1, 2019 by and between Streamline Health Solutions, Inc. and Randolph W. SalisburyWilliam G. Garvis (Incorporated by reference from Exhibit 10.1 of the Company’s Current Report on Form 8-K, as filed with the SEC on August 6, 2019).
10.6#Employment Agreement, dated as of August 16, 2021, by and between Avelead Consulting, LLC and Jawad Shaikh (Incorporated by reference to Exhibit 10.3 of the Company’s Current Report on Form 8-K, as filed with the SEC on August 18, 2021).
10.7#Restricted Stock Agreement by and between Streamline Health Solutions, Inc. and Jawad Shaikh, dated as of August 16, 2021 (Incorporated by reference from Exhibit 10.1 of the Company’s Current Report on Form 8-K, as filed with the SEC on August 18, 2021).
10.8#Restricted Stock Agreement by and between Streamline Health Solutions, Inc. and Badar Shaikh, dated as of August 16, 2021 (Incorporated by reference from Exhibit 10.2 of the Company’s Current Report on Form 10-Q,8-K, as filed with the CommissionSEC on June 9, 2015)August 18, 2021).
10.8#*10.9#Employment Agreement dated March 15, 2016 between Streamline Health Solutions, Inc. and Shaun L. Priest.
10.9#Form of Indemnification Agreement for all directors and officers of Streamline Health Solutions, Inc. (Incorporated by reference from Exhibit 10.1 of the Company’s Current Report on Form 8-K, as filed with the CommissionSEC on June 7, 2006).
10.1010.10#ResellerRestricted Stock Agreement by and between IDX Information Systems Corporation and Streamline Health Solutions, Inc. entered into on January 30, 2002 (Incorporated by reference from Exhibit 10.11and Badar Shaikh, dated as of the Form 10-K for the fiscal year ended January 31, 2002, as filed with the Commission on April 29, 2002).
10.10(a)First Amendment to the Reseller Agreement between IDX Information Systems Corporation and Streamline Health Solutions, Inc. entered into on May 3, 2002 (Incorporated by reference from Exhibit 10 of the Form 10-Q for the quarter ended April 30, 2002, as filed with the Commission on June 4, 2002).
10.11Software License and Royalty Agreement dated October 25, 2013 between Streamline Health, Inc. and Montefiore Medical CenterAugust 16, 2021 (Incorporated by reference from Exhibit 10.2 of the Company’s Current Report on Form 10-Q,8-K, as filed with the CommissionSEC on December 16, 2013)August 18, 2021).
10.1210.11#CreditForm of Indemnification Agreement for all directors and officers of Streamline Health Solutions, Inc. (Incorporated by reference from Exhibit 10.1 of the Company’s Current Report on Form 8-K, as filed with the SEC on June 7, 2006).
10.12Loan and Security Agreement dated as of November 21, 2014December 11, 2019 by and among Wells FargoBridge Bank, N.A., the lenders party thereto,a division of Western Alliance Bank, Streamline Health Solutions, Inc. and Streamline Health, Inc. (Incorporated by reference from Exhibit 10.210.5 of the Company’s Quarterly Report on Form 10-Q, as filed with the CommissionSEC on December 9, 2014)January 7, 2020).
10.12(a)*SubordinationAmended and IntercreditorRestated Loan and Security Agreement dated as of November 21, 2014March 2, 2021 by and among each subordinated creditor signatory thereto, Streamline Health Solutions, Inc. and Wells FargoWestern Alliance Bank, N.A.
10.12(b)Waiver and First Amendment to Credit Agreement dated as of April 15, 2015 by and among Wells Fargo Bank, N.A., the lenders party thereto, Streamline Health Solutions, Inc. and Streamline Health, Inc. (Incorporated by reference from Exhibit 10.13(a)10.1 of the Company’s Current Report on Form 10-K,8-K, as filed with the CommissionSEC on April 16, 2015)March 2, 2021).
10.1310.12(b)SettlementSecond Amended and Restated Loan and Security Agreement, and Mutual Release dated as of November 20, 2013August 26, 2021, by and among Streamline Health Solutions, Inc., IPP Acquisition,Streamline Health, Inc., Streamline Pay & Benefits, LLC, IPP Holding Company,Streamline Consulting Solutions, LLC, W. Ray Cross, as seller representative,Avelead Consulting, LLC and each of the members of IPP Holding Company, LLC named thereinWestern Alliance Bank (Incorporated by reference from Exhibit 10.310.1 of the Company’s Current Report on Form 10-Q,8-K, as filed with the CommissionSEC on December 16, 2013).August 30, 2021.
10.1410.12(c)Subordinated Promissory NoteWaiver of Second Amended and Restated Loan and Security Agreement, dated November 20, 2013 madeAugust 26, 2022, by IPP Acquisition,and among the Company, Streamline Health, LLC, Streamline Pay & Benefits, LLC, Avelead Consulting, LLC, Streamline Consulting Solutions, LLC and Streamline Health Solutions, Inc.Western Alliance Bank (Incorporated by reference from Exhibit 10.410.2 of the Quarterly Report on Form 10-Q, as filed with the Commission on December 16, 2013)September 8, 2022).
10.1510.12(d)Second Modification to Second Amended and Restated Loan and Security Agreement, dated November 29, 2022, by and between Streamline Health Solutions, Inc. and certain of its subsidiaries party thereto, and Western Alliance Bank (Incorporated by reference from Exhibit 10.1 of the Current Report on Form 8-K, filed December 5, 2022).

