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HealthStream

HSTM
57
Medical - Healthcare Information Services · Healthcare
Price
$28.87
+0.28 (+0.98%)
Market Cap
$843.4M
Exchange
NASDAQ
Winston Score
57
Winston is curious
A decent business — some strong pillars, some weaker.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Mixed
Growth
Good
Cash Flow
Exceptional
Stability
Good
Valuation
Mixed
Dividends
Good

Share count falling — buybacks

4.7% over 4y

The company has reduced its share count over this period, returning value to shareholders through buybacks.

Diluted shares outstanding: 31.6M (2021) → 30.1M (2025)

Winston Score History

The full picture

HealthStream makes software for hospitals and other healthcare organizations to train and manage their employees. Its main products include online learning courses, workforce scheduling tools, and credentialing systems that help hospitals track whether nurses, doctors, and other staff have the right skills and certifications. The company focuses almost entirely on the U.S. healthcare industry and serves thousands of hospitals and health systems across the country.

HealthStream earns money through subscription fees, meaning hospitals pay a recurring annual fee to use its software platforms. It operates exclusively in the United States and has built a sticky customer base because switching to a different system is costly and disruptive for large hospital networks — this makes it hard for customers to leave. The key growth driver is continued expansion of its workforce solutions products, though the company faces pressure to improve profitability, as its operating margins remain relatively thin for a software business.

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Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+12.5% YoY

YoY Growth Rate

Steady revenue growth

EPS Growth

+27.8% YoY

YoY Growth Rate

EPS growth accelerating

R&D Spend

$51M/ year

Flat (+4% vs prior year)

16.8% of revenue

In line with sector average (18%)

Steady R&D investment year-over-year

Insider Activity

20.7%ownership

Flat

Insider ownership roughly steady over the past year

Cash Runway

~10 years

$67M cash & investments

Quarterly Free Cash Flow

↓ Burn rate worsening

$67M cash & investments at current burn rate

Growth context

HealthStream is growing revenue at 13% year-over-year. The Winston Score measures business quality today — these growth metrics show what could matter tomorrow.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

Every number that matters to educated investors.

Each metric is explained in plain language so you know exactly what you're looking at. Start your free trial now.

Quality

Profit per sale
Gross Margin
65.3%
Premium pricing power — 65.3% gross margin
Profit after running costs
Operating Margin
9.9%
Modest — 9.9% operating margin
Return on the money invested
ROCE
7.2%
Weak — 7.2% return on capital

ROIC between 5% and 15%. They earn 5 to 15 cents back per year on every dollar invested.

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Growth

Sales growth
Sales YoY
+8.8%
Steady sales growth (+8.8% YoY)
Profit growth
EPS YoY
+6.8%
Modest earnings growth (+6.8% YoY)

Single-digit earnings growth — steady but not exciting.

How steady the profit is
EPS Consistency
6/8 quarters
Earnings grew in most of the last 8 quarters

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Cash Flow

Profit that turns into cash
Cash Conversion
339%
Turns 339% of profit into real cash
Spare cash per sale
FCF Margin
15.2%
Converts sales into free cash efficiently (15.2%)

FCF margin between 10% and 20%. Every $100 in sales becomes $10 to $20 in real cash.

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Stability

What it owes vs what it owns
Debt / Equity
N/A
Data not available
Covers its interest
Interest Cover
100.00x
Comfortably covers interest (100.0x)

Interest coverage above 8. Profits cover interest many times over.

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Valuation

Price vs profit
P/E Ratio (TTM)
40.3x
Pricey — P/E 40.3

P/E over 35. The market is pricing in heavy, sustained growth.

Cheaper or dearer next year
P/E vs Forward
+2.1
GROWING
Earnings expected to grow — slightly cheaper on forward P/E

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Dividends

Dividend
Dividend Yield
0.47%
Small dividend — 0.47% yield

Modest yield. The bulk of any return needs to come from price appreciation.

Dividend record
Dividend Growth
+11.9%
Dividend growing fast (11.9% YoY)

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