Owner Scorecard


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HSTM, HealthStream Inc.

Health Care Technology asset-light Serial acquirer

A software business, earning high margins on code once it is written.

Today, we are characterized by our single platform strategy, which is designed to create interoperability among the various applications in our ecosystem through our proprietary hStream technology platform.

Increasingly, our hStream technology platform extends artificial intelligence (AI) capabilities to the applications it powers and serves as the system of record on which healthcare workforce AI relies.

Latest annual: FY2025 10-K
HSTM · HealthStream Inc.
I

The business

What it sells, where the money comes from, the kind of company it is.

Revenue · FY2025
$304M
+4.3% YoY · 4% 5-yr CAGR
Vital signs · TTM, with 5-yr average
Revenue $321M 5-yr avg $280M
Operating margin 8.0% 5-yr avg 5.5%
ROIC 6% 5-yr avg 4%
Owner-earnings margin 22% 5-yr avg 19%
Free cash flow margin 22% 5-yr avg 19%

Next report By 11/8 · the 10-Q for the quarter ended late September · due within 40 days of period end · has filed ~37 days after · the wire records it on arrival

The business in brief

read the 10-K →

What this business is and what moves its needle, from its own SEC filings.

Situation
Serial acquirer. Goodwill and acquired intangibles are 54% of assets, with meaningful acquisition spending in 5 of the record's 10 years; much of what this business is was bought, at prices the record carries.
What moves the needle
Operating margin has run about 5.8% through the cycle, a thin margin, where volume, cost discipline and the price it gets all bear on the result. Read this kind of business on retention and the cost of growth. On its own account, the filing leans hardest on pricing power & competition, set against the numbers in what the filing emphasizes, below.
Is it a good business?
Return on capital has rarely cleared the cost of capital (median 4%, above 15% in 0 of 10 years). The steadier read is owner earnings: roughly 18% of revenue reaches owners as cash, consistently. This is price-taker territory, where the balance sheet and the cycle matter more than any multiple; the rest is in the 10-K.

Every line is arithmetic on the company's filings, shown in full in the sections below.

II

The record

Ten years of arithmetic, read across the cycle.

