Good morning, and welcome to HealthStream's first quarter 2026 Earnings Conference Call. At this time, I would like to inform you that this conference is being recorded, and all participants are in a listen-only mode. At the request of the company, we will open the conference up for questions and answers after the presentation. I will now turn the conference over to Molly Condra, Head of Investor Relations and Corporate Communications. Please go ahead, Ms. Condra.

Thank you, and good morning. Thank you for joining us today to discuss our first quarter 2026 results. Also in the conference call with me is Robert A. Frist, Jr., CEO and Chairman of HealthStream, and Scotty Roberts, CFO and Senior Vice President of Finance and Accounting. 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 could involve risk 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 10K, 10Q, and our earnings release. Additionally, we may reference certain non-GAAP financial measures relating to the company's past and future expected performance on this call. The most directly comparable GAAP financial metrics and reconciliations are included in the earnings release that we issued yesterday. So with that start, I'll now turn the call over to CEO Bobby Frist.

Good morning, everyone. We do have a lot to cover this morning, and I'll ask Scotty and Molly to be on guard in case I have a coffee fit. Working off a bit of a cold, that's my issue. I'm going to get through it, though, just in case, Molly, be ready. All right. Well, good morning, everyone. It's our first quarter 2026 earnings call. We have a lot to go over, starting with the strong financial growth we delivered in the quarter, which included record-setting revenues of $81.2 million. That's up 10.5% year-over-year, and record-setting adjusted EBITDA, which has just pushed through the $20 million to $20.1 million. That's up 24.1% year-over-year. Operating income grew 71.6% year-over-year. The strong performance of Q1 is allowing us to increase investment beyond our original plan as we started the year, including in growth initiatives related to our current products, new products on the horizon, and accelerated use of AI. and I'm going to talk about some of those investments towards the end of my sections. We're reaffirming our 2026 full-year guidance and continue to anticipate revenue between $323 million to $330 million, net income between $20.4 million and $22.8 million, and adjusted EBITDA between $73 million and $77 million. Our strong cash balance of $66.5 million, an untapped line of credit, and no long-term debt continue to position us well to take advantage of M&A opportunities as they arise, as well as other capital deployment strategies that we believe will benefit our shareholders. As a reminder, last quarter, I described four reasons why HealthStream sees real opportunity in today's rapidly expanding AI environment. As AI continues to develop, I am pleased to reaffirm our increasing belief in each of those four reasons today. First, our healthcare user base continues to expand. Unlike companies facing seat compression from AI agents, healthcare keeps hiring and keeps growing. It's roughly one quarter of all new U.S. jobs over the next decade projected to come from the healthcare industry. And nurses, our largest user base, are leading that growth. AI is not expected to reduce demand for nurses. If anything, it should free them to spend more time with patients and less time documenting. Second, our data profile remains a meaningful differentiator. Our customers utilize our enterprise applications as system of record for managing their learning, credentialing, and scheduling programs. The data in these applications serves as the source of truth for our customers as they carry out their operations. I believe they'll use that source of truth in training their own AI. Third, in parallel, well, in addition around the data profile, in parallel, our career networks, which is going to be an area of investment, generate proprietary, individual-level data that we believe is valuable for finding, developing, retaining, and engaging the healthcare workforce. NurseGrid alone, for example, now reaches roughly one in five U.S. nurses, telling us where, when, and for whom they want to work. Third, our H-Stream platform is built to incorporate AI as a core element rather than bolting it on. Platform elements like the H-Stream ID, which we've talked about extensively in the past, and our growing API footprint serve as essential infrastructure to help enable AI-driven innovation in healthcare workforce technology. Fourth, our ecosystem ties it all together. Millions of caregivers, thousands of healthcare organizations, and dozens of industry partners, combined with more than 30 years of domain experience in the Hstream technology platform, create something difficult to replicate. AI cannot manufacture an ecosystem like HealthStreams, but it can enhance it. In turn, our ecosystem can enhance AI in what we believe will be a virtuous loop of value creation for our customers and investors alike. Building on that foundation, I'm pleased to share that we have meaningfully expanded our internal role of AI across the company and are making great progress. Adoption is broadening across teams. Our employees are putting these tools to work in their day-to-day, and we are encouraged by the early productivity and quality benefits we are already seeing. It's still early days in terms of realizing the benefits of AI, and with driving innovation as one of our company's six constitutional values, I believe our employees are on the front foot of ensuring that HealthStream is an innovator in this promising area. Before we go further in our call, I want to briefly summarize our business for the benefit of anyone who is new to the HealthStream story, and I hope there's lots of you on the call today.

