Stocks › Health Information Services › HSTM

HealthStream HSTM

US equityMarket cap rank #3259Health Information Services

$32.10 +$0.79 (+2.52%)

Pre-market · Oct 8, 8:10 am ET · After hours $32.10 0.00%

Open$31.20

Prev close$31.31

Day range$31.20 – $32.42

Volume228.4K

Market cap$982.13M

P/E (TTM)44.6

Dividend yield0.41%

Ownership & positioning

Who holds it, who is betting against it, and where the big money is moving

Institutional ownership73.4%-4.47 pts vs. prior quarter

Institutions holding264-4 vs. prior quarter

Insider trades (recent)37 buys / 13 sellsNet buying

Short interest4.23% of floatDays to cover 6.3 · as of 15 Sep 2026

Short-sale volume share24.5%5-day average of daily volume

Short-sale volume as % of daily volume

Large-order net flow, last 20 sessions

Net of large-order buying minus selling, in USD. Over this window: +$152.1K (8 inflow days, 12 outflow days).

Net flow by order size, last 20 sessions

Super/Big orders approximate institutional-size trades; Mid/Small approximate retail-size trades. Net buy minus sell value in each bucket, summed over the window.

The five largest holders on file together own 48.0% of shares outstanding.

Largest holders

Robert Frist16.36%
BlackRock13.34%
Willis Johnson9.15%
Dimensional Fund Advisors5.09%
Copeland Capital Management, LLC4.08%
Vanguard Capital Management, LLC3.93%
State Street Global Advisors3.28%
Vanguard Portfolio Management, LLC2.88%

By investor type

Mutual Fund62.41%
Individual/Insider28.36%
Hedge Fund6.55%
Public Company2.31%
Government Pension Fund1.00%
VC/PE Fund0.33%
Private Company0.29%
Insurance Company0.23%

Reported short interest has risen from 3.61% to 4.23% of float over the last 6 biweekly reports (30 Jun 2026 to 15 Sep 2026).

Recent institutional activity

Holder	Type	Period	Share change	New stake
Willis Johnson	Individual/Insider	2026/Q3	+2,800,000	9.2%
Nuveen Asset Management LLC	Insurance Company	2026/Q3	+50,666	0.2%
Goldman Sachs Asset Management, L.P.	Mutual Fund	2026/Q3	+408,863	1.9%
BlackRock	Mutual Fund	2026/Q3	+228,215	13.3%
Acadian Asset Management LLC	Mutual Fund	2026/Q3	+223,093	1.9%
AQR Capital Management	Hedge Fund	2026/Q3	+179,572	0.8%
J.P. Morgan Asset Management, Inc.	Mutual Fund	2026/Q3	+166,659	1.7%
First Eagle Investment Management, LLC	Mutual Fund	2026/Q3	+166,200	1.9%
Nuveen Investments	Mutual Fund	2026/Q3	+138,153	0.5%
Numeric Investors LLC	Hedge Fund	2026/Q3	+132,015	0.5%
Crawford Investment Counsel, Inc.	Mutual Fund	2026/Q3	+127,003	0.4%
Dimensional Fund Advisors	Mutual Fund	2026/Q3	+101,938	5.1%
Lazard Asset Management LLC	Mutual Fund	2026/Q3	+83,742	0.8%
Creative Planning, Inc.	Mutual Fund	2026/Q3	+67,666	0.9%
Geode Capital Management, LLC	Mutual Fund	2026/Q3	+64,472	2.5%

Institutional buy/sell activity by reporting period, largest moves first.

Insider transactions

Date	Insider	Title	Transaction	Shares	Price	Held after
28 Sep 2026	Robert Frist	Co-Founder, Chairman of the Board & CEO	Derivative Exercise and Sale	-477	$29.10	5,006,853
28 Sep 2026	Robert Frist	Co-Founder, Chairman of the Board & CEO	Derivative Exercise and Retained	+1,478	–	5,006,853
28 Sep 2026	Michael McQuigg	Senior Vice President of Digital & Network Development	Derivative Exercise and Sale	-381	–	36,374
28 Sep 2026	Michael McQuigg	Senior Vice President of Digital & Network Development	Derivative Exercise and Retained	+1,183	–	36,374
28 Sep 2026	Kevin O'Hara	Senior Vice President of Platform Solutions	Derivative Exercise and Sale	-400	$29.10	22,224
28 Sep 2026	Kevin O'Hara	Senior Vice President of Platform Solutions	Derivative Exercise and Retained	+1,242	–	22,224
28 Sep 2026	Jeffrey Cunningham	Chief Technology Officer	Derivative Exercise and Sale	-381	$29.10	38,696
28 Sep 2026	Jeffrey Cunningham	Chief Technology Officer	Derivative Exercise and Retained	+1,183	–	38,696
28 Sep 2026	Trisha Coady	Senior Vice President of Workforce Development Solutions	Derivative Exercise and Sale	-400	$29.10	40,737
28 Sep 2026	Trisha Coady	Senior Vice President of Workforce Development Solutions	Derivative Exercise and Retained	+1,242	–	40,737
28 Sep 2026	Michael Collier	Executive Vice President of Corporate Strategy & Development	Derivative Exercise and Sale	-477	$29.10	61,771
28 Sep 2026	Michael Collier	Executive Vice President of Corporate Strategy & Development	Derivative Exercise and Retained	+1,478	–	61,771
28 Sep 2026	Scott Roberts	CFO and Senior VP of Accounting & Finance	Derivative Exercise and Sale	-381	$29.10	37,983
28 Sep 2026	Scott Roberts	CFO and Senior VP of Accounting & Finance	Derivative Exercise and Retained	+1,183	–	37,983
28 Sep 2026	Jennifer LoPresto	Officer	Derivative Exercise and Sale	-134	$29.10	6,842
28 Sep 2026	Jennifer LoPresto	Officer	Derivative Exercise and Retained	+257	–	6,842
17 Sep 2026	Robert Frist	Co-Founder, Chairman of the Board & CEO	Other Derivative Acquisition	+23,093	–	5,132
17 Sep 2026	Michael McQuigg	Senior Vice President of Digital & Network Development	Other Derivative Acquisition	+18,474	–	4,105
17 Sep 2026	Kevin O'Hara	Senior Vice President of Platform Solutions	Other Derivative Acquisition	+23,093	–	5,132
17 Sep 2026	Jeffrey Cunningham	Chief Technology Officer	Other Derivative Acquisition	+18,474	–	4,105

From Form 4/Form 144 filings. Negative share counts are disposals (sales, gifts, or shares withheld for taxes); positive are acquisitions.

Short interest, by report

Report date	Shares short	% of float	Days to cover
15 Sep 2026	1,294,069	4.2%	6.3
31 Aug 2026	1,360,125	4.7%	7.2
14 Aug 2026	1,558,917	5.3%	7.1
31 Jul 2026	1,489,794	5.1%	8.9
15 Jul 2026	1,156,648	4.0%	6.7
30 Jun 2026	1,053,956	3.6%	4.3

Discussion

No comments yet — be the first to weigh in on HSTM.