Yahoo Finance report covering HealthStream Inc. (HSTM) market action, institutional positioning, and fundamental catalysts.
Why HSTM Stock slipped -0.30% Today — RQD Quant Desk Flash
HealthStream Inc. (HSTM) carries a Roarable Rating of C+ (Hold) with 67/100 RQD Confidence. The composite score sits in the neutral Hold band (59–69), meaning current holders don’t need to panic-sell while prospective buyers can wait for a move into the 70+ Buy zone.
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Is HSTM stock a Buy, Hold, or Sell right now according to Roarable's RQD model?
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As of 2026-11-02, HealthStream Inc. (NASDAQ: HSTM) is rated C+ (Hold / HOLD) by Roarable's 5-pillar RQD engine with a composite confidence score of 67/100 at a spot price of $33.70 (-0.30% 1D, market cap $1.03B). Pillar breakdown: Fundamental Cash Engine 13/20, Institutional 13F & Options Flow 15/20, Executive Insider Alignment 13/20, FRED Macro Regime Fit 15/20, and SEC Balance-Sheet Forensics 11/20. Across 714 tracked Technology issuers, HSTM ranks #140 in composite RQD confidence.
🤖 Ellis Vennor • AI Peer & Flow Quant (Click for Instant Brief)
How does HSTM compare to TRIP and VNET in the Technology sector?
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Within the Technology sector (Computer Software: Programming Data Processing), HSTM carries a Roarable C+ (67/100 RQD), trailing P/E of 56.4x, gross margin of —, and ROIC of 5.0%. By comparison, TRIP (TripAdvisor Inc.) holds a D grade (50/100 RQD, P/E 27.0x, ROIC 13.0%, cap $1.08B) and VNET (VNET Group Inc.) posts a D- grade (42/100 RQD, P/E N/A, ROIC 85.0%, cap $959.9M). Among the 5-stock peer group, TRIP leads on earnings multiple (27.0x) while VNET leads on capital efficiency (85.0% ROIC).
🤖 Gideon Ashmere • AI SEC 10-K Forensics (Click for Instant Brief)
What are the biggest fundamental strengths and SEC risk factors for HSTM?
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Per HSTM's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001095565), HealthStream Inc. generated $304.1M in revenue (+4.3% YoY), $18.3M in net income, and $59.6M in free cash flow against $520.4M in total assets and $0 in total debt. Key quantitative strengths: Big institutional funds and options desks are actively positioning on the bullish side.. Primary risk factors monitored: Priced at 56x earnings—high expectations leave less room for a lukewarm quarter.. Institutional options positioning shows a 50% call / 50% put premium split.
Impersonal quantitative research (0–100 RQD rubric) — not individualized investment advice. Past performance does not guarantee future results. Full Disclaimer
20D Institutional Volume Accumulation (±5.4% realized swing band)
FRED Regime × Technicals: 88% of 52W Range • RSI-14 at 61 (BULLISH MOMENTUM)
Cannibal Buyback (-0.96% YoY Shares) & executive Form 4 sales trim 9 pts from alignment
⚔️ Adversarial Opposing Case: Why the HSTM Bull Thesis Could Fail
Even with a 67/100 (C+) score, HSTM faces multiple-compression risk if 56.4x trailing P/E re-rate toward historical sector medians or if hyperscaler/enterprise customer concentration slows in upcoming 10-Q filings.
Priced at 56x earnings—high expectations leave less room for a lukewarm quarter.
Dilution & Margin Drag: Cannibal Buyback (-0.96% YoY Shares) — any gross margin slip below 49.5% triggers an automatic RQD downgrade.
Technical & Forensic Kill-Switch: A daily close below the 50D SMA ($31.04) or 200D SMA ($25.64) invalidates the momentum regime and cuts Target Base ($35.06) toward Bear Floor ($27.35).
Why HSTM Stock slipped -0.30% Today — RQD Quant Desk Flash
HealthStream Inc. (HSTM) slipped -0.30% to $33.70, trading at 88% of its 52-week range ($19.5 – $35.61). Solid steady margins (5% return on capital), mixed timing at 56x P/E—hold if owned, no rush to chase.
- ▸Technical Tape: Trading at 88% of its 52-week range ($19.5 – $35.61) with RSI-14 at 61 (BULLISH MOMENTUM).
- ▸Volatility Profile: Historical 20-day realized swing band of ±5.4% around $33.70 (no active unusual options sweep snapshot on file).
- ▸Fundamental Anchor: Roarable C+ (Hold) backed by 52% gross margin and $59.6M annual free cash flow.
Stock Titan report covering HealthStream Inc. (HSTM) market action, institutional positioning, and fundamental catalysts.
MarketBeat report covering HealthStream Inc. (HSTM) market action, institutional positioning, and fundamental catalysts.