First and foremost, HealthStream is a healthcare technology company dedicated to developing,

credentialing, and scheduling the healthcare workforce through technology solutions, each of which are becoming more valuable because of the interoperability they're achieving through our eight-stream technology platform. We have also started to open our sales channels directly to healthcare professionals and nursing students through our three career networks. These help nurses, CNAs, and students throughout their career journey. The company holds 20 patents for its innovative products, which have been awarded over 40 Brandon Hall Awards. Historically, we sell our solutions on a subscription basis under contracts that average three to five years in length, which makes our revenues recurring and predictable. In fact, 97% of our revenues are subscription based. We are profitable, have no interest bearing debt, and reported a strong cash balance of 66 and a half million at the end of the first quarter of 2026. This strong cash balance allows us to allocate capital to product development, M&A, share repurchases, and dividends. We are solely focused on health care and more specifically the health care workforce and those preparing to enter it the 12 and 12 and a half million health care professionals and nursing students in the united states comprise the core total addressable market for our solutions at this time turn it over to scotty roberts we'll turn our attention to our financials and hear a report from scotty scotty take a take a look at 2026 first quarter and give us your financial outlook

All right. Thanks, Bobby, and good morning, everyone. I'll be happy to cover our financial results for the first quarter with you this morning. And for the first quarter, our revenues were a record of $81.2 million, which was up 10.5%. Operating income was $7.5 million, and it was up 71.6%. Net income was $5.9 million, up 36.4%. Earnings per share came in at $0.20 per share, which is up from $0.14 per share. And adjusted EBITDA was also a new record of $20.1 million, which was up 24.1%. Our revenues increased by $7.7 million, or 10.5%, and were $81.2 million compared to $73.5 million in the prior year. Revenues from subscription products were up $7.6 million, or 10.7%, while professional service revenues were up 0.1 million or 4.3%. Our organic revenue growth rate was 5.8% and the inorganic growth rate was 4.7% in the first quarter. Inorganic revenues are associated with the Versus 12 and Mission Care Collective acquisitions that we completed in the fourth quarter of 2025. The first quarter of 2026 is the first full quarter with both operating as part of Healthstream. I'm pleased to report that both post-acquisition integrations are progressing well. Versus 12 is extending our reach into payer credentialing, a meaningful expansion of our addressable market, and MyCNA Jobs is building momentum connecting CNAs and home care providers with the organizations that need them. Together, these two acquisitions contributed $3.4 million in revenue in the first quarter, and we continue to see compelling opportunities to cross-sell and integrate their capabilities into the broader HealthStream platform. In addition to the revenue contributions from these two recent acquisitions, our core business was supported by strong subscription growth performance From Credential Stream, which grew by 19%, Shift Wizard, which grew by 29%, and Competency Suite, which grew by 17%. Revenues from our legacy credentialing and legacy scheduling products approximated $7.6 million of our first quarter revenues and declined by 16% compared to the first quarter of last year as we continue our efforts to migrate customers from those solutions. Our remaining performance obligations were $687 million as of the end of the first quarter, compared to $613 million for the same period of last year. We expect approximately 39% of the remaining performance obligations will be converted to revenue over the next 12 months, and that 67% will be converted over the next 24 months. Gross margin was 65.8% compared to 65.3% in the prior year quarter, and this improvement was primarily related to the growth in revenues and including contributions from the recent acquisitions. Operating expenses excluding cost revenues increased by 5.3% or $2.3 million, and product development increased by 1.6 million or 12.9%. sales and marketing increased by 0.8 million or 6.7%, depreciation and amortization increased by 0.6 million or 5.7%, while G&A expenses declined by 0.7 million or 7.7%. These operating expense increases were partially impacted by the recent acquisitions, while the G&A expense decline resulted from our office sublease. To wrap up, our net income was 5.9 million and was up 36.7%. 