Healthstream ((HSTM)) has held its Q3 earnings call. Read on for the main highlights of the call.
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In the recent earnings call, HealthStream presented a mixed bag of results, showcasing both achievements and challenges. The company celebrated record revenues and robust growth in its core solutions, yet faced hurdles with declining legacy product revenues, a drop in gross margin, and reduced professional service revenues. The acquisition of Virsys12 and a strong cash position were highlighted as positive indicators for future growth.
Record Quarterly Revenues
HealthStream reported record quarterly revenues of $76.5 million, marking a 4.6% increase from the third quarter of the previous year. This achievement underscores the company’s ability to drive revenue growth despite market challenges.
Operating and Net Income Growth
The company saw a significant rise in operating income by 16.5%, while net income increased by 6.3% compared to the same quarter last year. These figures reflect HealthStream’s effective cost management and operational efficiency.
Strong Performance in Core Solutions
HealthStream’s core solutions demonstrated impressive growth, with CredentialStream growing by 23%, ShiftWizard by 29%, and Competency Suite by 18%. This strong performance highlights the company’s successful focus on expanding its core offerings.
Acquisition of Virsys12
In a strategic move to bolster its presence in the payer and health plan space, HealthStream acquired Virsys12. This acquisition is expected to enhance the company’s capabilities and market reach.
Large Cash Balance
HealthStream reported a robust cash balance of $92.6 million at the end of the third quarter, providing a solid foundation for future investments and growth initiatives.
Improved Cash Flow
The company experienced an increase in cash flows from operations, reaching $50.1 million year-to-date, up 7.8% from the previous year. This improvement indicates strong operational cash generation.
Decline in Legacy Product Revenues
Revenues from legacy credentialing and scheduling applications saw a decline of $1.7 million compared to last year, highlighting the challenges faced in transitioning away from older product lines.
Gross Margin Decline
HealthStream’s gross margin decreased to 65.3% from 66.5% in the prior year quarter, primarily due to increased cloud hosting and software licensing costs. This decline points to rising operational expenses impacting profitability.
Professional Service Revenues Decline
The company reported a decrease in professional service revenues by $0.6 million or 18.6%, reflecting challenges in this segment of the business.
Forward-Looking Guidance
Looking ahead, HealthStream provided updated full-year 2025 financial guidance, maintaining the same midpoints but narrowing the range for each financial metric. The company forecasts consolidated revenues between $299.5 million and $301.5 million, net income ranging from $20.3 million to $21.5 million, and adjusted EBITDA between $69.5 million and $71.5 million. The acquisition of Virsys12 is expected to contribute approximately $900,000 to fourth-quarter revenue, offsetting a $3 million anticipated decline in legacy products.
In summary, HealthStream’s earnings call reflected a balanced sentiment with both positive achievements and areas of concern. The company’s record revenues and strong performance in core solutions were tempered by declines in legacy product revenues and gross margin. However, strategic acquisitions and a strong cash position offer promising prospects for future growth.