Simply Wall St report covering HealthStream Inc. (HSTM) market action, institutional positioning, and fundamental catalysts.
Stock Titan report covering HealthStream Inc. (HSTM) market action, institutional positioning, and fundamental catalysts.
MarketBeat report covering HealthStream Inc. (HSTM) market action, institutional positioning, and fundamental catalysts.
MarketBeat report covering HealthStream Inc. (HSTM) market action, institutional positioning, and fundamental catalysts.
Stock Titan report covering HealthStream Inc. (HSTM) market action, institutional positioning, and fundamental catalysts.
Tech giants are pouring an estimated US$828b into AI infrastructure in 2026, and a chunk of that horsepower is already flowing into healthcare. When that much capital chases one idea, the risk is ignoring where it quietl
NASHVILLE, Tenn., October 26, 2026--HealthStream, Inc. (Nasdaq: HSTM), a leading healthcare technology platform company for clinical workforce solutions, announced today that it will host a conference call and webcast to
Scheduled RQD Strong Buys & Whale Accumulation Briefing (HSTM Tape Review)
- ✓Breakdown of the highest-scoring RQD Green-Light breakouts across our 5,200+ rated universe
- ✓Forensic Red-Light accounting & dilution traps to review on your watchlist
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HSTM Dilution Monitor, Expectations Hurdle, Butterfly Connections & Policy Exposure
Multi-year comparable XBRL diluted share count not disclosed (ETF or recent listing).
vs. +4.3% actual YoY revenue growth (assuming 9.25% cost of equity & 16.5x terminal multiple).
No active Ellis Vennor swing setup published on HSTM today. View full Setup Ledger →
No direct multi-tier Butterfly edges indexed yet for HSTM. Explore sector supply chains on /butterfly.
📊 Quantitative Sector Peer Comparison, SEC Filing Delta & Investment FAQ (HSTM)
1. Head-to-Head Technology Peer Comparison (HSTM vs. TRIP, VNET, SIFY, CEVA)
Industry: Computer Software: Programming Data Processing (72 Tracked Issuers)Across 714 tracked Technology securities in the Roarable RQD universe, HealthStream Inc. (HSTM) ranks #140 by composite RQD confidence (67/100, grade C+) and #350 by equity capitalization ($1.03B). Within this direct 5-issuer industry benchmark cohort, TRIP leads on earnings valuation at 27.0x trailing P/E, while VNET leads on capital efficiency and profitability with 85.0% ROIC and — gross margin. HSTM currently leads its immediate peer cohort in composite quantitative strength at 67/100 (C+).
| Ticker / Company | Roarable Grade | RQD Score | Trailing P/E | Gross Margin | ROIC | 1D Change | Market Cap | Head-to-Head |
|---|---|---|---|---|---|---|---|---|
| HSTM
ACTIVE
HealthStream Inc. | C+ | 67/100 | 56.4x | — | 5.0% | -0.30% | $1.03B | Benchmark Subject |
| TRIP TripAdvisor Inc. | D | 50/100 | 27.0x | 92.3% | 13.0% | 0.00% | $1.08B | /trip-vs-hstm → |
| VNET VNET Group Inc. | D- | 42/100 | — | — | 85.0% | -4.45% | $959.9M | /vnet-vs-hstm → |
| SIFY Sify Technologies Limited | D | 48/100 | — | — | — | -1.50% | $914.8M | /sify-vs-hstm → |
| CEVA CEVA Inc. | E | 30/100 | — | 87.1% | -3.0% | -8.18% | $905.2M | /ceva-vs-hstm → |
2. Multi-Year SEC XBRL Revenue, Cash Flow & Balance-Sheet Trajectory (FY2023–FY2025)
SEC EDGAR 10-K • FILED 2025-12-31 • CIK 0001095565In its most recent audited fiscal period (FY2025, filed 2025-12-31), HealthStream Inc. (HSTM) reported GAAP revenue of $304.1M (+4.3% vs. FY2024 revenue of $291.6M , and +9.0% cumulative change since FY2023) , GAAP net income of $18.3M, operating cash flow of $63.3M, and free cash flow of $59.6M (+6.0% YoY). On the balance sheet, HSTM closed FY2025 with $520.4M in total assets against $0 in total debt (Altman Z-Score: N/A, Piotroski F-Score: 5/9).
| Fiscal Period | Filing Date | Revenue | Net Income | Operating Cash Flow | Free Cash Flow | Total Assets | Total Debt |
|---|---|---|---|---|---|---|---|
| FY2025 (FY) | 2025-12-31 | $304.1M | $18.3M | $63.3M | $59.6M | $520.4M | — |
| FY2024 (FY) | 2024-12-31 | $291.6M | $20.0M | $57.7M | $56.3M | $510.8M | — |
| FY2023 (FY) | 2023-12-31 | $279.1M | $15.2M | $64.0M | $64.0M | — | — |
3. HSTM Data-Verified Investor FAQ (RQD Rating, Sector Peers, SEC Forensics & Technicals)
✓ SCHEMA.ORG FAQPAGE JSON-LD ENABLEDIs HSTM stock a Buy, Hold, or Sell right now according to Roarable's RQD model?
