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

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

  • Net Cash Flow for Q1 2026 came in at $12.5 million, down 29.9% year-over-year; the trailing twelve-month figure through Mar 2026 was -$28.6 million (down 215.1% YoY), and the FY2025 annual result was -$23.3 million, down 221.54% from the prior year.
  • Net Cash Flow rose to $12.5 million in Q1 2026 per HSTM's latest filing, from -$17.4 million in the prior quarter.
  • Over five years, Net Cash Flow peaked at $18.3 million in Q3 2023 and troughed at -$25.2 million in Q2 2025.
  • A 5-year average of $105176.5 and a median of $1.5 million in 2025 frame the typical range for Net Cash Flow.
  • The sharpest annual moves came in 2024 and 2025: Net Cash Flow jumped 327.45% in 2024, then sank 944.65% in 2025.
  • A 5-year view of Net Cash Flow shows it stood at -$2.3 million in 2022, then sank by 66.97% to -$3.8 million in 2023, then surged by 153.51% to $2.1 million in 2024, then slumped by 944.65% to -$17.4 million in 2025, then surged 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 24.83 Bn 17.52 Bn 662.02 Mn 475.88 Mn
2 BrightSpring Health Services 13.57 Bn 12.69 Bn 482.22 Mn 800.32 Mn
3 Healthequity 7.20 Bn 6.93 Bn 256.31 Mn -53.56 Mn
4 Hinge Health 5.42 Bn 5.11 Bn 154.23 Mn -21.68 Mn
5 10x Genomics 4.46 Bn 3.92 Bn 106.18 Mn 16.39 Mn
6 Doximity 3.81 Bn 3.06 Bn 125.97 Mn 154.34 Mn
7 Waystar Holding 3.52 Bn 3.36 Bn 268.04 Mn -14.11 Mn
8 Privia Health 2.94 Bn 2.57 Bn 595.71 Mn -60.16 Mn
9 Omnicell 1.76 Bn 1.59 Bn 140.36 Mn 41.02 Mn
10 Healthstream 753.05 Mn 686.56 Mn 68.24 Mn 12.49 Mn

Historic Data

Download Data
DateValue
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
Dec 31, 2023 -3.84 Mn
Dec 31, 2023 -3.84 Mn