HSTM Stock Analysis: Buy, Sell, or Hold?

HSTM - HealthStream Inc

SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC.
$25.78
0.42 (1.66%) ▲
5d: -0.35%
30d: +8.91%
90d: +22.01%
BUY
MODERATE Confidence
Analysis Updated: Jun 22, 2026 12:00 AM ET
Earnings: Aug 03, 2026

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Interactive Price Chart (1 Month)

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💡
Bottom Line:
💡 BUY OPPORTUNITY: HSTM shows positive signals but monitor for confirmation. Market pricing in 3.5% annual growth which appears achievable. Moderate conviction.
See Forward Earnings Fair Value & Price Prediction →

Long-Term Wealth Forecast (2031)

Based on Analyst Consensus Growth & Historical Valuation

0% (Stagnation) 50% (Hyper Growth)
EST. PRICE IN 2031
$30.44
Based on 7.1% avg growth
INTRINSIC VALUE TODAY
$18.90
Trading above historical range

How this is calculated: We use a Growth Decay Model: starting with analyst consensus growth (adjusted above) and gradually slowing it down to a long-term terminal rate (4%) by Year 5. This provides a more realistic valuation than assuming constant hyper-growth. We then apply a 25.0x Exit PE.

In-depth Analysis How we analyze

Valuation Analysis: HSTM is currently trading at $25.78, which is considered slightly high relative to its 30-day fair value range of $24.11 to $25.98. From a valuation perspective, the stock is trading at a premium (Forward PE: 29.3) compared to its historical average (26.5). At these levels, the market is pricing in 3.5% annual earnings growth. This growth rate appears achievable given the company's track record, suggesting the valuation is rational.

Technical Outlook: Technically, HSTM is in a strong uptrend. The price is currently testing key support at $25.28. A bounce from this level would confirm strength, while a break below could signal further downside.

Market Sentiment: The stock shows a mixed technical setup (55/100), with neutral trendline and momentum signals. Wall Street analysts see significant upside, with an average price target of $32.00 (+26.2%). Combining these factors, the current setup offers a favorable risk/reward ratio for buyers.

Quick Decision Summary

Current Position SLIGHTLY HIGH
Historical Trading Range $24.11 - $25.98
Company Quality Score 53/100 (HOLD)
Volume Confirmation HIGH
Confidence Score 66.2%

All Signals

  • NEUTRAL: Mixed technical signals (55/100)
  • BULLISH: High volume confirmation
  • BULLISH: Trading 26.2% below Wall St target ($32.00)
  • NEUTRAL: Market pricing in 3.5% annual earnings growth - fairly valued

Trading Range Analysis

30-Day Trading Range $24.11 - $25.98
Current vs Trading Range SLIGHTLY HIGH

Support & Resistance Levels

Support Level $25.28
Resistance Level $26.76
Current Trend Strong Uptrend
Technical data as of Jun 23, 2026

Fundamental Context

Forward P/E (Next Year Est.) 29.32
Wall Street Target $32.00 (+26.2%)
Revenue Growth (YoY) 10.5%
Earnings Growth (YoY) 42.9%
Profit Margin 6.4%
Valuation Premium vs History +3.5% premium
PE vs Historical 29.3 vs 26.5 FAIR
Market-Implied Price Targets If current PE multiple persists
Implied Growth (YoY): +3.5% (market-implied from PE analysis)
1-Year Target $26.25 (+4%)
2-Year Target $27.17 (+7%)
3-Year Target $28.12 (+11%)
3-Yr Target (if PE normalizes) (PE: 29→27) PE COMPRESSION $25.41 (+0%)
Earnings growth offset by PE compression
3-Year Scenarios Using analyst projected EPS growth
Bull: (PE: 29.3, Growth: 10.2%) $33.93 (+34%)
Base: (SPY PE: 21.8, Growth: 10.2%) $25.21 (-1%)
Bear: (PE: 18.5, Growth: 10.2%) $21.43 (-16%)
📈 Valuation based on Current Earnings
RECOVERY PLAY: Stock looks expensive now (38x PE), but valuation improves significantly next year (29x PE) as earnings recover.
Trailing PE: 38.27 | Current EPS (TTM): $0.67
Bull Case $36.41 (+44%)
Analyst growth 29.1%, PE expands to 42.1
Base Case $33.10 (+31%)
Market implied 29.1%, PE stable at 38.3
Bear Case $17.44 (-31%)
Severe decline -20.0%, PE contracts to 32.5
These are projections based on PE multiples and EPS growth scenarios, not predictions. Actual results may vary significantly.
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Last updated: June 23, 2026 1:44 PM ET
Data refreshes hourly during market hours. Next update: 2:44 PM
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Insider Activity (6 Months)
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NEUTRAL

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