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HSTM

Neutral signalScored 2026-10-24 Drivers: fundamentals. Moteurs : fondamentaux.

Research, not advice.

À propos

HealthStream, Inc.

Nom
HealthStream, Inc.
Secteur
Healthcare
Industrie
Medical - Healthcare Information Services
Bourse
NASDAQ
Capitalisation
$1.1B
Employés
1,150
PDG
Robert A. Frist Jr.
Site web
https://www.healthstream.com
Marché
AMWLCCLDDHEVHHCATHCTI

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. These comprehensive services address various aspects of healthcare staff development and management, encompassing clinical skill enhancement, talent acquisition and retention, training programs, educational resources, professional certification, scheduling logistics, competency evaluations, and performance reviews. Additionally, this segment offers support through implementation and account management. Specific applications under this umbrella cover learning platforms, performance assessment, competency tracking, disclosure management, clinical skill evaluation, simulation-based learning, quality assurance, and sector-specific training. Complementing this, the Provider Solutions segment focuses on administrative and operational needs. It includes VerityStream, an enterprise platform designed to optimize the experience for healthcare providers across diverse settings such as ambulatory surgery centers, urgent care clinics, medical groups, and other facilities. Furthermore, HealthStream offers EchoCredentialing and MSOW platforms to streamline the credentialing, enrollment, and privileging processes for medical staff in hospitals. EchoOneApp facilitates provider enrollment for medical groups. Other key offerings comprise CredentialMyDoc, a SaaS solution for credentialing and enrollment for medical groups and surgery centers; CredentialStream, another SaaS-based platform for provider credentialing, privileging, and enrollment; and NurseGrid Mobile, a dedicated application for nurse managers. These diverse solutions are marketed directly to a broad spectrum of healthcare entities, including private, non-profit, and governmental organizations, as well as pharmaceutical and medical device manufacturers.

Price (1 year)

Live chart from TradingView — independent market data, as price context around the filings, not the Quorum score. EMA 50/200 and Bollinger load by default. When the exchange is known it is sent as EXCHANGE:SYMBOL; otherwise TradingView resolves the ticker best-effort.

VENTE TOTALE: 12 000 titres (~420 000,00 $ US)

Insiders
REBROVICK LINDA
Total bought
—

Avg buy (VWAP, 90d window) —

Total sold
$420,000

Avg sell (VWAP, 90d window) $35.00 vs last close —

Total sold sums Form 4 code S in this window. Codes F, M, A and G are left out.

Last activity
2026-10-23
Last synced
2026-10-26 22:35:44 Synced via automated research pipeline

Sign in to request a sync of this company's price history and timing levels.

Insider holdings as a share of total assets aren't available for this company.

Avg buy and avg sell are volume-weighted prices (sum of shares × price, divided by shares) for Form 4 rows in this 90-day window that report both figures. A comparison with last close is market context for that average, not advice.

Recent Form 4

Filings in the 90-day window for this company. Value is shares × price from the filing. Research, not advice.

Date Person Side Shares Price Value Form 4
2026-10-23 REBROVICK LINDA Sell · S 12,000 $35.00 $420,000 Form 4

Congressional trades

STOCK Act disclosures (90-day window)

Amounts are STOCK Act brackets as disclosed. Quorum does not turn a bracket into an exact price or a midpoint.

No STOCK Act disclosures for this company in this window.

Recent trades

DateRepresentativeTypeAmount
2018-06-07Greg GianforteSale (Full)$50,001 - $100,000

Signal

Neutral signalScored 2026-10-24 Drivers: fundamentals. Moteurs : fondamentaux.

HSTM presents a mixed picture: while long-term profitability trends and cash flow generation are solid, the current ratio below 1.0 signals short-term liquidity stress and the RSI at ~80 points to a technically…

The first sentence of the analysis written for HSTM on 2026-10-24 - a real excerpt, not a sample. The rest of it, the 0-100 score and the rating it produced are part of Plus. See plans.

Neutral signal Drivers: fundamentals. Moteurs : fondamentaux.

Factor checklist — research, not advice

A check leans with a bullish reading. A cross leans against it. A dash is unavailable or mixed.

  • Insider Pulls against a bullish reading. Selling cluster — sale value, no purchase value
  • Narrative Unavailable or mixed. Stored narrative reading is in the neutral band
  • Congress Unavailable or mixed. No purchase disclosures in the stored window
  • Timing Unavailable or mixed. No stored price series
  • Financial indicators Pulls against a bullish reading. Current ratio 0.96 · operating margin 6.7%

