HSTM (HealthStream) Return-on-Tangible-Equity: 84.42% (As of Mar. 2026) — 310% Above Median


HSTM HealthStream Inc HSTM
92 GF Score
Price $28.38
GF Value $30.77
Valuation Fairly Valued
! 5 Warning Signs
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What is HealthStream Return-on-Tangible-Equity?

HealthStream HSTM +0.28% 92 Return-on-Tangible-Equity is 84.42% as of Mar. 2026, which is 310% above its 10-year median of 20.57. GuruFocus rates HSTM with a GF Score™ of 92/100 and a GF Value™ of $30.77 (Fairly Valued). The stock has 5 warning signs investors should review. Among 582 Healthcare Providers & Services companies, HealthStream ranks better than 80.07% on this metric.

Return-on-Tangible-Equity is calculated as Net Income divided by its average total shareholder tangible equity. Total shareholder tangible equity equals to Total Stockholders Equity minus Intangible Assets. HealthStream's annualized net income for the quarter that ended in Mar. 2026 was $23.6 Mil. HealthStream's average shareholder tangible equity for the quarter that ended in Mar. 2026 was $28.0 Mil. Therefore, HealthStream's annualized Return-on-Tangible-Equity for the quarter that ended in Mar. 2026 was 84.42%.

The historical rank and industry rank for HealthStream's Return-on-Tangible-Equity or its related term are showing as below:

HSTM' s Return-on-Tangible-Equity Range Over the Past 10 Years
Min: 3.59   Med: 20.57   Max: 47.77
Current: 37.84

During the past 13 years, HealthStream's highest Return-on-Tangible-Equity was 47.77%. The lowest was 3.59%. And the median was 20.57%.

HSTM's Return-on-Tangible-Equity is ranked better than
80.07% of 582 companies
in the Healthcare Providers & Services industry
Industry Median: 10.065 vs HSTM: 37.84

HealthStream  (NAS:HSTM) Return-on-Tangible-Equity Explanation

Return-on-Tangible-Equity measures the rate of return on the ownership interest (shareholder's tangible equity) of the common stock owners. It measures a firm's efficiency at generating profits from every unit of shareholders' tangible equity (shareholders equity minus intangibles). Return-on-Tangible-Equity shows how well a company uses investment funds to generate earnings growth. Return-on-Tangible-Equitys between 15% and 20% are considered desirable.


Be Aware

Net Income is used.

Because a company can increase its Return-on-Tangible-Equity by having more financial leverage, it is important to watch the leverage ratio when investing in high Return-on-Tangible-Equity companies. Like Return-on-Tangible-Asset, Return-on-Tangible-Equity is calculated with only 12 months data. Fluctuations in company's earnings or business cycles can affect the ratio drastically. It is important to look at the ratio from a long term perspective.

Asset light businesses require very few assets to generate very high earnings. Their Return-on-Tangible-Equitys can be extremely high.


HealthStream Return-on-Tangible-Equity Related Terms


HealthStream Return-on-Tangible-Equity Historical Data

* Premium members only.

The historical data trend for HealthStream's Return-on-Tangible-Equity 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 Return-on-Tangible-Equity Chart

HealthStream Annual Data
Trend Dec16 Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
Return-on-Tangible-Equity
Get a 7-Day Free Trial Premium Member Only Premium Member Only 18.50 41.77 47.77 36.40 38.53

HealthStream Quarterly Data
Jun21 Sep21 Dec21 Mar22 Jun22 Sep22 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24 Sep24 Dec24 Mar25 Jun25 Sep25 Dec25 Mar26
Return-on-Tangible-Equity 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 23.96 30.65 36.95 21.92 84.42

HSTM vs TALK, CERT, PHR: Return-on-Tangible-Equity Comparison

For the Health Information Services subindustry, HealthStream's Return-on-Tangible-Equity, along with its competitors' market caps and Return-on-Tangible-Equity 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 Return-on-Tangible-Equity vs Healthcare Providers & Services Industry

For the Healthcare Providers & Services industry and Healthcare sector, HealthStream's Return-on-Tangible-Equity distribution charts can be found below:

* The bar in red indicates where HealthStream's Return-on-Tangible-Equity falls into.


HSTM
92GF Score
HealthStream Inc HSTM
Return-on-Tangible-Equity is just one metric. See GF Score™, valuation, warning signs, and more.
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HealthStream Return-on-Tangible-Equity Calculation

HealthStream's annualized Return-on-Tangible-Equity for the fiscal year that ended in Dec. 2025 is calculated as

Return-on-Tangible-Equity=Net Income/( (Total Tangible Equity+Total Tangible Equity)/ count )
(A: Dec. 2025 )  (A: Dec. 2024 )(A: Dec. 2025 )
=Net Income/( (Total Stockholders Equity - Intangible Assets+Total Stockholders Equity - Intangible Assets )/ count )
(A: Dec. 2025 )  (A: Dec. 2024 )(A: Dec. 2025 )
=18.342/( (69.217+25.994 )/ 2 )
=18.342/47.6055
=38.53 %

HealthStream's annualized Return-on-Tangible-Equity for the quarter that ended in Mar. 2026 is calculated as

Return-on-Tangible-Equity=Net Income/( (Total Tangible Equity+Total Tangible Equity)/ count )
(Q: Mar. 2026 )  (Q: Dec. 2025 )(Q: Mar. 2026 )
=Net Income/( (Total Stockholders Equity - Intangible Assets+Total Stockholders Equity - Intangible Assets)/ count )
(Q: Mar. 2026 )  (Q: Dec. 2025 )(Q: Mar. 2026 )
=23.64/( (25.994+30.013)/ 2 )
=23.64/28.0035
=84.42 %

* 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.

