0001437749-22-024951 | 10-Q | XBRL Viewer

Document And Entity Information - shares	9 Months Ended
Document And Entity Information - shares	Sep. 30, 2022	Oct. 24, 2022
Document Information [Line Items]
Entity Central Index Key	0001095565
Entity Registrant Name	HEALTHSTREAM INC
Amendment Flag	false
Current Fiscal Year End Date	--12-31
Document Fiscal Period Focus	Q3
Document Fiscal Year Focus	2022
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Sep. 30, 2022
Document Transition Report	false
Entity File Number	000-27701
Entity Incorporation, State or Country Code	TN
Entity Tax Identification Number	62-1443555
Entity Address, Address Line One	500 11th Avenue North, Suite 1000
Entity Address, City or Town	Nashville
Entity Address, State or Province	TN
Entity Address, Postal Zip Code	37203
City Area Code	615
Local Phone Number	301-3100
Title of 12(b) Security	Common Stock (Par Value $0.00)
Trading Symbol	HSTM
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		30,573,066

Condensed Consolidated Balance Sheets (Unaudited) - USD ($)
$ in Thousands

Sep. 30, 2022

Dec. 31, 2021

Current assets:

Cash and cash equivalents

$ 48,257

$ 46,905

Marketable securities

3,587

5,041

Accounts receivable, net of allowance for doubtful accounts of $661 and $853 at September 30, 2022 and December 31, 2021, respectively

26,427

30,308

Accounts receivable - unbilled

6,243

4,612

Prepaid royalties, net of amortization

9,261

9,155

Other prepaid expenses and other current assets

10,576

10,824

Total current assets

104,351

106,845

Property and equipment, net of accumulated depreciation of $21,262 and $17,999 at September 30, 2022 and December 31, 2021, respectively

15,658

17,950

Capitalized software development, net of accumulated amortization of $100,024 and $86,097 at September 30, 2022 and December 31, 2021, respectively

35,537

32,412

Operating lease right of use assets, net

23,343

25,168

Goodwill

188,367

182,501

Deferred tax assets

601

Deferred commissions

26,377

24,012

Non-marketable equity investments

4,644

7,043

Other assets

798

1,016

Total assets

^[1]

481,197

486,753

Current liabilities:

Accounts payable and accrued expenses

22,196

21,497

Accrued royalties

5,609

5,037

Deferred revenue

77,585

73,816

Total current liabilities

105,390

100,350

Deferred tax liabilities

18,761

18,146

Deferred revenue, noncurrent

1,264

1,583

Operating lease liability, noncurrent

24,041

26,178

Other long term liabilities

1,459

1,477

Commitments and contingencies

Shareholders’ equity:

Common stock, no par value, 75,000 shares authorized; 30,573 and 31,327 shares issued and outstanding at September 30, 2022 and December 31, 2021, respectively

253,934

270,791

Retained earnings

77,764

68,122

Accumulated other comprehensive (loss) income

(1,416)

106

Total shareholders’ equity

330,282

339,019

Total liabilities and shareholders’ equity

481,197

486,753

Current assets:

62,571

68,803

Other Intangible Assets [Member]

Current assets:

$ 18,950

$ 20,402

[1]

Segment assets include accounts and unbilled receivables, prepaid royalties, prepaid and other current assets, other assets, capitalized software development, deferred commissions, certain property and equipment, goodwill, and intangible assets. Cash and cash equivalents, marketable securities, non-marketable equity investments, and certain ROU assets are not allocated to individual segments and are included within Unallocated. A significant portion of property and equipment assets are included within Unallocated.

Condensed Consolidated Balance Sheets (Unaudited) (Parentheticals) - USD ($) $ / shares in Thousands, $ in Thousands	Sep. 30, 2022	Dec. 31, 2021
Accounts Receivable, Allowance for Credit Loss, Current	$ 661	$ 853
Accumulated amortization on property and equipment	21,262	17,999
Accumulated amortization on capitalized software development	$ 100,024	$ 86,097
Common stock, shares authorized (in shares)	75,000	75,000
Common stock, shares issued (in shares)	30,573	31,327
Common stock, shares outstanding (in shares)	30,573	31,327
Common stock, par value (in dollars per share)	$ 0	$ 0
Customer-Related Intangible Assets [Member]
Accumulated amortization on intangible assets	$ 52,204	$ 45,615
Other Intangible Assets [Member]
Accumulated amortization on intangible assets	$ 21,054	$ 16,752

Condensed Consolidated Statements of Income (Unaudited) - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Revenues, net	$ 67,285	$ 64,091	$ 198,290	$ 192,374
Operating costs and expenses:
Cost of revenues (excluding depreciation and amortization)	23,374	22,585	67,606	68,053
Product development	11,476	10,344	32,470	30,205
Sales and marketing	11,365	10,232	32,652	28,713
Other general and administrative expenses	9,096	10,004	27,856	29,445
Depreciation and amortization	9,592	9,141	28,334	27,443
Total operating costs and expenses	64,903	62,306	188,918	183,859
Operating income	2,382	1,785	9,372	8,515
Other income (loss), net	2,543	(99)	2,945	(250)
Income before income tax provision	4,925	1,686	12,317	8,265
Income tax provision	1,259	186	2,675	2,033
Net income	$ 3,666	$ 1,500	$ 9,642	$ 6,232
Net income per share:
Basic (in dollars per share)	$ 0.12	$ 0.05	$ 0.31	$ 0.20
Diluted (in dollars per share)	$ 0.12	$ 0.05	$ 0.31	$ 0.20
Weighted average shares of common stock outstanding:
Basic (in shares)	30,570	31,558	30,672	31,538
Diluted (in shares)	30,662	31,684	30,717	31,609

Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Net income	$ 3,666	$ 1,500	$ 9,642	$ 6,232
Other comprehensive income, net of taxes:
Foreign currency translation adjustments	(1,017)	(470)	(1,521)	107
Unrealized gain (loss) on marketable securities	3	(1)	(1)	7
Total other comprehensive (loss) income	(1,014)	(471)	(1,522)	114
Comprehensive income	$ 2,652	$ 1,029	$ 8,120	$ 6,346

