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HSTM, HealthStream Inc.
HealthStream's solutions help them to professionally develop their knowledge and skills, manage and fulfill their required continuing education and certifications, manage their schedules, including swapping and filling shifts, engage with peers, provide personalized competency development, and optimize their career pathways.
Today, we are characterized by our single platform strategy, which is designed to create interoperability among the various applications in our ecosystem through our proprietary hStream technology platform.
Increasingly, our hStream technology platform extends artificial intelligence (AI) capabilities to the applications it powers and serves as the system of record on which healthcare workforce AI relies.
The business
What it sells, where the money comes from, the kind of company it is.
The business in brief
read the 10-K →What this business is and what moves its needle, from its own SEC filings.
- Situation
- Serial acquirer. Goodwill and acquired intangibles are 54% of assets, with meaningful acquisition spending in 5 of the record's 10 years; much of what this business is was bought, at prices the record carries.
- What moves the needle
- Operating margin has run about 5.7% through the cycle, a thin margin, where volume, cost discipline and the price it gets all bear on the result. Read this kind of business on retention and the cost of growth. On its own account, the filing leans hardest on customer concentration, set against the numbers in what the filing emphasizes, below.
- Is it a good business?
- Return on capital has rarely cleared the cost of capital (median 4%, above 15% in 0 of 10 years). The steadier read is owner earnings: roughly 18% of revenue reaches owners as cash, consistently, and customers and suppliers fund the business through negative working capital. This is price-taker territory, where the balance sheet and the cycle matter more than any multiple; the rest is in the 10-K.
Every line is arithmetic on the company's filings, shown in full in the sections below.
The record
Ten years of arithmetic, read across the cycle.
The record, 2016–2025
realized figures from each filing · older years to the left| 2016’16 | 2017’17 | 2018’18 | 2019’19 | 2020’20 | 2021’21 | 2022’22 | 2023’23 | 2024’24 | 2025’25 | TTMTTMMar 2026 | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Income statement | |||||||||||
| $192M | $215M | $232M | $254M | $245M | $257M | $267M | $279M | $292M | $304M | $312M | RevenueRevenue |
| 13% | 11% | 11% | 11% | 13% | 16% | 17% | 16% | 17% | 17% | 17% | R&D / revenueR&D/rev |
| $7M | $9M | $15M | $15M | $16M | $8M | $12M | $16M | $21M | $20M | $23M | Operating incomeOp. inc. |
| 3.7% | 4.4% | 6.7% | 5.8% | 6.5% | 3.1% | 4.7% | 5.7% | 7.3% | 6.7% | 7.5% | Operating marginOp. mgn |
| $4M | $10M | $32M | $16M | $14M | $6M | $12M | $15M | $20M | $18M | $20M | Net incomeNet inc. |
| 44% | 12% | 9% | 19% | 21% | 25% | 22% | 18% | 19% | 21% | 23% | Effective tax rateTax rate |
| Cash flow & returns | |||||||||||
| $24M | $47M | $43M | $66M | $36M | $42M | $51M | $64M | $58M | $63M | $63M | Operating cash flowOp. cash |
| $20M | $24M | $24M | $28M | $30M | $37M | $38M | $41M | $41M | $43M | $44M | DepreciationDeprec. |
| ($2M) | $11M | ($15M) | $18M | ($11M) | ($6M) | ($2M) | $4M | ($8M) | ($7M) | ($9M) | Working capital & otherWC & other |
| $5M | $6M | $7M | $22M | $2M | $3M | $2M | $2M | $1M | $4M | $3M | CapexCapex |
| 2.5% | 2.6% | 3.1% | 8.7% | 0.8% | 1.3% | 0.7% | 0.8% | 0.5% | 1.2% | 1.1% | Capex / revenueCapex/rev |
