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HSTM 
HealthStream Inc (HSTM)
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Upturn Advisory Summary
12/10/2025: HSTM (1-star) is currently NOT-A-BUY. Pass it for now.
Upturn Star Rating
Not Recommended Performance
These Stocks/ETFs, based on Upturn Advisory, consistently fall short of market performance, signaling caution before investing.
Number of Analysts
5 Analysts rated it
Limited analyst coverage, niche firm, research info may be scarce.
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 -10.87% | Avg. Invested days 53 | Today’s Advisory PASS |
Upturn Star Rating | Upturn Advisory Performance  3.0 | Stock Returns Performance  1.0 |
| Profits based on simulation | Last Close 12/10/2025 |
Key Highlights
Company Size Small-Cap Stock | Market Capitalization 718.56M USD | Price to earnings Ratio 35.62 | 1Y Target Price 34 |
Price to earnings Ratio 35.62 | 1Y Target Price 34 | ||
Volume (30-day avg) 5 | Beta 0.45 | 52 Weeks Range 23.77 - 34.09 | Updated Date 12/11/2025 |
52 Weeks Range 23.77 - 34.09 | Updated Date 12/11/2025 | ||
Dividends yield (FY) 0.51% | Basic EPS (TTM) 0.68 |
Analyzing Revenue: Products, Geography and Growth
Revenue by Products
Product revenue - Year on Year
Earnings Date
Report Date - | When - | Estimate - | Actual - |
Profitability
Profit Margin 6.93% | Operating Margin (TTM) 9.9% |
Management Effectiveness
Return on Assets (TTM) 2.81% | Return on Equity (TTM) 5.87% |
Valuation
Trailing PE 35.62 | Forward PE 32.57 | Enterprise Value 642153322 | Price to Sales(TTM) 2.41 |
Enterprise Value 642153322 | Price to Sales(TTM) 2.41 | ||
Enterprise Value to Revenue 2.15 | Enterprise Value to EBITDA 9.81 | Shares Outstanding 29668137 | Shares Floating 23404600 |
Shares Outstanding 29668137 | Shares Floating 23404600 | ||
Percent Insiders 21.16 | Percent Institutions 74.04 |
Upturn AI SWOT
HealthStream Inc
Company Overview
History and Background
HealthStream Inc. was founded in 1997 by Robert A. Frist, Jr. The company initially focused on providing healthcare workforce development solutions. Over the years, HealthStream has evolved significantly, expanding its product and service offerings to become a comprehensive platform for healthcare organizations. Key milestones include its IPO in 2000 and strategic acquisitions that have broadened its market reach and capabilities in areas such as patient experience, credentialing, and compliance.
Core Business Areas
- Healthcare Workforce Development: This segment focuses on solutions designed to help healthcare organizations attract, develop, and retain their workforce. It includes online learning and competency management for clinical and non-clinical staff, leadership development programs, and physician onboarding.
- Healthcare Organization Solutions: This segment provides a suite of solutions aimed at improving operational efficiency and patient outcomes. It encompasses patient experience surveys and analytics, provider credentialing and enrollment management, and healthcare compliance training.
Leadership and Structure
HealthStream Inc. is led by a seasoned management team. Robert A. Frist, Jr. serves as the Chief Executive Officer and Chairman of the Board. The company operates with a divisional structure aligned with its core business areas, facilitating specialized product development and customer service.
Top Products and Market Share
Key Offerings
- HealthStream Learning Center (HLC): A comprehensive learning management system (LMS) used by healthcare organizations to deliver and track employee training, including compliance, clinical skills, and professional development. Competitors include Relias, Cornerstone OnDemand, and UKG.
- HealthStream Patient Experience Solutions: Tools and services designed to measure, understand, and improve the patient experience, including surveys and analytics. Competitors include Press Ganey, NRC Health, and SurveyMonkey Healthcare.
- HealthStream Credentialing Solutions: Software and services for managing provider credentialing, privileging, and enrollment. Competitors include symplr, VerityStream, and IntelliCentrics.
Market Dynamics
Industry Overview
HealthStream operates within the healthcare technology sector, specifically focusing on workforce development, patient experience, and operational efficiency solutions. This industry is characterized by rapid technological advancement, increasing regulatory scrutiny, and a growing demand for integrated platforms that can address multiple organizational needs. The shift towards value-based care and the ongoing challenges of healthcare workforce shortages are significant drivers for demand.
