HealthStream Inc (HSTM) — Cash Flow Quality Index
Latest as of June 2026:
2.01x
HealthStream Inc (HSTM) has a Cash Flow Quality Index of 2.01x as of June 2026. Operating cash flow of $13.43 Million exceeds net income of $6.67 Million, indicating high earnings quality where cash backs reported profits. Explore HSTM cash flow to debt ratio to assess how comfortably operating cash covers total debt obligations.
Cash Flow Quality Index
2.01x
Operating CF / Net Income
Operating Cash Flow
$13.43 Million
USD
Net Income
$6.67 Million
USD
Data as of
Jun 2026
Most recent filing
HealthStream Inc Cash Flow Quality Index (2005–2025)
Historical Cash Flow Quality Index for HealthStream Inc across 21 annual periods. Values consistently above 1.0x indicate high-quality earnings. For the full cash flow conversion analysis, see HSTM cash flow metrics.
Annual Cash Flow Quality Index for HealthStream Inc (2005–2025)
Year-by-year earnings quality comparison for HealthStream Inc.
| Year | Quality Index | Operating CF (USD) | Net Income | YoY Change |
|---|---|---|---|---|
| 2025 | 3.45x | $63.32 Million | $18.34 Million | ▲ +19.8% |
| 2024 | 2.88x | $57.66 Million | $20.01 Million | ▼ -31.5% |
| 2023 | 4.20x | $63.97 Million | $15.21 Million | ▼ -0.7% |
| 2022 | 4.23x | $51.19 Million | $12.09 Million | ▼ -41.6% |
| 2021 | 7.25x | $42.38 Million | $5.84 Million | ▲ +184.8% |
| 2020 | 2.55x | $35.87 Million | $14.09 Million | ▼ -38.9% |
| 2019 | 4.16x | $65.66 Million | $15.77 Million | ▲ +210.2% |
| 2018 | 1.34x | $43.25 Million | $32.22 Million | ▼ -71.3% |
| 2017 | 4.67x | $46.71 Million | $10.00 Million | ▼ -27.6% |
| 2016 | 6.45x | $24.23 Million | $3.75 Million | ▲ +59.3% |
| 2015 | 4.05x | $34.92 Million | $8.62 Million | ▲ +22.9% |
| 2014 | 3.30x | $34.26 Million | $10.39 Million | ▲ +5.6% |
| 2013 | 3.12x | $26.28 Million | $8.42 Million | ▲ +6.0% |
| 2012 | 2.94x | $22.51 Million | $7.64 Million | ▲ +3.5% |
| 2011 | 2.84x | $19.75 Million | $6.94 Million | ▼ -26.7% |
| 2010 | 3.88x | $16.12 Million | $4.15 Million | ▲ +368.5% |
| 2009 | 0.83x | $11.57 Million | $13.97 Million | ▼ -60.9% |
| 2008 | 2.12x | $6.04 Million | $2.85 Million | ▲ +21.8% |
| 2007 | 1.74x | $7.11 Million | $4.09 Million | ▲ +8.7% |
| 2006 | 1.60x | $4.00 Million | $2.50 Million | ▼ -40.9% |
| 2005 | 2.70x | $5.17 Million | $1.91 Million | — |
Cash Flow Quality Index = Operating Cash Flow / Net Income. Ratios above 1.0x indicate cash-backed earnings.