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

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+ Details

Condensed Consolidated Statements of Shareholders' Equity (Unaudited) - USD ($) shares in Thousands, $ in Thousands	Common Stock Including Additional Paid in Capital [Member]	Retained Earnings [Member]	AOCI Attributable to Parent [Member]	Total
Balance (in shares) at Dec. 31, 2020	31,493
Balance at Dec. 31, 2020	$ 271,784	$ 62,277	$ 1	$ 334,062
Net income	0	2,291	0	2,291
Comprehensive income (loss)	0	0	234	234
Stock-based compensation	$ 616	0	0	616
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)	60
Common stock issued under stock plans, net of shares withheld for employee taxes	$ (399)	0	0	(399)
Balance (in shares) at Mar. 31, 2021	31,553
Balance at Mar. 31, 2021	$ 272,001	64,569	235	336,805
Balance (in shares) at Dec. 31, 2020	31,493
Balance at Dec. 31, 2020	$ 271,784	62,277	1	334,062
Net income				6,232
Comprehensive income (loss)				114
Balance (in shares) at Sep. 30, 2021	31,562
Balance at Sep. 30, 2021	$ 273,573	68,510	115	342,198
Balance (in shares) at Mar. 31, 2021	31,553
Balance at Mar. 31, 2021	$ 272,001	64,569	235	336,805
Net income	0	2,441	0	2,441
Comprehensive income (loss)	0	0	351	351
Stock-based compensation	$ 782	0	0	782
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)	1
Common stock issued under stock plans, net of shares withheld for employee taxes	$ 0	0	0	0
Balance (in shares) at Jun. 30, 2021	31,554
Balance at Jun. 30, 2021	$ 272,783	67,010	586	340,379
Net income	0	1,500	0	1,500
Comprehensive income (loss)	0	0	(471)	(471)
Stock-based compensation	$ 862	0	0	862
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)	8
Common stock issued under stock plans, net of shares withheld for employee taxes	$ (72)	0	0	(72)
Balance (in shares) at Sep. 30, 2021	31,562
Balance at Sep. 30, 2021	$ 273,573	68,510	115	342,198
Balance (in shares) at Dec. 31, 2021	31,327
Balance at Dec. 31, 2021	$ 270,791	68,122	106	339,019
Net income	0	2,893	0	2,893
Comprehensive income (loss)	0	0	272	272
Stock-based compensation	$ 774	0	0	774
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)	83
Common stock issued under stock plans, net of shares withheld for employee taxes	$ (497)	0	0	(497)
Repurchase of common stock (in shares)	(892)
Repurchase of common stock	$ (19,889)	0	0	(19,889)
Balance (in shares) at Mar. 31, 2022	30,518
Balance at Mar. 31, 2022	$ 251,179	71,015	378	322,572
Balance (in shares) at Dec. 31, 2021	31,327
Balance at Dec. 31, 2021	$ 270,791	68,122	106	339,019
Net income				9,642
Comprehensive income (loss)				(1,522)
Balance (in shares) at Sep. 30, 2022	30,573
Balance at Sep. 30, 2022	$ 253,934	77,764	(1,416)	330,282
Balance (in shares) at Mar. 31, 2022	30,518
Balance at Mar. 31, 2022	$ 251,179	71,015	378	322,572
Net income	0	3,083	0	3,083
Comprehensive income (loss)	0	0	(780)	(780)
Stock-based compensation	$ 917	0	0	917
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)	2
Common stock issued under stock plans, net of shares withheld for employee taxes	$ (1)	0	0	(1)
Repurchase of common stock (in shares)	(159)
Repurchase of common stock	$ (3,143)	0	0	(3,143)
Issuance of common stock in acquisition (in shares)	209
Issuance of common stock in acquisition	$ 4,084			4,084
Balance (in shares) at Jun. 30, 2022	30,570
Balance at Jun. 30, 2022	$ 253,036	74,098	(402)	326,732
Net income	0	3,666	0	3,666
Comprehensive income (loss)	0	0	(1,014)	(1,014)
Stock-based compensation	$ 918	0	0	918
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)	3
Common stock issued under stock plans, net of shares withheld for employee taxes	$ (20)	0	0	(20)
Balance (in shares) at Sep. 30, 2022	30,573
Balance at Sep. 30, 2022	$ 253,934	$ 77,764	$ (1,416)	$ 330,282

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021
OPERATING ACTIVITIES:
Net income	$ 9,642	$ 6,232
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	28,334	27,443
Stock-based compensation	2,609	2,260
Amortization of deferred commissions	7,826	6,900
Provision for credit losses	400	99
Deferred income taxes	1,225	2,066
Gain on sale of fixed assets	(25)	0
Loss on non-marketable equity investments	621	258
Non-cash paid time off expense	0	(1,011)
Change in fair value of non-marketable equity investments	(3,596)	0
Other	30	132
Changes in operating assets and liabilities:
Accounts and unbilled receivables	(2,273)	(13,907)
Prepaid royalties	(106)	(162)
Other prepaid expenses and other current assets	709	1,335
Deferred commissions	(10,192)	(9,854)
Other assets	219	(278)
Accounts payable and accrued expenses	942	(3,062)
Accrued royalties	572	(3,606)
Deferred revenue	1,597	(6,223)
Net cash provided by operating activities	43,080	36,436
INVESTING ACTIVITIES:
Business combinations, net of cash acquired	(4,009)	(731)
Proceeds from maturities of marketable securities	7,025	9,931
Purchases of marketable securities	(5,601)	(5,223)
Payments to acquire equity method investments	0	(1,750)
Payments associated with capitalized software development	(17,392)	(16,577)
Proceeds from sale of fixed assets	26	0
Proceeds from sale of non-marketable equity investments	3,494	0
Purchases of property and equipment	(1,570)	(2,602)
Net cash used in investing activities	(18,027)	(16,952)
FINANCING ACTIVITIES:
Taxes paid related to net settlement of equity awards	(518)	(471)
Repurchases of common stock	(23,137)	0
Payment of cash dividends	0	(19)
Net cash used in financing activities	(23,655)	(490)
Effect of exchange rate changes on cash and cash equivalents	(46)	(101)
Net increase in cash and cash equivalents	1,352	18,893
Cash and cash equivalents at beginning of period	46,905	36,566
Cash and cash equivalents at end of period	$ 48,257	$ 55,459

Note 1 - Basis of Presentation

9 Months Ended

Sep. 30, 2022

Notes to Financial Statements

Business Description and Basis of Presentation [Text Block]

1. BASIS OF PRESENTATION

The accompanying unaudited Condensed Consolidated Financial Statements have been prepared in accordance with accounting principles generally accepted in the United States (“US GAAP”) for interim financial information and with the instructions to Form 10‑Q and Article 10 of Regulation S‑X. Accordingly, condensed consolidated financial statements do not include all of the information and footnotes required by US GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. All intercompany transactions have been eliminated in consolidation. Operating results for the three and nine months ended September 30, 2022 are not necessarily indicative of the results that may be expected for the year ending December 31, 2022.

The Condensed Consolidated Balance Sheet at December 31, 2021 was derived from the audited Consolidated Financial Statements at that date but does not include all of the information and footnotes required by US GAAP for a complete set of financial statements. For further information, refer to the Consolidated Financial Statements and Notes thereto for the year ended December 31, 2021 (included in the Company's Annual Report on Form 10-K, filed with the Securities and Exchange Commission on February 28, 2022).

