HealthStream (HSTM)
Subscription platform stitching hospital staff learning, credentialing, and scheduling into one interoperable system.
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Subscription software helps U.S. hospitals and health systems manage staff learning, clinical competency, credentialing, provider enrollment, and shift scheduling on one interoperable platform tied together by its proprietary hStream layer. Demand tracks federal and state training mandates and payer-enrollment complexity, and the founder-CEO has run the business since its 1990 founding.
A subscription software suite for hospitals and health systems spans staff learning, clinical competency assessment, credentialing and provider enrollment, and shift scheduling, unified by a proprietary interoperability layer called hStream. No single customer contributes a meaningful share of revenue, and a smaller e-commerce channel reaches individual healthcare professionals directly.
Training demand tracks OSHA, Joint Commission, HIPAA, and state continuing-education mandates, while credentialing work depends on enrolling providers across dozens of payers plus CMS and state licensure. A projected nursing shortage adds pull toward scheduling and competency tools for stretched clinical staffs.
Founded in Nashville in 1990 and public since 2000, the business has been run by its founder-CEO since inception and consolidated once-separate segments into a single reportable segment in 2023.
Company facts
Target rangeAs of Sep 21, 2026
Latest analyst notes
| Date | Firm | Action | Prior | Current |
|---|---|---|---|---|
| Jul 21, 2026 | Canaccord Genuity | Reiterate | Rating: —Target: $24 | Target: $27 |
| May 6, 2026 | Canaccord Genuity | Reiterate | Rating: —Target: $25 | Target: $24 |
| Jan 8, 2026 | Canaccord Genuity | Target | Target: $29 | Target: $25 |
EPSReportedEstimate
RevenueReportedEstimate
Balance sheet, Jun 30, 2026Cash & short-term investments $66.7M · Total debt $13.4M · Total assets $521.6M · Shareholders' equity $356.6M
- Revenue
- $83.7M
- Operating income
- $8.3M
- Net income
- $6.7M
HistoryDividendAnnual yield
| Institutions | 76.77% | 22.43M shares | |
|---|---|---|---|
| 220 holders · as of Jun 30, 2026 | |||
| Insiders | 20.01% | 5.85M shares | |
| 19 holders · as of Sep 15, 2026 | |||
| Strategic holders | 9.58% | 2.80M shares | |
| 1 holder · as of Sep 21, 2026 | |||
| Adds to | 106.36% | ||
29.22M company shares as of Sep 22, 2026 · institutions as of Jun 30, 2026 · holders as of their latest filing
These groups come from separate filings that can overlap, so they add to 106.36%; nothing is left for Other.
Top shareholders13F · 13D/G · Form 4
| Holder | Stake | Shares | Date |
|---|---|---|---|
Robert A. Jr FristInsiderdirector, 10 percent owner, officer: CEO and Chairman | 16.78% | 4.90M | filed Sep 15, 2026 |
BlackRock, Inc.Institution | 13.97% | 4.08M | as of Jun 30, 2026 |
WJRJJ Ventures, LLCStrategic | 9.58% | 2.80M | filed Sep 21, 2026 |
Conestoga Capital Advisors LLCInstitution | 6.01% | 1.76M | filed Jan 12, 2018 |
Dimensional Fund Advisors LPInstitution | 5.33% | 1.56M | as of Jun 30, 2026 |
Insider tradesForm 4
| Date | Insider | Role | Shares | Avg price |
|---|---|---|---|---|
| Sep 14, 2026 | Robert A. Jr Frist | director, 10 percent owner, officer: CEO and Chairman | −144,068 | |
| Jul 6, 2026 | Linda Rebrovick | director | −6,000 | $29.00 |
| Jun 1, 2026 | Linda Rebrovick | director | −2,000 | $25.00 |
| May 28, 2026 | Linda Rebrovick | director | −2,000 | $25.00 |
| May 20, 2026 | Kevin P. O'Hara | officer: Executive Vice President | −3,000 | $24.08 |
- AMN
Head-to-head in staff scheduling, credentialing, and talent-matching tech.
- Workday
Flanks via bundled enterprise learning and HR/talent management in hospital HCM.
- Oracle
Oracle Health bundles learning, competency, credentialing into hospital EHRs.
- SAP (ADR)
SuccessFactors Learning contests the LMS seat at SAP-stack hospitals.
- Docebo
General-purpose AI LMS contesting the compliance-training seat.
Compare
| Company | Price | Change | |||||
|---|---|---|---|---|---|---|---|
| HealthStream | $29.15 | +0.26% | $849.6M | 40.7 | 40.0 | 2.6 | +12.6% |
| AMN | $34.52 | +0.82% | $1.33B | 12.8 | 41.1 | 0.4 | +2.3% |
| Workday | $189.95 | −1.03% | $50.27B | 38.9 | 15.8 | 4.9 | +12.8% |
| Oracle | $150.22 | +1.12% | $427.95B | 23.3 | 17.7 | 6.0 | +29.6% |
| SAP (ADR) | $209.92 | +0.33% | $243.79B | 26.8 | 23.0 | 5.6 | +5.8% |
| Docebo | $22.93 | −1.38% | $590.1M | 20.0 | 14.0 | 2.3 | +11.0% |
| Median | 23.3 | 17.7 | 4.9 | +11.0% |