NASDAQ · HSTM

Healthstream Inc

Closing price · Nov 13, 2026 $27.97

Latest quarter · ended Sep 30, 2026

Cash got weaker, but sales grew

descriptionFiled Nov 5, 2026
Revenue growthSlower
+8.9%
Quarter ended Dec 31, 2024: +5.2% sales vs. a year beforeQuarter ended Mar 31, 2025: +1.0% sales vs. a year beforeQuarter ended Jun 30, 2025: +4.0% sales vs. a year beforeQuarter ended Sep 30, 2025: +4.6% sales vs. a year beforeQuarter ended Dec 31, 2025: +7.4% sales vs. a year beforeQuarter ended Mar 31, 2026: +10.5% sales vs. a year beforeQuarter ended Jun 30, 2026: +12.5% sales vs. a year beforeQuarter ended Sep 30, 2026: +8.9% sales vs. a year before
Dec '24Sep '26
$83.3M vs. $76.5M a year ago
Cash from operationsWorse
$17.4M
Quarter ended Dec 31, 2024: $11.2M cash from operationsQuarter ended Mar 31, 2025: $27.1M cash from operationsQuarter ended Jun 30, 2025: $5.02M cash from operationsQuarter ended Sep 30, 2025: $18M cash from operationsQuarter ended Dec 31, 2025: $13.2M cash from operationsQuarter ended Mar 31, 2026: $27.1M cash from operationsQuarter ended Jun 30, 2026: $13.4M cash from operationsQuarter ended Sep 30, 2026: $17.4M cash from operations
Dec '24Sep '26
−4% from $18M a year ago
Share countDiluting
+3.3%
Quarter ended Dec 31, 2024: 30.43M sharesQuarter ended Mar 31, 2025: 30.53M sharesQuarter ended Jun 30, 2025: 29.64M sharesQuarter ended Sep 30, 2025: 29.67M sharesQuarter ended Dec 31, 2025: 29.36M sharesQuarter ended Mar 31, 2026: 29.22M sharesQuarter ended Jun 30, 2026: 29.24M sharesQuarter ended Sep 30, 2026: 30.63M shares
Dec '24Sep '26
30.63M shares vs. 29.67M a year ago

Numbers come from the company's own 10-Q and 10-K reports filed with the SEC. Each bar is one quarter, oldest on the left. The colored bar is the latest. Hover over or tap a bar to see its number.

Smart money pulse

What insiders and funds are doing

Selling Insiders: as of Nov 13 Funds: as of Jun 30, 2026
−1000+100 −67
  • account_balance
    2 funds bought, 4 sold in the quarter ended Jun 30, 2026, counting funds that hold 500 stocks or fewer and $1M+ of this one. Index funds and banks are left out.
  • info
    8 real insider sales in 12 months. $5.6M in total, not counting planned sales.

−100 means everyone selling, +100 everyone buying. This is data, not advice.

How the Pulse works

Pulse runs from −100 (everyone selling) to +100 (everyone buying). Half comes from insiders: real buyers vs. real sellers in the last 90 days (Form 4). Half comes from funds: funds that bought vs. funds that sold last quarter (13F). 13F is a snapshot of long positions on the last day of the quarter, filed up to 45 days later. It does not show short positions or trades since then.

Who owns it

222 funds report owning HSTM, up from 196

Holdings as of Jun 30, 2026
New49
Added68
Held51
Trimmed54
Sold out22

Last quarter

Who bought and who sold

Apr–Jun 2026
Copeland Capital Management, LLC
−2%
First Eagle Investment Management, LLC
+39%
Invenomic Capital Management LP
Sold
Crawford Investment Counsel Inc
New
Am Investment Strategies LLC
−9%
Bridge City Capital, LLC
−3%

Change in shares held from Mar 31 to Jun 30, 2026, biggest holdings first. Only funds that hold 500 stocks or fewer and $1M+ of this one: index funds and banks own almost everything, so their changes say little. Bars stop at ±100%.