Note 2 - Recent Accounting Pronouncements

9 Months Ended

Sep. 30, 2022

Notes to Financial Statements

New Accounting Pronouncements [Text Block]

2. RECENT ACCOUNTING PRONOUNCEMENTS

Accounting Standards Recently Adopted

In October 2021, the Financial Accounting Standards Board issued Accounting Standards Update ("ASU") 2021-08, Business Combinations (Topic 805): Accounting for Contract Assets and Contract Liabilities from Contracts with Customers. The new guidance requires contract assets and contract liabilities acquired in a business combination to be recognized and measured by the acquirer on the acquisition date in accordance with Accounting Standards Codification ("ASC") 606, Revenue from Contracts with Customers, as if it had originated the contracts. This approach differs from the previous requirement to measure contract assets and contract liabilities acquired in a business combination at fair value. The standard is effective for the first interim period within annual reporting periods beginning after December 15, 2022 and early adoption is permitted. The Company early adopted this ASU on January 1, 2022, and the impact of the new standard is dependent on the magnitude of future acquisitions but has not had a material impact to date. The standard does not impact contract assets or liabilities from business combinations that occurred prior to the adoption date.

Note 3 - Revenue Recognition and Sales Commissions

9 Months Ended

Sep. 30, 2022

Notes to Financial Statements

Revenue from Contract with Customer [Text Block]

3. REVENUE RECOGNITION AND SALES COMMISSIONS

Revenue Recognition

Revenues are recognized when control of the promised goods or services is transferred to the customer in an amount that reflects the consideration the Company expects to be entitled in exchange for transferring those goods or services.

Revenue is recognized based on the following five step model:

•

Identification of the contract with a customer

•

Identification of the performance obligations in the contract

•

Determination of the transaction price

•

Allocation of the transaction price to the performance obligations in the contract

•

Recognition of revenue when, or as, the Company satisfies a performance obligation

The following table represents revenues disaggregated by revenue source (in thousands). Sales taxes are excluded from revenues.

	*Three Months Ended September 30, 2022*						*Nine Months Ended September 30, 2022*
Business Segments	*Workforce Solutions*		*Provider Solutions*		*Consolidated*		*Workforce Solutions*		*Provider Solutions*		*Consolidated*
Subscription services	$	52,347	$	11,720	$	64,067	$	153,871	$	34,742	$	188,613
Professional services		1,716		1,502		3,218		4,705		4,972		9,677
Total revenues, net	$	54,063	$	13,222	$	67,285	$	158,576	$	39,714	$	198,290

	*Three Months Ended September 30, 2021*						*Nine Months Ended September 30, 2021*
Business Segments	*Workforce Solutions*		*Provider Solutions*		*Consolidated*		*Workforce Solutions*		*Provider Solutions*		*Consolidated*
Subscription services	$	49,729	$	10,973	$	60,702	$	150,239	$	32,475	$	182,714
Professional services		1,426		1,963		3,389		4,320		5,340		9,660
Total revenues, net	$	51,155	$	12,936	$	64,091	$	154,559	$	37,815	$	192,374

For the three months ended September 30, 2022 and 2021, the Company recognized a reduction of $44,000 and a charge of $96,000 in impairment losses on receivables and contract assets arising from the Company's contracts with customers, respectively. For the nine months ended September 30, 2022 and 2021, the Company recognized $0.4 million and $0.1 million in impairment losses on receivables and contract assets arising from the Company’s contracts with customers, respectively.

Deferred revenue represents contract liabilities that are recorded when cash payments are received or are due in advance of our satisfaction of performance obligations. During the three months ended September 30, 2022 and 2021, we recognized revenues of approximately $39.9 million and $39.4 million, respectively, from amounts included in deferred revenue at the beginning of the respective periods. During the nine months ended September 30, 2022 and 2021, we recognized $67.9 million and $59.3 million of revenue from amounts included in deferred revenues at the beginning of the respective periods. As of September 30, 2022, approximately $473 million of revenue is expected to be recognized from remaining performance obligations under contracts with customers. We expect to recognize revenue related to approximately 44% of these remaining performance obligations over the next 12 months, with the remaining amounts recognized thereafter.

Sales Commissions

Sales commissions earned by our sales force are considered incremental and recoverable costs of obtaining a contract with a customer. Under ASC 606, costs to acquire contracts with customers, such as the initial sales commission payment and associated payroll taxes, are capitalized in the period a customer contract is entered into and are amortized consistent with the transfer of the goods or services to the customer over the expected period of benefit. Capitalized contract costs are included in deferred commissions in the accompanying Condensed Consolidated Balance Sheets. The expected period of benefit is the contract term, except when the capitalized commission is expected to provide economic benefit to the Company for a period longer than the contract term, such as for new customer or incremental sales where renewals are expected and renewal commissions are not commensurate with initial commissions. Non-commensurate commissions are amortized over the greater of the contract term or technological obsolescence period of approximately three years. The Company recorded amortization of deferred commissions of approximately $2.8 million and $2.4 million for the three months ended September 30, 2022 and 2021, and $7.8 million and $6.9 million for the nine months ended September 30, 2022 and 2021, respectively, which is included in sales and marketing expenses in the accompanying Condensed Consolidated Statements of Income.

- Definition

The entire disclosure of revenue from contract with customer to transfer good or service and to transfer nonfinancial asset. Includes, but is not limited to, disaggregation of revenue, credit loss recognized from contract with customer, judgment and change in judgment related to contract with customer, and asset recognized from cost incurred to obtain or fulfill contract with customer. Excludes insurance and lease contracts.

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+ Details

Note 4 - Income Taxes

9 Months Ended

Sep. 30, 2022

Notes to Financial Statements

Income Tax Disclosure [Text Block]

4. INCOME TAXES

Income taxes are accounted for using the asset and liability method, whereby deferred tax assets and liabilities are determined based on the temporary differences between the financial statement and tax bases of assets and liabilities measured at tax rates that will be in effect for the year in which the differences are expected to affect taxable income.

The Company computes its interim period provision for income taxes by applying the estimated annual effective tax rate to year-to-date pretax income or loss and adjusts the provision for discrete tax items recorded in the period. During the three months ended September 30, 2022 and 2021, the Company recorded a provision for income taxes of approximately $1.3 million and $0.2 million, respectively. During the nine months ended September 30, 2022 and 2021, the Company recorded a provision for income taxes of $2.7 million and $2.0 million, respectively. The Company’s effective tax rate was 22% and 25% for the nine months ended September 30, 2022 and 2021, respectively. The Company’s effective tax rate primarily reflects the statutory corporate income tax rate, the net effect of state taxes, foreign income taxes, and the effect of various permanent tax differences. The Company recognizes excess tax benefits and tax deficiencies associated with stock-based awards as a component of its provision for income taxes. During the nine months ended September 30, 2022, the Company recorded discrete tax benefits of $16,000, which consisted primarily of a $0.3 million tax benefit associated with a nontaxable gain of $0.9 million recognized from the change in fair value of our previously held minority interest in CloudCME, LLC as well as a $0.1 million tax benefit for changes in estimated tax credits. This tax benefit was partially offset by $0.3 million of tax expense related to uncertain tax positions and $0.1 million of excess tax deficiencies associated with stock-based awards. During the nine months ended September 30, 2021, the Company recorded discrete tax expense of $0.2 million related to purchase accounting adjustments, the impact of a state tax rate changes enacted during the period, and changes in estimated tax credits.

