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HSTMHealthStream, Inc.
$26.73$783M
Overview & Verdict
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HomeStocksHSTMBalance Sheet

HealthStream, Inc. (HSTM) Balance Sheet

27Y historyFree accessUpdated daily

The company maintains a conservative capital structure with a debt-to-equity ratio of 0.04 and total debt reduced to $14.1 million as of 2026Q1.

HSTM Balance Sheet

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
Total Current Assets133.02M119.66M153.12M130.21M114.38M106.84M114.72M224.57M241.43M199.73M177.44M209.54M174.61M147.12M118.29M111.08M44.27M29.89M16.86M15.68M22.21M19.23M22.47M22.16M21.89M24.53M34.65M14.5M
Cash & Short-Term Investments66.5M57M97.22M71.13M53.91M51.95M46.49M172.87M168.82M131.12M103.17M148.99M120.97M108.2M93.32M83.46M23.57M12.29M4.11M3.6M12.43M11.9M16.28M17.18M16.16M17.45M27.28M13.6M
Cash Only48.71M36.16M59.47M40.33M46.02M46.91M36.57M131.54M134.32M84.77M49.63M82.01M82M59.54M41.37M76.9M17.87M12.29M4.11M3.6M10.73M5.73M2.26M14.22M4.07M4.75M19.83M13.6M
Short-Term Investments17.79M20.84M37.75M30.8M7.88M5.04M9.93M41.33M34.5M46.35M53.54M66.98M38.97M48.66M51.95M6.55M5.7M0001.7M6.17M14.03M2.96M12.09M12.7M7.45M0
Accounts Receivable43.44M39M35.32M38.45M42.71M34.92M46.1M30.38M41M38.02M47.39M38.35M34.84M26.71M16.51M17.33M12.43M11.22M9.98M9.74M7.86M5.45M4.61M3.21M3.9M4.88M4.59M600K
Days Sales Outstanding43.2146.8144.2150.2958.4249.6568.7343.6364.6256.0376.5466.9774.5173.6958.177.0869.0271.3270.5780.8690.2872.7383.9564.3990.18131.92173.484.23
Inventory000000000000002.46M8.49M0-5.97M000001.53M1.42M1.17M00
Days Inventory Outstanding--------------21.5599.74-------89.098773.97--
Other Current Assets23.08M23.65M9.55M3.03M9.07M9.15M9.57M11.9M13.6M22.26M18.18M14.04M13.03M8.86M4.72M6.88M4.53M3.82M374.12K1.34M603.46K950.69K850.53K723.88K1.24M1.55M2.79M300K
Total Non-Current Assets394.42M400.72M357.64M369.73M383.36M379.91M385.59M264.97M198.73M211.35M218.56M170.03M82.65M65.47M56.24M43.16M37.74M41.11M35.93M37.68M18.8M15.99M6.08M6.24M11.03M24.72M35.8M3M
Property, Plant & Equipment24.65M25.93M28.19M33.12M38.24M43.12M50.3M55.68M14.08M8.99M10.24M12.47M9.44M9.04M7.82M6.09M3.83M2.93M3.47M4.38M2.18M2.1M2.32M2M2.67M3.69M4.28M1.3M
Fixed Asset Turnover11.81x11.72x10.34x8.43x6.98x5.95x4.87x4.56x16.45x27.54x22.06x16.76x18.08x14.64x13.26x13.48x17.19x19.56x14.85x10.03x14.55x13.01x8.65x9.08x5.92x3.66x2.26x2.00x
Goodwill276.36M217.52M191.22M191.38M192.4M182.5M178.44M162.28M145.52M179.11M188.13M139.04M56.71M44.62M38.1M21.15M21.15M21.15M21.15M21.15M10.32M10.32M3.31M00000
