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.
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 | Dec'04 | Dec'03 | Dec'02 | Dec'01 | Dec'00 | Dec'99 |
|---|
| Total Current Assets | 133.02M | 119.66M | 153.12M | 130.21M | 114.38M | 106.84M | 114.72M | 224.57M | 241.43M | 199.73M | 177.44M | 209.54M | 174.61M | 147.12M | 118.29M | 111.08M | 44.27M | 29.89M | 16.86M | 15.68M | 22.21M | 19.23M | 22.47M | 22.16M | 21.89M | 24.53M | 34.65M | 14.5M |
| Cash & Short-Term Investments | 66.5M | 57M | 97.22M | 71.13M | 53.91M | 51.95M | 46.49M | 172.87M | 168.82M | 131.12M | 103.17M | 148.99M | 120.97M | 108.2M | 93.32M | 83.46M | 23.57M | 12.29M | 4.11M | 3.6M | 12.43M | 11.9M | 16.28M | 17.18M | 16.16M | 17.45M | 27.28M | 13.6M |
| Cash Only | 48.71M | 36.16M | 59.47M | 40.33M | 46.02M | 46.91M | 36.57M | 131.54M | 134.32M | 84.77M | 49.63M | 82.01M | 82M | 59.54M | 41.37M | 76.9M | 17.87M | 12.29M | 4.11M | 3.6M | 10.73M | 5.73M | 2.26M | 14.22M | 4.07M | 4.75M | 19.83M | 13.6M |
| Short-Term Investments | 17.79M | 20.84M | 37.75M | 30.8M | 7.88M | 5.04M | 9.93M | 41.33M | 34.5M | 46.35M | 53.54M | 66.98M | 38.97M | 48.66M | 51.95M | 6.55M | 5.7M | 0 | 0 | 0 | 1.7M | 6.17M | 14.03M | 2.96M | 12.09M | 12.7M | 7.45M | 0 |
| Accounts Receivable | 43.44M | 39M | 35.32M | 38.45M | 42.71M | 34.92M | 46.1M | 30.38M | 41M | 38.02M | 47.39M | 38.35M | 34.84M | 26.71M | 16.51M | 17.33M | 12.43M | 11.22M | 9.98M | 9.74M | 7.86M | 5.45M | 4.61M | 3.21M | 3.9M | 4.88M | 4.59M | 600K |
| Days Sales Outstanding | 43.21 | 46.81 | 44.21 | 50.29 | 58.42 | 49.65 | 68.73 | 43.63 | 64.62 | 56.03 | 76.54 | 66.97 | 74.51 | 73.69 | 58.1 | 77.08 | 69.02 | 71.32 | 70.57 | 80.86 | 90.28 | 72.73 | 83.95 | 64.39 | 90.18 | 131.92 | 173.4 | 84.23 |
| Inventory | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2.46M | 8.49M | 0 | -5.97M | 0 | 0 | 0 | 0 | 0 | 1.53M | 1.42M | 1.17M | 0 | 0 |
| Days Inventory Outstanding | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 21.55 | 99.74 | - | - | - | - | - | - | - | 89.09 | 87 | 73.97 | - | - |
| Other Current Assets | 23.08M | 23.65M | 9.55M | 3.03M | 9.07M | 9.15M | 9.57M | 11.9M | 13.6M | 22.26M | 18.18M | 14.04M | 13.03M | 8.86M | 4.72M | 6.88M | 4.53M | 3.82M | 374.12K | 1.34M | 603.46K | 950.69K | 850.53K | 723.88K | 1.24M | 1.55M | 2.79M | 300K |
| Total Non-Current Assets | 394.42M | 400.72M | 357.64M | 369.73M | 383.36M | 379.91M | 385.59M | 264.97M | 198.73M | 211.35M | 218.56M | 170.03M | 82.65M | 65.47M | 56.24M | 43.16M | 37.74M | 41.11M | 35.93M | 37.68M | 18.8M | 15.99M | 6.08M | 6.24M | 11.03M | 24.72M | 35.8M | 3M |
| Property, Plant & Equipment | 24.65M | 25.93M | 28.19M | 33.12M | 38.24M | 43.12M | 50.3M | 55.68M | 14.08M | 8.99M | 10.24M | 12.47M | 9.44M | 9.04M | 7.82M | 6.09M | 3.83M | 2.93M | 3.47M | 4.38M | 2.18M | 2.1M | 2.32M | 2M | 2.67M | 3.69M | 4.28M | 1.3M |