81

10.13Securities Purchase Agreement, among Streamline Health Solutions, Inc,dated October 10, 2019, between the Company and each purchaser identified on the signature pages thereto (Incorporated by reference from Exhibit 10.1 of the Company’s Current Report on Form 8-K, as filed with the SEC on October 11, 2019).
10.14Registration Rights Agreement, dated August 16, 2012October 10, 2019, between the Company and each of the several purchasers signatory thereto (Incorporated by reference from Exhibit 10.2 of the Company’s Current Report on Form 8-K, as filed with the SEC on October 11, 2019).
10.15Form of Common Stock Purchase Agreement dated as of October 24, 2022, by and among Streamline Health Solutions, Inc. and the purchasers thereto (Incorporated by reference from Exhibit 10.1 of the Current Report on Form 8-K, filed October 27, 2022).
10.16Master Services and Non-Disclosure Agreement, dated as of March 18, 2020, by and between Streamline Health Solutions, Inc. and 180 Consulting, LLC (Incorporated by reference from Exhibit 10.1 to the Company’s Current Report on Form 8-K, as filed with the SEC on March 25, 2020).
10.16(a)Statement of Work #1 to the Master Services and Non-Disclosure Agreement, dated as of March 18, 2020, by and between Streamline Health Solutions, Inc. and 180 Consulting, LLC (Incorporated by reference from Exhibit 10.2 to the Company’s Current Report on Form 8-K, as filed with the SEC on March 25, 2020).
10.16(b)Statement of Work #2 to the Master Services and Non-Disclosure Agreement, dated as of March 18, 2020, by and between Streamline Health Solutions, Inc. and 180 Consulting, LLC (Incorporated by reference from Exhibit 10.3 to the Company’s Current Report on Form 8-K, as filed with the SEC on March 25, 2020).
10.16(c)Statement of Work #3 to the Master Services and Non-Disclosure Agreement, dated as of March 18, 2020, by and between Streamline Health Solutions, Inc. and 180 Consulting, LLC (Incorporated by reference from Exhibit 10.4 ofto the Company’s Current Report on Form 8-K, as filed with the CommissionSEC on August 21, 2012)March 25, 2020).

