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HealthStream (HSTM) Releases Q4 2025 Earnings: Revenue Up, EPS Miss

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HealthStream Inc. (HSTM) reported fourth-quarter 2025 results with revenue of $79.7 million, up 7.4% year-over-year and above the consensus estimate of $77.7 million. Diluted earnings per share were $0.09, down 43.8% year-over-year and below the estimate of $0.11.

  • Revenue: $79.7 million (+7.4% year-over-year).
  • Gross profit: $50.9 million (+3.5% year-over-year).
  • Operating profit: $2.4 million (down 48.8% year-over-year).
  • Net income attributable to common shareholders: $2.5 million (down 48.2% year-over-year).
  • Diluted earnings per share: $0.09 (down 43.8% year-over-year).
  • Cash flow and capital spending details highlighted stronger operating cash generation and modest investment activity.

  • Cash from operating activities: $13.2 million (up 18.2% year-over-year).
  • Purchases of property, plant and equipment: $0.2 million (roughly flat year-over-year).
  • Balance sheet and cost trends to note.

  • Cash and cash equivalents: $36.2 million (down 39.2% year-over-year).
  • Total liabilities: $166.4 million (up 9.9% year-over-year).
  • Cost of sales: $28.9 million (up 14.9% year-over-year).
  • Note: This financials data is sourced from a third-party provider and has not been independently verified by Quiver.

    HealthStream Inc. Insider Trading Activity

    HSTM Insider Trades

    HealthStream Inc. insiders have traded $HSTM stock on the open market 4 times in the past 6 months. Of those trades, 0 have been purchases and 4 have been sales.

    Here’s a breakdown of recent trading of $HSTM stock by insiders over the last 6 months:

    • KEVIN P O'HARA (Executive Vice President) has made 0 purchases and 2 sales selling 4,000 shares for an estimated $104,456.
    • JEFF CUNNINGHAM (Chief Technology Officer) sold 2,100 shares for an estimated $50,589
    • TATE DEBORAH TAYLOR sold 1,580 shares for an estimated $40,226

    To track insider transactions, check out Quiver Quantitative's insider trading dashboard.

    HealthStream Inc. Hedge Fund Activity

    We have seen 89 institutional investors add shares of HealthStream Inc. stock to their portfolio, and 122 decrease their positions in their most recent quarter.

    Here are some of the largest recent moves:

    To track hedge funds' stock portfolios, check out Quiver Quantitative's institutional holdings dashboard.

    HealthStream Inc. Government Contracts

    We have seen $589,648 of award payments to $HSTM over the last year.

    Here are some of the awards which we have have seen pay out the most over the last year:

    To track government contracts to publicy traded companies, check out Quiver Quantitative's government contracts dashboard.

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