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Primary reporting period: 2025-12-31 · Research updated Oct 12, 2026. A research update is not a new financial filing.
Who they are
HealthStream, Inc., established in 1990 and headquartered in Nashville, Tennessee, delivers specialized workforce and provider solutions to healthcare organizations throughout the United States. Its operations are divided into two primary segments: Workforce Solutions and Provider Solutions. The Workforce Solutions segment provides a suite of software-as-a-service (SaaS) and subscription-based tools.
How they make money
HealthStream provides Software-as-a-Service (SaaS) applications to healthcare organizations, primarily generating revenue through subscription fees for its workforce development, credentialing, and scheduling platforms. These solutions are delivered through the hStream technology platform, which facilitates identity management and integration across the healthcare enterprise.
Products & services
SaaS-based applications for learning, clinical development, competency management, performance appraisal, credentialing, privileging, enrollment, and staff scheduling.
Brands & revenue mix
Verity, a HealthStream Company
Brand used for provider solutions, including credentialing, privileging, and enrollment management.
Separate brand revenue is not available in this research.Source
HealthStream Learning Center (HLC)
Primary learning application for delivering courseware.
Separate brand revenue is not available in this research.Source
Revenue share is not unit sales or a best-seller ranking. Parent brands and included sub-brands can overlap; do not add overlapping rows.
Calculated from reported segment revenue. Check the source period and revenue basis before comparing shares. Categories can overlap and may not add to 100%.
Geographic revenue
No reconciled geographic revenue breakdown was confirmed for the current research period.
During the year ended December 31, 2025, no single customer accounted for 10 percent or more of the company's annual revenue.
Suppliers, materials & equipment
Cloud infrastructure and data center service providers — The company relies on third-party cloud hosting and data center services to host its SaaS applications and store customer data; specific supplier names are not disclosed.Source
Strengths
Large, diverse ecosystem of workforce solutions in healthcareSource
Proprietary hStream technology platform and identity management functionalitySource
Risks
Privacy, data, cyber security, and information security risksSource
Risks associated with the use of artificial intelligence (AI)Source
Overall investment score · Quality, value, risk and opportunity
37
Poor
PoorElite
View category scores →
Company Quality
How good is the actual business—regardless of today’s stock price?
67
Fair
Financial Strength
69
Business Quality / Moat
63
Management
78
Growth Quality
38
Risk / Durability
92
Weak Company · Expensive Stock
Uses financial strength, moat, management, growth quality and durability. It excludes share price, P/E, market cap, intrinsic value and margin of safety.
Opportunity
Opportunity Score · How does the current price compare with estimated value?
24
Avoid
Based on current valuation, company quality, recent trends, and available market signals.
View score details →
Model Outlook
12-month model · What does the model think happens next?
31/100
Building Historical Record
Model Score 31/100 — estimates relative performance potential, distinct from the overall Wall Street Score and the separate Company Quality score.
Probability unavailable — the model has not produced a calibrated probability yet.
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WSS View
The quick read
The overall Wall Street Score is low across its combined quality, valuation and risk inputs. This can reflect an expensive share price, business weaknesses, or both; check Company Quality and the category breakdown before drawing a conclusion.
At today’s price, the WSS valuation framework currently reads as less attractive based on the available valuation and market data.
The model outlook is currently cautious.
What we like
•Balance-sheet / debt profile scores strongly
•Recent buyback activity is present
What to watch
•Valuation is a weaker part of the current profile
•Revenue fundamentals are weak
•Asset quality is a weaker factor
Company-specific research
Questions worth answering for HSTM
Research inputs 100% complete
These questions are generated from this company's current financial and score data so the page adds context instead of treating the headline score as a stand-alone conclusion.
•Can HSTM maintain its current revenue growth rate and improve the amount of that revenue that turns into earnings and cash?
•Is HSTM's positive free cash flow repeatable, or is the current level being helped by temporary working-capital or spending changes?
•How is HSTM likely to use its cash advantage: reinvestment, acquisitions, debt reduction, dividends or buybacks?
•What future growth or profitability would be needed to justify HSTM's current valuation?
Two different market-behavior signals. Momentum measures direction and trend strength. Volatility measures how large and unstable the price moves are, regardless of direction.
A high momentum score means price has been trending upward with confirming short- and medium-term strength. A low score means downward or weakening momentum.
Volatility = How violently is it moving?
A high volatility score means larger, less stable price swings. It can happen while a stock is rising or falling, so high volatility is not automatically bullish or bearish.
Important: the volatility score above is based on realized price volatility. Implied volatility (IV) comes from options prices and represents the market's expected future movement. Wall Street Score will keep IV separate and will only display it when a verified options-chain feed is available.
Notices for HSTM
Detected from reported data — verify before acting.
Dividend history reported
Dividend payments are recorded. Review the dates and regular/special classification below; past payments do not guarantee future dividends.
Historical repurchase activity
Reported cash flows or share-count measures indicate past repurchase activity. This does not verify an active buyback authorization or future purchases.
Community Sentiment
0 active · 0 total calls
0% Bullish (0) 0% Bearish (0)
No personal call yet on HSTM.
Potential upside factors
+Growth opportunities may come from revenue expansion, margin improvement, new products, market-share gains, and stronger cash flow.
+Large, diverse ecosystem of workforce solutions in healthcare.
+Proprietary hStream technology platform and identity management functionality.
+Positive free cash flow may provide capacity to invest in growth.
Potential downside factors
−Key risks may include competition, margin pressure, debt levels, valuation risk, and changes in demand within the Medical - Healthcare Information Services industry.
−Privacy, data, cyber security, and information security risks.
