HSTM (HealthStream) Cyclically Adjusted FCF per Share: $1.02 (As of Mar. 2026)


HSTM HealthStream Inc HSTM
90 GF Score
Price $28.38
GF Value $30.79
Valuation Fairly Valued
! 6 Warning Signs
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What is HealthStream Cyclically Adjusted FCF per Share?

HealthStream HSTM +0.39% 90 Cyclically Adjusted FCF per Share is $1.02 as of Mar. 2026. GuruFocus rates HSTM with a GF Score™ of 90/100 and a GF Value™ of $30.79 (Fairly Valued). The stock has 6 warning signs investors should review.

E10 is a concept invented by Prof. Robert Shiller, who uses E10 for his Shiller PE Ratio calculation. E10 is the average of the inflation adjusted earnings of a company over the past 10 years. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted FCF per Share and the Cyclically Adjusted Price-to-FCF. The Cyclically Adjusted FCF per Share is the average of the inflation adjusted Free Cash Flow per Share of a company over the past 10 years.

HealthStream's adjusted free cash flow per share for the three months ended in Mar. 2026 was $0.668. Add all the adjusted free cash flow per share for the past 10 years together and divide the count will get our Cyclically Adjusted FCF per Share, which is $1.02 for the trailing ten years ended in Mar. 2026.

During the past 12 months, HealthStream's average Cyclically Adjusted FCF Growth Rate was 7.40% per year. During the past 3 years, the average Cyclically Adjusted FCF Growth Rate was 4.20% per year. During the past 5 years, the average Cyclically Adjusted FCF Growth Rate was 6.00% per year. During the past 10 years, the average Cyclically Adjusted FCF Growth Rate was 7.60% per year. Please click Growth Rate Calculation Example (GuruFocus) to see how GuruFocus calculates Wal-Mart Stores Inc (WMT)'s revenue growth rate. You can apply the same method to get the Cyclically Adjusted FCF Growth Rate using Cyclically Adjusted FCF per Share data.

During the past 13 years, the highest 3-Year average Cyclically Adjusted FCF Growth Rate of HealthStream was 149.30% per year. The lowest was 4.20% per year. And the median was 12.50% per year.

As of today (2026-07-05), HealthStream's current stock price is $28.38. HealthStream's Cyclically Adjusted FCF per Share for the quarter that ended in Mar. 2026 was $1.02. HealthStream's Cyclically Adjusted Price-to-FCF of today is 27.82.

During the past 13 years, the highest Cyclically Adjusted Price-to-FCF of HealthStream was 64.21. The lowest was 19.49. And the median was 33.45.


HealthStream  (NAS:HSTM) Cyclically Adjusted FCF per Share Explanation

If a company grows much fast than inflation, Cyclically Adjusted FCF per Share may underestimate the company's free cash flow. Cyclically Adjusted Price-to-FCF can seem to be too high even the actual Price-to-Free-Cash-Flow is low.

For the Cyclically Adjusted Price-to-FCF, the free cash flow per share of the past 10 years are inflation-adjusted and averaged. The result is used for P/FCF calculation. Since it looks at the average over the last 10 years, the Cyclically Adjusted Price-to-FCF is also called CAPFCF Ratio.

The Shiller PE Ratio was first used by professor Robert Shiller. He uses E10 for his Shiller PE Ratio calculation. E10 is the average of the inflation adjusted earnings per share of a company over the past 10 years. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted Price-to-FCF. The Cyclically Adjusted FCF per Share is the average of the inflation adjusted free cash flow per share of a company over the past 10 years.

HealthStream's Cyclically Adjusted Price-to-FCF of today is calculated as

Cyclically Adjusted Price-to-FCF=Share Price/Cyclically Adjusted FCF per Share
=28.38/1.02
=27.82

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

During the past 13 years, the highest Cyclically Adjusted Price-to-FCF of HealthStream was 64.21. The lowest was 19.49. And the median was 33.45.


Be Aware

Cyclically Adjusted Price-to-FCF works better for cyclical companies. It gives you a better idea on the company's real free cash flow value.


HealthStream Cyclically Adjusted FCF per Share Related Terms


HealthStream Cyclically Adjusted FCF per Share Historical Data

* Premium members only.

