Document And Entity Information
September 2023 Share Repurchase Program [Member]
Relating to the September 2023 Share Repurchase Program.
us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedIntangibleAssetsOtherThanGoodwill
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill
Note To Financial Statement Details Textual
Significant Accounting Policies
Note 1 - Overview and Basis of Presentation
Federal tax provision at the statutory rate
Note 2 - Shareholders' Equity
Note 3 - Earnings Per Share
Note 4 - Marketable Securities
Note 5 - Revenue Recognition and Sales Commissions
hstm_BusinessCombinationConsiderationTransferredAmountHeldInEscrow
Business Combination, Consideration Transferred, Amount Held in Escrow
Amount held in escrow for consideration transferred under business combination.
Note 6 - Property and Equipment
Note 7 - Goodwill and Intangible Assets
Changes in uncertain tax positions
Amount of the difference between reported income tax expense (benefit) and expected income tax expense (benefit) computed by applying the domestic federal statutory income tax rates to pretax income (loss) from continuing operations attributable to increase (decrease) in uncertain tax positions.
Note 9 - Income Taxes
Income Tax Disclosure [Text Block]
hstm_UnrecognizedTaxBenefitsIncreaseResultingFromEvaluationResearchDevelopmentCreditRealizabilityQualification
Unrecognized Tax Benefits, Increase Resulting from Evaluation Research & Development Credit Realizability Qualification
Amount of increase in unrecognized tax benefits resulting from evaluating research and development credit realizability qualifications.
Note 10 - Stock-based Compensation
Note 13 - Leases
Unrealized gain on marketable securities
Third Quarter Dividends [Member]
Relating to third quarter dividends.
Note 1 - Summary of Significant Accounting Policies - Changes in the Allowance for Doubtful Accounts and the Amounts Charged to Bad Debt Expense (Details)
Note 1 - Summary of Significant Accounting Policies - Estimated Useful Lives of Property and Equipment (Details)
Electronic Education Documentation System, LLC [Member]
Represents Electronic Education Documentation System, LLC.
Note 2 - Shareholders' Equity - Dividend Policy (Details)
us-gaap_LiabilitiesCurrent
Total current liabilities
Note 3 - Earnings Per Share - Computation of Basic and Diluted Earnings Per Share (Details)
Note 4 - Marketable Securities - Fair Value of Available for Sale Marketable Securities (Details)
Note 5 - Revenue Recognition and Sales Commissions - Revenues Disaggregated By Revenue Source (Details)
Note 6 - Property and Equipment - Summary of Property and Equipment (Details)
us-gaap_BusinessCombinationConsiderationTransferredEquityInterestsIssuedAndIssuable
Business Combination, Consideration Transferred, Equity Interests Issued and Issuable
Note 7 - Goodwill and Intangible Assets - Changes in Carrying Amount of Goodwill (Details)
Note 7 - Goodwill and Intangible Assets - Identifiable Intangible Assets (Details)
us-gaap_BusinessCombinationConsiderationTransferred1
Business Combination, Consideration Transferred
Note 7 - Goodwill and Intangible Assets - Expected Annual Amortization Expense (Details)
us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period, Fair Value
Note 9 - Income Taxes - Schedule of Components of Earnings Before Income Taxes (Details)
Note 9 - Income Taxes - Summary of Provision for Income Taxes (Details)
Note 9 - Income Taxes - Reconciliation of Income Taxes at the Statutory Federal Income Tax Rate to the Provision for Income Taxes (Details)
Note 9 - Income Taxes - Reconciliation of the Beginning and Ending Liability for Gross Unrecognized Tax Benefits (Details)
Outstanding, aggregate intrinsic value
Note 9 - Income Taxes - Significant Components of Deferred Tax Assets and Deferred Tax Liabilities (Details)
Note 10 - Stock Based Compensation - Stock Option Activity (Details)
Note 10 - Stock Based Compensation - RSUs Activities (Details)
Share-Based Payment Arrangement, Option, Activity [Table Text Block]
Note 10 - Stock Based Compensation - Stock Based Compensation Expense (Details)
Note 13 - Leases - Lease-related Assets and Liabilities (Details)
Note 13 - Leases - Maturities of Lease Liabilities (Details)
Foreign currency translation adjustments
Granted, Weighted average grant date fair value (in dollars per share)
us-gaap_BusinessAcquisitionPercentageOfVotingInterestsAcquired
Business Acquisition, Percentage of Voting Interests Acquired