| Fixed Asset Turnover | 11.81x | 11.72x | 10.34x | 8.43x | 6.98x | 5.95x | 4.87x | 4.56x | 16.45x | 27.54x | 22.06x | 16.76x | 18.08x | 14.64x | 13.26x | 13.48x | 17.19x | 19.56x | 14.85x | 10.03x | 14.55x | 13.01x | 8.65x | 9.08x | 5.92x | 3.66x | 2.26x | 2.00x |
| Goodwill | 276.36M | 217.52M | 191.22M | 191.38M | 192.4M | 182.5M | 178.44M | 162.28M | 145.52M | 179.11M | 188.13M | 139.04M | 56.71M | 44.62M | 38.1M | 21.15M | 21.15M | 21.15M | 21.15M | 21.15M | 10.32M | 10.32M | 3.31M | 0 | 0 | 0 | 0 | 0 |
| Intangible Assets | 63.66M | 64.93M | 98.92M | 108.67M | 118.67M | 121.62M | 127.35M | 21.45M | 18.35M | 18.7M | 16.31M | 13.96M | 12.71M | 11.08M | 9.73M | 1.96M | 7.18M | 7.97M | 9.13M | 10.16M | 5.33M | 3.98M | 166.22K | 3.82M | 4.96M | 11.87M | 18.02M | 1.1M |
| Long-Term Investments | 0 | 0 | 1.5M | 4.13M | 4.52M | 7.04M | 6.84M | 6.78M | 3.38M | 3.77M | 3.28M | 3.64M | 1.76M | 497K | -2.46M | 6M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3.07B | 0 | 0 | 0 |
| Other Non-Current Assets | 93.41M | 92.34M | 37.81M | 32.43M | 29.15M | 25.63M | 22.66M | 18.52M | 17.25M | 4.54M | 3.88M | 4.57M | 3.79M | 739K | 581K | 2.89M | 244.65K | 4.61M | 173.44K | 360.21K | 968.48K | 304.29K | 291.78K | 423.01K | 3.4M | 9.15M | 13.5M | 600K |
| Total Assets | 527.44M | 520.37M | 510.77M | 499.94M | 497.74M | 486.75M | 500.31M | 489.54M | 440.17M | 411.07M | 396M | 379.57M | 257.26M | 212.59M | 174.53M | 154.24M | 82.01M | 71M | 52.8M | 53.36M | 41.01M | 35.22M | 28.56M | 28.4M | 32.91M | 49.25M | 70.45M | 17.5M |
| Asset Turnover | 0.61x | 0.58x | 0.57x | 0.56x | 0.54x | 0.53x | 0.49x | 0.52x | 0.53x | 0.60x | 0.57x | 0.55x | 0.66x | 0.62x | 0.59x | 0.53x | 0.80x | 0.81x | 0.98x | 0.82x | 0.78x | 0.78x | 0.70x | 0.64x | 0.48x | 0.27x | 0.14x | 0.15x |
| 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 Liabilities | 136.51M | 124.15M | 115.69M | 118.36M | 117.21M | 100.35M | 119.44M | 105.19M | 105.07M | 101.07M | 94.97M | 89.08M | 77.26M | 56.21M | 35.03M | 32.45M | 24.75M | 19.18M | 15.71M | 16.58M | 11.06M | 9.2M | 6.8M | 5.84M | 6.98M | 6.58M | 8.22M | 3.1M |
| Accounts Payable | 30.11M | 35.73M | 6.63M | 7.46M | 7.29M | 5.13M | 9.33M | 4.81M | 8.5M | 4.18M | 3.13M | 4.62M | 4.75M | 2.31M | 1.06M | 2.58M | 2.37M | 1.55M | 1.39M | 1.74M | 1.62M | 933.89K | 830.94K | 864.98K | 718.8K | 889.25K | 1.15M | 400K |
| Days Payables Outstanding | 99.73 | 121.64 | 24.7 | 28.68 | 29.18 | 20.55 | 38.13 | 16.9 | 32.3 | 14.39 | 11.81 | 18.85 | 23.4 | 15.17 | 9.26 | 30.37 | 35.83 | 26.54 | 25.75 | 39.34 | 54.27 | 34.98 | 41.68 | 50.37 | 43.94 | 56.23 | -159.41 | 85.88 |
| Short-Term Debt | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 76.47K | 657.73K | 744.69M | 830.8K | 176.57K | 166.02K | 24.11K | 39.02K | 66.92K | 126.73K | 288.83K | 1.4M |
