HSTM HealthStream, Inc. - Common Stock

NASDAQ · Health Care · View on SEC EDGAR ↗
$24.04
Price · May 20, 2026
Fundamentals as of May 6, 2026

HSTM Stock Snapshot Price, market cap, P/E, EPS, ROE, debt/equity, 52-week range

Price
$24.04
Market Cap
$682M
P/E (TTM)
37.8
EPS (TTM)
$0.61
Revenue (TTM)
$304M
Div Yield
0.54%
ROE
5.2%
Debt/Equity
52W Range
$20 – $30

HSTM Stock Price Chart Daily OHLCV with technical indicators — pan, zoom, and customize your view

10-Year Performance Revenue, net income, margins and EPS trends

Revenue & Net Income $304M
10-point trend, +58.3%
2016-12-31 2025-12-31
EPS $0.61
10-point trend, +408.3%
2016-12-31 2025-12-31
Free Cash Flow $60M
10-point trend, +211.4%
2016-12-31 2025-12-31
Margins 6.0%

Valuation P/E, P/S, P/B, EV/EBITDA ratios — is the stock expensive or cheap?

Metric
5Y trend
HSTM
Peer Median
P/E (TTM)
5-point trend, -74.2%
37.8
33.1
P/S (TTM)
5-point trend, -30.2%
2.2
1.1
P/B
5-point trend, -20.8%
1.9
2.3
Price / FCF
5-point trend, -46.0%
11.4

Profitability Gross, operating and net margins; ROE, ROA, ROIC

Metric
5Y trend
HSTM
Peer Median
Operating Margin
5-point trend, +112.1%
6.7%
Net Profit Margin
5-point trend, +164.5%
6.0%
-14.0%
ROA
5-point trend, +201.7%
3.6%
-2.6%
ROE
5-point trend, +202.9%
5.2%
-17.6%
ROIC
5-point trend, +152.5%
4.5%

Financial Health Debt, liquidity, solvency — balance sheet strength

Metric
5Y trend
HSTM
Peer Median
Current Ratio
5-point trend, -9.5%
1.0
1.6
Quick Ratio
5-point trend, -28.5%
0.6

Growth Revenue, EPS and net income growth: YoY, 3Y CAGR, 5Y CAGR

Metric
5Y trend
HSTM
Peer Median
Revenue YoY
5-point trend, +18.4%
4.3%
Revenue CAGR 3Y
5-point trend, +18.4%
4.5%
Revenue CAGR 5Y
5-point trend, +18.4%
4.4%
EPS YoY
5-point trend, +238.9%
-7.6%
Net Income YoY
5-point trend, +213.8%
-8.3%

Per Share Metrics EPS, book value per share, cash flow per share, dividend per share

Metric
5Y trend
HSTM
Peer Median
EPS (Diluted)
5-point trend, +238.9%
$0.61

Capital Efficiency Asset turnover, inventory turnover, receivables turnover

Metric
5Y trend
HSTM
Peer Median
Payout Ratio
5-point trend, +6012.1%
20.2%

Dividends Yield, payout ratio, dividend history, 5Y CAGR

Dividend Yield
0.54%
Payout Ratio
20.2%
5Y Div CAGR
Ex-dateAmount
May 18, 2026$0.0350
March 9, 2026$0.0350
Nov. 17, 2025$0.0310
Aug. 18, 2025$0.0310
May 19, 2025$0.0310
March 10, 2025$0.0310
Nov. 4, 2024$0.0280
Aug. 5, 2024$0.0280
May 3, 2024$0.0280
March 8, 2024$0.0280
Dec. 8, 2023$0.0250
Sept. 15, 2023$0.0250
June 9, 2023$0.0250
April 14, 2023$0.0250
March 5, 2018$1.0000

HSTM Analyst Consensus Bullish and bearish analyst opinions, 12-month price target, upside

BUY 11 analysts
  • Strong Buy 3 27.3%
  • Buy 4 36.4%
  • Hold 4 36.4%
  • Sell 0 0.0%
  • Strong Sell 0 0.0%

12-Month Price Target

2 analysts · 2026-05-19
Median target $32.00 +33.1%
Mean target $32.00 +33.1%

Earnings History EPS actual vs estimate, surprise %, beat rate, next earnings date

