Company Description
Streamline Health Solutions, Inc. (STRM) is a healthcare-focused technology company that enables healthcare organizations to proactively address revenue leakage and improve financial performance. According to the company’s public disclosures, Streamline Health delivers integrated solutions, technology-enabled services and analytics that drive compliant revenue and support improved financial outcomes across the enterprise.
Streamline Health is classified in the computer systems design services industry within the broader professional, scientific, and technical services sector. Its solutions are centered on the revenue cycle, with an emphasis on helping providers better control revenue cycle outcomes and address financial pressures in a complex healthcare reimbursement environment.
Business focus and solutions
The company describes itself as a provider of solutions that enable healthcare providers to improve financial performance by proactively addressing revenue leakage. Its offerings include integrated solutions, technology-enabled services and analytics that are designed to drive compliant revenue. Streamline Health states that its tools help healthcare organizations improve the flow and management of critical patient information and transform data from disparate systems into actionable information, providing access to clinical, financial, and administrative intelligence.
Streamline Health highlights a focus on pre-bill technology solutions. In its news releases, the company notes that it is leading an industry movement to improve hospital and health system financial performance through pre-bill technology. These pre-bill capabilities are intended to help providers accurately capture, bill and be paid for the care they provide while avoiding denials.
Key named offerings
Company announcements identify several branded solution areas:
- eValuator – Described as AI-enhanced or AI-powered pre-bill code auditing technology. Streamline Health states that eValuator analyzes encounters in real time to support coding accuracy, ensure providers can accurately capture and bill for care, and help avoid denials. The company also references a Quality Module within eValuator, which provides real-time risk scoring and insight into quality measurement impact.
- RevID – Described as an automated charge reconciliation solution. According to Streamline Health, RevID is designed to eliminate charge capture gaps, enable hospitals to capture earned revenue, and accelerate cash flow by ensuring accurate capture and billing for services provided. Company disclosures note that RevID can integrate with Oracle Health EHR environments, including CommunityWorks and Soarian billing platforms.
In multiple announcements, Streamline Health characterizes these offerings as pre-bill technology solutions that support revenue integrity and improved financial performance for hospitals and health systems.
Client base and use cases
Public announcements indicate that Streamline Health’s clients include health systems and hospitals of varying sizes. The company has disclosed contracts with health systems in states such as Ohio, Kentucky, Indiana, Texas and Florida, including academic medical centers and community-based organizations. These clients have adopted eValuator for pre-bill code auditing and RevID for automated charge reconciliation, often in conjunction with major electronic health record (EHR) platforms such as Oracle Health and Altera-based systems.
Streamline Health states that its solutions are used to improve coding accuracy, optimize mid-revenue cycle workflows, enhance charge reconciliation, and help providers avoid denials. The company’s disclosures also reference the use of AI-enhanced capabilities and real-time analysis to support these objectives.
Financial reporting and metrics
Streamline Health reports its financial results in accordance with U.S. generally accepted accounting principles (GAAP) and also discusses non-GAAP measures. In particular, the company frequently references Adjusted EBITDA as a non-GAAP metric that management uses to evaluate business performance. Streamline Health defines adjusted EBITDA as net earnings (loss) plus interest expense, tax expense, depreciation and amortization of tangible and intangible assets, share-based compensation expense, certain significant non-recurring operating expenses, restructuring expenses, impairment of goodwill and long-lived assets, and specified transactional-related expenses.
The company also discusses Booked SaaS Annual Contract Value (ACV) as an operating metric. Streamline Health defines Booked SaaS ACV as the annualized value of all executed SaaS contracts, including contracts that have not been fully implemented as of the measurement date, assuming any contract that expires during the twelve months following the measurement date is renewed on its existing terms unless the company has knowledge of non-renewal. The company notes that Booked SaaS ACV should be viewed independently of revenue and does not represent GAAP revenue on an annualized basis.
Merger with MDaudit and change in listing status
Streamline Health’s regulatory filings document a significant corporate event. On May 29, 2025, Streamline Health announced that it had entered into a definitive merger agreement under which MDaudit would acquire Streamline Health in an all-cash transaction. Subsequent filings report that, on August 12, 2025, a wholly owned subsidiary of Mist Holding Co. (the parent company of MDaudit) merged with and into Streamline Health Solutions, Inc., with Streamline Health surviving as a wholly owned subsidiary of Mist Holding Co.
Following completion of the merger, Streamline Health’s common stock ceased to be listed on the Nasdaq Stock Market. A Form 25 filed on August 12, 2025, reflects the removal of Streamline Health Solutions, Inc. from listing and/or registration on Nasdaq. A Form 15 filed on August 22, 2025, certifies the termination of registration under Section 12(g) of the Securities Exchange Act of 1934 and the suspension of the company’s duty to file periodic reports under Sections 13 and 15(d). The Form 15 notes that, as a result of the merger, the approximate number of holders of record as of the certification date was one, with Streamline Health as a wholly owned subsidiary of its parent.