| Deferred Revenue (Current) | 283.19M | 88.42M | 0 | 83.62M | 79.47M | 0 | 0 | 65.51M | 66.06M | 68.95M | 68.54M | 65.1M | 53.72M | 38.17M | 23.15M | 22.76M | 16.74M | 12.23M | 10.2M | 9.49M | 5.38M | 4.5M | 3.99M | 3.06M | 3.35M | 3.27M | 0 | 0 |
| Other Current Liabilities | 0 | 0 | 84.23M | 2.97M | 2.84M | 73.82M | 81.18M | 2.8M | 29.21M | 71.71M | 21.31M | 16.06M | 2.31M | 13.94M | 9.71M | 1.61M | 0 | 0 | -1.49B | 272.29K | 555.61K | 1.47M | 553.59K | 735.26K | 900.65K | 1.35M | 6.78M | 1.3M |
| Current Ratio | 0.97x | 0.96x | 1.32x | 1.10x | 0.98x | 1.06x | 0.96x | 2.14x | 2.30x | 1.98x | 1.87x | 2.35x | 2.26x | 2.62x | 3.38x | 3.42x | 1.79x | 1.56x | 1.07x | 0.95x | 2.01x | 2.09x | 3.31x | 3.79x | 3.14x | 3.73x | 4.22x | 4.68x |
| Quick Ratio | 0.97x | 0.96x | 1.32x | 1.10x | 0.98x | 1.06x | 0.96x | 2.14x | 2.30x | 1.98x | 1.87x | 2.35x | 2.26x | 2.62x | 3.31x | 3.16x | 1.79x | 1.87x | 1.07x | 0.95x | 2.01x | 2.09x | 3.31x | 3.53x | 2.93x | 3.55x | 4.22x | 4.68x |
| Cash Conversion Cycle | -56.52 | - | - | - | - | - | - | - | - | - | - | - | - | - | 70.38 | 146.44 | - | - | - | - | - | - | - | 103.11 | 133.25 | 149.65 | - | - |
| Total Non-Current Liabilities | 38.94M | 42.2M | 35.72M | 40.83M | 46.46M | 47.38M | 46.81M | 46.19M | 16.15M | 9.84M | 14.92M | 10.17M | 12.14M | 6.95M | 7.3M | 874K | 473.9K | 4K | 319.72K | 1.06M | 310.95K | 215.86K | 29.43K | 1.2K | 41.01K | 118.77K | 216.07K | 300K |
| Long-Term Debt | 14.07M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 306.94K | 1.06B | 0 | 0 | 0 | 0 | 0 | 0 | 216.07K | 200K |
| Capital Lease Obligations | 59.93M | 14.68M | 17.37M | 20.25M | 23.32M | 26.18M | 28.48M | 30.73M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4.36K | 12.78K | 32.49K | 106.78K | 215.86K | 29.43K | 1.2K | 41.01K | 118.77K | 0 | 0 |
| Deferred Tax Liabilities | 51.32M | 18.25M | 0 | 16.13M | 18M | 0 | 0 | 13.18M | 11.07M | 1.93M | 5.97M | 4.76M | 5.84M | 6.17M | 6.47M | 323K | 5.35B | 8.63B | 2.01B | 1.63B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Non-Current Liabilities | 5.57M | 7.93M | 18.35M | 2.28M | 2.21M | 21.21M | 18.33M | 357K | 2.21M | 7.91M | 1.09M | 1.06M | 2.65M | 776K | 826K | 551K | 473.9K | -362 | 0 | -1.06B | 204.17K | 0 | 0 | 0 | 0 | 0 | 0 | 100K |
| Total Liabilities | 175.45M | 166.35M | 151.41M | 159.19M | 163.68M | 147.73M | 166.25M | 151.38M | 121.22M | 110.9M | 109.89M | 99.25M | 89.4M | 63.16M | 42.33M | 33.32M | 25.22M | 19.18M | 16.03M | 17.65M | 11.37M | 9.42M | 6.83M | 5.84M | 7.02M | 6.7M | 8.43M | 3.4M |
| Total Debt | 14.07M | 14.68M | 20.17M | 20.25M | 23.32M | 29.11M | 31.87M | 30.73M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 80.83K | 320K | 1.41M | 1.89M | 283.35K | 381.88K | 53.54K | 40.22K | 107.94K | 245.5K | 504.9K | 1.6M |
