Financials · HSTM

HealthStream Inc. (HSTM) financials

For the twelve months ended Sep 30, 2026, HealthStream Inc. reported $327.95M of revenue and $20.49M of net income.

Revenue, TTM
$327.95M
Revenue growth, YoY
+9.8%
Net income, TTM
$20.49M
Net income growth, YoY
-1.0%
Net margin
6.2%
Free cash flow, TTM
$68.97M
EPS, diluted, TTM
$0.70
EPS growth, YoY
+2.9%
Cash
$58.96M
P/E
42.93
P/S
2.68
Market cap
$879.5M
Annual revenue$304.06M
FY2016FY2025
Annual net income$18.34M
FY2016FY2025
Annual free cash flow$59.63M
FY2016FY2025

HSTM revenue and earnings growth

HSTM revenueQ3 2026$83.31M

Quarter YoY
+8.9%
QoQ
-0.5%
FY YoY
+4.3%
5Y CAGR
+4.4%
10Y CAGR
+3.8%

HSTM revenue was $83.31M in fiscal Q3 2026 (ended Sep 30, 2026), up 8.9% from a year earlier and down 0.5% from the prior quarter. For the full fiscal 2025 it was $304.06M, up 4.3% from fiscal 2024. Compound annual growth was +4.4% over 5 years and +3.8% over 10 years. It rose in 8 of the last 10 fiscal years. Fiscal 2025 is the highest of the 15 fiscal years on file.

HSTM net incomeQ3 2026$5.37M

Quarter YoY
-11.7%
QoQ
-19.4%
FY YoY
-8.3%
5Y CAGR
+5.4%
10Y CAGR
+7.8%

HSTM net income was $5.37M in fiscal Q3 2026 (ended Sep 30, 2026), down 11.7% from a year earlier and down 19.4% from the prior quarter. For the full fiscal 2025 it was $18.34M, down 8.3% from fiscal 2024. Compound annual growth was +5.4% over 5 years and +7.8% over 10 years. It rose in 5 of the last 10 fiscal years.

HSTM EPSQ3 2026$0.18

Quarter YoY
-10.0%
QoQ
-21.7%
FY YoY
-7.6%
5Y CAGR
+6.8%
10Y CAGR
+8.1%

HSTM diluted EPS was $0.18 in fiscal Q3 2026 (ended Sep 30, 2026), down 10.0% from a year earlier and down 21.7% from the prior quarter. For the full fiscal 2025 it was $0.61, down 7.6% from fiscal 2024. Compound annual growth was +6.8% over 5 years and +8.1% over 10 years.

HSTM free cash flowQ3 2026$17.06M

Quarter YoY
-4.8%
QoQ
+36.3%
FY YoY
+6.0%
5Y CAGR
+12.0%
10Y CAGR
+8.3%

HSTM free cash flow was $17.06M in fiscal Q3 2026 (ended Sep 30, 2026), down 4.8% from a year earlier and up 36.3% from the prior quarter. For the full fiscal 2025 it was $59.63M, up 6.0% from fiscal 2024. Compound annual growth was +12.0% over 5 years and +8.3% over 10 years. It rose in 6 of the last 10 fiscal years.

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Income statement

Income statement
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 31, 2019
Dec 31, 2018
Dec 31, 2017
Dec 31, 2016
Revenue$304.06M$291.65M$279.06M$266.83M$256.71M$244.83M$254.11M$231.62M$214.90M$192.12M
Research and development$50.98M$48.89M$45.54M$44.28M$41.66M$32.30M$29.11M$25.73M$24.15M$24.23M
Operating income$20.24M$21.29M$16.02M$12.45M$8.05M$15.82M$14.72M$15.49M$9.41M$7.17M
Pre-tax income$23.22M$24.80M$18.51M$15.59M$7.77M$17.82M$17.93M$16.57M$10.14M$7.75M
Income tax$4.88M$4.80M$3.30M$3.49M$1.92M$3.73M$3.73M$3.32M$1.30M$2.96M
Net income$18.34M$20.01M$15.21M$12.09M$5.84M$14.09M$15.77M$32.22M$10.00M$3.75M
EPS, basic$0.61$0.66$0.50$0.39$0.19$0.44$0.49$1.00$0.31$0.12
EPS, diluted$0.61$0.66$0.50$0.39$0.18$0.44$0.49$1.00$0.31$0.12
Diluted shares30.1M30.5M30.7M30.7M31.6M32.0M32.4M32.3M32.2M32.1M

Balance sheet

Balance sheet
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 31, 2019
Dec 31, 2018
Dec 31, 2017
Dec 31, 2016
Cash and equivalents$36.16M$59.47M$40.33M$46.02M$46.91M$36.57M$131.54M$134.32M$84.77M$49.63M
Receivables$32.15M$30.19M$34.35M$36.73M$30.31M$40.73M$27.65M$38.12M$36.69M$44.80M
Current assets$119.66M$153.12M$130.21M$114.38M$106.84M$114.72M$224.57M$241.43M$199.73M$177.44M
Goodwill$217.52M$191.22M$191.38M$192.40M$182.50M$178.44M$102.20M$86.14M$86.14M$85.61M
Total assets$520.37M$510.77M$499.94M$497.74M$486.75M$500.31M$489.54M$441.95M$411.12M$396.00M
Current liabilities$124.15M$115.69M$118.36M$117.21M$100.35M$119.44M$105.19M$106.85M$101.07M$94.97M
Shareholders' equity$354.02M$359.36M$340.75M$334.06M$339.02M$334.06M$338.17M$318.95M$300.17M$286.11M

