Healthstream (HSTM) Free Cash Flow (2010 - 2026)
Healthstream (HSTM) reported Free Cash Flow of $26.9 million for Q1 2026, up 3.29% year-over-year from $26.0 million in Q1 2025, and up 327.65% on a QoQ basis from -$11.8 million in Q4 2025.
Healthstream (HSTM) has 17 years of Free Cash Flow data on file, last reported at $26.9 million in Q1 2026.
- Quarterly Free Cash Flow rose 3.29% year-over-year to $26.9 million in Q1 2026, while the trailing twelve-month figure through Mar 2026 was $35.7 million (down 41.84% YoY) and the FY2025 annual result came in at $34.8 million, down 38.07% from the prior year.
- Free Cash Flow grew to $26.9 million in Q1 2026 per HSTM's latest filing, from -$11.8 million in the prior quarter.
- Across five years, Free Cash Flow topped out at $33.3 million in Q4 2023 and bottomed at -$11.8 million in Q4 2025.
- The 5-year median for Free Cash Flow is $13.0 million (2023), against an average of $13.7 million.
- The widest annual swing landed in 2022, when Free Cash Flow plunged 1533.09%; it then jumped 388.77% in 2023.
- Tracing HSTM's Free Cash Flow over 5 years: stood at $9.0 million in 2022, then soared by 271.72% to $33.3 million in 2023, then plunged by 70.59% to $9.8 million in 2024, then slumped by 220.62% to -$11.8 million in 2025, then soared by 327.65% to $26.9 million in 2026.
- Per Business Quant, the three latest HSTM Free Cash Flow figures stand at $26.9 million (Q1 2026), -$11.8 million (Q4 2025), and $29.0 million (Q3 2025).
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | Free Cash Flow (Qtr) |
|---|---|---|---|---|---|
| 1 | Veeva Systems | 30.85 Bn | 24.28 Bn | 622.47 Mn | 99.82 Mn |
| 2 | BrightSpring Health Services | 12.29 Bn | 11.41 Bn | 482.22 Mn | 119.28 Mn |
| 3 | Healthequity | 7.80 Bn | 7.48 Bn | 256.31 Mn | 81.60 Mn |
| 4 | Hinge Health | 4.82 Bn | 4.51 Bn | 154.23 Mn | 43.06 Mn |
| 5 | Doximity | 4.21 Bn | 3.46 Bn | 125.97 Mn | 107.27 Mn |
| 6 | Waystar Holding | 4.18 Bn | 4.03 Bn | 268.04 Mn | 69.59 Mn |
| 7 | 10x Genomics | 3.78 Bn | 3.24 Bn | 106.18 Mn | 26.00 Mn |
| 8 | Privia Health | 2.65 Bn | 2.28 Bn | 595.71 Mn | -49.47 Mn |
| 9 | Omnicell | 1.95 Bn | 1.78 Bn | 140.36 Mn | 42.07 Mn |
| 10 | Healthstream | 752.32 Mn | 685.82 Mn | 68.24 Mn | 26.87 Mn |
Historic Data
Download Data| Date | Value |
|---|---|
| Mar 31, 2026 | 26.87 Mn |
| Mar 31, 2026 | 26.87 Mn |
| Dec 31, 2025 | -11.81 Mn |
| Dec 31, 2025 | -11.81 Mn |
| Sep 30, 2025 | 29.05 Mn |
| Sep 30, 2025 | 29.05 Mn |
| Jun 30, 2025 | -8.42 Mn |
| Jun 30, 2025 | -8.42 Mn |
| Mar 31, 2025 | 26.02 Mn |
| Mar 31, 2025 | 26.02 Mn |
| Dec 31, 2024 | 9.79 Mn |
| Dec 31, 2024 | 9.79 Mn |
| Sep 30, 2024 | 19.25 Mn |
| Sep 30, 2024 | 19.25 Mn |
| Jun 30, 2024 | 6.32 Mn |
| Jun 30, 2024 | 6.32 Mn |
| Mar 31, 2024 | 20.91 Mn |
| Mar 31, 2024 | 20.91 Mn |
| Dec 31, 2023 | 33.27 Mn |
| Dec 31, 2023 | 33.27 Mn |
| Sep 30, 2023 | 6.50 Mn |
