HealthStream, Inc. HSTM

29.10 0.23 0.80% as of 25 Sep
Market cap
$883.3M
P/E
40.5×
Growth Flags show if company had growth for consecutive years

Insider Decisions

Total sells 4.74
in millions of $
Nov 25 Feb 26 May 26 Aug 26
Buy — — — — — — — — — — — —
Sell — 1 2 — — — — 2 1 1 — 1
Insider Ownership 26.48%

Capital & Financial Ratios

Market Cap 883.30
Revenue 321.12
Net Income 21.20
Free Cash Flow 69.87
Net Debt (66.73)
Current Ratio 1.06
Debt/Equity 0.00
P/E ratio 40.46
P/S ratio 2.65
P/B ratio 2.39
Past 5Y EPS Growth 8.39%
This Y EPS Growth 20.98%
Next Y EPS Growth 11.92%
Next 5Y EPS Growth 7.94%
in millions of $

Dividends

Payout Ratio 0.12
Annual Dividend Rate 0.10
Annual Dividend Yield 0.19%
total individual payouts
2027 Powerpack
2026 0.11
0.04
0.04
0.04
2025 0.12
0.03
0.03
0.03
0.03
2024 0.11
0.03
0.03
0.03
0.03
2023 0.10
0.03
0.03
0.03
0.03
2022 Powerpack
2021 Powerpack
2020 Powerpack
2019 Powerpack
2018 0.00
1.00
2017 Powerpack
predictions in italic, special payouts not included in total or ratios

Assets vs Liabilities

2023 2024 2025 Q'26
Cash 71 97 57 67
Receivables 38 35 39 37
Inventory — — — —
Other — — — —
130 153 120 130
2023 2024 2025 Q'26
Payables 7 7 8 7
ST’ Debt — — — —
Other — — — —
118 116 124 123
in millions of $

Compound Annual Growth

10y 5y 3y
Sales 3.82% 4.43% 4.45%
Cash Flow 6.13% 12.03% 7.35%
Earnings 7.84% 5.41% 14.90%
Book Value 2.36% 1.17% 1.95%

Revenue

Mar Jun Sep Dec Year
’26 81 84 — — —
’25 73 74 76 80 304
’24 73 72 73 74 292
’23 69 69 70 71 279
’22 65 66 67 69 267
’21 63 65 64 64 257
’20 62 61 61 62 245
in millions of $ · fiscal quarters ending in the months shown

Operating Cash Flow

Mar Jun Sep Dec Year
’26 27 13 — — —
’25 27 5 18 13 63
’24 21 6 19 11 58
’23 21 5 25 14 64
’22 21 7 15 8 51
’21 19 5 12 6 42
’20 6 7 17 5 36
in millions of $ · fiscal quarters ending in the months shown

Free Cash Flow

Mar Jun Sep Dec Year
’26 26 13 — — —
’25 26 3 18 13 60
’24 20 6 19 11 56
’23 20 4 24 13 62
’22 20 7 15 8 49
’21 17 5 12 5 39
’20 5 7 17 5 34
in millions of $ · fiscal quarters ending in the months shown

EPS

Mar Jun Sep Dec Year
’26 0.20 0.23 — — —
’25 0.14 0.18 0.20 0.09 0.61
’24 0.17 0.14 0.19 0.16 0.66
’23 0.09 0.13 0.13 0.15 0.50
’22 0.09 0.10 0.12 0.08 0.39
’21 0.07 0.08 0.05 (0.01) 0.18
’20 0.22 0.11 0.08 0.03 0.44
fiscal quarters ending in the months shown

Target Price Range

Analyst price targets

Recommendation Rating

2.2
1Buy 2 3Hold 4 5Sell
2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028
17.80 20.60 21.15 23.61 17.95 21.49 18.51 20.47 23.92 23.04