0.4% over the prior year, and adjusted EBITDA improved to a record high of $20.1 million and was up 24.1%, and the adjusted EBITDA margin was 24.8% compared to 22% last year. So we ended the quarter with cash and investment balances of $66.5 million compared to $57 million last quarter, and during the first quarter, we paid $7.5 million for capital expenditures. We returned $1 million to shareholders through our dividend program, and we repurchased $7.5 million of our common stock under the share repurchase programs that we announced in November of 2025 and March of 2026. In addition, we made $1.8 million of the minority investments in companies that we expect to leverage our ecosystem and our platform. Our day sales outstanding were 39 days for the first quarter compared to 37 days in the prior year first quarter. Our objective is to maintain our DSO in the 40 to 45-day range or better, and I'm pleased with our continued progress in this area. Cash flows from operations came in at $27.1 million for both the current year and the prior year first quarter. Cash flows were partially impacted by the minor increase in DSO that I just mentioned, as well as higher payments for sales commissions following the strong bookings that we achieved in the fourth quarter of last year. Our free cash flow was $19.7 million, which is up from $18.2 million from last year, which is an increase of 7.9%, and our capital expenditures came in at $7.5 million compared to $8.8 million last year. Ending the quarter with $66.5 million of cash and investments, free cash flows, and no debt, we are well positioned to deploy capital to improve our shareholder value. As a reminder, we maintain a disciplined approach to capital allocation and how we prioritize our use of capital. Our utmost priority is making organic investments back into the business, which is evident by our annual capital expenditure and R&D plans. The second is pursuing acquisition opportunities, which we have a long track record of executing. The third is returning a portion of profits back to shareholders in the form of cash dividends. And our fourth priority is that our board may authorize share repurchase programs. Yesterday, as announced in our earnings release, our board of directors declared a quarterly cash dividend of three and a half cents per share to be paid on May the 29th to holders of record on May the 18th. And during the first quarter, we made share repurchases of seven and a half million under two board authorized share repurchase programs. We repurchased the remaining five million under a $10 million share repurchase program that was authorized by the Board of Directors in November of 2025. And in March 2026, the Board authorized a new $10 million repurchase program, and we made $2.5 million of repurchases under this plan during the first quarter, and we've continued to make repurchases during the second quarter. This program will terminate on the earlier of September 12, of 2026 or when the maximum dollar amount under the program has been expended. We may suspend or discontinue making purchases under the program at any time. And I'll finish up this morning by just recapping our financial outlook for 2026, which we are reiterating the guidance that we previously announced in February. We continue to expect our consolidated revenues to range between $323 million and $330 million Net income to range between $20.4 million and $22.8 million. Adjusted EBITDA to range between $73 and $77 million. And capital expenditures to range between $31 and $34 million. For the second quarter, we expect our revenue growth rate will approximate 9.5% and adjusted EBITDA margin will approximate 23%. Consistent with our operating budget for the year, with several planned operating expenses that would begin in the second quarter, including higher labor costs, higher marketing costs from trade show, sponsorship, and attendance, and new technology investments to support our infrastructure, among others. In addition, our strong performance in the first quarter provides us with additional capacity to accelerate investments towards several initiatives, such as our career networks. these guidance expectations do not include the impact of any acquisitions or dispositions that we may complete during the year gains or losses from changes in the fair value of non-marketable equity investments or contingent consideration or impairment of long-lived assets that we may may complete during the year that's all i have for today thanks for your time this morning and bobby i'll go ahead and turn the call back over to you for some more updates thank you scotty

