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HealthStream Announces First Quarter 2021 Results Page 1 April 26 , 2021 Exhibit 99.1 Contact : Scott A. Roberts Chief Financial Officer ( 615 ) 301-3182 ir@healthstream.com Media : Mollie Condra , Ph.D. Vice President , Investor Relations & Communications ( 615 ) 301-3237 HealthStream . mollie.condra@healthstream.com HEALTHSTREAM ANNOUNCES FIRST QUARTER 2021 RESULTS NASHVILLE , Tenn . ( April 26 , 2021 ) —HealthStream , Inc. ( Nasdaq : HSTM ) , a leading provider of workforce and provider solutions for the healthcare industry , announced today results for the first quarter ended March 31 , 2021 . Revenues of $ 63.5 million in the first quarter of 2021 , up 3 % from $ 61.6 million in the first quarter of 2020 . Operating income of $ 3.3 million in the first quarter of 2021 , down 54 % from $ 7.2 million in the first quarter of 2020 , which comparison was negatively impacted by a one - time contractual adjustment to cost of revenues in the amount of $ 3.4 million in the first quarter of 2020 . Net income of $ 2.3 million in the first quarter of 2021 , down 68 % from $ 7.1 million in the first quarter of 2020 , which comparison was negatively impacted by $ 2.6 million from the contractual adjustment in the first quarter of 2020 referenced above . Earnings per share ( EPS ) of $ 0.07 per share ( diluted ) in the first quarter of 2021 compared to $ 0.22 in the first quarter of 2020 , which was impacted by $ 0.08 from the contractual adjustment in the first quarter of 2020 referenced above . Adjusted EBITDA1 of $ 13.6 million in the first quarter of 2021 , up 14 % from $ 11.9 million in the first quarter of 2020 . Completed the acquisition of ComplyALIGN , a Chicago - based healthcare technology company , on January 19 , 2021 , for $ 2.0 million in cash . Kevin O'Hara joined HealthStream as Senior Vice President & General Manager , Platform Solutions ; Scott Fenstermacher was named Senior Vice President , Sales . Financial Results : First Quarter 2021 Compared to First Quarter 2020 Revenues for the first quarter of 2021 increased by $ 1.9 million , or three percent , to $ 63.5 million , compared to $ 61.6 million for the first quarter of 2020. Revenues from our Workforce Solutions segment were $ 51.3 million for the first quarter of 2021 , compared to $ 49.8 million for the first quarter of 2020. Contributions from recent acquisitions and growth in other workforce solutions more than offset the expected decline in revenues from legacy resuscitation products . While revenues from legacy resuscitation products effectively ceased at the end of 2020 , revenues for the first quarter of 2021 included $ 1.8 million from legacy resuscitation products as some agreements will expire in early 2021 , compared to $ 11.2 million in revenues from legacy resuscitation products during the first quarter of 2020. Workforce revenues also benefited from $ 0.4 million of growth from professional services , primarily associated with recently acquired businesses . Revenues from our Provider Solutions segment were $ 12.2 million for the first quarter of 2021 , compared to $ 11.7 million for the first quarter of 2020. Revenue growth of $ 0.5 million was attributable to new VerityStream subscriptions . 1 Adjusted EBITDA is a non - GAAP financial measure . A reconciliation of adjusted EBITDA to net income and disclosure regarding why we believe adjusted EBITDA provides useful information to investors is included later in this release .