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% on a QoQ basis from -$17.4 million in Q4 2025.
Healthstream (HSTM) has 17 years of Net Cash Flow data on file, last reported at $12.5 million in Q1 2026.
- Quarterly Net Cash Flow fell 29.9% year-over-year to $12.5 million in Q1 2026, while the trailing twelve-month figure through Mar 2026 was -$28.6 million (down 215.1% YoY) and the FY2025 annual result came in at -$23.3 million, down 221.54% from the prior year.
- Net Cash Flow grew 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.
- The 5-year median for Net Cash Flow is $1.5 million (2025), against an average of $105176.5.
- The widest annual swing landed in 2024, when Net Cash Flow surged 327.45%; it then tumbled 944.65% in 2025.
- Tracing HSTM's Net Cash Flow over 5 years: stood at -$2.3 million in 2022, then tumbled by 66.97% to -$3.8 million in 2023, then soared by 153.51% to $2.1 million in 2024, then plunged by 944.65% to -$17.4 million in 2025, then soared by 171.9% to $12.5 million in 2026.
- Per Business Quant, the three latest HSTM Net Cash Flow figures stand at $12.5 million (Q1 2026), -$17.4 million (Q4 2025), and $1.5 million (Q3 2025).
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | Net Cash Flow (Qtr) |
|---|---|---|---|---|---|
| 1 | Veeva Systems | 30.85 Bn | 24.28 Bn | 622.47 Mn | -238.95 Mn |
| 2 | BrightSpring Health Services | 12.29 Bn | 11.41 Bn | 482.22 Mn | 800.32 Mn |
| 3 | Healthequity | 7.80 Bn | 7.48 Bn | 256.31 Mn | -53.56 Mn |
| 4 | Hinge Health | 4.82 Bn | 4.51 Bn | 154.23 Mn | -21.68 Mn |
| 5 | Doximity | 4.21 Bn | 3.46 Bn | 125.97 Mn | 154.34 Mn |
| 6 | Waystar Holding | 4.18 Bn | 4.03 Bn | 268.04 Mn | -14.11 Mn |
| 7 | 10x Genomics | 3.78 Bn | 3.24 Bn | 106.18 Mn | 16.39 Mn |
| 8 | Privia Health | 2.65 Bn | 2.28 Bn | 595.71 Mn | -60.16 Mn |
| 9 | Omnicell | 1.95 Bn | 1.78 Bn | 140.36 Mn | 41.02 Mn |
| 10 | Healthstream | 752.32 Mn | 685.82 Mn | 68.24 Mn | 12.49 Mn |
Historic Data
Download Data| Date | Value |
|---|---|
| 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 |
| Sep 30, 2023 | 18.31 Mn |
| Sep 30, 2023 | 18.31 Mn |
| Jun 30, 2023 | -22.97 Mn |
| Jun 30, 2023 | -22.97 Mn |
| Mar 31, 2023 | 2.83 Mn |
| Mar 31, 2023 | 2.83 Mn |
| Dec 31, 2022 | -2.30 Mn |
| Dec 31, 2022 | -2.30 Mn |
| Sep 30, 2022 | 11.03 Mn |
| Sep 30, 2022 | 11.03 Mn |
| Jun 30, 2022 | -6.10 Mn |
| Jun 30, 2022 | -6.10 Mn |
| Mar 31, 2022 | -3.53 Mn |
| Mar 31, 2022 | -3.53 Mn |
| Dec 31, 2021 | -8.54 Mn |
| Dec 31, 2021 | -8.54 Mn |