I'm going to start this section off of the call, as I usually do, with some business updates that highlight successes we've achieved in the learning, credentialing, and scheduling areas, along with updates on our career networks. Let's start with the learning product family, which includes the competency suite. Many customers are increasingly taking advantage of the opportunity to purchase a bundle of several of our most popular workforce applications and content libraries, which we call the competency suite. Customers purchased a subscription to the competency suite for all of their employees that are applicable, particularly the clinical staff, which comes with unlimited use. We saw strong momentum of this product in the first quarter with a 17.3% increase in revenues achieved. Our American Red Cross resuscitation suite continues to be in demand by customers. In the first quarter, we provided the marketplace with 18 updated courses, which included education content and our BLS, ALS, and PALS programs. The updated content was deployed simultaneously across the entire customer network in a single day, all aligned to the new ILCOR science guidelines. Among the sales successes we had in Q1 with the Resuscitation Suite was a decision by Cedars-Sinai Medical Center to renew and expand their number of users by 50%. They also informed us that the expansion will be beneficial as they have been named the official medical provider to the 2028 LA Olympic and Paralympic Games.

That's super exciting for our teams as well.

Now, let's move to credentialing, where our flagship product, Credential Stream, continued its strong momentum in the first quarter. Revenues from sales of Credential Stream in the first quarter were up approximately 19% over the same quarter last year. One thing we love to see is to see our customers growing along with us, and some of our customers meaningfully expanded through M&A last year. In fact, two of our largest Credential Stream sales in the quarter were significant expansions due to M&A and enterprise-wide standardization on Credential Stream. We take it as a strong vote of confidence when our customers trust and rely on Credential Stream so much as the system of record that they choose to stop using solutions from our competitors and standardize on Credential Stream when they expand their operations. We are dedicated to repaying that vote of confidence by helping these customers improve their operating results by reducing the time it takes to onboard, enroll, credential, and privilege their positions. There's just huge economic benefit when a health system or one of our customers can show demonstrable improvement in the time to revenue on these physicians. We believe our software plays an essential role in getting that outcome. Versus 12, which we recently acquired in order to expand our market share, that product offering and expertise in the payer credentialing space also delivered one of our top three credentialing wins in the quarter. We're still in the earlier phases of our expansion to the payer market, and we are pleased to see Versus 12 already contributing to that effort. Let's move to scheduling, where our core product, Shift Wizard, continues to deliver strong revenue growth, with first quarter revenues up approximately 29% versus the first quarter of the previous year. It continues to be our top-performing product in our scheduling application suite. Our top two Shift Lizard deals in the quarter were once again takeouts of a competitor that is horizontally focused instead of solely focused on healthcare. Our sales leaders attribute these wins to the fact that our growing Shift Lizard customer base is increasingly touting the value of the healthcare-specific solution that Shift Lizard provides. When the rubber hits the road, scheduling and staffing clinicians are simply different than scheduling a labor pool for retail or factory shifts, and the market is taking note of that. now let's turn to our career networks they include my clinical exchange nurse grid and my cna jobs importantly career networks directly benefit both individual health care professionals as well as the health organizations seeking to employ and engage them for individuals health stream career networks serve as a career catalyst through every stage of their pre-professional and professional journey. Last year alone, My Clinical Exchange connected over 364,000 nursing and allied health students to clinical placements. NurseGrid, the number one app for nurses in the Apple App Store, engaged over 683,000 monthly active users. And MyCNA Jobs, which connected approximately 70% of America's direct care workforce in the home caregiver space. In doing so, these solutions guided caregivers through every stage of their career journey helping them discover their path

build meaningful professional relationships access focused learning and advance to what's

next in their career for healthcare organizations our career networks provide employers with direct access to the largest most engaged audience of nurses and caregivers through targeted recruitment development pathways and in-app promotion my clinical exchange exchange served as the first touchpoint for helping over 715 health care organizations and over 1900 schools seeking to place nurses and allied health students into clinical rotations. NurseGrid was utilized by nurses in approximately 37,000 unique clinical sites as NurseGrid users managed their professional

