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olivLaw · US equity research

HealthStream, Inc. HSTM

Services-Computer Programming, Data Processing, Etc. · SIC 7370 · Vertical: Services-Computer Programming, Data Processing, Etc. (SIC 7370)

32.48USD+2.56% · 1 dayClose 04 Nov 2026

HealthStream provides SaaS applications for the healthcare workforce, from continuing education and credentialing to scheduling, all linked through its hStream platform. The company reported a record second quarter in 2026, with revenue of 83.7 million USD, and raised its full-year 2026 guidance, which makes its trajectory relevant in a sector facing staff shortages. Figures come from the quarterly report and the results release, and sector trends are described in the sources cited.

The AI analysis may be outdated: new filings came after its sources (see the «AI analysis» section).

At the close of 04 Nov 2026, HealthStream, Inc. (HSTM) stock was 32.48 USD (+2.56% on the day), with market capitalisation 949.7 m USD, P/E 45.4 on diluted EPS of 0.72 USD over the last 12 months, dividend yield 0.41%, beta 0.46, 52-week range 19.88–35.16 USD. Latest reported quarter (Q2 2026): revenue of 83.7 m USD (+12.5% YoY), net income of 6.7 m USD (+23.8% YoY), diluted EPS 0.23 USD.

Data as of · AI analysis dated · Source: SEC filings and closing prices, computed by olivLaw.

Market cap
949.7 m USD
shares as of 03 Aug 2026
P/E (TTM)
45.4
Diluted EPS TTM 0.72 · TTM to 30 Jun 2026
E/P (TTM)
2.20%
TTM to 30 Jun 2026
Dividend yield
0.41%
DPS 12m 0.13
Beta (2y)
0.46
Volatility (1y) 33%
52-week range
19.8835.16

Price history

Loading chart…

Technical reading

RSI (14)
48.4
neutral
Bollinger (20, 2)
32.01 – 35.26
in the lower half of the band · %B 0.15 · band width 9.7%
SMA 50 / 200
31.17 / 25.71
uptrend (price > SMA50 > SMA200)
MACD (12, 26, 9)
0.58 / 0.92
MACD below signal

Indicators describe past prices; on their own they do not predict direction. On our history the RSI ≤ 40 filter added no return (see the signals methodology).

Performance

CompanyS&P 500vs S&P 500Vertical median
1 month+3.0%−2.0%+5.0 pp—
3 months+16.0%−2.2%+18.1 pp—
6 months+40.3%+4.3%+36.0 pp—
Year to date+40.8%+10.6%+30.2 pp—
1 year+24.8%+10.5%+14.3 pp−12.9%
3 years+26.9%+73.7%−46.8 pp−13.4%
5 years+18.6%+61.7%−43.1 pp—
Max drawdown (1y)
−22.7%
05 Nov 2025 → 12 Feb 2026
Max drawdown (5y)
−41.6%
02 May 2025 → 12 Feb 2026
Compound annual growth (5y)
+3.5%
S&P 500 +10.1%

Price returns, dividends excluded.

Quarterly results

Latest quarter: Q2 2026 · 30 Jun 2026

Revenue
83.7 m USD
+12.5% YoY
Net income
6.7 m USD
+23.8% YoY
Diluted EPS
0.23
+27.8% YoY
net / operating
8.0% / 9.9%

Quarterly margins

Quarterly statements · USD

Fiscal yearQ3 '24Q4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26Q2 '26
Revenue73.1 m74.2 m73.5 m74.4 m76.5 m79.7 m81.2 m83.7 m
Cost of revenue24.5 m25.1 m25.5 m26.4 m26.5 m28.9 m27.8 m29.0 m
Research & development12.1 m12.7 m12.0 m12.1 m12.1 m14.8 m13.6 m13.6 m
Operating income6.5 m4.7 m4.4 m5.9 m7.6 m2.4 m7.5 m8.3 m
Depreciation & amortisation10.1 m10.5 m10.8 m10.9 m10.8 m11.0 m11.4 m11.3 m
Pre-tax income7.5 m5.5 m5.2 m6.9 m8.3 m2.9 m7.8 m8.7 m
Income tax1.8 m594.0 k916.0 k1.5 m2.2 m317.0 k1.9 m2.0 m
Net income5.7 m4.9 m4.3 m5.4 m6.1 m2.5 m5.9 m6.7 m
Diluted EPS0.190.16 ≈0.140.180.200.09 ≈0.200.23
Operating cash flow19.1 m ≈11.2 m27.1 m5.0 m ≈18.0 m ≈13.2 m27.1 m13.4 m ≈
Capex284.0 k ≈203.0 k1.1 m2.3 m ≈109.0 k ≈204.0 k740.0 k910.0 k ≈
Dividends paid851.0 k ≈849.0 k943.0 k947.0 k ≈919.0 k ≈891.0 k1.0 m1.0 m ≈
Share repurchases0 ≈0018.1 m ≈6.9 m ≈5.0 m6.7 m2.6 m ≈

