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HealthStream, Inc. HSTM R2KR3KPHARMA

Healthcare · Health Information Services · United States
https://www.healthstream.com
Company Profile ↓
$29.20
+10.59% 1Y
Mkt Cap$853.08M
P/E40.56
P/B2.35
Div. Yield0.48%
52W High$29.77
52W Low$19.79
Book Value$12.20
EPS (TTM)$0.72

Company Overview

HealthStream, Inc. provides Software-as-a-Service (SaaS) based applications for healthcare organizations in the United States. The company offers hStream, a technology platform; CredentialStream, provides healthcare organizations with tools to support the provider lifecycle management from recruiting, application submission, verification of licensure and other credentials, privileging, appointments by credentialing committees, enrollment, network, management, onboarding, and performance evaluations of providers; ShiftWizard; and Competency Suite, AI/ML-driven clinical competency development system. It also provides applications for performance appraisal, competency management, disclosure management, clinical competency, assessment, development, simulation-based education, clinical rotation and onboarding management, quality management, and industry training. The company's solutions help healthcare organizations in meeting their ongoing learning, clinical development, credentialing, and scheduling needs. It serves the healthcare industry, including private, not-for-profit, and government entities, as well as pharmaceutical and medical device companies, and nursing schools and students. The company was incorporated in 1990 and is headquartered in Nashville, Tennessee.

Why Investors Should Care

Steady Revenue Expansion

Revenue has grown at a 11.0% CAGR over the past five years.

Positive Free Cash Flow

Generates positive free cash flow, funding growth and shareholder returns internally.

Recent Developments

  • Dec 2025 Revenue of $304.06M (+4.3% YoY); net profit $18.34M.
  • Trailing 12 Months Year-on-year growth — revenue +12.5%, earnings +28.4%.
  • 5-Year Trend Long-term compounding — revenue CAGR 11.0%, profit CAGR 1.7%.

Growth & Price Performance

Compounded Sales Growth

5 Years:10.98%
1 Year:12.50%

Compounded Profit Growth

5 Years:1.72%
1 Year:28.40%

Stock Price Performance

1 Year:+10.59%
6 Months:+31.81%
3 Months:+15.83%
1 Month:+3.97%

Highlights auto-generated from reported financials and price data; not investment advice. Verify with official filings before acting.

Technical Snapshot Bullish
52-Week Range 94% of range
$19.79 $29.77
Trend Signals
  • Price vs 50-DMAAbove
  • Price vs 200-DMAAbove
  • RSI (14)54.09 · Neutral
Price Performance
1M+3.97%
3M+15.83%
6M+31.81%
1Y+10.59%
Valuation vs Sector

P/E of 40.56 is above the sector median of 25.17 — pricier than peers.

Auto-generated from price history and fundamentals; not investment advice.

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Price Chart

Robinhood TradingView

Fundamental Growth Charts

Interactive charts for Revenue, Net Income, EBITDA, Free Cash Flow, EPS, ROE, ROCE, Gross/Net/Operating Margin and more — switch metric and period using the dropdowns above. CAGR is computed across the displayed window (quarterly CAGR is annualised). Visual growth charts make it easy to spot multi-year compounding trends at a glance — far faster than reading raw numbers in a table.

PROS

  • Compounding revenue at 11.0% over 5 years.
  • Generates positive free cash flow.
  • In a confirmed uptrend (50-DMA above 200-DMA).

CONS

No notable concerns flagged.

* The pros and cons are auto-generated from financial metrics.

