Last 48 quarters of trend data · Healthcare · Medical - Healthcare Information Services
Quarterly valuation ratios — annualised for comparability. YoY Δ shows same-quarter-prior-year change.
HealthStream, Inc.'s quarterly P/E stands at 25.9x, down 55.0% year-over-year — suggesting improving earnings relative to price. EV/EBITDA has compressed 50.1% YoY to 7.6x, reflecting multiple compression or accelerating EBITDA.
| Metric | TTM | Q1 '26 | Q4 '25 | Q3 '25 | Q2 '25 | Q1 '25 | Q4 '24 | Q3 '24 | Q2 '24 | Q1 '24 | Q4 '23 | Q3 '23 | Q2 '23 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| P/E Ratio → | 42.03 | 25.89 | 67.61 | 35.30 | 38.43 | 57.46 | 49.69 | 37.95 | 49.82 | 39.21 | 45.05 | 41.50 | 47.23 |
| — | -55.0% | +36.1% | -7.0% | -22.9% | +46.6% | +10.3% | -8.6% | +5.5% | -47.9% | -42.0% | -6.3% | -13.0% | |
| P/S Ratio | 2.47 | 1.88 | 2.15 | 2.75 | 2.83 | 3.35 | 3.28 | 3.02 | 2.98 | 2.79 | 2.92 | 2.36 | 2.73 |
| — | -44.0% | -34.4% | -8.8% | -4.8% | +20.2% | +12.4% | +27.9% | +9.0% | -7.5% | +4.9% | -2.6% | +8.2% | |
| P/B Ratio | 2.18 | 1.73 | 1.94 | 2.41 | 2.40 | 2.71 | 2.71 | 2.48 | 2.44 | 2.35 | 2.42 | 1.94 | 2.22 |
| — | -36.2% | -28.6% | -2.9% | -1.5% | +15.4% | +12.1% | +27.9% | +9.9% | -4.9% | +5.9% | -1.7% | +9.5% | |
| P/FCF | 12.60 | 5.77 | 13.20 | 11.74 | 77.84 | 9.46 | 22.23 | 17.97 | 33.91 | 10.04 | 28.57 | 6.86 | 42.51 |
| — | -39.0% | -40.6% | -34.7% | +129.6% | -5.8% | -22.2% | +162.0% | -20.2% | -5.0% | +18.5% | -38.1% | -67.4% | |
| EV / EBITDA | 11.46 | 7.61 | 12.36 | 10.93 | 12.03 | 15.26 | 15.43 | 12.71 | 13.94 | 12.14 | 13.65 | 10.50 | 13.21 |
| — | -50.1% | -19.9% | -14.1% | -13.7% | +25.7% | +13.0% | +21.1% | +5.6% | -22.7% | -6.4% | -19.9% | +0.6% | |
| EV / EBIT | 36.07 | 19.13 | 58.25 | 24.35 | 34.25 | 52.74 | 49.85 | 32.42 | 46.72 | 34.18 | 47.43 | 32.95 | 46.90 |
| — | -63.7% | +16.9% | -24.9% | -26.7% | +54.3% | +5.1% | -1.6% | -0.4% | -50.9% | -21.2% | -50.0% | -14.8% |
Quarterly margins and returns. Watch for margin compression across consecutive quarters.
HealthStream, Inc.'s operating margin was 9.3% in Q1 2026, up 6.2 pp QoQ and up 3.3 pp YoY. The trailing four-quarter average of 7.5% lags the current quarter, suggesting the recent improvement is above-trend.
