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HealthStream, Inc. (HSTM)
NASDAQHealth CareHealth Information ServicesSnapshot 2026-06-15
Intact
$25.87-1.00%
Close 2026-06-15 · 1-day change
Recent financial performance is holding in the top half of its industry — the reason to own it looks intact.
The bottom line
Recent financial performance is strong, and earnings quality is robust, cash backs up reported profits. Management's recent track record has been fairly steady, but risk is elevated, and the sector backdrop is a headwind. Compared with sector peers, HSTM is above typical. Peer multiples imply a price about 24% below where it trades (it looks expensive on this basis); the read is fair, quality intact. This assessment is provisional.
as of 2026-06-15
Quick facts
- Exchange
- NASDAQ
- Sector
- Health Care
- Industry
- Health Information Services
- Market cap
- $763.39M
- Employees
- 1,160
- IPO date
- 1999-10-13
- Next earnings
- 2026-08-03
Price
Daily closes. Earnings/event dots are placed inline.
Adjusted daily closes (split & dividend). Scroll over the chart to zoom; click a range to reset.
EarningsMaterial event
What's priced in
(what the market already expects)What it's worth (estimated)
A consensus fair price across 6 valuation methods, at three horizons. Current price $25.87. Estimates are diagnostics, not price targets. Short-horizon estimates are close to coin-flips, so confidence is a method-agreement read, not a prediction.
12-month· primaryfull
$20.97consensus
Range $13.50 – $25.54
vs price: +23% above
Method agreement — · 6 methods
No-growth: today's peer multiple on trailing earnings. The headline read.
3-yearfair
$26.86consensus
Range $23.37 – $30.35
vs price: -4% below
Method agreement — · 2 methods
Embeds projected growth. Leans optimistic by design. Upside context.
5-yearfair
How much to trust our fair value
We take the 12-month fair value above and grade our own number — how the market prices this name versus what we'd justify, and where the two diverge.
Durable premiumlow confidence
At $26 the market pays 34× p/e — above the 15× p/e peer median but in line with its own 50× history. That premium reflects a durable franchise our peer-anchored $20 fair value understates; treat the 'expensive vs peers' read with low confidence. Not investment advice.
Multiple (P/E)
34.0x
peer 14.7x · own history 50.1x
Premium
2.3x peer
0.7x its own history
Growth the price needs
27%
our forecast 7%
Our fair value
$20.37
range $13.37 – $25.09
WhyPeer anchor understates a real premium
How this stock is priced
One valuation read at a 12-month horizon, plus how price compares to peers and the company's own history.
Long-term · 1–3 yr
fullfair — quality intact12-month view
What's priced inStretched
The market is pricing in roughly 27% near-term growth, ahead of our forecast of about 7%. This describes what's priced in, not a forecast of the move.
Low fragilityrisk posture, not a price call
Only a turbulent sector regime (Heating) — not the full expensive x weak x turbulent stack.
Historical context
For similar setups historically (n=20,154): about 33% saw a 20%+ drawdown, and roughly 76% of those did not recover within the year. These are historical base rates for the cohort, not a forecast of this stock.
How strong is the business
(quality & execution)Factor signals
Each factor is a parallel diagnostic with a clear read of what it shows and how names like it have historically fared. Never aggregated into a single score.
Recent financial performance
strongOperating income rose in 2 of the last 3 quarter-over-quarter moves. Historically, Health Care names rated strong grew net income 59% of the time over the next year (vs 52% for the rest of the cohort, n=2344).
89th pctl · Health Care
Earnings quality
robustOver the trailing year it converted 3.18x of net income into operating cash flow. Historically, Health Care names rated robust grew net income 60% of the time over the next year (vs 48% for the rest of the cohort, n=1703).
85th pctl · Health Care
Macro sensitivity
Most sensitive to the broad stock market.
- the broad stock market: This stock moves with the broad market (high beta).
Not enough signal to read sensitivity to the US dollar, real (inflation-adjusted) rates, Fed net liquidity, long-term interest rates.
Management & capital allocation
Earnings setup & market context
The next print and the backdrop around it (sector regime and the AI cycle). Context for the path, not a forecast of returns.