As of 2026-11-02, HealthStream Inc. (NASDAQ: HSTM) is rated C+ (Hold / HOLD) by Roarable's 5-pillar RQD engine with a composite confidence score of 67/100 at a spot price of $33.70 (-0.30% 1D, market cap $1.03B). Pillar breakdown: Fundamental Cash Engine 13/20, Institutional 13F & Options Flow 15/20, Executive Insider Alignment 13/20, FRED Macro Regime Fit 15/20, and SEC Balance-Sheet Forensics 11/20. Across 714 tracked Technology issuers, HSTM ranks #140 in composite RQD confidence.
How does HSTM compare to TRIP and VNET in the Technology sector?
Within the Technology sector (Computer Software: Programming Data Processing), HSTM carries a Roarable C+ (67/100 RQD), trailing P/E of 56.4x, gross margin of —, and ROIC of 5.0%. By comparison, TRIP (TripAdvisor Inc.) holds a D grade (50/100 RQD, P/E 27.0x, ROIC 13.0%, cap $1.08B) and VNET (VNET Group Inc.) posts a D- grade (42/100 RQD, P/E N/A, ROIC 85.0%, cap $959.9M). Among the 5-stock peer group, TRIP leads on earnings multiple (27.0x) while VNET leads on capital efficiency (85.0% ROIC).
What are the biggest fundamental strengths and SEC risk factors for HSTM?
Per HSTM's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001095565), HealthStream Inc. generated $304.1M in revenue (+4.3% YoY), $18.3M in net income, and $59.6M in free cash flow against $520.4M in total assets and $0 in total debt. Key quantitative strengths: Big institutional funds and options desks are actively positioning on the bullish side.. Primary risk factors monitored: Priced at 56x earnings—high expectations leave less room for a lukewarm quarter.. Institutional options positioning shows a 50% call / 50% put premium split.
Where is HSTM trading relative to its 50-day, 200-day, and 52-week technical levels?
HSTM last traded at $33.70 (-0.30% on volume of 151,660 shares), positioning the stock +8.57% above its 50-day simple moving average ($31.04) and +31.44% above its 200-day simple moving average ($25.64). Across its 52-week range of $19.50 to $35.61, HSTM sits at the 88.1% percentile with a 14-day RSI of 61.0 (BULLISH MOMENTUM) and an implied next-earnings move of ±5.4% ($31.88 to $35.52).
HSTM Investor FAQ & Complete 8-Part Research Index
100% OPEN ACCESS • SEC EDGAR × CBOE × FREDWhy is HSTM stock moving today?
Why HSTM Stock slipped -0.30% Today — RQD Quant Desk Flash. Solid steady margins (5% return on capital), mixed timing at 56x P/E—hold if owned, no rush to chase.
HSTM — HealthStream Inc.: What the Facts Mean to a Prospective Investor
Roarable Rating Brief: What This Means to a Prospective Investor
Per the Roarable RQD rating, HSTM scores 67 out of 100, a letter grade of C+, with the verdict "Roarable Hold — Upper Neutral / Watch for Breakout." The five pillars are:
- Fundamental Cash Engine (13 / 20): Per the Roarable RQD rating, ROIC is 5% and FCF yield is 5.77%. For a prospective investor, this indicates modest capital efficiency and a cash yield that is moderate relative to the valuation multiples shown in the market data.
- Whale 13F Flow (15 / 20): Per the Roarable RQD rating, this pillar reflects institutional accumulation and options positioning. The underlying 13F detail is not present in the holders section (see below), so the pillar score cannot be traced to specific holder data in the source.
- Insider Conviction (11 / 20): Per the Roarable RQD rating, this reflects SEC Form 4 and Congressional PTR cluster flow. The holders section contains no transaction detail, so the score cannot be traced to specific trades in the source.
- Macro Regime Fit (15 / 20): Per the Roarable RQD rating, beta is 1.0 per the market data, indicating market-level sensitivity. The rating cites sector sensitivity without further quantification in the source.
- Forensic Balance Sheet (13 / 20): Per the Roarable RQD rating, the Altman Z-Score is 2.5, the Piotroski F-Score is 5/9, and Debt/Equity is 0.5. These are mid-range readings and do not indicate distress or strength on their own.
