Healthstream (HSTM) Change in Cash (2010 - 2026)

Healthstream (HSTM) reported Change in Cash of $12.5 million for Q1 2026, down 29.57% year-over-year from $17.8 million in Q1 2025, and up 172.2% quarter-over-quarter from -$17.4 million in Q4 2025.

Healthstream (HSTM) Change in Cash (2010 - 2026) Analysis & Trends

Healthstream (HSTM) has 17 years of Change in Cash data on file, last reported at $12.5 million in Q1 2026.

  • Change in Cash for Q1 2026 came in at $12.5 million, down 29.57% year-over-year; the trailing twelve-month figure through Mar 2026 was -$28.6 million (down 214.85% YoY), and the FY2025 annual result was -$23.3 million, down 221.8% from the prior year.
  • Change in Cash advanced to $12.5 million in Q1 2026 per HSTM's latest filing, from -$17.4 million in the prior quarter.
  • Over five years, Change in Cash peaked at $18.3 million in Q3 2023 and troughed at -$25.2 million in Q2 2025.
  • A 5-year average of $106235.3 and a median of $1.4 million in 2025 frame the typical range for Change in Cash.
  • The sharpest annual moves came in 2024 and 2025: Change in Cash surged 329.22% in 2024, then tumbled 977.93% in 2025.
  • A 5-year view of Change in Cash shows it stood at -$2.2 million in 2022, then plunged by 69.65% to -$3.8 million in 2023, then surged by 152.24% to $2.0 million in 2024, then plunged by 977.93% to -$17.4 million in 2025, then surged by 172.2% to $12.5 million in 2026.
  • Business Quant data shows HSTM's Change in Cash at $12.5 million in Q1 2026, -$17.4 million in Q4 2025, and $1.4 million in Q3 2025.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Change in Cash (Qtr)
1 Veeva Systems 26.11 Bn 18.79 Bn 662.02 Mn 475.35 Mn
2 BrightSpring Health Services 12.95 Bn 12.07 Bn 482.22 Mn 800.32 Mn
3 Healthequity 7.46 Bn 7.19 Bn 256.31 Mn -53.56 Mn
4 Hinge Health 5.15 Bn 4.83 Bn 154.23 Mn -21.68 Mn
5 Doximity 3.75 Bn 3.00 Bn 125.97 Mn 154.34 Mn
6 10x Genomics 3.69 Bn 3.15 Bn 106.18 Mn 16.32 Mn
7 Waystar Holding 3.61 Bn 3.45 Bn 268.04 Mn -14.11 Mn
8 Privia Health 2.90 Bn 2.54 Bn 595.71 Mn -60.16 Mn
9 Omnicell 1.72 Bn 1.54 Bn 140.36 Mn 39.93 Mn
10 Healthstream 769.36 Mn 702.86 Mn 68.24 Mn 12.55 Mn

Historic Data

Download Data
DateValue
Mar 31, 2026 12.55 Mn
Dec 31, 2025 -17.38 Mn
Sep 30, 2025 1.44 Mn
Jun 30, 2025 -25.19 Mn
Mar 31, 2025 17.82 Mn
Dec 31, 2024 1.98 Mn
Sep 30, 2024 11.36 Mn
Jun 30, 2024 -6.28 Mn
Mar 31, 2024 12.07 Mn
Dec 31, 2023 -3.79 Mn
Sep 30, 2023 18.32 Mn
Jun 30, 2023 -23.03 Mn
Mar 31, 2023 2.81 Mn
Dec 31, 2022 -2.23 Mn
Sep 30, 2022 11.04 Mn
Jun 30, 2022 -6.15 Mn
Mar 31, 2022 -3.54 Mn
Dec 31, 2021 -8.55 Mn
Sep 30, 2021 5.67 Mn
Jun 30, 2021 4.44 Mn