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Earnings analysis · 10-Q

HSTM earnings analysis

Filed May 6, 2026 · Our reading of the company's report

The latest report

HealthStream, Inc. reported Q1 2026 results with revenues of $81.2 million, exceeding expectations and representing an 11% increase year-over-year. EPS also surpassed estimates at $0.20, up from $0.14 a year prior,…

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HealthStream, Inc. reported Q1 2026 results with revenues of $81.2 million, exceeding expectations and representing an 11% increase year-over-year. EPS also surpassed estimates at $0.20, up from $0.14 a year prior, driven by strong demand for the company's SaaS applications and successful acquisitions.

Read the original on SEC.gov

Gross and operating margin

How much of each revenue dollar the business keeps.

67% Gross margin Operating margin Apr 2023 May 2026

One point per quarterly or annual filing. Both margins are shares of that report's revenue.

From revenue to operating profit

Where each $100 of revenue went in this report.

Of every $100 of revenue Cost of sales $34 Operating expenses $57 Left as operating profit $9

Cost of sales, operating expenses, and what remained. Figures are rounded to whole dollars.

Where revenue came from

The business segments reported by the company.

Subscription Services 96.6% Professional Services 3.4%

Shares of the segments disclosed in this filing, largest first.

How we read each report

Our analysis across the last few reports.

Read as bullish Read as bearish Feb 2023 May 2026

Our model's reading of each filing, not the share price or the market's reaction. Annual and quarterly reports each occupy one position.

Reported figures

Earnings per share
$0.2

What stood out

  • Revenue Growth of 11% Year-over-Year

    Revenue increased to $81.2 million, up from $73.5 million in Q1 2025.

  • Operating Income Surged 71.6%

    Operating income rose to $7.5 million from $4.4 million a year ago.

  • EPS Outperformance

    Diluted EPS reached $0.20, an increase from $0.14 in Q1 2025.

  • Strong Adjusted EBITDA Performance

    Adjusted EBITDA grew to $20.1 million, up 24.1% from $16.2 million in Q1 2025.

  • Improvement in Gross Margin

    Gross margin improved to 66.4% in Q1 2026, compared to 65.1% in Q1 2025.

  • Launch of New Share Repurchase Program

    A new $10 million share repurchase program was authorized as of March 13, 2026.

What to watch

  • Healthcare Policy Changes

    Macroeconomic challenges and potential policy changes may impact customer purchasing decisions.

  • Dependence on Acquisitions

    Growth is partially dependent on recent acquisitions, which may face integration challenges.

  • Negative Working Capital

    As of March 31, 2026, negative working capital improved to -$3.5 million, but could impact liquidity.

Management's outlook

The Company reaffirmed its 2026 revenue guidance of $323 million to $330 million.

Earlier filings 4

10-K · February 27, 2026

HealthStream emphasizes a single-platform SaaS strategy (hStream) and AI-enabled product innovation (including the Competency Suite) while completing four acquisitions since 2023, most recently Virsys12 in October 2025…

10-K · February 28, 2025

HealthStream emphasizes a single-platform SaaS strategy (hStream) and recent product innovation (the AI/ML-driven “Competency Suite”), supported by four acquisitions since 2022 including two asset acquisitions in…

10-Q · October 24, 2024

HealthStream reported Q3 revenue of $73,095,000 (up $2,756,000 or ~3.9% YoY from $70,339,000) and diluted EPS of $0.19 (vs. $0.13 YoY). Operating income expanded to $6,498,000 (operating margin ~8.9% vs ~6.9% a year…

10-Q · April 25, 2024

HealthStream reported a quarter of sequential and year-over-year improvement: revenue rose to $72,760,000 (from $68,946,000 a year ago), operating income nearly doubled to $5,690,000 (from $2,891,000), and diluted EPS…

This is our reading of a public filing, not the filing itself. Analysis can contain errors; check the source document for full context.