- Definition

The entire disclosure for income taxes. Disclosures may include net deferred tax liability or asset recognized in an enterprise's statement of financial position, net change during the year in the total valuation allowance, approximate tax effect of each type of temporary difference and carryforward that gives rise to a significant portion of deferred tax liabilities and deferred tax assets, utilization of a tax carryback, and tax uncertainties information.

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+ Details

Note 5 - Shareholders' Equity

9 Months Ended

Sep. 30, 2022

Notes to Financial Statements

Stockholders' Equity Note Disclosure [Text Block]

5. SHAREHOLDERS’ EQUITY

Stock-Based Compensation

The Company has stock awards outstanding under its 2016 Omnibus Incentive Plan and 2022 Omnibus Incentive Plan. The 2022 Omnibus Incentive Plan was approved at the annual meeting of shareholders held on May 26, 2022. The Company accounts for its stock-based compensation plans using the fair-value based method for costs related to share-based payments, including restricted share units (“RSUs”) and stock options. During the nine months ended September 30, 2022, the Company issued 140,473 RSUs subject to service-based time vesting, with a weighted average grant date fair value of $20.31 per share, measured based on the closing fair market value of the Company's stock on the date of the grant. During the nine months ended September 30, 2021, the Company issued 129,906 RSUs subject to service-based time vesting with a weighted average grant date fair value of $23.44 per share, measured based on the closing fair market value of the Company’s stock on the date of grant.

During 2018, the Company granted 70,000 performance-based RSUs, the vesting of which occurs over a five-year period and is contingent upon continued service and achieving certain performance criteria established by the Compensation Committee on an annual basis. The performance criteria and measurement date for the final 21,000 performance-based RSUs is based on 2022 adjusted EBITDA and was established during the nine months ended September 30, 2022 with a grant date fair value of $20.32 per share, measured based on the closing fair market value of the Company's stock on the date the performance criteria was established.

During the nine months ended September 30, 2022, the Company issued 91,042 performance-based RSUs, the vesting of which occurs over a five-year period and is contingent upon continued service and achieving certain performance criteria established by the Compensation Committee on an annual basis in increments of 15%, 20%, 20%, 20%, and 25% based on performance in 2022, 2023, 2024, 2025, and 2026, respectively. The performance criteria for the first-year tranche, or 13,654 of these performance-based RSUs, is based on 2022 adjusted EBITDA. The measurement date for these 13,654 performance-based RSUs was established during the nine months ended September 30, 2022 with a weighted average grant date fair value of $20.29 per share, measured based on the closing fair market value of the Company's stock on the date the performance criteria was established or, in the case of the portion of such performance-based RSUs which were granted contingent upon the approval of the 2022 Omnibus Incentive Plan by the Company's shareholders, the date the 2022 Omnibus Incentive Plan was approved by shareholders of the Company. The performance criteria for the remaining 77,388 performance-based RSUs has not yet been determined and will be established on an annual basis in 2023, 2024, 2025, and 2026, as applicable; therefore, the measurement date for these remaining 77,388 performance-based RSUs cannot be determined until the performance criteria have been established.

Total stock-based compensation expense recognized in the Condensed Consolidated Statements of Income is as follows (in thousands):

	*Three Months Ended September 30,*				*Nine Months Ended September 30,*
	*2022*		*2021*		*2022*		*2021*
Cost of revenues (excluding depreciation and amortization)	$	44	$	31	$	126	$	82
Product development		151		111		428		329
Sales and marketing		98		76		283		217
Other general and administrative		625		644		1,772		1,632
Total stock-based compensation expense	$	918	$	862	$	2,609	$	2,260

Share Repurchase Plan

On November 30, 2021, the Company's Board of Directors authorized a share repurchase program to repurchase up to $20.0 million of the Company's outstanding shares of common stock. This share repurchase program concluded on March 8, 2022, when the maximum dollar amount authorized under the program was expended. Under this program, the Company repurchased a total of 853,023 shares through open market purchases at an aggregate value of $20.0 million, reflecting an average price per share of $23.45 (excluding the cost of broker commissions). During the nine months ended September 30, 2022, the Company repurchased 649,739 shares pursuant to this share repurchase program at an aggregate fair value of $14.9 million, based on an average price per share of $22.92 (excluding the cost of broker commissions).

On March 14, 2022, the Company's Board of Directors approved an expansion of the Company's share repurchase program by authorizing the repurchase of up to an additional $10.0 million of the Company's outstanding shares of common stock. The share repurchase expansion program is scheduled to terminate on the earlier of March 13, 2023, or when the maximum dollar amount has been expended. During the nine months ended September 30, 2022, the Company repurchased 402,050 shares at an aggregate fair value of $8.1 million, reflecting an average price per share of $20.19 (excluding the cost of broker commissions). No repurchases occurred during the three months ended September 30, 2022.

- Definition

The entire disclosure for shareholders' equity comprised of portions attributable to the parent entity and noncontrolling interest, including other comprehensive income. Includes, but is not limited to, balances of common stock, preferred stock, additional paid-in capital, other capital and retained earnings, accumulated balance for each classification of other comprehensive income and amount of comprehensive income.

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+ Details

Note 6 - Earnings Per Share

9 Months Ended

Sep. 30, 2022

Notes to Financial Statements

Earnings Per Share [Text Block]

6. EARNINGS PER SHARE

Basic earnings per share is computed by dividing the net income available to common shareholders for the period by the weighted average number of common shares outstanding during the period. Diluted earnings per share is computed by dividing the net income available to common shareholders for the period by the weighted average number of potentially dilutive common and common equivalent shares outstanding during the period. Common equivalent shares are composed of incremental common shares issuable upon the exercise of stock options and RSUs subject to vesting. The dilutive effect of common equivalent shares is included in diluted earnings per share by application of the treasury stock method. The total number of common equivalent shares excluded from the calculations of diluted earnings per share, due to their anti-dilutive effect or contingent performance conditions, was approximately 205,000 and 26,000 for the three months ended September 30, 2022 and 2021, respectively, and 217,000 and 95,000 for the nine months ended September 30, 2022 and 2021, respectively.