| $19M | $41M | $36M | $44M | $34M | $39M | $49M | $62M | $56M | $60M | $60M | Owner earningsOwner earn. |
| 10.1% | 19.2% | 15.6% | 17.2% | 13.8% | 15.2% | 18.5% | 22.1% | 19.3% | 19.6% | 19.2% | Owner earnings marginOE mgn |
| $19M | $41M | $36M | $44M | $34M | $39M | $49M | $62M | $56M | $60M | $60M | Free cash flowFCF |
| 10.1% | 19.2% | 15.6% | 17.2% | 13.8% | 15.2% | 18.5% | 22.1% | 19.3% | 19.6% | 19.2% | Free cash flow marginFCF mgn |
| $55M | — | — | $27M | $121M | $5M | $4M | $7M | $1M | $35M | $35M | AcquisitionsAcquis. |
| — | — | $32M | $58K | $40K | $19K | $0 | $3M | $3M | $4M | $4M | Dividends paidDiv. paid |
| — | — | — | $0 | $20M | $5M | $23M | $9M | $0 | $30M | — | BuybacksBuybacks |
| 2% | 4% | 8% | 6% | 4% | 2% | 3% | 4% | 6% | 5% | 5% | ROICROIC |
| 1% | 3% | 10% | 5% | 4% | 2% | 4% | 4% | 6% | 5% | 6% | Return on equityROE |
| — | — | −0% | 5% | 4% | 2% | 4% | 4% | 5% | 4% | 5% | Retained to equityRetained/eq |
| Balance sheet | |||||||||||
| $103M | $131M | $134M | $132M | $37M | $47M | $46M | $40M | $59M | $36M | $93M | Cash & investmentsCash+inv |
| $45M | $37M | $38M | $28M | $41M | $30M | $37M | $34M | $30M | $32M | $38M | ReceivablesReceiv. |
| $3M | $4M | $8M | $5M | $9M | $5M | $7M | $7M | $7M | $8M | $5M | Accounts payablePayables |
| $42M | $33M | $30M | $23M | $31M | $25M | $29M | $27M | $24M | $24M | $33M | Operating working capitalOper. WC |
| $177M | $200M | $241M | $225M | $115M | $107M | $114M | $130M | $153M | $120M | $133M | Current assetsCur. assets |
| $95M | $101M | $107M | $105M | $119M | $100M | $117M | $118M | $116M | $124M | $137M | Current liabilitiesCur. liab. |
| 1.9× | 2.0× | 2.3× | 2.1× | 1.0× | 1.1× | 1.0× | 1.1× | 1.3× | 1.0× | 1.0× | Current ratioCurr. ratio |
| $86M | $86M | $86M | $102M | $178M | $183M | $192M | $191M | $191M | $218M | $213M | GoodwillGoodwill |
| $396M | $411M | $442M | $490M | $500M | $487M | $498M | $500M | $511M | $520M | $527M | Total assetsAssets |
| $286M | $300M | $319M | $338M | $334M | $339M | $334M | $341M | $359M | $354M | $352M | Shareholders’ equityEquity |
| 1.0% | 0.8% | 0.8% | 1.7% | 0.9% | 2.1% | 1.3% | 1.5% | 1.5% | 2.7% | 2.7% | Stock comp / revenueSBC/rev |
| Per share | |||||||||||
| 32.1M | 32.2M | 32.3M | 32.4M | 32.0M | 31.6M | 30.7M | 30.7M | 30.5M | 30.1M | 29.4M | Shares out (diluted)Shares |
| $5.99 | $6.67 | $7.16 | $7.84 | $7.65 | $8.12 | $8.69 | $9.10 | $9.55 | $10.09 | $10.60 | Revenue / shareRev/sh |
| $0.12 | $0.31 | $1.00 | $0.49 | $0.44 | $0.18 | $0.39 | $0.50 | $0.66 | $0.61 | $0.68 | EPS (diluted)EPS |
| $0.61 | $1.28 | $1.12 | $1.35 | $1.06 | $1.23 | $1.61 | $2.01 | $1.84 | $1.98 | $2.04 | Owner earnings / shareOE/sh |
| $0.61 | $1.28 | $1.12 | $1.35 | $1.06 | $1.23 | $1.61 | $2.01 | $1.84 | $1.98 | $2.04 | Free cash flow / shareFCF/sh |
| — | — | $1.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.10 | $0.11 | $0.12 | $0.13 | Dividends / shareDiv/sh |
| $0.15 | $0.17 | $0.22 | $0.68 | $0.06 | $0.11 | $0.06 | $0.07 | $0.05 | $0.12 | $0.11 | Cap. spending / shareCapex/sh |
| $8.92 | $9.32 | $9.86 | $10.43 | $10.44 | $10.72 | $10.88 | $11.11 | $11.77 | $11.74 | $11.96 | Book value / shareBVPS |
| 9-yr | 5-yr | |
|---|---|---|
| Revenue / share | +6.0%/yr | +5.7%/yr |
| Owner earnings / share | +14.1%/yr | +13.3%/yr |
| EPS | +20.1%/yr | +6.7%/yr |
| Dividends / share | −25.8%/yr (7-yr) | +150.6%/yr |
| Capital spending / share | −2.2%/yr | +14.5%/yr |
| Book value / share | +3.1%/yr | +2.4%/yr |
The record, charted
FY2016–2025Each measure over its full record; the current point and the worst year marked.