Intangible Assets63.66M64.93M98.92M108.67M118.67M121.62M127.35M21.45M18.35M18.7M16.31M13.96M12.71M11.08M9.73M1.96M7.18M7.97M9.13M10.16M5.33M3.98M166.22K3.82M4.96M11.87M18.02M1.1M
Long-Term Investments001.5M4.13M4.52M7.04M6.84M6.78M3.38M3.77M3.28M3.64M1.76M497K-2.46M6M000000003.07B000
Other Non-Current Assets93.41M92.34M37.81M32.43M29.15M25.63M22.66M18.52M17.25M4.54M3.88M4.57M3.79M739K581K2.89M244.65K4.61M173.44K360.21K968.48K304.29K291.78K423.01K3.4M9.15M13.5M600K
Total Assets527.44M520.37M510.77M499.94M497.74M486.75M500.31M489.54M440.17M411.07M396M379.57M257.26M212.59M174.53M154.24M82.01M71M52.8M53.36M41.01M35.22M28.56M28.4M32.91M49.25M70.45M17.5M
Asset Turnover0.61x0.58x0.57x0.56x0.54x0.53x0.49x0.52x0.53x0.60x0.57x0.55x0.66x0.62x0.59x0.53x0.80x0.81x0.98x0.82x0.78x0.78x0.70x0.64x0.48x0.27x0.14x0.15x
Asset Growth %2.07%1.88%2.17%0.44%2.26%-2.71%2.2%11.22%7.08%3.81%4.33%47.54%21.01%21.81%13.16%88.07%15.5%34.48%-1.06%30.12%16.45%23.32%0.56%-13.72%-33.17%-30.1%302.58%-
Total Current Liabilities136.51M124.15M115.69M118.36M117.21M100.35M119.44M105.19M105.07M101.07M94.97M89.08M77.26M56.21M35.03M32.45M24.75M19.18M15.71M16.58M11.06M9.2M6.8M5.84M6.98M6.58M8.22M3.1M
Accounts Payable30.11M35.73M6.63M7.46M7.29M5.13M9.33M4.81M8.5M4.18M3.13M4.62M4.75M2.31M1.06M2.58M2.37M1.55M1.39M1.74M1.62M933.89K830.94K864.98K718.8K889.25K1.15M400K
Days Payables Outstanding99.73121.6424.728.6829.1820.5538.1316.932.314.3911.8118.8523.415.179.2630.3735.8326.5425.7539.3454.2734.9841.6850.3743.9456.23-159.4185.88
Short-Term Debt000000000000000076.47K657.73K744.69M830.8K176.57K166.02K24.11K39.02K66.92K126.73K288.83K1.4M
Deferred Revenue (Current)283.19M88.42M083.62M79.47M0065.51M66.06M68.95M68.54M65.1M53.72M38.17M23.15M22.76M16.74M12.23M10.2M9.49M5.38M4.5M3.99M3.06M3.35M3.27M00
Other Current Liabilities0084.23M2.97M2.84M73.82M81.18M2.8M29.21M71.71M21.31M16.06M2.31M13.94M9.71M1.61M00-1.49B272.29K555.61K1.47M553.59K735.26K900.65K1.35M6.78M1.3M
Current Ratio0.97x0.96x1.32x1.10x0.98x1.06x0.96x2.14x2.30x1.98x1.87x2.35x2.26x2.62x3.38x3.42x1.79x1.56x1.07x0.95x2.01x2.09x3.31x3.79x3.14x3.73x4.22x4.68x
Quick Ratio0.97x0.96x1.32x1.10x0.98x1.06x0.96x2.14x2.30x1.98x1.87x2.35x2.26x2.62x3.31x3.16x1.79x1.87x1.07x0.95x2.01x2.09x3.31x3.53x2.93x3.55x4.22x4.68x
Cash Conversion Cycle-56.52-------------70.38146.44-------103.11133.25149.65--
Total Non-Current Liabilities38.94M42.2M35.72M40.83M46.46M47.38M46.81M46.19M16.15M9.84M14.92M10.17M12.14M6.95M7.3M874K473.9K4K319.72K1.06M310.95K215.86K29.43K1.2K41.01K118.77K216.07K300K
Long-Term Debt14.07M00000000000000000306.94K1.06B000000216.07K200K
Capital Lease Obligations59.93M14.68M17.37M20.25M23.32M26.18M28.48M30.73M0000000004.36K12.78K32.49K106.78K215.86K29.43K1.2K41.01K118.77K00