The following table sets forth the computation of basic and diluted earnings per share (in thousands, except per share data):

	*Three Months Ended September 30,*				*Nine Months Ended September 30,*
	*2022*		*2021*		*2022*		*2021*
Numerator:
Net income	$	3,666	$	1,500	$	9,642	$	6,232
Denominator:
Weighted-average shares outstanding		30,570		31,558		30,672		31,538
Effect of dilutive shares		92		126		45		71
Weighted-average diluted shares		30,662		31,684		30,717		31,609

Net income per share:
Basic	$	0.12	$	0.05	$	0.31	$	0.20
Diluted	$	0.12	$	0.05	$	0.31	$	0.20

Note 7 - Marketable Securities

9 Months Ended

Sep. 30, 2022

Notes to Financial Statements

Investments in Debt and Marketable Equity Securities (and Certain Trading Assets) Disclosure [Text Block]

7. MARKETABLE SECURITIES

The fair value of marketable securities, which were all classified as available for sale and which the Company does not intend to sell nor will the Company be required to sell prior to recovery of their amortized cost basis, included the following (in thousands):

	*September 30, 2022*
	*Adjusted Cost*		*Unrealized Gains*		*Unrealized Losses*			*Fair Value*
Level 2:
Corporate debt securities	$	998	$	—	$	—		$	998
U.S. government debt securities		2,591		—		(2	)		2,589
Total	$	3,589	$	—	$	(2	)	$	3,587

	*December 31, 2021*
	*Adjusted Cost*		*Unrealized Gains*		*Unrealized Losses*			*Fair Value*
Level 2:
Corporate debt securities	$	5,043	$	—	$	(2	)	$	5,041
Total	$	5,043	$	—	$	(2	)	$	5,041

The carrying amounts reported in the Condensed Consolidated Balance Sheets approximate the fair value based on quoted market prices or alternative pricing sources and models utilizing market observable inputs. As of September 30, 2022, the Company did not recognize any allowance for credit impairments on its available for sale debt securities. All investments in marketable securities are classified as current assets on the Condensed Consolidated Balance Sheets because the underlying securities mature within one year from the balance sheet date.

Note 8 - Business Combination

9 Months Ended

Sep. 30, 2022

Notes to Financial Statements

Business Combination Disclosure [Text Block]

8. BUSINESS COMBINATION

On May 18, 2022, the Company acquired the remaining ownership interest (representing approximately 82% of the outstanding equity interests) of CloudCME, LLC ("CloudCME"), a Nashville-based healthcare technology company offering a SaaS-based application for managing all aspects of continuing education (CME/CE) within a healthcare organization, for approximately $4.0 million in cash and $4.1 million in shares of HealthStream's common stock issued through a private placement at closing. The Company previously held a minority interest in CloudCME of approximately 18%. Of the purchase price paid at closing, $0.3 million is being held in escrow for a period of time following the closing to serve as a source of recovery for certain potential indemnification claims by the Company. Acquisition-related transaction costs were $0.1 million. The acquisition is not considered material to the Company’s financial statements. The Company accounted for the acquisition as a business combination and has allocated the purchase consideration based on management’s estimates of fair value. Net assets acquired were $9.6 million. Based on the fair value of assets acquired and liabilities assumed, including intangible assets of $3.8 million, goodwill of $6.8 million was established. The results of operations for CloudCME are included in the Company’s Consolidated Financial Statements from the date of acquisition and are included in the Workforce Solutions segment.

Note 9 - Business Segments

9 Months Ended

Sep. 30, 2022

Notes to Financial Statements

Segment Reporting Disclosure [Text Block]

9. BUSINESS SEGMENTS

The Company provides services to healthcare organizations and other members within the healthcare industry. The Company’s services are focused on the delivery of workforce training, certification, assessment, development, and scheduling products and services (Workforce Solutions) and provider credentialing, privileging, call center, and enrollment products and services (Provider Solutions).

The Company measures segment performance based on operating income before income taxes and prior to the allocation of certain corporate overhead expenses, interest income, interest expense, gains and losses from equity investments, and depreciation. The Unallocated component below includes corporate functions, such as accounting, human resources, legal, investor relations, information systems, administrative and executive personnel, depreciation, a portion of amortization, and certain other expenses, which are not currently allocated in measuring segment performance. The following is the Company’s business segment information (in thousands).

	*Three Months Ended September 30,*						*Nine Months Ended September 30,*
Revenues, net:	*2022*			*2021*			*2022*			*2021*
Workforce Solutions	$	54,063		$	51,155		$	158,576		$	154,559
Provider Solutions		13,222			12,936			39,714			37,815
Total revenues, net	$	67,285		$	64,091		$	198,290		$	192,374
Operating income:
Workforce Solutions	$	8,609		$	7,732		$	26,761		$	25,981
Provider Solutions		1,147			1,974			5,159			6,195
Unallocated		(7,374	)		(7,921	)		(22,548	)		(23,661	)
Total operating income	$	2,382		$	1,785		$	9,372		$	8,515

Segment assets *	*September 30, 2022*		*December 31, 2021*
Workforce Solutions	$	260,779	$	258,864
Provider Solutions		131,720		137,008
Unallocated		88,698		90,881
Total assets	$	481,197	$	486,753

Segment assets include accounts and unbilled receivables, prepaid royalties, prepaid and other current assets, other assets, capitalized software development, deferred commissions, certain property and equipment, goodwill, and intangible assets. Cash and cash equivalents, marketable securities, non-marketable equity investments, and certain ROU assets are not allocated to individual segments and are included within Unallocated. A significant portion of property and equipment assets are included within Unallocated.

- Definition

The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments.

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+ Details

Note 10 - Debt

9 Months Ended

Sep. 30, 2022

Notes to Financial Statements

Debt Disclosure [Text Block]

10. DEBT

Revolving Credit Facility

On October 28, 2020, the Company entered into a Third Amendment to Revolving Credit Agreement ("Revolving Credit Facility"), amending the Revolving Credit Facility dated as of November 24, 2014 with Truist Bank, successor by merger to SunTrust Bank ("Truist"), extending the maturity date to October 28, 2023. Under the Revolving Credit Facility, the Company may borrow up to $65.0 million, which includes a $5.0 million swing line sub-facility and a $5.0 million letter of credit sub-facility, as well as an accordion feature that allows the Company to increase the Revolving Credit Facility by a total of up to $25.0 million, subject to securing additional commitments from existing lenders or new lending institutions.

