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HealthStream (HSTM) Q2 2019 Earnings Call Transcript

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HSTM earnings call for the period ending June 30, 2019.

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HealthStream ( HSTM 3.37% )
Q2 2019 Earnings Call
Jul 23, 2019, 9:00 a.m. ET


  • Prepared Remarks
  • Questions and Answers
  • Call Participants

Prepared Remarks:


Good day, ladies and gentlemen. And welcome to the HealthStream second-quarter 2019 earnings conference call. [Operator instructions] Later we will conduct a question-and-answer session and instructions will follow at that time. As a reminder, today's conference may be recorded.

I'd now like to introduce your host for today's conference Ms. Mollie Condra, vice president of investor relations and communications. Please go ahead, Ms. Condra.

Mollie Condra -- Vice President of Investor Relations and Communications

Thank you and good morning. Thank you for joining us today to discuss our second quarter 2019 results. Also in the conference call with me are Robert A. Frist, Jr., CEO and chairman of HealthStream; and Scotty Roberts, interim CFO and vice president accounting and finance.

I would also like to remind you that this conference call may contain forward-looking statements regarding future events and the future performance of HealthStream that can involve risks and uncertainties that could cause the actual results to differ materially from those projected in the forward-looking statements. Information concerning these risks and other factors that could cause the results to differ materially from those forward-looking statements are contained in the company's filings with the SEC including Forms 10-K and 10-Q. We had an exciting event at the end of the second quarter that we highlight as our first bullet in the earnings release. The bullet stated, our CEO contributed $2.2 million of his personally owned HealthStream stock to the company in order to facilitate the grant of 78,520 shares of common stock to approximately 820 employees under our 2016 Omnibus Incentive Plan, which resulted in a corresponding $2.2 million charge for stock-based compensation and related expense in the second quarter.

Given that event, I'd like to extend a special welcome in this conference call to our employees, many of whom may be new shareholders to the company in a couple of days and may be listening in to one of our quarterly conference calls for the first time today. So, it's an exciting to see so many of our employees realize the opportunity to become an owner of the company that they've helped to build. So, with that start, I'll turn the call over now to CEO Bobby Frist.

Bobby Frist -- Chief Executive Officer

Thank you, Mollie. Good morning, everyone. Welcome to our second quarter 2019 earnings call. Our second quarter performance was positive with revenues that were in line with our expectations, up 12% over the same quarter last year, and adjusted EBITDA was up 10% over the same quarter last year.

We ended the second quarter with a cash balance of approximately $162 million. With those high-level summaries, we reiterated our revenue guidance and our GAAP operating income guidance, and Scotty will elaborate more fully on financial results in a few minutes. But I think to start today, I want to remind everyone that at HealthStream, we're in the midst of several business transitions, all of which are designed to move us toward being a higher-margin, more profitable company and I want to go through each of those -- I'll characterize in this three different transitions. I want to go through each of those and give you an update on them and kind of set a program that will help us evaluate our progress in these transitions over the coming quarters and years.

Each one presents multi-year opportunities and challenges for the company. And if we are successful, we believe there will be meaningful benefits for HealthStream's long-term growth and profitability. First -- the first transition to discuss, we have transitioned our sales and marketing efforts from legacy resuscitation products to the newer American Red Cross Resuscitation Suite. Since there are no new sales of the legacy resuscitation products, we expect revenue from those legacy products to continue to decline sequentially each quarter throughout 2019 and 2020.

In fact, we anticipate revenues from legacy products -- legacy resuscitation products to decline an additional $2 million in the third quarter and to decline another $300,000 in the fourth quarter. We anticipate revenues from the legacy resuscitation products to be zero in the first quarter of 2021. Since its launch in January and to begin to characterize the transition, we have been and continue to be focusing on introducing our new Red Cross Resuscitation Suite to the industry. As a reminder, our new Red Cross Resuscitation Suite is comprised of BLS, ALS, and P-A-L-S, PALS development curriculum.

It brings an updated, highly adaptive, competency-based development solution to healthcare professionals that offer a certification to healthcare professional successfully demonstrating proficiency of lifesaving resuscitation knowledge and skills. In fact, the program is live for several accounts. And the first healthcare professionals have achieved certifications through the program, so it's an exciting time to see the new program taking route. I'm excited to report that through the first half of the year, we have achieved over $16.5 million in contract order value signed for the American Red Cross Resuscitation Suite which was meaningfully impacted by one large health system contract.

