29 unchanged sentences
Our business is managed and organized around a single platform strategy, also referred to as our One HealthStream approach. At the center of this single platform strategy is our hStream technology platform. By facilitating interoperability among our applications, as well as third party applications, we believe that our hStream technology platform is allowing stand-alone applications to leverage each other to more efficiently and effectively empower our customers to manage their business and improve their outcomes.
−Removed: As indicated in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, filed on February 28, 2023, the Company has reached an inflection point in its efforts to operate according to its One HealthStream approach. As of January 1, 2023, the Company’s business is now organized and managed around a consolidated, enterprise approach, including with regard to technology, operations, accounting, internal reporting (including the nature of information reviewed by our key decision maker), organization structure, compensation, performance assessment, and resource allocation.
−Removed: As the result of these developments, the Company determined that Workforce Solutions and Provider Solutions were no longer separate operating segments or separate reportable segments as of January 1, 2023, such that the Company would no longer present two reportable segments for periods beginning on and after this date. As such, beginning January 1, 2023, the Company has a single reportable segment, such that the Company is presenting historical financial information on a single segment basis beginning with this Quarterly Report on Form 10-Q for the three months ending March 31, 2023.
−Removed: Significant financial metrics for the first quarter of 2023 are set forth in the bullets below.
−Removed: Revenues of $68.9 million in the first quarter of 2023, up 5% from $65.4 million in the first quarter of 2022, attributable primarily to growth in several of our subscription-based product categories, including contributions from recent acquisitions.
−Removed: Operating income of $2.9 million in the first quarter of 2023, down 28% from $4.0 million in the first quarter of 2022, which comparison was negatively impacted in the amount of $1.0 million by the severance charge in the first quarter of 2023 associated with the consolidation of HealthStream's business under a single platform strategy, as further discussed below.
−Removed: Net income of $2.6 million in the first quarter of 2023, down 9% from $2.9 million in the first quarter of 2022, which comparison was negatively impacted in the amount of $0.8 million by the severance charge in the first quarter of 2023 associated with HealthStream’s consolidation referenced above.
−Removed: Earnings per share (“EPS”) of $0.09 per share (diluted) in both the first quarters of 2023 and 2022, which comparison was negatively impacted in the amount of $0.03 per share (diluted) by the severance charge in the first quarter of 2023 associated with HealthStream’s consolidation referenced above.
−Removed: Adjusted EBITDA 1  of $13.7 million in the first quarter of 2023, down 2% from $14.0 million in the first quarter of 2022, which comparison was negatively impacted in the amount of $1.0 million by the severance charge in the first quarter of 2023 associated with HealthStream’s consolidation referenced above.
+Added: As indicated in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022, filed on February 28, 2023, the Company has reached an inflection point in its efforts to operate according to its One HealthStream approach. Since January 1, 2023, the Company’s business has been organized and managed around a consolidated, enterprise approach, including with regard to technology, operations, accounting, internal reporting (including the nature of information reviewed by our key decision maker), organization structure, compensation, performance assessment, and resource allocation.
+Added: As the result of these developments, the Company determined that Workforce Solutions and Provider Solutions were no longer separate operating segments or separate reportable segments as of January 1, 2023, such that the Company would no longer present two reportable segments for periods beginning on and after this date. As such, since January 1, 2023, the Company has had a single reportable segment, such that the Company is presenting historical financial information on a single segment basis in this Quarterly Report on Form 10-Q for the three and six months ended June 30, 2023.
+Added: Significant financial metrics for the second quarter of 2023 are set forth in the bullets below.
+Added: Revenues of $69.2 million in the second quarter of 2023, up 5% from $65.6 million in the second quarter of 2022, attributable primarily to growth in several of our subscription-based product categories, including contributions from recent acquisitions
+Added: Operating income of $4.0 million in the second quarter of 2023, up 36% from $3.0 million in the second quarter of 2022
+Added: Net income of $4.1 million in the second quarter of 2023, up 34% from $3.1 million in the second quarter of 2022
+Added: Earnings per share (“EPS”) of $0.13 per share (diluted) in the second quarter of 2023 and $0.10 per share (diluted) in the second quarter of 2022
+Added: Adjusted EBITDA 1  of $15.3 million in the second quarter of 2023, up 17% from $13.1 million in the second quarter of 2022
Adjusted EBITDA is a non-GAAP financial measure.