At the Company’s election, the borrowings under the Revolving Credit Facility bear interest at either (1) a rate per annum equal to the highest of Truist’s prime rate or 0.5% in excess of the Federal Funds Rate or 1.0% in excess of one-month LIBOR (the "Base Rate"), plus an applicable margin, or (2) the one, two, three, or six-month per annum LIBOR for deposits in the applicable currency (the "Eurocurrency Rate"), as selected by the Company, plus an applicable margin. The applicable margin for Eurocurrency Rate loans depends on the Company’s funded debt leverage ratio and varies from 1.50% to 1.75%. The applicable margin for Base Rate loans depends on the Company’s funded debt leverage ratio and varies from 0.50% to 0.75%. Commitment fees and letter of credit fees are also payable under the Revolving Credit Facility. Principal is payable in full at maturity on October 28, 2023, and there are no scheduled principal payments prior to maturity. The Company is required to pay a commitment fee ranging between 20 and 30 basis points per annum of the average daily unused portion of the Revolving Credit Facility, depending on the Company’s funded debt leverage ratio. The obligations under the Revolving Credit Facility are guaranteed by each of the Company’s subsidiaries.

The purpose of the Revolving Credit Facility is for general working capital needs, permitted acquisitions (as defined in the Revolving Credit Facility), and for stock repurchase and/or redemption transactions that the Company may authorize.

The Revolving Credit Facility contains certain covenants that, among other things, restrict additional indebtedness, liens and encumbrances, changes to the character of the Company’s business, acquisitions, asset dispositions, mergers and consolidations, sale or discount of receivables, creation or acquisitions of additional subsidiaries, and other matters customarily restricted in such agreements.

In addition, the Revolving Credit Facility requires the Company to meet certain financial tests, including, without limitation:

•	a funded debt leverage ratio (consolidated debt/consolidated EBITDA) of not greater than 3.0 to 1.0; and

•	an interest coverage ratio (consolidated EBITDA/consolidated interest expense) of not less than 3.0 to 1.0.

As of September 30, 2022, the Company was in compliance with all covenants. There were no balances outstanding on the Revolving Credit Facility as of or during the three and nine months ended September 30, 2022.

- Definition

The entire disclosure for information about short-term and long-term debt arrangements, which includes amounts of borrowings under each line of credit, note payable, commercial paper issue, bonds indenture, debenture issue, own-share lending arrangements and any other contractual agreement to repay funds, and about the underlying arrangements, rationale for a classification as long-term, including repayment terms, interest rates, collateral provided, restrictions on use of assets and activities, whether or not in compliance with debt covenants, and other matters important to users of the financial statements, such as the effects of refinancing and noncompliance with debt covenants.

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+ Details

Significant Accounting Policies (Policies)

9 Months Ended

Sep. 30, 2022

Accounting Policies [Abstract]

Recently Adopted Accounting Standards Policy [Policy Text Block]

Accounting Standards Recently Adopted

Note 3 - Revenue Recognition and Sales Commissions (Tables)

9 Months Ended

Sep. 30, 2022

Notes Tables

Disaggregation of Revenue [Table Text Block]

	*Three Months Ended September 30, 2022*						*Nine Months Ended September 30, 2022*
Business Segments	*Workforce Solutions*		*Provider Solutions*		*Consolidated*		*Workforce Solutions*		*Provider Solutions*		*Consolidated*
Subscription services	$	52,347	$	11,720	$	64,067	$	153,871	$	34,742	$	188,613
Professional services		1,716		1,502		3,218		4,705		4,972		9,677
Total revenues, net	$	54,063	$	13,222	$	67,285	$	158,576	$	39,714	$	198,290

	*Three Months Ended September 30, 2021*						*Nine Months Ended September 30, 2021*
Business Segments	*Workforce Solutions*		*Provider Solutions*		*Consolidated*		*Workforce Solutions*		*Provider Solutions*		*Consolidated*
Subscription services	$	49,729	$	10,973	$	60,702	$	150,239	$	32,475	$	182,714
Professional services		1,426		1,963		3,389		4,320		5,340		9,660
Total revenues, net	$	51,155	$	12,936	$	64,091	$	154,559	$	37,815	$	192,374

Note 5 - Shareholders' Equity (Tables)

9 Months Ended

Sep. 30, 2022

Notes Tables

Share-Based Payment Arrangement, Expensed and Capitalized, Amount [Table Text Block]

	*Three Months Ended September 30,*				*Nine Months Ended September 30,*
	*2022*		*2021*		*2022*		*2021*
Cost of revenues (excluding depreciation and amortization)	$	44	$	31	$	126	$	82
Product development		151		111		428		329
Sales and marketing		98		76		283		217
Other general and administrative		625		644		1,772		1,632
Total stock-based compensation expense	$	918	$	862	$	2,609	$	2,260

Note 6 - Earnings Per Share (Tables)

9 Months Ended

Sep. 30, 2022

Notes Tables

Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]

	*Three Months Ended September 30,*				*Nine Months Ended September 30,*
	*2022*		*2021*		*2022*		*2021*
Numerator:
Net income	$	3,666	$	1,500	$	9,642	$	6,232
Denominator:
Weighted-average shares outstanding		30,570		31,558		30,672		31,538
Effect of dilutive shares		92		126		45		71
Weighted-average diluted shares		30,662		31,684		30,717		31,609

Net income per share:
Basic	$	0.12	$	0.05	$	0.31	$	0.20
Diluted	$	0.12	$	0.05	$	0.31	$	0.20

Note 7 - Marketable Securities (Tables)

9 Months Ended

Sep. 30, 2022

Notes Tables

Debt Securities, Available-for-Sale [Table Text Block]

	*September 30, 2022*
	*Adjusted Cost*		*Unrealized Gains*		*Unrealized Losses*			*Fair Value*
Level 2:
Corporate debt securities	$	998	$	—	$	—		$	998
U.S. government debt securities		2,591		—		(2	)		2,589
Total	$	3,589	$	—	$	(2	)	$	3,587

	*December 31, 2021*
	*Adjusted Cost*		*Unrealized Gains*		*Unrealized Losses*			*Fair Value*
Level 2:
Corporate debt securities	$	5,043	$	—	$	(2	)	$	5,041
Total	$	5,043	$	—	$	(2	)	$	5,041

Note 9 - Business Segments (Tables)

9 Months Ended

Sep. 30, 2022

Notes Tables

Reconciliation of Revenue and Operating Profit Loss from Segments to Consolidated [Table Text Block]

	*Three Months Ended September 30,*						*Nine Months Ended September 30,*
Revenues, net:	*2022*			*2021*			*2022*			*2021*
Workforce Solutions	$	54,063		$	51,155		$	158,576		$	154,559
Provider Solutions		13,222			12,936			39,714			37,815
Total revenues, net	$	67,285		$	64,091		$	198,290		$	192,374
Operating income:
Workforce Solutions	$	8,609		$	7,732		$	26,761		$	25,981
Provider Solutions		1,147			1,974			5,159			6,195
Unallocated		(7,374	)		(7,921	)		(22,548	)		(23,661	)
Total operating income	$	2,382		$	1,785		$	9,372		$	8,515

Reconciliation of Assets from Segment to Consolidated [Table Text Block]

Segment assets *	*September 30, 2022*		*December 31, 2021*
Workforce Solutions	$	260,779	$	258,864
Provider Solutions		131,720		137,008
Unallocated		88,698		90,881
Total assets	$	481,197	$	486,753