| Sep 30, 2021 | 5.72 Mn |
| Sep 30, 2021 | 5.72 Mn |
| Jun 30, 2021 | 4.24 Mn |
| Jun 30, 2021 | 4.24 Mn |
| Mar 31, 2021 | 9.03 Mn |
| Mar 31, 2021 | 9.03 Mn |
| Dec 31, 2020 | -70.50 Mn |
| Dec 31, 2020 | -70.50 Mn |
| Sep 30, 2020 | -5.55 Mn |
| Sep 30, 2020 | -5.55 Mn |
| Jun 30, 2020 | 5.09 Mn |
| Jun 30, 2020 | 5.09 Mn |
| Mar 31, 2020 | -24.07 Mn |
| Mar 31, 2020 | -24.07 Mn |
| Dec 31, 2019 | -2.38 Mn |
| Dec 31, 2019 | -2.38 Mn |
| Sep 30, 2019 | 13.07 Mn |
| Sep 30, 2019 | 13.07 Mn |
| Jun 30, 2019 | 10.24 Mn |
| Jun 30, 2019 | 10.24 Mn |
| Mar 31, 2019 | -23.71 Mn |
| Mar 31, 2019 | -23.71 Mn |
| Dec 31, 2018 | 5.16 Mn |
| Dec 31, 2018 | 5.16 Mn |
| Sep 30, 2018 | 7.71 Mn |
| Sep 30, 2018 | 7.71 Mn |
| Jun 30, 2018 | -34.57 Mn |
| Jun 30, 2018 | -34.57 Mn |
| Mar 31, 2018 | 72.38 Mn |
| Mar 31, 2018 | 72.38 Mn |
| Dec 31, 2017 | 27.07 Mn |
| Dec 31, 2017 | 27.07 Mn |
| Sep 30, 2017 | 4.43 Mn |
| Sep 30, 2017 | 4.43 Mn |
| Jun 30, 2017 | 3.83 Mn |
| Jun 30, 2017 | 3.83 Mn |
| Mar 31, 2017 | 2.57 Mn |
| Mar 31, 2017 | 2.57 Mn |
| Dec 31, 2016 | 9.47 Mn |
| Dec 31, 2016 | 9.47 Mn |
| Sep 30, 2016 | -26.98 Mn |
| Sep 30, 2016 | -26.98 Mn |
| Jun 30, 2016 | -15.99 Mn |
| Jun 30, 2016 | -15.99 Mn |
| Mar 31, 2016 | 783,000.00 |
| Mar 31, 2016 | 783,000.00 |
| Dec 31, 2015 | 14.57 Mn |
| Dec 31, 2015 | 14.57 Mn |
| Sep 30, 2015 | 12.95 Mn |
| Sep 30, 2015 | 12.95 Mn |
| Jun 30, 2015 | 19.73 Mn |
| Jun 30, 2015 | 19.73 Mn |
| Mar 31, 2015 | -47.23 Mn |
| Mar 31, 2015 | -47.23 Mn |
| Dec 31, 2014 | 17.07 Mn |
| Dec 31, 2014 | 17.07 Mn |
| Sep 30, 2014 | 4.07 Mn |
| Sep 30, 2014 | 4.07 Mn |
| Jun 30, 2014 | 1.82 Mn |
| Jun 30, 2014 | 1.82 Mn |
| Mar 31, 2014 | -492,000.00 |
| Mar 31, 2014 | -492,000.00 |
| Dec 31, 2013 | 4.43 Mn |
| Dec 31, 2013 | 4.43 Mn |
| Sep 30, 2013 | 452,000.00 |
| Sep 30, 2013 | 452,000.00 |
| Jun 30, 2013 | 10.76 Mn |
| Jun 30, 2013 | 10.76 Mn |
| Mar 31, 2013 | 2.52 Mn |
| Mar 31, 2013 | 2.52 Mn |
| Dec 31, 2012 | 17.66 Mn |
| Dec 31, 2012 | 17.66 Mn |
| Sep 30, 2012 | -3.64 Mn |
| Sep 30, 2012 | -3.64 Mn |
| Jun 30, 2012 | 3.07 Mn |
| Jun 30, 2012 | 3.07 Mn |
| Mar 31, 2012 | -52.64 Mn |
| Mar 31, 2012 | -52.64 Mn |
| Dec 31, 2011 | 46.67 Mn |
| Dec 31, 2011 | 46.67 Mn |
| Sep 30, 2011 | 5.79 Mn |
| Sep 30, 2011 | 5.79 Mn |
| Jun 30, 2011 | 10.23 Mn |
| Jun 30, 2011 | 10.23 Mn |
| Mar 31, 2011 | -3.65 Mn |
| Mar 31, 2011 | -3.65 Mn |
| Dec 31, 2010 | -3.58 Mn |
| Dec 31, 2010 | -3.58 Mn |
| Sep 30, 2010 | 2.67 Mn |
| Sep 30, 2010 | 2.67 Mn |