Earnings setup · pre-print positioning
forward-looking
Neutral2 analysts, 40% Buyfor period ending 2026-06-30
Why this setup
Consensus revisions
EPS estimate $0.18 → $0.18 (+0.0% / 30d). 0 raised, 0 cut, 2 covering analysts.
Rating actions
0 upgrades, 0 downgrades / 30d. 40% of analysts rate Buy.
Sector context
Intermediate · WeeklySector phase: health care is in maturing, with decelerating (~0.5 years in phase).
Sector regime (90d momentum): headwind.Secular epoch: Mature by revenue growth · theme biologics/biosimilars.headwind
Management scorecard
How management runs the business: capital, margins, balance sheet, and how reliably they guide and deliver.
Long-term · 1–3 yr
Overall: strong
- Capital allocation
- strong
- Earnings discipline
- strong
- Margin discipline
- strong
- Balance sheet
- strong
- Post-call reaction
- strong
How bumpy is the path
(risk while you hold it)Risk: how this stock moves
What a normal day, a bad day, and the worst of the last year would mean for a $10,000 position.
Intermediate · WeeklyLong-term · 1–3 yr
On a typical day, $10k can swing ±$137.
How much price usually moves either way.
On a bad day, this stock has moved -$262.
A rough but not unusual down day (about the 95th percentile).
In the worst 12 months, $10k could have lost $3,206.
Deepest peak-to-trough drop in the last year.
elevatedas of 2026-06-15
Past results, not a forecast. Not investment advice.
What would change the read
(catalysts & re-read triggers)What changed
The most important moves since the prior daily snapshot.
Short-term · Daily
- No material changes since the prior snapshot.
No material changes since the prior snapshot.
as of 2026-06-15
What to watch next
Specific, dated things to watch for, each with what would confirm it and what would prove it wrong.
Intermediate · Weekly
- Either wayHigh confidenceMonthsactive 18d
Watch for Q2 earnings results on August 3, 2026
Why it matters: The earnings report will show how well the company is meeting its full-year guidance after a recent miss.
What confirms / what disproves
Confirms one read:Q2 earnings meet or exceed the full-year guidance reaffirmed in May 2026.
Confirms the other:Q2 earnings miss again, raising doubts about the full-year guidance.
Sector context
News catalysts
Recent news graded against this company's own objectives — whether it reinforces or challenges the thesis, and how confirmed it is.
No graded news catalysts for HSTM yet.
This sector is also watching
- Watch for revenue growth re-acceleration in Health Care
What could change this view
Conditional scenarios: if X happens, the view would shift in this direction. These are not predictions.
Intermediate · Weekly
Upside triggers
- If sector bellwethers like VEEV, BTSG, and TEM keep beating earnings and guiding higher, the Healthcare sector momentum should keep lifting HSTM and other Healthcare names. Worth watching these names for early signals.
- If HSTM raises forward guidance on the next earnings call (currently REAFFIRMED as of 2026-05-04), that's a momentum boost. Street estimates typically follow guidance up and the stock tends to re-rate higher.
- If HSTM beats again next quarter like it did this past one (a solid beat of +18% on the 2026-03-31 print), the momentum tends to extend, with Street estimates ratcheting up and the stock typically following.
Downside triggers
- If HSTM cuts guidance on the next call (currently REAFFIRMED as of 2026-05-04), that's a meaningful negative. The Street tends to walk down estimates and the stock usually takes a leg lower.
- If sector bellwethers like VEEV, BTSG, and TEM start missing or guiding lower, the Healthcare tailwind helping HSTM and other Healthcare names could fade. Watch these names for early warning.
Recent events
(material 8-K / filing activity)Material updates
Recent SEC 8-K filings ranked by likely impact, confidence, and recency.
- 2026-05-041mo agoItem 2.02
Results of Operations and Financial Condition. On May 4, 2026, HealthStream, Inc. (the “Company”) issued a press release announcing results of operations for the first quarter ended March 31, 2026 and reaffirming guidance for the full year 2026, the text of which is set forth in Exhibit 99.1.
Earnings preannouncementpositive
Score history
Whether the overall read has been drifting up or down lately, and how it's changed since last week.
+1.8 vs last weeklatest as of 2026-06-15
Not investment advice. Scores describe historical and current data; they are not forecasts of future returns. Consult a licensed advisor before making investment decisions.