HealthStream
Subscription platform stitching hospital staff learning, credentialing, and scheduling into one interoperable system.
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Profile
Subscription software helps U.S. hospitals and health systems manage staff learning, clinical competency, credentialing, provider enrollment, and shift scheduling on one interoperable platform tied together by its proprietary hStream layer. Demand tracks federal and state training mandates and payer-enrollment complexity, and the founder-CEO has run the business since its 1990 founding.
A subscription software suite for hospitals and health systems spans staff learning, clinical competency assessment, credentialing and provider enrollment, and shift scheduling, unified by a proprietary interoperability layer called hStream. No single customer contributes a meaningful share of revenue, and a smaller e-commerce channel reaches individual healthcare professionals directly.
Training demand tracks OSHA, Joint Commission, HIPAA, and state continuing-education mandates, while credentialing work depends on enrolling providers across dozens of payers plus CMS and state licensure. A projected nursing shortage adds pull toward scheduling and competency tools for stretched clinical staffs.
Founded in Nashville in 1990 and public since 2000, the business has been run by its founder-CEO since inception and consolidated once-separate segments into a single reportable segment in 2023.
Company facts
Key statistics
Year to date +28.9% · Average volume (30d) 196.4K
Analysts
Ratings
Target range
Latest analyst notes
| Date | Firm | Action | Rating | Prior target | Target |
|---|---|---|---|---|---|
| Jul 21, 2026 | Canaccord Genuity | Reiterate | Hold | $24 | $27 |
| May 6, 2026 | Canaccord Genuity | Reiterate | Hold | $25 | $24 |
| Jan 8, 2026 | Canaccord Genuity | Target | $29 | $25 |
Earnings
EPS
Revenue
History
| Report date | EPS est | EPS | Surprise | Revenue est | Revenue | Surprise | Next session |
|---|---|---|---|---|---|---|---|
| Aug 3, 2026Q2 FY26 | $0.17 | $0.23 | +38.6% | $80.8M | $83.7M | +3.6% | +5.19% |
| May 4, 2026Q1 FY26 | $0.16 | $0.20 | +25.0% | $79.7M | $81.2M | +1.9% | +14.64% |
| Feb 23, 2026Q4 FY25 | $0.16 | $0.18 | +12.5% | $76.2M | $79.7M | +4.6% | +4.00% |
| Nov 3, 2025Q3 FY25 | $0.17 | $0.20 | +17.6% | $76.2M | $76.5M | +0.4% | +2.80% |
Financial highlights
| 12 quarters | Q1 FY25 | Q2 FY25 | Q3 FY25 | Q4 FY25 | Q1 FY26 | Q2 FY26 | |
|---|---|---|---|---|---|---|---|
| Revenue | $73.5M | $74.4M | $76.5M | $79.7M | $81.2M | $83.7M | |
| Gross profit | $48.0M | $48.0M | $50.0M | $50.9M | $53.4M | $54.7M | |
| Operating income | $4.4M | $5.9M | $7.6M | $2.4M | $7.5M | $8.3M | |
| Net income | $4.3M | $5.4M | $6.1M | $2.5M | $5.9M | $6.7M | |
| Diluted EPS | $0.14 | $0.18 | $0.20 | $0.09 | $0.20 | $0.23 | |
| Gross margin | 65.3% | 64.6% | 65.3% | 63.8% | 65.8% | 65.3% | |
| Operating margin | 6.0% | 7.9% | 9.9% | 3.0% | 9.3% | 9.9% |
Fiscal years (4-quarter sums)FY21 $256.7M · FY22 $266.8M · FY23 $279.1M · FY24 $291.6M · FY25 $304.1M
Revenue by product · Q2 FY26
Balance sheet, Jun 30, 2026Cash & short-term investments $66.7M · Total debt $13.4M · Total assets $521.6M · Shareholders' equity $356.6M
Dividends
Raised for 2 straight years — most recently to $0.035 from $0.031 in Mar 2026. To collect a payout, hold shares through the close before the ex-date.
History
| Ex-date | Record | Paid | Amount | Note |
|---|---|---|---|---|
| Aug 17, 2026 | Aug 17 | Aug 28 | $0.035 | |
| May 18, 2026 | May 18 | May 29 | $0.035 | |
| Mar 9, 2026 | Mar 9 | Mar 20 | $0.035 | raised from $0.031 |
| Nov 17, 2025 | Nov 17 | Nov 28 | $0.031 | |
| Aug 18, 2025 | Aug 18 | Aug 29 | $0.031 | |
| May 19, 2025 | May 19 | May 30 | $0.031 | |
| Mar 10, 2025 | Mar 10 | Mar 21 | $0.031 | raised from $0.028 |
| Nov 4, 2024 | Nov 4 | Nov 15 | $0.028 |
Ownership
Shares outstanding 29.22M · Float 23.17M · 79.3% free float
Top shareholders13F · 13D/G · Form 4
| Holder | Shares | % outstanding | Form | Filed |
|---|---|---|---|---|
| Robert A. Jr Frist · director, 10 percent owner, officer: CEO and Chairman | 5.05M | 17.27% | Form 4 | Mar 30, 2026 |
| BlackRock, Inc. | 4.08M | 13.97% | 13F | Aug 7, 2026 |
| Dimensional Fund Advisors LP | 1.56M | 5.30% | 13G | Jul 14, 2026 |
| Copeland Capital Management, LLC | 1.25M | 4.27% | 13F | Aug 4, 2026 |
| Vanguard Capital Management LLC | 1.05M | 3.58% | 13F | Aug 13, 2026 |
Insider tradesForm 4
| Date | Insider | Role | Shares | Avg price |
|---|---|---|---|---|
| Jul 6, 2026 | Linda Rebrovick | director | −6,000 | $29.00 |
| Jun 1, 2026 | Linda Rebrovick | director | −2,000 | $25.00 |
| May 28, 2026 | Linda Rebrovick | director | −2,000 | $25.00 |
| May 20, 2026 | Kevin P. O'Hara | officer: Executive Vice President | −3,000 | $24.08 |
| Dec 10, 2025 | Jeff Cunningham | officer: Chief Technology Officer | −2,100 | $24.09 |
Peers
- AMN
Head-to-head in staff scheduling, credentialing, and talent-matching tech.
- Workday
Flanks via bundled enterprise learning and HR/talent management in hospital HCM.
- Oracle
Oracle Health bundles learning, competency, credentialing into hospital EHRs.
- SAP (ADR)
SuccessFactors Learning contests the LMS seat at SAP-stack hospitals.
- Docebo
General-purpose AI LMS contesting the compliance-training seat.
CompareAfter-hours close
| Company | Price | Change | |||||
|---|---|---|---|---|---|---|---|
| HealthStream | $29.38 | +0.05% | $858.3M | 41.1 | 40.3 | 2.7 | +12.6% |
| AMN | $34.62 | +0.03% | $1.34B | 12.9 | 41.2 | 0.4 | +2.3% |
| Workday | $204.25 | −0.23% | $53.62B | 41.8 | 17.7 | 5.3 | +13.2% |
| Oracle | $150.95 | +0.17% | $434.14B | 25.9 | 18.7 | 6.4 | +20.6% |
| SAP (ADR) | $220.80 | −0.39% | $258.15B | 28.1 | 23.9 | 5.8 | +5.8% |
| Docebo | $25.59 | 0.00% | $649.5M | 22.0 | 15.4 | 2.5 | +11.0% |
| Median | 25.9 | 18.7 | 5.3 | +11.0% |