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Valuation

Stock P/E
40.56
Industry PE
25.17
Forward P/E
33.76
PEG Ratio
3.42
Book Value
$12.20
Price to Book
2.35
P/S
2.61
EV/EBITDA
17.51
Dividend Yield
0.48%

Growth (CAGR)

Revenue 5Y
10.98%
Profit 5Y
1.72%
Revenue (YoY)
12.50%
Earnings (YoY)
28.40%

Profitability & Returns

ROCE
5.11%
ROE
6.00%
ROA
3.22%
Profit Margin
6.60%
Op Margin
9.94%
Gross Margin
65.08%
EPS (Latest Qtr)
$0.23
EPS (TTM)
$0.72

Balance Sheet & Liquidity

Debt/Equity
3.77
Quick Ratio
0.84
Current Ratio
1.06
Debt
$13.43M
Total Assets
$521.60M
Current Assets
-
Working Capital
-

Ownership

Promoter Holding
20.44%
Chg in Prom Hold
-0.02%
FII / Inst Holding
77.32%
Chg in FII Hold
0.00%

Financial Snapshot

Enterprise Value
$853.08M
Total Revenue (TTM)
$321.12M
EBITDA
$44.90M
Free Cash Flow
$50.33M
Operating Cash Flow
$71.79M
Shares Outstanding
29.22M
Gross Margin
65.08%
Payout Ratio
18.33%

Peer comparison

Peer companies in the same sector (Healthcare).

#NameCMP $P/E Mkt CapDiv Yld % ROCE %ROE % Rev CAGR 5Y %Profit CAGR 5Y %
1 HSTM HealthStream, Inc. R2KR3KPHARMA 29.20 40.56 $853.08M 0.48% 5.11% 6.00% 10.98% 1.72%
2 LLY Eli Lilly and Company SPXR3KPHARMA 1,149.36 38.57 $1.02T 0.58% - 102.29% 7.20% 11.41%
3 JNJ Johnson & Johnson SPXR3KPHARMA 275.23 31.97 $663.28B 2.09% 14.88% 25.74% 2.43% 4.76%
4 ABBV AbbVie Inc. SPXR3KPHARMA 256.46 72.45 $453.19B 2.84% 10.47% -129.24% 1.75% -29.06%
5 MRK Merck & Co., Inc. SPXR3KPHARMA 150.33 120.26 $371.29B 2.65% - 34.70% 5.64% 10.01%
6 UNH UnitedHealth Group Incorporated SPXR3KPHARMA 397.14 25.54 $356.47B 2.33% 9.74% 14.15% 10.40% 5.43%
7 NVS Novartis AG PHARMA 159.99 24.20 $304.10B 3.03% 21.09% 30.35% 9.25% 26.22%
8 AZN AstraZeneca PLC NDXPHARMA 162.70 24.36 $252.33B 1.98% 15.97% 21.96% 9.82% 45.96%
9 AMGN Amgen Inc. NDXSPXR3KPHARMA 437.23 27.14 $235.98B 2.49% 13.95% 91.47% 5.51% 5.55%
Financial Statements Quarterly Results · Profit & Loss · Balance Sheet · Cash Flows · Ratios

Quarterly Results

Figures in USD.

Metric Jun 2013Sep 2013Mar 2014Jun 2014Sep 2014Mar 2015Jun 2015Sep 2015Mar 2016Jun 2016Sep 2016Mar 2017Jun 2017Sep 2017Mar 2018Jun 2018Sep 2018Mar 2019Jun 2019Sep 2019Mar 2020Jun 2020Sep 2020Mar 2021Jun 2021Sep 2021Mar 2022Jun 2022Sep 2022Mar 2023Jun 2023Sep 2023Mar 2024Jun 2024Sep 2024Mar 2025Jun 2025Sep 2025Mar 2026Jun 2026
Revenue ------------52.92M54.74M54.86M57.01M59.92M65.19M63.78M62.45M61.57M60.55M60.88M63.47M64.82M64.09M65.37M65.64M67.28M68.95M69.20M70.34M72.76M71.56M73.09M73.48M74.40M76.47M81.20M83.73M
Operating Income 4.11M3.88M3.30M4.11M4.74M4.79M2.56M4.33M2.49M2.32M1.29M2.37M2.80M2.73M3.73M4.26M4.66M5.37M2.27M3.75M7.24M4.30M3.13M3.30M3.43M1.78M4.04M2.95M2.38M2.89M4.01M4.86M5.69M4.41M6.50M4.38M5.89M7.57M7.51M8.32M
Net Income 2.42M2.30M1.95M2.36M3.44M2.72M1.47M2.61M1.50M1.40M1.16M1.28M2.27M2.50M23.85M2.54M3.04M5.97M2.40M3.71M7.09M3.44M2.63M2.29M2.44M1.50M2.89M3.08M3.67M2.62M4.13M3.87M5.23M4.17M5.72M4.33M5.39M6.09M5.91M6.67M
Diluted EPS 0.090.080.070.080.120.100.050.080.050.040.040.040.070.080.740.080.090.180.070.110.220.110.080.070.080.050.090.100.120.090.130.130.170.140.190.140.180.200.200.23
R&D Expense 2.78M3.21M3.55M4.29M4.21M4.65M5.82M6.20M7.02M7.24M7.26M5.78M6.15M6.00M6.00M6.55M6.60M6.93M7.64M7.20M7.47M7.83M8.19M9.53M10.34M10.34M10.41M10.58M11.48M11.68M11.03M10.90M12.03M12.08M12.10M12.05M12.07M12.11M13.61M13.58M

