What is HealthStream's EV / sales?

HealthStream (HSTM) reported EV / sales of 1.8× in Q1 2026.

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

HealthStream's EV / sales decreased by 41.5% year-over-year, from 3.1× to 1.8×.

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

Over 5 years (2020 to 2025), HealthStream's EV / sales has grown at a -4.8% compound annual growth rate (CAGR), from 2.8× to 2.2×.

What does EV / sales mean?

Enterprise value at the quarter end divided by trailing-twelve-month revenue. A capital-structure-neutral revenue multiple, useful when earnings are negative.

HealthStream HSTM EV / sales

EV / sales at other companies

Workday, Inc.WDAY

3.5×-4.0×

OracleORCL

6.4×-3.5×

DoximityDOCS

6.3×-12.4×

EquifaxEFX

4.3×-1.9×

SolventumSOLV

2×-0.5×

Paycom SoftwarePAYC

3.4×-2.8×

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/total revenue=1.8×

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 / sales?: HealthStream (HSTM) reported EV / sales of 1.8× in Q1 2026.
How has HealthStream's EV / sales changed year-over-year?: HealthStream's EV / sales decreased by 41.5% year-over-year, from 3.1× to 1.8×.
What is the long-term trend for HealthStream's EV / sales?: Over 5 years (2020 to 2025), HealthStream's EV / sales has grown at a -4.8% compound annual growth rate (CAGR), from 2.8× to 2.2×.
What does EV / sales mean?: Enterprise value at the quarter end divided by trailing-twelve-month revenue. A capital-structure-neutral revenue multiple, useful when earnings are negative.