4 unchanged sentences
Our business is focused on providing solutions to healthcare organizations, and as such the pandemic’s adverse impact on healthcare organizations has resulted in an adverse impact on our Company.
−Removed: We believe that certain developments related to the pandemic negatively impacted our business in 2021 and to a lesser extent in 2022 and the three months ended March 31, 2023.
−Removed: In particular, sales cycles in 2021 and 2022 were delayed or postponed such that declines in sales bookings by customers over this period resulted in a negative impact to revenue and earnings in 2022 and the three months ended March 31, 2023 and may continue to result in a negative impact (to a lesser extent) to revenue and earnings for a portion of the remainder of 2023.
+Added: We believe that certain developments related to the pandemic negatively impacted our business in 2021 and to a lesser extent in 2022 and the six months ended June 30, 2023.
+Added: In particular, sales cycles in 2021 and 2022 were delayed or postponed such that declines in sales bookings by customers over this period resulted in a negative impact to revenue and earnings in 2022 and the six months ended June 30, 2023 and may continue to result in a negative impact (to a lesser extent) to revenue and earnings for a portion of the remainder of 2023.
Earlier in the pandemic, such impacts on our healthcare organization customers were more frequently associated with the need to focus on providing critical care to pandemic victims and the negative economic impact many of our healthcare organization customers experienced from being forced to temporarily reduce or discontinue services, like elective surgeries, from which they derive revenue.
1 unchanged sentence
Macroeconomic conditions in the U.S.
−Removed: continue to be challenging in various respects, including as the result of ongoing inflationary pressures, elevated interest rate levels, disruptions to global supply networks, challenging labor market conditions, and instability in the banking system.
+Added: continue to be challenging in various respects, including as the result of ongoing inflationary pressures, elevated interest rate levels, disruptions to global supply networks, challenging labor market conditions, and potential instability in the banking system.
Such negative macroeconomic conditions have adversely affected, and may continue to adversely affect, us and our customers in the healthcare industry.
4 unchanged sentences
Revenues, net, reflect income generated by the sales of goods and services related to our operations and, for businesses acquired prior to the adoption of ASU 2021-08 on January 1, 2022, reflects deferred revenue write-downs associated with fair value accounting for such acquired businesses.
−Removed: Revenues, net, were $68.9 million for the three months ended March 31, 2023, compared to $65.4 million for the three months ended March 31, 2022.
+Added: Revenues, net, were $69.2 million and $138.1 million for the three and six months ended June 30, 2023, respectively, compared to $65.6 million and $131.0 million for the three and six months ended June 30, 2022, respectively.
Management utilizes revenue in connection with managing our business and believes that this metric provides useful information to investors as a key indicator of the growth and success of our products.
2 unchanged sentences
We also believe that adjusted EBITDA is useful to investors to assess the Company’s ongoing operations.
−Removed: Additionally, short-term cash incentive bonuses and performance-based equity award grants are based on the achievement of adjusted EBITDA targets (as defined in applicable bonus and equity grant documentation).
−Removed: Adjusted EBITDA was $13.7 million for the three months ended March 31, 2023, compared to $14.0 million for the three months ended March 31, 2022, which comparison was negatively impacted in the amount of $1.0 million by the severance charge in the first quarter of 2023 associated with HealthStream's consolidation referenced above.
+Added: Additionally, short-term cash incentive bonuses and performance-based equity award grants are based on the achievement of adjusted EBITDA (as defined in applicable bonus and equity grant documentation) targets.
+Added: Adjusted EBITDA was $15.3 million and $29.1 million for the three and six months ended June 30, 2023, respectively, compared to $13.1 million and $27.1 million for the three and six months ended June 30, 2022, respectively.
hStream Subscriptions .
1 unchanged sentence
Management utilizes hStream subscriptions in connection with managing our business and believes that this metric provides useful information to investors as a measure of our progress in growing the value of our customer base.
−Removed: At March 31, 2023, we had approximately 5.52 million contracted subscriptions to hStream, compared to 5.13 million as of March 31, 2022.
+Added: At June 30, 2023, we had approximately 5.59 million contracted subscriptions to hStream, compared to 5.30 million as of June 30, 2022.