Note 3 - Revenue Recognition and Sales Commissions 1 (Details Textual) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Accounts Receivable, Credit Loss Expense (Reversal)			$ 400,000	$ 99,000
Contract with Customer, Liability, Revenue Recognized	$ 39,900,000	$ 39,400,000	67,900,000	59,300,000
Revenue, Remaining Performance Obligation, Amount	$ 473,000,000		$ 473,000,000
Revenue, Remaining Performance Obligation, Percentage	44.00%		44.00%
Sales Commissions, Amortization Term (Year)			3 years
Amortization of Deferred Sales Commissions	$ 2,800,000	2,400,000	$ 7,826,000	6,900,000
Customer Contracts [Member]
Accounts Receivable, Credit Loss Expense (Reversal)	$ 44,000	$ 96,000	$ 400,000	$ 100,000

Note 3 - Revenue Recognition and Sales Commissions 2 (Details Textual)	Sep. 30, 2022
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2022-10-01
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Period (Month)	12 months

Note 3 - Revenue Recognition and Sales Commissions - Revenues Disaggregated By Revenue Source (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Revenues	$ 67,285	$ 64,091	$ 198,290	$ 192,374
Subscription Services [Member]
Revenues	64,067	60,702	188,613	182,714
Professional Services [Member]
Revenues	3,218	3,389	9,677	9,660
Healthstream Workforce Solutions [Member]
Revenues	54,063	51,155	158,576	154,559
Healthstream Workforce Solutions [Member] \| Subscription Services [Member]
Revenues	52,347	49,729	153,871	150,239
Healthstream Workforce Solutions [Member] \| Professional Services [Member]
Revenues	1,716	1,426	4,705	4,320
Healthstream Provider Solutions [Member]
Revenues	13,222	12,936	39,714	37,815
Healthstream Provider Solutions [Member] \| Subscription Services [Member]
Revenues	11,720	10,973	34,742	32,475
Healthstream Provider Solutions [Member] \| Professional Services [Member]
Revenues	$ 1,502	$ 1,963	$ 4,972	$ 5,340

- Definition

Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise.

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-URI https://asc.fasb.org/extlink&oid=126920106&loc=SL49130545-203045

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-Name Accounting Standards Codification
-Topic 924
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SAB Topic 11.L)
-URI https://asc.fasb.org/extlink&oid=6472922&loc=d3e499488-122856

+ Details

Note 4 - Income Taxes (Details Textual) - USD ($)	3 Months Ended		9 Months Ended
Note 4 - Income Taxes (Details Textual) - USD ($)	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Income Tax Expense (Benefit), Total	$ 1,259,000	$ 186,000	$ 2,675,000	$ 2,033,000
Effective Income Tax Rate Reconciliation, Percent, Total			22.00%	25.00%
Income Tax Expense (Benefit), Discrete Adjustments			$ (16,000)
Effective Income Tax Rate Reconciliation, Tax Exempt Income, Amount			300,000
Effective Income Tax Rate Reconciliation, Change in Fair Value of Noncontrolling Interest, Amount			900,000
Effective Income Tax Rate Reconciliation, Change in Estimated Tax Credits, Amount			100,000
Effective Income Tax Rate Reconciliation, Uncertain Tax Positions, Amount			300,000
Effective Income Tax Rate Reconciliation, Tax Expense (Benefit), Share-Based Payment Arrangement, Amount			$ 100,000
Effective Income Tax Rate Reconciliation, Change in Enacted Tax Rate, Amount				$ 200,000

- Definition

Amount of current income tax expense (benefit) and deferred income tax expense (benefit) pertaining to continuing operations.

+ References + Details

Note 5 - Shareholders' Equity (Details Textual) - USD ($) $ / shares in Units, $ in Thousands		3 Months Ended				9 Months Ended
	Nov. 30, 2021	Sep. 30, 2022	Jun. 30, 2022	Mar. 31, 2022	Jun. 30, 2018	Sep. 30, 2022	Sep. 30, 2021	Mar. 14, 2022
Stock Repurchased During Period, Value			$ 3,143	$ 19,889
November 2021 Share Repurchase Program [Member]
Stock Repurchase Program, Authorized Amount	$ 20,000
Stock Repurchased During Period, Shares (in shares)	853,023					649,739
Stock Repurchased During Period, Value	$ 20,000					$ 14,900
Stock Repurchased Average Price per Share (in dollars per share)	$ 23.45					$ 22.92
March 2022 Share Repurchase Program [Member]
Stock Repurchase Program, Authorized Amount								$ 10,000
Stock Repurchased During Period, Shares (in shares)		0				402,050
Stock Repurchased During Period, Value						$ 8,100
Stock Repurchased Average Price per Share (in dollars per share)						$ 20.19
Restricted Stock Units (RSUs) [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period (in shares)						140,473	129,906
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value (in dollars per share)						$ 20.31	$ 23.44
Performance Based Restricted Stock Units (RSUs) [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period (in shares)					70,000	91,042
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period (Year)					5 years	5 years
Share Based Compensation Arrangement By Share Based Payment Award Incremental Performance Percentage Year One						15.00%
Share Based Compensation Arrangement By Share Based Payment Award Incremental Performance Percentage Year Two						20.00%
Share Based Compensation Arrangement By Share Based Payment Award Incremental Performance Percentage Year Three						20.00%
Share Based Compensation Arrangement By Share Based Payment Award Incremental Performance Percentage Year Four						20.00%
Share Based Compensation Arrangement By Share Based Payment Award Incremental Performance Percentage Year Five						25.00%
Performance Based Restricted Stock Units (RSUs) [Member] \| The 2018 June Issue [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value (in dollars per share)						$ 20.32
Performance Based Restricted Stock Units (RSUs) [Member] \| Two Thousand Twenty Two Performance [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period (in shares)					21,000	13,654
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value (in dollars per share)						$ 20.29
Performance Based Restricted Stock Units (RSUs) [Member] \| Not Based on 2022 Performance [Member]
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period (in shares)						77,388

Note 5 - Shareholders' Equity - Summary of Stock-based Compensation Expense (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Stock-based compensation expense	$ 918	$ 862	$ 2,609	$ 2,260
Cost of Sales [Member]
Stock-based compensation expense	44	31	126	82
Product Development [Member]
Stock-based compensation expense	151	111	428	329
Selling and Marketing Expense [Member]
Stock-based compensation expense	98	76	283	217
General and Administrative Expense [Member]
Stock-based compensation expense	$ 625	$ 644	$ 1,772	$ 1,632

Note 6 - Earnings Per Share (Details Textual) - shares	3 Months Ended		9 Months Ended
Note 6 - Earnings Per Share (Details Textual) - shares	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount (in shares)	205,000	26,000	217,000	95,000

