Start with its own history
At 47.45×, HSTM is 37.7% below its 10-observation annual average. A lower multiple can reflect a lower price, higher earnings, or weaker growth expectations—not necessarily a bargain.
NASDAQ · HSTMMedical - Healthcare Information ServicesUpdated Nov 2, 2026
HealthStream, Inc. P/E ratio
Current valuation, historical context, and peer comparisons.
Current P/E ratio
47.45×
37.7% belowthe 10-year annual average
Share price34.1672
÷Earnings per share0.72
Price and EPS in quote currency. Calculation details
Investors are paying 47.45 for every 1 of reported earnings per share.
P/E over time
2016 – 2025
Annual P/ESelected-period average 76.16×
3-year average46.69×3 positive annual observations
5-year average68.50×5 positive annual observations
10-year average76.16×10 positive annual observations
Peer median · TTM75.77×4 peers with positive P/E
Historical P/E ratios
Annual period-end data · 25 observations
| Period end | P/E | Change |
|---|---|---|
| Dec 31, 2025 | 37.82× | -21.5% |
| Dec 31, 2024 | 48.18× | -10.9% |
| Dec 31, 2023 | 54.06× | -15.1% |
| Dec 31, 2022 | 63.69× | -54.1% |
| Dec 31, 2021 | 138.74× | +179.5% |
| Dec 31, 2020 | 49.64× | -19.7% |
| Dec 31, 2019 | 61.82× | +156.0% |
| Dec 31, 2018 | 24.15× | -67.7% |
View all 25 annual observations +
| Period end | P/E | Change |
|---|---|---|
| Dec 31, 2017 | 74.71× | -64.2% |
| Dec 31, 2016 | 208.75× | +175.2% |
| Dec 31, 2015 | 75.86× | -2.2% |
| Dec 31, 2014 | 77.58× | -26.3% |
| Dec 31, 2013 | 105.26× | +25.6% |
| Dec 31, 2012 | 83.83× | +40.8% |
| Dec 31, 2011 | 59.52× | +40.6% |
| Dec 31, 2010 | 42.32× | +596.3% |
| Dec 31, 2009 | 6.08× | -66.1% |
| Dec 31, 2008 | 17.92× | -2.7% |
| Dec 31, 2007 | 18.42× | -44.0% |
| Dec 31, 2006 | 32.92× | +27.1% |
| Dec 31, 2005 | 25.89× | N/M |
| Dec 31, 2004 | N/M | N/M |
| Dec 31, 2003 | N/M | N/M |
| Dec 31, 2002 | N/M | N/M |
| Dec 31, 2001 | N/M | N/M |
Change is relative to the preceding observation. N/M values are excluded from averages.
How HSTM compares
Company P/E vs. peer trailing-12-month ratios
| Company | P/E ratio |
|---|---|
 HSTM This stockHealthStream, Inc. | 47.45× |
 EVHEvolent Health, Inc. | N/M |
 NRCNRC Health | 79.17× |
 PHRPhreesia, Inc. | 72.36× |
 CCLDCareCloud, Inc. | 25.79× |
 HCTIHealthcare Triangle, Inc. | N/M |
 AMWLAmerican Well Corporation | N/M |
 DHDefinitive Healthcare Corp. | N/M |
 PRVAPrivia Health Group, Inc. | 93.02× |
Peers are selected by the data provider. Business models and earnings definitions can differ.
Put the numbers in context
What does HSTM’s P/E tell you?
Compare like with like
The median of the 4 positive peer ratios above is 75.77×. Check growth, margins, debt, and earnings quality before interpreting the gap. A faster-growing business may justify a higher multiple.
Check what drives earnings
One-off gains can temporarily lower P/E; unusual charges can raise it. Reported earnings and forward estimates answer different questions. Pair this view with return on equity and liquidity for a fuller picture.
Keep your research connected
Take HSTM into your spreadsheet
Pull historical P/E into Excel or Google Sheets with Wisesheets. Build your own comparisons alongside the rest of your financial model.
Explore WisesheetsQuarterly P/E · latest quarterLQ selects the latest reported quarter. Requires the Wisesheets add-in. See available data
=WISE("HSTM", "PE Ratio", "LQ")Sources & calculation methodology
Current P/E
Share price 34.1672 ÷ EPS 0.72 = 47.45×. Data is supplied by Financial Modeling Prep through Wisesheets. Quote feed updated Nov 2, 2026; this is not a real-time trading quote.
History & averages
Annual and quarterly P/E observations are provided separately from the current quote. Averages use the latest 3, 5, or 10 annual observations, excluding missing and nonpositive ratios. Pre-IPO observations are omitted. These are period-end observations, not daily averages.
Data definitions and limitations
The current quote feed does not specify the exact EPS filing-period end or whether EPS is basic or diluted. We do not label it as forward P/E. Peer ratios are explicitly trailing-12-month (TTM) values. Historical observations do not include independently verified price and EPS inputs. Sources may update on different schedules; rounded inputs can produce small calculation differences. Historical comparisons describe past pricing, not an estimate of fair value.
HSTM P/E ratio: common questions
The essentials behind the numbers.
HealthStream, Inc.'s current P/E is 47.45× based on the quote data last updated Nov 2, 2026. It represents the share price divided by reported earnings per share. Prices and earnings may refresh on different schedules.
Annual P/E uses earnings for a completed fiscal year. Trailing-12-month (TTM) P/E uses the latest four quarters, while forward P/E uses forecast earnings. These are not interchangeable. This page labels peer ratios as TTM and shows dated annual or quarterly historical observations; it does not show forward estimates.
N/M means not meaningful: the feed has no positive P/E for that observation. Negative or zero earnings should not be ranked as a low positive valuation multiple. N/M observations are excluded from the averages shown above.
Divide the share price by earnings per share (EPS). For example, a share price of 100 and EPS of 5 gives a P/E of 20×. This page uses the price and EPS supplied together in the quote when both are positive.
Price timestamps, EPS definitions, share classes, adjustments, and fiscal periods can differ. A forward P/E also uses forecast earnings rather than reported earnings. Compare the inputs and as-of dates before comparing two displayed ratios.
Not necessarily. The average describes previous market pricing, not fair value. Changes in earnings quality, growth expectations, debt, accounting, and business risk can justify a different multiple today.