The historical data trend for HealthStream's Cyclically Adjusted FCF per Share can be seen below:

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

HealthStream Cyclically Adjusted FCF per Share Chart

HealthStream Annual Data
Trend Dec16 Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
Cyclically Adjusted FCF per Share
Get a 7-Day Free Trial Premium Member Only Premium Member Only 0.76 0.83 0.89 0.90 0.94

HealthStream Quarterly Data
Jun21 Sep21 Dec21 Mar22 Jun22 Sep22 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24 Sep24 Dec24 Mar25 Jun25 Sep25 Dec25 Mar26
Cyclically Adjusted FCF per Share Get a 7-Day Free Trial Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only 0.95 0.91 0.94 0.94 1.02

HSTM vs TALK, CERT, PHR: Cyclically Adjusted FCF per Share Comparison

For the Health Information Services subindustry, HealthStream's Cyclically Adjusted Price-to-FCF, along with its competitors' market caps and Cyclically Adjusted Price-to-FCF data, can be viewed below:

* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.


HealthStream Cyclically Adjusted Price-to-FCF vs Healthcare Providers & Services Industry

For the Healthcare Providers & Services industry and Healthcare sector, HealthStream's Cyclically Adjusted Price-to-FCF distribution charts can be found below:

* The bar in red indicates where HealthStream's Cyclically Adjusted Price-to-FCF falls into.


HSTM
90GF Score
HealthStream Inc HSTM
Cyclically Adjusted FCF per Share is just one metric. See GF Score™, valuation, warning signs, and more.
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HealthStream Cyclically Adjusted FCF per Share Calculation

E10 is a concept invented by Prof. Robert Shiller, who uses E10 for his Shiller PE Ratio calculation. E10 is the average of the inflation adjusted earnings of a company over the past 10 years. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted FCF per Share and the Cyclically Adjusted Price-to-FCF. The Cyclically Adjusted FCF per Share is the average of the inflation adjusted Free Cash Flow per Share of a company over the past 10 years.

What is Cyclically Adjusted FCF per Share? How do we calculate Cyclically Adjusted FCF per Share?

Cyclically Adjusted FCF per Share is the average of the inflation adjusted Free Cash Flow per Share of a company over the past 10 years. Let's use an example to explain.

If we want to calculate the Cyclically Adjusted FCF per Share of Wal-Mart (WMT) for Dec. 31, 2010, we need to have the inflation data and the free cash flow per share from 2001 through 2010.

We adjusted the 2001 free cash flow per share data with the total inflation from 2001 through 2010 to the equivalent free cash flow in 2010. If the total inflation from 2001 to 2010 is 40%, and Wal-Mart's free cash flow is $1 a share in 2001, then the 2001's equivalent free cash flow in 2010 is $1.4 a share. If Wal-Mart's free cash flow is $1 again in 2002, and the total inflation from 2002 through 2010 is 35%, then the equivalent 2002 free cash flow in 2010 is $1.35. So on and so forth, you get the equivalent free cash flow per share of past 10 years. Then you add them together and divided the sum by the count to get Cyclically Adjusted FCF per Share.

Please note that we use the CPI data of the country/region where the company is headquartered. If the CPI data for that country/region is not available, then we will use the CPI data of the United States as default.

For example, HealthStream's adjusted Free Cash Flow per Share data for the three months ended in Mar. 2026 was:

Adj_FreeCashFlowPerShare= Free Cash Flow per Share /CPI of Mar. 2026 (Change)*Current CPI (Mar. 2026)
=0.668/330.2130*330.2130
=0.668

Current CPI (Mar. 2026) = 330.2130.

