HSTM
HealthStream, Inc. Healthcare - Health Information Services Investor Relations →
HealthStream, Inc. (HSTM) closed at $20.09 as of 2026-02-02, trading 22.1% below its 200-week moving average of $25.79. This places HSTM in the extreme value zone. The stock is currently moving closer to the line, down from -13.6% last week. With a 14-week RSI of 23, HSTM is in oversold territory.
Over the past 1299 weeks of data, HSTM has crossed below its 200-week moving average 25 times. On average, these episodes lasted 20 weeks. Historically, investors who bought HSTM at the start of these episodes saw an average one-year return of +15.4%.
With a market cap of $596 million, HSTM is a small-cap stock. The company generates a free cash flow yield of 6.5%, which is healthy. Return on equity stands at 5.9%. The stock trades at 1.7x book value.
Management has been repurchasing shares, with a 2.9% reduction over three years. This stock also meets the Yartseva multibagger criteria as a small-cap with strong free cash flow yield and reasonable book value.
Over the past 25 years, a hypothetical investment of $100 in HSTM would have grown to $1697, compared to $930 for the S&P 500. That represents an annualized return of 12.0% vs 9.3% for the index — confirming HSTM as a market-beating investment and the kind of quality company where buying during 200-week moving average touches has historically been rewarded.
Free cash flow has been growing at a 20.1% compound annual rate, with 4 consecutive years of positive cash generation. A business generating more cash every year while trading below its 200-week moving average is exactly the kind of disconnect value investors look for.
Growth of $100: HSTM vs S&P 500
Monthly data normalized to $100 at start. Vertical dashed lines mark 200-week MA touches.
What Happens After HSTM Crosses Below the Line?
Across 25 historical episodes, buying HSTM when it crossed below its 200-week moving average produced an average return of +12.0% after 12 months (median +7.0%), compared to +9.3% for the S&P 500 over the same periods. 77% of those episodes were profitable after one year. After 24 months, the average return was +16.8% vs +20.3% for the index.
Each line shows $100 invested at the moment HSTM crossed below its 200-week MA. Bold blue = stock average. Gray dashed = S&P 500 average over same periods.
Historical Touches
HSTM has crossed below its 200-week MA 25 times with an average 1-year return of +15.4% after recovery.
| Crossed Below | Recovered | Weeks | Max Depth | 1-Year Return | Return Since Touch |
|---|---|---|---|---|---|
| Mar 2001 | Jun 2003 | 115 | 68.5% | -20.0% | +1156.8% |
| Sep 2004 | Sep 2004 | 1 | 5.3% | +116.5% | +1193.2% |
| Oct 2005 | Oct 2005 | 2 | 5.0% | +88.3% | +934.6% |
| Nov 2005 | Nov 2005 | 3 | 4.5% | +56.9% | +881.9% |
| Dec 2005 | Dec 2005 | 2 | 4.6% | +97.6% | +909.9% |
| Jul 2007 | Oct 2007 | 9 | 13.8% | -20.3% | +604.6% |
| Nov 2007 | Nov 2007 | 1 | 4.5% | -18.8% | +626.3% |
| Jan 2008 | Jul 2009 | 80 | 45.8% | -24.4% | +590.8% |
| Aug 2015 | Jul 2016 | 47 | 32.2% | -6.2% | -17.6% |
| Jul 2016 | Sep 2016 | 9 | 8.6% | +0.7% | -17.9% |
| Oct 2016 | Oct 2016 | 1 | 1.2% | -8.4% | -19.1% |
| Oct 2016 | Apr 2017 | 25 | 17.0% | +6.8% | -3.9% |
| Jun 2017 | Mar 2018 | 36 | 13.5% | +8.2% | -19.4% |
| Apr 2018 | Apr 2018 | 1 | 0.7% | +9.6% | -15.2% |
| Nov 2018 | Nov 2018 | 2 | 2.7% | +12.1% | -16.2% |
| Dec 2018 | Jan 2019 | 3 | 4.9% | +19.8% | -12.6% |
| Feb 2020 | Jan 2021 | 46 | 26.8% | -4.2% | -16.4% |
| Jan 2021 | May 2021 | 14 | 10.7% | +5.0% | -12.6% |
| Nov 2021 | Dec 2021 | 5 | 6.9% | -0.9% | -19.3% |
| Jan 2022 | Nov 2022 | 43 | 24.4% | -3.5% | -19.4% |
| Jan 2023 | Feb 2023 | 6 | 3.4% | +9.1% | -15.5% |
| May 2023 | Oct 2023 | 25 | 12.0% | +14.2% | -14.5% |
| Jul 2025 | Aug 2025 | 1 | 0.1% | N/A | -21.5% |
| Oct 2025 | Oct 2025 | 1 | 0.5% | N/A | -21.4% |
| Oct 2025 | Ongoing | 15+ | 22.1% | Ongoing | -18.2% |
| Average | 20 | — | +15.4% | — |
Not financial advice. This is an educational tool. Past performance does not guarantee future results. Do your own research before making investment decisions.
Data as of Friday close, 2026-02-02