Vested, Weighted average grant date fair value (in dollars per share)
Notes To Financial Statements
Share-Based Payment Arrangement, Restricted Stock Unit, Activity [Table Text Block]
Forfeited, Weighted average grant date fair value (in dollars per share)
Notes To Financial Statements [Abstract]
us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue
Outstanding, Weighted average grant date fair value (in dollars per share)
Outstanding, Weighted average grant date fair value (in dollars per share)
us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod
Forfeited, shares (in shares)
us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber
Outstanding, shares (in shares)
Outstanding, shares (in shares)
Proceeds from maturities of marketable securities
Granted, shares (in shares)
Corporate Debt Securities [Member]
us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod
Vested, shares (in shares)
Other comprehensive income, net of taxes:
Exercisable, Weighted average exercise price (in dollars per share)
Exercisable, Aggregate intrinsic value
Exercisable, Shares (in shares)
us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term (Year)
Outstanding, Aggregate intrinsic value
us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsVestedNumberOfShares
Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested, Number of Shares (in shares)
us-gaap_PaymentsToAcquireMarketableSecurities
Purchases of marketable securities
Financial Instruments [Domain]
us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
Outstanding, Weighted average exercise price (in dollars per share)
Outstanding, Weighted average exercise price (in dollars per share)
Forfeited, Weighted average exercise price (in dollars per share)
Deferred revenue
Expired, Weighted average exercise price (in dollars per share)
Financial Instrument [Axis]
Goodwill and Intangible Assets Disclosure [Text Block]
Schedule of Goodwill [Table Text Block]
Granted, Weighted average exercise price (in dollars per share)
Exercised, Weighted average exercise price (in dollars per share)
Accrued liabilities
Lessee, Operating Leases [Text Block]
Accounts payable
Revolving Credit Facility [Member]
us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
Outstanding, Shares (in shares)
Outstanding, Shares (in shares)
Expired, Shares (in shares)
Credit Facility [Axis]
Proceeds from sale of fixed assets
Credit Facility [Domain]
us-gaap_PolicyTextBlockAbstract
Accounting Policies
Trade Names [Member]
us-gaap_PaymentsToAcquireProductiveAssets
Payments to Acquire Productive Assets
us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Available for Grant (in shares)
Other Intangible Assets [Member]
us-gaap_PaymentsForSoftware
Payments associated with capitalized software development
Accrued royalties
us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Purchases of property and equipment
Effect of dilutive shares (in shares)
us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingPeriod1
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period (Year)
Weighted average shares of common stock outstanding:
Noncompete Agreements [Member]
Income taxes paid (refunded)
Current liabilities:
SUPPLEMENTAL CASH FLOW INFORMATION:
us-gaap_Assets
Total assets
Plan Name [Axis]
Plan Name [Domain]
us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount
us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition (Year)
Customer Relationships [Member]
Customer-Related Intangible Assets [Member]
Customer Contracts [Member]
Finite-Lived Intangible Assets by Major Class [Axis]
Share-Based Payment Arrangement [Text Block]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Share-Based Payment Arrangement, Expensed and Capitalized, Amount [Table Text Block]
Business Description and Basis of Presentation [Text Block]
Award Type [Domain]
Prepaid software maintenance and subscriptions
The amount of money spend on prepaid software maintenance and subscriptions.
Award Type [Axis]
Net income
Net income
Net income
Accumulated amortization on intangible assets
Accumulated Amortization
us-gaap_FiniteLivedIntangibleAssetsNet
Total
Net
Restricted Stock Units (RSUs) [Member]
Restricted Stock [Member]
hstm_PaymentsForDebtIssueCosts
Payment of debt issue costs
Payments made towards the debt issue costs during the period.
Excise tax on repurchase of common stock
Represents the amount of excise tax from the repurchase of common stock shares during period
Fourth Quarter Dividends [Member]
Represents the amount of dividends for the fourth quarter.