Deferred Tax Liabilities51.32M18.25M016.13M18M0013.18M11.07M1.93M5.97M4.76M5.84M6.17M6.47M323K5.35B8.63B2.01B1.63B00000000
Other Non-Current Liabilities5.57M7.93M18.35M2.28M2.21M21.21M18.33M357K2.21M7.91M1.09M1.06M2.65M776K826K551K473.9K-3620-1.06B204.17K000000100K
Total Liabilities175.45M166.35M151.41M159.19M163.68M147.73M166.25M151.38M121.22M110.9M109.89M99.25M89.4M63.16M42.33M33.32M25.22M19.18M16.03M17.65M11.37M9.42M6.83M5.84M7.02M6.7M8.43M3.4M
Total Debt14.07M14.68M20.17M20.25M23.32M29.11M31.87M30.73M0000000080.83K320K1.41M1.89M283.35K381.88K53.54K40.22K107.94K245.5K504.9K1.6M
Net Debt-34.64M-21.48M-39.3M-20.09M-22.7M-17.8M-4.7M-100.81M-134.32M-84.77M-49.63M-82.01M-82M-59.54M-41.37M-76.9M-17.79M-11.97M-2.69M-1.71M-10.44M-5.34M-2.2M-14.18M-3.96M-4.5M-19.33M-12M
Debt / Equity0.04x0.04x0.06x0.06x0.07x0.09x0.10x0.09x--------0.00x0.01x0.04x0.05x0.01x0.01x0.00x0.00x0.00x0.01x0.01x0.11x
Debt / EBITDA0.21x0.23x0.32x0.35x0.46x0.65x0.69x0.72x--------0.01x0.03x0.19x0.30x0.06x0.09x0.07x-----
Net Debt / EBITDA-0.51x-0.34x-0.63x-0.35x-0.45x-0.40x-0.10x-2.37x-3.38x-2.50x-1.79x-2.68x-3.00x-2.64x-2.06x-4.59x-1.49x-1.17x-0.37x-0.27x-2.18x-1.25x-2.70x-----
Interest Coverage---------------236.21x172.99x126.50x38.77x---------
Total Equity351.99M354.02M359.36M340.75M334.06M339.02M334.06M338.17M318.95M300.17M286.11M280.32M167.86M149.43M132.2M120.92M56.79M51.82M36.76M35.71M29.63M25.8M21.73M22.56M25.9M42.54M62.02M14.1M
Equity Growth %-5.85%-1.48%5.46%2%-1.46%1.48%-1.21%6.03%6.26%4.91%2.06%67%12.33%13.04%9.33%112.91%9.59%40.96%2.94%20.51%14.86%18.73%-3.67%-12.89%-39.13%-31.4%339.84%-
Book Value per Share11.9611.7411.7711.1110.8810.7210.4410.439.869.328.929.215.995.404.815.092.532.371.661.571.331.181.061.111.282.143.933.75
Total Shareholders' Equity351.99M354.02M359.36M340.75M334.06M339.02M334.06M338.17M318.95M300.17M286.11M280.32M167.86M149.43M132.2M120.92M56.79M51.82M36.76M35.71M29.63M25.8M21.73M22.56M25.9M42.54M62.02M14.1M
Common Stock225.09M231.8M252.43M249.07M254.83M270.79M271.78M290.02M286.6M282.67M280.81M278.8M174.93M166.89M158.02M154.41M97.23M96.41M95.32B97.13B95.13B93.8M91.64M91.42M91.22M91.28M91.22M4M
Retained Earnings128.47M123.59M108.97M92.37M80.21M68.12M62.28M48.14M32.37M17.54M5.35M1.59M-7.03M-17.42M-25.84M-33.49M-40.43M-44.59M-58.56M-61.41M-65.5M-68M-69.91M-68.86M-65.45M-48.81M-29.24M-8.9M
Treasury Stock0000000000000000000000000000
Accumulated OCI-1.57M-1.36M-2.05M-691K-981K106K1K4K-23K-38K-51K-70K-37K-31K18K-7K-15.29M-14.88M-12.75M-10.83M-8.9M-7.64M-6.28M5.47K125.54K79.24K30.56K-600K
Minority Interest0000000000000000000000000000