+Added: Consolidation Program
+Added: As previously disclosed, the Company approved a consolidation program involving the elimination of 33 job roles during the first quarter of 2023, many of which job roles were duplicative as a result of several areas of consolidation. In connection with these job reductions, we incurred severance charges in the amount of $1.0 million during the three months ended March 31, 2023. In addition, while these job reductions were completed during the three months ended March 31, 2023, we incurred related severance charges in the amount of $0.1 million during the three months ended June 30, 2023, and expect to incur additional related severance charges in the aggregate amount of up to $40,000 during the remainder of 2023. 
Critical Accounting Policies and Estimates
11 unchanged sentences
There have been no changes in our critical accounting policies and estimates from those reported in our 2022 Form 10-K.
−Removed: Three Months Ended March 31, 2023 Compared to Three Months Ended March 31, 2022
+Added: Three Months Ended June 30, 2023 Compared to Three Months Ended June 30, 2022
Revenues, net.
−Removed: Revenues increased approximately $3.5 million, or 5%, to $68.9 million for the three months ended March 31, 2023 from $65.4 million for the three months ended March 31, 2022.
+Added: Revenues increased approximately $3.6 million, or 5%, to $69.2 million for the three months ended June 30, 2023 from $65.6 million for the three months ended June 30, 2022.
+Added: The revenue growth was attributable to growth in several product categories , including $0.8 million, or 1%, of contributions from our recent acquisitions.
+Added: Subscription revenues increased $4.1 million, or 6%, but were partially offset by $0.5 million of declines from professional services revenues.
+Added: A comparison of revenues by revenue source is as follows (in thousands):
+Added: Three Months Ended June 30,
+Added: Percentage Change
+Added: Subscription services
+Added: Professional services
+Added: Total revenues, net
+Added: % of Revenues
+Added: Subscription services
+Added: Professional services
+Added: Cost of Revenues (excluding Depreciation and Amortization).
+Added: Cost of revenues increased $1.4 million, or 6%, to $23.6 million for the three months ended June 30, 2023, from $22.2 million for the three months ended June 30, 2022.
+Added: Cost of revenues as a percentage of revenues were 34% for both the three months ended June 30, 2023 and 2022.
+Added: The increase in expense is primarily associated with higher costs for royalties and cloud hosting, as well as increased contract labor and software expenses. 
+Added: Product Development.
+Added: Product development expenses increased $0.4 million, or 4%, to $11.0 million for the three months ended June 30, 2023, from $10.6 million for the three months ended June 30, 2022.
+Added: Product development expenses as a percentage of revenues were 16% for both the three months ended June 30, 2023 and 2022.
+Added: The increase in expense is primarily due to increased personnel costs, contract labor, and software costs, which were partially offset by an increase in labor capitalized for internally developed software.
+Added: Sales and Marketing.
+Added: Sales and marketing expenses, including personnel costs, increased $0.4 million, or 4%, to $11.3 million for the three months ended June 30, 2023, from $10.9 million for the three months ended June 30, 2022.
+Added: Sales and marketing expenses were 16% and 17% of revenues for the three months ended June 30, 2023 and 2022, respectively.
+Added: The increase in expense is primarily due to increases in sales commissions, which were partially offset by a decrease in general marketing expenses.
+Added: Other General and Administrative Expenses.
+Added: Other general and administrative expenses decreased $0.5 million, or 5%, to $9.1 million for the three months ended June 30, 2023, from $9.6 million for the three months ended June 30, 2022.
+Added: Other general and administrative expenses were 13% and 15% of revenues for the three months ended June 30, 2023 and 2022, respectively.
+Added: The decrease is primarily due to lower bad debt expense, general office expenses, professional service fees, and software expenses.
+Added: Depreciation and Amortization.
+Added: Depreciation and amortization expense increased $0.8 million, or 9%, to $10.2 million for the three months ended June 30, 2023, from $9.4 million for the three months ended June 30, 2022.
+Added: This increase is primarily a result of an increase in amortization associated with capitalized software.
+Added: Other Income, Net .
+Added: Other income, net was $0.5 million for the three months ended June 30, 2023, compared to $0.7 million for the three months ended June 30, 2022.
+Added: The decrease is primarily the result of the $0.9 million gain recorded during the three months ended June 30, 2022 due to the change in fair value of our previously held minority interest in CloudCME, LLC that was remeasured upon acquiring the remaining ownership interest of CloudCME during such period, partially offset by an increase in interest income earned on cash and investments during the three months ended June 30, 2023. 
+Added: Income Tax Provision.
