HSTM

HealthStream, Inc.
NasdaqGSUSDEQUITY Healthcare DELAYED
Last price
31.31
▼ 0.23 (0.73%)
MARKET · —

Price

1D — H — L — Range — Vol —
Drag pan · Pinch zoom · Hold crosshair · pick a tool then drag to draw
Open
31.90
Prev close
31.54
Day high
31.76
Day low
31.11
Volume
182.88K
Market cap
$957.96M
P/E (TTM)
44.10
52W range
19.50 – 31.84

Day trading desk

Current session · delayed
Gap from prior close
+1.13%
Prior close 31.54
VWAP
31.31
+0.01% from price
Relative volume
0.70×
Normal
Session range
2.86%
31.11 – 32.00
Position in range
22%
Near session low
ATR (14D)
0.72
2.29% of price
Prior day high
31.84
PDH
Prior day low
30.89
PDL
Bid / ask spread
—
Quote not published
Session volume
132.61K
Avg 190.52K

VWAP and the session figures are computed from the delayed intraday series on this page, so they lag the live tape and will not match a broker's real-time VWAP exactly. Turn on Prior day H/L/C, Opening range and Volume profile in the chart's Studies menu to see these levels drawn on price.

Trailing performance

Price return · vs SPY
Returnvs SPY
1W
+5.28% +3.3%
1M
+7.23% +6.1%
3M
+11.11% +6.6%
6M
+52.36% +34.2%
YTD
+35.72% +21.5%
1Y
+14.44% -2.0%
3Y
+45.09% -37.2%
5Y
— —

Price return only. Dividends are not reinvested, so total return on a dividend payer will be higher than shown.

Unusual options activity

Account required
Nothing crossed the thresholds in the expiries we scanned.
That is the normal state — most contracts trade well inside their existing open interest.
Free account required

Contracts trading at or above their open interest, ranked by notional and where the print landed.

Free account

5 more panels on HSTM open with an account.

Options chains and analytics, valuation ratios, insider filings, analyst targets and ownership. No card, no trial, nothing to cancel.

Insider net activity

6m · Form 4 rollup
Net shares
-118.90K
Net selling
Buy transactions
18
38.17K shares
Sell transactions
5
157.07K shares
Net transactions
+23
Buys less sells
Sell : buy shares
4.1 : 1
Mixed
Insider-held shares
8.63M
Total on file
Bought 38.17KSold 157.07K

Insider transactions

Account required
DateInsiderAction SharesValueHeld
Sep 29, 26
FRIST ROBERT A JR
Chief Executive Officer
— 1.96K — Direct
Sep 29, 26
O'HARA KEVIN PATRICK
Officer
— 1.64K — Direct
Sep 29, 26
COADY TRISHA L
Officer
— 1.64K — Direct
Sep 29, 26
MCQUIGG MICHAEL SCOTT
Officer
— 1.56K — Direct
Sep 29, 26
ROBERTS SCOTT ALEXANDER
Chief Financial Officer
— 1.56K — Direct
Sep 29, 26
LOPRESTO JENNIFER HAYES
Officer
— 391 — Direct
Sep 29, 26
CUNNINGHAM JEFFREY
Chief Technology Officer
— 1.56K — Direct
Sep 29, 26
COLLIER MICHAEL MANNING
Officer
— 1.96K — Direct
Sep 14, 26
FRIST ROBERT A JR
Chief Executive Officer
SELL 144.07K $4.25M Direct
Jul 6, 26
REBROVICK LINDA E
Director
SELL 6.00K $174.00K Direct
Jun 8, 26
MCLAREN JEFFREY L
Director
— 3.15K — Direct
Jun 8, 26
DENT THOMPSON S
Director
— 3.15K — Direct
Jun 8, 26
RAPPUHN TERRY ALLISON
Director
— 3.15K — Direct
Jun 8, 26
REBROVICK LINDA E
Director
CONVERSION 1.13K $28.88K Direct
What this is, and what it is not

These are SEC Form 4 filings — officers, directors and 10% owners reporting their own trades in the company's stock. Filing is due within two business days of the transaction, so this lags reality by days, and the provider adds its own lag on top.

A sale is not automatically bearish. Executives sell on scheduled 10b5-1 plans, to cover tax on vesting equity, and to diversify. Purchases with cash are generally the more informative signal, and they are far rarer.

This does not include congressional or senate trading. That comes from STOCK Act disclosures filed with the Senate eFD system and the House Clerk, which this data source does not carry.

