HEALTHSTREAM INC
Business
HEALTHSTREAM INC provides Software-as-a-Service (SaaS) workforce solutions designed to improve healthcare quality by developing and supporting clinical and administrative personnel. Its main products and services include subscription-based learning, clinical competency and assessment tools, scheduling and capacity management, credentialing/privileging/enrollment (CredentialStream), content libraries, simulations, and implementation and training services. The company organizes offerings through a single hStream technology platform and multiple application suites such as learning, credentialing, scheduling, and clinical competency. HealthStream sells primarily to healthcare organizations, individual professionals, and nursing schools across the U.S. and through direct sales, e-commerce, and partner channels.
Summary from filing dated 2025-02-28
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Revenues, net | 304 | 292 | 279 | 267 | 257 | |
| Cost of revenues (excluding depreciation and amortization) | 107 | 98 | 95 | 91 | 91 | |
| Product development | 51 | 49 | 46 | 44 | 42 | |
| Sales and marketing | 49 | 47 | 46 | 44 | 39 | |
| General and administrative expenses | 33 | 35 | 36 | 37 | 40 | |
| Depreciation and amortization | 43 | 41 | 41 | 38 | 37 | |
| Total operating costs and expenses | 284 | 270 | 263 | 254 | 249 | |
| Operating income | 20 | 21 | 16 | 12 | 8 | |
| Interest income | 3 | 4 | 2 | 444,000 | — | |
| Other (expense) income, net | −358,000 | −318,000 | 136,000 | 3 | — | |
| Income before income tax provision | 23 | 25 | 19 | 16 | 8 | |
| Income tax provision | 5 | 5 | 3 | 3 | 2 | |
| Net income | 18 | 20 | 15 | 12 | 6 | |
| Basic (in dollars per share) | 0.61 | 0.66 | 0.5 | 0.39 | 0.19 | |
| Diluted (in dollars per share) | 0.61 | 0.66 | 0.5 | 0.39 | 0.18 | |
| Basic (in shares) | 30 | 30 | 31 | 31 | 32 | |
| Diluted (in shares) | 30 | 31 | 31 | 31 | 32 | |
| Dividends declared per share (in dollars per share) | 0.12 | 0.11 | 0.1 | 0 | 0 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 36 | 59 | 40 | 46 | 47 | |
| Marketable securities | 21 | 38 | 31 | 8 | 5 | |
| Accounts receivable, net | 32 | 30 | 34 | 37 | 30 | |
| Accounts receivable - unbilled | 7 | 5 | 4 | 6 | 5 | |
| Prepaid royalties, net of amortization | 8 | 10 | 10 | 9 | 9 | |
| Prepaid software maintenance and subscriptions | 9 | 9 | 7 | 6 | — | |
| Other prepaid expenses and other current assets | 7 | 2 | 3 | 3 | 11 | |
| Total current assets | 120 | 153 | 130 | 114 | 107 | |
| Property and equipment, net | 11 | 11 | 13 | 15 | 18 | |
| Capitalized software development, net | 46 | 43 | 41 | 37 | 32 | |
| Operating lease right of use assets, net | 15 | 17 | 20 | 23 | 25 | |
| Goodwill | 218 | 191 | 191 | 192 | 183 | |
| Intangibles, net | 65 | 56 | 68 | 82 | 89 | |
| Other assets | 47 | 39 | 726,000 | 1 | 1 | |
| Total assets | 520 | 511 | 500 | 498 | 487 | |
| Accounts Payable, Current | 8 | 7 | 7 | 7 | 5 | |
| Accrued royalties | 6 | 5 | 5 | 5 | 5 | |
| Accrued liabilities | 11 | 10 | 13 | 25 | 16 | |
| Accrued compensation | 11 | 10 | 9 | — | — | |
| Deferred revenue | 88 | 84 | 84 | 79 | 74 | |
| Total current liabilities | 124 | 116 | 118 | 117 | 100 | |
| Deferred tax liabilities | 18 | 15 | 16 | 18 | 18 | |
| Deferred revenue, noncurrent | 1 | 2 | 2 | 3 | 2 | |
| Operating lease liability, noncurrent | 15 | 17 | 20 | 23 | 26 | |
| Other long-term liabilities | 8 | 2 | 2 | 2 | 1 | |