−Risks associated with the use of artificial intelligence (AI).
These research factors come from saved company research and financial data, not community votes. They are starting points to verify against filings, not buy or sell recommendations.
Create a free account to make a call.
Scores
Click any score for full breakdown
Wall Street Score
Weak37/ 100
Weak (0–50)Fair (51–71)Strong (72+)
Debt
Strong
83
Debt Cost—
Debt Reduction YoY27.2%
Debt / Equity0.04x
Tap for breakdown →
Revenue
Poor
18
Revenue YoY5.6%
Revenue CAGR4.4%
Net Margin6.6%
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Asset
Poor
37
Asset Growth YoY1.9%
Liquidation/Share$11.83
Net Assets/MCap0.59x
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Capital
Poor
22
Earnings Yield2.4%
Buyback Yield1.8%
Debt Cost—
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Management
Strong
78
ROIC4.9%
ROE5.9%
ROA4.1%
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Moat
Fair
63
EPS Growth3.2%
FCF/Share Growth30.3%
Rev/Share Growth5.1%
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Valuation
Poor
4
Intrinsic Value$12.45
Value Reference$7.47
MOS-170.9%
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Buffett
Fair
51
Revenue18
Moat63
Valuation4
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MOS
Poor
0
MOS %-170.9%
Value Reference$7.47
Deep Discount Reference$4.98
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Financial
Weak
41
Interest Coverage—
ROIC4.9%
FCF Yield6.9%
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Master
Poor
29
Financial41
Valuation4
Debt83
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Resilience
Fair
60
Survival Years0.5 yrs
Current Ratio0.96x
FCF Margin19.6%
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Score Changes
3 historical score records available
Previous Score
38
Aug 14, 2026
Change
-0.1
points
Current Score
37
Oct 1, 2026
Category Changes
Revenue-0.1
Debt0
Assets-0.5
Capital-1.0
Management0
Moat-0.3
Valuation+0.7
Buffett-0.1
HSTM decreased 0.1 points because some fundamentals weakened.
Projected Score
Projected Score
39
Projected Change
+1.6 points
Preliminary comparable-period financial changes suggest improvement of approximately 1.6 points. This is a projected estimate, not the official WallStreetScore.
Monetary values in USD. Share counts in raw units.
Income StatementBalance SheetCash Flow
AnnualQuarterlyTTM + Annual
All rows
Free includes 3 annual periods plus available TTM; Premium includes up to 10 annual periods. History depends on available company filings. Swipe the table horizontally to see older periods. A dash means unavailable, not zero.
Line Item
TTM
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
Revenue
$321.1M
$304.1M
$291.6M
$279.1M
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Cost of Revenue
$112.1M
$107.2M
$97.9M
$95.0M
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Gross Profit
$209.0M
$196.9M
$193.7M
$184.0M
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····
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Research & Development
$54.1M
$51.0M
$48.9M
$45.5M
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····
····
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SG&A Expenses
$84.6M
$82.2M
$82.3M
$81.4M
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Operating Expenses
$183.2M
$176.6M
$172.4M
$168.0M
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EBITDA
$71.7M
$66.7M
$66.0M
$59.6M
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Operating Income
$25.8M
$20.2M
$21.3M
$16.0M
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Interest Expense
$0.00
$0.00
$0.00
$0.00
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Income Before Tax
$27.6M
$23.2M
$24.8M
$18.5M
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····
····
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Income Tax Expense
$6.4M
$4.9M
$4.8M
$3.3M
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Net Income
$21.2M
$18.3M
$20.0M
$15.2M
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Basic EPS
$0.72
$0.61
$0.66
$0.50
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Basic Shares
29.30M
30.02M
30.39M
30.57M
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Diluted Shares
29.37M
30.14M
30.54M
30.67M
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Upgrade to Premium for up to 10 annual periods, where available.
Debt and cash show percentage changes versus the comparison period; margin shows the change in percentage points (pp). These are company-wide changes, not per-share amounts.
Financial Changes Since Prior Period
What Improved
Margins expanded
Debt reduced
What Weakened
Cash position declined
Potential Score Impact
Positive indicators included revenue growth, EPS growth, debt levels, net income margin. Pressure indicators included cash levels. These factors may support or pressure the Revenue, Management, Financial, and Debt categories; this summary does not claim that the stored scores changed.
Stored Earnings Analysis
Revenue increased 12.5%. EPS increased 27.8%. Cash declined 11.4%. Total debt declined 15.5%. Net income margin improved by 0.7 percentage points.
Earnings-Call Transcript
Earnings-call transcript analysis is not currently available.
These results may influence future scores when the next evaluation is completed.
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Government disclosed trading activity is available on the Smart Money directory. Filings may be delayed and may not represent complete current holdings.
Dividend HistoryShare
Dividend History
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Predictions & Historical PerformanceShare
Conservative Projected Values
3 Years
$———.——
Premium
5 Years
$———.——
Premium
10 Years
$———.——
Premium
Conservative Projection Rate
——%
Premium
Conservative Projected Values — price projections derived from actual 10-year adjusted historical returns, conservatively adjusted and capped at 8% annually. These are distinct from the Outperformance Model Score and WallStreetScore.
Conservative Projected Values
Premium unlocks the 3-year, 5-year, and 10-year conservative projected values with full calculation breakdowns based on actual historical returns.
Premium includes stored forecasts and any available evaluated results. Completed results, win rates and calibrated probabilities are shown only when supported records exist; access does not create historical outcomes.
The reliability percentage measures the strength of the supporting evidence—not the probability that the event will occur or that the stock will rise. Rumor Mill is separate from the WSS score.
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