+Added: The Company recorded a provision for income taxes of $0.4 million for the three months ended June 30, 2023, compared to $0.5 million for the three months ended June 30, 2022. The Company’s effective tax rate was 8% for the three months ended June 30, 2023, compared to 15% for the three months ended June 30, 2022.
+Added: The Company’s effective tax rate primarily reflects the statutory corporate income tax rate, the net effect of state taxes, foreign income taxes, the effect of various permanent tax differences, and recognition of discrete tax items.
+Added: During the three months ended June 30, 2023, the Company recorded discrete tax benefits of $0.5 million, which consisted primarily of tax benefits in the amount of $0.6 million resulting from changes in apportionment rules in Tennessee upon the enactment of the Tennessee Works Tax Act, partially offset by $0.1 million of discrete tax expense related to reserves for uncertain tax positions.
+Added: During the three months ended June 30, 2022, the Company recorded discrete tax benefits of $0.2 million, which consisted primarily of a $0.2 million tax benefit associated with a nontaxable gain of $0.9 million recognized from the change in fair value of our previously held minority interest in CloudCME, LLC as noted above.
+Added: Net income was $4.1 million and $3.1 million for the three months ended June 30, 2023 and 2022, respectively.
+Added: Earnings per share (EPS) were $0.13 per share (diluted) and $0.10 per share (diluted) for the three months ended June 30, 2023 and 2022, respectively.
+Added: Adjusted EBITDA was $15.3 million for the three months ended June 30, 2023, compared to $13.1 million for the three months ended June 30, 2022.
+Added: See “Reconciliation of Non-GAAP Financial Measures”
+Added: below for our reconciliation of adjusted EBITDA to the most directly comparable measure under US GAAP and disclosure regarding why we believe adjusted EBITDA provides useful information to investors.
+Added: Six Months Ended June 30, 2023 Compared to Six Months Ended June 30, 2022
+Added: Revenues, net.
+Added: Revenues increased approximately $7.1 million, or 5%, to $138.1 million for the six months ended June 30, 2023, from $131.0 million for the six months ended June 30, 2022.
The revenue growth was attributable to growth in several product categories, including contributions from our recent acquisitions.
−Removed: Subscription revenues increased $3.9 million, or six percent, but were partially offset by $0.4 million of declines from professional services revenues.
+Added: Subscription revenues increased $8.0 million, or 6%, but were partially offset by $0.9 million of declines from professional services revenues.
A comparison of revenues by revenue source is as follows (in thousands):
−Removed: Three Months Ended March 31,
+Added: Six Months Ended June 30,
Percentage Change
6 unchanged sentences
Cost of Revenues (excluding Depreciation and Amortization).
−Removed: Cost of revenues increased $1.9 million, or 8%, to $23.9 million for the three months ended March 31, 2023, from $22.0 million for the three months ended March 31, 2022.
−Removed: Cost of revenues as a percentage of revenues were 35% and 34% for the three months ended March 31, 2023 and 2022, respectively.
−Removed: The increase is primarily associated with personnel costs, including severance costs associated with the elimination of 33 job roles as part of the consolidation of HealthStream's business under a single platform strategy.
−Removed: In addition, we experienced higher costs for contract labor, software expenses, royalties, and cloud hosting. 
+Added: Cost of revenues increased $3.2 million, or 7%, to $47.4 million for the six months ended June 30, 2023, from $44.2 million for the six months ended June 30, 2022.
+Added: Cost of revenues as a percentage of revenues were 34%for both the six months ended June 30, 2023 and 2022.
+Added: The increase in expense is primarily associated with personnel costs, including severance costs associated with the elimination of 33 job roles as part of the consolidation of HealthStream's business under a single platform strategy.
+Added: In addition, we experienced higher costs for royalties, cloud hosting, contract labor, and software expenses. 
Product Development.
−Removed: Product development expenses increased $1.3 million, or 12%, to $11.7 million for the three months ended March 31, 2023, from $10.4 million for the three months ended March 31, 2022.
−Removed: Product development expenses as a percentage of revenues were 17% and 16% for the three months ended March 31, 2023 and 2022, respectively.
−Removed: The increase is primarily due to increased personnel costs, including severance costs as noted above, and an increase in contract labor, which were partially offset by an increase in labor capitalized for internally developed software.
+Added: Product development expenses increased $1.7 million, or 8%, to $22.7 million for the six months ended June 30, 2023, from $21.0 million for the six months ended June 30, 2022.