These new contracts are from a mix of hospitals and healthcare facilities from across the continuum of care including new and transitioning customers. We're not expecting material financial contributions for 2019 from these contracts because many of these customers are running off their commitment to the legacy resuscitation products. We have a solid pipeline and are encouraged by the market's reception to our new Red Cross Resuscitation Suite that we believe is more innovative, more effective, and more cost efficient than legacy products. To support that, we've approved and are recruiting new sales representatives specifically for this solution area in the coming quarter.

The second transition that we want to talk about in our business involves the adoption and migration to our new SaaS-based Verity platform. In the first quarter of 2018, we announced the launch of Verity, our new SaaS-based platform for managing credentialing and privileging in healthcare organizations. As of the end of the second quarter 2019, approximately 100 customers have contracted for the new Verity platform several of which have been fully implemented. These 100 customers represent a mix of new customers and existing customers, who chose to migrate from our legacy credentialing and privileging platforms, those acquired through three acquisitions over the years, to the new Verity platform.

Given the high quality of the new platform and our historically -- and our history of successfully migrating customers to improve solutions, we anticipate continued progress both in terms of new sales and migrations of legacy customers. Though the migration journey is one that will require several years to fully accomplish. So this transition we'll have to watch over time. Like the prior one, we mentioned obviously, it's going to take a few years to get through these transitions.

We're excited about both of these two because they have margin implications, positive margin implications for the company. The third transition involves our customers upgrading to the new hStream Platform-as-a-Service technologies and placing that new technology and making them available for themselves through an upgrade in their contract. The hStream platform is an essential technology working behind the scenes that powers all activity in the HealthStream ecosystem. At the end of the second quarter of this year, healthcare organizations representing 2.34 million subscriptions have upgraded to HealthStream.

That's up from 1.84 million contracted subscriptions at the end of the first quarter. So, you can see here it's moving rather rapidly as contracts come up for renewal. We're able to embed access to the hStream platform and the renewed contract. And, of course, all new contracts, we're embedding the access to the hStream platform in the new contracts.

As you r/*ecall, hStream was launched 18 months ago and we expect to see continued adoption over the next couple of years. The hStream Platform-as-a-Service capabilities are enabling new functionality, even in some of our most established applications such as the HealthStream Learning center. HealthStream Learning center customers who have upgraded to hStream now enjoy a cutting edge manager interface known as MyTeam. Initial reception to the MyTeam upgrade continues to be positive and quite strong and has exceeded our expectations.

During the next several quarters and in the coming years of the hStream transition is incumbent on [Inaudible] growing the unique and intrinsic value of the hStream platform itself. HStream also serves as a bridge between our workforce development and Provider Solutions business segments. In the third quarter of 2018, Verity began including hStream for Verity subscriptions in contracts for its new SaaS platform. At the end of the second quarter, I can summarize by saying of the 2.34 million total hStream subscriptions contracted over 122,000 of those hStream subscriptions were from a Verity contract.

So, again we view this as a unifying metric and over time, they will become kind of a baseline measure of how to measure our progress and eventually hopefully revenue per subscriber across the entirety of our product suites. As we discussed last quarter, we believe that the number of hStream subscription is an increasingly important metric for measuring progress across our business initiatives. We look forward to reporting the progress of hStream both in terms of subscriptions and ultimately the value it brings to our customers and partners. I want to remind everyone that these three business transitions all represent new multi-year journeys.

At the end of these journeys, we do expect a higher margin more profitable company. For the remainder of this year, we do not expect material financial contributions from any of these transitions for the reasons I've articulated earlier but we do expect incremental contributions to build over time. At this time, I think, we ought to take a more detailed look at the financial metrics of the second quarter and then cover the financial outlook as updated by Scotty, our interim CFO.

Scott Roberts -- Interim Chief Financial Officer

Thanks, Bobby. Good morning. Before I go over the results, I'll summarize the impact of stock grant to employees on the second quarter, which resulted in $2.2 million of expenses, of which $2 million was noncash stock compensation. The stock grant resulted in a reduction to operating income of $2.2 million, a reduction to income from continuing operations of $1.7 million, a reduction of EPS of $0.05 per share, and also a reduction to adjusted EBITDA of $0.2 million.

Now let's begin with our highlights for the second quarter. As a reminder, the discussion of our results today will be for continuing operations only and comparisons are against the prior-year second quarter unless otherwise stated. Our revenues were up 12% to $63.8 million. Operating income was down 47% to $2.3 million.