The record, 2016–2025

realized figures from each filing · older years to the left
2016’162017’172018’182019’192020’202021’212022’222023’232024’242025’25TTMTTMJun 2026
Income statement
$192M$215M$232M$254M$245M$257M$267M$279M$292M$304M$321MRevenueRevenue
13%11%11%11%13%16%17%16%17%17%17%R&D / revenueR&D/rev
$7M$9M$15M$15M$16M$8M$12M$16M$21M$20M$26MOperating incomeOp. inc.
3.7%4.4%6.7%5.8%6.5%3.1%4.7%5.7%7.3%6.7%8.0%Operating marginOp. mgn
$8M$10M$17M$18M$18M$8M$16M$19M$25M$23MPretax incomePretax
$4M$10M$32M$16M$14M$6M$12M$15M$20M$18M$21MNet incomeNet inc.
38%13%20%21%21%25%22%18%19%21%23%Effective tax rateTax rate
Cash flow & returns
$24M$47M$43M$66M$36M$42M$51M$64M$58M$63M$72MOperating cash flowOp. cash
$20M$24M$24M$28M$30M$37M$38M$41M$41M$43M$44MDepreciation & amortizationD&A
($2M)$11M($15M)$18M($11M)($6M)($2M)$4M($8M)($7M)($3M)Working capital & otherWC & other
$5M$6M$7M$22M$2M$3M$2M$2M$1M$4M$2MCapexCapex
2.5%2.6%3.1%8.7%0.8%1.3%0.7%0.8%0.5%1.2%0.6%Capex / revenueCapex/rev
$19M$41M$36M$44M$34M$39M$49M$62M$56M$60M$70MOwner earningsOwner earn.
10.1%19.2%15.6%17.2%13.8%15.2%18.5%22.1%19.3%19.6%21.7%Owner earnings marginOE mgn
$19M$41M$36M$44M$34M$39M$49M$62M$56M$60M$70MFree cash flowFCF
10.1%19.2%15.6%17.2%13.8%15.2%18.5%22.1%19.3%19.6%21.7%Free cash flow marginFCF mgn
$55M$27M$121M$5M$4M$7M$1M$35M$35MAcquisitionsAcquis.
$32M$58K$40K$19K$0$3M$3M$4M$4MDividends paidDiv. paid
$0$20M$5M$23M$9M$0$30MBuybacksBuybacks
($57M)($12M)$37M($68M)($110M)($26M)($28M)($57M)($34M)($50M)Investing cash flowInv. cash
$46K$1K($30M)($916K)($20M)($6M)($24M)($13M)($5M)($36M)Financing cash flowFin. cash
$0$58K($114K)$21K($23K)($36K)($7K)Exchange-rate effectFX
($32M)$35M$50M($3M)($95M)$10M($882K)($6M)$19M($23M)Change in cashΔ cash
2%4%8%6%4%2%3%4%6%5%6%ROICROIC
1%3%10%5%4%2%4%4%6%5%6%Return on equityROE
−0%5%4%2%4%4%5%4%5%Retained to equityRetained/eq
Balance sheet
$103M$131M$134M$132M$37M$47M$46M$40M$59M$36M$46MCash & investmentsCash+inv
$45M$37M$38M$28M$41M$30M$37M$34M$30M$32M$31MReceivablesReceiv.
$3M$4M$8M$5M$9M$5M$7M$7M$7M$8M$7MAccounts payablePayables
$42M$33M$30M$23M$31M$25M$29M$27M$24M$24M$24MOperating working capitalOper. WC
$177M$200M$241M$225M$115M$107M$114M$130M$153M$120M$130MCurrent assetsCur. assets
$95M$101M$107M$105M$119M$100M$117M$118M$116M$124M$123MCurrent liabilitiesCur. liab.
1.9×2.0×2.3×2.1×1.0×1.1×1.0×1.1×1.3×1.0×1.1×Current ratioCurr. ratio
$10M$8M$16M$26M$22M$18M$15M$13M$11M$11MNet PP&ENet PP&E
$86M$86M$86M$102M$178M$183M$192M$191M$191M$218M$213MGoodwillGoodwill
$396M$411M$442M$490M$500M$487M$498M$500M$511M$520M$522MTotal assetsAssets
($103M)($131M)($134M)($132M)($37M)($47M)($46M)($40M)($59M)($36M)($46M)Net debt / (cash)Net debt
$286M$300M$319M$338M$334M$339M$334M$341M$359M$354M$357MShareholders’ equityEquity
1.0%0.8%0.8%1.7%0.9%2.1%1.3%1.5%1.5%2.7%2.7%Stock comp / revenueSBC/rev
Per share
32.1M32.2M32.3M32.4M32.0M31.6M30.7M30.7M30.5M30.1M29.4MShares out (diluted)Shares
$5.99$6.67$7.16$7.84$7.65$8.12$8.69$9.10$9.55$10.09$10.93Revenue / shareRev/sh
$0.12$0.31$1.00$0.49$0.44$0.18$0.39$0.50$0.66$0.61$0.72EPS (diluted)EPS
$0.61$1.28$1.12$1.35$1.06$1.23$1.61$2.01$1.84$1.98$2.38Owner earnings / shareOE/sh
$0.61$1.28$1.12$1.35$1.06$1.23$1.61$2.01$1.84$1.98$2.38Free cash flow / shareFCF/sh
$1.00$0.00$0.00$0.00$0.00$0.10$0.11$0.12$0.13Dividends / shareDiv/sh
$0.15$0.17$0.22$0.68$0.06$0.11$0.06$0.07$0.05$0.12$0.07Cap. spending / shareCapex/sh
$8.92$9.32$9.86$10.43$10.44$10.72$10.88$11.11$11.77$11.74$12.14Book value / shareBVPS
Per-share growththe realized rate an owner's share compounded
9-yr5-yr
Revenue / share+6.0%/yr+5.7%/yr
Owner earnings / share+14.1%/yr+13.3%/yr
EPS+20.1%/yr+6.7%/yr
Dividends / share−25.8%/yr (7-yr)+150.6%/yr
Capital spending / share−2.2%/yr+14.5%/yr
Book value / share+3.1%/yr+2.4%/yr

The year, in the company's words

the filing →

Verbatim from the 10-K's management discussion. Each sentence is shown only because its subject, direction, and stated figures check out against the filed numbers on this page. The words are the company's; the arithmetic is the record's.