+Added: Product development expenses as a percentage of revenues were 16% for both the six months ended June 30, 2023 and 2022.
+Added: The increase in expense is primarily due to increased personnel costs, including severance costs as noted above, and an increase in contract labor, which were partially offset by an increase in labor capitalized for internally developed software.
Sales and Marketing.
−Removed: Sales and marketing expenses, including personnel costs, increased $1.3 million, or 13%, to $11.7 million for the three months ended March 31, 2023, from $10.4 million for the three months ended March 31, 2022.
−Removed: Sales and marketing expenses were 17% and 16% of revenues for the three months ended March 31, 2023 and 2022, respectively.
−Removed: The increase is primarily due to increased personnel costs, including severance costs as noted above, as well as higher travel expense and higher software costs, which were partially offset by a decrease in general marketing expenses.
+Added: Sales and marketing expenses, including personnel costs, increased $1.7 million, or 8%, to $23.0 million for the six months ended June 30, 2023, from $21.3 million for the six months ended June 30, 2022.
+Added: Sales and marketing expenses were 17% and 16% of revenues for the six months ended June 30, 2023 and 2022, respectively.
+Added: The increase is primarily due to increased personnel costs, including severance costs as noted above, as well as higher sales commissions and travel costs, which were partially offset by a decrease in general marketing expenses.
Other General and Administrative Expenses.
−Removed: Other general and administrative expenses decreased $0.3 million, or 3%, to $8.9 million for the three months ended March 31, 2023, from $9.2 million for the three months ended March 31, 2022.
−Removed: Other general and administrative expenses were 13% and 14% of revenues for the three months ended March 31, 2023 and 2022, respectively.
−Removed: The decrease is primarily due to lower employee recruitment expenses, professional service fees, and software.
+Added: Other general and administrative expenses decreased $0.8 million, or 4%, to $17.9 million for the six months ended June 30, 2023, from $18.8 million for the six months ended June 30, 2022.
+Added: Other general and administrative expenses were 13% and 14% of revenues for the six months ended June 30, 2023 and 2022, respectively.
+Added: The decrease is primarily due to lower employee recruitment and onboarding expenses, professional service fees, software expenses, and general office expenses, which were partially offset by an increase in stock-based compensation.
Depreciation and Amortization.
−Removed: Depreciation and amortization expense increased $0.6 million, or 6%, to $9.9 million for the three months ended March 31, 2023, from $9.3 million for the three months ended March 31, 2022.
−Removed: This increase is primarily a result of an increase in amortization associated with capitalized software but was partially offset by lower depreciation expense.
−Removed: Other Income (Loss), Net .
−Removed: Other income (loss), net was income of $0.3 million for the three months ended March 31, 2023, compared to a loss of $0.3 for the three months ended March 31, 2022.
−Removed: The increase is primarily the result of interest income earned on cash and investments during the three months ended March 31, 2023 compared to the prior year period.
+Added: Depreciation and amortization expense increased $1.4 million, or 7%, to $20.1 million for the six months ended June 30, 2023, from $18.7 million for the six months ended June 30, 2022.
+Added: This increase is primarily a result of an increase in amortization associated with capitalized software, partially offset by lower depreciation expense.
+Added: Other Income, Net .
+Added: Other income, net was $0.7 million for the six months ended June 30, 2023, compared to $0.4 million for the six months ended June 30, 2022.
+Added: The increase is primarily the result of an increase in interest income earned on cash and investments during the six months ended June 30, 2023 compared to the prior year period coupled with a reduction in losses recorded on equity method investments, partially offset by the $0.9 million gain recorded due to the change in fair value of our previously held minority interest in CloudCME, LLC during the six months ended June 30, 2022 that was remeasured upon acquiring the remaining ownership interest of CloudCME, LLC such 2022 period.
Income Tax Provision.
−Removed: The Company recorded a provision for income taxes of $0.5 million for the three months ended March 31, 2023, compared to $0.9 million the three months ended March 31, 2022.
−Removed: The Company’s effective tax rate was 16% for the three months ended March 31, 2023, compared to 23% for the three months ended March 31, 2022.
+Added: The Company recorded a provision for income taxes of $0.9 million for the six months ended June 30, 2023, compared to $1.4 million the six months ended June 30, 2022.
+Added: The Company’s effective tax rate was 12% for the six months ended June 30, 2023, compared to 19% for the six months ended June 30, 2022.
