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 HSTM cash generation efficiency to assess how effectively this company generates cash.
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 (HSTM) reinvestment rate to assess the company's total reinvestment commitment from operating cash flow.
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 HealthStream Inc (HSTM) 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 | — |