Note 6 - Earnings Per Share - Computation of Basic and Diluted Earnings Per Share (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended						9 Months Ended
	Sep. 30, 2022	Jun. 30, 2022	Mar. 31, 2022	Sep. 30, 2021	Jun. 30, 2021	Mar. 31, 2021	Sep. 30, 2022	Sep. 30, 2021
Net income	$ 3,666	$ 3,083	$ 2,893	$ 1,500	$ 2,441	$ 2,291	$ 9,642	$ 6,232
Weighted-average shares outstanding (in shares)	30,570			31,558			30,672	31,538
Effect of dilutive shares (in shares)	92			126			45	71
Weighted-average diluted shares (in shares)	30,662			31,684			30,717	31,609
Net income per share:
Basic (in dollars per share)	$ 0.12			$ 0.05			$ 0.31	$ 0.20
Diluted (in dollars per share)	$ 0.12			$ 0.05			$ 0.31	$ 0.20

- Definition

The amount of net income (loss) for the period per each share of common stock or unit outstanding during the reporting period.

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- Definition

The amount of net income (loss) for the period available to each share of common stock or common unit outstanding during the reporting period and to each share or unit that would have been outstanding assuming the issuance of common shares or units for all dilutive potential common shares or units outstanding during the reporting period.

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+ Details

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

+ References

+ Details

Note 7 - Marketable Securities (Details Textual) $ in Thousands	9 Months Ended
	Sep. 30, 2022 USD ($)
Other-than-temporary Impairment Loss, Debt Securities, Available-for-sale, Total	$ 0

Note 7 - Marketable Securities - Fair Value of Available for Sale Marketable Securities (Details) - USD ($) $ in Thousands	Sep. 30, 2022	Dec. 31, 2021
Adjusted Cost	$ 3,589	$ 5,043
Unrealized Gains	0	0
Unrealized Losses	(2)	(2)
Fair Value	3,587	5,041
Corporate Debt Securities [Member] \| Fair Value, Inputs, Level 2 [Member]
Adjusted Cost	998	5,043
Unrealized Gains	0	0
Unrealized Losses	0	(2)
Fair Value	998	$ 5,041
US Government Debt Securities [Member] \| Fair Value, Inputs, Level 2 [Member]
Adjusted Cost	2,591
Unrealized Gains	0
Unrealized Losses	(2)
Fair Value	$ 2,589

Note 8 - Business Combination (Details Textual) - USD ($) $ in Thousands	May 18, 2022	Sep. 30, 2022	Dec. 31, 2021
Goodwill, Ending Balance		$ 188,367	$ 182,501
CloudCME, LLC [Member]
Business Acquisition, Percentage of Voting Interests Acquired	82.00%
Payments to Acquire Businesses, Gross	$ 4,000
Business Combination, Consideration Transferred, Equity Interests Issued and Issuable	$ 4,100
Business Combination, Step Acquisition, Equity Interest in Acquiree, Percentage	18.00%
Escrow Deposit	$ 300
Business Combination, Acquisition Related Costs	100
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net, Total	9,600
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill, Total	3,800
Goodwill, Ending Balance	$ 6,800

Note 9 - Business Segments - Business Segment Information Based on Net Revenues and Operating Income (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Revenues, net	$ 67,285	$ 64,091	$ 198,290	$ 192,374
Workforce Solutions	2,382	1,785	9,372	8,515
Segment Reconciling Items [Member]
Workforce Solutions	(7,374)	(7,921)	(22,548)	(23,661)
Healthstream Workforce Solutions [Member]
Revenues, net	54,063	51,155	158,576	154,559
Healthstream Workforce Solutions [Member] \| Operating Segments [Member]
Revenues, net	54,063	51,155	158,576	154,559
Workforce Solutions	8,609	7,732	26,761	25,981
Healthstream Provider Solutions [Member]
Revenues, net	13,222	12,936	39,714	37,815
Healthstream Provider Solutions [Member] \| Operating Segments [Member]
Revenues, net	13,222	12,936	39,714	37,815
Workforce Solutions	$ 1,147	$ 1,974	$ 5,159	$ 6,195

- Definition

+ References

+ Details

Note 9 - Business Segments - Business Segment Information Based on Assets (Details) - USD ($)
$ in Thousands

Sep. 30, 2022

Dec. 31, 2021

Assets

^[1]

$ 481,197

$ 486,753

Segment Reconciling Items [Member]

Assets

^[1]

88,698

90,881

Healthstream Workforce Solutions [Member] | Operating Segments [Member]

Assets

^[1]

260,779

258,864

Healthstream Provider Solutions [Member] | Operating Segments [Member]

Assets

^[1]

$ 131,720

$ 137,008

[1]

- Definition

Sum of the carrying amounts as of the balance sheet date of all assets that are recognized. Assets are probable future economic benefits obtained or controlled by an entity as a result of past transactions or events.

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+ Details

Note 10 - Debt (Details Textual) - Revolving Credit Facility [Member] - Truist Bank [Member] - USD ($) $ in Thousands	Oct. 28, 2020	Sep. 30, 2022
Debt Instrument, Covenant, Maximum Funded Debt Leverage Ratio	3.0
Debt Instrument, Covenant, Interest Coverage Ratio	3.0
Long-Term Line of Credit, Total		$ 0
Minimum [Member]
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage	0.20%
Maximum [Member]
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage	0.30%
Third Amendment [Member]
Line of Credit Facility, Maximum Borrowing Capacity	$ 65,000
Line of Credit Facility, Increased Facility Size Due to Accordion Feature	$ 25,000
Third Amendment [Member] \| Fed Funds Effective Rate Overnight Index Swap Rate [Member]
Debt Instrument, Basis Spread on Variable Rate	0.50%
Third Amendment [Member] \| Base Rate [Member]
Debt Instrument, Basis Spread on Variable Rate	1.00%
Third Amendment [Member] \| Base Rate [Member] \| Minimum [Member]
Line of Credit Facility, Percentage of Applicable Margin for Borrowings	0.50%
Third Amendment [Member] \| Base Rate [Member] \| Maximum [Member]
Line of Credit Facility, Percentage of Applicable Margin for Borrowings	0.75%
Third Amendment [Member] \| Eurodollar [Member] \| Minimum [Member]
Line of Credit Facility, Percentage of Applicable Margin for Borrowings	1.50%
Third Amendment [Member] \| Eurodollar [Member] \| Maximum [Member]
Line of Credit Facility, Percentage of Applicable Margin for Borrowings	1.75%
Third Amendment [Member] \| Swing Line Subfacility [Member]
Line of Credit Facility, Maximum Borrowing Capacity	$ 5,000
Third Amendment [Member] \| Letter of Credit Subfacility [Member]
Line of Credit Facility, Maximum Borrowing Capacity	$ 5,000