Analyst estimates 2026–2028

Powerpack
Low Price
28.84 31.53 31.86 30.00 27.99 31.11 26.78 27.69 33.52 34.24
High Price
1,120 1,027 790 876 1,069 1,101 1,154 1,092 1,093 1,160
Employees
0 0 0 0 0 0 0 0 0 0
Revenue/Emp
192 215 232 254 245 257 267 279 292 304
Revenue
60.98% 59.42% 58.55% 59.12% 63.51% 64.54% 65.84% 65.95% 66.42% 64.74%
Gross Margin
8 10 17 18 18 8 16 19 25 23
EBT
4.03% 4.72% 7.16% 7.06% 7.28% 3.03% 5.84% 6.63% 8.50% 7.64%
EBT Margin
4 10 32 16 14 6 12 15 20 18
Net Income
20 24 32 36 39 46 49 53 54 56
Depreciation
6.06 6.74 7.18 7.85 7.66 8.14 8.71 9.13 9.60 10.13
Revenue/Sh
0.12 0.31 1.00 0.49 0.44 0.19 0.39 0.50 0.66 0.61
Earnings/Sh
0.76 1.47 1.34 2.03 1.12 1.34 1.67 2.09 1.90 2.11
Cash Flow/Sh
(0.12) (0.17) (0.22) (0.68) (0.06) (0.11) (0.06) (0.07) (0.05) (0.12)
Capex/Sh
0.64 1.29 1.12 1.35 1.06 1.24 1.61 2.02 1.85 1.99
Free CF/Sh
9.02 9.42 9.89 10.45 10.45 10.75 10.90 11.15 11.83 11.79
Book Value/Sh
32 32 32 32 32 32 31 31 30 30
Shares
213.00 76.00 24.15 57.87 49.64 138.74 63.26 53.40 48.18 37.82
PE Ratio
4.22 3.49 3.36 3.47 2.85 3.24 2.83 2.93 3.31 2.28
PS Ratio
2.83 2.50 2.44 2.60 2.09 2.45 2.26 2.40 2.69 1.96
PB Ratio
3.83 3.01 2.76 2.89 2.76 3.14 2.72 2.75 3.05 2.16
EV/Sales
36.05 15.72 17.69 16.84 19.97 20.67 14.67 12.40 15.82 11.00
EV/FCF
24 47 43 66 36 42 51 64 58 63
Op' Cash Flow
(4) (6) (7) (22) (2) (3) (2) (2) (1) (4)
Capex
20 41 36 44 34 39 49 62 56 60
FCF
82 99 135 119 (5) 6 (3) 12 37 (4)
Working Cap'
— — — 31 28 26 26 — — —
Total Debt
(103) (131) (169) (173) (46) (52) (54) (71) (97) (57)
Net Debt
286 300 319 338 334 339 334 341 359 354
Sh' Equity
0.97% 2.48% 7.55% 3.39% 2.85% 1.18% 2.46% 3.05% 3.96% 3.56%
ROA
2.45% 3.48% 6.45% 5.57% 3.44% 1.75% 2.78% 3.71% 5.08% 4.26%
ROIC
1.33% 3.41% 10.41% 4.80% 4.19% 1.74% 3.59% 4.51% 5.72% 5.14%
ROE
predictions in italic, sparklines do not include predictions

All 10 years →

Fiscal years to Dec 2025 · latest quarter Jun 2026

HealthStream, Inc. peers in Health Information Services

All 52 Health Information Services stocks →

HealthStream, Inc. (HSTM) key facts

  • HealthStream, Inc. (HSTM) is a Health Information Services company in the Healthcare sector, listed on Nasdaq.
  • HealthStream, Inc.’s revenue for fiscal 2025 (year ended December 2025) was $304.1 million, up 4.26% from fiscal 2024.
  • Net income was $18.3 million, or $0.61 per share (basic), a net margin of 6.03%.
  • As of September 25, 2026, HSTM traded at $29.10, a market capitalization of $883.3 million.
  • At that price the stock trades at 40.5× trailing-twelve-month earnings and 2.7× sales.
  • HealthStream, Inc. pays an annual dividend of $0.10 per share, a yield of 0.19%, with a payout ratio of 11.9%.
  • Return on equity was 5.14% and debt-to-equity 0.00.

Source: company filings (standardised) and stockrow calculations.