10.16(d)
14.1CodeStatement of Business ConductWork #4 to the Master Services and EthicsNon-Disclosure Agreement, dated as of March 18, 2020, by and between Streamline Health Solutions, Inc. and 180 Consulting, LLC (Incorporated by reference from Exhibit 14.1 of10.6 to the Company’s Quarterly Report on Form 10-K,10-Q, as filed with the CommissionSEC on April 16, 2015)September 10, 2020).
21.1*10.17Sublease Agreement (Incorporated by reference from Exhibit 10.6 to the Company’s Quarterly Report on Form 10-Q, as filed with the SEC on June 11, 2020).
21.1*Subsidiaries of Streamline Health Solutions, Inc.
23.1*Consent of Independent Registered Public Accounting Firm - RSM USFORVIS, LLP
23.2*24ConsentPower of Independent Registered Public Accounting Firm - KPMG LLPAttorney (included in signature page)
31.1*Certification by Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2*Certification by Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32.1*Certification by Chief Executive Officer pursuant to U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
32.2*Certification by Chief Financial Officer pursuant to U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101
The following financial information from Streamline Health Solutions, Inc.'s’s Annual Report on Form 10- K10-K for the fiscal year ended January 31, 20162023 filed with the SEC on April 20, 2016,27, 2023, formatted in XBRL includes: (i) Consolidated Balance Sheets at January 31, 20162023 and 2015,2022, (ii) Consolidated Statements of Operations for the two years ended January 31, 2016,2023, (iii) Consolidated Statements of Changes in Stockholders'Stockholders’ Equity for the two years ended January 31, 2016,2023, (iv) Consolidated Statements of Cash Flows for the two years ended January 31, 2016,2023, and (v) the Notes to Consolidated Financial Statements.


_______________
*101.INSFiled herewith.
Inline XBRL Instance Document
#101.SCHInline XBRL Taxonomy Extension Schema Document
101.CALInline XBRL Taxonomy Extension Calculation Linkbase Document
101.DEFInline XBRL Taxonomy Extension Definition Linkbase Document
101.LABInline XBRL Taxonomy Extension Label Linkbase Document
101.PREInline XBRL Taxonomy Extension Presentation Linkbase Document
104Cover Page Interactive Data File (embedded within the Inline XBRL document)

*Filed herewith.
#Management Contracts and Compensatory Arrangements.

Our SEC file number reference for documents filed with the SEC pursuant to the Exchange Act, is 000-28132.

82

SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) 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.

STREAMLINE HEALTH SOLUTIONS, INC.
By:/S/ WYCHE T. “TEE” GREEN, III
Wyche T. “Tee” Green, III
Chief Executive Officer

POWER OF ATTORNEY

Each person whose signature appears below hereby constitutes and appoints Wyche T. “Tee” Green, III and Thomas J. Gibson, and each of them, his attorneys-in-fact, each with the power of substitution, for him and in his name, place and stead, in any and all capacities, to sign this annual report on Form 10-K and any and all amendments to this annual report on Form 10-K, and to file the same, with all exhibits thereto and all documents in connection therewith, with the Securities and Exchange Commission, granting unto said attorneys-in-fact and agents, and each of them, full power and authority to do and perform each and every act and all intents and purposes as amended, is 000-28132.he might or could do in person, hereby ratifying and confirming all that such attorneys-in-fact and agents or any of them or his or their substitute or substitutes, may lawfully do or cause to be done by virtue hereof.

DATE: April 27, 2023

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant in the capacities and on the date indicated.

/S/ WYCHE T. “TEE” GREEN, IIIChief Executive Officer and DirectorApril 27,2023
Wyche T. “Tee” Green, III(Principal Executive Officer)
/s/ JONATHAN R. PHILLIPSDirectorApril 27,2023
Jonathan R. Phillips
/s/ JUSTIN FERAYORNIDirectorApril 27,2023
Justin Ferayorni
/s/ JUDITH E. STARKEYDirectorApril 27,2023
Judith E. Starkey
/s/ KENAN H. LUCASDirectorApril 27,2023
Kenan H. Lucas
/s/ THOMAS J. GIBSONChief Financial OfficerApril 27,2023
Thomas J. Gibson(Principal Financial Officer and Principal Accounting Officer)

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