Tearsheet

HealthStream (HSTM)


Market Price (12/24/2025): $24.02 | Market Cap: $713.1 Mil
Sector: Health Care | Industry: Health Care Technology

HealthStream (HSTM)


Market Price (12/24/2025): $24.02
Market Cap: $713.1 Mil
Sector: Health Care
Industry: Health Care Technology

Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.


0 Cash is significant % of market cap
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is -11%
Weak multi-year price returns
2Y Excs Rtn is -53%, 3Y Excs Rtn is -80%
Expensive valuation multiples
P/EBITPrice/EBIT or Price/(Operating Income) ratio is 32x, P/EPrice/Earnings or Price/(Net Income) is 34x
1 Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 21%
  Key risks
HSTM key risks include [1] execution and operational challenges in its strategic transition to a Platform-as-a-Service architecture and [2] technology scaling issues, Show more.
2 Low stock price volatility
Vol 12M is 30%
  
3 Megatrend and thematic drivers
Megatrends include Digital Health & Telemedicine, and Cloud Computing. Themes include Health Data Analytics, AI in Healthcare Management, Show more.
  
0 Cash is significant % of market cap
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is -11%
1 Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 21%
2 Low stock price volatility
Vol 12M is 30%
3 Megatrend and thematic drivers
Megatrends include Digital Health & Telemedicine, and Cloud Computing. Themes include Health Data Analytics, AI in Healthcare Management, Show more.
4 Weak multi-year price returns
2Y Excs Rtn is -53%, 3Y Excs Rtn is -80%
5 Expensive valuation multiples
P/EBITPrice/EBIT or Price/(Operating Income) ratio is 32x, P/EPrice/Earnings or Price/(Net Income) is 34x
6 Key risks
HSTM key risks include [1] execution and operational challenges in its strategic transition to a Platform-as-a-Service architecture and [2] technology scaling issues, Show more.

Valuation, Metrics & Events

HSTM Stock


Why The Stock Moved


Qualitative Assessment

AI Analysis | Feedback

Here are the key points explaining the -14.4% stock movement for HealthStream (HSTM) between approximately August 31, 2025, and December 24, 2025:

1. Increased Operating Expenses and Compressed Margins: Despite reporting record revenues and adjusted EBITDA in Q3 2025, HealthStream experienced higher expenses due to investments in its hStream platform and SaaS applications, leading to increased labor, cloud hosting, and third-party software costs. This contributed to a decrease in gross margin to 65.3% in Q3 2025 from 66.5% in the prior year.

2. Stock Reaching New 52-Week Lows: HealthStream's stock price declined significantly, reaching new 52-week lows of $23.77 on December 17, 2025, and $23.75 on December 23, 2025. This suggests broader market apprehension or a lack of strong positive catalysts to counter the downward pressure, even after beating Q3 earnings estimates.

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Stock Movement Drivers

Fundamental Drivers

The -17.1% change in HSTM stock from 9/23/2025 to 12/23/2025 was primarily driven by a -20.2% change in the company's P/E Multiple.
923202512232025Change
Stock Price ($)28.9524.01-17.07%
Change Contribution ByLTMLTM
Total Revenues ($ Mil)295.21298.591.14%
Net Income Margin (%)6.89%6.93%0.62%
P/E Multiple43.1734.44-20.22%
Shares Outstanding (Mil)30.3229.692.08%
Cumulative Contribution-17.11%

LTM = Last Twelve Months as of date shown

Market Drivers

9/23/2025 to 12/23/2025
ReturnCorrelation
HSTM-17.1% 
Market (SPY)3.7%18.8%
Sector (XLV)13.2%24.9%

Fundamental Drivers

The -11.1% change in HSTM stock from 6/24/2025 to 12/23/2025 was primarily driven by a -20.0% change in the company's P/E Multiple.
624202512232025Change
Stock Price ($)27.0124.01-11.12%
Change Contribution ByLTMLTM
Total Revenues ($ Mil)292.37298.592.13%
Net Income Margin (%)6.54%6.93%6.02%
P/E Multiple43.0334.44-19.95%
Shares Outstanding (Mil)30.4429.692.48%
Cumulative Contribution-11.17%

