---
schema_version: "secwatch.filing_event.v1"
accession: "0001437749-22-003909"
form_type: "8-K"
ticker: "HSTM"
cik: "0001095565"
company_name: "HEALTHSTREAM INC"
filed_at: "2022-02-22T23:59:59+00:00"
generated_at: "2026-06-27T05:52:56.835691+00:00"
event_type: "earnings"
sentiment: "neutral"
materiality_score: 0.65
calibrated_materiality_score: 0.65
confidence: "high"
source: SEC EDGAR
---

# HealthStream Q4 revenue up 4% to $64.3M, net loss $0.4M; full-year adj EBITDA record $52.7M

## Summary
- Q4 operating loss $0.5M vs income $1.1M; $2.4M stock-comp charge from CEO's share gift to 1,000+ employees.
- Full-year revenue $256.7M (+5% YoY); net income $5.8M, down 59%; diluted EPS $0.18 vs $0.44.
- Record adj EBITDA $52.7M (+15% YoY); cash & securities $51.9M, no debt.
- Board authorized $20M share repurchase program; $5.1M bought in Q4.
- 2022 guidance: revenue $267.5-$273M, adj EBITDA $50-$53.5M, capex $26-$29M.

## SEC filing metadata
- accession: 0001437749-22-003909
- form_type: 8-K
- ticker: HSTM
- cik: 0001095565
- company_name: HEALTHSTREAM INC
- filed_at: 2022-02-22T23:59:59+00:00
- event_type: earnings
- sentiment: neutral
- materiality_score: 0.65
- calibrated_materiality_score: 0.65
- confidence: high
- sec_items: 2.02, 7.01, 9.01
- EDGAR index: https://www.sec.gov/Archives/edgar/data/1095565/000143774922003909/0001437749-22-003909-index.htm
- EDGAR primary document: https://www.sec.gov/Archives/edgar/data/1095565/000143774922003909/hstm20211230_8k.htm

## Machine-readable alternates
- HTML: https://secwatch.observer/filing/0001437749-22-003909
- JSON: https://secwatch.observer/filing/0001437749-22-003909.json
- Plain text: https://secwatch.observer/filing/0001437749-22-003909.txt

This AI-assisted summary is a reading aid. Review the linked SEC EDGAR filing before relying on any specific claim.