---
schema_version: "secwatch.filing_event.v1"
accession: "0001437749-23-003885"
form_type: "8-K"
ticker: "HSTM"
cik: "0001095565"
company_name: "HEALTHSTREAM INC"
filed_at: "2023-02-21T23:59:59+00:00"
generated_at: "2026-06-19T06:24:16.445883+00:00"
event_type: "earnings"
sentiment: "positive"
materiality_score: 0.7
calibrated_materiality_score: 0.7
confidence: "high"
source: SEC EDGAR
---

# HealthStream Q4 revenue $68.5M (+7% YoY), net income $2.5M; initiates $0.025 quarterly dividend

## Summary
- Q4 2022 revenue $68.5M (+7% YoY); net income $2.5M vs loss $0.4M; EPS $0.08 vs -$0.01.
- Full-year 2022 revenue $266.8M (+4%); net income $12.1M (+107%); adjusted EBITDA $53.4M (+1%).
- Board adopts quarterly cash dividend of $0.025/share; first payable April 28, 2023 to record April 17, 2023.
- President & COO J. Edward Pearson to retire from current role end of Q2 2023; will remain as Executive-in-Residence.
- 2023 guidance: revenue $277.5-283M, adjusted EBITDA $57.5-60.5M, capex $27-29M.

## SEC filing metadata
- accession: 0001437749-23-003885
- form_type: 8-K
- ticker: HSTM
- cik: 0001095565
- company_name: HEALTHSTREAM INC
- filed_at: 2023-02-21T23:59:59+00:00
- event_type: earnings
- sentiment: positive
- materiality_score: 0.7
- calibrated_materiality_score: 0.7
- confidence: high
- sec_items: 2.02, 7.01, 8.01, 9.01
- EDGAR index: https://www.sec.gov/Archives/edgar/data/1095565/000143774923003885/0001437749-23-003885-index.htm
- EDGAR primary document: https://www.sec.gov/Archives/edgar/data/1095565/000143774923003885/hstm20221013_8k.htm

## Machine-readable alternates
- HTML: https://secwatch.observer/filing/0001437749-23-003885
- JSON: https://secwatch.observer/filing/0001437749-23-003885.json
- Plain text: https://secwatch.observer/filing/0001437749-23-003885.txt

## Key facts
- Earnings Releases
  HEALTHSTREAM INC reported the full year ended December 31, 2022 results: revenue $266.8 million, net income $12.1 million, EPS $0.39 per share (diluted). Guidance initiated.
  - Period: the full year ended December 31, 2022
  - Revenue: $266.8 million
  - Net income: $12.1 million
  - EPS: $0.39 per share (diluted)
  - Guidance: initiated
  - Result: reported results
  source text: ● Revenues of $266.8 million, up 4% from $256.7 million in 2021 ● Operating income of $12.4 million, up 55% from $8.1 million in 2021 1 ● Net income of $12.1 million, up 107% from $5.8 million in 2021 1 ● Earnings per share (EPS) of $0.39 per share (diluted) in 2022 , compared to $0.18 per share (diluted) in 2021 1
  evidence_url: https://www.sec.gov/Archives/edgar/data/1095565/000143774923003885/0001437749-23-003885-index.htm
- Earnings Releases
  HEALTHSTREAM INC reported the fourth quarter ended December 31, 2022 results: revenue $68.5 million, net income $2.5 million, EPS $0.08 per share (diluted). Guidance initiated.
  - Period: the fourth quarter ended December 31, 2022
  - Revenue: $68.5 million
  - Net income: $2.5 million
  - EPS: $0.08 per share (diluted)
  - Guidance: initiated
  - Result: reported results
  source text: ● Revenues of $68.5 million, up 7% from $64.3 million in the fourth quarter of 2021 ● Operating income of $3.1 million, up from an operating loss of $0.5 million in the fourth quarter of 2021 1 ● Net income of $2.5 million, up from a net loss of $0.4 million in the fourth quarter of 2021 1 ● Earnings per share (EPS) of $0.08 per share (diluted), compared to a loss of $0.01 per share (diluted) in the fourth quarter of 2021 1
  evidence_url: https://www.sec.gov/Archives/edgar/data/1095565/000143774923003885/0001437749-23-003885-index.htm

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