HealthStream
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HealthStream (HSTM) investor relations material

HealthStream Q4 2025 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q4 2025 earnings summary24 Feb, 2026

Executive summary

  • Achieved full-year 2025 revenue growth of 4.3% to $304.1 million and Adjusted EBITDA growth of 7.5% to $71.8 million year-over-year; Q4 revenues reached a record $79.7 million, up 7.4%, and Q4 Adjusted EBITDA was $18.8 million, up 16.4%.

  • Completed two acquisitions in Q4 2025: Virsys12 and MissionCare Collective, expanding product offerings and career networks.

  • CEO contributed $3.8 million in stock for employee equity grants, resulting in a $3.5 million non-cash expense but no dilution to shareholders except the CEO.

  • 96% of revenues are subscription-based, with contracts averaging 3–5 years, supporting recurring and predictable revenue.

  • Strong cash position of $57 million and no interest-bearing debt at year-end.

Financial highlights

  • Q4 2025 revenues reached $79.7 million, up 7.4% year-over-year; full-year revenues were $304.1 million, up 4.3%.

  • Q4 net income was $2.5 million, down 48.1% due to a $3.5 million non-cash compensation expense from a CEO stock grant; non-GAAP net income was $5.4 million, up 9.5%.

  • Q4 Adjusted EBITDA was $18.8 million, up 16.4%; Adjusted EBITDA margin improved to 23.6%.

  • Full-year 2025 net income was $18.3 million, down 8.3%; non-GAAP net income was $21.2 million, up 5.8%.

  • Free cash flow for the year was $31.1 million, up 5.5% year-over-year.

Outlook and guidance

  • 2026 revenue guidance: $323–$330 million (6.2%–8.5% growth); net income: $20.4–$22.8 million; Adjusted EBITDA: $73–$77 million.

  • Capital expenditures expected between $31–$34 million; effective tax rate projected at 22%.

  • Inorganic revenue from acquisitions expected to be ~$13 million in 2026.

  • Guidance excludes impact from future acquisitions, dispositions, or asset impairments.

What is the strategic value of Virsys12 & MissionCare?
Future share repurchase plans?
How will AI drive 2026 business growth?
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Frequently asked questions

HealthStream Inc provides workforce and provider solutions for the healthcare industry. Its software-as-a-service offerings support employee training, credentialing, performance evaluation, and scheduling for healthcare organizations. The company serves hospitals, clinics, and other medical providers across the United States. The company is headquartered in Nashville, Tennessee, and its shares are listed on the NASDAQ.

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