LTM = Last Twelve Months as of date shown

Market Drivers

6/24/2025 to 12/23/2025
ReturnCorrelation
HSTM-11.1% 
Market (SPY)13.7%32.8%
Sector (XLV)16.4%28.9%

Fundamental Drivers

The -23.3% change in HSTM stock from 12/23/2024 to 12/23/2025 was primarily driven by a -28.7% change in the company's P/E Multiple.
1223202412232025Change
Stock Price ($)31.2924.01-23.27%
Change Contribution ByLTMLTM
Total Revenues ($ Mil)287.99298.593.68%
Net Income Margin (%)6.84%6.93%1.28%
P/E Multiple48.2734.44-28.65%
Shares Outstanding (Mil)30.4129.692.37%
Cumulative Contribution-23.31%

LTM = Last Twelve Months as of date shown

Market Drivers

12/23/2024 to 12/23/2025
ReturnCorrelation
HSTM-23.3% 
Market (SPY)16.7%33.7%
Sector (XLV)13.2%34.7%

Fundamental Drivers

The -1.2% change in HSTM stock from 12/24/2022 to 12/23/2025 was primarily driven by a -57.1% change in the company's P/E Multiple.
1224202212232025Change
Stock Price ($)24.2924.01-1.17%
Change Contribution ByLTMLTM
Total Revenues ($ Mil)262.63298.5913.69%
Net Income Margin (%)3.52%6.93%96.69%
P/E Multiple80.2434.44-57.08%
Shares Outstanding (Mil)30.5729.692.89%
Cumulative Contribution-1.25%

LTM = Last Twelve Months as of date shown

Market Drivers

12/24/2023 to 12/23/2025
ReturnCorrelation
HSTM-10.9% 
Market (SPY)48.4%34.3%
Sector (XLV)18.2%33.5%

Return vs. Risk


Price Returns Compared

 202020212022202320242025Total [1]
Returns
HSTM Return-20%21%-6%9%18%-24%-11%
Peers Return37%32%-20%37%31%-9%136%
S&P 500 Return16%27%-19%24%23%17%114%

Monthly Win Rates [3]
HSTM Win Rate17%67%42%50%50%50% 
Peers Win Rate70%57%37%60%68%45% 
S&P 500 Win Rate58%75%42%67%75%73% 

Max Drawdowns [4]
HSTM Max Drawdown-33%-1%-28%-17%-11%-25% 
Peers Max Drawdown-29%-9%-34%-6%-8%-22% 
S&P 500 Max Drawdown-31%-1%-25%-1%-2%-15% 


[1] Cumulative total returns since the beginning of 2020
[2] Peers: WDAY, ORCL, NOW, ADP, PAYX.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2025 data is for the year up to 12/23/2025 (YTD)

How Low Can It Go

Unique KeyEventHSTMS&P 500
2022 Inflation Shock2022 Inflation Shock  
2022 Inflation Shock% Loss% Loss-38.0%-25.4%
2022 Inflation Shock% Gain to Breakeven% Gain to Breakeven61.4%34.1%
2022 Inflation ShockTime to BreakevenTime to Breakeven875 days464 days
2020 Covid Pandemic2020 Covid Pandemic  
2020 Covid Pandemic% Loss% Loss-34.5%-33.9%
2020 Covid Pandemic% Gain to Breakeven% Gain to Breakeven52.6%51.3%
2020 Covid PandemicTime to BreakevenTime to Breakeven240 days148 days
2018 Correction2018 Correction  
2018 Correction% Loss% Loss-28.8%-19.8%
2018 Correction% Gain to Breakeven% Gain to Breakeven40.4%24.7%
2018 CorrectionTime to BreakevenTime to Breakeven195 days120 days
2008 Global Financial Crisis2008 Global Financial Crisis  
2008 Global Financial Crisis% Loss% Loss-63.3%-56.8%
2008 Global Financial Crisis% Gain to Breakeven% Gain to Breakeven172.4%131.3%
2008 Global Financial CrisisTime to BreakevenTime to Breakeven214 days1,480 days

Compare to OMCL, BEAT, CARL, HTFL, VEEV

In The Past

HealthStream's stock fell -38.0% during the 2022 Inflation Shock from a high on 8/16/2021. A -38.0% loss requires a 61.4% gain to breakeven.