Recent news

Market snapshot

Financial ratios

MetricTrend2025-12-312024-12-312023-12-312022-12-312021-12-31
Gross Profit Margin64.7%66.4%65.9%65.8%64.5%
Ebit Margin7.6%8.5%6.6%5.8%3.0%
Ebitda Margin21.9%22.6%21.4%20.1%17.4%
Operating Profit Margin6.7%7.3%5.7%4.7%3.1%
Pretax Profit Margin7.6%8.5%6.6%5.8%3.0%
Continuous Operations Profit Margin6.0%6.9%5.5%4.5%2.3%
Net Profit Margin6.0%6.9%5.5%4.5%2.3%
Bottom Line Profit Margin6.0%6.9%5.5%4.5%2.3%
Current Ratio0.9641.3241.1000.9761.065
Quick Ratio0.9641.3241.1000.9761.065
Solvency Ratio0.3720.4050.3540.3060.289
Cash Ratio0.2910.5140.3410.3930.467
Price To Earnings Ratio37.82048.18254.06063.692138.737
Price To Earnings Growth Ratio-4.9921.5061.9170.605-2.442
Forward Price To Earnings Growth Ratio-4.9921.5061.9170.605-2.442
Price To Earnings Diluted Ratio37.82048.18254.06063.692146.444
Price To Earnings Diluted Growth Ratio-4.9921.5061.9170.546-2.478
Price To Book Ratio1.9562.6892.4252.2792.452
Price To Sales Ratio2.2783.3132.9612.8533.238
Price To Free Cash Flow Ratio11.61332.73513.37815.40521.331
Price To Operating Cash Flow Ratio10.93716.75812.91814.87319.612
Debt To Assets Ratio0.0280.0390.0400.0470.060
Debt To Equity Ratio0.0410.0560.0590.0700.086
Debt To Capital Ratio0.0400.0530.0560.0650.079
Long Term Debt To Capital Ratio0.0000.0000.0000.0000.000
Financial Leverage Ratio1.4701.4211.4671.4901.436
Working Capital Turnover Ratio18.46211.83761.925145.846288.765
Operating Cash Flow Ratio0.5100.4980.5400.4370.422
Operating Cash Flow Sales Ratio0.2080.1980.2290.1920.165
Free Cash Flow Operating Cash Flow Ratio0.9420.5120.9660.9650.919
Debt Service Coverage Ratio0.0000.0000.0000.0000.000
Interest Coverage Ratio0.0000.0000.0000.0000.000
Short Term Operating Cash Flow Coverage Ratio0.0000.0000.0000.0000.000
Operating Cash Flow Coverage Ratio4.3122.8593.1592.1951.456
Capital Expenditure Coverage Ratio17.1832.04929.07728.95212.404
Dividend Paid And Capex Coverage Ratio8.5401.82812.16628.95212.336
Dividend Payout Ratio0.2030.1700.2010.0000.003
Enterprise Value Multiple10.06114.03513.53113.79818.247

Sparkline shows each ratio oldest → newest (left → right).

How the latest year compares

For each ratio: its most recent value, the change versus one year earlier, and versus its 5-year average. ▲ higher ▼ lower

MetricCurrentvs 1Y agovs 5Y avg
Gross Profit Margin 64.7% ▼-1.7% ▼-0.8%
Ebit Margin 7.6% ▼-0.9% ▲1.3%
Ebitda Margin 21.9% ▼-0.7% ▲1.3%
Operating Profit Margin 6.7% ▼-0.6% ▲1.2%
Pretax Profit Margin 7.6% ▼-0.9% ▲1.3%
Continuous Operations Profit Margin 6.0% ▼-0.8% ▲1.0%
Net Profit Margin 6.0% ▼-0.8% ▲1.0%
Bottom Line Profit Margin 6.0% ▼-0.8% ▲1.0%
Current Ratio 0.964 ▼-0.360 ▼-0.122
Quick Ratio 0.964 ▼-0.360 ▼-0.122
Solvency Ratio 0.372 ▼-0.033 ▲0.027
Cash Ratio 0.291 ▼-0.223 ▼-0.110
Price To Earnings Ratio 37.820 ▼-10.362 ▼-30.678
Price To Earnings Growth Ratio -4.992 ▼-6.498 ▼-4.311
Forward Price To Earnings Growth Ratio -4.992 ▼-6.498 ▼-4.311
Price To Earnings Diluted Ratio 37.820 ▼-10.362 ▼-32.220
Price To Earnings Diluted Growth Ratio -4.992 ▼-6.498 ▼-4.292
Price To Book Ratio 1.956 ▼-0.733 ▼-0.404
Price To Sales Ratio 2.277 ▼-1.036 ▼-0.651
Price To Free Cash Flow Ratio 11.613 ▼-21.122 ▼-7.279
Price To Operating Cash Flow Ratio 10.937 ▼-5.821 ▼-4.082
Debt To Assets Ratio 0.028 ▼-0.011 ▼-0.015
Debt To Equity Ratio 0.042 ▼-0.015 ▼-0.021
Debt To Capital Ratio 0.040 ▼-0.013 ▼-0.019
Long Term Debt To Capital Ratio 0.000 0.000 0.000
Financial Leverage Ratio 1.470 ▲0.049 ▲0.013
Working Capital Turnover Ratio 18.462 ▲6.625 ▼-86.905
Operating Cash Flow Ratio 0.510 ▲0.012 ▲0.028
Operating Cash Flow Sales Ratio 0.208 ▲0.011 ▲0.010
Free Cash Flow Operating Cash Flow Ratio 0.942 ▲0.430 ▲0.081
Debt Service Coverage Ratio 0.000 0.000 0.000
Interest Coverage Ratio 0.000 0.000 0.000
Short Term Operating Cash Flow Coverage Ratio 0.000 0.000 0.000
Operating Cash Flow Coverage Ratio 4.312 ▲1.453 ▲1.516
Capital Expenditure Coverage Ratio 17.183 ▲15.134 ▼-0.750
Dividend Paid And Capex Coverage Ratio 8.540 ▲6.713 ▼-4.224
Dividend Payout Ratio 0.203 ▲0.033 ▲0.088
Enterprise Value Multiple 10.061 ▼-3.974 ▼-3.873

