HSTM (HealthStream) Cyclically Adjusted PB Ratio: 2.24 (As of Jul. 13, 2026) — 20% Below Median


HSTM HealthStream Inc HSTM
94 GF Score
Price $28.05
GF Value $30.85
Valuation Fairly Valued
! 5 Warning Signs
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What is HealthStream Cyclically Adjusted PB Ratio?

HealthStream HSTM +0.16% 94 Cyclically Adjusted PB Ratio is 2.24 as of Jul. 13, 2026, which is 20% below its 10-year median of 2.79. GuruFocus rates HSTM with a GF Score™ of 94/100 and a GF Value™ of $30.85 (Fairly Valued). The stock has 5 warning signs investors should review. Among 358 Healthcare Providers & Services companies, HealthStream ranks worse than 58.94% on this metric.

As of today (2026-07-13), HealthStream's current share price is $28.05. HealthStream's Cyclically Adjusted Book per Share for the quarter that ended in Mar. 2026 was $12.55. HealthStream's Cyclically Adjusted PB Ratio for today is 2.24.

The historical rank and industry rank for HealthStream's Cyclically Adjusted PB Ratio or its related term are showing as below:

HSTM' s Cyclically Adjusted PB Ratio Range Over the Past 10 Years
Min: 1.58   Med: 2.79   Max: 6.42
Current: 2.23

During the past years, HealthStream's highest Cyclically Adjusted PB Ratio was 6.42. The lowest was 1.58. And the median was 2.79.

HSTM's Cyclically Adjusted PB Ratio is ranked worse than
58.94% of 358 companies
in the Healthcare Providers & Services industry
Industry Median: 1.865 vs HSTM: 2.23

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 PB Ratio. The Cyclically Adjusted Book per Share is the average of the inflation adjusted book value per share of a company over the past 10 years.

HealthStream's adjusted book value per share data for the three months ended in Mar. 2026 was $12.011. Add all the adjusted book value per share for the past 10 years together and divide the count will get our Cyclically Adjusted Book per Share, which is $12.55 for the trailing ten years ended in Mar. 2026.

Shiller PE for Stocks: The True Measure of Stock Valuation


HealthStream  (NAS:HSTM) Cyclically Adjusted PB Ratio Explanation

Compared with the regular PB Ratio, which works poorly for cyclical businesses, the Cyclically Adjusted PB Ratio smoothed out the fluctuations of book value during business cycles. Therefore it is more accurate in reflecting the valuation of the company.

If a company has consistent business performance, the Cyclically Adjusted PB Ratio should give similar results to regular PB Ratio.


HealthStream Cyclically Adjusted PB Ratio Related Terms


HealthStream Cyclically Adjusted PB Ratio Historical Data

* Premium members only.

The historical data trend for HealthStream's Cyclically Adjusted PB Ratio 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 PB Ratio Chart

HealthStream Annual Data
Trend Dec16 Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
Cyclically Adjusted PB Ratio
Get a 7-Day Free Trial Premium Member Only Premium Member Only 2.81 2.38 2.41 2.67 1.87

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 PB Ratio 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 2.64 2.25 2.28 1.87 1.65

HSTM vs TALK, CERT, PHR: Cyclically Adjusted PB Ratio Comparison

For the Health Information Services subindustry, HealthStream's Cyclically Adjusted PB Ratio, along with its competitors' market caps and Cyclically Adjusted PB Ratio 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 PB Ratio vs Healthcare Providers & Services Industry

For the Healthcare Providers & Services industry and Healthcare sector, HealthStream's Cyclically Adjusted PB Ratio distribution charts can be found below:

* The bar in red indicates where HealthStream's Cyclically Adjusted PB Ratio falls into.


HSTM
94GF Score
HealthStream Inc HSTM
Cyclically Adjusted PB Ratio is just one metric. See GF Score™, valuation, warning signs, and more.
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HealthStream Cyclically Adjusted PB Ratio Calculation

Like the Shiller PE Ratio, the Cyclically Adjusted PB Ratio takes the Book Value per Share from the past 10 years, adjusts it for inflation, and then calculates the average. This average is then used for the P/B calculation. Because it considers this 10-year average, it's often referred to as the CAPB Ratio.

The Shiller PE Ratio was first used by professor Robert Shiller to measure the valuation of the overall market. The similar calculation is applied by GuruFocus to calculate the Cyclically Adjusted PB Ratio.

HealthStream's Cyclically Adjusted PB Ratio for today is calculated as

Cyclically Adjusted PB Ratio=Share Price/ Cyclically Adjusted Book per Share
=28.05/12.55
=2.24

* 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's Cyclically Adjusted Book per Share for the quarter that ended in Mar. 2026 is calculated as:

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

Adj_Book=Book Value per Share/CPI of Mar. 2026 (Change)*Current CPI (Mar. 2026)
=12.011/330.2130*330.2130
=12.011

Current CPI (Mar. 2026) = 330.2130.