These filings indicate that STRM is now a former Nasdaq-listed security and that Streamline Health operates as a private company under the ownership of Mist Holding Co.
Regulatory and risk disclosures
In its press releases and SEC filings, Streamline Health includes forward-looking statements and associated cautionary language. The company identifies risk factors related to its merger, financing arrangements, customer relationships, competitive environment, regulatory conditions in healthcare, and broader economic and market developments. It refers readers to the “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” sections of its Form 10-K and Form 10-Q filings for more detailed discussions of these risks.
Position within healthcare technology
Within the healthcare technology landscape, Streamline Health presents itself as a provider of revenue cycle and revenue integrity solutions focused on pre-bill processes, coding accuracy, charge reconciliation, and analytics. Its public statements emphasize the use of AI-enhanced auditing, real-time analysis, and integration with major EHR platforms to help health systems address revenue leakage and support financial stability.
FAQs about Streamline Health Solutions, Inc. (STRM)
- What does Streamline Health Solutions, Inc. do?
According to its public disclosures, Streamline Health Solutions, Inc. enables healthcare organizations to proactively address revenue leakage and improve financial performance. The company delivers integrated solutions, technology-enabled services and analytics that are intended to drive compliant revenue and enhance financial outcomes across the enterprise.
- What industry and sector is Streamline Health in?
Streamline Health operates in the computer systems design services industry within the professional, scientific, and technical services sector, with a focus on healthcare revenue cycle and financial performance solutions.
- What are eValuator and RevID?
Company announcements describe eValuator as an AI-enhanced or AI-powered pre-bill code auditing technology that analyzes encounters in real time to support coding accuracy, billing, and denial avoidance. RevID is described as an automated charge reconciliation solution that helps hospitals capture earned revenue, eliminate charge capture gaps, and support accurate billing and improved cash flow.
- How does Streamline Health describe its revenue cycle focus?
Streamline Health states that it is leading an industry movement to improve health system and hospital financial performance through pre-bill technology solutions. Its disclosures emphasize pre-bill code auditing, automated charge reconciliation, and analytics aimed at helping providers accurately capture, bill, and be paid for the care they provide while avoiding denials.
- What is Adjusted EBITDA as used by Streamline Health?
Streamline Health reports that it uses Adjusted EBITDA as a non-GAAP financial measure. The company defines adjusted EBITDA as net earnings (loss) plus interest expense, tax expense, depreciation and amortization of tangible and intangible assets, share-based compensation expense, certain significant non-recurring operating expenses, restructuring expenses, impairment of goodwill and long-lived assets, and specified transactional-related expenses.
- What is Booked SaaS ACV for Streamline Health?
Booked SaaS Annual Contract Value (ACV) is defined by the company as the annualized value of all executed SaaS contracts, including contracts that have not been fully implemented as of the measurement date, assuming any contract that expires during the twelve months following the measurement date is renewed on its existing terms unless the company has knowledge of non-renewal. Streamline Health notes that Booked SaaS ACV is an operating metric and is not a substitute for GAAP revenue.
- What happened to Streamline Health’s Nasdaq listing and STRM stock?
SEC filings report that on August 12, 2025, a subsidiary of Mist Holding Co. merged with and into Streamline Health Solutions, Inc., with Streamline Health surviving as a wholly owned subsidiary of Mist Holding Co. In connection with the merger, Streamline Health’s common stock was delisted from the Nasdaq Stock Market, as reflected in a Form 25 filed on August 12, 2025. A subsequent Form 15 filed on August 22, 2025, terminated the registration of the company’s common stock and suspended its reporting obligations under the Securities Exchange Act of 1934.
- Does Streamline Health Solutions, Inc. still file periodic reports with the SEC?
According to the Form 15 filed on August 22, 2025, Streamline Health Solutions, Inc. certified the termination of registration of its common stock under Section 12(g) of the Securities Exchange Act of 1934 and the suspension of its duty to file reports under Sections 13 and 15(d). This filing indicates that the company no longer has the same periodic reporting obligations as a listed public company.
- What is the relationship between Streamline Health and MDaudit?
Public announcements and SEC filings state that MDaudit, through its parent Mist Holding Co., entered into a merger agreement to acquire Streamline Health Solutions, Inc. The merger closed on August 12, 2025, with Streamline Health becoming a wholly owned subsidiary of Mist Holding Co. Press releases describe the combined organization as supporting healthcare organizations with billing compliance, revenue integrity, and pre-bill revenue cycle capabilities.
- What types of healthcare organizations use Streamline Health’s solutions?
Company news releases reference contracts with health systems and hospitals, including large bed-count health systems in states such as Ohio, Kentucky, Indiana, Texas and Florida, as well as an academic medical center. These organizations have adopted Streamline Health’s eValuator and RevID solutions to support coding accuracy, pre-bill auditing, and automated charge reconciliation.