Owner earnings vs. net income
Owner earningsNet incomeThe accountant's number, and the cash an owner can take; the gap is the tell.
Where the cash went
ReinvestBuybacksDividendsAcquisitionsRetainedBeyond op. cashEach year's outlays against its operating cash: the mix, and how it drifts. The hatched cap is spending beyond that year's operating cash — financed from the balance sheet or borrowing, not operations.
Net income is the accountant's number; owner earnings is the cash an owner could take out. The walk between them, off the cash-flow statement, and whether the gap is widening or holding.
In fiscal 2025 the business turned $18M of profit into $60M of owner earnings: more cash than the profit line showed, after the non-cash charges and the capital it put back in.
| FY2025 | FY2024 | FY2023 | FY2022 | FY2021 | |
|---|---|---|---|---|---|
| Reported net income | $18M | $20M | $15M | $12M | $6M |
| Depreciation & amortizationnon-cash charge added back | +$43M | +$41M | +$41M | +$38M | +$37M |
| Stock-based compensationreal costnon-cash, but a real cost | +$8M | +$4M | +$4M | +$4M | +$5M |
| Working capital & othertiming of cash in and out, other non-cash items | −$7M | −$8M | +$4M | −$2M | −$6M |
| Cash from operations | $63M | $58M | $64M | $51M | $42M |
| Capital expenditurecash put back in to keep running and to grow | −$4M | −$1M | −$2M | −$2M | −$3M |
| Owner earnings | $60M | $56M | $62M | $49M | $39M |
| Owner-earnings marginowner earnings ÷ revenue | 20% | 19% | 22% | 19% | 15% |
Owner earnings is the cash an owner could pull out without starving the business: operating cash less the capital it must spend to hold its position . The cash-flow statement also adds stock comp back as non-cash, but it is a real cost paid in shares; counted as the expense it is (less $8M), owner earnings is nearer $51M.
Maintenance capex is estimated as depreciation where a growing business invests above it; free cash flow is the figure the scorecard's free-cash margin reads.
Quality & stewardship
Returns, the balance sheet, capital allocation, and pay.
Owner’s Scorecard
Will it survive?
- No meaningful interest burdenLittle or no interest expense reported
What this means
Little or no interest expense reported, the business isn't leaning on lenders to operate.
- Net cash, debt-freeCash $36M + ST investments $46M − debt $0
What this means
Cash and short-term investments exceed every dollar of debt by $83M, on net the company owes nothing, and can act from strength when others can't. Net debt is the leverage figure that matters: the cash is already set against the debt. Strategic or illiquid investments aren't counted here.
- Negative, funded by othersDSO 39 + DIO 0 − DPO 68 days
What this means
Days cash is tied up between paying suppliers and collecting from customers. A negative cycle is a quiet moat: suppliers and customers fund the operation (Buffett's “float”), the company grows on other people's money. (Little or no inventory, a services / asset-light model, so the inventory leg is ~0.)
Is it a good business?
- Not enough dataIndustry peers: median 0%
What this means
The filing data didn't include the inputs for this check.
- High through the cycle10-yr median margin, range 10%–22%; latest $60M = operating cash $63M − maintenance capex $4MIndustry peers: median 14%
What this means
What an owner could take out without starving the business: operating cash less the maintenance capital it must spend to hold its position — Buffett's owner earnings. That's 20% of revenue this year, a 17% median across 10 years. Treating stock comp as the real expense it is (less $8M of SBC) leaves $51M.
