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HealthStream, Inc. HSTM R2K

Healthcare · Health Information Services · United States
https://www.healthstream.com
Company Profile ↓
$28.42
+5.45% 1Y
Mkt Cap$830.30M
P/E42.42
P/B2.18
Div. Yield0.51%
52W High$29.17
52W Low$19.82
Book Value$12.01
EPS (TTM)$0.67

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 +10.5%, earnings +42.9%.
  • 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:10.50%

Compounded Profit Growth

5 Years:1.72%
1 Year:42.90%

Stock Price Performance

1 Year:+5.45%
6 Months:+29.00%
3 Months:+39.73%
1 Month:+8.39%

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

Technical Snapshot Bullish
52-Week Range 92% of range
$19.82 $29.17
Trend Signals
  • Price vs 50-DMAAbove
  • Price vs 200-DMAAbove
  • RSI (14)64.98 · Neutral
Price Performance
1M+8.39%
3M+39.73%
6M+29.00%
1Y+5.45%
Valuation vs Sector

P/E of 42.42 is above the sector median of 25.41 — 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
42.42
Industry PE
25.41
Forward P/E
32.86
PEG Ratio
3.04
Book Value
$12.01
Price to Book
2.18
P/S
2.45
EV/EBITDA
16.90
Dividend Yield
0.51%

Growth (CAGR)

Revenue 5Y
10.98%
Profit 5Y
1.72%
Revenue (YoY)
10.50%
Earnings (YoY)
42.90%

Profitability & Returns

ROCE
5.11%
ROE
5.57%
ROA
2.84%
Profit Margin
6.39%
Op Margin
9.25%
Gross Margin
64.89%
EPS (Latest Qtr)
$0.20
EPS (TTM)
$0.67

Balance Sheet & Liquidity

Debt/Equity
4.00
Quick Ratio
0.81
Current Ratio
0.97
Debt
$14.07M
Total Assets
$527.44M
Current Assets
-
Working Capital
-

Ownership

Promoter Holding
20.48%
Chg in Prom Hold
-
FII / Inst Holding
75.29%
Chg in FII Hold
0.00%

Financial Snapshot

Enterprise Value
$830.30M
Total Revenue (TTM)
$311.78M
EBITDA
$42.06M
Free Cash Flow
$49.80M
Operating Cash Flow
$63.38M
Shares Outstanding
29.22M
Gross Margin
64.89%
Payout Ratio
19.10%

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. R2K 28.42 42.42 $830.30M 0.51% 5.11% 5.57% 10.98% 1.72%
2 LLY Eli Lilly and Company SPX 1,152.54 41.02 $1.03T 0.61% - 107.46% 7.20% 11.41%
3 JNJ Johnson & Johnson SPX 253.85 29.45 $611.07B 2.23% 14.88% 26.42% 2.43% 4.76%
4 ABBV AbbVie Inc. SPX 244.78 119.40 $432.48B 3.04% 10.47% -129.24% 1.75% -29.06%
5 UNH UnitedHealth Group Incorporated SPX 425.19 32.02 $386.13B 2.27% 9.74% 12.18% 10.40% 5.43%
6 MRK Merck & Co., Inc. SPX 120.78 34.02 $298.31B 2.86% - 18.94% 5.64% 10.01%
7 AZN AstraZeneca PLC NDX 164.50 24.81 $255.12B 1.77% 15.97% 23.48% 9.82% 45.96%
8 TMO Thermo Fisher Scientific Inc. SPX 534.07 29.33 $198.47B 0.40% 8.14% 13.52% 8.81% 12.95%
9 AMGN Amgen Inc. NDXSPX 355.25 24.69 $191.73B 2.84% 18.02% 101.32% 11.77% 5.58%
Financial Statements Quarterly Results · Profit & Loss · Balance Sheet · Cash Flows · Ratios

Quarterly Results

Figures in USD.