HealthStream, Inc. (HSTM) Latest News

News by impact score

Fine-tune

15 Sep

3

HealthStream completes $40 million private placement of its common stock. $40 million equity raise strengthens balance sheet but creates share dilution without shifting core operations.

14 Sep

4

HealthStream defines Enterprise Clinical Workforce Platform (ECWP) as a new enterprise category alongside EHR and ERP. Defining a new enterprise category establishes HealthStream as innovator in clinical workforce platforms and alters competitive positioning.

13 Aug

3

Humana partners with HealthStream to improve caregiver retention via a new deal focused on training and engagement tools. Partnership with Humana adds contract revenue and service expansion potential for HealthStream without altering core market position.

11 Aug

3

Humana Healthy Horizons in Indiana partners with HealthStream to expand and strengthen its home care workforce. Partnership expands HealthStream platform use in home care but represents incremental rather than transformative business growth.

10 Aug

3 transcript

HealthStream held its Q2 2026 earnings call, covering quarterly financial results, operational updates, and forward outlook for the healthcare workforce solutions provider. Quarterly earnings details and guidance typically produce moderate short-term market reaction without altering long-term company trajectory.

4 Aug

4

HealthStream Inc posted record revenue in its Q2 2026 earnings call while noting multiple strategic wins. Record revenue combined with strategic wins signals major positive shifts in financial trajectory and investor outlook.

3 transcript

HealthStream Q2 earnings call covered quarterly financial results, operational updates and outlook for the company. Earnings call highlights deliver quarterly performance data that can moderately sway near-term investor sentiment.

3 Aug

3

HealthStream (HSTM) posted Q2 earnings and revenues above analyst estimates. Q2 results beating estimates signal stronger financial performance that may moderately affect near-term stock sentiment and valuation.

5 May

4 transcript

HealthStream (HSTM) Q1 2026 earnings call transcript details quarterly financial results, revenue growth, operational updates, and forward-looking guidance from management. Q1 2026 earnings transcript provides critical financial metrics, growth figures, and strategic outlook directly impacting HSTM's valuation and investor confidence.

3

HealthStream, Inc. (HSTM) released Q1 earnings call highlights, covering revenue growth, adjusted EBITDA, workforce solutions performance, and outlook for 2024 with raised guidance. Q1 earnings highlights show solid financial results and raised guidance, providing moderate influence on HSTM's near-term performance and investor sentiment.

3

HealthStream, Inc. (HSTM) released Q1 2026 earnings call summary detailing quarterly financial results, operational updates, and forward guidance. Q1 earnings summary reveals financial performance and outlook influencing investor sentiment moderately.

4 May

4

HealthStream (HSTM) reported Q1 earnings and revenues surpassing analyst estimates. Q1 earnings and revenue beats indicate strong financial performance, likely driving positive investor sentiment and stock trajectory.

4

HealthStream, Inc. (HSTM) announced First Quarter 2026 results, including key financial metrics and performance highlights. Quarterly earnings announcements significantly impact financial performance and investor sentiment for public companies.

8 Apr

3

HealthStream (HSTM) narrative evolves amid AI risks and analysts' reset valuation views. AI risks and valuation resets moderately influence financial performance and investor sentiment without fundamentally altering trajectory.

26 Mar

4

Virsys12®, HealthStream's provider data management solution, named a Leader in the IDC MarketScape: U.S. Provider Data Management for Payers 2025–2026 Vendor Assessment. Virsys12's leader status in IDC MarketScape boosts HealthStream's credibility and sales potential in the payer provider data management market.

13 Mar

3

HealthStream, Inc. (HSTM) announces a new share repurchase program. Share repurchase programs signal management confidence in future prospects and can positively influence financial metrics like EPS, though effects are often moderated by market conditions.

2 Mar

3

Canaccord highlights HealthStream (HSTM) as well-positioned to handle rising AI pressures impacting software firms. Positive analyst view on HSTM's AI resilience moderately bolsters competitive positioning and investor sentiment.

25 Feb

4

HealthStream Inc. (HSTM) reported strong revenue growth in Q4 2025 earnings call, amid margin pressures. Strong Q4 2025 revenue growth signals significant positive impact on financial performance and investor sentiment despite margin challenges.