≈ derived quarter (cumulative difference / share-days average)

E/P over time

E/P = trailing-12-month diluted EPS / price at quarter end. E/P is the inverse of P/E and stays defined when earnings are negative.

Today's P/E sits at the 31 percentile of its own 39-quarter history (min 24.2, median 54.0, max 219.6; quarters with earnings only).

Fiscal years

Fiscal year20182019202020212022202320242025
Revenue231.6 m254.1 m244.8 m256.7 m266.8 m279.1 m291.6 m304.1 m
Revenue YoY+7.8%+9.7%−3.7%+4.9%+3.9%+4.6%+4.5%+4.3%
Net income32.2 m15.8 m14.1 m5.8 m12.1 m15.2 m20.0 m18.3 m
Net income YoY+222.0%−51.1%−10.6%−58.5%+106.9%+25.8%+31.5%−8.3%
Diluted EPS1.000.490.440.180.390.500.660.61
Diluted EPS YoY+222.6%−51.0%−10.2%−59.1%+116.7%+28.2%+32.0%−7.6%
net %13.9%6.2%5.8%2.3%4.5%5.5%6.9%6.0%
Free cash flow36.1 m43.7 m33.9 m39.0 m49.4 m61.8 m56.3 m59.6 m

Reported results vs expectations

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Balance sheet & financial health

Fiscal year 2025 · 31 Dec 2025

Cash
36.2 m USD
Financial debt
unavailable USD
Net debt
unavailable USD
Equity
354.0 m USD
Total assets
520.4 m USD
Debt / equity
unavailable
Current ratio
0.96x
ROE
5.1%
ROA
3.6%
FCF margin
19.6%

Financial statements (source on every figure)

Revenue and net income (USD)