In the calculation of annual Return-on-Tangible-Equity, the net income of the last fiscal year and the average total shareholder tangible equity over the fiscal year are used. In calculating the quarterly data, the net income data used here is four times the quarterly (Mar. 2026) net income data. Return-on-Tangible-Equity is displayed in the 10-year financial page.

What does a Return-on-Tangible-Equity of 84.42% mean?
HealthStream (HSTM) has a Return-on-Tangible-Equity of 84.42% as of Mar. 2026. Return on tangible equity is the ratio of current-period net income to average two-period tangible equity. View historical data on HealthStream and its competitors. This is 310% above median its historical median of 20.57. Over the past decade, HealthStream's Return-on-Tangible-Equity has ranged from 3.59 to 47.77. According to the industry distribution chart, HealthStream ranks #116 out of 582 companies in the Healthcare Providers & Services industry, placing it in the top 19.9%.
Is HealthStream's Return-on-Tangible-Equity too high?
HealthStream's current Return-on-Tangible-Equity of 84.42% is 310% above median its 10-year median of 20.57. Over the past 10 years, this metric has ranged from a low of 3.59 to a high of 47.77. The Healthcare Providers & Services industry median Return-on-Tangible-Equity is 10.07. HealthStream's value of 84.42% is 738.7% above this industry median. Based on the distribution chart, HealthStream ranks #116 out of 582 companies in the Healthcare Providers & Services industry, which is in the top quartile — a strong position relative to peers. Overall, HealthStream has a GF Score™ of 92/100 and is considered Fairly Valued, reflecting its overall financial health beyond just this single metric.
How does HealthStream's Return-on-Tangible-Equity compare to TALK and CERT?
According to the Healthcare Providers & Services industry distribution chart, HealthStream ranks #116 out of 582 companies for Return-on-Tangible-Equity. This places HealthStream in the top 20% of its industry — outperforming the majority of peers. The industry median Return-on-Tangible-Equity is 10.07. HealthStream's value of 84.42% is 738.7% above this benchmark. Historically, HealthStream's own Return-on-Tangible-Equity has ranged from 3.59 to 47.77 over the past decade. While the company's 10-year median is 20.57 vs. the industry median of 10.07, 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 Return-on-Tangible-Equity for a Healthcare Providers & Services company?
The median Return-on-Tangible-Equity among Healthcare Providers & Services companies is 10.07, based on 582 companies in the industry. Companies in the top quartile (top 25%) have a Return-on-Tangible-Equity significantly above this median, while those in the bottom quartile fall well below. However, Return-on-Tangible-Equity should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. HealthStream's current Return-on-Tangible-Equity of 84.42% is 738.7% 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 Return-on-Tangible-Equity mean?
A high Return-on-Tangible-Equity can signal that a stock is expensive relative to its fundamentals. Return on tangible equity is the ratio of current-period net income to average two-period tangible equity. View historical data on HealthStream and its competitors. For the Healthcare Providers & Services industry, the median Return-on-Tangible-Equity is 10.07 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. HealthStream's current Return-on-Tangible-Equity is 84.42%, which is 310% above median its own 10-year median of 20.57. 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 $30.77, compared to a current price of $28.38 — trading 7.8% below its estimated fair value. The current Return-on-Tangible-Equity is 84.42%, which is 310% above median its 10-year median of 20.57 and 738.7% above the Healthcare Providers & Services industry median of 10.07. HealthStream's overall GF Score™ is 92/100 with 5 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Return-on-Tangible-Equity calculated?
Return-on-Tangible-Equity is calculated from a company's financial statements. For HealthStream (HSTM), the current Return-on-Tangible-Equity is 84.42% 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 $30.77. GuruFocus considers HealthStream to be Fairly Valued.

Key valuation signals for HSTM:

  • Return-on-Tangible-Equity: 84.42% (310% above median its 10-year median of 20.57)
  • GF Value™: $30.77 vs. price of $28.38 (7.8% below fair value)
  • GF Score™: 92/100 with 5 warning signs
  • Industry Position: 738.7% above the Healthcare Providers & Services median (#116 of 582)

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.
92GF Score

Get the complete analysis for HSTM

Return-on-Tangible-Equity is just one metric. See GF Value™, 30-year financials, guru trades, warning signs, and more.

$28.38
Price
$30.77
GF Value