Private company

STREAMLINE HEALTH SOLUTIONS INC.

STREAMLINE HEALTH SOLUTIONS INC. is an American computer integrated systems design services company based in Atlanta.2

Last updated Oct 20, 2026.

Overview

$4.8MRevenue, fiscal 20253
-$1.6MNet income, fiscal 20253
  • IndustryServices-Computer Integrated Systems Design2
  • HeadquartersAtlanta, United States2
  • Incorporated inDE4
  • Business address2400 Old Milton Parkway, Box 1353, Alpharetta, Ga 300094
  • Filer categoryNon-accelerated filer, Smaller reporting company4
  • Legal formCorporation2
  • LEI5493005R8JNDFOLVG7642
  • StatusActive2
  • LEI statusLapsed (not renewed)2
  • Registered addressC/O CORPORATION SERVICE COMPANY, 19808 Wilmington, United States2
  • Registered withDivision of Corporations, Department of State, 25851392

Incorporated in 1989, Streamline Health Solutions, Inc. is a provider of solutions and services in the middle of the revenue cycle for healthcare 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.6 From its latest annual report

Financials

From the company’s reports to the SEC. Every number links to the filing it came from.

Key numbers, fiscal 2025

-22.9%Operating margin3
-34.2%Net margin3
11.1%Revenue growth, 20253
-13.4%Return on equity7
-$1.5MFree cash flow7

Where the money goes

Where each dollar of revenue went, fiscal 2025

  • Research and development28¢$4.6M
  • Selling, general and admin72¢$11.7M

Out of $4.8M in revenue.37 The company lost money this year.

Financial statements

Revenue89101112133$4.8M in 2025−80% since 2018
0$10.0M$20.0M$30.0M2018: $24.3M$24.3M20182019: $22.4M$22.4M2019−8%2020: $11.9M$11.9M2020−47%2021: $11.3M$11.3M2021−4%2022: $17.4M$17.4M2022+53%2023: $24.9M$24.9M2023+43%2024: $4.3M$4.3M2024−83%2025: $4.8M$4.8M2025+11%
Operating income89101112133-$1.1M in 2025−58% since 2018
-$15.0M-$10.0M-$5.0M02018: -$2.6M-$2.6M20182019: -$5.3M-$5.3M2019+102%2020: -$7.2M-$7.2M2020+36%2021: -$5.9M-$5.9M2021−17%2022: -$10.8M-$10.8M2022+81%2023: -$10.8M-$10.8M2023+1%2024: -$2.2M-$2.2M2024−79%2025: -$1.1M-$1.1M2025−51%
Net income89101112133-$1.6M in 2025−47% since 2018
-$15.0M-$10.0M-$5.0M0$5.0M2018: -$3.1M-$3.1M20182019: -$5.9M-$5.9M2019+89%2020: -$2.9M-$2.9M2020−51%2021: $296.0K$296.0K20212022: -$6.5M-$6.5M20222023: -$11.4M-$11.4M2023+74%2024: -$2.7M-$2.7M2024−76%2025: -$1.6M-$1.6M2025−40%
Fiscal year20182019202020212022202320242025
Revenue$24.3M8$22.4M9$11.9M10$11.3M11$17.4M12$24.9M13$4.3M3$4.8M3
Cost of revenue$1.9M16
Gross profit
Research and development$5.4M8$2.7M10$2.7M10$2.9M11$4.8M12$6.0M13$5.7M7$4.6M7
Selling, general and admin$11.4M8$10.6M9$9.6M10$8.6M11$11.9M12$16.3M13$14.7M7$11.7M7
Operating expenses$28.1M12$35.7M13$6.6M3$5.9M3
Operating income-$2.6M8-$5.3M9-$7.2M10-$5.9M11-$10.8M12-$10.8M13-$2.2M3-$1.1M3
Interest$474.0K8$384.0K9$309.0K10$51.0K11$236.0K12$749.0K13$1.1M13
Income before tax-$6.8M12-$11.3M13-$2.7M3-$1.6M3
Income tax-$84.0K8-$1.6M10-$1.3M11$109.0K12$71.0K13$03$03
Net income-$3.1M8-$5.9M9-$2.9M10$296.0K11-$6.5M12-$11.4M13-$2.7M3-$1.6M3
Earnings per share-$0.168-$0.309$0.0810$0.0111-$0.2313-$0.3313-$4.967-$2.537
Earnings per share (diluted)-$0.168-$0.309-$0.1410$0.0111-$0.2313-$0.3313-$4.967-$2.537
Shares (weighted, basic)42.8M shares1249.3M shares133.8M shares74.0M shares7
Shares (weighted, diluted)43.3M shares1249.3M shares133.8M shares74.0M shares7

