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.

Revenue
+8.94%
EPS
−8.90%
Free cash flow
−4.80%

Quarter to September 2026, against a year earlier

28.78 0.82 −2.77%
Market cap
$905.6M
P/E
42.0×
Fwd P/E
45.4×
Dividend yield
0.46%
F-score
6/9
Altman Z
3.53
Beneish M
−2.75
Dividend safety
78/100
Dec '25 Dec '24 Dec '23 Dec '22 Dec '21 Dec '20 Dec '19 Dec '18 Dec '17 Dec '16
P/E ratio
37.82 48.18 53.40 63.26 138.74 49.64 57.87 24.15 76.00 213.00
Piotroski F-Score
6 9 9 8 8 6 6 7 7 5
P/S ratio
2.28 3.31 2.93 2.83 3.24 2.85 3.47 3.36 3.49 4.22
Altman Z-Score
3.53 4.92 4.07 3.63 4.17 3.28 4.54 4.91 4.94 5.15
Altman Z″-Score (non-manufacturers)
3.21 3.95 3.22 2.80 3.06 2.67 4.47 5.19 4.71 4.27
P/FCF ratio
11.60 17.18 13.21 15.29 21.33 20.60 20.16 21.60 18.22 39.74
P/Operating CF
52.50 86.58 59.10 93.25 139.73 136.30 67.16 53.94 67.94 87.64
Beneish M-Score
(2.75) (2.90) (3.04) (2.71) (3.01) (2.08) (3.07) (2.75) (3.09) (2.43)
Dividend Safety Score
78 — — — — — — — — —
P/B ratio
1.96 2.69 2.40 2.26 2.45 2.09 2.60 2.44 2.50 2.83
EV/Sales
2.18 3.08 2.77 2.74 3.14 2.78 2.90 2.76 3.01 3.83
EV/EBITDA
8.69 11.96 11.27 11.97 14.94 12.41 14.45 13.47 19.36 26.71
EV/FCF
11.12 15.95 12.52 14.77 20.72 20.05 16.84 17.69 15.72 36.05
Current Ratio
0.96 1.32 1.10 0.98 1.06 0.96 2.14 2.26 1.98 1.87
Net Debt/EBITDA
(0.75) (1.30) (1.04) (0.88) (0.96) (0.85) (3.40) (3.56) (3.92) (3.75)
Debt/Equity
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
ROE
5.14% 5.72% 4.51% 3.59% 1.74% 4.19% 4.80% 10.41% 3.41% 1.33%
ROA
3.56% 3.96% 3.05% 2.46% 1.18% 2.85% 3.39% 7.55% 2.48% 0.97%
ROIC
4.26% 5.08% 3.71% 2.78% 1.75% 3.44% 5.57% 6.45% 3.48% 2.45%
Return on Tangible Assets
297.23% 41.53% 61.21% 95.60% 23.91% 80.52% 10.84% 21.41% 9.37% 4.05%
Average Days of Receivables
46.81 44.21 50.29 58.42 49.65 68.73 43.63 64.62 64.57 90.02
Earnings Yield
2.64% 2.08% 1.87% 1.58% 0.72% 2.01% 1.73% 4.14% 1.32% 0.47%
Free Cash Flow Yield
8.62% 5.82% 7.57% 6.54% 4.69% 4.85% 4.96% 4.63% 5.49% 2.52%
Free Cash Flow per Share
1.99 1.85 2.02 1.61 1.24 1.06 1.35 1.12 1.29 0.64
Book value per Share
11.79 11.83 11.15 10.90 10.75 10.45 10.45 9.89 9.42 9.02
Free Cash Flow
59.68 56.26 61.77 49.45 38.97 33.89 43.68 36.08 41.20 20.40
EV/EBIT
32.79 42.14 48.26 58.65 100.22 42.96 49.98 41.21 68.83 102.58
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Columns are period end dates · fundamentals updated 5 Nov 2026