  • Net income-8.3%
    “Net income decreased $1.7 million, or 8%, to $18.3 million for 2025 compared to $20.0 million for 2024. The decrease in net income for 2025 compared to 2024 was primarily driven by a charge for stock-based compensation and related expenses and employer payroll taxes related to stock awards granted during the three months ended December 31, 2025 as noted above.”
    ✓ figure matches the filed record

Where the cash went

ReinvestBuybacksDividendsAcquisitionsRetainedBeyond op. cash

Each year's outlays against its operating cash: the mix, and how it drifts. The hatched cap is spending beyond that year's operating cash — financed from the balance sheet or borrowing, not operations.

FY2016FY2025

Net income is the accountant's number; owner earnings is the cash an owner could take out. The walk between them, off the cash-flow statement, and whether the gap is widening or holding.

In fiscal 2025 the business turned $18M of profit into $60M of owner earnings: more cash than the profit line showed, after the non-cash charges and the capital it put back in.

Reported net income$18M
Owner earnings$60M · 20% of revenue
FY2025FY2024FY2023FY2022FY2021
Reported net income$18M$20M$15M$12M$6M
Depreciation & amortizationnon-cash charge added back+$43M+$41M+$41M+$38M+$37M
Stock-based compensationreal costnon-cash, but a real cost+$8M+$4M+$4M+$4M+$5M
Working capital & othertiming of cash in and out, other non-cash items−$7M−$8M+$4M−$2M−$6M
Cash from operations$63M$58M$64M$51M$42M
Capital expenditurecash put back in to keep running and to grow−$4M−$1M−$2M−$2M−$3M
Owner earnings$60M$56M$62M$49M$39M
Owner-earnings marginowner earnings ÷ revenue20%19%22%19%15%

Owner earnings is the cash an owner could pull out without starving the business: operating cash less the capital it must spend to hold its position . The cash-flow statement also adds stock comp back as non-cash, but it is a real cost paid in shares; counted as the expense it is (less $8M), owner earnings is nearer $51M.

Maintenance capex is estimated as depreciation where a growing business invests above it; free cash flow is the figure the scorecard's free-cash margin reads.

III

Quality & stewardship

Returns, the balance sheet, capital allocation, and pay.

Owner’s Scorecard

FY2025 10-K · source on SEC EDGAR →

Will it survive?

  • No meaningful interest burden
    Little or no interest expense reported
    What this means

    Little or no interest expense reported, the business isn't leaning on lenders to operate.

  • Net cash, debt-free
    Cash $36M − debt $0
    What this means

    Cash and short-term investments exceed every dollar of debt by $36M, on net the company owes nothing, and can act from strength when others can't. Net debt is the leverage figure that matters: the cash is already set against the debt. Strategic or illiquid investments aren't counted here.

  • Not enough data
    What this means

    The filing data didn't include the inputs for this check.

Is it a good business?

  • Not enough data
    Industry peers: median 3%
    What this means

    The filing data didn't include the inputs for this check.

  • High through the cycle
    10-yr median margin, range 10%–22%; latest $60M = operating cash $63M − maintenance capex $4M
    Industry peers: median 14%
    What this means

    What an owner could take out without starving the business: operating cash less the maintenance capital it must spend to hold its position — Buffett's owner earnings. That's 20% of revenue this year, a 18% median across 10 years. Treating stock comp as the real expense it is (less $8M of SBC) leaves $51M.

  • Cash-backed
    Cash from ops $63M ÷ net income $18M

    In the filing’s words The filing leans on adjusted, non-GAAP earnings, but the GAAP profit is itself cash-backed — the adjustments are not papering over a cash shortfall here.

    What this means

    How much of reported profit showed up as operating cash. Above 1× is reassuring; well below suggests earnings lean on accruals. One year is noisy, growth and working-capital swings distort it, and this is operating cash, not free cash. Watch the multi-year trend.

How is the cash used?

