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HealthStream (HSTM) reported Q3 2025 results with revenue of $76.5 million, up 5% year over year, and diluted EPS of $0.20 versus $0.19. Subscription services drove 97% of revenue at $73.9 million, while professional services declined to $2.6 million. Adjusted EBITDA rose to $19.1 million from $17.7 million.
Operating discipline was evident: year-to-date operating cash flow reached $50.1 million, aided by a DSO improvement to 33 days. The company completed its $25.0 million buyback, repurchasing 905,786 shares in 2025, and declared a quarterly dividend of $0.031 per share, payable November 28, 2025 to holders of record on November 17, 2025. Cash and equivalents were $53.5 million with $39.0 million in marketable securities; no borrowings were outstanding on the $50.0 million revolver.
General and administrative costs fell on sublease income, while cost of revenues increased with platform and SaaS investments. As of November 3, 2025, shares outstanding were 29,668,137. Subsequent event: on October 8, 2025, HealthStream acquired Virsys12 for approximately $11.2 million in cash, plus up to $4.0 million contingent on performance, enhancing its provider data management and credentialing suite.
HealthStream, Inc. (HSTM) reported that it issued a press release announcing results for the third quarter ended September 30, 2025 and an update to full-year 2025 guidance. The press release is furnished as Exhibit 99.1.
The Board of Directors also declared a quarterly cash dividend of $0.031 per share of common stock. The dividend is payable on November 28, 2025 to shareholders of record as of November 17, 2025.
HealthStream (HSTM) reported an insider equity transaction by Executive Vice President Trisha L. Coady. On 10/30/2025, 2,566 shares of common stock were acquired upon RSU vesting, and 625 shares were withheld to satisfy taxes at $25.83 per share. Following these transactions, directly held shares total 32,530. The filing also shows 2,995 RSUs remaining outstanding. The RSUs vest over four years: 15% on October 27, 2023; 20% on October 27, 2024; 30% on October 27, 2025; and 35% on October 27, 2026.
HealthStream (HSTM) reported insider activity by its Executive Vice President on 10/30/2025, reflecting RSU vesting and tax withholding.
The officer acquired 895 shares of common stock at $0 upon RSU vesting (Code M) and had 218 shares withheld to cover taxes at $25.83 (Code F). Following these transactions, the officer directly held 50,981 shares.
The filing also notes 1,044 RSUs remaining beneficially owned. The RSUs vest over four years: 15% on Oct 27, 2023, 20% on Oct 27, 2024, 30% on Oct 27, 2025, and 35% on Oct 27, 2026, contingent on continued service.
HealthStream (HSTM) reported a routine Form 4 for its Chief Technology Officer. On 10/30/2025, 766 shares of common stock were acquired at $0 via code M from vested RSUs, and 187 shares were withheld at $25.83 via code F for taxes. Following these transactions, direct common stock holdings were 33,589 shares. The filing also lists 895 remaining RSUs, which vest on a four-year schedule through October 27, 2026.
HealthStream (HSTM) insider filing: the Senior Vice President reported routine equity activity on 10/30/2025. 575 common shares were acquired at $0 upon RSU vesting (code M), and 195 shares were withheld at $25.83 to satisfy taxes (code F). Following these transactions, direct common stock holdings were 16,837 shares, with 671 RSUs remaining.
The disclosed RSU grant vests over four years, contingent on continued service: 15% on Oct 27, 2023; 20% on Oct 27, 2024; 30% on Oct 27, 2025; and 35% on Oct 27, 2026.
HealthStream (HSTM) reported an insider equity transaction by a Senior Vice President. On 10/30/2025, 766 shares of common stock were acquired at $0 following the vesting of restricted share units (Code M). To cover taxes, 187 shares were withheld at $25.83 (Code F).
After these transactions, the officer directly holds 29,167 common shares. The filing also shows 895 restricted share units remaining outstanding. The RSUs vest over four years, with 30% scheduled on October 27, 2025, per the stated vesting schedule.
HealthStream, Inc. (HSTM) reported an insider transaction by its Executive Vice President. On 10/30/2025, the officer acquired 766 shares of common stock at $0 upon vesting of restricted share units (RSUs) and had 187 shares withheld at $25.83 to cover taxes.
Following these transactions, the officer directly beneficially owns 18,373 shares of common stock. The filing also shows 895 RSUs beneficially owned after the reported activity. Each RSU represents the right to receive one share upon vesting, with the award subject to a four-year vesting schedule: 15% on October 27, 2023; 20% on October 27, 2024; 30% on October 27, 2025; and 35% on October 27, 2026.
HealthStream (HSTM) reported an insider transaction by its CFO and SVP on 10/30/2025. The executive acquired 766 shares of common stock at $0 upon the vesting of restricted share units (RSUs), and 187 shares were withheld at $25.83 to cover taxes. Following these transactions, the executive directly holds 30,776 shares of common stock.
Each RSU represents the right to receive one share upon vesting. The RSUs follow a four‑year schedule: 15% on 10/27/2023, 20% on 10/27/2024, 30% on 10/27/2025, and 35% on 10/27/2026. RSUs carry a $0 exercise price, and 895 RSUs remain beneficially owned after the reported activity.
HealthStream (HSTM) — Form 4 insider transaction: CEO, Chairman, Director, and 10% Owner Robert A. Frist, Jr. reported RSU vesting on 10/30/2025. He acquired 958 shares of common stock upon vesting at $0 per share (code M), and 234 shares were withheld to cover taxes at $25.83 per share (code F).
Following these transactions, his direct holdings were 4,751,048 shares. He also reports indirect holdings through multiple family trusts, including 595,000 shares held by the Bobby and Melissa Frist Children’s 2012 GST-Exempt Trust.
The related RSU award carries a four-year vesting schedule: 15% on October 27, 2023; 20% on October 27, 2024; 30% on October 27, 2025; and 35% on October 27, 2026. After the reported activity, 1,119 RSUs remained outstanding.