Income from continuing operations was down 34% to $2.4 million. EPS from continuing operations was $0.07 per diluted share, compared to $0.11 per diluted share in the prior year and adjusted EBITDA from continuing operations was up 10% to $11.8 million. Again, these results include the impact of the stock grant I just mentioned. Revenues from our Workforce Solutions segment were $52.4 million and are up 12%.

Our revenue growth came from three areas primarily. The legacy resuscitation products, our proprietary learning and compliance solutions, and the Providigm acquisition. The legacy resuscitation revenues increased by 17% to $15.5 million, compared to $13.2 million in the prior year. Through the first half of 2019, we've recognized $32.8 million of revenues from these products, representing a year-over-year growth rate of 29%.

We continue to expect revenues from the legacy products to decline during the second half of 2019 compared to the first half of 2019, with revenues in the second half of this year expected to range between $26 million and $27 million, which also represents a decline compared to the second half of last year. The decline in revenues will continue through the end of 2020. While we will support and maintain the legacy resuscitation products through the end of 2020, our sales and operations teams are making progress on marketing, selling, and implementing the new -- newly launched American Red Cross Resuscitation Suite products. We've sold over $16.5 million of contract order value through the first half of the year and several customers have already implemented or are currently going through the implementation process while others plan to implement after their legacy contracts expire.

We don't expect any material revenues this year from these contracts. Revenues from the Workforce segment also benefited from growth in our proprietary learning and compliance solution and the Providigm acquisition, which occurred in January of this year, which added $1.8 million of revenues during the second quarter. The financial performance and integration of Providigm is progressing in line with our expectations. Revenues from our Provider Solutions segment were $11.4 million and grew by 13%.

Revenue growth is primarily coming from new sales of the Verity platform and professional services for implementation of new customers. We are still, however, in the early stages of the multi-year migration of existing customers to the new Verity platform. Our gross margin declined to 58% compared to 59.2% in the prior year, which was influenced by the revenue growth from the lower margin legacy resuscitation products and additional stock compensation expense, which approximated $700,000 in the cost of revenue category. Our operating expenses, excluding cost of revenues were up 18% across the following categories: product development expenses increased by 17%, sales and marketing expenses increased by 10%, depreciation and amortization increased by 15%, and G&A expenses increased by 28%.

The growth in operating expenses is reflective of some of the themes we have mentioned about investments in the business. For instance, our staffing levels have increased by 14% over the past year and the Providigm acquisition has added $1.3 million of operating expenses in the second quarter alone. We've also made investments in our technology and security infrastructure, including staffing, capex and opex, which is contributing to the growth in depreciation and G&A expenses. The relocation to our new corporate office during the second quarter resulted in approximately $500,000 of incremental expenses also in depreciation and G&A.

And although the operating income declined by $2 million, which was mostly impacted by the stock grant, our adjusted EBITDA grew by 10% to $11.8 million from $10.7 million in the prior-year second quarter. Now let's take a look at the balance sheet and cash flows. Our cash and investment balances ended the quarter at approximately $162 million and working capital was $116 million. Our day sales outstanding were 47 days for the second quarter, compared to 54 days for the prior year second quarter.

Our deferred revenues were down $6 million during the quarter, which is due to the revenue runoff from legacy resuscitation contracts. Our cash flows from operations improved to 37 point -- $37 million year to date, compared to approximately $16 million year to date in the prior year, which is an increase of over 125%. This increase resulted from improved cash collections and lower DSO as well as incremental cash flows generated from operations. For capital deployment, we incurred approximately $10 million of capital expenditures during the quarter, which included over $4 million for our new office in Nashville.

Now let's turn our attention to guidance. We continue to anticipate the consolidated revenues will range between $251 million and $258 million, with revenues from the Workforce Solutions segment ranging between $207 million and $213 million and revenues from the Provider Solutions segment ranging between $44 million and $45 million. We are also maintaining our operating income guidance range of $11 million to $13 million. It's important to note though that our operating -- our non-GAAP operating income guidance range is between $13.2 million and $15.2 million, which excludes the $2.2 million stock grant expense.

There are several factors influencing the second half of the year operating income guidance. The decline in legacy resuscitation revenues mentioned earlier is expected to also result in a decline to operating income. We plan to continue making investments in product development, sales and operations through additions to staffing. We have over 50 open positions that we're working to hire in the second half of the year.