Margins

Income statement · USD

Revenue
2023
279.1 m
2024
291.6 m
2025
304.1 m

SEC (XBRL)· 27 Feb 2026verified

Cost of revenue
2023
95.0 m
2024
97.9 m
2025
107.2 m

SEC (XBRL)· 27 Feb 2026verified

Gross profit
2023
184.0 m ≈
2024
193.7 m ≈
2025
196.9 m ≈

SEC (XBRL)· 27 Feb 2026derived

Research & development
2023
45.5 m
2024
48.9 m
2025
51.0 m

SEC (XBRL)· 27 Feb 2026verified

Operating income
2023
16.0 m
2024
21.3 m
2025
20.2 m

SEC (XBRL)· 27 Feb 2026verified

Depreciation & amortisation
2023
41.1 m
2024
41.2 m
2025
43.5 m

SEC (XBRL)· 27 Feb 2026verified

EBITDA
2023
57.1 m ≈
2024
62.5 m ≈
2025
63.7 m ≈

SEC (XBRL)· 27 Feb 2026derived

Pre-tax income
2023
18.5 m
2024
24.8 m
2025
23.2 m

SEC (XBRL)· 27 Feb 2026verified

Income tax
2023
3.3 m
2024
4.8 m
2025
4.9 m

SEC (XBRL)· 27 Feb 2026verified

Net income
2023
15.2 m
2024
20.0 m
2025
18.3 m

SEC (XBRL)· 27 Feb 2026verified

Diluted EPS
2023
0.50
2024
0.66
2025
0.61

SEC (XBRL)· 27 Feb 2026verified

Weighted average diluted shares
2023
30.7 m
2024
30.5 m
2025
30.1 m

SEC (XBRL)· 27 Feb 2026verified

Dividend per share
2023
0.10
2024
0.11
2025
0.12

SEC (XBRL)· 27 Feb 2026verified

Balance sheet · USD

Cash
2023
40.3 m
2024
59.5 m
2025
36.2 m

SEC (XBRL)· 27 Feb 2026verified

Receivables
2023
34.3 m
2024
30.2 m
2025
32.2 m

SEC (XBRL)· 27 Feb 2026verified

Current assets
2023
130.2 m
2024
153.1 m
2025
119.7 m

SEC (XBRL)· 27 Feb 2026verified

Property, plant & equipment, net
2023
13.0 m
2024
10.7 m
2025
10.7 m

SEC (XBRL)· 27 Feb 2026verified

Goodwill
2023
191.4 m
2024
191.2 m
2025
217.5 m

SEC (XBRL)· 27 Feb 2026verified

Intangibles (excl. goodwill)
2023
68.0 m
2024
55.5 m
2025
64.9 m

SEC (XBRL)· 27 Feb 2026verified

Total assets
2023
499.9 m
2024
510.8 m
2025
520.4 m

SEC (XBRL)· 27 Feb 2026verified

Accounts payable
2023
7.5 m
2024
6.6 m
2025
7.8 m

SEC (XBRL)· 27 Feb 2026verified

Current liabilities
2023
118.4 m
2024
115.7 m
2025
124.1 m

SEC (XBRL)· 27 Feb 2026verified

Equity
2023
340.8 m †
2024
359.4 m †
2025
354.0 m †

SEC (XBRL)· 27 Feb 2026verified

Cash flow · USD

Operating cash flow
2023
64.0 m
2024
57.7 m
2025
63.3 m

SEC (XBRL)· 27 Feb 2026verified

Capex
2023
2.2 m
2024
1.4 m
2025
3.7 m

SEC (XBRL)· 27 Feb 2026verified

Free cash flow
2023
61.8 m ≈
2024
56.3 m ≈
2025
59.6 m ≈

SEC (XBRL)· 27 Feb 2026derived

Investing cash flow
2023
-56.6 m
2024
-34.0 m
2025
-50.4 m

SEC (XBRL)· 27 Feb 2026verified

Financing cash flow
2023
-13.0 m
2024
-4.5 m
2025
-36.3 m

SEC (XBRL)· 27 Feb 2026verified

Dividends paid
2023
3.1 m
2024
3.4 m
2025
3.7 m

SEC (XBRL)· 27 Feb 2026verified

Share repurchases
2023
8.9 m
2024
0
2025
30.0 m

SEC (XBRL)· 27 Feb 2026verified

Computed indicators

Growth

Revenue growth (YoY)
4.3%
computed by olivLawFY 2025
Revenue CAGR 3Y
4.5%
computed by olivLawFY 2022 → FY 2025
Revenue CAGR 5Y
4.4%
computed by olivLawFY 2020 → FY 2025
EBIT growth (YoY)
-4.9%
computed by olivLawFY 2025
Net income growth (YoY)
-8.3%
computed by olivLawFY 2025
Net income CAGR 3Y
14.9%
computed by olivLawFY 2022 → FY 2025
Net income CAGR 5Y
5.4%
computed by olivLawFY 2020 → FY 2025
EPS growth (YoY)
-7.6%
computed by olivLawFY 2025
EPS CAGR 3Y
16.1%
computed by olivLawFY 2022 → FY 2025
EPS CAGR 5Y
6.8%
computed by olivLawFY 2020 → FY 2025
FCF growth (YoY)
6.0%
computed by olivLawFY 2025

Profitability

Gross margin
65.1%
computed by olivLawTTM to 30 Jun 2026
EBITDA margin
21.9%
computed by olivLawTTM to 30 Jun 2026
EBIT margin
8.0%
computed by olivLawTTM to 30 Jun 2026
Net margin
6.6%
computed by olivLawTTM to 30 Jun 2026
FCF margin
21.7%
computed by olivLawTTM to 30 Jun 2026

