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| Date | Value |
|---|---|
| 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 |