Free account required

Officer and director trades in their own stock, straight from Form 4 filings.

Insider holders

10 reporting
NameRelationShares heldLatest
COADY TRISHA L
Officer 40.74K Conversion of Exercise of derivative security
COLLIER MICHAEL MANNING
Officer 61.77K Conversion of Exercise of derivative security
CUNNINGHAM JEFFREY
Chief Technology Officer 38.70K Conversion of Exercise of derivative security
DENT THOMPSON S
Director 139.97K Conversion of Exercise of derivative security
FRIST ROBERT A JR
Chief Executive Officer 5.01M Conversion of Exercise of derivative security
GORDON FRANK D
Director 336.36K Conversion of Exercise of derivative security
REBROVICK LINDA E
Director 51.33K Sale
ROBERTS SCOTT ALEXANDER
Chief Financial Officer 37.98K Conversion of Exercise of derivative security
SOUSA MICHAEL
Officer 65.53K Conversion of Exercise of derivative security
STEAD WILLIAM W
Director 48.30K Conversion of Exercise of derivative security

Fundamentals

TTM · reported
Market cap$957.96M
Enterprise value$862.20M
Revenue (TTM)$321.12M
Gross profit$208.99M
EBITDA$44.90M
Net income$21.20M
EPS (TTM)$0.71
Free cash flow$50.33M
Total cash$66.73M
Total debt$13.43M
Book value / share$12.20
Shares outstanding30.60M
Float20.94M
Short % of float6.17%
Dividend yield0.43%
Beta (5Y)0.42

Valuation & profitability ratios

Account required
Trailing P/E44.10
Forward P/E35.38
PEG ratio3.09
Price / sales—
Price / book2.57
EV / revenue2.69
EV / EBITDA19.20
Gross margin65.08%
Operating margin9.94%
Profit margin6.60%
Return on equity6.00%
Return on assets3.22%
Debt / equity3.77
Current ratio1.06
Free account required

Fourteen ratios including P/E, PEG, EV/EBITDA, margins and return on equity.

Financial statements

As reported · 4 years · 5 quarters
Blank means not reported, not zero
Line item2025202420232022YoY
Total revenue $304.06M$291.65M$279.06M$266.83M +4.3%
Operating revenue $304.06M$291.65M$279.06M$266.83M +4.3%
Cost of revenue $107.21M$97.94M$95.02M$91.14M +9.5%
Gross profit $196.85M$193.71M$184.04M$175.68M +1.6%
Research & development $50.98M$48.89M$45.54M$44.28M +4.3%
Selling, general & admin $82.16M$82.29M$81.41M$81.01M -0.2%
Total operating expense $176.62M$172.42M$168.02M$163.23M +2.4%
Operating income $20.24M$21.29M$16.02M$12.45M -4.9%
Net interest income $3.34M$3.83M$2.36M$444.00K -12.9%
Pre-tax income $23.22M$24.80M$18.51M$15.59M -6.4%
Tax provision $4.88M$4.80M$3.30M$3.49M +1.7%
Net income $18.34M$20.01M$15.21M$12.09M -8.3%
Net income to common $18.34M$20.01M$15.21M$12.09M -8.3%
Basic EPS 0.610.660.500.39 -7.6%
Diluted EPS 0.610.660.500.39 -7.6%
EBIT $20.24M$21.29M$16.02M$12.45M -4.9%
EBITDA $63.71M$62.53M$57.09M$50.39M +1.9%
Basic shares 30.02M30.39M30.57M30.65M -1.2%
Diluted shares 30.14M30.54M30.67M30.72M -1.3%

Options analytics

Account required
Put / call volume
0.00
Call-heavy session
Put / call open interest
—
Positioning, not flow
Max pain
25.00
-20.2% from spot
ATM implied vol
0.0%
Nearest strike to spot
Skew (10% OTM)
-6.2%
Calls bid over puts
Call volume
15
Contracts, this expiry
Put volume
0
Contracts, this expiry
Heaviest call OI
25.00
0 contracts
Heaviest put OI
25.00
0 contracts

Max pain is the strike at which the largest dollar value of open contracts expires worthless. It describes current positioning; it is not a forecast and it moves as open interest changes.

Free account required

Put/call ratios, max pain, implied volatility skew and where open interest is concentrated.