Returns

ROE
6.0%
computed by olivLawTTM to 30 Jun 2026 · balance sheet at 30 Jun 2026
ROA
4.1%
computed by olivLawTTM to 30 Jun 2026 · balance sheet at 30 Jun 2026
ROIC
unavailable
input data missing
ROCE
6.5%
computed by olivLawTTM to 30 Jun 2026 · balance sheet at 30 Jun 2026
Payout ratio (EPS)
18.5%
computed by olivLawTTM to 30 Jun 2026
Payout ratio (FCF)
5.5%
computed by olivLawTTM to 30 Jun 2026

Balance sheet

Net debt
unavailable
input data missing
Net debt / EBITDA
unavailable
input data missing
Debt / equity
unavailable
input data missing
Interest coverage
unavailable
input data missing

Liquidity

Current ratio
1.1x
computed by olivLawbalance sheet at 30 Jun 2026
Cash ratio
0.4x
computed by olivLawbalance sheet at 30 Jun 2026

Cash

Operating cash flow
71.8 m USD
computed by olivLawTTM to 30 Jun 2026
Capital expenditure
2.0 m USD
computed by olivLawTTM to 30 Jun 2026
Free cash flow
69.8 m USD
computed by olivLawTTM to 30 Jun 2026
FCF conversion
329.4%
computed by olivLawTTM to 30 Jun 2026
Cash conversion
102.1%
computed by olivLawTTM to 30 Jun 2026

Efficiency

Days sales outstanding
33 days
computed by olivLawTTM to 30 Jun 2026 · balance sheet at 30 Jun 2026
Days payables outstanding
18 days
computed by olivLawTTM to 30 Jun 2026 · balance sheet at 30 Jun 2026

Market and valuation

Market capitalisation
949.7 m USD
computed by olivLawbalance sheet at 30 Jun 2026
Enterprise value
unavailable
input data missing
Market cap / net income TTM
44.8x
computed by olivLawTTM to 30 Jun 2026
P/E (TTM)
45.4x
computed by olivLawTTM to 30 Jun 2026
Earnings yield
2.2%
computed by olivLawTTM to 30 Jun 2026
P/B
2.7x
computed by olivLawbalance sheet at 30 Jun 2026
P/S
3.0x
computed by olivLawTTM to 30 Jun 2026 · balance sheet at 30 Jun 2026
EV/EBITDA
unavailable
input data missing
EV/EBIT
unavailable
input data missing
EV/Sales
unavailable
input data missing
P/FCF
13.6x
computed by olivLawTTM to 30 Jun 2026 · balance sheet at 30 Jun 2026
FCF yield
7.4%
computed by olivLawTTM to 30 Jun 2026 · balance sheet at 30 Jun 2026
Dividend yield
0.4%
computed by olivLawTTM to 30 Jun 2026
Shareholder yield (distributions)
2.6%
computed by olivLawTTM to 30 Jun 2026 · balance sheet at 30 Jun 2026

4 indicators that do not apply to the sector.

Valuation

olivLaw classification

Insufficient data
What is missing
  • valuation methods computed: 0 of at least 1

A scoring methodology on indicators and valuation, not investment advice.

Closing price

32.48 USD

04 Nov 2026Source: olivLaw, closing series

Market cap: 949.7 m USD

Key indicators

Market capitalisation
949.7 m USD
computed by olivLawbalance sheet at 30 Jun 2026
P/E (TTM)
45.4x
computed by olivLawTTM to 30 Jun 2026
P/B
2.7x
computed by olivLawbalance sheet at 30 Jun 2026
EV/EBITDA
unavailable
input data missing
ROE
6.0%
computed by olivLawTTM to 30 Jun 2026 · balance sheet at 30 Jun 2026
Net margin
6.6%
computed by olivLawTTM to 30 Jun 2026
Revenue growth (YoY)
4.3%
computed by olivLawFY 2025
Dividend yield
0.4%
computed by olivLawTTM to 30 Jun 2026

Coverage and freshness

30/37 reporting lines present
Latest full fiscal year: 2025
Latest reported period: 30 Jun 2026
Latest balance sheet date: 30 Jun 2026
Share count (cover of the latest filing), as of: 03 Aug 2026
Source: SEC (XBRL)published 06 Aug 2026
verified 2165derived 193

Score by group

77% · Insufficient data

Estimated value range

unavailable — no valuation method could be computed

Valuation assumptions are editorial choices, not measured; beta is not measured.