Effect of exchange rate changes
Post-closing adjustment
Acquisition of CloudCME
Business Segments [Policy Text Block]
Description of the business segments.
us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
Indefinite-lived Intangible Assets (Excluding Goodwill), Ending Balance
Commitments and Contingencies Disclosure [Text Block]
Business Combination Disclosure [Text Block]
Accumulated amortization on property and equipment
Accumulated depreciation and amortization
Property and equipment, net of accumulated depreciation of $19,503 and $20,280 at December 31, 2023 and 2022, respectively
Property and equipment, net
Goodwill
Goodwill
Balance
Balance
Property, plant and equipment
Long-Term Debt, Type [Axis]
Long-Term Debt, Type [Domain]
INVESTING ACTIVITIES:
us-gaap_EquitySecuritiesWithoutReadilyDeterminableFairValueAmount
Equity Securities without Readily Determinable Fair Value, Amount
us-gaap_EquitySecuritiesWithoutReadilyDeterminableFairValueImpairmentLossCumulativeAmount
Equity Securities without Readily Determinable Fair Value, Impairment Loss, Cumulative Amount
us-gaap_AvailableForSaleSecuritiesDebtSecurities
Fair Value
Net income per share:
Earnings Per Share [Text Block]
Non-marketable equity investments
us-gaap_IncomeLossFromEquityMethodInvestments
Loss on equity method investments
Accounts payable and accrued expenses
us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
Earnings before income taxes
Income tax provision
Provision for income taxes
Short-Term Debt, Type [Axis]
Short-Term Debt, Type [Domain]
ComplyALIGN [Member]
Related to ComplyAlign.
Accrued royalties
us-gaap_IncreaseDecreaseInRoyaltiesPayable
us-gaap_DefinedContributionPlanEmployerDiscretionaryContributionAmount
Defined Contribution Plan, Employer Discretionary Contribution Amount
Other general and administrative expenses
Cash and cash equivalents
stock based compensation expense
Share-based Payment Arrangement, Expense
Amendment Flag
us-gaap_ComprehensiveIncomeNetOfTax
Comprehensive income
City Area Code
Use of Estimates, Policy [Policy Text Block]
Deferred revenue
us-gaap_IncreaseDecreaseInContractWithCustomerLiability
Common stock, shares outstanding (in shares)
Common Stock, Shares, Outstanding (in shares)
Balance (in shares)
Balance (in shares)
us-gaap_PreferredStockSharesOutstanding
Preferred Stock, Shares Outstanding (in shares)
Financing Receivable, Allowance for Credit Loss [Table Text Block]
us-gaap_IncreaseDecreaseInOtherOperatingAssets
Other assets
Current Fiscal Year End Date
us-gaap_DebtInstrumentBasisSpreadOnVariableRate1
Debt Instrument, Basis Spread on Variable Rate
us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
Other prepaid expenses and other current assets
us-gaap_OperatingLeaseWeightedAverageDiscountRatePercent
Operating Lease, Weighted Average Discount Rate, Percent
Document Fiscal Period Focus
us-gaap_OperatingLeaseCost
Operating Lease, Cost
Document Fiscal Year Focus
Document Period End Date
us-gaap_OperatingLeaseWeightedAverageRemainingLeaseTerm1
Operating Lease, Weighted Average Remaining Lease Term (Year)
Entity File Number
us-gaap_DividendsCash
Dividends, cash outlay
Entity Emerging Growth Company
Document Type
Entity Small Business
Entity Shell Company
Document Information [Line Items]
Document Information [Table]
us-gaap_IncreaseDecreaseInPrepaidRoyalties
Prepaid royalties
Entity Public Float
Entity Filer Category
Entity Current Reporting Status
Entity Voluntary Filers
us-gaap_BusinessCombinationAcquisitionRelatedCosts
Business Combination, Acquisition Related Costs
us-gaap_DividendsCommonStock
Dividends declared on common stock ($0.100 per share)
Entity Well-known Seasoned Issuer
us-gaap_ImpairmentOfIntangibleAssetsFinitelived
Impairment of Intangible Assets, Finite-Lived
Accumulated amortization on capitalized software development
Variable Rate [Domain]
Capitalized software development, net of accumulated amortization of $127,009 and $105,025 at December 31, 2023 and 2022, respectively
Fed Funds Effective Rate Overnight Index Swap Rate [Member]
Accounts and unbilled receivables
us-gaap_IncreaseDecreaseInReceivables
us-gaap_CapitalizedComputerSoftwareAmortization1
Capitalized Computer Software, Amortization
us-gaap_ImpairmentOfLongLivedAssetsHeldForUse
Impairment, Long-Lived Asset, Held-for-Use
Variable Rate [Axis]
Stock-based compensation
Statement of Comprehensive Income [Abstract]
