HSTM HealthStream, Inc.
Stable Earnings Power
B- 67.7 / 100 composite

AlphaQuality composite grade, weighted for stable earnings power businesses.

Profitability

Weight: 20%
C- 44
  • 5yr Avg ROIC 3.5%
  • Operating Margin Trend +0.97 pp/yr

Capital Efficiency

Weight: 15%
C- 48
  • 5yr Avg ROE 4.0%
  • 5yr Share-Count CAGR -1.2%

Growth Quality

Weight: 15%
B+ 80
  • 5yr Revenue CAGR 4.3%
  • 5yr EPS CAGR 35.7%
  • Revenue-Growth Years (5) 5/5

Cash Generation

Weight: 15%
B+ 76
  • 5yr FCF Margin 17.1%
  • 5yr FCF/NI Conversion 3.91x

Balance Sheet

Weight: 20%
A+ 96
  • Net Debt / EBITDA -0.63x
  • Interest Coverage (EBIT/Int) 30.00x
  • Altman Z-Score 3.44

Stability

Weight: 15%
C+ 60
  • EPS Volatility (σ/μ) 0.55
  • Piotroski F-Score 7
  • Negative-Revenue Years (5) 0/5

Guru Flow

Curated superinvestor sentiment — not part of the AlphaQuality grade.
Dumping

1 of 3 gurus held; 1 added; 2 full exits.

Holders
1 -2
Avg Δ position
+37.7%
New buys
0
Full exits
2
As of Q1 2026