Taken together, the pillar scores suggest a balanced profile with no single dominant strength. Upside drivers cited in the rating are the 15/20 institutional-flow and macro-fit scores; the valuation tradeoff is visible in the market data, where P/E (TTM) is 56.4 and EV/EBITDA is 42.7 against an FCF yield of 5.77%. The rating's "Watch for Breakout" language implies the setup is being monitored rather than actioned. This is educational analysis, not personalized financial advice.
Snapshot
Business
HealthStream Inc. (HSTM) is a NASDAQ-listed issuer classified under the Technology sector and the Computer Software: Programming Data Processing industry. Per the profile, the company operates in this industry with a market capitalization of $1.0B. The source data does not describe its products, customers, or revenue model beyond the sector and industry classification.
Financial Trend
| Period | Revenue | Operating Income | Net Income | EPS | FCF | Cash | Debt |
|---|---|---|---|---|---|---|---|
| FY 2025 | $304.1M | $20.2M | $18.3M | N/A | $59.6M | $36.2M | N/A |
| FY 2024 | $291.6M | $21.3M | $20.0M | N/A | $56.3M | $59.5M | N/A |
| FY 2023 | $279.1M | $16.0M | $15.2M | N/A | $64.0M | N/A | N/A |
Revenue grew from $279.1M (FY 2023) to $291.6M (FY 2024) to $304.1M (FY 2025), while net income moved from $15.2M to $20.0M to $18.3M. Per the market data, operating margin is 6.7%, net margin is 6%, and gross margin is reported as 0%. Per the Roarable RQD rating, ROIC is 5%, the Altman Z-Score is 2.5, and the Piotroski F-Score is 5/9. Cash declined from $59.5M (FY 2024) to $36.2M (FY 2025), and Debt/Equity is 0.5 per the rating.
Open Questions
- What are the specific 13F holders and options positions underlying the 15/20 Whale 13F Flow score, and what is the net direction of institutional change?
- What SEC Form 4 and Congressional PTR transactions make up the 11/20 Insider Conviction score?
- What is the company's total debt, and what drives the FY 2025 cash decline from $59.5M to $36.2M?
- Why is EPS reported as N/A for every period when TTM EPS is listed at 0.6?
- What do the reported gross margin of 0% and the company's core products and customers look like in the underlying filings?
HSTM Live News Feed, Press Releases & Catalyst Wire
Real-time company headlines, analyst actions, and sector developments for HealthStream Inc. (HSTM) • Click "Debate This Headline" to argue it in the Roar Pit below
Yahoo Finance report covering HealthStream Inc. (HSTM) market action, institutional positioning, and fundamental catalysts.
Stock Titan report covering HealthStream Inc. (HSTM) market action, institutional positioning, and fundamental catalysts.
MarketBeat report covering HealthStream Inc. (HSTM) market action, institutional positioning, and fundamental catalysts.
Simply Wall St report covering HealthStream Inc. (HSTM) market action, institutional positioning, and fundamental catalysts.
Stock Titan report covering HealthStream Inc. (HSTM) market action, institutional positioning, and fundamental catalysts.
MarketBeat report covering HealthStream Inc. (HSTM) market action, institutional positioning, and fundamental catalysts.
MarketBeat report covering HealthStream Inc. (HSTM) market action, institutional positioning, and fundamental catalysts.
Stock Titan report covering HealthStream Inc. (HSTM) market action, institutional positioning, and fundamental catalysts.
HSTM Bull vs. Bear Conversation Board — What's Your Call at $33.70?
🔥 Official Bull vs. Bear Debate: Is HSTM (C+ • RQD 67/100) a Buy at $33.80?
Welcome to the HSTM (HealthStream Inc.) Roar Pit. Current RQD Composite is 67/100 (Roarable Hold — Upper Neutral / Watch for Breakout) in Computer Software: Programming Data Processing. Bulls point to operating leverage and sector positioning, while bears focus on valuation multiple compression (56.4x trailing P/E). Pick your side (🐂 Bull or 🐻 Bear) and drop your price target below.
Pump the brakes on HSTM — check the valuation vs. margin headwinds
Everyone in here is repeating the bull case on HSTM, but look at what you are paying: 56.4x trailing P/E with tightening sector spreads. Unless HealthStream Inc. expands free cash flow yield next quarter, I would rather wait for a pullback closer to the 200-day moving average before touching this.
HSTM cash flow & RQD setup is being underpriced by the Street here
Looking at the 5-pillar RQD breakdown on HSTM, the market is fixating on short-term headline noise in Computer Software: Programming Data Processing and ignoring the balance sheet and cash flow trajectory. At $33.80 (52-wk range $19.50 - $35.61), any beat on forward guidance forces shorts and underweight funds to chase.