Compare STREAMLINE HEALTH SOLUTIONS INC. with another company

Corporate structure

STREAMLINE HEALTH SOLUTIONS INC. sits at the top of its group. 5 entities, 1 country on record. Switch between the flow chart and the network, and select any entity to see its details.

Major holders of STREAMLINE HEALTH SOLUTIONS INC.

  • Beryl Capital Management LLC Filed SCHEDULE 13G/A on STREAMLINE HEALTH SOLUTIONS INC., latest Nov 14, 2025 (2 filings since Jun 5, 2025)
  • Harbert Discovery Fund, LP Filed SCHEDULE 13D/A on STREAMLINE HEALTH SOLUTIONS INC., latest Aug 14, 2025 (2 filings since Jun 2, 2025)
  • Tamarack Advisers, LP Filed SCHEDULE 13D on STREAMLINE HEALTH SOLUTIONS INC., latest Nov 22, 2024 (3 filings since Dec 1, 2022)
  • Justin John Ferayorni Filed SCHEDULE 13D on STREAMLINE HEALTH SOLUTIONS INC., latest Jul 17, 2024
  • GCI Partners Opportunity Fund, LP Filed SC 13G on STREAMLINE HEALTH SOLUTIONS INC., latest Sep 27, 2023 (2 filings since Apr 14, 2022)
  • Marathon Micro Fund, LP Filed SC 13G/A on STREAMLINE HEALTH SOLUTIONS INC., latest Feb 3, 2023 (2 filings since Jul 11, 2022)
  • Norman H. Pessin Filed SC 13D/A on STREAMLINE HEALTH SOLUTIONS INC., latest Nov 1, 2022
  • Nantahala Capital Management, LLC Filed SC 13G/A on STREAMLINE HEALTH SOLUTIONS INC., latest Feb 14, 2022
  • STREAMLINE HEALTH SOLUTIONS INC. Atlanta, Georgia, United States
    • Avelead Consulting, LLC Subsidiary · Delaware, United States
    • Streamline Consulting Solutions, LLC Subsidiary · Delaware, United States
    • Streamline Health, LLC Subsidiary · Delaware, United States
    • Streamline Pay & Benefits, LLC Subsidiary · Delaware, United States

Built from parent and subsidiary links from GLEIF, the Global Legal Entity Identifier Foundation (CC0); subsidiaries listed in Exhibit 21 of annual reports filed with the SEC; major holders from Schedules 13D and 13G. Each entity in the chart links to its source.

What it owns

What STREAMLINE HEALTH SOLUTIONS INC. reports owning in its annual reports to the SEC: buildings, land and equipment, real estate and locations, investments, intangible assets and inventory, at the end of its latest fiscal year and a year before.

