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HSTMHealthStream, Inc.
$28.45$834M
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HomeStocksHSTMCash Flow

HealthStream, Inc. (HSTM) Cash Flow Statement

27Y historyFree accessUpdated daily

Cash flow generation is characterized by high conversion efficiency, with an OCF/NI ratio reaching 6.25 in 2025Q1, despite volatility in free cash flow margins ranging from 3.6% to 35.4%.

HSTM Cash Flow Statement

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly
MetricTTMDec'25Dec'24Dec'23Dec'22Dec'21Dec'20Dec'19Dec'18Dec'17Dec'16Dec'15Dec'14Dec'13Dec'12Dec'11Dec'10Dec'09Dec'08Dec'07Dec'06Dec'05Dec'04Dec'03Dec'02Dec'01Dec'00Dec'99
Cash from Operations63.38M63.32M57.66M63.97M51.19M42.38M35.87M65.66M43.25M46.71M24.23M34.92M34.26M26.28M22.51M19.75M16.12M11.57M6.04M7.11M4M5.17M375.46K-1.06M-5.82M-9.7M-14.57M-3.3M
Operating CF Margin %-20.82%19.77%22.92%19.18%16.51%14.65%25.84%18.67%18.86%10.72%16.71%20.07%19.87%21.7%24.07%24.51%20.16%11.71%16.17%12.58%18.91%1.87%-5.82%-36.88%-71.85%-151.01%-126.92%
Operating CF Growth %-9.36%9.81%-9.86%24.97%20.77%18.15%-45.36%51.82%-7.42%92.75%-30.6%1.93%30.34%16.74%13.97%22.57%39.31%91.46%-14.96%77.73%-22.72%1277.79%135.45%81.81%39.98%33.44%-341.66%-
Net Income19.92M18.34M20.01M15.21M12.09M5.84M14.09M15.77M32.22M10M3.75M8.62M10.39M8.42M7.64M6.94M4.15M13.97M2.85M4.09M2.5M1.91M-1.05M-3.41M-16.64M-19.58M-20.29M-4.5M
Depreciation & Amortization44.09M43.48M41.24M52.57M48.54M45.98M38.96M36.17M24.23M26.28M22.21M17M10.93M7.85M6.66M5.41M4.88M5.14M4.82M4.5M2.89M2.68M2.11M3.05M4.39M9.94M6.78M500K
Stock-Based Compensation7.04M8.14M4.47M4.15M3.55M5.3M2.22M4.24M1.78M1.85M1.97M3.28M1.63M1.46M1.14M788K663.52K660.52K771.56K742.34M682.07M1.14B740.54M1.68B0000
Deferred Taxes4.37M5.12M-1.11M000003.02M-2.04M1.79M392K1.32M2.51M5.6M4.05M2.67M153.97K-375.47M-1.99M-682.07M-1.14B-740.54M-1.68B0000
Other Non-Cash Items14.02M12.52M13.67M6.58M6.67M-10.28M3K-154K-10.06M2.32M1.33M-1.28M-1.54M-1.91M9K29K66.01K-9.09M375.24M-741.57M697.07K95.7K41.15K212.73K5.6M1.48M1.03M800K
Working Capital Changes-26.06M-24.28M-20.61M-14.54M-19.67M-4.46M-19.39M9.62M-7.94M8.29M-6.81M6.91M11.52M7.96M1.46M2.53M3.68M734.67K-2.18M-268.43K-2.09M486.05K-724.07K-907.17K823.34K-1.54M-2.1M-100K
Change in Receivables-7.53M-3.98M537K3.24M-7.77M10.34M-2.99M11.61M-4.05M-6.08M-736K-736K-6.69M-10.06M1.23M-5M-1.23B0-383.28M-110.66M-2.41B-524.47M-1.54B311.76M0000
Change in Inventory00000000-2.33M8.82M-10.51M-1.27M-7.96M-6.22M-159K1.01M1.23B0380.63M-15.79M1.73B446.77M1.55B-475.16M0000
Change in Payables3.16M1.83M-5.03M000004.92M6.36M1.49M2.74M8.7M9.47M592K211K822.52K165.33K-428.9K125.81M682.21M68.16M-34.04M146.17M0000
Cash from Investing-49.42M-50.35M-33.97M-56.6M-28.39M-25.72M-110.41M-67.52M36.56M-11.58M-56.66M-134.86M-15.54M-14.99M-58.99M-17.11M-10.38M-3.07M-2.13M-13.95M535.86K-2.43M-1.51M11.09M5.24M-3.12M-30.47M-1.5M
