HealthStream, Inc. (HSTM) Earnings History
Steady Earner27 years of earnings data (1999–2025) · Positive but moderate multi-year EPS trajectory
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HealthStream, Inc. (HSTM) Earnings Overview
As of June 21, 2026, HealthStream, Inc. (HSTM) reported trailing twelve-month net income of $20M, reflecting -7.6% year-over-year growth. The company earned $0.68 per diluted share over the past four quarters, with a net profit margin of 6.0%.
Looking at the long-term picture, HSTM's 5-year EPS compound annual growth rate (CAGR) stands at +6.8%, showing solid earnings momentum. The company achieved its highest annual net income of $32M in fiscal 2018.
HealthStream, Inc. maintains positive profitability with a gross margin of 64.7%, operating margin of 6.7%, and net margin of 6.0%. The company continues to generate positive earnings from operations. View revenue history →
Compared to peers including GDRX ($29M net income, 3.8% margin), VEEV ($942M net income, 28.4% margin), HCAT (-$265M net income, -57.2% margin), HSTM has outperformed on profitability metrics. Compare HSTM vs GDRX →
HSTM Earnings vs Peers
Earnings metrics vs comparable public companies
HSTM Historical Earnings Data (1999–2025)
27 years| Fiscal Year | Net Income | YoY % | Operating Income | EPS (Diluted) | Net Margin | Op. Margin |
|---|---|---|---|---|---|---|
| 2025 | $18M | -8.3% | $20M | $0.61 | 6.0% | 6.7% |
| 2024 | $20M | +31.5% | $21M | $0.66 | 6.9% | 7.3% |
| 2023 | $15M | +25.8% | $16M | $0.50 | 5.5% | 5.7% |
| 2022 | $12M | +106.9% | $12M | $0.39 | 4.5% | 4.7% |
| 2021 | $6M | -58.5% | $8M | $0.18 | 2.3% | 3.1% |
| 2020 | $14M | -10.6% | $16M | $0.44 | 5.8% | 6.5% |
| 2019 | $16M | -51.1% | $15M | $0.44 | 6.2% | 5.8% |
| 2018 | $32M | +222.0% | $15M | $1.00 | 13.9% | 6.7% |
| 2017 | $10M | +166.4% | $10M | $0.31 | 4.0% | 4.0% |
| 2016 | $4M | -56.4% | $6M | $0.12 | 1.7% | 2.5% |
| 2015 | $9M | -17.1% | $14M | $0.28 | 4.1% | 6.5% |
| 2014 | $10M | +23.5% | $16M | $0.37 | 6.1% | 9.6% |
| 2013 | $8M | +10.1% | $15M | $0.30 | 6.4% | 11.1% |
| 2012 | $8M | +10.1% | $13M | $0.28 | 7.4% | 13.0% |
| 2011 | $7M | +67.1% | $11M | $0.29 | 8.5% | 13.8% |
| 2010 | $4M | -70.3% | $7M | $0.18 | 6.3% | 10.7% |
| 2009 | $14M | +389.4% | $5M | $0.64 | 24.3% | 8.9% |
| 2008 | $3M | -30.2% | $2M | $0.13 | 5.5% | 4.8% |
| 2007 | $4M | +63.5% | $2M | $0.18 | 9.3% | 4.4% |
| 2006 | $2M | +30.7% | $2M | $0.11 | 7.9% | 6.0% |
| 2005 | $2M | +282.5% | $2M | $0.09 | 7.0% | 5.8% |
| 2004 | -$1M | +69.3% | -$1M | $-0.05 | -5.2% | -6.4% |
| 2003 | -$3M | +79.5% | -$4M | $-0.17 | -18.8% | -20.9% |
| 2002 | -$17M | +15.0% | -$12M | $-0.82 | -105.4% | -78.3% |
| 2001 | -$20M | +3.5% | -$21M | $-0.98 | -145.0% | -158.3% |
| 2000 | -$20M | -350.8% | -$23M | $-1.29 | -210.2% | -234.9% |
| 1999 | -$5M | - | -$5M | $-1.20 | -173.1% | -176.9% |
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HSTM — Frequently Asked Questions
Quick answers to the most common questions about buying HSTM stock.
What is HSTM earnings per share (EPS)?
HSTM trailing twelve-month (TTM) diluted EPS is $0.68, reflecting -7.6% year-over-year growth. The 5-year EPS CAGR is +6.8%. Complete EPS history from 1999 to 2025 is available in the table on this page.
What is HealthStream, Inc.'s net income?
HealthStream, Inc. (HSTM) trailing twelve-month net income is $20M as of 2025. Earnings declined -7.6% year-over-year. HealthStream, Inc. has been profitable for 21 consecutive years.
Is HSTM profitable?
Yes, HSTM is profitable with a TTM net income of $20M and a net profit margin of +6.0%. HealthStream, Inc. has generated profits for 21 consecutive years.
What is HSTM's earnings growth rate?
HSTM compound annual EPS growth rates (CAGR): 1-Year: -7.6%, 3-Year: +16.1%, 5-Year: +6.8%, 10-Year: +8.1%. These figures measure the annualised rate of diluted EPS growth over each period, based on data from 1999 to 2025.
What are HSTM's profit margins?
HealthStream, Inc. net profit margin is +6.0%, operating margin is +6.7%, and gross margin is +64.7%. Margins are within a typical range for the sector. Return on Equity is +5.1%.
Is HSTM growing earnings?
HSTM earnings are declining — EPS fell -7.6% year-over-year. TTM net income dropped to $20M. This contrasts with the 5-year CAGR of +6.8%.
What was HSTM's best earnings year?
HealthStream, Inc.'s highest annual net income on record is $32M, achieved in fiscal year 2018. Earnings history on this page spans 1999 to 2025 and includes all annual and quarterly figures.
What were HSTM's earnings last quarter?
HSTM's most recent reported quarter was Q1 2026. Net income was $6M with diluted EPS of $0.20. For a full breakdown of all quarters, see the quarterly earnings table on this page.