Entity Tax Identification Number
Entity Central Index Key
us-gaap_LessorOperatingLeasePaymentsToBeReceivedNextTwelveMonths
Lessor, Operating Lease, Payment to be Received, Year One
Entity Registrant Name
us-gaap_LessorOperatingLeasePaymentsToBeReceivedThreeYears
Lessor, Operating Lease, Payment to be Received, Year Three
Entity [Domain]
Legal Entity [Axis]
Entity Address, Address Line One
us-gaap_AmortizationOfIntangibleAssets
Amortization of Intangible Assets
ecd_NonRule10b51ArrTrmntdFlag
Non-Rule 10b5-1 Arrangement Terminated [Flag]
Entity Address, City or Town
ecd_Rule10b51ArrTrmntdFlag
Rule 10b5-1 Arrangement Terminated [Flag]
Amortization of deferred commissions
Amortization of Deferred Sales Commissions
ecd_Rule10b51ArrAdoptedFlag
Rule 10b5-1 Arrangement Adopted [Flag]
Entity Address, Postal Zip Code
Entity Address, State or Province
ecd_NonRule10b51ArrAdoptedFlag
Non-Rule 10b5-1 Arrangement Adopted [Flag]
Material Terms of Trading Arrangement [Text Block]
us-gaap_StockRepurchasedDuringPeriodShares
Stock Repurchased During Period, Shares (in shares)
Repurchase of common stock (in shares)
us-gaap_StockRedeemedOrCalledDuringPeriodValue
Stock Redeemed or Called During Period, Value
us-gaap_StockRedeemedOrCalledDuringPeriodShares
Stock Redeemed or Called During Period, Shares (in shares)
Entity Common Stock, Shares Outstanding
Investments in Debt and Marketable Equity Securities (and Certain Trading Assets) Disclosure [Text Block]
us-gaap_StockRepurchasedDuringPeriodValue
Stock Repurchased During Period, Value
Repurchase of common stock
us-gaap_AdvertisingExpense
Advertising Expense
Trading Symbol
Issuance of common stock in acquisition (in shares)
Local Phone Number
Issuance of common stock in acquisition
us-gaap_GainLossOnDispositionOfAssets
(Gain) loss on disposal of fixed assets
Exercised, Shares (in shares)
us-gaap_TableTextBlock
Notes Tables
us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
Line of Credit Facility, Maximum Borrowing Capacity
us-gaap_LineOfCreditFacilityUnusedCapacityCommitmentFeePercentage
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage
Common stock issued under stock plans, net of shares withheld for employee taxes (in shares)
Provision for credit losses
Accounts Receivable, Credit Loss Expense (Reversal)
Common stock issued under stock plans, net of shares withheld for employee taxes
Granted, Shares (in shares)
Forfeited, Shares (in shares)
Sales and marketing
Line of Credit Facility, Lender [Domain]
hstm_CapitalizedSoftwareDevelopmentAmortizationPeriod
Capitalized Software Development Amortization Period (Year)
Represents software development amortization period.
us-gaap_CapitalizedSoftwareDevelopmentCostsForSoftwareSoldToCustomers
Capitalized Software Development Costs for Software Sold to Customers
Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate [Member]
Deferred commissions
Represents the amount associated with customer, asset, sales commission, noncurrent.
hstm_NumberOfPossibleSourcesOfTaxableIncome
Number of Possible Sources of Taxable Income
Represents number of possible sources of taxable income.
Lender Name [Axis]
us-gaap_LiabilitiesAndStockholdersEquity
Total liabilities and shareholders’ equity
hstm_StockRepurchasedAveragePricePerShare
Stock Repurchased Average Price per Share (in dollars per share)
Represents the stock repurchased average price per share.
Property Plant and Equipment Useful Lives [Table Text Block]
Tabular Disclosure of property plant and equipment useful lives.
Product development
Retained earnings
Accumulated other comprehensive loss
Debt Disclosure [Text Block]
Changes in operating assets and liabilities:
Change in fair value of non-marketable equity investments
Represents the change in fair value of non-marketable equity investments during the period.
us-gaap_DisclosureTextBlockAbstract
Notes to Financial Statements
hstm_IncreaseDecreaseInDeferredCommissions
Deferred commissions
Represents the increase (decrease) in deferred commissions during the period.
us-gaap_OtherNoncashIncomeExpense
Other
hstm_PaymentsToAcquireNonMarketableEquityInvestments
Payments to acquire non-marketable equity investments
Payments to acquire non-marketable equity investments during the period.
Subsequent Event [Member]
Operating lease liability, noncurrent
Non-cash paid time off expense
Represents the amount of non-cash paid time off expense recognized during the period.