Key metrics

MetricTrend20252024202320222021
Market cap$692.5M$966.3M$826.3M$761.3M$831.2M
Enterprise value$671.0M$927.0M$806.2M$738.6M$813.4M
EV / Sales2.21x3.18x2.89x2.77x3.17x
EV / Op. cash flow10.60x16.08x12.60x14.43x19.19x
EV / Free cash flow11.25x31.40x13.05x14.95x20.87x
EV / EBITDA10.06x14.04x13.53x13.80x18.25x
Net debt / EBITDA-0.32x-0.59x-0.34x-0.42x-0.40x
Current ratio0.96x1.32x1.10x0.98x1.06x
Income quality3.45x2.88x4.21x4.23x7.25x
Graham number$13$13$11$10$7
Graham net-net-$3-$1-$2-$3-$2
Tax burden79.0%80.7%82.2%77.6%75.3%
Interest burden100.0%100.0%100.0%100.0%100.0%
Working capital-$4.5M$37.4M$11.8M-$2.8M$6.5M
Invested capital$349.5M$355.8M$345.0M$346.5M$353.7M
Return on assets3.5%3.9%3.0%2.4%1.2%
Operating ROA3.9%4.2%3.2%2.5%1.6%
Return on tangible assets9.5%9.1%7.6%6.5%3.2%
Return on equity5.2%5.6%4.5%3.6%1.7%
Return on invested capital4.0%4.3%3.5%2.5%1.6%
Return on capital employed5.1%5.4%4.2%3.3%2.1%
Earnings yield2.6%2.1%1.8%1.6%0.7%
Free cash flow yield8.6%3.1%7.5%6.5%4.7%
Capex / Op. cash flow5.8%48.8%3.4%3.5%8.1%
Capex / Depreciation8.5%68.2%5.4%4.7%9.3%
Capex / Sales1.2%9.6%0.8%0.7%1.3%
SG&A / Sales27.0%28.2%29.2%30.4%30.8%
R&D / Sales16.8%16.8%16.3%16.6%16.2%
Stock comp / Sales2.7%1.5%1.5%1.3%2.1%
Intangibles / Total assets63.0%56.8%60.0%62.5%62.5%
Days sales outstanding47d44d50d58d50d
Days payables outstanding26d25d29d29d21d
Operating cycle47d44d50d58d50d
Cash conversion cycle20d20d22d29d29d

Change by theme

Grouped by what each metric measures. Each figure is the change over the period shown — ▲ up ▼ down versus then.

Change over 1 year

Valuation
Market cap ▼-28.3%EV / Sales ▼-30.6%EV / EBITDA ▼-28.3%EV / Op. cash flow ▼-5.479Earnings yield ▲+0.006Graham number ▼-0.503
Profitability
Return on equity ▼-0.004Return on assets ▼-0.004Return on invested capital ▼-0.003Return on capital employed ▼-0.003Operating ROA ▼-0.003Income quality ▲+0.570Tax burden ▼-0.017
Efficiency
Days sales outstanding ▲+2.607Days payables outstanding ▲+1.748Operating cycle ▲+2.607Cash conversion cycle ▲+0.859Capex / Sales ▼-0.084R&D / Sales +0.000
Balance-sheet strength
Current ratio ▼-0.360Net debt / EBITDA ▲+0.273Working capital ▼-41919000.000Invested capital ▼-6289000.000Intangibles / Total assets ▲+0.062

Change over 5 years

Valuation
Market cap ▼-16.7%EV / Sales ▼-30.4%EV / EBITDA ▼-44.9%EV / Op. cash flow ▼-8.594Earnings yield ▲+0.019Graham number ▲+6.038
Profitability
Return on equity ▲+0.035Return on assets ▲+0.023Return on invested capital ▲+0.025Return on capital employed ▲+0.030Operating ROA ▲+0.023Income quality ▼-3.799Tax burden ▲+0.037
Efficiency
Days sales outstanding ▼-2.837Days payables outstanding ▲+5.897Operating cycle ▼-2.837Cash conversion cycle ▼-8.734Capex / Sales ▼-0.001R&D / Sales ▲+0.005
Balance-sheet strength
Current ratio ▼-0.101Net debt / EBITDA ▲+0.077Working capital ▼-10985000.000Invested capital ▼-4259000.000Intangibles / Total assets ▲+0.006

Employee count

Peer market caps