Positioning
HealthStream is positioned as a leading provider of integrated talent management and operational improvement solutions for the healthcare industry. Its competitive advantages include a broad suite of interconnected solutions, a deep understanding of the healthcare market, a large installed base of customers, and a recurring revenue model. The company's focus on innovation and customer success further solidifies its position.
Total Addressable Market (TAM)
The total addressable market for healthcare workforce development, patient experience, and healthcare compliance solutions is substantial and continues to grow. While specific TAM figures vary by report, the broader healthcare IT market is valued in the hundreds of billions of dollars. HealthStream is well-positioned to capture a significant portion of its target segments within this TAM, particularly given its established presence and comprehensive offerings.
Upturn SWOT Analysis
Strengths
- Strong brand recognition and established customer base in the healthcare sector.
- Comprehensive suite of integrated solutions covering workforce development, patient experience, and compliance.
- Recurring revenue model providing financial stability.
- Deep industry expertise and understanding of healthcare needs.
- Consistent investment in product innovation and technology.
Weaknesses
- Dependence on the healthcare industry, making it susceptible to industry-specific downturns.
- Potential for integration challenges with acquired technologies.
- Competition from larger, more diversified technology companies.
Opportunities
- Expansion into new healthcare markets and international geographies.
- Leveraging AI and data analytics to enhance product offerings.
- Further consolidation within the healthcare IT market through strategic acquisitions.
- Growing demand for solutions that address healthcare workforce burnout and retention.
- Increasing adoption of cloud-based solutions.
Threats
- Intensifying competition from established players and new entrants.
- Changes in healthcare regulations and reimbursement policies.
- Cybersecurity risks and data breaches.
- Economic downturns affecting healthcare provider budgets.
- Rapid technological shifts that could render existing solutions obsolete.
Competitors and Market Share
Key Competitors
- Relias LLC (Private)
- Press Ganey Associates, Inc. (Private)
- symplr (Private)
Competitive Landscape
HealthStream competes with a mix of specialized providers and larger, diversified healthcare IT companies. Its advantage lies in its integrated platform and deep focus on the healthcare vertical. However, it faces competition from companies that may offer more niche solutions or have broader enterprise-level capabilities.
Major Acquisitions
Change Healthcare's Healthcare Workforce Solutions Business
- Year: 2021
- Acquisition Price (USD millions): 120
- Strategic Rationale: To expand HealthStream's market share and capabilities in healthcare workforce development, particularly in areas like provider onboarding and engagement.
Sycamore Health
- Year: 2021
- Acquisition Price (USD millions): 30
- Strategic Rationale: To enhance HealthStream's patient experience solutions by adding capabilities in patient feedback and service recovery.
Growth Trajectory and Initiatives
Historical Growth: HealthStream has experienced a consistent upward trajectory in revenue and profitability over the past several years, driven by organic growth and strategic acquisitions. The company has successfully expanded its product portfolio and customer base.
Future Projections: Analyst projections generally indicate continued revenue growth for HealthStream, driven by the ongoing digital transformation in healthcare, increasing demand for skilled healthcare professionals, and the need for improved patient outcomes. The company is expected to benefit from its strong market position and diversified product offerings.
Recent Initiatives: Recent initiatives include the continued integration of acquired companies, development of new features leveraging AI and data analytics, and expansion of sales and marketing efforts to reach a wider customer base within the healthcare ecosystem.
Summary
HealthStream Inc. is a well-established player in the healthcare technology market, demonstrating consistent financial growth and a strong market position. Its integrated suite of workforce development, patient experience, and compliance solutions provides a significant competitive advantage. The company's primary focus areas are performing well, driven by the ongoing digital transformation in healthcare. However, HealthStream needs to remain vigilant against intense competition and evolving regulatory landscapes while continuing to innovate and expand its offerings.
Similar Stocks
Sources and Disclaimers
Data Sources:
- HealthStream Inc. Investor Relations
- SEC Filings (10-K, 10-Q)
- Industry Analyst Reports
- Financial News Outlets (e.g., Wall Street Journal, Bloomberg)
Disclaimers:
This analysis is based on publicly available information as of the last update. Financial data and market share figures are estimates and subject to change. This is not investment advice, and investors should conduct their own due diligence before making any investment decisions.
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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