Proceeds from sale of non-marketable equity investments
Information on the proceeds from the sale of non-marketable equity investments.
us-gaap_OperatingLeaseLiability
Total lease liabilities
Total operating lease liabilities
Subscription Services [Member]
Represents information regarding subscription services.
Rievent Technologies [Member]
Represents information regarding Rievent Technologies.
Professional Services [Member]
Represents information regarding professional services.
Subsequent Event Type [Axis]
Operating lease liabilities, current
Subsequent Event Type [Domain]
Product Development [Member]
Represents information included in the Product Development line item.
Retirement Benefits [Text Block]
Gross Amount
Operating lease right of use assets, net
us-gaap_LesseeOperatingLeaseLiabilityPaymentsDue
Total undiscounted lease payments
us-gaap_LesseeOperatingLeaseLiabilityUndiscountedExcessAmount
Less imputed interest
us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardCompensationCost1
Share-based Payment Arrangement, Expensed and Capitalized, Amount, Total
Deferred income taxes
us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive
Thereafter
us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueYearThree
2026
us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueYearFour
2027
us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueYearFive
2028
us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive
Thereafter
Fair Value Measurement, Policy [Policy Text Block]
us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo
2025
Fair Value of Financial Instruments, Policy [Policy Text Block]
us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearThree
2026
us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFour
2027
us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths
2024
November 2021 Share Repurchase Program [Member]
Information on shares authorized to be repurchased during 2021.
Debt Securities, Available-for-Sale [Table Text Block]
us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFive
2028
us-gaap_LesseeOperatingLeaseLiabilityPaymentsDueYearTwo
2025
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]
us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths
2024
Foreign Currency Transactions and Translations Policy [Policy Text Block]
Lessee, Operating Lease, Liability, to be Paid, Maturity [Table Text Block]
Stock-based compensation
us-gaap_ShareBasedCompensation
Other assets
Lessee, Leases [Policy Text Block]
us-gaap_FiniteLivedIntangibleAssetUsefulLife
Finite-Lived Intangible Asset, Useful Life (Year)
Lessee, Operating Lease, Assets and Liabilities [Table Text Block]
Information on the assets and liabilities related to the lessee's operating lease.
Earnings Per Share, Policy [Policy Text Block]
Stock donated to Company (held in treasury)
Information on the value of shares donated to the company.
us-gaap_FiniteLivedIntangibleAssetsPurchaseAccountingAdjustments
Finite-Lived Intangible Assets, Purchase Accounting Adjustments
hstm_TreasuryStockSharesDonatedShares
Stock donated to Company (held in treasury) (in shares)
Information on the number of shares donated to the company and held in treasury.
Income Tax, Policy [Policy Text Block]
Non-marketable Equity Investments Disclosure [Text Block]
The entire disclosure for non-marketable equity investments.
Schedule of Finite-Lived Intangible Assets [Table Text Block]
Research, Development, and Computer Software, Policy [Policy Text Block]
us-gaap_RestrictedStockSharesIssuedNetOfSharesForTaxWithholdings
Restricted Stock, Shares Issued Net of Shares for Tax Withholdings (in shares)
us-gaap_Depreciation
Depreciation
Depreciation and amortization
Depreciation and amortization
us-gaap_AssetsCurrent
Total current assets
Share-Based Payment Arrangement [Policy Text Block]
Equity [Text Block]
Third Amendment [Member]
Represents information regarding the Third Amendment to the credit agreement.
Advertising Cost [Policy Text Block]
hstm_LineOfCreditFacilityPercentageOfApplicableMarginForBorrowings
Line of Credit Facility, Percentage of Applicable Margin for Borrowings
Represents the applicable margin percentage for borrowings under a line of credit facility.
Adjustments to reconcile net income to net cash provided by operating activities:
Common stock, shares authorized (in shares)
Common Stock, Shares Authorized (in shares)
Truist Bank [Member]
Represents information regarding Truist Bank.
Swing Line Subfacility [Member]
Represents information regarding a swing line subfacility.
Common stock, shares issued (in shares)
Common Stock, Shares, Issued (in shares)
Letter of Credit Subfacility [Member]
Represents information regarding a letter of credit subfacility.
hstm_LineOfCreditFacilityIncreasedFacilitySizeDueToAccordionFeature
Line of Credit Facility, Increased Facility Size Due to Accordion Feature
Represents the increased line of credit facility size due to accordion feature.