  • Returns about half
    Dividends + buybacks $34M ÷ Owner Earnings $60M — this fiscal year
    What this means

    Of $60M Owner Earnings, $34M (57%) went back to shareholders, $4M dividends, $30M buybacks. Net of $8M stock comp, the real buyback was about $22M. Returning most of it is the mark of a mature business with little left to reinvest at a high return; reinvesting most could mean a long runway, or empire-building. The split doesn't say which; the return earned on it (see ROIC) does. This year's proportion is 57%; across the record (2016–2025) it is 29%, the capital-allocation section below.

  • Investing or harvesting? 0.08×
    Harvesting
    Capex $4M ÷ depreciation & amortization as filed $43M
    What this means

    Descriptive, not a grade. Above ~1× means investing faster than assets wear out (growth, or, sustained for years, today's earnings carrying less depreciation than tomorrow's will). Below means spending less than it's wearing out (efficiency, or a melting asset base). The ratio won't tell you which; the filings will.

The promise and the pay packet

  • Modest selling cost
    Selling and marketing $49M ÷ revenue $304M
    What this means

    Sales and marketing as a share of revenue, kept apart from administrative overhead because it answers a different question: how much a business must spend to win the next customer. A company whose product pulls customers in spends little here and keeps the difference; one that must buy its growth is running to stand still, and the spending has to keep rising for revenue to keep rising. Read it beside the growth rate, not alone.

  • Is the buyback buying ownership, or mopping up? 2.7%
    The count is edging down
    Stock compensation $8M (fiscal 2025), 2.7% of revenue · repurchases $30M · diluted shares -1.9% since 2022
    What this means

    Stock handed to employees is a real cost paid in the owner's own currency: it is charged against profit, but the shares it creates are permanent. Many companies repurchase stock at the same time, which looks like a return of capital and often is not — if the count barely moves, the cash merely cancelled the pay packet and bought the owner nothing. The three states worth telling apart are a count genuinely shrinking, a count standing still despite large repurchases, and a count rising because the issuance was never offset at all.

Graham’s defensive tests · 1 of 5 met

Graham’s numerical criteria for the defensive investor (The Intelligent Investor, ch. 14), run on the filings. A floor of safety, not a buy signal; many fine modern businesses fail his strictest liquidity rules by design.

  • Adequate size Miss
    Revenue ≥ $2B · $304M
    What this means

    Big enough to weather a storm. Graham's 1972 floor was ~$100M of sales (≈ $700M today); we use a $2B revenue line as a conservative modern stand-in.

  • Strong liquidity Miss
    Current ratio ≥ 2× · 0.96×
    What this means

    Current assets at least twice current liabilities, near-term bills covered without touching the business. Strict by design: many cash-rich modern firms run leaner and miss it, holding their cushion in longer-dated securities.

  • Earnings stability Pass
    A profit every year (10-yr record) · no losses
    What this means

    Graham wanted earnings in each of the past ten years, the stability a defensive owner leans on.

  • Dividend record Miss
    Uninterrupted dividends · 7 of 10 yrs
    What this means

    An unbroken dividend was Graham's mark of durability. He wanted twenty years; the filings show about ten, and a single suspension breaks the streak. Non-payers, many fine modern compounders, fall outside his defensive net by design.

  • Earnings growth Near
    Earnings +33% over the record · +16%
    What this means

    At least a third more earnings than a decade ago, averaging three years at each end. Net income (not per-share), so stock splits don't distort it, buybacks and dilution show up in the share-count line instead.

  • Moderate price
    P/E ≤ 15 and P/E × P/B ≤ 22.5 · decided by the price
    What this means

    Graham's valuation gate, the wall he kept between a sound business and a sound investment. Three-year average earnings are $0.61/share (latest year $0.63), the averaged base the calculator's gate runs on, and book value is $12.11/share. Enter a price in “What the price implies” just below for the P/E, P/B, and whether it clears. But this is the rule Buffett outgrew: there's no hard P/E law, and a wonderful business can deserve a far richer multiple if the thesis holds, treat it as the bargain-hunter's floor, not a verdict on the price.

Durability & moat, 2016–2025

Whether the record’s returns held, and what the capital reinvested earned.

  • Profitable years 10 of 10
    What this means

    Never lost money over the record, the earnings stability Graham insisted on.

  • Operating margin 5% → 7% (3-yr avg ends)
    What this means

    Through the cycle the operating margin widened — about 5% early to 7% lately, median 6% — pricing power intact or improving.

