HealthStream, Inc. (HSTM) AI Stock Analysis
HSTM AI stock analysis summary
AI ResearchHealthStream, Inc. (HSTM) provides SaaS-based workforce and provider solutions for healthcare organizations across the United States. Over the trailing twelve months, the company generated $321.1M in revenue with an operating margin of 9.9%. Its balance sheet holds $53.3M in net cash, while its stock has gained 44.2% year-to-date.
- Market cap
- $1.01B
- Revenue (TTM)
- $321.1M
- P/E
- 46.0x fwd 33.8x
- 1Y return
- 26.8% S&P 500 16.8%
- Avg. target
- $35.00 5.6% vs last close
Bull case
- Quarterly revenue growth accelerated to 12.5% year-over-year in the quarter ended June 30, 2026, while quarterly earnings surged 28.4%.
- HealthStream maintains a robust balance sheet with $53.3M in net cash and a debt-to-equity ratio of 0.04 as of June 30, 2026.
- The company generated $59.6M in free cash flow in FY2025 and reduced its share count by 6.8% over five years.
Bear case
- HealthStream trades at a trailing P/E of 46.0x and a forward P/E of 33.8x, both at substantial premiums to the median of its US-listed Healthcare peers of 24.6x and 17.3x.
- Long-term top-line expansion has been modest, with a five-year revenue CAGR of 4.4% from FY2020 to FY2025.
- The trailing twelve months operating margin of 9.9% remains below the US-listed Healthcare peer median of 14.0%.
What HealthStream does
HealthStream, Inc. specializes in workforce and provider solutions tailored for healthcare organizations across the United States through software-as-a-service (SaaS) and subscription-based offerings. The company operates through two core segments: Workforce Solutions and Provider Solutions. Within Workforce Solutions, it delivers applications for clinical development, talent management, learning management, performance appraisal, competency assessment, and training. Its Provider Solutions segment includes VerityStream, EchoCredentialing, and MSOW platforms, which streamline administrative workflows, staff credentialing, enrollment, and privileging processes for hospitals, ambulatory surgery centers, urgent care facilities, and medical clinics.
Growth and profitability
Between FY2021 and FY2025, HealthStream grew annual revenue from $256.7M to $304.1M, representing a five-year revenue CAGR of 4.4%. Over that period, net income rose from $5.8M in FY2021 to $18.3M in FY2025, while diluted EPS increased from $0.23 to $0.70. Gross margin stood at 64.7% in FY2025, compared to 64.5% in FY2021, and operating margin reached 6.7%. For the latest quarter ended June 30, 2026, quarterly revenue expanded 12.5% year-over-year, and quarterly earnings grew 28.4% year-over-year. Over the trailing twelve months, revenue totaled $321.1M with a profit margin of 6.6% and EPS of $0.72.
Balance sheet and cash flow
As of June 30, 2026, HealthStream held $66.7M in cash and short-term investments alongside $13.4M in total debt, resulting in net cash of $53.3M. Total assets were $521.6M against shareholders' equity of $356.6M, with a current ratio of 1.06 and a debt-to-equity ratio of 0.04. In FY2025, operating cash flow reached $63.3M and free cash flow was $59.6M. Capital expenditures were $3.7M, while the company returned capital through $30.0M in share buybacks and $3.7M in dividends paid.
Valuation and performance
At a share price of $33.13, HealthStream has a market capitalization of $1.01B and an enterprise value of $826.6M. The stock trades at a trailing P/E of 46.0x and a forward P/E of 33.8x, both above the median of its US-listed Healthcare peers of 24.6x and 17.3x, respectively. Its price-to-sales multiple is 3.2x, below the peer median of 4.1x, while EV/EBITDA is 11.8x compared to the peer median of 12.0x. Over the past year, HSTM returned 26.8%, outperforming the S&P 500 (SPY) return of 16.8%, though its 5-year return of 21.2% trails SPY's 83.0%.
HSTM dividend
HealthStream pays an annual forward dividend of $0.14 per share, translating to a dividend yield of 0.41%. Dividends are distributed on a quarterly frequency, with a payout ratio of 16.8%. The company has paid dividends for 4 consecutive years, and its most recent ex-dividend date was August 17, 2026.
What analysts expect
Wall Street coverage consists of 2 Strong Buy ratings and 4 Hold ratings, with no Buy, Sell, or Strong Sell recommendations. The mean price target of $35.00 implies an upside of 5.6% from the last close of $33.13. For the current fiscal year ending December 31, 2026, consensus estimates project EPS of $0.73 and revenue of $329.5M. The company beat EPS estimates in each of the last 4 quarters, and its next earnings date is November 2, 2026.
Key risks and what to watch
- Net income declined from $20.0M in FY2024 to $18.3M in FY2025, reflecting potential variability in profitability.
- The company's current ratio stands at 1.06 as of June 30, 2026, indicating tight near-term liquidity.
- Short interest represents 6.1% of float, indicating notable short positioning against the stock.
AI-generated research summary. Written with AI from Quotelinks data as of October 16, 2026 and checked so every figure matches that data. For information only, not investment advice. Disclaimer
About this HSTM AI stock analysis
This page is an AI-written research summary of HealthStream, Inc. (HSTM). The text was generated on October 30, 2026 from Quotelinks data as of October 16, 2026 (company profile, annual results, latest balance sheet, valuation, price performance and analyst estimates). An automatic check rejects any draft that contains a figure not found in that data. It is not investment advice; verify figures on the linked tabs before making decisions.
Related: HSTM income statement, HSTM balance sheet, HSTM key metrics, HSTM analyst forecast, HSTM chart. See the HSTM stock overview for the latest quote and news.
HSTM AI stock analysis FAQ
What is HealthStream's ticker and exchange?
HealthStream trades on the NASDAQ under the ticker HSTM.
Does HealthStream pay a dividend?
Yes, HealthStream pays a quarterly dividend with an annual forward payout of $0.14 per share, offering a dividend yield of 0.41% and a payout ratio of 16.8%.
What is HealthStream's valuation relative to healthcare peers?
HealthStream trades at a trailing P/E of 46.0x and a forward P/E of 33.8x, above the US-listed Healthcare peer medians of 24.6x and 17.3x, though its EV/EBITDA of 11.8x is slightly below the peer median of 12.0x.
When is HealthStream's next earnings report?
HealthStream is scheduled to report its next quarterly earnings on November 2, 2026.