And finally, the incremental costs associated with our new office are also expected to increase our operating expenses. In total, we anticipate that these factors represent approximately $4 million to $5 million of operating income reductions in the second half of the year. We still anticipate that capital expenditures will be approximately $36 million for the year and that our annual effective income tax rate will now range between 23% and 25%. This guidance does not include the impact of any acquisition -- other acquisitions that we may complete during 2019.

Thank you for your time. And I want to now turn the call back over to you, Bobby.

Bobby Frist -- Chief Executive Officer

Thanks, Scotty. Great financial report and good progress on a lot of core metrics. I'd like to close by speaking a little bit to our employee base. As a company driven largely by its culture, which is true of most companies and their performance driven by -- their culture that determines how they approach their work, we have some exciting announcements in this quarter.

Along with the move into our new corporate office, we published and distributed an updated HealthStream constitution. For over a decade, we have been guided by the vision, the values, and the business principles contained in our constitution. And over 30 employees from all levels of the company worked together for over a year to bring about the updated constitution. We're grateful for their enthusiasm and hard work to bring it to fruition.

At the same time, we launched a new corporate social responsibility program, which we call Streaming Good. This program was developed and launched by employees. From the ground up, we're excited about the opportunities being created to contribute to the communities which we serve in. For the first year with Streaming Good, we're focused on working with and supporting the American Cancer Society across the nation in all of our offices.

In fact, we have a large community event being planned right now that we expect to be held in October. In closing, I would like to thank our employees and everyone involved who has been instrumental in these exciting developments in our company culture. We believe that culture drives performance and I'm grateful for all the employees' contribution to these important groundbreaking advances. At this time, I'd like to turn it over to questions from the investor community.

Questions & Answers:


[Operator instructions] Our first question comes from the line of Ryan Daniels with William Blair.

Ryan Daniels -- William Blair -- Analyst

Yes. Thanks for the time and the questions. Bobby, one for you. In looking at the new American Red Cross solutions, it appears that those are more adaptive learning capabilities.

So, I'm curious if you could discuss a little bit more about what the adaptive learning technology is and then I'm curious if that's something that's applicable to other solutions or perhaps already being used there. Thank you.

Bobby Frist -- Chief Executive Officer

Thank you, Ryan. We believe that these advances in the program are in fact applicable to other programs. And there are many dimensions to the new resuscitation program that we think are great advantages in the marketplace, in general. The first is that the curriculum itself is adaptive at the individual level.

So as an individual user progresses through the program, the curriculum adjusts. What this does, it results in more appropriate learning being delivered to each professional and the time savings, which is a huge economic benefit to an organization. If someone can be met where they began with their knowledge and be advanced in their knowledge through adaptive learning, then there's a time savings, which is critical for nurses and physicians going through the program. So as opposed to a pretest and a post-test to evaluate change in knowledge, the test and competency assessments delivered throughout our program result in the curriculum adapting to the individual, which often results in a shortening.

There are many, many advances in the program, another exciting advance is we've taken the common science and knowledge that supports frequency of practice is a known positive variable in a competency. You particularly want to develop, refine muscle memory and repeat programs as frequently as you can, particularly when they're physical like resuscitation. And in our program what we've done is provide the power to organizations to increase the frequency of practice without increasing the cost of participating in the program. So what we've been able to do is we've taken this great working knowledge of the science, which means that more practice results in a higher skill and better muscle memory and hopefully, therefore, a better clinical outcome, and we've made it a variable in our platform.

Our customers in the new Red Cross Resuscitation Suite can choose to determine the practice intervals in the program. And they can dial up or down the frequency, and of course, we recommend -- in prior programs, the frequency was as little as every two years. But in the new program, you can actually set practice intervals and everything in our system adjusts around the determined practice intervals, which can be by group or division of the organization, as -- you can set them as frequently as every 90 days. And so effectively in our efficient program, it not only adapts to the individual level, but it adapts at the organizational level through determination of the practice integrals.

So those are two great and exciting advances in the program. There are actually many, many more. For example, the program uses real video interactions with real physicians and nurses, which allows the program to be more relatable than animated characters in the program. So we're getting a great response for these three and many other advances.

As far as applicability to other programs, absolutely. The future of technology is adaptive and powered by artificial intelligence technologies, informed by great databases and data sets, and we're working hard to make our other programs more advanced and adaptive in this manner. In fact, we have some exciting new clinical reasoning products that are coming out. This year, we've launched and it's completed successful pilots of a new program we call Jane.