| Sep 30, 2023 | 6.50 Mn |
| Jun 30, 2023 | 11.13 Mn |
| Jun 30, 2023 | 11.13 Mn |
| Mar 31, 2023 | 12.98 Mn |
| Mar 31, 2023 | 12.98 Mn |
| Dec 31, 2022 | 8.95 Mn |
| Dec 31, 2022 | 8.95 Mn |
| Sep 30, 2022 | 25.35 Mn |
| Sep 30, 2022 | 25.35 Mn |
| Jun 30, 2022 | -3.86 Mn |
| Jun 30, 2022 | -3.86 Mn |
| Mar 31, 2022 | 20.02 Mn |
| Mar 31, 2022 | 20.02 Mn |
| Dec 31, 2021 | 5.13 Mn |
| Dec 31, 2021 | 5.13 Mn |
| Sep 30, 2021 | 19.79 Mn |
| Sep 30, 2021 | 19.79 Mn |
| Jun 30, 2021 | 269,000.00 |
| Jun 30, 2021 | 269,000.00 |
| Mar 31, 2021 | 13.78 Mn |
| Mar 31, 2021 | 13.78 Mn |
| Dec 31, 2020 | -9.96 Mn |
| Dec 31, 2020 | -9.96 Mn |
| Sep 30, 2020 | 16.76 Mn |
| Sep 30, 2020 | 16.76 Mn |
| Jun 30, 2020 | 7.16 Mn |
| Jun 30, 2020 | 7.16 Mn |
| Mar 31, 2020 | 5.11 Mn |
| Mar 31, 2020 | 5.11 Mn |
| Dec 31, 2019 | 24.26 Mn |
| Dec 31, 2019 | 24.26 Mn |
| Sep 30, 2019 | 24.36 Mn |
| Sep 30, 2019 | 24.36 Mn |
| Jun 30, 2019 | 12.26 Mn |
| Jun 30, 2019 | 12.26 Mn |
| Mar 31, 2019 | 4.75 Mn |
| Mar 31, 2019 | 4.75 Mn |
| Dec 31, 2018 | 12.21 Mn |
| Dec 31, 2018 | 12.21 Mn |
| Sep 30, 2018 | 8.83 Mn |
| Sep 30, 2018 | 8.83 Mn |
| Jun 30, 2018 | 4.24 Mn |
| Jun 30, 2018 | 4.24 Mn |
| Mar 31, 2018 | 7.69 Mn |
| Mar 31, 2018 | 7.69 Mn |
| Dec 31, 2017 | 10.36 Mn |
| Dec 31, 2017 | 10.36 Mn |
| Sep 30, 2017 | 11.45 Mn |
| Sep 30, 2017 | 11.45 Mn |
| Jun 30, 2017 | 5.26 Mn |
| Jun 30, 2017 | 5.26 Mn |
| Mar 31, 2017 | 14.13 Mn |
| Mar 31, 2017 | 14.13 Mn |
| Dec 31, 2016 | 11.17 Mn |
| Dec 31, 2016 | 11.17 Mn |
| Sep 30, 2016 | 10.86 Mn |
| Sep 30, 2016 | 10.86 Mn |
| Jun 30, 2016 | -6.67 Mn |
| Jun 30, 2016 | -6.67 Mn |
| Mar 31, 2016 | 3.72 Mn |
| Mar 31, 2016 | 3.72 Mn |
| Dec 31, 2015 | 8.15 Mn |
| Dec 31, 2015 | 8.15 Mn |
| Sep 30, 2015 | 3.94 Mn |
| Sep 30, 2015 | 3.94 Mn |
| Jun 30, 2015 | 8.58 Mn |
| Jun 30, 2015 | 8.58 Mn |
| Mar 31, 2015 | 6.98 Mn |
| Mar 31, 2015 | 6.98 Mn |
| Dec 31, 2014 | 2.97 Mn |
| Dec 31, 2014 | 2.97 Mn |
| Sep 30, 2014 | 6.22 Mn |
| Sep 30, 2014 | 6.22 Mn |
| Jun 30, 2014 | 11.32 Mn |
| Jun 30, 2014 | 11.32 Mn |
| Mar 31, 2014 | 8.09 Mn |
| Mar 31, 2014 | 8.09 Mn |
| Dec 31, 2013 | 2.59 Mn |
| Dec 31, 2013 | 2.59 Mn |
| Sep 30, 2013 | 10.85 Mn |
| Sep 30, 2013 | 10.85 Mn |
| Jun 30, 2013 | 6.52 Mn |
| Jun 30, 2013 | 6.52 Mn |
| Mar 31, 2013 | 2.83 Mn |
| Mar 31, 2013 | 2.83 Mn |
| Dec 31, 2012 | 5.71 Mn |
| Dec 31, 2012 | 5.71 Mn |
| Sep 30, 2012 | 5.58 Mn |
| Sep 30, 2012 | 5.58 Mn |
| Jun 30, 2012 | 4.27 Mn |
| Jun 30, 2012 | 4.27 Mn |
| Mar 31, 2012 | 2.65 Mn |
| Mar 31, 2012 | 2.65 Mn |
| Dec 31, 2011 | 4.40 Mn |
| Dec 31, 2011 | 4.40 Mn |
| Sep 30, 2011 | 5.08 Mn |
| Sep 30, 2011 | 5.08 Mn |
| Jun 30, 2011 | 4.75 Mn |
| Jun 30, 2011 | 4.75 Mn |
| Mar 31, 2011 | -543,000.00 |
| Mar 31, 2011 | -543,000.00 |
| Dec 31, 2010 | 3.26 Mn |
| Dec 31, 2010 | 3.26 Mn |
| Sep 30, 2010 | 3.36 Mn |
| Sep 30, 2010 | 3.36 Mn |