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HealthStream Inc (HSTM)


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Upturn Advisory Summary
10/15/2025: HSTM (1-star) is currently NOT-A-BUY. Pass it for now.
1 Year Target Price $34
1 Year Target Price $34
2 | Strong Buy |
0 | Buy |
3 | Hold |
0 | Sell |
0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit -11.1% | Avg. Invested days 53 | Today’s Advisory PASS |
Upturn Star Rating ![]() | Upturn Advisory Performance ![]() | Stock Returns Performance ![]() |
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Key Highlights
Company Size Small-Cap Stock | Market Capitalization 778.67M USD | Price to earnings Ratio 39.21 | 1Y Target Price 34 |
Price to earnings Ratio 39.21 | 1Y Target Price 34 | ||
Volume (30-day avg) 5 | Beta 0.47 | 52 Weeks Range 25.00 - 34.13 | Updated Date 10/17/2025 |
52 Weeks Range 25.00 - 34.13 | Updated Date 10/17/2025 | ||
Dividends yield (FY) 0.45% | Basic EPS (TTM) 0.67 |
Analyzing Revenue: Products, Geography and Growth
Revenue by Products
Product revenue - Year on Year
Earnings Date
Report Date - | When - | Estimate - | Actual - |
Profitability
Profit Margin 6.89% | Operating Margin (TTM) 7.91% |
Management Effectiveness
Return on Assets (TTM) 2.68% | Return on Equity (TTM) 5.81% |
Valuation
Trailing PE 39.21 | Forward PE 39.06 | Enterprise Value 740998016 | Price to Sales(TTM) 2.64 |
Enterprise Value 740998016 | Price to Sales(TTM) 2.64 | ||
Enterprise Value to Revenue 2.51 | Enterprise Value to EBITDA 11.65 | Shares Outstanding 29641207 | Shares Floating 23381577 |
Shares Outstanding 29641207 | Shares Floating 23381577 | ||
Percent Insiders 21.18 | Percent Institutions 75.9 |
Upturn AI SWOT
HealthStream Inc