calendars and engagement across those sites. Finally, MyCNAjobs helped over 8,000 health

organizations access our home caregiver and cna community to promote work and learning opportunities today the usage of our career networks has created over 450 000 h stream ids and counting among students nurses and allied health workers in aggregate career network contributed approximately 3.78 million in the quarter while this is modest compared to the company's total revenue we believe that growth potential, differentiation, and diversification of career networks makes them an important area for incremental investment. We are already rolling some of the profits from the quarter's outperformance into new sales hires for this area, the career networks, and into scaling the three solutions. I'm pleased to announce the promotion of Michael Collier as we wrap up this quarter's news from Executive Vice President, Corporate Strategy Development and Operations, to Chief Operating Officer and Executive Vice President. In this expanded role, Michael will lead enterprise operations across HealthStream, including customer experience, corporate development and M&A, implementations, legal, human resources, and other critical areas.

He's taken on a lot. He also serves as executive sponsor of the company's AI transformation,

driving AI readiness across operational teams. Since joining HealthStream in 2011, Michael has been instrumental in our growth, including leading more than two dozen successful acquisitions. We look forward to its continued leadership in this expanded capacity. Before we move on, I want to remind our shareholders and investors that if you are already a shelterer, then you know that our annual shareholders meeting is scheduled to take place virtually on Thursday, May 28th at 2 p.m. Central. Notifications of the meeting and access to the proxy statement, 10K, and shelter letter were sent out on April 13th.

We encourage you to vote your shares and participate in the future of our company.

And now I want to close with the same reminder I share with you every quarter. If you're interested in a highly recurring revenue, a profitable healthcare technology company that expects to deliver growth, then Healthstream may be the right investment for you. If you're interested in a company whose core user base, the clinical health workforce, expanding faster than any other sector in the job market, then maybe Healthstream is the right investment for you. If you like a company whose software serves the system of record on behalf of healthcare customers, then HealthStream may be a company for you. If you favor ecosystems over point solutions, then maybe HealthStream is the right investment for you. For all these reasons, HealthStream is positioned for another exciting year of helping the nation's top health systems find, develop, credential, schedule, onboard, and retain this growing healthcare workforce. maybe health stream is the right investment for you I'll turn it over to our sponsor and the operator to begin the Q&A session thank you thank you at

this time we will conduct the question and answer session to ask a question you'll need to press star 1 1 on your telephone and wait for your name to be announced to withdraw your question please press star 1 1 again please stand by while we compile the Q&A roster. Our first question today is from Matt Hewitt with Craig

Hollum Capital Group. Your line is open. Good morning, team, and congratulations on the strong start to the year. Maybe first up, obviously a nice pop in gross margins sounds like some of the acquisitions or the acquisitions were aiding in that. Should we anticipate a little bit more lift here in Q2. And longer term, how could that play out? I mean, are you anticipating, you know, annual improvement in gross margins, or is it more about driving operating leverage as you

kind of go forward? Scotty, I'll let you take that one to start us. Yeah, really, Matt, no

significant expectation of improvement in gross margin. I think the 65.8, what we delivered in Q1 was probably a little bit ahead of where we expected to be in the quarter. And it's just, You know, revenue mix, got a little bit of improvement in revenue in the first quarter, a variety of things. Some of it's timing, things that we anticipated to come in in, say, Q2 or Q3, kind of move forward in the year. Some of that's just, you know, early activations from customers that we had sold in, say, Q4. You know, some consumption-based revenue, things like that we're pulling forward. So, got a little bit of improvement in margin because of that. But, you know, some of our ambitions for, you know, moving to the clouds could compress margins a little bit over time, make some of those transitions. But that's still, you know, a good ways in front of us to see how that plays out. But that's just something that's on our to-do list for this year to begin this year anyway.

