HealthStream, Inc.

HSTM Healthcare Health Information Services

HealthStream, Inc.’s revenue for fiscal 2025 (year ended December 2025) was $304.1 million, up 4.26% from fiscal 2024. In the quarter to June 2026, revenue grew 12.6%, EPS grew 27.8% and free cash flow grew 362.7%, each against the same quarter a year earlier. Dividend growth for three consecutive years, revenue growth for five.

33.13 0.62 −1.84%
Market cap
$1.0B
P/E
46.0×
Fwd P/E
34.4×
Dividend yield
0.41%
F-score
6/9
Altman Z
3.53
Beneish M
−2.75
Dividend safety
78/100
Dec '16 Dec '17 Dec '18 Dec '19 Dec '20 Dec '21 Dec '22 Dec '23 Dec '24 Dec '25
P/E ratio
213.00 76.00 24.15 57.87 49.64 138.74 63.26 53.40 48.18 37.82
Piotroski F-Score
5 7 7 6 6 8 8 9 9 6
P/S ratio
4.22 3.49 3.36 3.47 2.85 3.24 2.83 2.93 3.31 2.28
Altman Z-Score
5.15 4.94 4.91 4.54 3.28 4.17 3.63 4.07 4.92 3.53
Altman Z″-Score (non-manufacturers)
4.27 4.71 5.19 4.47 2.67 3.06 2.80 3.22 3.95 3.21
P/FCF ratio
39.74 18.22 21.60 20.16 20.60 21.33 15.29 13.21 17.18 11.60
P/Operating CF
87.64 67.94 53.94 67.16 136.30 139.73 93.25 59.10 86.58 52.50
Beneish M-Score
(2.43) (3.09) (2.75) (3.07) (2.08) (3.01) (2.71) (3.04) (2.90) (2.75)
Dividend Safety Score
— — — — — — — — — 78
P/B ratio
2.83 2.50 2.44 2.60 2.09 2.45 2.26 2.40 2.69 1.96
EV/Sales
3.83 3.01 2.76 2.90 2.78 3.14 2.74 2.77 3.08 2.18
EV/EBITDA
26.71 19.36 13.47 14.45 12.41 14.94 11.97 11.27 11.96 8.69
EV/FCF
36.05 15.72 17.69 16.84 20.05 20.72 14.77 12.52 15.95 11.12
Current Ratio
1.87 1.98 2.26 2.14 0.96 1.06 0.98 1.10 1.32 0.96
Net Debt/EBITDA
(3.75) (3.92) (3.56) (3.40) (0.85) (0.96) (0.88) (1.04) (1.30) (0.75)
Debt/Equity
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
ROE
1.33% 3.41% 10.41% 4.80% 4.19% 1.74% 3.59% 4.51% 5.72% 5.14%
ROA
0.97% 2.48% 7.55% 3.39% 2.85% 1.18% 2.46% 3.05% 3.96% 3.56%
ROIC
2.45% 3.48% 6.45% 5.57% 3.44% 1.75% 2.78% 3.71% 5.08% 4.26%
Return on Tangible Assets
4.05% 9.37% 21.41% 10.84% 80.52% 23.91% 95.60% 61.21% 41.53% 297.23%
Average Days of Receivables
90.02 64.57 64.62 43.63 68.73 49.65 58.42 50.29 44.21 46.81
Earnings Yield
0.47% 1.32% 4.14% 1.73% 2.01% 0.72% 1.58% 1.87% 2.08% 2.64%
Free Cash Flow Yield
2.52% 5.49% 4.63% 4.96% 4.85% 4.69% 6.54% 7.57% 5.82% 8.62%
Free Cash Flow per Share
0.64 1.29 1.12 1.35 1.06 1.24 1.61 2.02 1.85 1.99
Book value per Share
9.02 9.42 9.89 10.45 10.45 10.75 10.90 11.15 11.83 11.79
Free Cash Flow
20.40 41.20 36.08 43.68 33.89 38.97 49.45 61.77 56.26 59.68
EV/EBIT
102.58 68.83 41.21 49.98 42.96 100.22 58.65 48.26 42.14 32.79
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