Common stock, par value (in dollars per share)
Revenue from Contract with Customer [Policy Text Block]
hstm_DebtInstrumentCovenantMaximumFundedDebtLeverageRatio
Debt Instrument, Covenant, Maximum Funded Debt Leverage Ratio
Requirement for maximum funded debt ratio (consolidated debt/consolidated EBITDA) under the debt agreement.
Common stock, no par value, 75,000 shares authorized; 30,298 and 30,579 shares issued and outstanding at December 31, 2023 and 2022, respectively
hstm_DebtInstrumentCovenantInterestCoverageRatio
Debt Instrument, Covenant, Interest Coverage Ratio
Represents the minimum requirement for interest coverage ratio under the debt agreement.
us-gaap_DeferredTaxAssetsValuationAllowance
Deferred Tax Assets, Valuation Allowance
Less: Valuation allowance
Statistical Measurement [Domain]
us-gaap_OperatingLeasePayments
Operating Lease, Payments
Maximum [Member]
Minimum [Member]
Weighted Average [Member]
Product and Service [Axis]
Other prepaid expenses and other current assets
us-gaap_DeferredTaxAssetsNet
Deferred tax assets, net of valuation allowance
Product and Service [Domain]
Statistical Measurement [Axis]
Deferred Charges, Policy [Policy Text Block]
Recently Adopted Accounting Standards Policy [Policy Text Block]
Disclosure of accounting policy for recently adopted accounting standards policy.
Goodwill and Intangible Assets, Intangible Assets, Policy [Policy Text Block]
us-gaap_PreferredStockSharesIssued
Preferred Stock, Shares Issued (in shares)
Interest paid
Impairment or Disposal of Long-Lived Assets, Policy [Policy Text Block]
Property, Plant and Equipment Disclosure [Text Block]
Property, Plant and Equipment [Table Text Block]
us-gaap_DeferredTaxAssetsGross
Total deferred tax assets
Prepaid royalties, net of amortization
Goodwill and Intangible Assets, Goodwill, Policy [Policy Text Block]
us-gaap_PreferredStockSharesAuthorized
Preferred Stock, Shares Authorized (in shares)
us-gaap_DeferredIncomeTaxLiabilities
Total deferred tax liabilities
Revenue from Contract with Customer Commissions Policy [Policy Text Block]
Disclosure of accounting policy for revenue from contract with customer commissions.
Shipping and Handling Costs Policy [Policy Text Block]
Disclosure of accounting policy for snipping and handling costs.
hstm_CapitalizedComputerSoftwareDuringPeriodGross
Capitalized Computer Software, During Period, Gross
Amount before accumulated amortization of capitalized costs for computer software, including but not limited to, acquired and internally developed computer software during the period.
Business Description [Policy Text Block]
Disclosure of accounting policy for business description.
us-gaap_DeferredTaxAssetsDeferredIncome
Deferred revenue
ANSOS [Member]
Represents ANSOS.
Fair Value Hierarchy and NAV [Domain]
Fair Value, Inputs, Level 2 [Member]
Fair Value Hierarchy and NAV [Axis]
us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAccruedLiabilities
Accrued liabilities
Property and equipment, estimated useful lives (Year)
Accounts receivable - unbilled
OPERATING ACTIVITIES:
Allowance for credit losses
Statement [Line Items]
Accounts Receivable, Allowance for Credit Loss, Current
Allowance balance
Allowance balance
Furniture and Fixtures [Member]
Accounts receivable, net of allowance of $781 and $544 at December 31, 2023 and 2022, respectively
us-gaap_DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
Stock-based compensation
AOCI Attributable to Parent [Member]
Shareholders’ equity:
Leasehold Improvements [Member]
Marketable securities
Property, Plant and Equipment, Policy [Policy Text Block]
Long-Lived Tangible Asset [Axis]
Other income (loss), net
Long-Lived Tangible Asset [Domain]
Tax credits
Net operating loss carryforwards
Chief Executive Officer [Member]
Current assets:
us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations
Cash and cash equivalents at beginning of period
Cash and cash equivalents at end of period
us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
Net (decrease) increase in cash and cash equivalents
Deferred tax assets:
us-gaap_NetCashProvidedByUsedInFinancingActivities
Net cash used in financing activities
Commitments and contingencies
Effect of exchange rate changes on cash and cash equivalents
us-gaap_OperatingIncomeLoss
Operating income
us-gaap_ContractWithCustomerLiabilityRevenueRecognized
Contract with Customer, Liability, Revenue Recognized
us-gaap_NetCashProvidedByUsedInOperatingActivities
Net cash provided by operating activities
us-gaap_NetCashProvidedByUsedInInvestingActivities
Net cash used in investing activities
us-gaap_DeferredTaxLiabilities
Net deferred tax liabilities
Deductible goodwill
Nondeductible intangible assets
Base Rate [Member]
The 2016 Plan [Member]
Repressors 2016 Omnibus Incentive Plan (2016 Plan).
hstm_EmployeeServiceSharebasedCompensationTaxBenefitExpenseFromExerciseOfStockOptions
Employee Service Share-based Compensation, Tax Benefit Expense from Exercise of Stock Options
Represents tax benefit expense from exercise of stock options under share based payment arrangement.