Got it. And then maybe a question for you, Bobby, since you addressed it in your prepared remarks. But you spoke to how AI is expected to drive increasing efficiencies with nurses. What do you think will be the downstream effect of that? Will that allow them more time to care for patients? Will that allow more time for them to work on their training and education and those types of things from a hospital's perspective? Does that mean if the nurses are becoming more efficient, maybe they don't need to hire as many? I'm just trying to think what the downstream effects of AI adoption by the nursing group would be. Thank you.

Yeah, overall, we see a shortage of nurses, and we see the early successes of the deployment of AI in our customer base are around ambient listening. And ambient listening definitely frees up more time for the nurses and caregivers to spend with patients, which I think is greatly appreciated by all patients. and helping the health systems put a more friendly face on their adoption of technology. So I think the early use and adoption is in areas that will directly impact the patient experience in a positive way. As far as demand for nurses to go, I and every report that I read seem to think that there's far more demand than there will be supply for the next five years plus. And so I don't see fewer caregivers. I see more and a better opportunity to be more personalized in the care delivery. So we view that as an opportunity to be a close ally to all those health systems. We've kind of continued to expand the value that we provide by these career networks, helping health schools not just develop and retain the ones they have, and say, for example, through our learning capabilities, but now helping find, identify, match new talents for them to employ. So we're serving more of the continuum of the workforce need and at a time of great need for more workforce. So we think we're well positioned with the mixture of our product sets to be a great ally to these health systems.

That's great.

Thanks for your question. Our next question is from John Penny with Canaccord Genuity. Your line is open.

Hi, it's Richard Close here. um just uh scotty maybe a question on the revenue um 3.4 million acquired revenue i'm curious you know is is it okay to annualize that to get to 13.6 million um expected contribution from the acquisitions this year i'm just trying to get a sense of like you know the organic growth that is embedded in the annual guidance yeah I believe our expectation we mentioned

this I think on last quarter's call was for the two acquisitions we were targeting around 13 million for the full year so maybe the annualization of Q1 might be slightly ahead of that 13 million but I think 13 million is where

we would still try to forecast it to okay great that's helpful thanks for the reminder there. And then, you know, you've been providing some, I guess, commentary on, you know, the legacy license drag in the past. I'm just curious if there's any update in terms of what the impact there was in the first quarter. Yes, I think, let me pull up my remarks, but I think it

was around, you know, total, one thing we did disclose this quarter was the amount of revenue from those legacy applications in the quarter. I think it was around $7.6 million. The decrease was, think around, just 16%, 17% versus first quarter of last year. So try to give a little more color on the magnitude of that bucket of revenue relative to our consolidated revenue and also kind of the continued rate of decline. But, again, we continue to look for opportunities to migrate those customers to the new applications. So we do see some tradeoffs there in that decline. Some of that's moving into the credential stream and shift wizard, but there's still some, you know, attrition going on as well.

Okay. And then I guess my final question, you know, clearly if you annualize the first quarter EBITDA gets you above the high end of the annual range. So I appreciate you calling out investments. Maybe a little bit more details on those investments and the timing of them. Is it spread out all throughout the year? Just trying to better understand what the cadence of EBITDA will be, 2Q through 4Q.

Yeah, let me start, and then Scotty can add some color to it.

I think first, the first area of investment we looked at was, you know, we had a budgeted

plan as we ended the year to hire in the sales organization, and specifically, we've decided after this Q1 performance that we're going to add to that original plan, and even more specifically, in the career networks area, we think that products warrant a stronger and bigger sales organization, so we're going to go ahead and start building that in the first half of the year, particularly in Q2. So from a timing standpoint, we're going to post some new positions in the sales area around our career networks and try to hire them. Secondarily, the area is a high-growth area for us, and to keep it current and stay with it, we're going to increase our planned investment in the technology infrastructure, specifically around My Clinical Exchange. We've got some work to do there. That was an acquired product originally. We continue to enhance it. This will give us a chance to enhance it even faster and expand it. The constituent base for that is growing rapidly, and we want to make sure that it meets the needs of that expanding market. We've had some unique opportunities presented in the market where we think we're well-positioned against some competitors there, and so now is the time to both invest in the sales organization and the technical infrastructure for that category of product. And even more specifically, so that's career networks in general, but more specifically, even my clinical exchange, we're looking for putting more into the tech stack there as well. So now remember, that's interesting software. It has three constituent audiences. The students are a user, the nursing schools are a user, and the healthcare orgs are a user. So it's an interesting kind of network effect piece of software that has a kind of a market effect as the school adopts it, the hospitals in the region adopt it, and that gets the students to use it as well. So there's lots there to do technologically, and we're going to go ahead and increase our rate of investment in that tech stack.