Capital Expenditures-10.1M-3.69M-1.4M-2.2M-1.77M-3.42M-1.99M-22M-18.45M-17.87M-14.81M-15.36M-10.2M-8.71M-8.75M-10.18M-4.67M-3.07M-2.12M-3.83M-3.68M-752.22K-1.62M-720.48K-625.53K-1.59M-3.09M-1.4M
CapEx % of Revenue3.24%1.21%0.48%0.79%0.66%1.33%0.81%8.66%7.97%7.22%6.55%7.35%5.98%6.59%8.44%12.4%7.1%5.35%4.11%8.72%11.56%2.75%8.08%3.96%3.96%11.76%32.06%53.85%
Acquisitions-35.39M-35.09M-534K-6.62M-3.96M-4.71M-121.34M-27.02M44.05M-55.26M-55.26M-90.08M-13.62M-7.86M-9.9M6.07M00-9.19K-11.81M0-9.52M000-328.99K-6.77M0
Investments----------------------------
Other Investing-20.65M-28.44M14.11M-47.78M-22.66M-17.6M12.92M-18.51M-115K55.26M107.94M-54.8M45.34M86.14M-78.08M-6.07M-2.04B00-2.57B-270K0233K-18.02B0-86.88K00
Cash from Financing-42.59M-36.27M-4.52M-13.04M-23.7M-6.21M-20.49M-916K-30.25M1K46K99.96M3.74M6.88M934K56.39M-158.93K-318.84K-3.41M-286.45K465.96K721.96K176.05K120.67K-99.56K-2.26M51.25M18.4M
Debt Issued (Net)000000000000000-5K-315.85K-744.2K-829.92K-575.9K-186.59K721.96K-49.48K-67.72K-137.57K-343.08K-1.51M-100K
Equity Issued (Net)-39.6M-30.02M-1.11M-9.86M-23.7M-6.19M-20.45M-1.03M00098.01M00055.13M-379K0-2.79M289.46K652.55K814.4K225.53K188.39K38.01K-1.91M52.76M18.4M
Dividends Paid-3.81M-3.73M-3.4M-3.06M0-19K-40K-58K-32.36M0000000000000000000
Share Repurchases-36.74M-30.02M-1.11M-9.86M-23.7M-6.19M-20.45M-1.03M-338K-412K-316K0-161K000-379K0-2.92M-80.78K0159.44M000-1.98M-14.21K0
Other Financing825K-2.52M0-118K000176K2.11M1K46K1.95M3.74M6.88M934K1.26M535.91K425.35K210.93K00-814.4K00000100K
Net Change in Cash-28.58M-23.31M19.14M-5.69M-882K10.34M-94.97M-2.78M49.55M35.13M-32.38M15K22.46M18.17M-35.54M59.04M5.58M8.18M507.27K-7.13M5M3.47M-962.43K10.15M-677.8K-15.08M6.2M13.5M
Free Cash Flow60.01M59.63M29.52M61.77M49.42M38.97M33.89M43.66M24.8M28.84M9.43M19.56M24.05M17.57M13.76M9.57M11.45M8.5M3.92M3.27M322.49K4.42M-1.25M-1.78M-6.45M-11.29M-17.67M-4.7M
FCF Margin %19.25%19.61%10.12%22.13%18.52%15.18%13.84%17.18%10.71%11.64%4.17%9.36%14.09%13.28%13.27%11.67%17.41%14.81%7.6%7.45%1.01%16.16%-6.21%-9.78%-40.84%-83.61%-183.07%-180.77%
FCF Growth %8.08%102.03%-52.21%24.99%26.82%15%-22.39%76.08%-14.02%205.89%-51.79%-18.69%36.89%27.68%43.74%-16.37%34.71%116.62%19.83%915.31%-92.71%454.97%30.01%72.41%42.88%36.1%-275.94%-
FCF per Share2.041.980.972.011.611.231.061.350.770.900.290.640.860.640.500.400.510.390.180.140.010.20-0.06-0.09-0.32-0.57-1.12-1.25
FCF Conversion (FCF/Net Income)3.01x3.45x2.88x4.20x4.23x7.25x2.55x4.16x1.34x4.67x6.45x4.05x3.30x3.12x2.94x2.84x3.88x0.83x2.12x1.74x1.60x2.70x-0.36x0.31x0.35x0.50x0.72x0.73x
Interest Paid00101K132K99K132K96K101K117K101K76K190K56K51K61K35K41K43.69K60.23K000000000
Taxes Paid008.7M0000016.51M638K2.5M2.65M1.64M371K427K387K368K145.84K46.86K000000000