  • Owner earnings growth +7%/yr
    What this means

    Owner earnings grew about 7% a year over the record.

  • Worst year 2021 · 3.1% op. margin
    What this means

    Stayed profitable even in its hardest year, the resilience that survives recessions.

  • Share count −0.7%/yr
    What this means

    The share count is shrinking, buybacks are quietly growing your slice of the business.

  • Dividend record paid
    What this means

    Paid a dividend in 7 of the years on record.

All figures as filed; the source filing is linked above.

Current Position

as of the latest quarter, Jun 30, 2026

Can the business pay what it owes this year, off the freshest balance sheet: the quality of the assets, the debt actually coming due, and what a low ratio means here.

Current assets$130M
  • Cash & short-term investments$46M
  • Receivables$31M
  • Other current assets$53M
Current liabilities$123M
  • Accounts payable$7M
  • Other current liabilities$116M
Current ratio1.06×all current assets ÷ what's due · Graham looked for 2×
Quick ratio1.06×stricter: inventory excluded
Cash ratio0.38×strictest: cash alone against what's due
Working capital$8Mthe cushion left after near-term bills
Revenue, latest quarter vs. a year ago+12.5%the freshest read on whether the business is still growing
Current ratio, recent quarters1.3× → 1.1×
Deeper floors
Tangible book value$84Mequity stripped of goodwill & intangibles
Debt incl. operating leases$16M$16M of it operating leases
Deferred revenue$94Mcustomer cash collected before delivery; operating float

From the company's latest filing.

How the cash was used, 2016–2025

Over the record, the business generated $494M of operating cash; how management split it reads as a balanced allocator, splitting cash between the business, owners, and the balance sheet.

  • Reinvested$54M · 11%
  • Dividends$43M · 9%
  • Buybacks$87M · 18%
  • Retained (debt / cash)$311M · 63%
  • Returned to owners$130M

    29% of the owner earnings the business produced over the span, $43M as dividends and $87M as buybacks.

  • Average price paid for buybacks$20.91

    Across the years where the filing reports a share count, 1M shares were bought for $20M, about $20.91 each.

  • Net change in share count−8.4%

    The diluted count fell from 32M to 29M, so the buybacks outran the stock issued to staff.

  • Dividend record$0.12/sh

    Paid in 7 of the years on record, the per-share dividend shrinking about 26% a year. It was cut at least once along the way.

  • Return on what it retained154%

    Of the earnings it kept rather than paid out ($18M over the span), annual owner earnings (first three years vs last three) grew $27M, so each retained $1 added about 1.54 of yearly owner earnings. Buffett's test, run on owner earnings instead of market value.

Buybacks are gross of stock issued to staff; the share-count line above is the net of that, the figure that decides whether owners gained. The average price paid blends a year of purchases (and any accelerated repurchase), so it is close, not exact. The record of where the cash went and on what terms.

Acquisitions & goodwill

from the balance sheet & the 10-year cash-flow record

Goodwill grows only when a company acquires and falls only when it concedes it overpaid. The size of that bet, the cash put into buying rather than building, and how much has already been written off.

Goodwill & intangibles$282M54% of all assets; the premium carried on the balance sheet for businesses acquired
Against book equity61%goodwill is this share of book equity; the rest is the company’s own retained and paid-in capital
Cash spent acquiring$373Mover 12 years since fiscal 2012 buying other businesses, against $54M of capital spent building over the 10-year record

None written down over the record; the goodwill is still carried at full cost. That is the deals holding their value on the books so far; whether they keep doing so is the test an owner watches, since the write-down, when it comes, is the admission the price was too high.

Beside that spending sits $107M of cumulative amortization of acquired intangibles charged against earnings since fiscal 2010 — the purchase price of past deals, expensed over time.

Goodwill, acquired intangibles and equity from the latest balance sheet; acquisition spend and amortization summed across the company's full tagged history, write-downs across the 10-year record, from the company's own filings.

Management, ownership & pay

read the proxy →

From the proxy: how much of the business the people running it own, and how they are paid, beside what the business earned for its owners in the same years.

