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Companies / Technology / HEALTHSTREAM INC
HSTM

HEALTHSTREAM INC

TechnologyComputer Services
Ticker HSTMNASHVILLE, TNFiscal year ends DecemberBook value per share $12.14Diluted shares 29.4M

HealthStream, Inc. (NASDAQ: HSTM) is a healthcare workforce software-as-a-service company headquartered in Nashville, Tennessee. The company's website is www.healthstream.com. From the company’s description.

Fiscal year 2025 · ends 12-31Changes are against fiscal 2024The amber dot is the latest twelve months, to 2026-06-30
Sales & profitability
$304.06M
+4.3% year over year
Last 12 mo $321.12M
6.66%
−0.6 percentage points
Last 12 mo 8.04%
$18.34M
−8.3% year over year
Last 12 mo $21.20M
5.18%
−0.4 percentage points
Last 12 mo 5.94%
Cash & financing
$63.32M
+9.8% year over year
Last 12 mo $71.79M
$31.16M
+5.5% year over year
Last 12 mo $41.60M
—
30.1M
−1.3% year over year
Last 12 mo 29.4M

Margins and return on equity change in ; everything else in percent. Fewer shares and less debt are shown plainly, not as bad news — it depends what you make of buybacks. Dotted labels explain each measure. is shown separately from the annual figures.

What HEALTHSTREAM INC does

In the company’s own words

HealthStream, Inc. (NASDAQ: HSTM) is a healthcare workforce software-as-a-service company headquartered in Nashville, Tennessee. The company's website is www.healthstream.com.

HealthStream develops and delivers a comprehensive ecosystem of cloud-based applications designed to optimize healthcare workforce development, engagement, and management. The company's core mission centers on improving healthcare quality by developing the individuals who deliver care. Founded in 1990 and operating as a single reportable segment since January 2023, HealthStream serves healthcare organizations across the continuum of care, including acute-care hospitals, post-acute care facilities, health and human services organizations, nursing schools, pharmaceutical companies, and medical device manufacturers.

The company's primary solutions encompass learning and education platforms, clinical competency development systems, credentialing and privileging management, workforce scheduling and capacity optimization, and talent management applications. These solutions are increasingly powered by HealthStream's proprietary hStream technology platform, which provides interoperability across applications through its hStream ID identity management functionality and incorporates artificial intelligence and machine learning capabilities. The platform serves as a system of record for healthcare workforce data and enables seamless data flow across the company's application suite.

HealthStream's subscription-based business model generates recurring revenue through per-subscription fees and usage-based pricing. The company also generates revenue from implementation services, training, and direct-to-consumer sales to healthcare professionals and students. Notable proprietary brands and trademarks include HealthStream Learning Center, CredentialStream, Jane AI, HealthStream ePortfolio, and ComplyQ.

As of December 31, 2025, HealthStream employed 1,139 full-time and 21 part-time employees, with approximately 43 percent working within commutable distance of company offices and 57 percent working remotely. The company operates under a hybrid work policy. HealthStream has completed four acquisitions since 2023, including Total Clinical Placement System, The Clinical Hub, Virsys12, and MissionCare Collective, strengthening its clinical education and workforce management capabilities. The company maintains redundant disaster recovery infrastructure across geographically separate data centers and leverages both private cloud and public cloud infrastructure through Amazon Web Services and Microsoft Azure.

Company details
Sector
Technology
Industry
Computer Services
Headquarters
NASHVILLE, TN
Fiscal year end
December
CIK
1095565
SIC
7370

Financial performance, year by year

Fiscal 2013–2025 · USD
$-32.11M$64.22M$160.56M$256.89M$353.23M2013201420152016201720182019202020212022202320242025Last 12 moLast 12 monthsLast 12 months

The full income statement, balance sheet and cash flow for each of these years — every figure traceable to its filing — is on the Financials tab with a free account.

Ownership

Who owns HEALTHSTREAM INC — and what changed

Funds as of 2026Q2 · superinvestors as of 2026-06-30

245
funds hold it
0 of 35
superinvestors hold it
$245.47M
held by funds, at market
33.2%
of shares held by funds

Largest fund holders · HEALTHSTREAM INC’s weight in each

iShares Core S&P Small-Cap ETF
IJR · iShares Trust
0.03%of fund net assets
VANGUARD TOTAL STOCK MARKET INDEX FUND
VTI · VANGUARD INDEX FUNDS
0.00%of fund net assets
iShares Russell 2000 ETF
IWM · iShares Trust
0.02%of fund net assets
First Eagle Small Cap Opportunity Fund
FESRX · First Eagle Funds
0.35%of fund net assets
VANGUARD EXTENDED MARKET INDEX FUND
VXF · VANGUARD INDEX FUNDS
0.01%of fund net assets

Fund ownership is a floor, not a census — pensions, insurers and people holding shares directly are not visible here.

Fund ownership counts N-PORT filers only, so it is a floor rather than a census — pensions, insurers and direct holders are not visible here, and the remainder is not “held by individuals”.

Every fund and institutional holder, quarter by quarter, is on the Ownership tab with a free account.

Connected research

Put this business in context.

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