Property and equipment

ItemLatestA year beforeChange
Accumulated depreciation$110.0K7 Jan 31, 2025$291.0K7 Jan 31, 2024−62.2%
Property and equipment, net$49.0K7 Jan 31, 2025$88.0K7 Jan 31, 2024−44.3%

Investments

ItemLatestA year beforeChange
Cash and cash equivalents$2.2M7 Jan 31, 2025$3.2M7 Jan 31, 2024−31.6%

Intangibles and goodwill

ItemLatestA year beforeChange
Goodwill$13.3M7 Jan 31, 2025$13.3M7 Jan 31, 20240%
Intangible assets, net (excluding goodwill)$10.4M7 Jan 31, 2025$12.1M7 Jan 31, 2024−13.6%
Finite-lived intangibles, gross$16.1M7 Jan 31, 2025$16.1M7 Jan 31, 20240%
Accumulated amortization$5.7M7 Jan 31, 2025$4.0M7 Jan 31, 2024+40.7%
Finite-lived intangibles, net$10.4M7 Jan 31, 2025$12.1M7 Jan 31, 2024−13.6%

Properties, in its own words

In March 2020, the Company moved its principal offices to 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 former Chief Strategy Officer of the Company. The lease expired on February 28, 2023 and was not renewed.

The rest of Item 2

The Company relies on a virtual office model and does not have a physical office space. Membership agreements and daily space rentals are leveraged by the Company when groups need to meet in person. Our mailing address is 2400 Old Milton Pkwy, Box 1353, Alpharetta, GA 30009. We believe the virtual environment is adequate for the Company’s current and planned future operations. Suitable alternative space is available to accommodate the expansion of the Company’s operations.

Item 2 of the 10-K filed May 2, 2025.6

Leadership

Who has led STREAMLINE HEALTH SOLUTIONS INC., and when. Pick a name to see everywhere that person has worked.

Board members and other officers (33)

Subsidiaries and ownership

Subsidiaries (Exhibit 21)

  • Avelead Consulting, LLC Delaware5
  • Streamline Consulting Solutions, LLC Delaware5
  • Streamline Health, LLC Delaware5
  • Streamline Pay & Benefits, LLC Delaware5

The subsidiaries the company lists in Exhibit 21 of its annual report, as filed.

Former names

  • STREEAMLINE HEALTH SOLUTIONS INC.Aug 22, 2006 to Aug 22, 20064
  • LANVISION SYSTEMS INCJun 12, 1996 to Jun 30, 20064

Timeline

  1. Aug 13, 20258-K Ended a material agreement; Completed an acquisition or sale; Listing notice or transfer65
  2. Aug 7, 20258-K Shareholder vote; Other events66
  3. Jul 1, 20258-K Entered a material agreement; New debt or obligation; Executive or director change67
  4. Jun 16, 20258-K Results of operations; Other events68
  5. May 29, 20258-K Entered a material agreement; Regulation FD disclosure69
  6. May 1, 20258-K Results of operations70
  7. Mar 28, 20258-K Entered a material agreement; New debt or obligation71
  8. Dec 16, 20248-K Results of operations72
  9. Nov 15, 20248-K Entered a material agreement; New debt or obligation73
  10. Sep 26, 20248-K Change to shareholders' rights; Bylaws or fiscal year changed; Regulation FD disclosure74
  11. Sep 19, 20248-K Shareholder vote75
  12. Sep 11, 20248-K Results of operations76
  13. Nov 3, 2023New chief executive Benjamin Louis Stilwill becomes CEO18
  14. Jul 31, 2019New chief executive Wyche T. Green Iii. becomes CEO19
  15. Jan 12, 2015New chief executive David William Sides becomes CEO20
  16. Feb 2, 2011New chief executive Robert Eugene Watson becomes CEO21
  17. Mar 7, 2006New chief executive J. Brian Patsy becomes CEO22
  18. Feb 7, 1996Founded STREAMLINE HEALTH SOLUTIONS INC. is founded2

Calendar

When it reported results

  1. Jun 16, 2025Reported quarterly or annual results68
  2. May 1, 2025Reported quarterly or annual results70
  3. Dec 16, 2024Reported quarterly or annual results72
  4. Sep 11, 2024Reported quarterly or annual results76
  5. Jun 11, 2024Reported quarterly or annual results77
  6. Apr 29, 2024Reported quarterly or annual results78
  7. Dec 14, 2023Reported quarterly or annual results79
  8. Sep 14, 2023Reported quarterly or annual results80