| 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 / Equity | 0.04x | 0.04x | 0.06x | 0.06x | 0.07x | 0.09x | 0.10x | 0.09x | - | - | - | - | - | - | - | - | 0.00x | 0.01x | 0.04x | 0.05x | 0.01x | 0.01x | 0.00x | 0.00x | 0.00x | 0.01x | 0.01x | 0.11x |
| Debt / EBITDA | 0.21x | 0.23x | 0.32x | 0.35x | 0.46x | 0.65x | 0.69x | 0.72x | - | - | - | - | - | - | - | - | 0.01x | 0.03x | 0.19x | 0.30x | 0.06x | 0.09x | 0.07x | - | - | - | - | - |
| 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 | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 236.21x | 172.99x | 126.50x | 38.77x | - | - | - | - | - | - | - | - | - |
| Total Equity | 351.99M | 354.02M | 359.36M | 340.75M | 334.06M | 339.02M | 334.06M | 338.17M | 318.95M | 300.17M | 286.11M | 280.32M | 167.86M | 149.43M | 132.2M | 120.92M | 56.79M | 51.82M | 36.76M | 35.71M | 29.63M | 25.8M | 21.73M | 22.56M | 25.9M | 42.54M | 62.02M | 14.1M |
| 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 Share | 11.96 | 11.74 | 11.77 | 11.11 | 10.88 | 10.72 | 10.44 | 10.43 | 9.86 | 9.32 | 8.92 | 9.21 | 5.99 | 5.40 | 4.81 | 5.09 | 2.53 | 2.37 | 1.66 | 1.57 | 1.33 | 1.18 | 1.06 | 1.11 | 1.28 | 2.14 | 3.93 | 3.75 |
| Total Shareholders' Equity | 351.99M | 354.02M | 359.36M | 340.75M | 334.06M | 339.02M | 334.06M | 338.17M | 318.95M | 300.17M | 286.11M | 280.32M | 167.86M | 149.43M | 132.2M | 120.92M | 56.79M | 51.82M | 36.76M | 35.71M | 29.63M | 25.8M | 21.73M | 22.56M | 25.9M | 42.54M | 62.02M | 14.1M |
| Common Stock | 225.09M | 231.8M | 252.43M | 249.07M | 254.83M | 270.79M | 271.78M | 290.02M | 286.6M | 282.67M | 280.81M | 278.8M | 174.93M | 166.89M | 158.02M | 154.41M | 97.23M | 96.41M | 95.32B | 97.13B | 95.13B | 93.8M | 91.64M | 91.42M | 91.22M | 91.28M | 91.22M | 4M |
| Retained Earnings | 128.47M | 123.59M | 108.97M | 92.37M | 80.21M | 68.12M | 62.28M | 48.14M | 32.37M | 17.54M | 5.35M | 1.59M | -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 Stock | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Accumulated OCI | -1.57M | -1.36M | -2.05M | -691K | -981K | 106K | 1K | 4K | -23K | -38K | -51K | -70K | -37K | -31K | 18K | -7K | -15.29M | -14.88M | -12.75M | -10.83M | -8.9M | -7.64M | -6.28M | 5.47K | 125.54K | 79.24K | 30.56K | -600K |
| Minority Interest | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Goodwill Impairment Sensitivity
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.
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.
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.
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.
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.
Quick answers to the most common questions about buying HSTM stock.
As of 2025, HealthStream, Inc. (HSTM) had total assets of $520.4M including $119.7M in current assets.
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.
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.
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.