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About HealthStream (HSTM)

HealthStream, Inc. provides workforce and provider solutions for healthcare organizations in the United States. It operates through two segments, Workforce Solutions and Provider Solutions. The company offers workforce solutions, including software-as-a-service (SaaS) based services and subscription-based solutions to meet the range of its clinical development, talent management, training, education, certification, scheduling, competency assessment, performance appraisal, and other needs, as well as implementation and account management services. It also provides applications for learning, performance appraisal, competency management, disclosure management, clinical assessment and development, simulation-based education, quality management, and industry training. In addition, the company offers VerityStream that delivers enterprise-class solutions to transform the healthcare provider experience for ambulatory surgery centers, urgent care facilities, clinics, medical groups, and other healthcare organizations; EchoCredentialing and MSOW platforms that manage medical staff credentialing, enrollment, and privileging processes for hospitals; and EchoOneApp, a provider enrollment platform for medical groups. Further, it provides CredentialMyDoc, a credentialing and enrollment SaaS solution for medical groups and surgery centers; CredentialStream, a SaaS-based provider credentialing, privileging, and enrollment solution; and NurseGrid Mobile for nurse managers. The company offers its solutions in healthcare industry companies that include private, not-for-profit, and government entities, as well as pharmaceutical and medical device companies through direct sales teams. HealthStream, Inc. was incorporated in 1990 and is headquartered in Nashville, Tennessee.

AI Analysis | Feedback

Here are 1-2 analogies for HealthStream (HSTM):

  • The Workday for healthcare organizations, focused on workforce development and talent management.
  • The Veeva Systems for healthcare systems, providing specialized cloud software for managing their workforce and provider credentials.

AI Analysis | Feedback

Please find below HealthStream's major services:
  • Learning Management System (LMS): Provides a cloud-based platform for healthcare organizations to deliver, track, and manage employee education, compliance training, and professional development.
  • Competency & Performance Management: Offers solutions to assess, track, and develop the clinical and professional competencies of healthcare staff and manage their performance.
  • Clinical Development Solutions: Delivers platforms and tools for clinical education, simulation-based training, and skill assessment to enhance patient care and safety.
  • Provider Credentialing & Enrollment: Provides software and services to streamline the complex processes of credentialing, privileging, and enrolling healthcare providers.

AI Analysis | Feedback

HealthStream (symbol: HSTM) sells primarily to other companies, specifically within the healthcare industry (B2B).

HealthStream serves thousands of healthcare organizations across the United States. According to their financial filings (e.g., 10-K reports), no single customer accounts for 10% or more of their total revenues. Consequently, HealthStream does not have specific "major customers" that are individually named and publicly disclosed due to revenue concentration. Instead, their customer base is diverse and primarily includes the following categories of healthcare organizations:

  • Hospitals and Health Systems: This category encompasses a wide range of healthcare providers, from large multi-hospital systems and integrated delivery networks to standalone community hospitals and academic medical centers. These organizations utilize HealthStream's platforms for workforce development, talent management, compliance training, and clinical education.
  • Post-Acute Care Providers: This segment includes various facilities and services that cater to patients after hospitalization, such as skilled nursing facilities, home health agencies, hospice providers, and rehabilitation centers. HealthStream helps them manage staff competencies and regulatory compliance.
  • Other Healthcare Providers: This broader category can include physician groups, outpatient clinics, urgent care centers, diagnostic imaging centers, and other specialized healthcare facilities that require solutions for staff training, credentialing, and operational efficiency.

AI Analysis | Feedback

Amazon.com, Inc. (AMZN)

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Robert A. Frist Jr., Chief Executive Officer and Chairman

Robert A. Frist Jr. co-founded HealthStream in 1990 and has served as Chief Executive Officer and Chairman of the Board of Directors since then. Under his leadership, he grew HealthStream from a dot-com startup into the nation's largest ecosystem of SaaS-based workforce and provider solutions in the healthcare industry. He is a co-founder and currently serves as Chairman of the Board of Nashville's Entrepreneur Center, and previously served as Chairman of the Nashville Health Care Council. Mr. Frist was named "Entrepreneur of the Year" for the southeastern region by Ernst & Young and has been recognized as one of the "Most Admired CEOs" among public companies multiple times. He graduated with a Bachelor of Science degree in business from Trinity University.