- Cash-backedCash from ops $63M ÷ net income $18M
In the filing’s words The filing leans on adjusted, non-GAAP earnings, but the GAAP profit is itself cash-backed — the adjustments are not papering over a cash shortfall here.
What this means
How much of reported profit showed up as operating cash. Above 1× is reassuring; well below suggests earnings lean on accruals. One year is noisy, growth and working-capital swings distort it, and this is operating cash, not free cash. Watch the multi-year trend.
How is the cash used?
- Returns about halfDividends + buybacks $34M ÷ Owner Earnings $60M
What this means
Of $60M Owner Earnings, $34M (57%) went back to shareholders, $4M dividends, $30M buybacks. Net of $8M stock comp, the real buyback was about $22M. Returning most of it is the mark of a mature business with little left to reinvest at a high return; reinvesting most could mean a long runway, or empire-building. The split doesn't say which; the return earned on it (see ROIC) does.
- Investing or harvesting? 0.08×HarvestingCapex $4M ÷ depreciation $43M
What this means
Descriptive, not a grade. Above ~1× means investing faster than assets wear out (growth, or, sustained for years, today's earnings carrying less depreciation than tomorrow's will). Below means spending less than it's wearing out (efficiency, or a melting asset base). The ratio won't tell you which; the filings will.
Graham’s defensive tests · 1 of 5 met
Graham’s numerical criteria for the defensive investor (The Intelligent Investor, ch. 14), run on the filings. A floor of safety, not a buy signal; many fine modern businesses fail his strictest liquidity rules by design.
- Adequate size MissRevenue ≥ $2B · $304M
What this means
Big enough to weather a storm. Graham's 1972 floor was ~$100M of sales (≈ $700M today); we use a $2B revenue line as a conservative modern stand-in.
- Strong liquidity MissCurrent ratio ≥ 2× · 0.96×
What this means
Current assets at least twice current liabilities, near-term bills covered without touching the business. Strict by design: many cash-rich modern firms run leaner and miss it, holding their cushion in longer-dated securities.
- Earnings stability PassA profit every year (10-yr record) · no losses
What this means
Graham wanted earnings in each of the past ten years, the stability a defensive owner leans on.
- Dividend record MissUninterrupted dividends · 7 of 10 yrs
What this means
An unbroken dividend was Graham's mark of durability. He wanted twenty years; the filings show about ten, and a single suspension breaks the streak. Non-payers, many fine modern compounders, fall outside his defensive net by design.
- Earnings growth NearEarnings +33% over the record · +16%
What this means
At least a third more earnings than a decade ago, averaging three years at each end. Net income (not per-share), so stock splits don't distort it, buybacks and dilution show up in the share-count line instead.
- Moderate price —P/E ≤ 15 and P/E × P/B ≤ 22.5 · decided by the price
What this means
Graham's valuation gate, the wall he kept between a sound business and a sound investment. Three-year average earnings are $0.61/share (latest year $0.63), the averaged base the calculator's gate runs on, and book value is $12.12/share. Enter a price in “What the price implies” just below for the P/E, P/B, and whether it clears. But this is the rule Buffett outgrew: there's no hard P/E law, and a wonderful business can deserve a far richer multiple if the thesis holds, treat it as the bargain-hunter's floor, not a verdict on the price.
Durability & moat, 2016–2025
Whether the record’s returns held, and what the capital reinvested earned.
- Profitable years 10 of 10
What this means
Never lost money over the record, the earnings stability Graham insisted on.
- Operating margin 5% → 7% (3-yr avg ends)
What this means
Through the cycle the operating margin widened — about 5% early to 7% lately, median 6% — pricing power intact or improving.
- Owner earnings growth +7%/yr
What this means
Owner earnings grew about 7% a year over the record.
- Worst year 2021 · 3.1% op. margin
What this means
Stayed profitable even in its hardest year, the resilience that survives recessions.
- Share count −0.7%/yr
What this means
The share count is shrinking, buybacks are quietly growing your slice of the business.
- Dividend record paid
What this means
Paid a dividend in 7 of the years on record.
Does AI threaten the moat?
Elevated contestabilityThe product is software or information, the very thing capable AI now produces more cheaply, so the moat is more contestable than the record alone implies.