| Commitments and contingencies | — | — | — | — | — | |
| Preferred stock, no par value, 10,000 shares authorized, no shares issued or outstanding | 0 | 0 | 0 | — | — | |
| Common stock, no par value, 75,000 shares authorized; 29,579 and 30,432 shares issued and outstanding at December 31, 2025 and 2024, respectively | 232 | 252 | 249 | 255 | 271 | |
| Retained earnings | 124 | 109 | 92 | 80 | 68 | |
| Accumulated other comprehensive loss | −1 | −2 | −691,000 | −981,000 | 106,000 | |
| Total shareholders equity | 354 | 359 | 341 | 334 | 339 | |
| Total liabilities and shareholders equity | 520 | 511 | 500 | 498 | 487 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Stock-based compensation | 8 | 4 | 4 | 4 | 5 | |
| Amortization of deferred commissions | 13 | 12 | 11 | 11 | 9 | |
| Provision for credit losses | 1 | 3 | 1 | 385,000 | 723,000 | |
| Deferred income taxes | 5 | −1 | −2 | 710,000 | 2 | |
| Loss on equity method investments | 190,000 | 230,000 | 384,000 | 747,000 | 462,000 | |
| Change in fair value of non-marketable equity investments | 0 | 0 | −425,000 | −4 | −279,000 | |
| Other | −1 | −2 | −891,000 | 3,000 | 184,000 | |
| Accounts and unbilled receivables | 4 | −537,000 | −3 | 8 | −10 | |
| Prepaid royalties | 2 | 655,000 | −1 | 84,000 | 416,000 | |
| Other prepaid expenses and other current assets | −3 | −1 | −1 | 2 | 2 | |
| Other assets | −19 | −16 | −15 | 208,000 | 52,000 | |
| Accounts payable and accrued expenses | 1 | −5 | 5 | 4 | −4 | |
| Accrued royalties | 405,000 | 633,000 | −887,000 | 406,000 | −4 | |
| Deferred revenue | −2 | −330,000 | 3 | 5 | −8 | |
| Net cash provided by operating activities | 63 | 58 | 64 | 51 | 42 | |
| Cash paid for acquisitions, net of cash acquired | −35 | −1 | −7 | −4 | −5 | |
| Proceeds from maturities of marketable securities | 52 | 69 | 28 | 11 | 10 | |
| Proceeds from sale of marketable securities | 10 | 0 | 0 | — | — | |
| Purchases of marketable securities | −43 | −74 | −50 | −13 | −5 | |
| Proceeds from sale of fixed assets | 41,000 | 0 | 0 | 26,000 | 0 | |
| Purchase of other investments | −2 | 0 | 0 | — | — | |
| Proceeds from sale of non-marketable equity investments | 0 | 765,000 | 47,000 | 3 | 1 | |
| Payments associated with capitalized software development | −28 | −27 | −26 | −23 | −22 | |
| Purchases of property and equipment | −4 | −1 | −2 | −2 | −3 | |
| Net cash used in investing activities | −50 | −34 | −57 | −28 | −26 | |
| Taxes paid related to net settlement of equity awards | −3 | −1 | −934,000 | −565,000 | −1 | |
| Payment of debt issuance costs | 0 | 0 | −118,000 | 0 | 0 | |
| Repurchases of common stock | −30 | 0 | −9 | −23 | −5 | |
| Payment of cash dividends | −4 | −3 | −3 | 0 | −19,000 | |
| Net cash used in financing activities | −36 | −5 | −13 | −24 | −6 | |
| Net (decrease) increase in cash and cash equivalents | −23 | 19 | −6 | −882,000 | 10 | |
| Effect of exchange rate changes on cash and cash equivalents | −7,000 | −36,000 | −23,000 | 21,000 | −114,000 | |
| Interest paid | 101,000 | 101,000 | 132,000 | 99,000 | 132,000 | |
| Income taxes paid | — | 9 | 3 | — | — | |
| Purchases of property and equipment, accrued but not paid | 475,000 | 399,000 | 91,000 | 727,000 | 0 | |
| Capitalized software development, accrued but not paid | 712,000 | 1 | 961,000 | 1 | — | |
| Common stock issued as consideration for business combinations | 4 | 0 | 0 | 4 | — | |
| Non-cash additions to operating lease ROU assets | 252,000 | 0 | 0 | — | — |