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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.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.
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