Avg Surprise
0.02%
Period EPS Actual EPS Est Surprise
March 31, 2026 $0.20 $0.17 0.03%
Dec. 31, 2025 $0.18 $0.11 0.07%
Sept. 30, 2025 $0.20 $0.18 0.02%
June 30, 2025 $0.18 $0.16 0.02%
March 31, 2025 $0.14 $0.16 -0.02%

Peer Comparison Key metrics vs sector peers

Ticker Market Cap P/E Rev YoY Net Margin ROE Gross Margin
HSTM $682M 37.8 4.3% 6.0% 5.2%
TDOC $1.25B -6.1 -1.5% -7.9% -14.3%
SDGR -12.7 23.3% -40.4% -29.2% 55.7%
GDRX 30.1 0.57% 3.8% 4.8%
CERT $1.40B -881.0 8.8% -0.38% -0.15%
PHR 335.8 14.5% 0.48% 0.73%
EVH -0.8 -26.6% -28.5% -81.5%
TBRG 76.1 1.4%
CTEV $708M -2.5 3.7% -29.4% 265.9%
VEEV $33.40B 37.5 16.3% 28.4% 13.1% 75.5%

Full Fundamentals All metrics by year — income statement, balance sheet, cash flow

Income Statement 14
Annual Income Statement data for HSTM
Metric Trend 202520242023202220212020201920182017201620152014
Revenue 12-point trend, +78.1% $304M $292M $279M $267M $257M $245M $254M $232M $215M $192M $209M $171M
R&D Expense 12-point trend, +209.7% $51M $49M $46M $44M $42M $32M $29M $26M $24M $24M $24M $16M
SG&A Expense · · · · · · · · · · · $23M
Operating Expenses 12-point trend, +83.9% $284M $270M $263M $254M $249M $229M $239M $216M $205M $185M $195M $154M
Operating Income 12-point trend, +23.6% $20M $21M $16M $12M $8M $16M $15M $15M $9M $7M $14M $16M
Other Non-op 12-point trend, -345.2% $-358.0K $-318.0K $136.0K $3M $-289.0K $2M $3M $1M $733.0K $581.0K $162.0K $146.0K
Pretax Income 12-point trend, +40.5% $23M $25M $19M $16M $8M $18M $18M $17M $10M $8M $14M $17M
Income Tax 12-point trend, -20.4% $5M $5M $3M $3M $2M $4M $4M $3M $1M $3M $5M $6M
Net Income 12-point trend, +76.5% $18M $20M $15M $12M $6M $14M $16M $32M $10M $4M $9M $10M
EPS (Basic) 12-point trend, +60.5% $0.61 $0.66 $0.50 $0.39 $0.19 $0.44 $0.49 $1.00 $0.31 $0.12 $0.29 $0.38
EPS (Diluted) 12-point trend, +64.9% $0.61 $0.66 $0.50 $0.39 $0.18 $0.44 $0.49 $1.00 $0.31 $0.12 $0.28 $0.37
Shares (Basic) 12-point trend, +8.9% 30,018,000 30,386,000 30,571,000 30,648,000 31,534,000 31,960,000 32,372,000 32,264,000 31,861,000 31,721,000 30,057,000 27,570,000
Shares (Diluted) 12-point trend, +7.6% 30,144,000 30,544,000 30,673,000 30,717,000 31,618,000 31,989,000 32,428,000 32,335,000 32,196,000 32,068,000 30,436,000 28,023,000
EBITDA 12-point trend, +133.3% $64M $63M $57M $50M $45M $46M $43M $40M $36M $28M $31M $27M
Balance Sheet 24
Annual Balance Sheet data for HSTM
Metric Trend 202520242023202220212020201920182017201620152014
Cash & Equivalents 12-point trend, -55.9% $36M $59M $40M $46M $47M $37M $132M $134M $85M $50M $82M $82M
Short-term Investments 4-point trend, +18.9% · · · · · · · · $46M $54M $67M $39M
Receivables 12-point trend, -3.1% $32M $30M $34M $37M $30M $41M $28M $38M $37M $45M $36M $33M
Prepaid Expense 2-point trend, +14.9% $24M $21M · · · · · · · · · ·
Other Current Assets 12-point trend, +16.1% $7M $2M $3M $3M $11M $13M $9M $18M $8M $9M $8M $6M