Insider trades · last 12 months

Real buys and sales

● Open-market buy● Open-market sale
CEOCFOOther officersDirectorsDecJanFebMarAprMayJunJulAugSepOctNovGift · Dec 1 · 40 shGift · Dec 2 · 394 shGift · Dec 8 · 6,800 shCode D · Dec 9 · 157,778 shGift · Dec 15 · 927,918 shOption exercise · Feb 27 · 19,006 sh · 5 peopleShares withheld for tax · Feb 27 · $125K · 5 peopleShares withheld for tax · Feb 27 · $16.7KOption exercise · Feb 27 · 2,541 shOption exercise · Mar 30 · 30,634 sh · 6 peopleShares withheld for tax · Mar 30 · $160K · 6 peopleShares withheld for tax · Mar 30 · $20.9KOption exercise · Mar 30 · 4,038 shOption exercise · Mar 30 · 5,601 shShares withheld for tax · Mar 30 · $29KStock grant · May 28 · $36.5KPlanned sale (10b5-1) · May 28 · $50KPlanned sale (10b5-1) · Jun 1 · $50KOption exercise · Jun 8 · 20,137 sh · 7 peopleStock grant · Jun 8 · 3,148 shPlanned sale (10b5-1) · Jul 6 · $174KShares withheld for tax · Sep 29 · $52.1K · 6 peopleOption exercise · Sep 29 · 8,758 sh · 6 peopleOption exercise · Sep 29 · 1,955 shShares withheld for tax · Sep 29 · $13.9KShares withheld for tax · Sep 29 · $11.1KOption exercise · Sep 29 · 1,564 shPlanned sale (10b5-1) · Oct 23 · $420KShares withheld for tax · Oct 29 · $58.7K · 6 peopleOption exercise · Oct 29 · 6,948 sh · 6 peopleShares withheld for tax · Oct 29 · $9.33KOption exercise · Oct 29 · 1,119 shShares withheld for tax · Oct 29 · $7.45KOption exercise · Oct 29 · 895 shOption exercise · Nov 5 · $366KGift · Nov 6 · 900 shOpen-market sale · Dec 8 · $48.5KOpen-market sale · Dec 10 · $50.6KOpen-market sale · May 20 · $72.2KOpen-market sale · Sep 14 · $4.25MOpen-market sale · Nov 5 · $763K · 2 peopleOpen-market sale · Nov 5 · $306KOpen-market sale · Nov 5 · $106K
CEOCFOOther officersDirectorsJunJulAugSepOctNovPlanned sale (10b5-1) · Jun 1 · $50KOption exercise · Jun 8 · 20,137 sh · 7 peopleStock grant · Jun 8 · 3,148 shPlanned sale (10b5-1) · Jul 6 · $174KShares withheld for tax · Sep 29 · $52.1K · 6 peopleOption exercise · Sep 29 · 8,758 sh · 6 peopleOption exercise · Sep 29 · 1,955 shShares withheld for tax · Sep 29 · $13.9KShares withheld for tax · Sep 29 · $11.1KOption exercise · Sep 29 · 1,564 shPlanned sale (10b5-1) · Oct 23 · $420KShares withheld for tax · Oct 29 · $58.7K · 6 peopleOption exercise · Oct 29 · 6,948 sh · 6 peopleShares withheld for tax · Oct 29 · $9.33KOption exercise · Oct 29 · 1,119 shShares withheld for tax · Oct 29 · $7.45KOption exercise · Oct 29 · 895 shOption exercise · Nov 5 · $366KGift · Nov 6 · 900 shOpen-market sale · Sep 14 · $4.25MOpen-market sale · Nov 5 · $763K · 2 peopleOpen-market sale · Nov 5 · $306KOpen-market sale · Nov 5 · $106K

Last 6 months. A wider screen shows 12.

Showing 8 real trades. Hidden: 2 stock grants, 30 tax withholdings, 38 option exercises, 4 planned 10b5-1 sales, 5 gifts. Those happen on a schedule and say little about what an insider thinks. Bigger dot means a bigger trade.

Real trades, newest first

Nov 5 Michael Collier Executive Vice President Open-market sale $638K 21,300 sh at $29.97 Sold 26% of stake
Nov 5 Scott Roberts CFO and SVP Open-market sale $306K 9,500 sh at $32.26 Sold 25% of stake
Nov 5 Kevin O'Hara Executive Vice President Open-market sale $124K 4,000 sh at $31.11 Sold 17% of stake
Nov 5 Tate Taylor Director Open-market sale $106K 3,281 sh at $32.19 Sold 13% of stake
Sep 14 Robert Frist CEO and Chairman, Director, 10% owner Open-market sale $4.25M 144,068 sh at $29.50 Sold 4% of stake
May 20 Kevin O'Hara Executive Vice President Open-market sale $72.2K 3,000 sh at $24.08 Sold 13% of stake
Dec 10 Jeff Cunningham CTO Open-market sale $50.6K 2,100 sh at $24.09 Sold 6% of stake
Dec 8 Kevin O'Hara Executive Vice President Open-market sale $48.5K 2,000 sh at $24.26 Sold 11% of stake

Showing every filing. Dashed circles are routine: grants, tax withholding, option exercises and planned sales.

Top holders

Biggest funds in HSTM

As of Jun 30, 2026
FundOwnsValueChange
BlackRock, Inc.13.3%$111M+6%
Dimensional Fund Advisors LP5.1%$42.5M+7%
Copeland Capital Management, LLC4.1%$34M−2%
Vanguard Capital Management LLC3.4%$28.5MSame
State Street Corp3.3%$27.4M+1%

"Owns" is shares reported divided by shares outstanding.

Where this data comes from. Insider trades, fund holdings, activist stakes and company results come from public SEC EDGAR filings (Forms 4, 13F, 13D/13G, 10-Q and 8-K). Congress trades come from the STOCK Act reports members file with the House Clerk and the Senate. Daily closing prices come from post-no-preference/stocks on DoltHub, a community-run database shared under CC BY-SA 4.0; the prices we show stay under that license. They are each day's close, not live or official exchange prices.

This is data, not investment advice. About StockToast