HealthStream Quarterly Data

Free Cash Flow per Share CPI Adj_FreeCashFlowPerShare
201606 -0.258 241.018 -0.353
201609 0.352 241.428 0.481
201612 0.199 241.432 0.272
201703 0.410 243.801 0.555
201706 0.038 244.955 0.051
201709 0.278 246.819 0.372
201712 0.256 246.524 0.343
201803 0.129 249.554 0.171
201806 0.083 251.989 0.109
201809 0.296 252.439 0.387
201812 0.258 251.233 0.339
201903 -0.006 254.202 -0.008
201906 0.272 256.143 0.351
201909 0.348 256.759 0.448
201912 0.284 256.974 0.365
202003 0.032 258.115 0.041
202006 0.113 257.797 0.145
202009 0.375 260.280 0.476
202012 0.013 260.474 0.016
202103 0.377 264.877 0.470
202106 -0.008 271.696 -0.010
202109 0.177 274.310 0.213
202112 -0.007 278.802 -0.008
202203 0.443 287.504 0.509
202206 0.042 296.311 0.047
202209 0.298 296.808 0.332
202212 0.064 296.797 0.071
202303 0.395 301.836 0.432
202306 -0.042 305.109 -0.045
202309 0.584 307.789 0.627
202312 0.237 306.746 0.255
202403 0.433 312.332 0.458
202406 -0.008 314.175 -0.008
202409 0.401 315.301 0.420
202412 0.141 315.605 0.148
202503 0.596 319.799 0.615
202506 -0.131 322.561 -0.134
202509 0.353 324.800 0.359
202512 0.216 324.054 0.220
202603 0.668 330.213 0.668

Add all the adjusted free cash flow per share together and divide 10 will get our Cyclically Adjusted FCF per Share.

What does a Cyclically Adjusted FCF per Share of $1.02 mean?
HealthStream (HSTM) has a Cyclically Adjusted FCF per Share of $1.02 as of Mar. 2026. Cyclically Adjusted FCF per Share represents the company's inflation-adjusted FCF per share over a 10-year period. View historical data on HealthStream and its competitors.
Is HealthStream's Cyclically Adjusted FCF per Share too high?
HealthStream's current Cyclically Adjusted FCF per Share is $1.02. Overall, HealthStream has a GF Score™ of 90/100 and is considered Fairly Valued, reflecting its overall financial health beyond just this single metric.
How does HealthStream's Cyclically Adjusted FCF per Share compare to TALK and CERT?
HealthStream's Cyclically Adjusted FCF per Share of $1.02 can be compared against companies in the Healthcare Providers & Services industry. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Cyclically Adjusted FCF per Share for a Healthcare Providers & Services company?
A good Cyclically Adjusted FCF per Share depends on the Healthcare Providers & Services industry context. However, Cyclically Adjusted FCF per Share should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Cyclically Adjusted FCF per Share mean?
A high Cyclically Adjusted FCF per Share can signal that a stock is expensive relative to its fundamentals. Cyclically Adjusted FCF per Share represents the company's inflation-adjusted FCF per share over a 10-year period. View historical data on HealthStream and its competitors. HealthStream's current Cyclically Adjusted FCF per Share is $1.02. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is HealthStream stock overvalued right now?
Based on GuruFocus' analysis, HealthStream (HSTM) is currently considered Fairly Valued. The stock's GF Value™ is $30.79, compared to a current price of $28.38 — trading 7.8% below its estimated fair value. The current Cyclically Adjusted FCF per Share is $1.02. HealthStream's overall GF Score™ is 90/100 with 6 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Cyclically Adjusted FCF per Share calculated?
Cyclically Adjusted FCF per Share is calculated from a company's financial statements. For HealthStream (HSTM), the current Cyclically Adjusted FCF per Share is $1.02 as of Mar. 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.

Is HealthStream (HSTM) Overvalued in 2026?

Based on GuruFocus' analysis, HealthStream stock appears to be undervalued. The current stock price of $28.38 is trading 7.8% below its estimated GF Value™ of $30.79. GuruFocus considers HealthStream to be Fairly Valued.

Key valuation signals for HSTM:

  • Cyclically Adjusted FCF per Share: $1.02
  • GF Value™: $30.79 vs. price of $28.38 (7.8% below fair value)
  • GF Score™: 90/100 with 6 warning signs

No single metric tells the full story. See the HSTM stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.


HealthStream Business Description

Address 500 11th Avenue North, Suite 850, Nashville, TN, USA, 37203
HealthStream Inc provides SaaS based applications for healthcare organizations all designed to improve business and clinical outcomes by supporting the people who deliver patient care. The company is focused on helping individuals and organizations in healthcare meet their ongoing learning, clinical development, credentialing, and scheduling needs. It also provides its solutions to nursing schools and nursing students.
90GF Score

Get the complete analysis for HSTM

Cyclically Adjusted FCF per Share is just one metric. See GF Value™, 30-year financials, guru trades, warning signs, and more.

$28.38
Price
$30.79
GF Value