And Jane is our new AI-powered platform, working with IBM Watson that we think is an industry first. So the product is new, not a lot of expectations in the year but this is a similar adaptive and intelligent program to help assess the clinical reasoning ability of nurses, and we're very excited about the launch of Jane. And there will be more to come on the new Jane technologies in the future. So we believe that, in general, that approach to learning is something that should be put into all the different programs that we deliver.

And we've got a really nice headstart in some of our nursing and clinical education products, particularly with the new Jane platform that I mentioned just now.

Ryan Daniels -- William Blair -- Analyst

OK. That's super helpful detail. And then I think you mentioned the $16.5 million in contract value for the new American Red Cross product. I'm curious, No.

1, is that an annual revenue number or is that total contract value? And then No. 2, just kind of where that stands in regards to your expectations? Is it kind of ahead of schedule, on schedule in regards to new sales? And what kind of feedback are you getting in the market from clients that have signed up as it relates to that product? Thank you.

Bobby Frist -- Chief Executive Officer

Yes. A couple of things. So first, of note, that is the total contract order value of the multi-year agreements. And you noted that one of the large health systems was a seven-year agreement.

We did a separate press release on that. It represents new and migrating customers, and it represents customers from -- within the acute-care space and then what we call the continuum space, which is the nonacute space. So it's a really nice early surprise. I would say we've been -- we've surpassed our expectations for early contract order value, and have a myriad of customers across industry and across verticals contracting for and adopting the program.

Now from a revenue recognition standpoint, as we mentioned, many of those customers are committing to the program three, four, five, and seven years out. And the reason for that is that the first 12, 18, 24 months, they're running off their commitments to the legacy programs, which we were extremely successful selling in the fourth quarter of last year. And so these are need to be -- if they're going to commit to switching they sign a longer-term agreement and they can run out and execute the finishing of their prior contract on the prior legacy platform. And so revenue recognition from that $16.5 million in contract order value, which, again, is a material upside to our initial thinking.

In fact, I think, we weren't planning on selling much of anything in the first half of the year, and we're already at $16.5 million. But the revenue recognition will be weighted and begin only about after 18 months to 24 months from where we sit today. In some cases, it will start earlier as they use parallel adoption of the program, but that's why we're saying there's no material impact in this year. But I do think it's encouraging to know there's $16.5 million of business already under contract.

In many cases, the new customers are beginning implementation now. And as we have mentioned, we do have better margins on this product than the prior product. So over time, as I talked about three business transitions, we do expect the blended gross margin of the company over time driven by the three transitions I talked about, this being a primary one, to go up from their current, I believe 58 -- about 58%. So we're excited about all those things.

Ryan Daniels -- William Blair -- Analyst

Great. Thank you so much. Appreciate the color.

Bobby Frist -- Chief Executive Officer

Thank you.


Our next question comes from Matt Hewitt with Craig-Hallum Capital. Your line is now open.

Matt Hewitt -- Craig-Hallum Capital Group LLC -- Analyst

Good morning. Thank you for taking the questions. The first one relates to the new -- the hStream progress that you've made. Obviously, another big quarter for upgrades.

I'm curious, are those primarily a one-for-one upgrade from the old metrics that you're providing. I think the last time you had provided those, you were at 4.9 million of contracted subscribers. So are we seeing almost exclusively just a conversion of that metric or are you seeing some nice incremental, new business into the hStream platform?

Bobby Frist -- Chief Executive Officer

Yes. Great question, Matt, because it's actually a little of both. As I've mentioned, the Verity platform now has a parallel and similar set of technology we call hStream for Verity. And so there's enough parallelism in the way the technologies are being deployed now that 122,000 of the 2.34 million subscribers to hStream are coming from new sources like Verity.

In addition, any brand-new customers to the company are going on hStream, and there's a mix of brand-new customers in that as well. And then, of course, there are conversions, as you mentioned. The former number of 4.9 million reflected subscribers to a more narrow set of applications, largely our learning center application. And as those come up for renewal, those customers are getting new capabilities in their old learning platform because they are renewing and upgrading the core operating system.

Essentially, they're upgrading to hStream. And then that, in turn, gives them access to applications like MyTeam. And so the majority of the 2.34 million is an upgrade of legacy customers of the HealthStream Learning Center that are getting access to new features through upgrading to the hStream platform. So I hope that helps you understand, but they are coming from three sources.

