HealthStream Acquires MissionCare Collective for Up to $40M
HealthStream announced that it has acquired MissionCare Collective LLC, a healthcare workforce company that includes the largest caregiver network in the U.S. as providers, caregivers, and payors benefit from its portfolio of technology-based tools that help to recruit, engage, and retain the healthcare workforce and improve care delivery. "We built MissionCare Collective to help change the culture of care," said Brandi Kurtyka, Co-Founder and CEO of MissionCare Collective. "By joining HealthStream, we can extend that vision to reach more caregivers, clinicians, and healthcare organizations-helping the industry to recruit, engage, and retain their workforce while advancing our shared commitment to improve the quality of healthcare by investing in the people who deliver it." HealthStream acquired the outstanding equity of MissionCare Collective for a purchase price of up to $40M, consisting of (i) a closing cash payment of $26M, (ii) approximately $4M in shares of HealthStream common stock issued at closing through a private placement, and (iii) up to $10M of cash earnout payments subject to achievement of agreed upon targets over the next three years.
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HealthStream Acquires MissionCare for Up to $40 Million
- Acquisition Expansion: HealthStream's acquisition of MissionCare Collective for up to $40 million enhances its competitive edge in healthcare workforce solutions, particularly in recruiting and retaining non-medical caregivers.
- Market Demand: MissionCare's myCNAjobs.com platform currently connects 5.2 million caregivers, addressing the growing demand for home care in the U.S., with the 65+ population projected to reach 20.6% by 2030.
- Technology Integration: This acquisition integrates MissionCare's technological tools with HealthStream's hStream platform, enhancing support and professional development opportunities for caregivers, thereby strengthening the company's service capabilities.
- Industry Challenge Response: With staffing identified as the biggest challenge in home care by 2025, this acquisition positions HealthStream to better address this issue, potentially increasing market share and customer satisfaction.

HealthStream CEO Frist Donates $3.5M in Stock to Incentivize Employees
- Employee Incentive Program: HealthStream CEO Robert A. Frist, Jr. donated approximately $3.5 million in personal stock to grant 146,286 shares to over 700 employees with at least three years of service, aiming to enhance employee engagement and morale.
- No Dilution Impact: The stock grant will not dilute existing shareholders' equity, except for Frist's personal shares, ensuring that shareholder interests remain intact while fostering a sense of ownership among employees.
- Financial Impact: The company will record approximately $3.5 million in compensation expenses and $275,000 in administrative costs in Q4 2025, leading to a decrease in operating income by $3.775 million, net income by $2.955 million, and a diluted EPS impact of $0.10.
- Strategic Significance: Frist emphasized that this stock contribution not only recognizes employee efforts but also aims to improve overall company performance by enhancing employee engagement, reflecting the company's commitment to valuing its workforce.