The Company’s effective tax rate primarily reflects the statutory corporate income tax rate, the net effect of state taxes, foreign income taxes, the effect of various permanent tax differences, and recognition of discrete tax items.
−Removed: During the three months ended March 31, 2023, the Company recorded discrete tax benefits of $53,000, which consisted primarily of a $133,000 tax benefit associated with stock-based awards. This tax benefit was partially offset by $80,000 of discrete tax expense related to uncertain tax positions.
−Removed: During the three months ended March 31, 2022, the Company recorded discrete tax expense of $0.1 million, primarily related to tax deficiencies associated with stock-based awards. 
−Removed: Net income was $2.6 million and $2.9 million for the three months ended March 31, 2023 and 2022, respectively.
−Removed: Earnings per share (EPS) was $0.09 per share (diluted) for both the three months ended March 31, 2023 and 2022. 
−Removed: Adjusted EBITDA was $13.7 million for the three months ended March 31, 2023, compared to $14.0 million for the three months ended March 31, 2022.
+Added: During the six months ended June 30, 2023, the Company recorded discrete tax benefits of $0.5 million, which consisted primarily of tax benefits in the amount of $0.6 million resulting from changes in apportionment rules in Tennessee upon the enactment of the Tennessee Works Tax Act, and stock-based awards, in the amount of $0.1 million, partially offset by $0.2 million of discrete tax expense related to reserves for uncertain tax positions. During the six months ended June 30, 2022, the Company recorded discrete tax benefits of $0.1 million, which consisted primarily of a $0.2 million tax benefit associated with a nontaxable gain of $0.9 million recognized from the change in fair value of our previously held minority interest in CloudCME, LLC as noted above.
+Added: This tax benefit was partially offset by $0.1 million of excess tax deficiencies associated with stock-based awards.
+Added: Net income was $6.8 million and $6.0 million for the six months ended June 30, 2023 and 2022, respectively.
+Added: Earnings per share (EPS) were $0.22 per share (diluted) and $0.19 per share (diluted) for the six months ended June 30, 2023 and 2022, respectively.
+Added: Adjusted EBITDA was $29.1 million for the six months ended June 30, 2023, compared to $27.1 million for the six months ended June 30, 2022.
See “Reconciliation of Non-GAAP Financial Measures”
4 unchanged sentences
We also believe that adjusted EBITDA is useful to investors to assess the Company’s ongoing operating performance and to compare the Company’s operating performance between periods.
−Removed: Additionally, short-term cash incentive bonuses and performance-based equity awards are based on the achievement of adjusted EBITDA targets (as defined in applicable bonus and equity grant documentation).
+Added: Additionally, short-term cash incentive bonuses and performance-based equity awards are based on the achievement of adjusted EBITDA (as defined in applicable bonus and equity grant documentation) targets.
As noted above, the definition of adjusted EBITDA includes an adjustment for the impact of the deferred revenue write-downs associated with fair value accounting for acquired businesses.
9 unchanged sentences
A reconciliation of adjusted EBITDA to the most directly comparable GAAP measure is set forth below (in thousands).
−Removed: Three Months Ended March 31,
+Added: Three Months Ended June 30,
+Added: Six Months Ended June 30,
GAAP net income
5 unchanged sentences
Depreciation and amortization
+Added: Change in fair value of non-marketable equity investments
Adjusted EBITDA
Liquidity and Capital Resources
−Removed: Net cash provided by operating activities decreased by $0.1 million to $20.5 million during the three months ended March 31, 2023, from $20.7 million during the three months ended March 31, 2022.
−Removed: Our days sales outstanding ("DSO") was 51 days for the first quarter of 2023 compared to 45 days for the first quarter of 2022.
+Added: Net cash provided by operating activities decreased by $2.5 million to $25.5 million during the six months ended June 30, 2023, from $28.0 million during the six months ended June 30, 2022.
+Added: The decrease in net cash provided by operating activities is primarily due to $2.6 million of income tax payments made during the six months ended June 30, 2023 compared to $0.4 million in the prior year period.
+Added: Our days sales outstanding ("DSO") increased to 50 days for the second quarter of 2023 from 45 days for the second quarter of 2022 due to certain customers delaying payments longer than usual.
The Company calculates DSO by dividing the average accounts receivable balance for the quarter by average daily revenues for the quarter.
The Company’s primary sources of cash were receipts generated from the sales of our products and services.