Is that front-loaded into the second quarter, or is all that spread out?

That part will be spread out. It will include a mixture of CapEx and OpEx to enhance the platform, the application suite.

Okay, thank you.

The sales team will be as fast as we can hire and onboard them. And we already have several open positions in the sales team we're trying to fill, So we're using some outside recruitment to go faster there, as well as our incredible internal teams to try to find the talent we need to staff it up. I'd like to see that be front half loaded on the sales organization so that we might get some back half benefit. Certainly, we'll get benefit early next year, but, you know, salespeople take a little bit of time to ramp up and get productive in closing deals.

All right. Thank you.

Thank you. As a reminder to ask a question, you will need to press star 1-1 on your telephone and wait for your name to be announced. To withdraw your question, please press star 1-1 again. And our next question comes from Vince Colicchio from Barrington Research. Your line is open.

Hey, Bobby. What differentiated Shift Wizard in the competitive takeout wins? And were any of the wins involving large enterprises of a shift wizard in the quarter? On a relative basis, we did have some larger wins. They're not massive systems, but a 10,000-employee system went with a shift wizard in the quarter.

That was a huge win.

And so, yeah, we're seeing more of the larger to medium-sized, medium-large, I'll call them, not the supersized health systems make that decision.

that was nice to see a couple of wins there um yeah so just in general we think the as i mentioned

on the call the vertical specific nature of the software it's just we think more appropriate for this environment and we have a great long-term vision for the software as well we're starting

to outline a little bit more of that on on some of the work we're doing to work to integrate our career networks with our scheduling systems which aren't done yet but i think we're getting some excitement around the future direction of where we're going with this platform integrating both our applications and hopefully also our career networks and so there's some some positive

energy around that messaging as well and can you give us an update on your bundling effort in the small hospital market and and somewhat related uh how's the competency uh uh suite doing in that competency center doing in that part of the market in the smallest market we're seeing a little bit

bit of uptake. We have, we've created several, what we call market bundles. These are specific to the skilled nursing space, the long-term care space, the small hospital spaces that are called the critical access hospitals. We're seeing some uptake. We're wrapping the, we're investing in the sales team there and getting some good bundle selling. And so we're pleased with that. It's the bigger bundles though, as you point out in the competency suite that are really helping drive growth. But I like adding the users of those smaller clinics and facilities because we're an ecosystem. We want all these healthcare professionals because they may change jobs over time. We want them in our network, even at the small hospitals. But the revenue growth is coming from, say, the bundling of the competency suite to the mid-market and bigger health systems where we're seeing uptake in the resuscitation suite when we see a medium to large health system switch to the Red Cross solution. And so the actual, I think, the revenue growth contributions are coming from the mid-market and above, but the small markets are very important to us. We're getting much better at both having the appropriate mix of products for them, and we view the market holistically. I think a physician in an urban or rural market are important to have in our network as well as the nurses in these rural centers because, again, they are mobile over their careers, and we think of it as servicing the totality of the healthcare workforce, not just the urban centers.

Thanks for all the color. Nice quarter.

Thank you. I'm showing no further questions at this time, so I would now like to turn it back to CEO Bobby Frist for closing remarks.

Well, thank you, everyone, and especially to our little over 1,100 employees who are delivering these

great results.

We have an exciting year in front of us and look forward to reporting the next earnings report here in another 90 days or so. Thank you all. we'll see you throughout the quarter thank you for your participation in

today's conference this does conclude the program and you may now disconnect