The vast majority are upgrades, as you mentioned from the Legacy, but there are brand-new customers to our network that get hStream and then there are a new source of customers coming from Verity, that includes the hStream for Verity platform component and their contracts as well.

Matt Hewitt -- Craig-Hallum Capital Group LLC -- Analyst

OK. That's very helpful. Thank you. And then maybe one -- a second question for Scotty.

As we look at the back half of year, and thank you for providing all of the detail there. But as we think about Q3 and Q4, where some of the legacy resuscitation is falling off, and you gave us some good numbers to start with there, should we see gross margin lift in the back half of the year even though the revenues are coming down just because of the margin structure for the legacy resuscitation? And then it sounds like that will be offset by incremental operating expenses for the new facility, the new hiring plan that you have and whatnot, but I want to make sure we get the gross margin piece right.

Scott Roberts -- Interim Chief Financial Officer

Yes, Matt. I think you are well on the path of what we tried to explain about gross margin improvement. And as the lower margin legacy resuscitation products begin to decline, which we're expecting in the second half of the year versus sequential quarters for the first half and from the second half of last year, I think there should be some slight improvement in margins. Now the revenue declines are not as impactful as we expect going forward, but you should start to see some slight improvement in margins just related to that product alone.

Now we do have quite a few other products in the portfolio that can influence margins. But if you looked at this in isolation, I think we would assume some -- and expect some improved margins.

Bobby Frist -- Chief Executive Officer

Obviously, Matt, when the new products start coming online, then you got a real upward push, we believe, on the gross margins. But we don't think -- as we said, we don't think the new revenue streams from the new resuscitation products will start coming in this year. So -- but as we modeled, in the distant future, as we talk about these multi-year transitions, there's certainly going to be a positive upward force on gross margins as the new come online and the old continue to drop off.

Matt Hewitt -- Craig-Hallum Capital Group LLC -- Analyst

Understood. All right. Great. Thank you very much.


Our next question comes from the line of Richard Close with Canaccord Genuity. Your line is now open.

Richard Close -- Canaccord Genuity -- Analyst

Yes, just to maybe drill down a little bit further on the margin point. Is there any way you guys can quantify what you think the margin expansion opportunity is once you get through the HeartCode rampdown based on the new Red Cross and the SaaS Verity that you called out as well?

Bobby Frist -- Chief Executive Officer

Well. I think it will be a little challenging to do that right now because the three transitions we talked about are all going to span 24 or 36 months and maybe in some cases a little longer. They all have a positive upward pressure on gross margins, meaning an improvement in gross margins. And so we do expect in the long, long run to see a different gross margin profile at the company.

That said, we're speaking to this year, and in this year we expect de minimis change. I mean, we've been in that 58% to 60% gross margin right now for some time, and I think Scotty just indicated maybe a slight uptick from the 58% we just had in the second half of the year. But we would consider that for this year's modeling purposes, it would be a very slight uptick.

Richard Close -- Canaccord Genuity -- Analyst

OK. And any thoughts in terms of the new SaaS -- Verity SaaS and what the differential maybe was from the old offering there? Understanding that, that migration will take some time.

Bobby Frist -- Chief Executive Officer

They're both fairly high margin products. There's kind of a hybrid component. I think a lot of the costs and benefits there, there will be a slight improvement when you go to the new Verity platform from the overall approach to its deployment and licensing and technologies. The overall improvement in that business will come from the reduction in supporting multiple platforms, which is above and below the gross margin line.

So supporting four -- effectively four software platforms for that customer base. Our goal obviously is to get down to one platform and that platform is built and deployed and has 100 contracts on it, it's the new Verity platform. So our goal there in that line of business, we'll see a little bit of gross margin impact from going to the newer technologies, but we'll all see an overall improvement in the profitability of the business by reducing the number of platforms we support over time. That is probably the longer of the three journeys, the full migration.

But again, it is a positive and healthy move at the operating expense level, at the gross margin level as we're able to wean customers off the older platforms and upgrade them to the new one.

Richard Close -- Canaccord Genuity -- Analyst

OK. I guess, my final question would be on the HeartCode decline, I just wanted to make sure I had those numbers correct. Did you say you expect a $2 million decline in the third quarter and then $300,000 additional in the fourth?