| Metric | TTM | Q1 '26 | Q4 '25 | Q3 '25 | Q2 '25 | Q1 '25 | Q4 '24 | Q3 '24 | Q2 '24 | Q1 '24 | Q4 '23 | Q3 '23 | Q2 '23 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gross Margin | 64.7% | 65.8% | 63.8% | 65.3% | 64.6% | 65.3% | 66.2% | 66.5% | 66.8% | 66.2% | 66.0% | 66.5% | 65.9% |
| — | +0.8% | -3.6% | -1.8% | -3.4% | -1.3% | +0.3% | +0.1% | +1.3% | +1.2% | +0.5% | +1.8% | -0.3% | |
| Operating Margin | 6.7% | 9.3% | 3.0% | 9.9% | 7.9% | 6.0% | 6.3% | 8.9% | 6.2% | 7.8% | 6.0% | 6.9% | 5.8% |
| — | +55.3% | -52.3% | +11.3% | +28.3% | -23.8% | +4.8% | +28.6% | +6.4% | +86.5% | +34.2% | +95.3% | +28.7% | |
| Net Margin | 6.0% | 7.3% | 3.2% | 8.0% | 7.2% | 5.9% | 6.6% | 7.8% | 5.8% | 7.2% | 6.5% | 5.5% | 6.0% |
| — | +23.5% | -51.7% | +1.6% | +24.4% | -17.9% | +1.3% | +42.5% | -2.5% | +88.8% | +82.0% | +0.9% | +27.2% |
| Metric | TTM | Q1 '26 | Q4 '25 | Q3 '25 | Q2 '25 | Q1 '25 | Q4 '24 | Q3 '24 | Q2 '24 | Q1 '24 | Q4 '23 | Q3 '23 | Q2 '23 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROE | 5.1% | 1.7% | 0.7% | 1.7% | 1.5% | 1.2% | 1.4% | 1.6% | 1.2% | 1.5% | 1.3% | 1.1% | 1.2% |
| — | +39.6% | -47.3% | +7.1% | +25.8% | -21.3% | +1.8% | +43.5% | -1.7% | +94.8% | +82.3% | +1.5% | +28.6% | |
| ROA | 3.6% | 1.1% | 0.5% | 1.2% | 1.1% | 0.8% | 1.0% | 1.1% | 0.8% | 1.0% | 0.9% | 0.8% | 0.8% |
| — | +34.7% | -48.5% | +6.5% | +27.6% | -19.0% | +4.9% | +46.4% | -0.6% | +97.2% | +83.8% | +2.0% | +29.4% | |
| ROIC | 4.7% | 1.7% | 0.6% | 1.8% | 1.4% | 1.1% | 1.1% | 1.5% | 1.0% | 1.3% | 1.0% | 1.1% | 0.9% |
| — | +64.3% | -49.3% | +18.8% | +37.2% | -21.4% | +11.4% | +37.4% | +12.2% | +92.3% | +32.8% | +93.1% | +30.0% |
Quarterly solvency trend — watch for debt spikes or covenant pressure.
HealthStream, Inc.'s Debt/EBITDA ratio is 0.7x, down from 1.1x last quarter — comfortably within a safe range. The current ratio has weakened 27.7% YoY to 0.97x, tightening the short-term liquidity position. Debt/Equity has declined for 4 consecutive quarters, reflecting a deleveraging trend.
| Metric | TTM | Q1 '26 | Q4 '25 | Q3 '25 | Q2 '25 | Q1 '25 | Q4 '24 | Q3 '24 | Q2 '24 | Q1 '24 | Q4 '23 | Q3 '23 | Q2 '23 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Debt / Equity | 0.04 | 0.04 | 0.04 | 0.04 | 0.05 | 0.05 | 0.06 | 0.05 | 0.05 | 0.06 | 0.07 | 0.06 | 0.06 |
| — | -12.9% | -26.1% | -13.2% | -15.7% | -18.8% | -17.6% | -17.8% | -16.0% | -15.9% | -2.4% | -15.6% | -15.6% | |
| Debt / EBITDA | 0.23 | 0.75 | 1.09 | 0.83 | 0.95 | 1.10 | 1.33 | 1.08 | 1.27 | 1.22 | 1.57 | 1.38 | 1.53 |
| — | -32.2% | -17.9% | -23.2% | -25.3% | -9.6% | -15.3% | -21.3% | -17.1% | -31.0% | -14.5% | -31.4% | -23.5% | |
| Current Ratio | 0.96 | 0.97 | 0.96 | 1.31 | 1.25 | 1.35 | 1.32 | 1.32 | 1.24 | 1.17 | 1.10 | 1.11 | 1.08 |
| — | -27.7% | -27.2% | -0.4% | +0.7% | +15.3% | +20.3% | +19.0% | +15.0% | +13.1% | +12.7% | +11.8% | +19.0% | |
| Quick Ratio | 0.96 | 0.97 | 0.96 | 1.31 | 1.25 | 1.35 | 1.32 | 1.32 | 1.24 | 1.17 | 1.10 | 1.11 | 1.08 |
| — | -27.7% | -27.2% | -0.4% | +0.7% | +15.3% | +20.3% | +19.0% | +15.0% | +13.1% | +12.7% | +11.8% | +19.0% | |
| Interest Coverage | — | — | — | — | — | — | — | — | — | — | — | — | — |
| — | — | — | — | — | — | — | — | — | — | — | — | — |
Includes 30+ ratios · 48 years · Updated daily
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Quick answers to the most common questions about buying HSTM stock.
HealthStream, Inc.'s current P/E is 42.0x. The average P/E over the last 4 quarters is 41.8x. Quarterly P/E ratios can vary due to seasonal revenue patterns and one-time charges.
HealthStream, Inc.'s current operating margin is 6.7%. Margins have been expanding over recent quarters. Quarterly margins are particularly useful for identifying trend inflections that annual data smooths over.
Quarterly financial ratios reveal short-term trend shifts — margin compression, debt spikes, or valuation re-ratings — that annual figures smooth over. They're essential for active investors tracking HealthStream, Inc.'s business trajectory between earnings reports.