Current Assets 12-point trend, -31.5% $120M $153M $130M $114M $107M $115M $225M $241M $200M $177M $210M $175M
PP&E (Net) 12-point trend, +12.9% $11M $11M $13M $15M $18M $22M $26M $16M $8M $10M $12M $9M
PP&E (Gross) 12-point trend, -11.3% $32M $30M $33M $36M $36M $41M $45M $37M $32M $31M $32M $36M
Accum. Depreciation 12-point trend, -20.0% $21M $19M $20M $20M $18M $19M $19M $21M $24M $21M $19M $26M
Goodwill 12-point trend, +419.0% $218M $191M $191M $192M $183M $178M $102M $86M $86M $86M $83M $42M
Intangibles 12-point trend, +338.9% $65M $56M $68M $82M $89M $101M $60M $59M $68M $78M $56M $15M
Other Non-current Assets 12-point trend, +2195.3% $47M $39M $726.0K $1M $1M $2M $874.0K $783.0K $754.0K $603.0K $927.0K $2M
Total Assets 12-point trend, +102.3% $520M $511M $500M $498M $487M $500M $490M $442M $411M $396M $380M $257M
Accounts Payable 12-point trend, +63.5% $8M $7M $7M $7M $5M $9M $5M $8M $4M $3M $5M $5M
Accrued Liabilities 12-point trend, +54.6% $11M $10M $13M $25M $16M $20M $18M $17M $10M $8M $7M $7M
Current Liabilities 12-point trend, +60.7% $124M $116M $118M $117M $100M $119M $105M $107M $101M $95M $89M $77M
Capital Leases 7-point trend, -52.2% $15M $17M $20M $23M $26M $28M $31M · · · · ·
Deferred Tax 12-point trend, +212.5% $18M $15M $16M $18M $18M $15M $13M $11M $2M $6M $5M $6M
Other Non-current Liabilities 12-point trend, +199.4% $8M $2M $2M $2M $1M $2M $357.0K $2M $1M $1M $1M $3M
Retained Earnings 12-point trend, +1858.0% $124M $109M $92M $80M $68M $62M $48M $32M $18M $5M $2M $-7M
AOCI 12-point trend, -3578.4% $-1M $-2M $-691.0K $-981.0K $106.0K $1.0K $4.0K $-23.0K $-38.0K $-51.0K $-70.0K $-37.0K
Stockholders' Equity 12-point trend, +110.9% $354M $359M $341M $334M $339M $334M $338M $319M $300M $286M $280M $168M
Liabilities + Equity 12-point trend, +102.3% $520M $511M $500M $498M $487M $500M $490M $442M $411M $396M $380M $257M
Shares Outstanding 12-point trend, +6.9% 29,579,000 30,432,000 30,298,000 30,579,000 31,327,000 31,500,000 32,379,000 32,325,000 31,908,000 31,748,000 31,647,000 27,677,000
Cash Flow 16
Annual Cash Flow data for HSTM
Metric Trend 202520242023202220212020201920182017201620152014
D&A 12-point trend, +297.7% $43M $41M $41M $38M $37M $30M $28M $24M $24M $20M $17M $11M
Stock-based Comp 11-point trend, +148.3% $8M $4M $4M $4M $5M $2M $4M $2M $2M $2M $3M ·
Deferred Tax 12-point trend, +286.5% $5M $-1M $-2M $710.0K $2M $4M $2M $3M $-2M $1M $392.0K $1M
Amort. of Intangibles 12-point trend, +470.8% $14M $13M $15M $14M $14.9K $10M $10M $9M $9M $7.4K $6M $2M
Other Non-cash 12-point trend, -201.3% $-12M $-7M $5M $-3M $-7M $-15M $16M $-18M $11M $-4M $9M $12M
Operating Cash Flow 12-point trend, +84.8% $63M $58M $64M $51M $42M $36M $66M $43M $47M $24M $35M $34M
CapEx 12-point trend, -18.9% $4M $1M $2M $2M $3M $2M $22M $7M $6M $5M $8M $5M