Key Metrics

Growth RegimeStable
ProfitabilityModerate
Balance SheetFortress
Cash FlowStable
Top Statement Risk

Goodwill Impairment Sensitivity

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q1)

Capital Structure Stability Remains Intact

According to the provided quarterly balance sheets, HealthStream has maintained a remarkably stable capital structure over the last ten quarters, with total assets growing from $499.9 million in 2023Q4 to $527.4 million in 2026Q1, signaling a conservative approach to balance sheet management and long-term asset accumulation.

The consistent growth in total assets relative to liabilities suggests that the company is successfully reinvesting in its platform without over-leveraging its equity base. Investors should monitor whether this steady expansion continues to translate into improved operational efficiency or if it merely reflects the capitalization of ongoing software development costs.

Minimal Leverage Supports Financial Flexibility

Based on reported financial figures, HealthStream maintains a negligible debt-to-equity ratio of 0.04 as of 2026Q1, with total debt declining from $23.2 million in 2023Q4 to $14.1 million, which indicates a strategic preference for self-funding operations rather than relying on external credit markets for growth.

This minimal debt burden provides the company with significant financial flexibility to navigate potential sector-specific downturns or pursue opportunistic tuck-in acquisitions. The lack of meaningful leverage suggests that the company's cash flow is sufficient to cover its obligations, reducing the risk of refinancing pressure in a volatile interest rate environment.

Goodwill Concentration Warrants Close Monitoring

As reported in the balance sheet data, goodwill has increased from $191.4 million in 2023Q4 to $276.4 million in 2026Q1, representing a significant portion of total assets and suggesting that past acquisitions remain a primary driver of the company's current asset composition and strategic footprint.

The rising goodwill balance implies that the company's valuation is increasingly tied to the successful integration and performance of acquired assets. Analysts should remain cautious, as any failure to meet growth expectations in these acquired segments could necessitate future impairment charges, potentially impacting the reported equity value.

Adequate Liquidity Buffers Against Volatility

According to recent financial disclosures, the current ratio has fluctuated between 0.96 and 1.35 over the past ten quarters, with a cash position of $48.7 million as of 2026Q1, providing a sufficient buffer to meet short-term obligations despite the inherent lumpiness of healthcare software billing cycles.

While the current ratio occasionally dips near parity, the company's recurring revenue model likely mitigates the risk of a liquidity shortfall. The cash position appears adequate to support ongoing R&D and operational needs, though investors should watch for any sustained decline in the current ratio that might signal tightening working capital.

Retained Earnings Drive Equity Growth

Based on the provided balance sheet data, retained earnings have steadily climbed from $92.4 million in 2023Q4 to $128.5 million in 2026Q1, serving as the primary engine for equity expansion and reflecting the company's ability to generate consistent, albeit modest, bottom-line profitability over time.

The consistent accumulation of retained earnings suggests that the business model is fundamentally self-sustaining and capable of funding its own growth. This trend provides a solid foundation for shareholder value, provided that management continues to allocate this capital toward high-return initiatives rather than dilutive or inefficient projects.

HSTM — Frequently Asked Questions

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

What are the total assets of HealthStream, Inc. (HSTM)?

As of 2025, HealthStream, Inc. (HSTM) had total assets of $520.4M including $119.7M in current assets.

How much debt does HealthStream, Inc. (HSTM) have?

HealthStream, Inc. (HSTM) carries total debt of $14.7M, offset by $57.0M in cash and short-term investments. Comparing total debt to cash helps evaluate the company's debt burden and net leverage.

What is the book value or shareholders' equity of HealthStream, Inc.?

HealthStream, Inc. (HSTM) has total shareholders' equity (book value) of $354.0M ($11.74 book value per share). Book value represents the net worth of the company belonging to common stock holders.

What is HealthStream, Inc.'s current ratio and liquidity?

HealthStream, Inc. (HSTM) reported a current ratio of 0.96x. A current ratio above 1.0x indicates that the company has more current assets than current liabilities, suggesting sufficient short-term liquidity.