Company Overview
History and Background
HealthStream, Inc. was founded in 1990. It provides workforce and provider solutions for healthcare organizations, focusing on talent management, training, and credentialing. The company has grown through acquisitions and organic development, becoming a major player in healthcare workforce development.
Core Business Areas
- Workforce Solutions: Provides learning, talent management, and performance assessment solutions. Includes online training, competency management, and surveys. Helps healthcare organizations develop their staff.
- Provider Solutions: Focuses on credentialing, privileging, and enrollment services. Simplifies the process of verifying and managing healthcare providersu2019 credentials, ensuring compliance with regulatory requirements.
Leadership and Structure
Robert A. Frist Jr. serves as the Chairman and Chief Executive Officer. The company operates with a functional organizational structure, with departments covering product development, sales, marketing, and customer support.
Top Products and Market Share
Key Offerings
- HealthStream Learning Center (HLC): A learning management system (LMS) used by healthcare organizations for online training and compliance. While specific market share data is not readily available, HLC is a leading LMS in the healthcare sector. Competitors include Relias Learning, SumTotal Systems, and Saba Software.
- EchoCredentialing: A credentialing and privileging software used by healthcare organizations to manage provider information. Data is not readily available. Competitors include VerityStream and symplr.
Market Dynamics
Industry Overview
The healthcare workforce development market is experiencing growth driven by regulatory requirements, increasing demand for qualified healthcare professionals, and the need for improved patient outcomes. Technology advancements, such as AI and cloud-based solutions, are transforming the industry.
Positioning
HealthStream, Inc. is a well-established player with a strong presence in the healthcare workforce solutions market. Their comprehensive suite of products and services provides a competitive advantage. They are a leader in the healthcare learning and credentialing space.
Total Addressable Market (TAM)
The global healthcare education market is expected to reach hundreds of billions of dollars. HealthStream Inc. is well-positioned to capture a portion of this TAM through its specialized workforce solutions.
Upturn SWOT Analysis
Strengths
- Strong brand recognition in the healthcare industry
- Comprehensive suite of workforce and provider solutions
- Large customer base
- Established relationships with healthcare organizations
Weaknesses
- Reliance on the healthcare industry, making it vulnerable to healthcare policy changes
- Competition from larger technology companies entering the healthcare market
- Potential for integration challenges with acquired companies
Opportunities
- Expanding into new healthcare verticals, such as long-term care and home health
- Leveraging data analytics to provide more personalized and effective training solutions
- Partnering with other healthcare technology providers
- International expansion
Threats
- Increased competition from both established players and new entrants
- Cybersecurity risks and data breaches
- Changes in healthcare regulations and reimbursement models
- Economic downturn affecting healthcare spending
Competitors and Market Share
Key Competitors
- RELI
- SYMPY
Competitive Landscape
HealthStream competes with a mix of specialized healthcare technology providers and larger technology companies. It holds an advantage with its established relationships and comprehensive product suite.
Major Acquisitions
Morrisey Associates
- Year: 2015
- Acquisition Price (USD millions): 48
- Strategic Rationale: Expanded HealthStream's provider solutions offerings with credentialing software.
Acuity Healthcare Diagnostic Solutions
- Year: 2015
- Acquisition Price (USD millions): 28
- Strategic Rationale: Expanded HealthStream's patient experience solutions.
Growth Trajectory and Initiatives
Historical Growth: HealthStream has grown consistently through acquisitions and organic growth, expanding its product offerings and customer base.
Future Projections: Analysts project continued growth for HealthStream, driven by the increasing demand for workforce development solutions in healthcare.
Recent Initiatives: Recent initiatives include expanding its learning content library, enhancing its data analytics capabilities, and partnering with other healthcare technology providers.
Summary
HealthStream is a key player in healthcare workforce development, driven by its established position, comprehensive solutions, and strong brand. It faces challenges from competitors and the evolving healthcare landscape. Strategic initiatives focused on innovation and expansion will be crucial for continued growth. Financial performance is stable with steady revenue growth, and they continue to make smart acquisitions.
Peer Comparison
Sources and Disclaimers
Data Sources:
- Company Website
- SEC Filings
- Market Research Reports
- Analyst Reports
Disclaimers:
The information provided is for informational purposes only and should not be considered investment advice. Market share estimates are based on available data and may not be precise. Financial data is not real time and is for example purposes only.
AI Summarization is directionally correct and might not be accurate.
Summarized information shown could be a few years old and not current.
Fundamental Rating based on AI could be based on old data.
AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.
About HealthStream Inc
Exchange NASDAQ | Headquaters Nashville, TN, United States | ||
IPO Launch date 2000-04-05 | Co-Founder, Chairman of the Board & CEO Mr. Robert A. Frist Jr. | ||
Sector Healthcare | Industry Health Information Services | Full time employees 1083 | Website https://www.healthstream.com |
Full time employees 1083 | Website https://www.healthstream.com |
HealthStream, Inc. provides Software-as-a-Service (SaaS) based applications for healthcare organizations in the United States. The company offers hStream, a technology platform; CredentialStream, provides healthcare organizations with tools to support the provider lifecycle management from recruiting, application submission, verification of licensure and other credentials, privileging, appointments by credentialing committees, enrollment, network, management, onboarding, and performance evaluations of providers; ShiftWizard; and Competency Suite, AI/ML-driven clinical competency development system. Its solutions help healthcare organizations in meeting their ongoing clinical development, talent management, training, education, assessment, competency management, safety and compliance, and scheduling, as well as provider credentialing, privileging, and enrollment needs. The company serves its products to healthcare industry, including private, not-for-profit, and government entities, as well as pharmaceutical and medical device companies, and nursing schools and students. The company was incorporated in 1990 and is headquartered in Nashville, Tennessee.

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