Profit & Loss (Annual)

Figures in USD.

Metric Dec 2009Dec 2010Dec 2011Dec 2012Dec 2013Dec 2014Dec 2015Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024Dec 2025
Revenue 57.40M65.75M82.07M103.73M132.27M170.69M209.00M192.12M214.90M231.62M254.11M244.83M256.71M266.83M279.06M291.65M304.06M
Operating Income 5.12M7.06M11.34M13.46M14.67M16.38M13.56M7.17M9.41M15.49M14.72M15.82M8.05M12.45M16.02M21.29M20.24M
Net Income 13.97M4.15M6.94M7.64M8.42M10.39M8.62M3.75M10.00M32.22M15.77M14.09M5.84M12.09M15.21M20.01M18.34M
Diluted EPS 0.640.180.290.280.300.370.280.120.311.000.490.440.180.390.500.660.61
R&D Expense 6.29M6.99M7.47M8.61M11.76M16.46M24.21M24.23M24.15M25.73M29.11M32.30M41.66M44.28M45.54M48.89M50.98M

Balance Sheet (Annual)

Figures in USD.

Metric Dec 2008Dec 2009Dec 2010Dec 2011Dec 2012Dec 2013Dec 2014Dec 2015Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024Dec 2025
Total Assets --82.01M154.24M174.53M212.59M257.26M379.57M396.00M411.12M441.95M489.54M500.31M486.75M497.74M499.94M510.77M520.37M
Total Equity 36.76M51.82M56.79M120.92M132.20M149.43M167.86M280.32M286.11M300.17M318.95M338.17M334.06M339.02M334.06M340.75M359.36M354.02M
Cash & Equivalents 4.11M12.29M17.87M76.90M41.37M59.54M82.00M82.01M49.63M84.77M134.32M131.54M36.57M46.91M46.02M40.33M59.47M36.16M
Current Liabilities --24.75M32.45M35.03M56.21M77.26M89.08M94.97M101.07M106.85M105.19M119.44M100.35M117.21M118.36M115.69M124.15M

Cash Flows (Annual)

Figures in USD.

Metric Dec 2009Dec 2010Dec 2011Dec 2012Dec 2013Dec 2014Dec 2015Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024Dec 2025
Operating Cash Flow 11.57M16.12M19.75M22.53M26.28M--24.23M46.71M43.25M65.66M35.87M-51.19M63.97M57.66M63.32M
Investing Cash Flow -3.07M-10.38M-17.11M-59.00M-14.99M---56.66M-11.58M36.56M-67.52M-110.41M--28.39M-56.60M-33.97M-50.35M
Financing Cash Flow -319.00K-159.00K56.39M934.00K6.88M--46.00K1.00K-30.25M-916.00K-20.49M--23.70M-13.04M-4.52M-36.27M
Capital Expenditure -1.79M-2.62M-4.12M-4.32M-4.44M-4.54M-8.09M-4.81M-5.51M-7.17M-22.00M-1.99M--25.10M-28.01M-28.14M-32.16M
Free Cash Flow 9.78M13.49M15.64M18.21M21.84M--19.43M41.20M36.08M43.66M33.89M-26.09M35.96M29.52M31.16M
Net Change in Cash --------------903.00K-5.67M19.17M-23.30M
Share Buybacks -379.00K--------020.02M5.01M23.14M8.93M030.02M
Dividends Paid --------------3.10M3.40M3.70M

Ratios (Annual)

Figures in %.

