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HealthStream HSTM Net debt / EBITDA

Net debt / EBITDA at other companies

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Workday, Inc.WDAY
-0.5×
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OracleORCL
-0.4×-4.0×
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DoximityDOCS
-0.9×+0.1×
Solventum logo
SolventumSOLV
-3.4×
Equifax logo
EquifaxEFX
2.7×0.0×
Paycom Software logo
Paycom SoftwarePAYC
0.8×+0.5×

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×
Current ratio-0.4×

Where this comes from

Calculated from HealthStream’s reported figures.

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 net debt / EBITDA?
HealthStream (HSTM) reported net debt / EBITDA of -0.3× in Q4 2025.
How has HealthStream's net debt / EBITDA changed year-over-year?
HealthStream's net debt / EBITDA increased by 53.6% year-over-year, from -0.6× to -0.3×.
What is the long-term trend for HealthStream's net debt / EBITDA?
Over 4 years (2020 to 2025), HealthStream's net debt / EBITDA has grown at a 30.0% compound annual growth rate (CAGR), from -0.1× to -0.3×.
What does net debt / EBITDA mean?
Net debt (total debt minus cash) divided by trailing-twelve-month EBITDA. Expresses leverage in years — roughly how long it would take to repay net debt out of operating cash earnings.