Key Metrics

Growth RegimeStable
ProfitabilityModerate
Balance SheetFortress
Cash FlowStable
Top Statement Risk

Enterprise ERP Competitive Displacement

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q1)

Operating Cash Flow Conversion Disparity

As reported in financial statements, HealthStream consistently generates operating cash flow significantly exceeding net income, with an OCF/NI ratio reaching as high as 6.25 in 2025Q1, suggesting that non-cash charges and working capital fluctuations play a dominant role in the company's reported cash generation profile.

The substantial divergence between net income and operating cash flow indicates that reported earnings may significantly understate the company's actual cash-generating capacity. Investors should monitor whether this gap is driven by sustainable deferred revenue growth or temporary timing differences in working capital, as the latter could lead to future volatility in cash conversion.

Free Cash Flow Margin Volatility

Based on the provided quarterly data, HealthStream's free cash flow margins exhibit significant variance, ranging from a low of 3.6% in 2025Q2 to a peak of 35.4% in 2025Q1, reflecting the lumpy nature of capital expenditures and working capital requirements inherent in the firm's business model.

The inconsistency in FCF margins suggests that while the underlying subscription model is stable, the timing of cash outflows for software development and platform integration creates periodic pressure on liquidity. This volatility warrants further investigation into whether the company's capital allocation strategy is sufficiently flexible to manage these fluctuations without impacting core operational stability.

Working Capital Driven Cash Swings

According to recent SEC filings, working capital changes have been a primary driver of cash flow variability, with swings as large as a $14.5 million outflow in 2025Q2 followed by a $7.1 million inflow in 2025Q1, indicating significant sensitivity to customer payment cycles and billing timing.

These sharp fluctuations in working capital suggest that the company's cash flow is highly dependent on the timing of large-scale hospital contract renewals and implementations. Analysts should interpret these movements as a reflection of the firm's reliance on institutional billing cycles rather than a fundamental shift in the underlying profitability of the service offerings.

Conservative Capital Allocation Strategy

As evidenced by the provided financial data, HealthStream maintains a disciplined capital deployment approach, utilizing cash primarily for modest dividends and share repurchases while keeping acquisitions, such as the $35.1 million outlay in 2025Q4, relatively infrequent and targeted to maintain a pristine balance sheet.

The company's preference for returning capital to shareholders while maintaining a low debt profile suggests a management team focused on preservation rather than aggressive expansion. This strategy appears to mitigate financial risk, though it may also limit the firm's ability to accelerate growth through larger, more transformative acquisitions in a competitive landscape.

HSTM — Frequently Asked Questions

Quick answers to the most common questions about buying HSTM stock.

How much cash does HealthStream, Inc. (HSTM) generate from operations?

HealthStream, Inc. (HSTM) generated $63.3M in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.

What is HealthStream, Inc.'s free cash flow?

HealthStream, Inc. (HSTM) generated $59.6M in free cash flow in 2025. Free cash flow is the cash left over after capital expenditures, which can be used to pay dividends, repurchase shares, or pay down debt.

What is HealthStream, Inc.'s capital expenditure (CapEx)?

HealthStream, Inc. (HSTM) spent $3.7M on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.

How does HealthStream, Inc. distribute cash to shareholders?

In 2025, HealthStream, Inc. (HSTM) returned $3.7M to shareholders via cash dividends and spent $30.0M on share repurchases. This shows the company's commitment to returning capital to its equity investors.