Valuation methods

  • DCF (discounted cash flow)unavailable · input data missing
  • Peers: EV/Salesunavailable · net debt missing: EV cannot be bridged to equity (missing debt is not zero)
  • Peers: EV/EBITDAunavailable · net debt missing: EV cannot be bridged to equity (missing debt is not zero)

no valuation method could be computed

Multiple comparisons use the SIC vertical: Services-Computer Programming, Data Processing, Etc. (SIC 7370)

Classification (SIC) comparables group by industry code, not by economic activity; the direct group is an editorial selection by activity. Members' multiples are on their own trailing twelve months, at their own latest close.

Assumptions (illustrative, editorial)

Risk-free rate
4.3%
Equity risk premium
5.0%
Beta (default)
1.00
Cost of equity
9.3%
Terminal growth
2.5%

Factor scorecard

Insufficient data

Minimum-evidence gate: valuation methods computed: 0 of at least 1

FactorValueScoreWeight used
Gross margin · Quality65.1%63 (on a fixed band)14%
EBIT margin · Quality8.0%64 (vs peers)11%
FCF margin · Quality21.7%87 (on a fixed band)11%
Revenue CAGR 3Y · Growth4.5%18 (on a fixed band)22%
Revenue growth (YoY) · Growth4.3%42 (vs peers)11%
Net debt / EBITDA · Balance sheetunavailableunavailable—
Current ratio · Balance sheet1.1x15 (on a fixed band)8%
EV/Sales · Valuationunavailableunavailable—
FCF yield · Valuation7.4%100 (on a fixed band)17%
Shareholder yield (distributions) · Returns2.6%77 (on a fixed band)6%

Factors without a value were dropped; the remaining weights were renormalised.

Score groups

  • Balance sheet· partial15/100 · 1/2 factors with a value
  • Growth26/100 · 2/2 factors with a value
  • Quality71/100 · 3/3 factors with a value
  • Returns77/100 · 1/1 factors with a value
  • Valuation· partial100/100 · 1/2 factors with a value

A «partial» group is computed from under half of its weight or from one factor: it is not a full assessment of the group.

Memo

HEALTHSTREAM INC (HSTM). Latest full fiscal year: 2025; data up to 2026-06-30.

Figures computed from the financial statements: revenue 304.1 m USD in 2025; YoY growth 4.3%; net margin 6.6%; ROE 6.0%.

Valuation cannot be computed from the available data.

Insufficient data for a verdict (valuation methods computed: 0 of at least 1).

Text generated deterministically from the figures shown; no language model. Not investment advice.

What supports the thesis

  • FCF margin: 21.7%
  • FCF yield: 7.4%
  • Shareholder yield (distributions): 2.6%

What contradicts it

  • Revenue CAGR 3Y: 4.5%
  • Current ratio: 1.1x

Not assessed (insufficient data or a ratio without meaning): Net debt / EBITDA, EV/Sales.

Versus the vertical median

Services-Computer Programming, Data Processing, Etc. (SIC 7370) · same industry (4-digit SIC) · compared with 39 companies

Multiples and returns vs the median

P/E
45.4x
vertical median 20.0x
above median (+126.9%)
EV/EBITDA
—
vertical median 15.3x
P/S
3.0x
vertical median 1.4x
above median (+108.2%)
P/B
2.7x
vertical median 1.6x
above median (+64.2%)
ROE
6.0%
vertical median -1.9%
above median
Net margin
6.6%
vertical median 0.1%
above median (+5,701.0%)
EBIT margin
8.0%
vertical median 1.1%
above median (+601.3%)
Revenue YoY
4.3%
vertical median 6.8%
below median (−37.0%)
Net debt/EBITDA
—
vertical median 1.9x
Dividend yield
0.4%
vertical median 0.8%
below median (−51.0%)

Price rebased to 100 (monthly, 5 years)