Deferred tax liabilities
The 2016 Omnibus Incentive Plan [Member]
Represents the 2016 Omnibus Incentive Plan.
hstm_NumberOfEmployeesAwardedFullyVestedShares
Number of Employees Awarded Fully Vested Shares
Represents number of employees awarded fully vested shares.
Capitalized software development
Equity Securities without Readily Determinable Fair Value [Policy Text Block]
Stock Options And Restricted Stock Units [Member]
Represents stock options and restricted stock units.
Lease liability
Represents deferred tax assets tax lease liability.
us-gaap_DeferredTaxLiabilitiesInvestments
Basis difference on investments
Right of use assets
Represents deferred tax liabilities right of use assets.
Depreciation
Represents deferred tax liabilities depreciation.
hstm_PaymentsRelatedToTaxWithholdingForShareBasedCompensationForStockAwards
Payments Related to Tax Withholding for Share Based Compensation for Stock Awards
Represents payments related to tax withholding for share based compensation for stock awards.
Marketable Securities, Policy [Policy Text Block]
hstm_AdditionalStockRedeemedOrCalledDuringPeriodShares
Additional Stock Redeemed or Called During Period, Shares (in shares)
Represents additional number of stock redeemed or called during period.
Concentration Risk, Credit Risk, Policy [Policy Text Block]
us-gaap_PaymentsRelatedToTaxWithholdingForShareBasedCompensation
Payment, Tax Withholding, Share-Based Payment Arrangement
Taxes paid related to net settlement of equity awards
us-gaap_DeferredTaxLiabilitiesPrepaidExpenses
Prepaid assets
Deferred tax liabilities:
us-gaap_PaymentsOfDividendsCommonStock
Payment of cash dividends
us-gaap_CostsAndExpenses
Total operating costs and expenses
us-gaap_PaymentsForRepurchaseOfCommonStock
Repurchases of common stock
Operating costs and expenses:
us-gaap_UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestExpense
Unrecognized Tax Benefits, Income Tax Penalties and Interest Expense
Retained Earnings [Member]
Revenues, net
Revenues
Title of Individual [Domain]
Current state
Title of Individual [Axis]
Deferred state
Common Stock Including Additional Paid in Capital [Member]
Current foreign
Deferred foreign
Share Repurchase Program [Domain]
Current federal
us-gaap_StockRepurchaseProgramAuthorizedAmount1
Stock Repurchase Program, Authorized Amount
Deferred federal
Equity Components [Axis]
Share Repurchase Program [Axis]
Equity Component [Domain]
Accounts Payable and Accrued Liabilities [Member]
us-gaap_RevenueRemainingPerformanceObligationPercentage
Revenue, Remaining Performance Obligation, Percentage
us-gaap_RevenueRemainingPerformanceObligationExpectedTimingOfSatisfactionPeriod1
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Period (Month)
us-gaap_RevenueRemainingPerformanceObligation
Revenue, Remaining Performance Obligation, Amount
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]
Foreign
us-gaap_IncomeTaxExaminationYearUnderExamination
Income Tax Examination, Year under Examination
us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
Income before income tax provision
United States
ICFR Auditor Attestation Flag
us-gaap_LineOfCredit
Long-Term Line of Credit, Total
State and Local Jurisdiction [Member]
Income Tax Authority, Name [Axis]
Income Tax Authority, Name [Domain]
Internal Revenue Service (IRS) [Member]
Income Tax Authority [Axis]
Income Tax Authority [Domain]
Disaggregation of Revenue [Table Text Block]
Domestic Tax Authority [Member]
Foreign Tax Authority [Member]
Equipment [Member]
Revenue from Contract with Customer [Text Block]
Document Annual Report
Receivables, Trade and Other Accounts Receivable, Allowance for Doubtful Accounts, Policy [Policy Text Block]
Cash and Cash Equivalents, Policy [Policy Text Block]
Second Quarter Dividends [Member]
Represents 2nd quarter dividends.