Scott A. Roberts, Chief Financial Officer and Senior Vice President, Accounting and Finance

Scott A. Roberts joined HealthStream in 2002 and held various roles within the Finance and Accounting Department before being promoted to Vice President, Accounting and Finance in 2015. He was appointed Interim Chief Financial Officer in February 2019 and subsequently named Chief Financial Officer and Senior Vice President, Accounting and Finance in September 2019. In his current role, Mr. Roberts leads all of HealthStream's financial functions, including accounting, audit, financial reporting, treasury management, and corporate finance. He is a Certified Public Accountant who previously worked at Ernst & Young and earned a Bachelor of Business Administration degree in Accounting from Middle Tennessee State University.

Michael Collier, Executive Vice President, Corporate Strategy, Development, and Operations

Michael M. Collier joined HealthStream in 2011 as Vice President & General Counsel and now serves as Executive Vice President, Corporate Strategy, Development, and Operations. He is responsible for establishing and overseeing HealthStream's enterprise growth strategy and operations, with direct oversight over departments such as Legal, Human Resources, Business Enablement, Enterprise Partnerships, Success Management, Implementations, and Customer Onboarding. As head of the Company's M&A program, he has led over two dozen successful acquisitions for HealthStream. Prior to joining HealthStream, he was a corporate & securities attorney at Bass, Berry & Sims. Mr. Collier holds a J.D. from the University of California, Berkeley School of Law and M.A. and B.A. degrees from the University of Tennessee-Knoxville.

Trisha L. Coady, Executive Vice President, Workforce Development Solutions

Trisha L. Coady joined HealthStream in 2013 and was named Executive Vice President, Workforce Development Solutions in February 2025, after serving as Senior Vice President. She is responsible for a suite of solutions including competency development, clinical education, resuscitation, quality and safety, and revenue cycle, often working with HealthStream's key partners. Ms. Coady holds a Bachelor of Science degree in Nursing from the University of Moncton.

Jeffrey Cunningham, Chief Technology Officer and Senior Vice President

Jeffrey Cunningham joined HealthStream as Senior Vice President and Chief Technology Officer (CTO) in July 2017. He is responsible for leading all aspects of platform and product development for HealthStream. Mr. Cunningham brings over 20 years of experience in healthcare technology, having led the design, development, and delivery of large-scale solutions with a focus on advanced service-based architectures, big-data analytics, and ecosystem-wide interoperability. Before his tenure at HealthStream, he served as Chief Technology Officer of Informatics Corporation of America (ICA) and was a partner and senior strategist for Computer Science Corporation's (CSC's) National Customer Solutions Consulting Practice.

AI Analysis | Feedback

Key Risks to HealthStream's Business

  1. Macroeconomic and Healthcare Industry Headwinds: HealthStream faces significant risks from macroeconomic uncertainties and funding cuts within the healthcare sector. These broader economic conditions can directly influence customer purchasing patterns for elective content, impact renewal rates, and have even led to temporary headwinds such as customer bankruptcies. The dynamic nature of the healthcare industry, including regulatory changes and cost pressures on hospitals, presents an ongoing challenge to HealthStream's operations and financial performance.
  2. Challenges with Technology Platform Evolution and Scaling: The company is undergoing a strategic transition from a Software-as-a-Service (SaaS) model to a Platform-as-a-Service (PaaS) architecture with its hStream platform, with 2025 designated as the "Year of the Platform". While this aims to enhance interoperability and expand offerings, it carries inherent execution and operational risks. HealthStream has already experienced "issues of technology scaling with CredentialStream," which have affected its financial outlook, highlighting potential complexities in developing and integrating new technologies across its diverse ecosystem of applications.
  3. Competitive Landscape: HealthStream operates within a competitive healthcare technology market. Although recent reports highlight the company's strong reputation and product leadership, ongoing competition necessitates continuous refinement of its pricing strategies and product offerings to maintain market share and attract new customers. The need to invest in innovative technology and strategic acquisitions underscores the competitive pressures in the industry.