Metric Mar 2013Jun 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 2026
Revenue -------------52.92M54.74M54.86M57.01M59.92M65.19M63.78M62.45M61.57M60.55M60.88M63.47M64.82M64.09M65.37M65.64M67.28M68.95M69.20M70.34M72.76M71.56M73.09M73.48M74.40M76.47M81.20M
Operating Income 3.17M4.11M3.88M3.30M4.11M4.74M4.79M2.56M4.33M2.49M2.32M1.29M2.37M2.80M2.73M3.73M4.26M4.66M5.37M2.27M3.75M7.24M4.30M3.13M3.30M3.43M1.78M4.04M2.95M2.38M2.89M4.01M4.86M5.69M4.41M6.50M4.38M5.89M7.57M7.51M
Net Income 1.94M2.42M2.30M1.95M2.36M3.44M2.72M1.47M2.61M1.50M1.40M1.16M1.28M2.27M2.50M23.85M2.54M3.04M5.97M2.40M3.71M7.09M3.44M2.63M2.29M2.44M1.50M2.89M3.08M3.67M2.62M4.13M3.87M5.23M4.17M5.72M4.33M5.39M6.09M5.91M
Diluted EPS 0.070.090.080.070.080.120.100.050.080.050.040.040.040.070.080.740.080.090.180.070.110.220.110.080.070.080.050.090.100.120.090.130.130.170.140.190.140.180.200.20
R&D Expense 2.61M2.78M3.21M3.55M4.29M4.21M4.65M5.82M6.20M7.02M7.24M7.26M5.78M6.15M6.00M6.00M6.55M6.60M6.93M7.64M7.20M7.47M7.83M8.19M9.53M10.34M10.34M10.41M10.58M11.48M11.68M11.03M10.90M12.03M12.08M12.10M12.05M12.07M12.11M13.61M

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--24.23M46.71M43.25M65.66M35.87M42.38M51.19M63.97M57.66M63.32M
Investing Cash Flow -3.07M-10.38M-17.11M-59.00M-14.99M---56.66M-11.58M36.56M-67.52M-110.41M-25.72M-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-6.21M-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-3.42M-1.77M-2.20M-1.40M-3.69M
Free Cash Flow 9.78M13.49M15.64M18.21M21.84M--19.43M41.20M36.08M43.66M33.89M38.97M49.42M61.77M56.26M59.63M
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
20.48%
Institutions
75.29%
Public Float
94.67%

Top Institutional Holders

#Holder% HeldSharesValue
1 Blackrock Inc. 13.18% 3.85M $110.82M
2 Dimensional Fund Advisors LP 4.98% 1.46M $41.89M
3 Copeland Capital Management, LLC 4.37% 1.28M $36.73M
4 Vanguard Capital Management LLC 3.59% 1.05M $30.15M
5 State Street Corporation 3.41% 995.56K $28.64M
6 Vanguard Portfolio Management LLC 3.16% 921.85K $26.52M
7 Two Sigma Investments, LP 2.89% 844.42K $24.29M
8 Geode Capital Management, LLC 2.45% 714.75K $20.56M
9 Renaissance Technologies, LLC 1.64% 477.85K $13.75M
10 JPMORGAN CHASE & CO 1.55% 453.74K $13.05M

Analyst View

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Latest News

Recent headlines for HSTM

Google News ue, 14 Jul 2026

[SCHEDULE 13G] HEALTHSTREAM INC Passive Investment Disclosure (>5%) - Stock Titan

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Google News Fri, 10 Jul 2026

HSTM or SIFY: Which Is the Better Value Stock Right Now? - Yahoo Finance

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Google News ue, 07 Jul 2026

Healthstream director Linda Rebrovick sells $174,000 in HSTM stock - Investing.com

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Google News Wed, 08 Jul 2026

HealthStream, Inc. (HSTM) Hits Fresh High: Is There Still Room to Run? - Yahoo Finance

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Google News ue, 07 Jul 2026

Precision Trading with Healthstream Inc. (HSTM) Risk Zones - Stock Traders Daily

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Google News ue, 30 Jun 2026

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HSTM — Frequently Asked Questions

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

As of 2026-07-14 21:23 PDT, HealthStream, Inc. (HSTM) trades at $28.42 on NasdaqGS. Its 52-week range is $19.82 to $29.17.

What is the market capitalisation of HSTM?

HealthStream, Inc. (HSTM) has a market capitalisation of $830.30M on NasdaqGS.

What is the P/E ratio of HSTM?

HSTM trades at a trailing price-to-earnings (P/E) ratio of 42.42. The industry average P/E is 25.41. Its price-to-book (P/B) ratio is 2.18.

Does HSTM pay a dividend?

HealthStream, Inc. (HSTM) currently offers a dividend yield of 0.51%.

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

HSTM has a return on equity (ROE) of 5.57%. 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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