Welcome to our dedicated page for HEALTHSTREAM SEC filings (Ticker: HSTM), a comprehensive resource for investors and traders seeking official regulatory documents including 10-K annual reports, 10-Q quarterly earnings, 8-K material events, and insider trading forms.
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HealthStream, Inc. provides SaaS-based workforce, learning, credentialing, and scheduling solutions for healthcare organizations, professionals, and students, built around its hStream technology platform and hStream ID. The company highlights growing use of AI and machine learning across its applications and positions hStream as a single, interoperable platform for healthcare workforce tools.
HealthStream operates in a large, fragmented healthcare training and credentialing market and faces competition from broad HCM vendors and healthcare-focused specialists. It reports 1,139 full-time and 21 part-time employees and continued use of acquisitions, such as Virsys12 and MissionCare in 2025, to expand its ecosystem. Risk factors emphasize macroeconomic and healthcare funding pressures, evolving AI regulation, talent competition, integration and investment risks, and sensitivity to customer renewals in a predominantly subscription-based revenue model.
HealthStream, Inc. reported record fourth quarter 2025 revenue of $79.7 million, up 7.4% from 2024, but lower GAAP profits due mainly to a one-time $3.8 million CEO Stock Gift charge. Excluding this item, non-GAAP operating income rose to $6.2 million and non-GAAP EPS to $0.18 per diluted share.
For full-year 2025, revenue grew 4.3% to $304.1 million, with adjusted EBITDA up 7.5% to $71.8 million. The company ended the year with $57.0 million in cash, cash equivalents, and marketable securities, and repurchased 1,111,590 shares for $30.0 million.
HealthStream completed acquisitions of Virsys12 and MissionCare Collective and increased its quarterly dividend to $0.035 per share, payable March 20, 2026. For 2026, it guides to revenue of $323.0–$330.0 million, net income of $20.4–$22.8 million, and adjusted EBITDA of $73.0–$77.0 million.
LoPresto Jennifer Hayes, a Senior Vice President of the issuer of HSTM, has filed an initial statement of beneficial ownership. She directly holds 6,056 shares of common stock. She also holds multiple blocks of restricted share units (RSUs), each representing the right to receive one common share upon vesting, with vesting dates from March 23, 2026 through December 9, 2029, all contingent on continued service. In addition, she holds an employee stock option for 5,641 shares of common stock at an exercise price of $23.93, expiring on December 9, 2035, also subject to a four-year vesting schedule tied to continued service.
The Vanguard Group has filed an amended Schedule 13G showing a significant ownership position in HealthStream Inc. As of 12/31/2025, Vanguard reports beneficial ownership of 2,536,901 shares of HealthStream common stock, representing 8.55% of the outstanding class.
Vanguard reports shared voting power over 184,222 shares and shared dispositive power over all 2,536,901 shares, with no sole voting or dispositive power. Vanguard states the shares are held in the ordinary course of business, not for the purpose of changing or influencing control of HealthStream. The filing also notes an internal realignment on January 12, 2026, after which certain Vanguard subsidiaries may report beneficial ownership separately.
HealthStream Inc. insider updates reported stock gift. CEO and Chairman Robert A. Frist, Jr., who is also a director and 10% owner of HealthStream Inc. (HSTM), filed an amended Form 4 to correct an earlier administrative error. The amendment clarifies that 527,710 shares of common stock were transferred by gift on 12/15/2025, rather than the 527,918 shares previously reported. Following this corrected gift transaction, Frist is reported to beneficially own 4,058,760 shares of HealthStream common stock directly.
HealthStream CEO Robert A. Frist, Jr. reported gifting 527,918 shares of the company’s common stock on December 15, 2025.
He transferred 400,000 shares for no consideration to the Bobby and Melissa Frist Children's 2012 GST-Exempt Trust, where his spouse serves as trustee, and gifted 127,918 shares to various non-family member persons for no consideration. Following these transactions, he directly beneficially owned 4,058,552 shares and indirectly owned 995,000 shares through the children's trust, along with additional indirect holdings in several family trusts.
HealthStream, Inc. reported that it issued a press release announcing its acquisition of MissionCare Collective LLC, described as a healthcare workforce company. The press release, dated December 15, 2025, is attached as Exhibit 99.1 to this current report on Form 8-K. This reflects HealthStream’s use of a current report to inform investors about a corporate acquisition in the healthcare workforce space, with additional information available in the press release filed as an exhibit.
HealthStream Inc. executive Trisha L. Coady, an Executive Vice President, reported new equity awards and updated her holdings. On December 9, 2025, she received 3,134 restricted share units (RSUs), each representing the right to receive one share of common stock upon vesting. These RSUs follow a four-year vesting schedule, with portions vesting annually from December 9, 2026 through December 9, 2029, contingent on continued service.
She was also granted an employee stock option to buy 9,402 shares of HealthStream common stock at an exercise price of $23.93 per share, expiring on December 9, 2035, with the same four-year vesting schedule tied to continued service. After these reported transactions, Coady beneficially owns 32,530 shares of HealthStream common stock directly, in addition to the reported RSUs and options.
HealthStream Inc. reported equity awards to its CFO and SVP, Scott A. Roberts, dated December 9, 2025. He received 2,507 restricted share units, each representing the right to receive one share of common stock upon vesting, and 7,522 employee stock options with an exercise price of $23.93 per share, both tied to HealthStream common stock.
The RSUs and options vest over four years, with 15% vesting on December 9, 2026, 20% on December 9, 2027, 30% on December 9, 2028, and the remaining 35% on December 9, 2029, contingent on continued service. Following these grants, Roberts directly beneficially owned 30,776 shares of HealthStream common stock, in addition to the newly granted RSUs and options.
HealthStream, Inc. announced a new share repurchase program authorizing the buyback of up to $10,000,000 of its outstanding common stock. The program will terminate on the earlier of February 26, 2026 or when the authorized amount has been fully used.
The authorization gives the company flexibility to return capital by repurchasing shares within the stated limit and timeframe.