Upcoming dates from Nasdaq's calendar; past results from the company's 8-K filings (Item 2.02). The full markets calendar

Filings

218 filings to the SEC since October 2021: 6 annual reports, 11 quarterly reports, 41 major events, 85 insider forms, 14 large holders, 61 other. The latest 20:

  1. Nov 14, 2025SCHEDULE 13G/A EDGAR
  2. Aug 22, 202515-12G EDGAR
  3. Aug 15, 2025EFFECT EDGAR
  4. Aug 15, 2025EFFECT EDGAR
  5. Aug 15, 2025EFFECT EDGAR
  6. Aug 15, 2025EFFECT EDGAR
  7. Aug 15, 2025EFFECT EDGAR
  8. Aug 15, 2025EFFECT EDGAR
  9. Aug 15, 2025EFFECT EDGAR
  10. Aug 14, 2025POS AM EDGAR
  11. Aug 14, 2025POS AM EDGAR
  12. Aug 14, 2025POS AM EDGAR
  13. Aug 14, 2025POS AM EDGAR
  14. Aug 14, 2025POS AM EDGAR
  15. Aug 14, 2025POS AM EDGAR
  16. Aug 14, 2025POS AM EDGAR
  17. Aug 14, 2025S-8 POS EDGAR
  18. Aug 14, 2025S-8 POS EDGAR
  19. Aug 14, 2025S-8 POS EDGAR
  20. Aug 14, 2025S-8 POS EDGAR

The 218 filings since October 2021 can be filtered by form type and year here when JavaScript is on.

Every filing from the last five years, summarized. The full record is on SEC EDGAR.

Insider trades

3 open-market trades by officers, directors and large owners since October 2021: 3 buys and 0 sales. Grants, option exercises and gifts are left out.

DateWhoTradeSharesPriceValueFiling
Sep 20, 2024Stilwill Benjamin LouisPresident and CEOBuy6,300$0.16$1.0KForm 4
Oct 26, 2022LUCAS KENANDirectorBuy757,575$1.32$1.0MForm 4
Dec 16, 2021LUCAS KENANDirectorBuy100,000$1.50$150.0KForm 4

From Forms 4 filed with the SEC.

Major holders

Investors who own more than 5% of the shares must tell the SEC: a 13D if they may seek to influence the company, a 13G if they hold passively.

SEC filer profile

How STREAMLINE HEALTH SOLUTIONS INC. is registered with the Securities and Exchange Commission, from its EDGAR record and the cover page of its latest annual report.

  • Name on EDGARSTREAMLINE HEALTH SOLUTIONS INC.1
  • CIK0001008586
  • Employer ID (EIN)31-14554146
  • Filer statusNon-accelerated filer not an emerging growth company; a smaller reporting company; not a shell company6
  • Incorporated inDelaware6
  • Fiscal year endsJanuary 311
  • Industry code (SIC)7373 Services-Computer Integrated Systems Design1
  • SEC reviewing officeOffice of Technology, Division of Corporation Finance1
  • Business address2400 Old Milton Parkway, Box 1353, Alpharetta, GA 300091
  • Phone888-997-87321
  • Shares outstanding4,356,062 as of Jun 12, 20253
  • Public float$23.5M as of Jul 31, 20246
  • AuditorForvis Mazars, LLP, Atlanta, Georgia PCAOB ID 686; no auditor attestation of internal control over financial reporting6
  • On EDGAR sinceJun 12, 19961
  • Filings1,246 in all: 4 (544), 8-K (250), 10-Q (88), 3 (43), SC 13G/A (41), DEF 14A (31), 10-K (24), SC 13G (24)1
    All 48 form types