Investing Cash Flow 10-point trend, +11.1% $-50M $-34M $-57M $-28M $-26M $-110M $-68M $37M $-12M $-57M · ·
Stock Issued · · · · · · · · · · $98M ·
Stock Repurchased 7-point trend, +30022000.00 $30M $0 $9M $23M $5M $20M $0 · · · · ·
Net Stock Activity 7-point trend, -130.6% $-30M $0 $-9M $-23M $-5M $-20M · · · · $98M ·
Dividends Paid 8-point trend, -88.6% $4M $3M $3M $0 $19.0K $40.0K $58.0K $32M · · · ·
Financing Cash Flow 10-point trend, -78941.3% $-36M $-5M $-13M $-24M $-6M $-20M $-916.0K $-30M $1.0K $46.0K · ·
Net Change in Cash 12-point trend, -203.8% $-23M $19M $-6M $-882.0K $10M $-95M $-3M $50M $35M $-32M $15.0K $22M
Taxes Paid 12-point trend, +8.0% $2M $9M $3M $718.0K $-92.0K $877.0K $630.0K $17M $638.0K $2M $3M $2M
Free Cash Flow 12-point trend, +100.7% $60M $56M $62M $49M $39M $34M $44M $36M $41M $19M $27M $30M
Profitability 7
Annual Profitability data for HSTM
Metric Trend 202520242023202220212020201920182017201620152014
Operating Margin 12-point trend, -30.6% 6.7% 7.3% 5.7% 4.7% 3.1% 6.5% 5.8% 6.7% 4.0% 2.5% 6.5% 9.6%
Net Margin 12-point trend, -1.0% 6.0% 6.9% 5.5% 4.5% 2.3% 5.8% 6.2% 13.9% 4.0% 1.7% 4.1% 6.1%
Pretax Margin 12-point trend, -21.1% 7.6% 8.5% 6.6% 5.8% 3.0% 7.3% 7.1% 7.2% 4.2% 2.7% 6.6% 9.7%
EBITDA Margin 12-point trend, +30.9% 20.9% 21.4% 20.5% 18.9% 17.5% 18.8% 16.8% 17.2% 14.6% 12.3% 14.6% 16.0%
ROA 12-point trend, -19.5% 3.6% 4.0% 3.0% 2.5% 1.2% 2.9% 3.4% 7.5% 2.5% 0.97% 2.7% 4.4%
ROE 12-point trend, -20.5% 5.2% 5.6% 4.5% 3.6% 1.7% 4.2% 4.7% 10.2% 3.4% 1.3% 3.9% 6.6%
ROIC 12-point trend, -26.4% 4.5% 4.8% 3.9% 2.9% 1.8% 3.7% 3.5% 3.9% 3.1% 1.2% 3.0% 6.1%
Liquidity & Solvency 2
Annual Liquidity & Solvency data for HSTM
Metric Trend 202520242023202220212020201920182017201620152014
Current Ratio 12-point trend, -57.4% 1.0 1.3 1.1 1.0 1.1 1.0 2.1 2.3 2.0 1.9 2.4 2.3
Quick Ratio 12-point trend, -63.1% 0.6 0.8 0.6 0.7 0.8 0.6 1.5 1.6 1.7 1.6 2.1 1.5
Efficiency 2
Annual Efficiency data for HSTM
Metric Trend 202520242023202220212020201920182017201620152014
Asset Turnover 12-point trend, -18.8% 0.6 0.6 0.6 0.5 0.5 0.5 0.5 0.5 0.6 0.6 0.7 0.7
Receivables Turnover 12-point trend, +67.1% 9.8 9.0 7.9 8.0 7.2 7.2 7.7 6.2 5.8 5.6 6.0 5.8
Per Share 6
Annual Per Share data for HSTM
Metric Trend 202520242023202220212020201920182017201620152014
Book Value / Share 12-point trend, +97.3% $11.97 $11.81 $11.25 $10.92 $10.83 $10.61 $10.44 $9.87 $9.41 $9.01 $8.86 $6.06
Revenue / Share 12-point trend, +65.6% $10.09 $9.55 $9.10 $8.69 $8.12 $7.65 $7.84 $7.16 $7.69 $7.05 $6.87 $6.09
Cash Flow / Share 12-point trend, +71.8% $2.10 $1.89 $2.09 $1.67 $1.34 $1.12 $2.02 $1.34 $1.45 $0.76 $1.15 $1.22
Cash / Share 12-point trend, -58.7% $1.22 $1.95 $1.33 $1.51 $1.50 $1.16 $4.06 $4.16 $2.66 $1.56 $2.59 $2.96
Dividend / Share 6-point trend, -87.6% $0 $0 $0 $0 $0 · · $1 · · · ·