Bobby Frist -- Chief Executive Officer

Yes. It's kind of interesting. Scotty gave kind of first half total versus expected second half total, so that's very detailed there. And maybe repeat those real quick, Scotty and then I'll do the quarters.

The first half total revenue from the legacy products was?

Scott Roberts -- Interim Chief Financial Officer

We delivered $32.8 million legacy revenues in the first half of the year. We're expecting $26 million to $27 million in the second half of the year. Of course, we did $15.5 million in the second quarter.

Bobby Frist -- Chief Executive Officer

So $15.5 million in the second quarter. And then building on that, I mentioned that we expect a sequential decline of $2 million. So from $15.5 million to, I guess, $13.5 million is about the way you need to model the third quarter on the legacy resuscitation products. And then obviously simple math, that leaves you the fourth quarter, only dropping $300,000.

So we thought it's interesting that it plateaued a little bit. It will continue its decline in the first quarter of next year and all the way down to 0 as we mentioned. But the way we've sold is -- there's a little bit of a plateauing here for a couple of quarters, but a $2 million sequential decline from Q2 to Q3.

Richard Close -- Canaccord Genuity -- Analyst

OK. Great. Thank you.


Our next question comes from Frank Sparacino with First Analysis. Your line is now open.

Frank Sparacino -- First Analysis -- Analyst

Hi, guys. Just one for me. On the Provider side, can you just talk through -- if I look at the guidance for the year, $44 million to $45 million, that would suggest the revenue in the back half of the year is flat to down from the Q2 level of $11.4 million, call it. So maybe just can you talk through what's happening in the second half of the year because the growth rate there would be slowing on a year-over-year basis relative to what you've done in the first half as well.

Bobby Frist -- Chief Executive Officer

Yes. I think -- I mean, there's a lot of activity going on there. We're trying to sort and give our best estimate of our performance. New sales continue to come in, implementations are going a little slower than we expected, but we're getting good at it.

And as we mentioned, we have over 100 contracts under review. So I think we've kind of been down the middle on this, a little bit conservative in our forecast of the first half, delivery -- what was the growth rate, first half?

Scott Roberts -- Interim Chief Financial Officer

Roughly 11% to 12%.

Bobby Frist -- Chief Executive Officer

11% to 12% first half. We're just projecting based on all the work that's going on in the business, a little bit of a flattening of that growth rate for the second half. Maybe there's a little bit of upside to it. So -- but I think, it's just conservatism, given the amount of migration work we're doing and the new contract selling we're doing.

I guess, we picked what we think is a fair representation of where we're going to land.

Frank Sparacino -- First Analysis -- Analyst

And maybe just following up there, Bobby, I guess, longer term, what's your view in terms of that part of the business and long-term growth?

Bobby Frist -- Chief Executive Officer

I think we feel good about it, and of course, we guide each year, and this year we're seeing the double-digit growth in the first half. We're seeing good -- it's a narrowly focused product set, that, we think, is best-of-breed in the market. And we continue to project and win some competitive takeaways in the areas of relative strength that we have as a business. So we do expect it to continue to be a grower.

And also we think that its margin profile can be enhanced, as we talked about, as we get through these migrations in the coming years. So I think it's a good software business with decent margins as is, which means at the gross margin level, it's productive. It's contributing to cash flows. These are good software businesses, but we are operating in a situation where we're running essentially four platforms, three from the acquired businesses and the new one that we're trying to move everybody to.

So there's kind of an abnormally high operating cost in the business but our goal is over the next 36 months to take some of those costs down. That said, because we're excited about the products, we're adding in areas, as we streamline operational costs to one platform over time, we're adding in areas like sales and marketing to continue the growth because again it's a good product. The blend of all that is a healthy software business with good margins, and we hope an improving margin profile over time.

Frank Sparacino -- First Analysis -- Analyst

Thank you.


Our next question comes from the line of Vincent Colicchio with Barrington Research. Your line is now open.

Vincent Colicchio -- Barrington Research -- Analyst

Hi, Bobby. Apologies if you already answered this. I don't think you did. The main reason that the legacy clients switched to the Red Cross product, was that cost? Was that some of the extra value add you talked about? What was it?

Bobby Frist -- Chief Executive Officer

Well, I think that these early customers are really adopting the newer approach. And so I think they like the flexibility of the interval dial. I think they like the real-time and real professional video instruction that I think is more appropriate for the newer workforce, the millennials like to learn that way. So I think that this is a refreshed approach to an old problem, that, frankly, the prior products, we just haven't moved the outcomes much.