Companies in the vertical

Market capP/EROENet marginRevenue YoY1A / 3A
GOOGLAlphabet Inc.3,442.7 bn14.644.3%50.0%+15.1%−13% / +111%
APPAppLovin Corporation82.3 bn18.9203.7%64.6%+70.0%−59% / +555%
FLUTFlutter Entertainment plc14.2 bn—-9.1%-5.0%+16.6%−61% / −48%
FDSFactset Research Systems Inc12.1 bn23.525.5%21.5%+6.7%+23% / −25%
SNAPSnap Inc10.2 bn—-15.6%-4.9%+10.6%−23% / −57%
NIQNIQ Global Intelligence plc6.0 bn—-65.3%-8.0%+5.7%+29% / unavailable
SIFYSify Technologies Ltd5.8 bn—-4.1%-2.0%+9.0%+20% / +53%
WIXWix.com Ltd.4.4 bn91.5—2.5%+13.2%−16% / −21%
MGNIMagnite, Inc.3.3 bn21.919.6%22.5%+6.9%+55% / +182%
GRNDGrindr Inc.2.4 bn27.6108.7%18.7%+27.6%+9% / +108%
DVDoubleVerify Holdings, Inc.2.1 bn34.05.8%8.2%+13.9%+29% / −59%
BZKanzhun Limited1.7 bn41.616.0%33.1%+17.3%−21% / +6%
WBWeibo Corporation1.6 bn3.812.1%25.6%+0.1%−35% / −36%
DJTTrump Media & Technology Group Corp.1.2 bn—-78.9%-28,867.7%+1.8%−61% / −74%
HSTMHealthstream Inc949.7 m45.46.0%6.6%+4.3%+25% / +27%
NXDRNextdoor Holdings, Inc934.4 m—-7.2%-11.1%+4.2%unavailable / unavailable
CEVACeva, Inc.788.9 m—-3.6%-9.5%+2.5%+30% / +29%
BMBLBumble Inc.718.8 m—-94.7%-58.0%−9.9%+69% / −57%
SABRSabre Corporation702.2 m1.1—25.1%+1.0%+8% / −51%
YALAYalla Group Limited413.9 m6.819.6%43.3%+0.7%−20% / −6%
ZIPZiprecruiter, Inc.321.9 m12.9—6.2%−5.3%−5% / −66%
MFMindForge Inc.172.5 m—-167.2%-222.9%−49.9%−83% / unavailable
SANGSangoma Technologies Corp150.7 m—-1.9%-2.1%−4.3%−13% / +55%
HCATHealth Catalyst, Inc.119.7 m—-118.1%-90.6%+1.5%−47% / −78%
DOYUDouYu International Holdings Ltd111.1 m—-6.8%-5.3%−6.7%−48% / −48%

1- and 3-year price returns: for HSTM from daily closes (the same as the performance table), for the other companies from month-end closes.

olivLaw engine forecast

The world engine ran after the company's latest material disclosure. Probabilities are of TOUCHING a level within the horizon (not closing there) and sit next to the random walk (p_rw), the no-information benchmark.

The engine has no published run for this company yet.

Valuation scenarios (editable assumptions)

Illustrative scenarios

Illustrative: not forecasts and without probabilities. Each case is one coherent set of assumptions, computed on today's figures.

Bear
Allowed range: -50 … 50%
Allowed range: -100 … 100%
Allowed range: 0 … 100
Allowed range: -10 … 20%
Allowed range: 0 … 100%
Base
Allowed range: -50 … 50%
Allowed range: -100 … 100%
Allowed range: 0 … 100
Allowed range: -10 … 20%
Allowed range: 0 … 100%
Bull
Allowed range: -50 … 50%
Allowed range: -100 … 100%
Allowed range: 0 … 100
Allowed range: -10 … 20%
Allowed range: 0 … 100%
Nothing is saved.

Estimated price (USD)

Estimated priceBearBaseBull
1 years
19.45
Total return -40% · Per year -40%
34.39
Total return 6% · Per year 6%
51.80
Total return 60% · Per year 60%
3 years
18.86
Total return -41% · Per year -16%
37.52
Total return 17% · Per year 5%
62.05
Total return 93% · Per year 24%
5 years
18.29
Total return -42% · Per year -10%
40.93
Total return 28% · Per year 5%
74.34
Total return 132% · Per year 18%
What moves the 3-year price the most
  • Exit P/E± 9.38
  • Net margin± 6.57
  • Annual revenue growth± 5.39
  • Annual dilution± 0.55

AI analysis

AI-generatedAI-generated analysis (Claude) from cited public sources; it may contain errors. Not investment advice. As of 27 Oct 2026 · Model: claude-haiku-5-5.