Its FY2025 10-K names artificial intelligence as a competitive threat, in language that was not in the prior year's filing.
“AI technology and services are a highly competitive and rapidly evolving market.”
AI has collapsed the cost of building a capable substitute for the very thing this business sells. When a credible alternative can be assembled for a fraction of the incumbent's price, it is pricing power that erodes first, not revenue tomorrow. The live question is whether the moat survives that, not whether it held in the past. Whether that question is answerable at all is yours to decide, against your own circle of competence.
Read from the filing's own risk factors, paired with the industry's structure under its SIC code; the durability is read above, the price below.
All figures as filed; the source filing is linked above.
Current Position
as of the latest quarter, Mar 31, 2026Can the business pay what it owes this year, off the freshest balance sheet: the quality of the assets, the debt actually coming due, and what a low ratio means here.
- Cash & short-term investments$93M
- Receivables$38M
- Other current assets$2M
- Accounts payable$5M
- Other current liabilities$131M
Its current ratio is below 1, which usually reads as strain; here it is likely structural strength. This business collects from customers before it pays suppliers (a negative cash-conversion cycle), so the balance sheet is funded by that float, the way Costco's and Amazon's are. The low ratio can be the edge, not the risk; the cash-conversion cycle and the debt due above say which.
From the company's latest filing.
How the cash was used, 2016–2025
Over the record, the business generated $494M of operating cash; how management split it reads as a balanced allocator, splitting cash between the business, owners, and the balance sheet.
- Reinvested$54M · 11%
- Dividends$43M · 9%
- Buybacks$87M · 18%
- Retained (debt / cash)$311M · 63%
- Returned to owners$130M
29% of the owner earnings the business produced over the span, $43M as dividends and $87M as buybacks.
- Average price paid for buybacks$20.91
Across the years where the filing reports a share count, 1M shares were bought for $20M, about $20.91 each.
- Net change in share count−8.2%
The diluted count fell from 32M to 29M, so the buybacks outran the stock issued to staff.
- Dividend record$0.12/sh
Paid in 7 of the years on record, the per-share dividend shrinking about 26% a year. It was cut at least once along the way.
- Return on what it retained154%
Of the earnings it kept rather than paid out ($18M over the span), annual owner earnings (first three years vs last three) grew $27M, so each retained $1 added about 1.54 of yearly owner earnings. Buffett's test, run on owner earnings instead of market value.
Buybacks are gross of stock issued to staff; the share-count line above is the net of that, the figure that decides whether owners gained. The average price paid blends a year of purchases (and any accelerated repurchase), so it is close, not exact. The record of where the cash went and on what terms.
Acquisitions & goodwill
from the balance sheet & the 10-year cash-flow recordGoodwill grows only when a company acquires and falls only when it concedes it overpaid. The size of that bet, the cash put into buying rather than building, and how much has already been written off.
None written down over the record; the goodwill is still carried at full cost. That is the deals holding their value on the books so far; whether they keep doing so is the test an owner watches, since the write-down, when it comes, is the admission the price was too high.
Goodwill, acquired intangibles and equity from the latest balance sheet; acquisition spend and write-downs summed across the 10-year record, from the company's own filings.
Management, ownership & pay
read the proxy →From the proxy: how much of the business the people running it own, and how they are paid, beside what the business earned for its owners in the same years.
| Fiscal year | Chief executive | Pay, as filed | “Actually paid” | Owner earnings |
|---|---|---|---|---|
| 2021 | Robert A. Frist, Jr. | $642k | $714k | $39M |
| 2022 | Robert A. Frist, Jr. | $750k | $735k | $49M |
| 2023 | Robert A. Frist, Jr. | $727k | $788k | $62M |
| 2024 | Robert A. Frist, Jr. | $702k | $787k | $56M |
| 2025 | Robert A. Frist, Jr. | $868k | $715k | $60M |
Both pay figures are the company’s own, from the pay-versus-performance table its proxy statement files. “As filed” is the Summary Compensation Table total: salary, bonus, and equity awards at their value on the day of grant. “Actually paid” is the SEC’s prescribed recalculation, which re-marks those equity awards to what they became as they vested; it can swing far above or below the filed figure in either direction, and negative years occur. Owner earnings are the whole business's, from the record above, for the same fiscal years.