EPS (TTM) 12-point trend, +64.9% $0.61 $0.66 $0.50 $0.39 $0.18 $0.44 $0.49 $1.00 $0.31 $0.12 $0.28 $0.37
Growth Rates 10
Annual Growth Rates data for HSTM
Metric Trend 202520242023202220212020201920182017201620152014
Revenue YoY 5-point trend, -12.2% 4.3% 4.5% 4.6% 3.9% 4.9% · · · · · · ·
Revenue CAGR 3Y 3-point trend, -0.2% 4.5% 4.3% 4.5% · · · · · · · · ·
Revenue CAGR 5Y 4.4% · · · · · · · · · · ·
EPS YoY 5-point trend, +87.2% -7.6% 32.0% 28.2% 116.7% -59.1% · · · · · · ·
EPS CAGR 3Y 3-point trend, +269.7% 16.1% 54.2% 4.3% · · · · · · · · ·
EPS CAGR 5Y 6.8% · · · · · · · · · · ·
Net Income YoY 5-point trend, +85.8% -8.3% 31.5% 25.8% 106.9% -58.5% · · · · · · ·
Net Income CAGR 3Y 3-point trend, +475.3% 14.9% 50.7% 2.6% · · · · · · · · ·
Net Income CAGR 5Y 5.4% · · · · · · · · · · ·
Dividend CAGR 5Y 147.3% · · · · · · · · · · ·
Valuation (TTM) 13
Annual Valuation (TTM) data for HSTM
Metric Trend 202520242023202220212020201920182017201620152014
Revenue TTM 12-point trend, +78.1% $304M $292M $279M $267M $257M $245M $254M $232M $215M $192M $209M $171M
Net Income TTM 12-point trend, +76.5% $18M $20M $15M $12M $6M $14M $16M $32M $10M $4M $9M $10M
Market Cap 12-point trend, -16.4% $682M $968M $819M $760M $825M $688M $881M $781M $739M $795M $696M $816M
P/E 12-point trend, -52.5% 37.8 48.2 54.1 63.7 146.4 49.6 55.5 24.1 74.7 208.8 78.6 79.7
P/S 12-point trend, -53.1% 2.2 3.3 2.9 2.8 3.2 2.8 3.5 3.4 3.4 4.1 3.3 4.8
P/B 12-point trend, -60.3% 1.9 2.7 2.4 2.3 2.4 2.1 2.6 2.4 2.5 2.8 2.5 4.9
P / Tangible Book 6-point trend, -23.9% 9.5 8.6 10.1 12.6 12.3 12.5 · · · · · ·
P / Cash Flow 12-point trend, -54.8% 10.8 16.8 12.8 14.8 19.5 19.2 13.4 18.1 15.8 32.8 19.9 23.8
P / FCF 12-point trend, -58.3% 11.4 17.2 13.3 15.4 21.2 20.3 20.2 21.6 18.2 41.5 26.0 27.5
Dividend Yield 8-point trend, -87.0% 0.54% 0.35% 0.38% 0.00% 0.00% 0.01% 0.01% 4.1% · · · ·
Earnings Yield 12-point trend, +109.5% 2.6% 2.1% 1.8% 1.6% 0.68% 2.0% 1.8% 4.1% 1.3% 0.48% 1.3% 1.3%
Payout Ratio 8-point trend, -79.9% 20.2% 17.0% 20.1% 0.00% 0.33% 0.28% 0.37% 100.4% · · · ·
Annual Payout 8-point trend, -88.6% $4M $3M $3M $0 $19.0K $40.0K $58.0K $32M · · · ·

Financial Statements Income statement, balance sheet, cash flow — annual, last 5 years

Income Statement
2025-12-312024-12-312023-12-312022-12-312021-12-31
Revenue $304M$292M$279M$267M$257M
Operating Margin % 6.7%7.3%5.7%4.7%3.1%
Net Income $18M$20M$15M$12M$6M
Diluted EPS $0.61$0.66$0.50$0.39$0.18
Balance Sheet
2025-12-312024-12-312023-12-312022-12-312021-12-31
Current Ratio 1.01.31.11.01.1
Quick Ratio 0.60.80.60.70.8
Cash Flow
2025-12-312024-12-312023-12-312022-12-312021-12-31
Free Cash Flow $60M$56M$62M$49M$39M

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Trading Signals Recent buy/sell signals with entry price and risk/reward ratio

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