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HealthStream Inc (HSTM)



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Upturn Advisory Summary
08/14/2025: 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 -6% | Avg. Invested days 58 | 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 768.89M USD | Price to earnings Ratio 38.72 | 1Y Target Price 34 |
Price to earnings Ratio 38.72 | 1Y Target Price 34 | ||
Volume (30-day avg) 5 | Beta 0.43 | 52 Weeks Range 25.36 - 34.17 | Updated Date 08/15/2025 |
52 Weeks Range 25.36 - 34.17 | Updated Date 08/15/2025 | ||
Dividends yield (FY) 0.44% | Basic EPS (TTM) 0.67 |
Analyzing Revenue: Products, Geography and Growth
Revenue by Products
Product revenue - Year on Year
Earnings Date
Report Date 2025-07-21 | When Before Market | Estimate 0.158 | Actual 0.18 |
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 38.72 | Forward PE 39.06 | Enterprise Value 694164909 | Price to Sales(TTM) 2.6 |
Enterprise Value 694164909 | Price to Sales(TTM) 2.6 | ||
Enterprise Value to Revenue 2.35 | Enterprise Value to EBITDA 10.91 | Shares Outstanding 29641200 | Shares Floating 23380095 |
Shares Outstanding 29641200 | Shares Floating 23380095 | ||
Percent Insiders 21.17 | Percent Institutions 75.75 |
Upturn AI SWOT
HealthStream Inc

Company Overview
History and Background
HealthStream, Inc. was founded in 1990. Initially focused on healthcare directories, it transitioned to providing learning and performance management solutions for the healthcare industry.
Core Business Areas
- Workforce Solutions: Provides a suite of applications for talent management, credentialing, privileging, and compliance training. This includes learning management systems (LMS) and related content.
- Provider Solutions: Offers solutions focused on patient experience and provider performance, including patient surveys and performance dashboards.
Leadership and Structure
Robert A. Frist, Jr. serves as Chairman and CEO. The company has a typical corporate structure with departments for sales, marketing, product development, and finance.
Top Products and Market Share
Key Offerings
- HealthStream Learning Center (HLC): A comprehensive learning management system used by healthcare organizations for employee training and compliance. Market share is estimated to be around 20-25% in the healthcare LMS market. Competitors include Relias Learning, NetLearning, and Vector Solutions.
- CredentialStream: A credentialing and privileging solution for healthcare providers. Market share is smaller but growing, estimated around 10-15% in a niche market. Competitors include symplr, VerityStream.
- Patient Experience Solutions: Offerings that collect and analyze patient feedback to improve care quality. This solution's market share is estimated at around 5-10%. Competitors include Press Ganey and NRC Health.
Market Dynamics
Industry Overview
The healthcare learning and talent management market is growing due to increasing regulatory requirements, focus on patient safety, and need for continuous professional development.
Positioning
HealthStream is a leading provider of workforce and provider solutions in the healthcare industry, known for its comprehensive suite of products and established customer base.
Total Addressable Market (TAM)
The total addressable market is estimated to be in the billions of dollars. HealthStream is well-positioned with its established presence, with an opportunity to expand by winning new customers and cross-selling additonal solutions.
Upturn SWOT Analysis
Strengths
- Strong brand recognition in the healthcare industry
- Comprehensive suite of products and services
- Large customer base
- Recurring revenue model
Weaknesses
- Reliance on the healthcare industry
- Competition from larger, more diversified companies
- Potential for slower growth in mature markets
Opportunities
- Expanding into new healthcare segments
- Developing new products and services
- Acquiring complementary businesses
- Growing international presence
Threats
- Economic downturns affecting healthcare spending
- Increased competition
- Regulatory changes
- Technological disruptions
Competitors and Market Share
Key Competitors
- RLAY
- SUMTOTAL
- VERI
Competitive Landscape
HealthStream holds a strong position in the healthcare learning and talent management market, but faces competition from larger, more diversified companies like Relias Learning. HealthStream's focus on healthcare gives it a competitive advantage.
Major Acquisitions
SyMed Corporation
- Year: 2016
- Acquisition Price (USD millions): 52
- Strategic Rationale: Expanded credentialing solutions and customer base.
Growth Trajectory and Initiatives
Historical Growth: HealthStream has experienced moderate growth in revenue and earnings over the past few years, driven by organic growth and acquisitions.
Future Projections: Analysts project continued growth for HealthStream, driven by increasing demand for healthcare learning and talent management solutions.
Recent Initiatives: Recent initiatives include product enhancements, strategic partnerships, and acquisitions to expand its product portfolio and market reach.
Summary
HealthStream is a stable company with a leading position in the healthcare learning and talent management market. Its recurring revenue model and strong customer relationships provide a solid foundation. It needs to be mindful of competition and adapting to technological changes and should continue to invest in new product development and market expansion to drive future growth.
Peer Comparison
Sources and Disclaimers
Data Sources:
- Company Filings
- Analyst Reports
- Industry Publications
Disclaimers:
The data provided is for informational purposes only and should not be considered financial advice. Market share estimates are approximate and may vary.
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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