- Insider ownership<1%
The stake all directors and executive officers hold together, per the 2026 proxy: skin in the game, the first thing Munger reads.
- CEO pay ratio52:1
What the chief earns for every dollar the median employee makes, per the 2026 proxy. A high ratio alone settles nothing; some businesses are genuinely top-heavy in scarce skill. A runaway figure is where Buffett starts asking whether the board is doing its job.
- Stock-based compensation$8M
The slice of the business handed to employees in shares this year, 3% of revenue, equal to 40% of operating profit. Buffett's oldest accounting fight: this is compensation, compensation is an expense, real whether or not the headline earnings admit it. One trap: the cash-flow statement adds SBC back, so the operating cash, and the owner earnings drawn from it, are flattered by exactly this amount; counted as the cost it is, what an owner keeps is lower.
Inverting the record
Invert: instead of why HealthStream Inc. is a good business, the question is what would make owning it a mistake, and whether those marks are in the record. Disconfirming tests across 2016–2025.
None of the 4 tests turned up a mark; each came back clean. A clean panel says only that these particular ways of being wrong are not written into the record.
- Is it less profitable than it was?
- Did the share count rise anyway?
- Did reported profit become cash?
- Did receivables and inventory outpace sales?
Each test is read from the filings and is noisy alone; a flag can mark a cyclical trough or a year of heavy investment as easily as a problem. The filing says which.
Peers, Software
The same industry, side by side on owner economics. Each figure is a through-cycle median, so a peak or trough year can’t distort it; the group median at the foot is the line to read each against.
| Company | Revenue | Gross margin | Op. margin | ROIC | Owner earn. margin |
|---|---|---|---|---|---|
| ZIPZipRecruiter Inc. | $449M | 89% | 0.3% | 10% | 14% |
| GRNDGrindr Inc. | $440M | — | 21.4% | 22% | 26% |
| DSPViant Technology Inc. | $344M | 46% | 1.2% | -8% | 13% |
| AGYSAgilysys | $319M | 61% | -2.5% | -14% | 17% |
| DOMODomo, Inc. | $319M | 73% | -34.5% | — | -8% |
| HSTMHealthStream Inc. | $304M | 86% | 5.8% | 4% | 18% |
| PUBMPubMatic Inc. | $283M | 68% | 7.5% | 8% | 25% |
| NXDRNextdoor Holdings Inc. | $258M | 83% | -55.8% | -24% | -28% |
| Group median | — | 73% | 0.7% | 4% | 15% |
The price
What a price has to assume.
What the price implies
reverse-DCFType today's close and see the owner-earnings growth you'd have to believe to justify it, beside what HealthStream Inc. has delivered.
Through the cycle, HealthStream Inc. earns about $54M on its 17.9% median owner-earnings margin. This year’s 19.6% margin runs in line with that. Normalize, below, values the price on that through-cycle figure rather than the latest year.
—
9.0% = the 4.55% 10-year Treasury (Jul 15, 2026) + 4.45 points of equity premium. The rate you require is yours to set.
Enter a price above to run it.
A dated snapshot of the price you typed, the assumptions you set, and what the page showed for them. A snapshot is never edited after it is saved. Your notebook is yours alone — the commitment states what is stored and what we will never do.
Graham capped the multiple at 15×; Buffett and Munger let that rule go: a wonderful business can deserve 50× if the thesis holds. The gate marks the bargain-hunter's floor.
Prefilled with the 10-year Treasury (4.55%, as of Jul 15, 2026). Edit it for today’s exact figure, or a AAA corporate yield.
Graham measured a stock against the bond you could own instead, the heart of his margin of safety. Enter a price above to weigh the owner-earnings yield against this bond.
Owner earnings $60M on 29M shares outstanding, per the 10-Q cover, as of 2026-05-04; net cash $65M. The base is the latest year by default; Normalize values it on the through-cycle median owner-earnings margin (to avoid paying on a peak year). Net of stock comp treats option pay as the expense it is. The dials set the multiple a growth belief justifies; the price, and every dollar on this page, is yours.
Manual order: ← HST its page in the Manual HSY →
Industry order: ← HPAI the Software chapter HUBS →