−Removed: The primary uses of cash to fund operations included personnel expenses, sales commissions, royalty payments, payments for contract labor and other direct expenses associated with delivery of our products and services, and general corporate expenses.
−Removed: Net cash used in investing activities was $16.9 million for the three months ended March 31, 2023, compared to $4.0 million for the three months ended March 31, 2022.
−Removed: During the three months ended March 31, 2023, the Company spent $6.6 million for the acquisition of substantially all of the assets of Electronic Education Documentation System, LLC ("eeds") (note:
−Removed: the eeds acquisition was consummated on December 31, 2022, but was funded in January 2023 such that the purchase price for eeds impacted net cash used in investing activities during the three months ended March 31, 2023), invested in marketable securities of $2.9 million, made payments for capitalized software development of $7.6 million, and purchased property and equipment of $0.9 million.
−Removed: These uses of cash were partially offset by $1.0 million in maturities of marketable securities. During the three months ended March 31, 2022, the Company spent $22,000 related to a post-closing adjustment for a prior acquisition, invested in marketable securities of $2.0 million, made payments for capitalized software development of $6.3 million, and purchased property and equipment of $0.6 million.
−Removed: These uses of cash were partially offset by $5.0 million in maturities of marketable securities. 
−Removed: Net cash used in financing activities was approximately $0.8 million for the three months ended March 31, 2023, compared to $20.2 million for the three months ended March 31, 2022.
−Removed: The uses of cash for the three months ended March 31, 2023 included $0.8 million for the payment of employee payroll taxes in relation to the vesting of restricted share units.
−Removed: The uses of cash for the three months ended March 31, 2022 included $19.7 million for repurchases of common stock and $0.5 million for the payment of employee payroll taxes in relation to the vesting of restricted share units.
−Removed: Our balance sheet reflects positive working capital of $4.1 million at March 31, 2023, compared to negative working capital of $2.8 million at December 31, 2022.
−Removed: The increase in working capital is primarily a result of an increase in cash and cash equivalents despite the use of cash to fund the acquisition of eeds during the quarter as a result of strong collections coupled with an increase in accounts receivable.
−Removed: The Company’s primary source of liquidity as of March 31, 2023 was $48.8 million of cash and cash equivalents and $9.8 million of marketable securities.
−Removed: The Company also has a $65.0 million revolving credit facility, all of which was available for additional borrowing at March 31, 2023.
+Added: The primary uses of cash to fund operations included personnel expenses, sales commissions, royalty payments, payments for contract labor and other direct expenses associated with delivery of our products and services, income tax payments, and general corporate expenses.
+Added: Net cash used in investing activities was $43.3 million for the six months ended June 30, 2023, compared to $14.0 million for the six months ended June 30, 2022.
+Added: During the six months ended June 30, 2023, the Company spent $6.6 million for the acquisition of substantially all of the assets of Electronic Education Documentation System, LLC ("eeds") (note:
+Added: the eeds acquisition was consummated on December 31, 2022, but was funded in January 2023 such that the purchase price for eeds impacted net cash used in investing activities during the six months ended June 30, 2023), invested in marketable securities of $32.0 million, made payments for capitalized software development of $13.3 million, and purchased property and equipment of $1.4 million.
+Added: These uses of cash were partially offset by $10.0 million in maturities of marketable securities. During the six months ended June 30, 2022, the Company spent $3.9 million to acquire the remaining ownership interest in CloudCME on a net cash basis and spent $62,000 related to post-closing adjustments for prior acquisitions for a net cash outflow of $4.0 million for business combinations, invested in marketable securities of $2.0 million, made payments for capitalized software development of $11.8 million, and purchased property and equipment of $1.2 million.
+Added: These uses of cash were partially offset by $5.0 million in maturities of marketable securities.
+Added: Net cash used in financing activities was approximately $2.3 million for the six months ended June 30, 2023, compared to $23.6 million for the six months ended June 30, 2022.
+Added: The uses of cash for the six months ended June 30, 2023 included $1.5 million for the payment of cash dividends and $0.8 million for the payment of employee payroll taxes in relation to the vesting of restricted share units.
+Added: The uses of cash for the six months ended June 30, 2022 included $23.1 million for repurchases of common stock and $0.5 million for the payment of employee payroll taxes in relation to the vesting of restricted share units.
+Added: Our balance sheet reflects positive working capital of $8.9 million at June 30, 2023, compared to negative working capital of $2.8 million at December 31, 2022.
