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Companies / Health Care / HealthStream, Inc.
HSTM

HealthStream, Inc.

Health CareComputer Services
Ticker HSTMNASHVILLE, TNFiscal year ends DecemberBook value per share $13.64Diluted shares 29.5M

HealthStream, Inc. (Nasdaq: HSTM) provides software-as-a-service solutions for healthcare organizations and the professionals and students who make up or are preparing to enter the healthcare workforce. Its applications support workforce learning and development, clinical competency, governance, risk and compliance,… From the company’s description.

Over the twelve months to Sep 30, 2026, HealthStream, Inc. reported revenue of $327.95M, up 9.8% from a year earlier, and net income of $20.48M. Its operating margin was 7.6%, and operations generated $71.15M in cash. In fiscal 2025, it reported revenue of $304.06M, up 4.3% from fiscal 2024, and net income of $18.34M.

Fiscal year 2025 · ends 12-31Changes are against fiscal 2024The amber dot is the latest twelve months, to 2026-09-30
Sales & profitability
$304.06MFY2025
+4.3% year over year
Last 12 mo $327.95M
6.66%FY2025
−0.6 percentage points
Last 12 mo 7.57%
$18.34MFY2025
−8.3% year over year
Last 12 mo $20.48M
5.18%FY2025
−0.4 percentage points
Last 12 mo 5.10%
Cash & financing
$63.32MFY2025
+9.8% year over year
Last 12 mo $71.15M
$31.16MFY2025
+5.5% year over year
Last 12 mo $41.07M
—
30.1MFY2025
−1.3% year over year
Last 12 mo 29.5M

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) provides software-as-a-service solutions for healthcare organizations and the professionals and students who make up or are preparing to enter the healthcare workforce. Its applications support workforce learning and development, clinical competency, governance, risk and compliance, staff scheduling and capacity management, and medical staff credentialing, privileging and provider enrollment. The company also offers continuing education content, implementation and training services, and products sold directly to individuals. Its hStream technology platform connects applications and workforce data, including through a shared identity system. HealthStream serves healthcare providers, nursing schools and students, pharmaceutical and medical device companies, and individual healthcare professionals. Since January 2023, it has operated as one reportable segment. The company began providing SaaS workforce solutions in 1999 and launched hStream in 2018; its brands and products include HealthStream Learning Center, CredentialStream, Jane AI, ComplyQ and MyClinicalExchange. HealthStream had 1,139 full-time and 21 part-time employees as of December 31, 2025. Its website is www.healthstream.com.

Company details
Sector
Health Care
Industry (SIC)
Computer Services
Headquarters
NASHVILLE, TN
Fiscal year end
December
CIK
1095565
SIC
7370

Financial performance, year by year

Fiscal 2011–2025 · USD
$-32.80M$65.59M$163.98M$262.36M$360.75M201120122013201420152016201720182019202020212022202320242025Last 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
31.7%
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
—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.

Compare this company with peers, find it in your funds and follow its financial history with your connected AI:

  • “How do HealthStream, Inc. and its peers compare on margins and cash generation over ten years?”
  • “Where did five years of HealthStream, Inc.'s earnings go — cash, debt, buybacks, reinvestment?”
  • “What changed in HealthStream, Inc.'s last four quarterly filings that the numbers alone won't show?”
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