Possibly outdated: the newest document it read is from 06 Aug 2026; since then the company filed 8-K (02 Nov 2026 · results).

In brief

HealthStream provides SaaS applications for the healthcare workforce, from continuing education and credentialing to scheduling, all linked through its hStream platform. The company reported a record second quarter in 2026, with revenue of 83.7 million USD, and raised its full-year 2026 guidance, which makes its trajectory relevant in a sector facing staff shortages. Figures come from the quarterly report and the results release, and sector trends are described in the sources cited.

SWOT

Strengths

  • The unified hStream platform and the digital identity of professionals create interoperability across applications and an edge over standalone tools 1.
  • Exclusive focus on healthcare and a long track record in the sector support relationships with institutional customers 1.
  • Recurring subscription revenue gives a fairly predictable base, and operating profitability improved in 2026 13.

Weaknesses

  • Dependence on a relatively small number of healthcare provider customers could magnify the impact of losing a contract 1.
  • Legacy credentialing, scheduling and content solutions have declined, and demand for non-mandatory products has been weaker 12.
  • The company is modest in size compared with general software vendors, which limits research and marketing budgets 1.

Opportunities

  • Expanding career networks and direct sales to students and professionals could open new revenue sources 1.
  • Integrating recent acquisitions into the common platform could create synergies and cross-selling 13.
  • Long-term healthcare staff shortages could sustain demand for workforce development and scheduling tools 1.

Threats

  • Budget cuts in government healthcare programs could push customers to postpone non-mandatory purchases 12.
  • Large software vendors and specialized firms could compete aggressively on price and AI features 1.
  • Evolving AI regulation could impose compliance costs and product changes 1.

Risks

  • Dependence on healthcare budgetshigh

    Economic conditions and legislative changes could reduce customer budgets and lengthen sales cycles 12.

  • Customer concentrationmedium

    Revenue comes from a relatively limited set of healthcare provider customers, and losing a major one would have a significant effect 1.

  • Artificial intelligence risksmedium

    AI outputs can be inaccurate or biased, and rules are changing, which could affect customer confidence 1.

  • Data securityhigh

    The large volume of sensitive healthcare workforce data increases exposure to cyberattacks and misuse 1.

  • Strategy executionmedium

    Integrating acquisitions and a single platform could delay launches or reduce returns on investment if execution falls short 1.

Investment thesis

What would need to be true (bull case)

  • If the hStream platform becomes a standard data layer for the healthcare workforce, the company could capture value across several connected products 1.
  • Higher revenue in the second quarter of 2026 and a raised full-year guidance point to a positive trend 3.
  • Persistent staff shortages in healthcare could sustain demand for training and scheduling over the long term 1.

What would break the thesis

  • Budget pressure in public healthcare could slow purchases and lengthen sales cycles, especially for non-mandatory products 12.
  • Declines in legacy solutions and competition from large vendors could limit margin expansion 1.
  • Investment in AI and infrastructure could raise costs faster than revenue if results fall short of expectations 1.

What to watch

  • Delivery against the updated 2026 revenue guidance rangeQ4 2026
  • Development of subscriptions and career networks, including the contribution of the 2025 acquisitionsQ3 2026
  • Effects of legislation on customer budgets in Medicaid and public healthcare2027
  • Returns on AI and hStream platform investment, especially the balance between costs and revenuenext 10-K

Products, market & competition

AI-generatedAI-generated analysis (Claude) from cited public sources; it may contain errors. Not investment advice. As of 27 Oct 2026 · Model: claude-haiku-5-5.

Possibly outdated: the newest document it read is from 06 Aug 2026; since then the company filed 8-K (02 Nov 2026 · results).

