HSTM FINANCIAL STATEMENTS

HealthStream Inc — balance sheet, income statement and cash flow trends

HSTMHealthStream Inc

🇺🇸 USA · NASDAQ · Healthcare · Health Information Services

Value it Duel

Income Statement

Quarterly progression — trailing-twelve-month values

RevenueNet Income

Profit Funnel

Q1 2026 · TTM

Percentages are relative to revenue.

Key Figures

YoY change

Revenue311.8 M $+6.6%

Gross Profit202.3 M $+4.5%

Operating Income23.4 M $+17.0%

EBITDA69.9 M $+7.2%

Net Income19.9 M $+4.2%

Peer Comparison· Health Information Services

Company	Rev. Growth	Gross Margin	EBITDA Margin	Net Margin
HSTM	6.6%	64.9%	22.4%	6.4%
FONET	53.5%	39.8%	49.6%	26.0%
PME	30.3%	78.4%	78.4%	97.6%
Industry median	7.1%	63.4%	12.4%	1.5%

Company	Rev. Growth	Gross Margin	EBITDA Margin	Net Margin
HSTM	6.6%	64.9%	22.4%	6.4%
PHR	14.1%	65.8%	8.6%	1.9%
MDRX	—	—	—	—
EVH	-21.3%	14.1%	-16.7%	-26.3%
CERT	6.4%	58.1%	24.1%	-3.6%
SDGR	10.6%	55.3%	-37.1%	-40.6%
Industry median	7.1%	63.4%	12.4%	1.5%

Balance Sheet

Quarterly period-end values

Total AssetsTotal LiabilitiesEquity

Capital Structure

Q1 2026

Equity352 M $67%
Current Liabilities136.5 M $26%
Long-term Liabilities38.9 M $7%

Key Figures

YoY change

Total Assets527.4 M $+0.6%

Total Liabilities175.4 M $+8.8%

Total Equity352 M $-3.0%

Cash & ST Investments66.5 M $-41.3%

Total Debt14.1 M $-15.5%

Net Debt-34.6 M $—

Peer Comparison· Health Information Services

Company	Current Ratio	Debt/Equity	NetDebt/EBITDA	Equity/Assets
HSTM	0.97	4.0%	-0.75	66.7%
FONET	2.31	2.5%	-0.21	90.9%
PME	6.22	1.1%	-1.16	72.8%
Industry median	1.83	22.0%	-0.01	64.7%

Company	Current Ratio	Debt/Equity	NetDebt/EBITDA	Equity/Assets
HSTM	0.97	4.0%	-0.75	66.7%
PHR	1.76	25.8%	0.42	53.9%
MDRX	—	—	—	—
EVH	1.32	248.6%	-2.61	21.1%
CERT	1.88	29.5%	1.49	67.8%
SDGR	2.74	34.1%	3.09	49.4%
Industry median	1.83	22.0%	-0.01	64.7%

Cash Flow Statement

Quarterly progression — trailing-twelve-month values

Operating Cash FlowCapital ExpendituresFree Cash Flow

Cash Flow Bridge

Q1 2026 · TTM

Key Figures

YoY change

Operating Cash Flow63.4 M $-0.7%

Capital Expenditures3.4 M $-59.2%

Free Cash Flow60 M $+8.1%

Dividends Paid-3.8 M $-209.1%

Peer Comparison· Health Information Services

Company	CF Margin	FCF Margin	CapEx Ratio	CF/Net Income
HSTM	20.3%	19.2%	1.1%	318.2%
FONET	45.0%	9.6%	32.1%	173.0%
PME	56.5%	56.3%	0.2%	57.9%
Industry median	17.1%	13.0%	1.6%	165.1%

Company	CF Margin	FCF Margin	CapEx Ratio	CF/Net Income
HSTM	20.3%	19.2%	1.1%	318.2%
PHR	17.7%	14.7%	3.1%	957.1%
MDRX	—	—	—	-73.6%
EVH	1.8%	0.1%	1.7%	-6.7%
CERT	21.6%	19.7%	1.9%	-600.4%
SDGR	-56.9%	-58.2%	1.3%	140.1%
Industry median	17.1%	13.0%	1.6%	165.1%

Amounts are in the company’s reporting currency. Peer comparison tables use ratio-based metrics so currency differences do not distort the picture.

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Data on this page refreshes once per day. Price data as of Jul 7, 26. This content is for informational purposes only and is not investment advice.