Healthstream (HSTM) Net Cash Flow (2010 - 2026)

Healthstream (HSTM) posted quarterly Net Cash Flow of $12.5 million for Q1 2026, down 29.9% year-over-year from $17.8 million in Q1 2025, and up 171.9% quarter-over-quarter from -$17.4 million in Q4 2025.

Healthstream (HSTM) Net Cash Flow (2010 - 2026) Analysis & Trends

Healthstream (HSTM) has reported Net Cash Flow for 17 consecutive years, with $12.5 million the latest figure, recorded in Q1 2026.

  • In Q1 2026, Net Cash Flow fell 29.9% year-over-year to $12.5 million; the TTM figure through Mar 2026 stood at -$28.6 million (down 215.1% YoY), while the FY2025 annual figure was -$23.3 million, down 221.54% from the prior year.
  • Net Cash Flow climbed to $12.5 million in Q1 2026 per HSTM's latest filing, from -$17.4 million in the prior quarter.
  • Across five years, Net Cash Flow topped out at $18.3 million in Q3 2023 and bottomed at -$25.2 million in Q2 2025.
  • Historically, Net Cash Flow has averaged $105176.5 across 5 years, with a median of $1.5 million in 2025.
  • Annual changes were most pronounced in 2024 — Net Cash Flow jumped 327.45% — and 2025, when it sank 944.65%.
  • Healthstream's Net Cash Flow stood at -$2.3 million in 2022, then slumped by 66.97% to -$3.8 million in 2023, then soared by 153.51% to $2.1 million in 2024, then tumbled by 944.65% to -$17.4 million in 2025, then soared by 171.9% to $12.5 million in 2026.
  • Business Quant data shows HSTM's Net Cash Flow at $12.5 million in Q1 2026, -$17.4 million in Q4 2025, and $1.5 million in Q3 2025.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Net Cash Flow (Qtr)
1 Veeva Systems 39.72 Bn 32.40 Bn 662.02 Mn 475.88 Mn
2 BrightSpring Health Services 12.19 Bn 11.64 Bn 492.75 Mn -338.42 Mn
3 Healthequity 8.79 Bn 8.52 Bn 256.31 Mn -53.56 Mn
4 10x Genomics 7.31 Bn 6.76 Bn 112.50 Mn 12.26 Mn
5 Hinge Health 7.10 Bn 6.71 Bn 183.95 Mn 99.55 Mn
6 MiniMed 5.66 Bn 5.36 Bn 480.00 Mn 286.00 Mn
7 Waystar Holding 4.76 Bn 4.56 Bn 221.99 Mn -17.29 Mn
8 Doximity 4.46 Bn 3.77 Bn 132.93 Mn 54.43 Mn
9 Heartflow 3.66 Bn 3.28 Bn 53.19 Mn -
10 Healthstream 846.21 Mn 779.47 Mn 54.72 Mn -2.47 Mn

Historic Data

Download Data
DateValue
Jun 30, 2026 -2.47 Mn
Jun 30, 2026 -2.47 Mn
Mar 31, 2026 12.49 Mn
Mar 31, 2026 12.49 Mn
Dec 31, 2025 -17.37 Mn
Dec 31, 2025 -17.37 Mn
Sep 30, 2025 1.45 Mn
Sep 30, 2025 1.45 Mn
Jun 30, 2025 -25.20 Mn
Jun 30, 2025 -25.20 Mn
Mar 31, 2025 17.81 Mn
Mar 31, 2025 17.81 Mn
Dec 31, 2024 2.06 Mn
Dec 31, 2024 2.06 Mn
Sep 30, 2024 11.32 Mn
Sep 30, 2024 11.32 Mn
Jun 30, 2024 -6.32 Mn
Jun 30, 2024 -6.32 Mn
Mar 31, 2024 12.11 Mn
Mar 31, 2024 12.11 Mn