Fiscal yearChief executivePay, as filed“Actually paid”Owner earnings
2021Robert A. Frist, Jr.$642k$714k$39M
2022Robert A. Frist, Jr.$750k$735k$49M
2023Robert A. Frist, Jr.$727k$788k$62M
2024Robert A. Frist, Jr.$702k$787k$56M
2025Robert A. Frist, Jr.$868k$715k$60M

Both pay figures are the company’s own, from the pay-versus-performance table its proxy statement files. “As filed” is the Summary Compensation Table total: salary, bonus, and equity awards at their value on the day of grant. “Actually paid” is the SEC’s prescribed recalculation, which re-marks those equity awards to what they became as they vested; it can swing far above or below the filed figure in either direction, and negative years occur. Owner earnings are the whole business's, from the record above, for the same fiscal years.

  • Insider ownership<1%

    The stake all directors and executive officers hold together, per the 2026 proxy: skin in the game, the first thing Munger reads.

  • CEO pay ratio52:1

    What the chief earns for every dollar the median employee makes, per the 2026 proxy. A high ratio alone settles nothing; some businesses are genuinely top-heavy in scarce skill. A runaway figure is where Buffett starts asking whether the board is doing its job.

  • Stock-based compensation$8M

    The slice of the business handed to employees in shares in fiscal 2025, 2.7% of revenue, equal to 40.3% of operating profit. Buffett's oldest accounting fight: this is compensation, compensation is an expense, real whether or not the headline earnings admit it. One trap: the cash-flow statement adds SBC back, so the operating cash, and the owner earnings drawn from it, are flattered by exactly this amount; counted as the cost it is, what an owner keeps is lower.

Peers, Health Care Technology

The same industry, side by side on owner economics. Each column names the period it is read over, and a median resting on fewer than three years carries that count beside it; the group median at the foot is the line to read each figure against.

CompanyRevenuelatest FY, USDGross marginmedian over the recordOp. marginmedian over the recordROICmedian over the recordOwner earn. marginmedian over the record
2413M3$2.2B55%4y27.1%33%19%
EVHEvolent Health$1.9B23%-12.2%-6%-12%4y
TEMTempus AI Inc.$1.3B-59.8%-210%1y-37%
WAYWaystar Holding Corp.$1.1B15.5%3%14%
DOCSDoximity$645M88%33.0%16%40%
HSTMHealthStream Inc.$304M5.8%4%18%
Group median10.7%4%16%
IV

The price

What a price has to assume.

What the price implies

reverse-DCF

Type today's close and see the owner-earnings growth you'd have to believe to justify it, beside what HealthStream Inc. has delivered.

$

Through the cycle, HealthStream Inc. earns about $54M on its 17.9% median owner-earnings margin. This year’s 19.6% margin runs in line with that. Normalize, below, values the price on that through-cycle figure rather than the latest year.

Base

The assumptions

9.0% = the 4.65% 10-year Treasury (Aug 19, 2026) + 4.35 points of equity premium. The rate you require is yours to set.

Enter a price above to run it.

Implied by the price
Owner-earnings growth · ’21→’25+7%/yr
Owner-earnings growth · ’16→’25+7%/yr
Owner-earnings yield
P/E (3-yr earnings ’23–’25)
P/B
Graham’s price gate

Graham capped the multiple at 15×; Buffett and Munger let that rule go: a wonderful business can deserve 50× if the thesis holds. The gate marks the bargain-hunter's floor.

Against a high-grade bond: Graham’s yardstick bond yield%

Prefilled with the 10-year Treasury (4.65%, as of Aug 19, 2026). Edit it for today’s exact figure, or a AAA corporate yield.

Graham measured a stock against the bond you could own instead, the heart of his margin of safety. Enter a price above to weigh the owner-earnings yield against this bond.

Owner earnings $70M on 29M shares outstanding, per the 10-Q cover, as of 2026-08-03; net cash $46M. The base is the latest year by default; Normalize values it on the through-cycle median owner-earnings margin (to avoid paying on a peak year). Net of stock comp treats option pay as the expense it is. The dials set the multiple a growth belief justifies; the price, and every dollar on this page, is yours.

Cite: Owner Scorecard, "HealthStream Inc. (HSTM), the owner's record," https://ownerscorecard.com/c/HSTM, data as of 2026-08-17.

Manual order: ← HST its page in the Manual HSY →

Industry order: ← EVH the Health Care Technology chapter TEM →