AI Analysis | Feedback

Major Electronic Health Record (EHR) system vendors (e.g., Oracle Health (formerly Cerner), Epic Systems) are increasingly expanding their native capabilities and acquiring companies to offer more comprehensive and integrated human capital management (HCM), learning, and credentialing solutions directly to their healthcare provider clients. This threatens HealthStream by pushing healthcare organizations to consolidate their IT vendors and utilize an integrated, 'good enough' solution from their primary EHR provider, rather than specialized best-of-breed systems.

AI Analysis | Feedback

HealthStream (HSTM) provides a suite of software-as-a-service (SaaS) solutions primarily focused on workforce development, credentialing, and patient experience for the healthcare industry in the United States. The addressable markets for their main products and services are as follows:

Workforce Development and Learning Management Solutions

  • Healthcare Learning Management System (LMS) Market: The global healthcare learning management system market size was valued at USD 2.53 billion in 2024 and is projected to reach USD 19.43 billion by 2033, growing at a compound annual growth rate (CAGR) of 25.42% from 2025 to 2033. North America was the largest regional market for healthcare learning management systems in 2024.
  • Healthcare Workforce Management System Market: The global healthcare workforce management system market size was estimated at USD 1.9 billion in 2023 and is projected to reach USD 4.5 billion by 2030, with a CAGR of 13.2% from 2024 to 2030. In the U.S., the healthcare workforce management system market generated USD 662.8 million in revenue in 2023 and is expected to reach USD 1,513.5 million by 2030, at a CAGR of 12.5% from 2024 to 2030. HealthStream has also expanded its addressable market to include approximately 1,000,000 nursing students and over 1,000 nursing schools across the U.S.

Provider Credentialing, Privileging, and Enrollment Solutions

  • Credentialing Software Market: The global credentialing software market was valued at USD 2,751.5 million in 2024 and is expected to expand at a CAGR of 15.20% from 2024 to 2031. North America held the largest share of the global credentialing software market, accounting for over 40% of the revenue with a market size of USD 1,100.60 million in 2024, projected to grow at a CAGR of 13.4% from 2024 to 2031. The U.S. alone had a market size of USD 868.37 million in 2024, with a projected CAGR of 13.2% during the forecast period. The U.S. credentialing software and services in healthcare market size was estimated at USD 267.72 million in 2024 and is expected to grow at a CAGR of 6.95% from 2025 to 2033. Another report estimates the U.S. market at USD 268.35 billion in 2024, projected to reach approximately USD 526.41 billion by 2034, with a CAGR of 6.97% from 2025 to 2034.

Patient Experience Solutions

  • Patient Experience Technology Market: The global patient experience technology market was estimated at USD 6.31 billion in 2024 and is projected to grow to USD 18.78 billion by 2035, at a CAGR of 10.42% from 2025 to 2035. North America leads the patient experience technology market, holding approximately 60% of the global share. The North America patient engagement solutions market size was valued at USD 11.1 billion in 2023 and is predicted to grow at a CAGR of 14.5%. The U.S. patient engagement solutions market size was USD 7.59 billion in 2024 and is expected to grow at a CAGR of 19.77% from 2025 to 2030. Another source indicates the U.S. market accounted for USD 7.40 billion in 2025 and is predicted to increase to approximately USD 25.21 billion by 2034, expanding at a CAGR of 14.68% from 2025 to 2034.

AI Analysis | Feedback

Here are 3-5 expected drivers of future revenue growth for HealthStream (HSTM) over the next 2-3 years:
  1. Continued Growth of Core SaaS Solutions: HealthStream anticipates revenue growth from its key Software-as-a-Service (SaaS) offerings, including CredentialStream, ShiftWizard, and Competency Suite. These solutions have consistently demonstrated strong growth, with CredentialStream growing by 23-26%, ShiftWizard by 21-29%, and Competency Suite by 18% in recent quarters. The company's focus on expanding these core offerings is a significant driver.
  2. Strategic Acquisitions and Market Expansion: Acquisitions are a driver of growth, as evidenced by the recent purchase of Virsys12, which is expected to contribute approximately $900,000 to fourth-quarter revenue in 2025 and enhance HealthStream's provider data management capabilities and market reach within the payer and health plan space. Earlier acquisitions in 2024, such as Total Clinical Placement System and The Clinical Hub, also expanded their clinical rotation management businesses.
  3. Expansion and Adoption of the hStream Platform and New Applications: HealthStream is concentrating on expanding its hStream platform and other SaaS applications. The hStream technology platform integrates learning management, credentialing, and scheduling tools, and has secured large bundled deals with new health system clients. Additionally, the HealthStream Learning Experience (HLX), a new AI-driven personalized learning subscription product, is expected to contribute to future revenue as its adoption ramps up.
  4. Transition to Higher-Margin Proprietary Content: The company is transitioning from a model reliant on third-party content to one with more proprietary content. This shift is expected to improve margins and contribute to overall revenue growth through the introduction of higher-margin products.
  5. Diminishing Impact of Legacy Product Declines: While declines in legacy products have previously offset some growth, their impact is becoming less material to HealthStream's financial outlook. As these older product lines recede, the strong growth from newer subscription products is expected to be more evident, thereby contributing positively to overall revenue.