So these are early adopters willing to try a new way that we tried to improve every dimension of it from the hardware deploying, being higher tech and lower cost to the program itself, which we believe is more flexible and more engaging, from the approach to the content development. And then, of course, the time savings and therefore, the money savings come from some of the adaptive features we talked about. So overall, you know how early adopters are. They tend to want to try the new thing to see if it has a positive impact.

And so I think, they're driven by the new approach that's inherent in the product itself more than the cost savings. That said, it's our commitment and the American Red Cross's commitment, which is interesting because American Red Cross is -- has maintained their nonprofit status, whereas the legacy products have created a for-profit entity. And so I think there's that appeal to a lower cost product because the partners in this case have maintained their nonprofit status in their contribution to these products. So I think, overall, we're able to deliver a lower cost product potentially because of some of that.

Vincent Colicchio -- Barrington Research -- Analyst

OK. That's it for me. Thank you.


[Operator instructions] We have a follow-up question from line of Richard Close with Canaccord Genuity. Your line is now open.

Richard Close -- Canaccord Genuity -- Analyst

Yes, thanks. I think you detailed or called out $4 million to $5 million in operating income reduction in the second half, if I'm not mistaken, due to some investments in -- in the headquarters move, whatnot. Is there anything in that $4 million to $5 million that is essentially may be considered onetime that doesn't necessarily repeat in 2020?

Scott Roberts -- Interim Chief Financial Officer

Yes. I think the continuation of the legacy resuscitation decline is one that will continue on through the end of 2020. The hirings, that's an expectation that we're trying to fulfill in the second half of the year, which will have an ongoing impact as we retain those employees and staff up. And then, lastly, the new building that we just moved into, those are going to be ongoing costs as well.

So I'd say they're all ongoing run rate expenses for us, not onetime.

Bobby Frist -- Chief Executive Officer

That's right. As you remember, the rent is going up a couple of million a year, and it was the more economical of the many choices, including staying where we were, the cost of living in Nashville and the cost for the corporate rent is going up. But we think that those investments, while they will be ongoing, are already showing benefit to recruiting and the environment and the culture of the company. So all three of those are ongoing expenses unfortunately and part of the -- both kind of the cost of living in the environment and our desire to invest in growing the workforce size as well.

And we mentioned specifically, for example, adding salespeople to the resuscitation products specifically. So we've approved and immediately have begun recruiting. And I think already made two offers since we approved them a week ago. So we're going to continue to grow the sales efforts around products that are performing in the market.

Vincent Colicchio -- Barrington Research -- Analyst

Thank you.


And I'm showing no further questions in queue at this time. I'd like to turn the call back to Mr. Frist for closing remarks.

Bobby Frist -- Chief Executive Officer

Thank you, everyone, for your attendance. We hope we got everything in the right amount of detail in our disclosures. We're excited about many things. But also, I characterize these as challenges and opportunities for a reason.

I think for shareholders that are willing to follow us along, we'll report our progress on hStream subscribers, our migrations to the new Verity platform, and as we've done here, at excruciating detail about our progress with our new resuscitation partners and products, so that you can follow these three transitions along for the next, I would say, 36 months or 12 quarters. Our goal would be to come out the back end of that with a higher margin and more profitable entity. But all these migrations have both opportunities and challenges in them and I remind our employees to -- that we keep our heads down and stay focused through these migrations and transitions so that we can be successful in them as we come out and show progress in the coming years. That said, to all you analysts, remember, these -- the challenges are real.

These revenue declines are concrete, a $60 million low margin business going to 0, is still a $60 million business going to 0. We are really excited and encouraged by early returns on our new product sets and the improved margin profile of the company. But the challenges and opportunities are both real. So, we appreciate you following our story and explaining in detail to all of our 12,000 shareholders, and I look forward to reporting our next quarter to all of you in the coming months.

Thank you.


[Operator signoff]

Duration: 47 minutes

Call participants:

Mollie Condra -- Vice President of Investor Relations and Communications

Bobby Frist -- Chief Executive Officer

Scott Roberts -- Interim Chief Financial Officer

Ryan Daniels -- William Blair -- Analyst

Matt Hewitt -- Craig-Hallum Capital Group LLC -- Analyst

Richard Close -- Canaccord Genuity -- Analyst

Frank Sparacino -- First Analysis -- Analyst

Vincent Colicchio -- Barrington Research -- Analyst

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