Cash flow

Cash flow
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 31, 2019
Dec 31, 2018
Dec 31, 2017
Dec 31, 2016
Operating cash flow$63.32M$57.66M$63.97M$51.19M$42.38M$35.87M$65.66M$43.25M$46.71M$24.23M
Capital expenditures$3.69M$1.40M$2.20M$1.77M$3.42M$1.99M$22.00M$7.17M$5.51M$4.81M
Free cash flow$59.63M$56.26M$61.77M$49.42M$38.97M$33.89M$43.66M$36.08M$41.20M$19.43M
Investing cash flow-$50.35M-$33.97M-$56.60M-$28.39M-$25.72M-$110.41M-$67.52M$36.56M-$11.58M-$56.66M
Financing cash flow-$36.27M-$4.52M-$13.04M-$23.70M-$6.21M-$20.49M-$916.0K-$30.25M$1.0K$46.0K
Dividends paid$3.70M$3.40M$3.10M$0$19.0K$40.0K$58.0K$32.36M--
Share repurchases$30.02M$0$8.93M$23.14M$5.01M$20.02M$0---
Stock-based compensation$8.14M$4.47M$4.15M$3.55M$5.30M$2.22M$4.24M$1.78M$1.74M$1.90M
Depreciation and amortization$43.48M$41.24M$41.08M$37.95M$36.81M$30.19M$27.87M$24.23M$24.05M$20.37M

Key ratios

Key ratios
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 31, 2019
Dec 31, 2018
Dec 31, 2017
Dec 31, 2016
Revenue growth, YoY4.3%4.5%4.6%3.9%4.9%-3.7%9.7%7.8%11.9%-8.1%
Net income growth, YoY-8.3%31.5%25.8%106.9%-58.5%-10.6%-51.1%222.0%166.4%-56.4%
EPS growth, YoY-7.6%32.0%28.2%116.7%-59.1%-10.2%-51.0%222.6%158.3%-57.1%
Operating margin6.7%7.3%5.7%4.7%3.1%6.5%5.8%6.7%4.4%3.7%
Net margin6.0%6.9%5.5%4.5%2.3%5.8%6.2%13.9%4.7%2.0%
Free cash flow margin19.6%19.3%22.1%18.5%15.2%13.8%17.2%15.6%19.2%10.1%
Return on equity5.2%5.6%4.5%3.6%1.7%4.2%4.7%10.1%3.3%1.3%
Return on assets3.5%3.9%3.0%2.4%1.2%2.8%3.2%7.3%2.4%0.9%
Current ratio0.961.321.100.981.060.962.142.261.981.87

Source: XBRL data HealthStream Inc. files with the SEC, latest filing dated Nov 5, 2026 (see filings on SEC EDGAR). Provided for information only, not investment advice. Check the filing before relying on a number.

* Worked out from the filings rather than stated in them: Q4 is the full year less the first nine months.

Per-share figures are as filed. The filings show no stock split in these periods.

EPS growth is left out where the share count moved enough to suggest a split the filings do not show. Growth rates need a positive starting figure. CAGR is compound annual growth between fiscal years. The CSV holds every period on file, in full figures, from the same SEC filings.

HSTM peers

CompanyRevenueGrowthNet incomeNet marginMarket cap
HSTM$327.95M+9.8%$20.49M6.2%$879.5M
GOOGL$471.10B+22.2%$235.69B50.0%$3.53T
GOOG$471.10B+22.2%$235.69B50.0%$3.50T
META$241.61B+27.5%$75.25B31.1%$1.64T
APP$7.61B+57.8%$5.01B65.9%$131.04B
NBIS$529.80M+479.0%$82.50M15.6%$36.43B
BIDUCN¥129.08B-3.0%CN¥5.59B4.3%$27.12B

HSTM FAQ

8 questions
  • What is HSTM revenue?
    HealthStream Inc. (HSTM) reported $327.95M of revenue for the twelve months ended Sep 30, 2026. That is up 9.8% from the year before. Revenue for fiscal 2025 was $304.06M.
  • Is HSTM profitable?
    Yes. HealthStream Inc. earned $20.49M in net income for the twelve months ended Sep 30, 2026, a net margin of 6.2%.
  • How much cash and debt does HSTM have?
    HealthStream Inc. reported $58.96M in cash and cash equivalents on its most recent balance sheet in SEC filings.
  • How fast is HSTM revenue growing?
    HealthStream Inc.'s revenue changed +4.3% in fiscal 2025, to $304.06M. Its compound annual growth rate was +4.4% over 5 years and +3.8% over 10 years.
  • What is HSTM free cash flow?
    HealthStream Inc. generated $68.97M of free cash flow for the twelve months ended Sep 30, 2026, which is operating cash flow of $71.15M less capital expenditures.
  • What is HSTM earnings per share?
    Diluted earnings per share were $0.70 for the twelve months ended Sep 30, 2026, from SEC filings, restated for any stock split those filings show.
  • When did HSTM last report financial results?
    The latest statements here come from HealthStream Inc.'s 10-Q filed on Nov 5, 2026, covering the period ended Sep 30, 2026.
  • Where does this HSTM financial data come from?
    Quantisnow builds these statements from the structured XBRL data HealthStream Inc. files with the SEC. It is provided for information only and is not investment advice.