The business

HealthStream focuses exclusively on the healthcare workforce, offering subscription-based SaaS applications covering learning, clinical development, credentialing and scheduling 1. The solutions are powered by the hStream platform and the hStream ID identity function, which lets an individual's data travel across applications throughout their career 1. Its primary customers are healthcare organizations, while end users are healthcare professionals and nursing students 1.

Subscription revenue is the main part of the business, with professional services such as implementation and training complementing it 1. The company also sells directly to professionals and students through career networks and e-commerce channels, beyond its traditional business-to-business model 1. Since 2023 it reports a single segment, in line with its One HealthStream single platform strategy 12.

Recent growth was supported by applications such as Competency Suite, CredentialStream and ShiftWizard, as well as the Virsys12 and MissionCare acquisitions completed in 2025 13. Legacy credentialing, scheduling and content program solutions have declined at the same time 1.

Segments

Professional services and implementation

Training, implementation and consulting services for hospital personnel grew year over year but carry a smaller weight in revenue 13. They support adoption of subscriptions and shape long-term customer relationships 1.

Market context

The healthcare education and training market is fragmented, with many types of providers, and organizations increasingly look for digital tools that cut costs and ease compliance reporting 1. Payer cost-containment pressure could, however, slow purchases of non-mandatory products 2.

Trends

  • Healthcare staff shortagestailwind

    A shortage of qualified staff, including nurses, increases demand for training, credentialing and scheduling, which could support demand for the company's products 1.

  • Public budget pressureheadwind

    Legislative changes enacted in July 2025 and the expected Medicaid cuts could shrink customer budgets, especially for products that are not mandatory 12.

  • Artificial intelligence in workflowsmixed

    Investment in AI, including generative AI, could strengthen the hStream platform, but it raises infrastructure costs and data and regulatory risks 1.

  • Hospital operating costsmixed

    Rising staff and operating costs may lead customers to delay investment decisions, although the company presents its products as reducing training costs 12.

Competitive position

Competition splits between broad software vendors for learning, scheduling and HR, which serve several industries, and companies focused on healthcare 1. Specialized competitors offer training, credentialing and medical staffing tools, and many smaller firms operate locally 1.

The company's stated advantage rests on the hStream platform, more than 35 years of focus on healthcare, and its role as system of record for workforce data 1. Competitive pricing and professional services are also cited as factors 1.

  • Cornerstone OnDemand

    Learning software vendor serving several industries, including healthcare 1.

  • Workday

    Human capital and talent management platform also active in healthcare 1.

  • AMN Healthcare

    Provider active in clinical staffing, a direct competitor in scheduling and recruitment 1.

  • Relias Learning

    Vendor specialized in healthcare workforce training, a direct competitor in continuing education 1.

News & filings

In the press

The latest news item in our archive is from 09 Sept 2026; the newest SEC filing is from 02 Nov 2026. The press archive comes from the RSS feeds we follow and does not necessarily cover the latest event — the filings alongside do.

SEC filings

  • Current report02 Nov 2026
    Results of operations · Regulation FD disclosure · Other events · Financial statements and exhibits
  • Current report23 Sept 2026
    Departure or appointment of officers
  • Current report15 Sept 2026
    Material agreement · Item 3.02 · Regulation FD disclosure · Financial statements and exhibits
  • Current report14 Sept 2026
    Material agreement · Creation of a direct financial obligation · Financial statements and exhibits
  • Quarterly report06 Aug 2026
  • Current report03 Aug 2026
    Results of operations · Regulation FD disclosure · Other events · Financial statements and exhibits
  • Current report29 Jul 2026
    Other events
  • Current report29 May 2026
    Shareholder vote · Financial statements and exhibits
  • Current report08 May 2026
    Departure or appointment of officers
  • Quarterly report06 May 2026

Sources

  1. [1] Form 10-K, fiscal year ended 2025-12-31 · SEC / HealthStream, Inc. · 27 Feb 2026
  2. [2] Form 10-Q, quarter ended 2026-06-30 · SEC / HealthStream, Inc. · 06 Aug 2026
  3. [3] Form 8-K, results release (exhibit 99.1) · SEC / HealthStream, Inc. · 03 Aug 2026

Figures computed by olivLaw from SEC filings and closing prices; the qualitative analysis is AI-generated from cited sources. Not investment advice.