Metric Dec 2009Dec 2010Dec 2011Dec 2012Dec 2013Dec 2014Dec 2015Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024Dec 2025
Gross Margin % -----------------
Operating Margin % 8.9%10.7%13.8%13.0%11.1%9.6%6.5%3.7%4.4%6.7%5.8%6.5%3.1%4.7%5.7%7.3%6.7%
Net Margin % 24.3%6.3%8.5%7.4%6.4%6.1%4.1%2.0%4.7%13.9%6.2%5.8%2.3%4.5%5.5%6.9%6.0%
ROE % 27.0%7.3%5.7%5.8%5.6%6.2%3.1%1.3%3.3%10.1%4.7%4.2%1.7%3.6%4.5%5.6%5.2%
ROCE % -12.3%9.3%9.6%9.4%9.1%4.7%2.4%3.0%4.6%3.8%4.2%2.1%3.3%4.2%5.4%5.1%

Shareholding Pattern

Insiders
20.44%
Institutions
77.32%
Public Float
97.19%

Top Institutional Holders

#Holder% HeldSharesValue
1 Blackrock Inc. 13.97% 4.08M $119.87M
2 Dimensional Fund Advisors LP 5.33% 1.56M $45.77M
3 Copeland Capital Management, LLC 4.27% 1.25M $36.68M
4 Vanguard Capital Management LLC 3.58% 1.05M $30.71M
5 State Street Corporation 3.44% 1.00M $29.50M
6 Vanguard Portfolio Management LLC 3.01% 880.54K $25.87M
7 Two Sigma Investments, LP 2.76% 805.58K $23.67M
8 Geode Capital Management, LLC 2.67% 779.22K $22.89M
9 Goldman Sachs Group Inc 2.28% 665.92K $19.56M
10 JPMORGAN CHASE & CO 2.18% 635.57K $18.67M

Analyst View

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Latest News

Recent headlines for HSTM

Google News hu, 23 Jul 2026

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Google News Fri, 04 Sep 2026

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Google News ue, 01 Sep 2026

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Google News Wed, 29 Jul 2026

Cyber incident at HealthStream (NASDAQ: HSTM) exposes limited data - Stock Titan

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Google News ue, 26 May 2026

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HSTM — Frequently Asked Questions

What is the current share price of HealthStream, Inc. (HSTM)?

As of 2026-09-07 16:24 PDT, HealthStream, Inc. (HSTM) trades at $29.20 on NasdaqGS. Its 52-week range is $19.79 to $29.77.

What is the market capitalisation of HSTM?

HealthStream, Inc. (HSTM) has a market capitalisation of $853.08M on NasdaqGS.

What is the P/E ratio of HSTM?

HSTM trades at a trailing price-to-earnings (P/E) ratio of 40.56. The industry average P/E is 25.17. Its price-to-book (P/B) ratio is 2.35.

Does HSTM pay a dividend?

HealthStream, Inc. (HSTM) currently offers a dividend yield of 0.48%.

What is the return on equity (ROE) of HSTM?

HSTM has a return on equity (ROE) of 6.00%. Its return on capital employed (ROCE) is 5.11%.

Is HSTM a good stock to buy?

This page provides a data-driven analysis of HealthStream, Inc. (HSTM), including valuation ratios, profitability, growth trends, auto-generated pros and cons, peer comparison and AI exposure. Review these fundamentals alongside your own research and risk tolerance. This is informational content, not investment advice.

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