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HealthStream

NSQ:HSTM · US42222N1037
Health Care TechnologyMedium

360

81
EV / EBIT17
Price / Owner Earnings26
Owner Earnings Yield71
Dividend Yield1
Price/Sales46
EV / Gross Profit62
Price/Book48
Return on Capital57
Cash Return on Capital77
Return on Equity56
EBIT Margin48
Gross Profitability72
Cash Conversion81
Accruals30
Owner Earnings Margin77
Sales growth37
Profit Growth15
Long-Term EPS Growth72
Owner Earnings Growth46
Reinvestment34
Price momentum58
Debt load86
Refinancing22
Debt Payback100
Liquidity96
Analyst ratings34
Opinion Changes50
Price Target Upside38
Market mood43
Value Creation8/20creating some value
  • Creates more value than its capital costs
  • Owner earnings growing
  • Owner earnings per share growing
  • Reinvests at strong returns
  • Solid earnings base

What this means

HealthStream clears its cost of capital, but the record is mixed across the five tests. Real value creation, just not yet consistent.

Profile

CountryUSA
IndustryHealth Care Technology
SizeMedium
TypePublic Company
ExchangeNASDAQGS
Founded1990
Employees1,089
Websitehealthstream.com
ISINUS42222N1037
Last UpdateApr 2, 2026
Indices
NASDAQ (USA)
Themes
HRTechSoftware DevelopmentProcess AutomationEdTechE-learningE-LearningEnterprise SoftwareOnline Portals

Description

HealthStream, Inc. (HealthStream) primarily provides Software-as-a-Service (SaaS) based applications for healthcare organizations—all designed to improve business and clinical outcomes by supporting the people who deliver patient care. HealthStream’…

Analysis

Middle-of-the-road

HealthStream, Inc. is a middle-of-the-road business: neither the economics nor the price stand out from the peer group.

The price is fair. You pay 22.0× its owner earnings: the cash an owner could take out each year, which is in the historically fair zone. At today's price, the market is assuming roughly 8% yearly growth; analysts expect 12%. The price, in other words, assumes less than the experts do.

The trajectory is moderate and the balance sheet is sturdy. The company scores 8/20 on our value-creation score: creating some value.

What to watch: A large part of the company's book value is the price paid for past acquisitions. As always: this describes the company's numbers; it is not a recommendation.

360° rank · history

1007550250
17
2023202420252026

All-time high

59

Jan 2025

All-time low

12

Mar 2026

Average rank

33

across all years

Detailed & Historical Ranks

Deep dive into 15 detailed ranks and 3 years of history.

Current202520242023
Price/Sales
46
71
84
83
Price/Earnings
10
34
27
13
Price/Book
48
72
78
80
Dividend Yield
1
75
72
1
Value (overall)
20
81
78
55

Cells are coloured by rank band (red weak → green strong). Sentiment & 360° history begins 2023.

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Make Sense of the Ranks

Every rank runs 1–100 against true peers. Higher is always better.

360° View
1 · Watch OutGood· 100
Value
1 · ExpensiveGood Value· 100
Quality
1 · Weak FundamentalsHigh Quality· 100
Growth
1 · Tough TimesHigh Growth· 100
Safety
1 · High LeverageWell-Financed· 100
Sentiment
1 · SkepticismPositive· 100
Learn More →