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| 1 Year | 5 Year | 5 Year Annualized | Since IPO | |
|---|---|---|---|---|
| HSTM | -31.61% | -9.53% | -1.98% | +167% |
| S&P | +20.78% | +72.15% | +11.48% | +352% |
HealthStream, Inc. engages in the provision of services to healthcare organizations. It operates through the following segments: Workforce Solutions and Provider Solutions. The Workforce Solutions segment offers training, certification, assessment, development, and scheduling needs of the healthcare workforce. The Provider Solutions delivers software applications for administering and tracking provider credentialing, privileging, call center, and enrollment activities. The company was founded by Robert A. Frist, Jr. and Jeffery L. McLaren in 1990 and is headquartered in Nashville, TN.
Investors embrace an upbeat quarterly earnings report.
| Q4 2025 | YOY Change | |
|---|---|---|
| Revenue | $79.71M | 7.4% |
| Gross Profit | $39.82M | 3.0% |
| Gross Margin | 49.96% | -2.1% |
| Market Cap | $684.44M | -29.2% |
| Market Cap / Employee | $590.04K | 0.0% |
| Employees | 1.2K | 6.1% |
| Net Income | $2.54M | -48.1% |
| EBITDA | $13.44M | -11.3% |
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| Q4 2025 | YOY Change | |
|---|---|---|
| Net Cash | $36.16M | -39.2% |
| Accounts Receivable | $39.00M | 10.4% |
| Inventory | 0 | 0.0% |
| Q4 2025 | YOY Change | |
|---|---|---|
| Long Term Debt | $14.68M | -15.4% |
| Short Term Debt | $2.89M | 3.2% |
| Q4 2025 | YOY Change | |
|---|---|---|
| Return On Assets | 3.48% | -0.4% |
| Return On Invested Capital | 3.69% | 0.3% |
| Q4 2025 | YOY Change | |
|---|---|---|
| Free Cash Flow | -$15,490.00K | 1.9% |
| Operating Free Cash Flow | $13.19M | 18.2% |
| Metric | Q1 2025 | Q2 2025 | Q3 2025 | Q4 2025 | YoY Change |
|---|---|---|---|---|---|
| Price to Earnings | 51.50 | 41.59 | 41.39 | 37.94 | -21.83% |
| Price to Book | 2.73 | 2.33 | 2.41 | 1.96 | -28.00% |
| Price to Sales | 3.37 | 2.85 | 2.82 | 2.26 | -32.49% |
| Price to Tangible Book Value | 14.15 | 11.20 | 12.93 | 10.29 | -32.04% |
| Price to Free Cash Flow TTM | 30.91 | 29.90 | 30.95 | 25.00 | -32.98% |
| Enterprise Value to EBITDA | 58.65 | 45.83 | 41.58 | 48.09 | -18.78% |
| Free Cash Flow Yield | 3.2% | 3.3% | 3.2% | 4.0% | 49.21% |
| Return on Equity | 5.4% | 5.8% | 5.9% | 5.1% | -10.04% |
| Total Debt | $16.64M | $15.89M | $15.29M | $17.58M | -12.85% |
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HSTM earnings call for the period ending September 30, 2021.
HSTM earnings call for the period ending June 30, 2021.
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