HealthStream Inc (HSTM) — Cash Flow Quality Index
HealthStream Inc (HSTM) has a Cash Flow Quality Index of 5.21x as of December 2025. Operating cash flow of $13.19 Million exceeds net income of $2.53 Million, indicating high earnings quality where cash backs reported profits. Explore how much of HealthStream Inc's assets are long-term investments to see how much of total assets are deployed in long-term investments.
Cash Flow Quality Index
Operating Cash Flow
Net Income
Data as of
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. Check HealthStream Inc tangible equity quality to evaluate the tangible quality of the company's equity base.
Annual Cash Flow Quality Index for HealthStream Inc (2005–2025)
Year-by-year earnings quality comparison for HealthStream Inc. For live market cap and the full company financial profile, see HSTM stock market capitalisation.
| 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 | — |