24 Feb

4

HealthStream reported Q4 earnings call highlights, covering financial results, revenue growth, workforce solutions performance, and 2024 outlook. Q4 earnings highlights detail strong revenue growth, margin expansion, and positive guidance signaling significant positive trajectory for future performance.

4

HealthStream, Inc. Q4 2025 earnings call summary details quarterly financial results, revenue growth, workforce solutions performance, and forward guidance. Q4 earnings summary discloses financial metrics and outlook directly shaping investor expectations and stock trajectory.

23 Feb

4

HealthStream, Inc. (HSTM) released its Q4 earnings snapshot. Q4 earnings snapshots directly reveal financial results that significantly influence investor sentiment and stock trajectory.

4

HealthStream, Inc. (HSTM) announced fourth quarter and full-year 2025 financial results. Quarterly and annual earnings announcements directly drive stock volatility, investor sentiment, and assessments of future performance.

3

HealthStream (HSTM) exceeded Q4 earnings and revenue estimates. Beating Q4 earnings and revenue estimates positively influences financial performance and investor sentiment.

30 Jan

3

HealthStream, Inc. (HSTM) has experienced recent stock weakness, yet its financial outlook remains relatively positive. Analysts suggest that the market may be undervaluing the company's potential, indicating that despite current challenges, there are favorable prospects ahead. The company's financial prospects suggest a moderately noticeable influence on its future performance.

28 Jan

3

Molina Healthcare and HealthStream’s MissionCare Collective have launched an initiative aimed at creating 15,000 home health aide positions. This initiative is part of a broader effort to address the growing demand for home health services and improve access to care for patients in their homes. The collaboration seeks to enhance workforce development in the home health sector, providing training and support for new aides. The initiative may positively influence HealthStream's operations and market sentiment by expanding workforce capabilities in home health services.

12 Jan

3

HealthStream, Inc. (HSTM) is being compared to Shopify (SHOP) in terms of value investment potential. The analysis focuses on financial metrics, growth prospects, and market positioning of both companies. HSTM's performance in the healthcare technology sector is evaluated against SHOP's e-commerce dominance, highlighting differences in revenue growth, profitability, and market trends. Investors are encouraged to consider these factors when making investment decisions. HSTM's competitive positioning and financial performance may be moderately influenced by the comparison with SHOP, but overall effects are expected to be limited.

28 Dec

3

HealthStream, Inc. (NASDAQ:HSTM) has seen its stock price decline by 25% over the past year, reflecting challenges in the company's performance and market conditions. Investors are concerned about the company's ability to recover and improve its financial standing in a competitive landscape. The significant stock decline indicates potential challenges that may moderately influence the company's financial performance and market sentiment.

26 Dec

3

HealthStream, Inc. (HSTM) and Shopify (SHOP) are compared for value investors, focusing on their financial metrics, growth potential, and market positions. HSTM is noted for its strong performance in the healthcare sector, while SHOP is recognized for its e-commerce solutions. The analysis highlights key factors such as revenue growth, profitability, and market trends that may influence investment decisions between the two stocks. Both companies exhibit growth potential, but the impact on HSTM's trajectory is expected to be limited compared to broader market dynamics.

15 Dec

4

HealthStream, Inc. has acquired MissionCare Collective, which includes myCNAjobs.com, the largest caregiver network in the nation. This acquisition marks HealthStream's third career network, enhancing its position in the healthcare staffing and workforce management sector. The acquisition significantly expands HealthStream's market presence and capabilities in healthcare staffing, likely influencing its competitive positioning and financial performance.

10 Dec

3

HealthStream, Inc. (HSTM) is being compared to Shopify (SHOP) to determine which stock offers better value at present. The analysis considers various financial metrics, including price-to-earnings ratios, growth potential, and market trends. Investors are encouraged to evaluate both companies based on their respective strengths and weaknesses in the current market environment. The comparison of HSTM with SHOP highlights key financial metrics that could moderately influence investor sentiment and market performance.

stockrow.com/HSTM · Data as of Jun 30, 2026 · For information only; not investment advice. · © 2026 stockrow.com