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Share Repurchases

  • HealthStream authorized a new share repurchase program on May 8, 2025, allowing for the repurchase of up to $25 million of outstanding common stock.
  • The $25 million share repurchase program was completed during the three months ended September 30, 2025.
  • A total of $25.0 million (905,786 shares) was repurchased in 2025 under this program.

Share Issuance

  • Executives received common shares upon Restricted Share Unit (RSU) vesting; for example, on October 30, 2025, an executive acquired 2,566 common shares, with 625 shares withheld for taxes.

Outbound Investments

  • On October 8, 2025, HealthStream acquired Virsys12 for $13.0 million in cash, plus up to $4.0 million in contingent payments, to expand its credentialing and provider data management solutions.
  • On November 5, 2024, HealthStream acquired Total Clinical Placement System (TCPS) for up to $1.65 million in cash and The Clinical Hub, Inc. for up to $600,000 in cash, enhancing its clinical rotations offerings.

Capital Expenditures

  • Capital expenditures incurred during the third quarter of 2025 were $7.8 million.
  • Year-to-date capital expenditures for the nine months ended September 30, 2025, totaled $25.0 million.
  • Expected capital expenditures for the full year 2025 are projected to range between $31 million and $34 million, primarily focused on organic investments in the company's platform and SaaS applications.

Better Bets than HealthStream (HSTM)

Trade Ideas

Select ideas related to HSTM. For more, see Trefis Trade Ideas.

Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
CRL_11142025_Dip_Buyer_FCFYield11142025CRLCharles River Laboratories InternationalDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
20.9%20.9%-3.7%
GDRX_11142025_Dip_Buyer_High_CFO_Margins_ExInd_DE11142025GDRXGoodRxDip BuyDB | CFO/Rev | Low D/EDip Buy with High Cash Flow Margins
Buying dips for companies with significant cash flows from operations and reasonable debt / market cap
-7.4%-7.4%-11.8%
ASTH_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025ASTHAstrana HealthDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
13.5%13.5%-5.5%
SGRY_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025SGRYSurgery PartnersDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
1.6%1.6%-1.4%
TFX_11072025_Dip_Buyer_FCFYield11072025TFXTeleflexDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
11.8%11.8%-5.1%

Recent Active Movers

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Peer Comparisons for HealthStream

Peers to compare with:

Financials

HSTMWDAYORCLNOWADPPAYXMedian
NameHealthSt.Workday Oracle ServiceN.Automati.Paychex  
Mkt Price24.01215.44195.34154.36257.00114.10174.85
Mkt Cap0.757.3559.5160.2104.141.080.7
Rev LTM2999,23161,01712,66720,9036,03410,949
Op Inc LTM2386819,4901,7555,4722,2371,996
FCF LTM292,585-13,1813,9054,2101,9962,290
FCF 3Y Avg312,0902,1553,2093,8461,8002,123
CFO LTM612,77322,2964,8414,7582,2233,765
CFO 3Y Avg602,32219,8744,0114,4101,9833,166

