Revenue and Adjusted EBITDA Growth
Full year 2025 revenue of $304.1M, up 4.3% year-over-year; Q4 revenue $79.7M, up 7.4% YoY. Full year adjusted EBITDA $71.8M (up 7.5% YoY); Q4 adjusted EBITDA $18.8M, up 16.4% YoY with an adjusted EBITDA margin of 23.6% vs. 21.8% prior-year quarter.
Strong Product Momentum
Core product growth in Q4: CredentialStream +21%, ShiftWizard +31%, Competency Suite +27%. In credentialing and scheduling, go‑forward products now contribute more revenue than legacy products combined in those categories.
Growing Contract Visibility and Recurring Revenue
Remaining performance obligations increased 11.2% to $691M (from $621M prior-year quarter). Company continues to have highly recurring revenue profile with 96% of revenues subscription-based and contract terms averaging 3–5 years.
Career Networks and Proprietary Data Scale
NurseGrid adding ~2,000 nurses per week with over 670,000 monthly active users (roughly 1 in 5 U.S. nurses). myClinicalExchange revenue has roughly tripled since acquisition; acquisition of myCNAjobs (MissionCare) adds scale in CNAs/home caregivers and proprietary candidate data.
Solid Cash Generation and Capital Deployment
Operating cash flow for year $63.3M, up 9.8% YoY; free cash flow $31.1M, up 5.5% YoY. Ended Q4 with $57M cash and investments (deployed $35.1M on acquisitions during quarter). Returned capital via $30M in repurchases for the year and increased quarterly dividend by 12.9% to $0.035 per share.
2026 Financial Guidance Reflects Continued Growth
Guidance for 2026: revenue $323M–$330M (growth 6.2%–8.5%), adjusted EBITDA $73M–$77M, net income $20.4M–$22.8M, expected Q1 revenue growth ~8% and inorganic revenue contribution ~ $13M.
Strategic Platform and AI Positioning
hStream platform investments (including AI as one of 10 core elements) and emphasis on systems-of-record and APIs; customers increasingly pushing third-party learning records into HealthStream via platform APIs—positioning company as a consolidating platform rather than point solution.
Operational Metrics and Customer Wins
Days Sales Outstanding steady at 35 days (sixth consecutive quarter ≤40 days). Notable enterprise wins and expansions with top health systems (e.g., Intermountain Health, Northside, Dartmouth, UPMC, Sutter) and partnerships (American Red Cross).