HSTM — HealthStream Inc

Founder-Led

Stock analysis, trade plans, and proprietary indicators by Trend Edge.

About HealthStream Inc

HealthStream, Inc. provides Software-as-a-Service (SaaS) based applications for healthcare organizations in the United States. The company offers hStream, a technology platform; CredentialStream, provides healthcare organizations with tools to support the provider lifecycle management from recruiting, application submission, verification of licensure and other credentials, privileging, appointments by credentialing committees, enrollment, network… Read full Trend Edge analysis →

Trend Edge Proprietary Indicators

Key Metrics

Current Price$23.81
Market Cap$692M
Float23.2M
Shares Outstanding29.2M
P/E (Forward)33.11
P/E (TTM)35.33
Price/Sales (TTM)2.22
vs. Analyst Target+34.4% to analyst PT
Profit Margin6.39%
Operating Margin (TTM)9.25%
Revenue (TTM)$312M
Earnings Growth (YoY)42.90%
Dividend Rate0.1%
Analyst Target Price$32.00 (5 analysts)

Financial History

Annual Revenue & Earnings History

YearRevenueNet IncomeGross ProfitEBITDA
2020 $245M $14.1M $155M $46.0M
2021 $257M $5.8M $166M $44.9M
2022 $267M $12.1M $176M $50.4M
2023 $279M $15.2M $184M $57.1M
2024 $292M $20.0M $194M $62.5M
2025 $304M $18.3M $197M $66.7M

Recent Quarterly Revenue & Net Income

QuarterRevenueNet Income
Jun 2025 $74.4M $5.4M
Sep 2025 $76.5M $6.1M
Dec 2025 $79.7M $2.5M
Mar 2026 $81.2M $5.9M

Ownership & Float

Insider Ownership20.4%
Institutional Ownership75.7%
Short Float4.3%
% of All Funds Holding2.19%
Number of Funds Holding180

Current Moving Averages

Trend Edge tracks near-term, medium-term, cyclical, and secular moving averages across weekly and monthly timeframes to identify trend structure at every horizon.

TimeframeSMAValueTrend Context
Weekly10-Week SMA$21.60Near-term / short-term trend
Weekly40-Week SMA$23.70Medium-term trend
Weekly80-Week SMA$27.05Cyclical trend (business cycle)
Weekly200-Week SMA$26.04Secular trend (multi-year)
Monthly10-Month SMA$23.79Near-term monthly trend
Monthly20-Month SMA$27.31Medium-term monthly trend
Monthly40-Month SMA$26.57Secular monthly trend

Volume Shelves — Support & Resistance

Trend Edge identifies volume shelves: price zones where historically elevated trading volume creates structural support or resistance. A volume shelf forms when a disproportionate share of cumulative volume was transacted at a specific price level, making it a high-conviction anchor for future price reactions.

Price LevelTypeVolume RatioAge
$24.90 resistance 1.16x 4 months ago
$33.60 resistance 1.80x 11 months ago

Historical Earnings Reactions (104 events)

TimeframeAvg ReturnMedianWin RateBestWorst
Gap 1.13% 0.43% 58.65% 20.56% -15.76%
1 Day 0.73% 0.00% 46.15% 30.05% -19.31%
1 Week 0.09% -1.21% 43.27% 36.00% -35.58%
2 Weeks -0.55% -2.13% 43.27% 44.07% -47.06%
1 Month -0.10% -1.08% 44.66% 48.42% -38.24%

Next earnings: July 23, 2026 (57 days away)

Seasonality & Day-of-Week Patterns

Monthly Seasonality

MonthAvg ReturnWin RateSamples
Jan3.8%50.0%26
Feb-1.8%42.3%26
Mar-0.8%38.5%26
Apr4.2%50.0%26
May1.9%57.7%26
Jun5.4%61.5%26
Jul0.3%50.0%26
Aug-1.7%46.2%26
Sep-1.2%46.2%26
Oct2.3%46.2%26
Nov1.1%46.2%26
Dec0.1%38.5%26

Day-of-Week Tendencies

DayAvg ReturnWin RateSamples
Monday -0.07% 46.2% 1232
Tuesday 0.18% 48.3% 1346
Wednesday 0.08% 46.9% 1347
Thursday 0.08% 47.2% 1321
Friday 0.19% 46.8% 1317

Top Institutional Holders

Institutional holder breakdown coming soon.

Total institutional ownership: 75.7%

Insider Transactions — Smart Summary

Total insider ownership: 20.4%

Founder-led management: Robert A. Frist, Jr. (Co-Founder, Chairman of the Board & CEO)

12-Month Insider Activity Summary

Total Filings6
Net Value-$227,274.5
Net Shares Change-175,258
% of Float-0.8%
C-Suite Filings5
Clusters Detected1

Key Insiders

NameTitleNet ValueFilingsActivity
O'Hara Kevin P Executive Vice President -$176,685.5 3 3 sell
Cunningham Jeff Chief Technology Officer -$50,589 1 1 sell
Taylor Tate Deborah -$40,226.8 1 1 sell
FRIST ROBERT A JR CEO and Chairman +N/A 1 1 sell

Transaction Clusters

PeriodFilingsInsidersNet ValueSeniority
2025-12-01 – 2025-12-10 4 4 -$139,336 3 C-suite

Significant Filings

DateInsiderTitleNet ValuePrice After
2026-05-20 O'Hara Kevin P Executive Vice President -$72,229.5 Transaction at $24.08, now -1.1%
2025-12-08 O'Hara Kevin P Executive Vice President -$48,520.2 Transaction at $24.26, now -1.9%
2025-12-10 Cunningham Jeff Chief Technology Officer -$50,589 Transaction at $24.09, now -1.2%
2025-12-09 FRIST ROBERT A JR CEO and Chairman +N/A N/A
2025-08-27 O'Hara Kevin P Executive Vice President -$55,935.8 Transaction at $27.97, now -14.9%
2025-12-01 Taylor Tate Deborah -$40,226.8 Transaction at $25.46, now -6.5%

View full insider transaction history on Trend Edge →

AI Consult Analysis

Trend Edge's AI Consult feature delivers a comprehensive, multi-layer trade plan for HealthStream Inc (HSTM) powered by Claude Opus — Anthropic's most capable AI model. The analysis covers five layers: technical analysis (near-term, medium-term, cyclical, and secular trend, momentum, volume shelf support and resistance, breakout and breakdown signals), qualitative analysis (business model, competitive moat, sector dynamics), insider sentiment (buy and sell signals from executive and director transactions), share stats analysis (institutional accumulation, fund positioning, short float squeeze potential), and fundamental analysis (valuation, revenue growth, profit margin, earnings quality).

AI Consult synthesizes all five layers into a single bullish or bearish thesis with explicit entry, exit, stop loss, and take profit levels — giving you a complete, AI-powered trade plan with defined risk/reward. Whether you are building a long position, initiating a short, or looking for a reversal setup, AI Consult identifies the highest-probability signal from the current trend.

Get the full AI Consult analysis for HSTM on Trend Edge →