+Added: The increase in working capital is primarily a result of an increase in cash and cash equivalents and marketable securities in the aggregate, despite the use of cash to fund the acquisition of eeds, which resulted in a corresponding decrease in accrued liabilities.
+Added: The Company’s primary source of liquidity as of June 30, 2023 was $25.8 million of cash and cash equivalents and $30.2 million of marketable securities.
+Added: The Company also has a $65.0 million revolving credit facility, all of which was available for additional borrowing at June 30, 2023.
The revolving credit facility expires on October 28, 2023, unless earlier renewed or amended.
7 unchanged sentences
On February 20, 2023, we announced that our Board approved a dividend policy under which we intend to pay quarterly cash dividends on our common stock, at an initial rate of $0.025 per share per fiscal quarter.
−Removed: We also announced that our Board declared the initial quarterly dividend under the new policy in the amount of $0.025 per share, which will be payable on April 28, 2023 to the holders of record of all of the issued and outstanding shares of common stock as of the close of business on April 17, 2023.
−Removed: This marks the first quarterly cash dividend policy adopted by the Company.
−Removed: On April 24, 2023, the Board approved the Company's second quarterly cash dividend of $0.025 per share, payable on June 23, 2023 to holders of record on June 12, 2023.
−Removed: Further, the Company intends to declare and pay two more quarterly cash dividends in 2023.
−Removed: The dividend policy and the declaration and payment of each quarterly cash dividend will be subject to our Board’s continuing determination that the policy and the declaration of dividends thereunder are in the best interests of our stockholders and are in compliance with applicable law and our credit agreement.
−Removed: Our Board retains the power to modify, suspend, or cancel the dividend policy in any manner and at any time that our Board may deem necessary or appropriate.
−Removed: We believe that our existing cash and cash equivalents, marketable securities, cash generated from operations, and available borrowings under our revolving credit facility will be sufficient to meet anticipated working capital needs, new product development, and capital expenditures for at least the next 12 months and for the foreseeable future thereafter.
+Added: We also announced that our Board declared the initial quarterly dividend under the new policy in the amount of $0.025 per share, which was paid on April 28, 2023 to the holders of record of all of the issued and outstanding shares of common stock as of the close of business on April 17, 2023.
+Added: This marked the first quarterly cash dividend policy adopted by the Company. On April 24, 2023, the Board approved the Company's second quarterly cash dividend of $0.025 per share, which was paid on June 23, 2023 to holders of record on June 12, 2023. 
+Added: On July 24, 2023, the Board approved the Company's third quarterly cash dividend of $0.025 per share, payable on September 29, 2023 to holders of record on September 18, 2023.
+Added: Further, the Company intends to declare and pay one more quarterly cash dividend in 2023. T he dividend policy and the declaration and payment of each quarterly cash dividend will be subject to our Board’s continuing determination that the policy and the declaration and payment of dividends thereunder are in the best interests of our stockholders and are in compliance with applicable law and our credit agreement.
+Added: Our Board retains the power to modify, suspend, or cancel the dividend policy and quarterly dividends thereunder in any manner and at any time that our Board may deem necessary or appropriate.
+Added: We believe that our existing cash and cash equivalents, marketable securities, cash generated from operations, and available borrowings under our revolving credit facility will be sufficient to meet anticipated working capital needs, new product development, dividend payments, and capital expenditures for at least the next 12 months and for the foreseeable future thereafter.
In addition, the Company’s growth strategy includes acquiring businesses or making strategic investments in businesses that complement or enhance our business.
3 unchanged sentences
Therefore, the maximum borrowings against our revolving credit facility would be dependent on the covenant calculations at the time of borrowing.
−Removed: As of March 31, 2023, we were in compliance with all covenants.
−Removed: There can be no assurance that amounts available for borrowing under our revolving credit facility will be sufficient to consummate any possible acquisitions, and we cannot assure you that if we need additional financing that it will be available on terms favorable to us, or at all.
+Added: As of June 30, 2023, we were in compliance with all covenants.
+Added: There can be no assurance that amounts available for borrowing under our revolving credit facility will be sufficient to consummate any possible acquisitions, and we cannot provide assurance that if we need additional financing that it will be available on terms favorable to us, or at all.
Failure to generate sufficient cash flow from operations or raise additional capital when required in sufficient amounts and on terms acceptable to us could harm our business, financial condition, and results of operations.
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.