    EFFECT (17), S-8 (17), 4/A (16), S-8 POS (13), CORRESP (12), UPLOAD (12), SC 13D/A (11), DEFA14A (10), S-3 (10), POS AM (7), PRE 14A (7), S-3/A (7), 424B5 (6), 8-K/A (6), 10-K405 (5), SC 13D (5), 10-K/A (4), NT 10-Q (4), 10-Q/A (3), 3/A (2), ARS (2), D (2), DEFM14A (2), NT 10-K (2), PREM14A (2), SCHEDULE 13D (2), SCHEDULE 13D/A (2), 144 (1), 15-12G (1), 25-NSE (1), 424B2 (1), 424B3 (1), 5 (1), 8-A12G/A (1), DEFS14A (1), DEL AM (1), NO ACT (1), PRES14A (1), SCHEDULE 13G (1), SCHEDULE 13G/A (1)

  • Latest filingsAnnual report (10-K) May 2, 2025
    Quarterly report (10-Q) Jun 16, 2025
    Proxy statement (DEF 14A) Aug 19, 2024
    Latest 8-K (8-K) Aug 13, 2025

Securities registered for trading

ClassSymbolExchange
Common Stock, $0.01 par value per shareSTRMNasdaq

From the cover page of the 10-K filed May 2, 2025 (Section 12(b) of the Exchange Act).6

Risk factors and legal proceedings

The risks STREAMLINE HEALTH SOLUTIONS INC. names in Item 1A of its 10-K filed May 2, 2025: 37 risks under these headings, as written.6

  • Risks Relating to Our Business
  • Our sales have been concentrated in a small number of 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.
  • 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.
  • A significant increase in new SaaS contracts could require a significant cash outlay, which could adversely affect near term cash flow.
  • 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.
  • Clients may exercise termination rights within their contracts, which may cause uncertainty in anticipated and future revenue streams.
  • 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.
  • The potential impact on us of new or changes in existing federal, state and local regulations governing healthcare information could be substantial.
  • 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.
  • We face significant competition, including from companies with significantly greater resources.
  • The healthcare industry is evolving rapidly, which may make it more difficult for us to be competitive in the future.
The other 26 risks
  • Rapid technology changes and short product life cycles could harm our business.
  • Our intellectual property rights are valuable, and any inability to protect them could reduce the value of our solutions and services.
  • We could be subjected to claims of intellectual property infringement that could be expensive to defend.
  • If we are unable to maintain effective internal control over financial reporting, we may fail to prevent or detect material misstatements in our financial statements, in which case investors may lose confidence in the accuracy and completeness of our financial statements.
  • Third party products are essential to our software.
  • Our solutions may not be error-free and could result in claims of breach of contract and liabilities.
  • We could be liable to third parties from the use of our solutions.
  • Our SaaS and support services could experience interruptions.
  • 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 and any breach of security or confidentiality of protected health information could expose us to significant expense and harm our reputation.
  • The loss of key personnel could adversely affect our business.
  • 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 may not have access to sufficient or cost-efficient capital to support our growth, execute our business plans and remain competitive in our markets.
  • 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.
  • We must maintain compliance with the terms of our existing credit facilities or receive a waiver for any non-compliance. The failure to maintain 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.
  • Economic conditions in the U.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.
  • The variability of our quarterly operating results can be significant.
  • Our business, results of operations and financial condition has been, and may continue to be, materially adversely affected by the COVID-19 pandemic.
  • The preparation of our financial statements requires the use of estimates that may vary from actual results.
  • 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.
  • Risks Relating to 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.
  • All of our debt obligations 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.
  • There may be future sales or other dilution of our equity, which may adversely affect the market price of our common stock.
  • The issuance of preferred stock could adversely affect holders of shares of our common stock, which may negatively impact your investment.
  • 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.
  • 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.
  • 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.
  • Note Regarding Risk Factors

Legal proceedings

We are, from time to time, a party to various legal proceedings and claims, which arise in the ordinary course of business. We 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.

The opening of Item 3, Legal Proceedings.6

Sources

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