Growth & Margins

HSTMWDAYORCLNOWADPPAYXMedian
NameHealthSt.Workday Oracle ServiceN.Automati.Paychex  
Rev Chg LTM3.7%13.2%11.1%21.1%7.1%12.4%11.7%
Rev Chg 3Y Avg4.4%15.8%9.8%22.3%7.4%7.9%8.8%
Rev Chg Q4.6%12.6%14.2%21.8%7.1%18.3%13.4%
QoQ Delta Rev Chg LTM1.1%3.0%3.4%5.1%1.7%4.2%3.2%
Op Mgn LTM7.5%9.4%31.9%13.9%26.2%37.1%20.0%
Op Mgn 3Y Avg6.7%5.1%30.8%11.2%25.8%39.7%18.5%
QoQ Delta Op Mgn LTM0.3%0.8%0.3%0.6%-0.1%-1.0%0.3%
CFO/Rev LTM20.5%30.0%36.5%38.2%22.8%36.8%33.3%
CFO/Rev 3Y Avg20.8%28.4%35.5%37.9%22.5%35.9%32.0%
FCF/Rev LTM9.7%28.0%-21.6%30.8%20.1%33.1%24.1%
FCF/Rev 3Y Avg10.7%25.5%5.1%30.3%19.6%32.6%22.5%

Valuation

HSTMWDAYORCLNOWADPPAYXMedian
NameHealthSt.Workday Oracle ServiceN.Automati.Paychex  
Mkt Cap0.757.3559.5160.2104.141.080.7
P/S2.46.29.212.75.06.86.5
P/EBIT31.758.426.472.617.817.729.0
P/E34.489.236.392.625.225.735.4
P/CFO11.620.725.133.121.918.421.3
Total Yield3.4%1.1%3.7%1.1%6.3%7.6%3.6%
Dividend Yield0.5%0.0%1.0%0.0%2.4%3.7%0.7%
FCF Yield 3Y Avg3.9%3.4%1.3%0.4%3.5%4.0%3.4%
D/E0.00.10.20.00.10.10.1
Net D/E-0.1-0.10.2-0.00.00.1-0.0

Returns

HSTMWDAYORCLNOWADPPAYXMedian
NameHealthSt.Workday Oracle ServiceN.Automati.Paychex  
1M Rtn-5.7%-4.3%-1.7%-5.1%2.2%2.4%-3.0%
3M Rtn-17.1%-10.4%-37.6%-16.8%-10.6%-10.9%-13.9%
6M Rtn-11.1%-9.9%-8.9%-22.5%-16.5%-23.8%-13.8%
12M Rtn-23.3%-18.8%16.6%-29.1%-10.7%-15.5%-17.2%
3Y Rtn-1.2%30.9%150.7%102.1%14.0%7.7%22.4%
1M Excs Rtn-10.3%-9.0%-6.4%-9.8%-2.5%-2.3%-7.7%
3M Excs Rtn-21.2%-14.9%-40.7%-21.4%-15.4%-14.3%-18.3%
6M Excs Rtn-23.6%-21.1%-20.4%-36.6%-26.2%-29.3%-24.9%
12M Excs Rtn-40.4%-37.0%-0.9%-46.0%-27.6%-32.4%-34.7%
3Y Excs Rtn-80.5%-56.4%75.4%16.3%-68.2%-71.6%-62.3%

Financials

Segment Financials

Revenue by Segment
$ Mil20242023202220212020
Subscription services268254   
Professional services1113   
Provider Solutions    46
Workforce Solutions    209
Total279267  254


Price Behavior

Price Behavior
Market Price$24.01 
Market Cap ($ Bil)0.7 
First Trading Date04/11/2000 
Distance from 52W High-29.3% 
   50 Days200 Days
DMA Price$25.01$27.74
DMA Trenddowndown
Distance from DMA-4.0%-13.4%
 3M1YR
Volatility25.2%29.8%
Downside Capture64.6292.68
Upside Capture-35.6752.52
Correlation (SPY)18.6%33.6%
HSTM Betas & Captures as of 11/30/2025

 1M2M3M6M1Y3Y
Beta0.280.400.470.750.520.57
Up Beta-0.010.440.611.180.380.50
Down Beta-0.350.550.510.470.400.44
Up Capture62%-15%2%36%42%28%
Bmk +ve Days13263974142427
Stock +ve Days9172757122378
Down Capture33%70%74%105%96%91%
Bmk -ve Days7162452107323
Stock -ve Days11253466123362