Earnings

History & consensus estimates
Reported vs expected · EPS
QuarterEst.ActualSurprise
Jun 2026 0.180.23 +27.8%
Mar 2026 0.170.20 +17.7%
Dec 2025 0.180.18 +2.9%
Sep 2025 0.180.20 +11.1%
Forward consensus
PeriodEPSAnalystsRevenueGrowth
Current quarter 0.14 1 $82.14M +7.4%
Next quarter 0.15 1 $82.84M +3.9%
Current year 0.73 1 $329.32M +8.3%
Next year 0.89 2 $344.43M +4.6%

Analyst targets & ownership

Account required
Mean target$34.50
High target$40.00
Low target$29.00
Implied upside10.19%
Analyst count2
ConsensusBUY
Strong buy / Buy0 / 2
Hold3
Sell / Strong sell0 / 0
Held by insiders29.52%
Held by institutions76.78%
Institutions holding310
Free account required

Price targets, consensus spread, insider and institutional ownership.

Moving averages & technicals

Computed from 2Y daily closes
SMA 10
29.94
+4.59% from price
SMA 20
29.56
+5.92% from price
SMA 50
29.12
+7.51% from price
SMA 100
27.69
+13.09% from price
SMA 200
24.63
+27.14% from price
EMA 12
30.15
+3.84% from price
EMA 26
29.62
+5.69% from price
EMA 50
28.99
+7.99% from price
RSI (14)
70.8
Overbought
MACD (12,26,9)
0.53
Hist 0.23
ATR (14)
0.72
2.29% of price
Realised vol 30D
17.8%
Annualised
Bollinger upper
31.18
20, 2σ
Bollinger lower
27.95
20, 2σ
50 / 200 cross
Golden
29.12 vs 24.63
Trend bias
Above 200
+27.14%

Options chain

Account required
Expiry
Spot 31.31
Calls
StrikeLastBidAskVolOIIV
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
Puts
StrikeLastBidAskVolOIIV
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
000.000.000.000.00000.0%
Free account required

Every listed expiry, both sides of the book, with volume, open interest and implied volatility.

Risk profile

Daily returns · 1Y window
Beta vs SPY
0.27
Less volatile than market
Correlation to SPY
0.11
Largely independent
Realised vol 30D
17.8%
Annualised
Market vol 1Y
13.0%
SPY, annualised
Max drawdown 1Y
-27.3%
Peak to trough
Max drawdown 5Y
-41.6%
Peak to trough
ATR 14
0.72
2.29% of price
Beta (reported)
0.42
5Y monthly, from filing

Short interest

Semi-monthly exchange report · lags by ~2 weeks
Shares short
1.29M
Prior 1.56M
Change vs prior
-17.0%
Shorts covering
% of float
6.17%
Normal
% of shares out
4.23%
Against total outstanding
Days to cover
6.5
Crowded exit
Float
20.94M
Freely tradeable shares

Exchanges publish short interest twice a month with a settlement lag, so this is roughly two weeks behind. Days to cover divides shares short by average daily volume — it estimates how long covering would take, not whether it will happen.

Rating changes

40 on file
DateFirm ActionFromTo
Jul 21, 26 Canaccord Genuity MAINTAINED Hold Hold
May 6, 26 Canaccord Genuity MAINTAINED Hold Hold
Dec 17, 25 Canaccord Genuity MAINTAINED Hold Hold
Aug 7, 25 Canaccord Genuity MAINTAINED Hold Hold
May 15, 25 Canaccord Genuity MAINTAINED Hold Hold
Feb 26, 25 Canaccord Genuity MAINTAINED Hold Hold
Feb 6, 25 JMP Securities MAINTAINED Market Perform Market Perform
Oct 23, 24 Barclays MAINTAINED Overweight Overweight
Oct 23, 24 Canaccord Genuity MAINTAINED Hold Hold
Jul 24, 24 Canaccord Genuity MAINTAINED Hold Hold
Dec 6, 23 JMP Securities INITIATED — Market Perform
Feb 22, 23 Canaccord Genuity MAINTAINED — Hold

Dividends & splits

Declared · from the issuer
Forward rate$0.14 / yr
Forward yield0.43%
5-year avg yield—
Payout ratio18.33%
Ex-dividend dateAug 17, 2026
Next pay dateAug 28, 2026
Last split—
Split date—

PRIVATE STRATEGY · BY QUALIFICATION

The same data. A different seat.

The research you are reading is the input layer for a discretionary options program we run for a small number of qualified investors. Minimum $1,000,000.