Balance Sheet Location [Axis]
First Quarter Dividends [Member]
Represents 1st quarter dividends.
Balance Sheet Location [Domain]
Entity Incorporation, State or Country Code
us-gaap_DebtInstrumentCarryingAmount
Long-Term Debt, Gross
us-gaap_UnrecognizedTaxBenefits
Balance
Balance at end of year
General and Administrative Expense [Member]
us-gaap_UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate
Unrecognized Tax Benefits that Would Impact Effective Tax Rate
Accounting Policies [Abstract]
Document Transition Report
Document Financial Statement Error Correction [Flag]
Basis of Accounting, Policy [Policy Text Block]
Entity Interactive Data Current
Selling and Marketing Expense [Member]
Dividends declared per share (in dollars per share)
Common Stock, Dividends, Per Share, Declared (in dollars per share)
Security Exchange Name
us-gaap_UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions
Reductions for tax positions of prior years
Additions for tax positions in current year
Title of 12(b) Security
us-gaap_AllowanceForDoubtfulAccountsReceivableWriteOffs
Write-offs
Cost of Sales [Member]
Income Statement Location [Axis]
Income Statement Location [Domain]
hstm_IncomeTaxExpenseBenefitDiscreteAdjustments
Income Tax Expense (Benefit), Discrete Adjustments
Amount of discrete adjustments to income tax expense (benefit) and deferred income tax expense (benefit) pertaining to continuing operations.
Auditor Name
Summary of Income Tax Contingencies [Table Text Block]
Auditor Firm ID
CloudCME, LLC [Member]
Represents CloudCME, LLC.
Auditor Location
us-gaap_SharePrice
Share Price (in dollars per share)
us-gaap_AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount (in shares)
Diluted (in shares)
Weighted-average diluted shares (in shares)
us-gaap_OperatingLossCarryforwards
Operating Loss Carryforwards
Statement [Table]
Statement of Financial Position [Abstract]
Diluted (in dollars per share)
Basic (in shares)
Weighted-average shares outstanding (in shares)
Cost of revenues (excluding depreciation and amortization)
Business Acquisition [Axis]
Basic (in dollars per share)
Business Acquisition, Acquiree [Domain]
us-gaap_DebtSecuritiesAvailableForSaleAllowanceForCreditLoss
Debt Securities, Available-for-Sale, Allowance for Credit Loss
Statement of Cash Flows [Abstract]
Statement of Stockholders' Equity [Abstract]
Income Statement [Abstract]
Comprehensive income (loss)
Total other comprehensive income (loss)
March 2022 Share Repurchase Program [Member]
Represents the shares repurchased under the March 2020 plan.
Schedule of Income before Income Tax, Domestic and Foreign [Table Text Block]
Schedule of Components of Income Tax Expense (Benefit) [Table Text Block]
Schedule of Deferred Tax Assets and Liabilities [Table Text Block]
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
us-gaap_BusinessCombinationStepAcquisitionEquityInterestInAcquireePercentage
Business Combination, Step Acquisition, Equity Interest in Acquiree, Percentage
us-gaap_DividendPayableDateToBePaidDayMonthAndYear
Dividends Payable, Date to be Paid
Other
Dividends Declared [Table Text Block]
FINANCING ACTIVITIES:
Other long-term liabilities
us-gaap_DividendsPayableDateDeclaredDayMonthAndYear
Dividends, declaration date
us-gaap_DividendsPayableDateOfRecordDayMonthAndYear
Dividends Payable, Date of Record
Adjustments for prior year taxes
Change in valuation allowance
us-gaap_DividendsPayableAmountPerShare
Dividends, amount per share (in dollars per share)
Dividends [Axis]
Dividends [Domain]
us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedNet
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net
us-gaap_StockholdersEquity
Total shareholders’ equity
Balance
Balance
Deferred revenue, noncurrent
us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired
Business combinations, net of cash acquired
Class of Stock [Axis]
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
us-gaap_PaymentsToAcquireBusinessesGross
Payments to Acquire Businesses, Gross
us-gaap_AvailableForSaleDebtSecuritiesAccumulatedGrossUnrealizedLossBeforeTax
Unrealized Losses
Unrealized Gains
us-gaap_IncomeTaxReconciliationTaxCredits
Tax credits
Adjusted Cost
State income tax provision, net of federal benefit