[1] Upside and downside betas calculated using positive and negative benchmark daily returns respectively
Based On 1-Year Data
 Comparison of HSTM With Other Asset Classes (Last 1Y)
 HSTMSector ETFEquityGoldCommoditiesReal EstateBitcoin
Annualized Return-22.6%14.9%18.8%72.9%9.0%3.7%-11.4%
Annualized Volatility29.6%17.3%19.5%19.2%15.3%17.2%35.0%
Sharpe Ratio-0.850.640.762.720.360.05-0.14
Correlation With Other Assets 34.7%33.8%-7.5%-1.2%36.8%1.4%

ETFs used for asset classes: Sector ETF = XLV, Equity = SPY, Gold = GLD, Commodities = DBC, Real Estate = VNQ, and Bitcoin = BTCUSD
Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 5-Year Data
 Comparison of HSTM With Other Asset Classes (Last 5Y)
 HSTMSector ETFEquityGoldCommoditiesReal EstateBitcoin
Annualized Return3.6%8.4%14.8%18.9%11.8%4.7%35.5%
Annualized Volatility28.0%14.5%17.1%15.5%18.7%18.9%48.9%
Sharpe Ratio0.150.400.700.980.510.160.62
Correlation With Other Assets 34.2%33.7%0.3%3.6%32.4%14.2%

ETFs used for asset classes: Sector ETF = XLV, Equity = SPY, Gold = GLD, Commodities = DBC, Real Estate = VNQ, and Bitcoin = BTCUSD
Smart multi-asset allocation framework can stack odds in your favor. Learn How
Based On 10-Year Data
 Comparison of HSTM With Other Asset Classes (Last 10Y)
 HSTMSector ETFEquityGoldCommoditiesReal EstateBitcoin
Annualized Return1.2%9.9%14.8%15.1%6.8%5.4%69.1%
Annualized Volatility32.2%16.6%18.0%14.8%17.6%20.8%55.8%
Sharpe Ratio0.110.490.710.850.310.230.90
Correlation With Other Assets 37.8%39.1%0.0%12.2%33.0%13.3%

ETFs used for asset classes: Sector ETF = XLV, Equity = SPY, Gold = GLD, Commodities = DBC, Real Estate = VNQ, and Bitcoin = BTCUSD
Smart multi-asset allocation framework can stack odds in your favor. Learn How

Short Interest

Short Interest: As Of Date11282025
Short Interest: Shares Quantity1,046,327
Short Interest: % Change Since 111520259.1%
Average Daily Volume209,093
Days-to-Cover Short Interest5
Basic Shares Quantity29,688,000
Short % of Basic Shares3.5%

Earnings Returns History

Expand for More
 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
11/3/20252.8%-3.1%-2.3%
8/4/2025-1.2%-0.3%7.8%
5/5/2025-19.3%-17.4%-14.6%
2/24/20250.1%3.4%-1.0%
10/21/20245.7%1.8%13.4%
7/22/2024-4.0%-4.2%-7.7%
2/20/2024-1.6%-0.4%-3.5%
10/23/202314.9%14.1%16.3%
...
SUMMARY STATS   
# Positive1186
# Negative81113
Median Positive2.8%3.4%10.9%
Median Negative-5.8%-3.1%-7.6%
Max Positive14.9%14.1%16.3%
Max Negative-19.3%-17.4%-20.7%

SEC Filings

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Report DateFiling DateFiling
93020251106202510-Q 9/30/2025
6302025807202510-Q 6/30/2025
3312025509202510-Q 3/31/2025
12312024228202510-K 12/31/2024
93020241024202410-Q 9/30/2024
6302024725202410-Q 6/30/2024
3312024425202410-Q 3/31/2024
12312023226202410-K 12/31/2023
93020231026202310-Q 9/30/2023
6302023727202310-Q 6/30/2023
3312023427202310-Q 3/31/2023
12312022228202310-K 12/31/2022
93020221027202210-Q 9/30/2022
6302022728202210-Q 6/30/2022
3312022428202210-Q 3/31/2022
12312021228202210-K 12/31/2021

Insider Activity

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 OwnerTitleFiling DateActionPriceSharesTransacted
Value
Value of
Held Shares
Form
0O'Hara Kevin PExecutive Vice President8272025Sell27.972,00055,936479,286Form
1Fenstermacher ScottSenior Vice President2282025Sell33.152,00066,300408,640Form