What is HealthStream's EV / EBITDA?

HealthStream (HSTM) reported EV / EBITDA of 10.5× in Q4 2025.

How has HealthStream's EV / EBITDA changed year-over-year?

HealthStream's EV / EBITDA decreased by 29.6% year-over-year, from 14.8× to 10.5×.

What is the long-term trend for HealthStream's EV / EBITDA?

Over 4 years (2020 to 2025), HealthStream's EV / EBITDA has grown at a -8.5% compound annual growth rate (CAGR), from 14.9× to 10.5×.

What does EV / EBITDA mean?

Enterprise value (market cap plus total debt minus cash) at the quarter end divided by trailing-twelve-month EBITDA. A capital-structure-neutral valuation multiple.

HealthStream HSTM EV / EBITDA

EV / EBITDA at other companies

Workday, Inc.WDAY

21.5×-47.5×

OracleORCL

14.7×-8.9×

DoximityDOCS

17.9×-27.0×

SolventumSOLV

6.4×-8.8×

EquifaxEFX

14.3×-5.9×

Paycom SoftwarePAYC

9.1×-8.1×

Other financials

Income statement

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Revenue$81.2M+10.5%

Gross profit$49.2M+1.6%

Operating income$5.1M-4.9%

Net income$5.9M+28.9%

EPS (diluted)$0.15-7.6%

Balance sheet

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Cash & equivalents$48.7M-37.0%

Total debt$14.1M-15.5%

Total equity$352.0M-3.0%

Total assets$527.4M+0.6%

Cash flow

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Operating cash flow$27.1M+0.2%

CapEx$740.0K-29.9%

Free cash flow$26.4M+1.4%

Valuation

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Market cap$762.81M-6.1%

Enterprise value$728.16M-3.1%

P/E38.8×-2.7×

P/S2.5×-0.3×

Profitability

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Gross margin64.7%-1.7pp

Operating margin6.7%-0.6pp

Net margin6.3%-0.4pp

FCF margin19.2%-2.0pp

Returns & leverage

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Return on equity5.5%0.0pp

Debt / equity0×0.0×

Current ratio1×-0.4×

Where this comes from

Calculated from HealthStream’s reported figures.

enterprise value/ebitda=10.5×

Based on the most recent quarter.

The official record: HealthStream’s 10-Q, filed May 6, 2026, on SEC EDGAR. View the filing →

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Questions, answered.

What is HealthStream's EV / EBITDA?: HealthStream (HSTM) reported EV / EBITDA of 10.5× in Q4 2025.
How has HealthStream's EV / EBITDA changed year-over-year?: HealthStream's EV / EBITDA decreased by 29.6% year-over-year, from 14.8× to 10.5×.
What is the long-term trend for HealthStream's EV / EBITDA?: Over 4 years (2020 to 2025), HealthStream's EV / EBITDA has grown at a -8.5% compound annual growth rate (CAGR), from 14.9× to 10.5×.
What does EV / EBITDA mean?: Enterprise value (market cap plus total debt minus cash) at the quarter end divided by trailing-twelve-month EBITDA. A capital-structure-neutral valuation multiple.