HealthStream Quarterly Data

Book Value per Share CPI Adj_Book
201606 8.950 241.018 12.262
201609 9.023 241.428 12.341
201612 9.012 241.432 12.326
201703 9.101 243.801 12.327
201706 9.177 244.955 12.371
201709 9.269 246.819 12.401
201712 9.407 246.524 12.600
201803 9.567 249.554 12.659
201806 9.660 251.989 12.659
201809 9.766 252.439 12.775
201812 9.867 251.233 12.969
201903 10.039 254.202 13.041
201906 10.183 256.143 13.128
201909 10.312 256.759 13.262
201912 10.444 256.974 13.421
202003 10.481 258.115 13.409
202006 10.608 257.797 13.588
202009 10.612 260.280 13.463
202012 10.608 260.474 13.448
202103 10.674 264.877 13.307
202106 10.787 271.696 13.110
202109 10.842 274.310 13.052
202112 10.822 278.802 12.818
202203 10.570 287.504 12.140
202206 10.688 296.311 11.911
202209 10.803 296.808 12.019
202212 10.925 296.797 12.155
202303 10.952 301.836 11.982
202306 11.100 305.109 12.013
202309 11.188 307.789 12.003
202312 11.247 306.746 12.107
202403 11.345 312.332 11.995
202406 11.484 314.175 12.070
202409 11.688 315.301 12.241
202412 11.808 315.605 12.355
202503 11.886 319.799 12.273
202506 11.726 322.561 12.004
202509 11.776 324.800 11.972
202512 11.969 324.054 12.196
202603 12.011 330.213 12.011

Add all the adjusted book value per share together and divide the count will get our Cyclically Adjusted Book 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.

What does a Cyclically Adjusted PB Ratio of 2.24 mean?
HealthStream (HSTM) has a Cyclically Adjusted PB Ratio of 2.24 as of Jul. 13, 2026. Cyclically Adjusted PB Ratio is the ratio of share price to a company's inflation-adjusted book value per share over a 10-year period. View historical data on HealthStream and its competitors. This is 20% below median its historical median of 2.79. Over the past decade, HealthStream's Cyclically Adjusted PB Ratio has ranged from 1.58 to 6.42. According to the industry distribution chart, HealthStream ranks #211 out of 358 companies in the Healthcare Providers & Services industry, placing it in the top 58.9%.
Is HealthStream's Cyclically Adjusted PB Ratio too high?
HealthStream's current Cyclically Adjusted PB Ratio of 2.24 is 20% below median its 10-year median of 2.79. Over the past 10 years, this metric has ranged from a low of 1.58 to a high of 6.42. The Healthcare Providers & Services industry median Cyclically Adjusted PB Ratio is 1.87. HealthStream's value of 2.24 is 20.1% above this industry median. Based on the distribution chart, HealthStream ranks #211 out of 358 companies in the Healthcare Providers & Services industry, which is below the industry midpoint. Overall, HealthStream has a GF Score™ of 94/100 and is considered Fairly Valued, reflecting its overall financial health beyond just this single metric.
How does HealthStream's Cyclically Adjusted PB Ratio compare to TALK and CERT?
According to the Healthcare Providers & Services industry distribution chart, HealthStream ranks #211 out of 358 companies for Cyclically Adjusted PB Ratio. This places HealthStream in the lower half of its industry. The industry median Cyclically Adjusted PB Ratio is 1.87. HealthStream's value of 2.24 is 20.1% above this benchmark. Historically, HealthStream's own Cyclically Adjusted PB Ratio has ranged from 1.58 to 6.42 over the past decade. While the company's 10-year median is 2.79 vs. the industry median of 1.87, HealthStream has consistently been above the industry average. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Cyclically Adjusted PB Ratio for a Healthcare Providers & Services company?
The median Cyclically Adjusted PB Ratio among Healthcare Providers & Services companies is 1.87, based on 358 companies in the industry. Companies in the top quartile (top 25%) have a Cyclically Adjusted PB Ratio significantly above this median, while those in the bottom quartile fall well below. However, Cyclically Adjusted PB Ratio should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. HealthStream's current Cyclically Adjusted PB Ratio of 2.24 is 20.1% above the industry median. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Cyclically Adjusted PB Ratio mean?
A high Cyclically Adjusted PB Ratio can signal that a stock is expensive relative to its fundamentals. Cyclically Adjusted PB Ratio is the ratio of share price to a company's inflation-adjusted book value per share over a 10-year period. View historical data on HealthStream and its competitors. For the Healthcare Providers & Services industry, the median Cyclically Adjusted PB Ratio is 1.87 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. HealthStream's current Cyclically Adjusted PB Ratio is 2.24, which is 20% below median its own 10-year median of 2.79. 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 $30.85, compared to a current price of $28.05 — trading 9.1% below its estimated fair value. The current Cyclically Adjusted PB Ratio is 2.24, which is 20% below median its 10-year median of 2.79 and 20.1% above the Healthcare Providers & Services industry median of 1.87. HealthStream's overall GF Score™ is 94/100 with 5 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Cyclically Adjusted PB Ratio calculated?
Cyclically Adjusted PB Ratio is calculated from a company's financial statements. For HealthStream (HSTM), the current Cyclically Adjusted PB Ratio is 2.24 as of Jul. 13, 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 $28.05 is trading 9.1% below its estimated GF Value™ of $30.85. GuruFocus considers HealthStream to be Fairly Valued.

Key valuation signals for HSTM:

  • Cyclically Adjusted PB Ratio: 2.24 (20% below median its 10-year median of 2.79)
  • GF Value™: $30.85 vs. price of $28.05 (9.1% below fair value)
  • GF Score™: 94/100 with 5 warning signs
  • Industry Position: 20.1% above the Healthcare Providers & Services median (#211 of 358)

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.
94GF Score

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

$28.05
Price
$30.85
GF Value