HealthStream Inc (HSTM) Stock Analysis — PE Ratio, PS Ratio, Intrinsic Value & 2030 Price Target
HealthStream Inc stock (HSTM) is currently trading at $20.97. HealthStream Inc PE ratio is 33.34. HealthStream Inc PS ratio (Price-to-Sales) is 1.99. Analyst consensus price target for HSTM is $30.50. WallStSmart rates HSTM as Underperform.
- HSTM PE ratio analysis and historical PE chart
- HSTM PS ratio (Price-to-Sales) history and trend
- HSTM intrinsic value — DCF, Graham Number, EPV models
- HSTM stock price prediction 2025 2026 2027 2028 2029 2030
- HSTM fair value vs current price
- HSTM insider transactions and insider buying
- Is HSTM undervalued or overvalued?
- HealthStream Inc financial analysis — revenue, earnings, cash flow
- HSTM Piotroski F-Score and Altman Z-Score
- HSTM analyst price target and Smart Rating
HealthStream Inc
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HSTM Intrinsic Value Analysis for Value Investors
Benjamin Graham Formula · HealthStream Inc (HSTM)
HSTM trades 386% above its Graham fair value of $4.15, indicating the stock may be overvalued at current levels.
Based on Benjamin Graham Formula. Growth rate capped at 25%. For informational purposes only. Not financial advice.

Smart Analysis
HealthStream Inc (HSTM) · 10 metrics scored
Smart Score
Category Performance
WallStSmart pulls financial metrics like revenue growth, profit margins, and valuation ratios and scores each one from 0 to 10 based on how strong or weak it is. Those 10 scores are grouped into 4 categories: Growth, Profitability, Valuation, and Quality — which form the 4 axes of the spider chart you see. The categories are then combined into a final score out of 100, but not equally. Growth and Profitability together count for 60% of the total, because a fast-growing profitable business matters more than just a cheap one. That final number maps to a rating (Strong Buy, Buy, Hold, Avoid) and a letter grade, giving you one clear Stock Rating.
Investment Thesis
Strong fundamentals in price/sales, price/book, institutional own.. Concerns around return on equity and operating margin. Mixed signals suggest waiting for clearer direction before acting.
HealthStream Inc (HSTM) Key Strengths (3)
73.86% of shares held by major funds and institutions
Paying $1.99 for every $1 of annual revenue
Trading at 1.69x book value, attractively priced
Supporting Valuation Data
HealthStream Inc (HSTM) Areas to Watch (7)
Earnings declining -46.50%, profits shrinking
Near-zero operating margins, business under pressure
Low profitability relative to shareholder equity
Paying a premium for growth, expensive relative to earnings expansion
Modest revenue growth at 7.40%
Thin profit margins with limited profitability
Small-cap company with higher risk but more growth potential
Supporting Valuation Data
HealthStream Inc (HSTM) Detailed Analysis Report
Overall Assessment
This company scores 47/100 in our Smart Analysis, earning a D+ grade. Out of 10 metrics analyzed, 3 register as strengths (avg 8.7/10) while 7 fall into concern territory (avg 3.0/10). The category breakdown reveals uneven performance, with some areas requiring attention.
The Bull Case
The strongest argument centers on Institutional Own., Price/Sales, Price/Book. Valuation metrics including Price/Sales (1.99), Price/Book (1.69) suggest the stock is attractively priced.
The Bear Case
The primary concerns are EPS Growth, Operating Margin, Return on Equity. Some valuation metrics including PEG Ratio (2.32) suggest expensive pricing. Growth concerns include Revenue Growth at 7.40%, EPS Growth at -46.50%, which may limit upside. Profitability pressure is visible in Return on Equity at 5.14%, Operating Margin at 3.64%, Profit Margin at 6.03%.
Key Dynamics to Monitor
Three factors to monitor going forward. First, whether EPS Growth improves, as this is the primary drag on the overall score. Second, margin trajectory, with Return on Equity at 5.14% needing improvement to support the investment thesis. Third, growth sustainability, with Revenue Growth at 7.40% needing to reaccelerate.
Risk Considerations
Based on the metric profile, this is a higher risk investment. There are more areas of concern than strength, warranting a more conservative position size. Investors should size positions according to their risk tolerance and maintain diversification.
Bottom Line
Fundamental challenges outweigh strengths at current levels. EPS Growth and Operating Margin are the primary drags. Consider waiting for meaningful improvement before committing capital.
Disclaimer: Smart Analysis is a scoring system developed by WallStSmart Team. Scores update daily using multi-model valuation framework. Always conduct your own research and consult with financial advisors before making investment decisions.
HSTM Price-to-Sales(PS) Ratio Chart
Historical valuation based on market cap ÷ trailing 12-month revenue
HSTM's Price-to-Sales ratio of 1.99x sits near its historical average of 2.06x (14th percentile), suggesting the market is pricing in steady-state growth. The current valuation is 9% below its historical high of 2.17x set in Mar 2026, and 0% above its historical low of 1.98x in Mar 2026.
Compare HSTM with Competitors
Top HEALTH INFORMATION SERVICES stocks by market cap
Compare any two stocks →WallStSmart Analysis Synopsis
Data-driven financial summary for HealthStream Inc (HSTM) · HEALTHCARE › HEALTH INFORMATION SERVICES
The Big Picture
HealthStream Inc operates as a stable business with moderate growth and solid fundamentals. Revenue reached 304M with 7% growth year-over-year. Profit margins are thin at 6.0%, typical for companies in this phase that are reinvesting heavily in growth.
Key Findings
ROE of 514.0% means the company generates strong returns on shareholder equity. Above 20% is considered top-tier.
Generating 13M in free cash flow and 13M in operating cash flow. Earnings are translating into actual cash generation.
What to Watch Next
Margin expansion: can HealthStream Inc push profit margins above 15% as the business scales?
Dividend sustainability with a current yield of 60.0%. Watch payout ratio and free cash flow coverage.
Sector dynamics: monitor HEALTH INFORMATION SERVICES industry trends, competitive moves, and regulatory changes that could impact HealthStream Inc.
Bottom Line
HealthStream Inc offers stability with moderate growth and solid fundamentals. The valuation may present an opportunity for patient investors, though limited growth means returns will likely come from dividends and modest capital appreciation rather than explosive gains.
This synopsis is generated from publicly available financial data. It is not financial advice. Always conduct your own research and consult a qualified financial advisor before making investment decisions.
Insider Transactions
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About HealthStream Inc(HSTM)
NASDAQ
HEALTHCARE
HEALTH INFORMATION SERVICES
USA
HealthStream, Inc. provides provider and staff solutions for healthcare organizations in the United States. The company is headquartered in Nashville, Tennessee.