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8-K ·Filed May 4, 2026

HSTM

HEALTHSTREAM INC
BULLISH
Impact 7/10
Horizondays Processed5mo ago SEC0001437749-26-014670
8-K Item 2.02: Earnings release
Actionable Insight ▲ Bullish

The strong beat and reaffirmed guidance suggest accelerating fundamentals. Watch for continued subscription revenue growth and margin expansion. The stock may gap up on the beat and guidance confidence.

DirectionBullish
Confidencemedium
Horizondays
Final — all horizons settled through T+60d
HSTM ▲ +15.76% at T+60d
LONG call ✓ call won +15.76% · α vs SPY +13.02% · entry $24.36 → $28.20
Entry = T+0 close
May 4, 2026
via day close
T+1d
-4.97%
call -4.97% · α -6.35%
$23.15
settled 6mo ago
T+5d
-4.11%
call -4.11% · α -6.09%
$23.36
settled 6mo ago
T+20d
+3.53%
call +3.53% · α -1.42%
$25.22
settled 5mo ago
T+60d
+15.76%
call +15.76% · α +13.02%
$28.20
settled 3mo ago

Price Chart

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Executive Summary

HealthStream reported Q1 2026 revenue of $81.2M (up 10.5% YoY, a record) and GAAP EPS of $0.20 (up from $0.14, beating $0.16 consensus by 25%). Operating income surged 71.6% to $7.5M, and the company reaffirmed full-year 2026 guidance. The strong beat and raised profitability profile are bullish.

Key Financial Metrics

EPS
$0.20
est $0.16 · +25.0%
Revenue
$81.2M
+10.5% YoY
Rating
strong beat
Guidance
$323.0M-$330.0M
maintained
Free Cash Flow
$19.8M
Gross Margin
65.8%

Key Facts

  • Record quarterly revenue of $81.2M, up 10.5% YoY
  • GAAP EPS $0.20 beat consensus of $0.16 by 25%
  • Operating income up 71.6% to $7.5M
  • Adjusted EBITDA up 24.1% to $20.1M
  • Reaffirmed FY2026 guidance: revenue $323M-$330M, adjusted EBITDA $73M-$77M
  • Board declared $0.035/share dividend payable May 29, 2026
  • New $10M share repurchase program authorized on March 13, 2026

Financial Impact

EPS beat of $0.04 (25% above consensus) and record revenue growth of 10.5% indicate strong operational momentum.

revenueepsoperating incomeadjusted EBITDA

Risk Factors

  • Acquisition integration of Virsys12 and MissionCare
  • Higher labor and cloud hosting costs pressuring margins if revenue growth slows

Market Snapshot

Exchange
Nasdaq
Sector
Services-Computer Programming, Data Processing, Etc.
Analyst Consensus
64% bullish (11 analysts)

Investment Themes

Software & IT

Documents Analyzed

This report is based on 6 SEC documents filed with EDGAR.

DocumentAccession Number
8-K Filing (Primary)0001437749-26-014670
Document: hstm20260125_8k.htm0001437749-26-014670
Document: 0001437749-26-014670-index-headers.html0001437749-26-014670
Document: 0001437749-26-014670-index.html0001437749-26-014670
Document: 0001437749-26-014670.txt0001437749-26-014670
8-K Data (Synthetic)0001437749-26-014670
6 reports for HSTM
Performance horizon
Filters
Rows
Reports for HSTM — sortable, filterable
TypeNow
Oct 23, 2026
3d ago
144
NEUTRAL ★ 2/10
$35.16awaiting T+60—$35.16 (−0.00%)
Sep 21, 2026
5w ago
SC 13D
NEUTRAL ★ 5/10
$29.01awaiting T+60—$35.16 (+21.20%)
Sep 14, 2026
6w ago
8-K
NEUTRAL ★ 4/10
$29.63awaiting T+60—$35.16 (+18.66%)
May 8, 2026
24w ago
8-K
NEUTRAL ★ 2/10
$23.12 $28.01▲ +21.15%▲ +16.76%$35.16 (+52.08%)
May 4, 2026
25w ago
8-K
BULLISH ★ 7/10
$24.36 $28.20▲ +15.76%▲ +13.02%$35.16 (+44.33%)
Apr 10, 2026
28w ago
DEFA14A
NEUTRAL ★ 3/10
$20.37 $28.18▲ +38.34%▲ +29.42%$35.16 (+72.61%)
Showing 6 of 6

US Market Status

Market Closed — Opens Wed (13h 20m)

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Report published May 4, 2026