As of September 29, 2026, the three largest insider holders of HSTM are Robert A Jr Frist (Ceo And Chairman, 4.05Mn shares), Robert A Jr Frist (Ceo And Chairman, 3.91Mn shares), Robert A Jr Frist (Ceo And Chairman, 995.00K shares).
| # | Insider | Position | Direct | Indirect | Total | Share of Insiders | Last Filed |
|---|---|---|---|---|---|---|---|
| 1 | Robert A Jr Frist | Ceo And Chairman | 7,958,144 | 0 | 7,958,144 | 87.1% | 15 Sep, 2026 |
| 2 | Frank Gordon | Director | 215,552 | 0 | 215,552 | 2.4% | 09 Jun, 2026 |
| 3 | J Edward Pearson | President And Coo | 179,165 | 0 | 179,165 | 2.0% | 28 Apr, 2023 |
| 4 | Thompson Dent | Director | 139,975 | 0 | 139,975 | 1.5% | 09 Jun, 2026 |
| 5 | Michael D Shmerling | Director | 133,609 | 0 | 133,609 | 1.5% | 25 May, 2023 |
| 6 | Michael Sousa | Executive Vice President | 65,529 | 0 | 65,529 | 0.7% | 28 Mar, 2025 |
| 7 | Michael Manning Collier | Executive Vice President | 60,293 | 0 | 60,293 | 0.7% | 31 Mar, 2026 |
| 8 | Linda Rebrovick | Director | 51,329 | 0 | 51,329 | 0.6% | 07 Jul, 2026 |
| 9 | William Stead | Director | 48,298 | 0 | 48,298 | 0.5% | 30 May, 2025 |
| 10 | Tate Deborah Taylor | Director | 43,187 | 0 | 43,187 | 0.5% | 09 Jun, 2026 |
| 11 | Trisha L Coady | Executive Vice President | 39,495 | 0 | 39,495 | 0.4% | 31 Mar, 2026 |
| 12 | Jeff Cunningham | Chief Technology Officer | 37,513 | 0 | 37,513 | 0.4% | 30 Mar, 2026 |
| 13 | Scott Alexander Roberts | Cfo And Svp | 36,800 | 0 | 36,800 | 0.4% | 30 Mar, 2026 |
| 14 | Michael Scott Mcquigg | Senior Vice President | 35,191 | 0 | 35,191 | 0.4% | 30 Mar, 2026 |
| 15 | Jeffrey L Mclaren | Director | 25,748 | 0 | 25,748 | 0.3% | 09 Jun, 2026 |
| 16 | Kevin P O'Hara | Executive Vice President | 20,982 | 0 | 20,982 | 0.2% | 20 May, 2026 |
| 17 | Scott Fenstermacher | Senior Vice President | 16,837 | 0 | 16,837 | 0.2% | 31 Oct, 2025 |
| 18 | Terry Allison Rappuhn | Director | 10,391 | 0 | 10,391 | 0.1% | 09 Jun, 2026 |
| 19 | Jennifer Hayes Lopresto | Senior Vice President | 6,585 | 0 | 6,585 | 0.1% | 30 Mar, 2026 |
| 20 | Amir Alex Jahangir | Director | 6,405 | 0 | 6,405 | 0.1% | 09 Jun, 2026 |
| 21 | Charles Jr. Beard | Director | 1,249 | 0 | 1,249 | 0.0% | 09 Jun, 2026 |
Each row is that insider’s most recently reported position, from Form 4 filings over the last 60 months — which is why this total does not tie to the quarterly series above, where a quarter counts only the insiders who filed in it. Shares held through a fund or institutional portfolio are counted on the institutional ownership page instead.
| Date | Insider | Position | Transaction | Shares | Price | Value | Shares Held After | Ownership |
|---|---|---|---|---|---|---|---|---|
| 18 Sep, 2026 | Michael Scott Mcquigg | Senior Vice President | Acquired A | 2,053 | $0.00 | $0 | 2,053 | Direct |
| 18 Sep, 2026 | Trisha L Coady | Executive Vice President | Acquired A | 2,566 | $0.00 | $0 | 2,566 | Direct |
| 18 Sep, 2026 | Jennifer Hayes Lopresto | Senior Vice President | Acquired A | 1,540 | $0.00 | $0 | 1,540 | Direct |
| 18 Sep, 2026 | Scott Alexander Roberts | Cfo And Svp | Acquired A | 2,053 | $0.00 | $0 | 2,053 | Direct |
| 18 Sep, 2026 | Jeff Cunningham | Chief Technology Officer | Acquired A | 2,053 | $0.00 | $0 | 2,053 | Direct |
| 18 Sep, 2026 | Michael Manning Collier | Executive Vice President | Acquired A | 2,566 | $0.00 | $0 | 2,566 | Direct |
| 18 Sep, 2026 | Kevin P O'Hara | Executive Vice President | Acquired A | 2,566 | $0.00 | $0 | 2,566 | Direct |
| 18 Sep, 2026 | Trisha L Coady | Executive Vice President | Acquired A | 15,395 | $0.00 | $0 | 15,395 | Direct |
| 18 Sep, 2026 | Kevin P O'Hara | Executive Vice President | Acquired A | 15,395 | $0.00 | $0 | 15,395 | Direct |
| 18 Sep, 2026 | Michael Scott Mcquigg | Senior Vice President | Acquired A | 12,316 | $0.00 | $0 | 12,316 | Direct |
| 18 Sep, 2026 | Jeff Cunningham | Chief Technology Officer | Acquired A | 12,316 | $0.00 | $0 | 12,316 | Direct |
| 18 Sep, 2026 | Michael Manning Collier | Executive Vice President | Acquired A | 15,395 | $0.00 | $0 | 15,395 | Direct |
| 18 Sep, 2026 | Scott Alexander Roberts | Cfo And Svp | Acquired A | 12,316 | $0.00 | $0 | 12,316 | Direct |
| 18 Sep, 2026 | Jennifer Hayes Lopresto | Senior Vice President | Acquired A | 9,237 | $0.00 | $0 | 9,237 | Direct |
| 18 Sep, 2026 | Kevin P O'Hara | Executive Vice President | Acquired A | 5,132 | $0.00 | $0 | 5,132 | Direct |
| 18 Sep, 2026 | Trisha L Coady | Executive Vice President | Acquired A | 5,132 | $0.00 | $0 | 5,132 | Direct |
| 18 Sep, 2026 | Scott Alexander Roberts | Cfo And Svp | Acquired A | 4,105 | $0.00 | $0 | 4,105 | Direct |
| 18 Sep, 2026 | Michael Scott Mcquigg | Senior Vice President | Acquired A | 4,105 | $0.00 | $0 | 4,105 | Direct |
| 18 Sep, 2026 | Michael Manning Collier | Executive Vice President | Acquired A | 5,132 | $0.00 | $0 | 5,132 | Direct |
| 18 Sep, 2026 | Jeff Cunningham | Chief Technology Officer | Acquired A | 4,105 | $0.00 | $0 | 4,105 | Direct |