Healthstream HSTM Insider Ownership

NASDAQ HSTM

$28.89 -0.71 (-2.40%)

At close: Nov 6, 2026 · 4:00 PM EST

Insider Holdings by Owner

9.42Mn Shares

Robert A Jr Frist7.96Mn84.5%

Frank Gordon215.55K2.3%

J Edward Pearson179.17K1.9%

Thompson Dent139.98K1.5%

Michael D Shmerling133.61K1.4%

Other insiders (16)795.70K8.4%

Insider Ownership Statistics

as of 30 Sep, 2026

Insider Ownership

19.69%

▼-0.841% pp QoQ

Shares Held by Insiders

5.76Mn

filed for Sep 2026

▼-4.09% QoQ

Shares Outstanding

29.24Mn

29,240,000 shares

Direct Holdings

4.76Mn

Indirect: 999.00K

Net Open-Market Trades

-150.07K

net sold · -$4.42Mn in Sep 2026

Insiders Holding Shares

with Form 4 holdings on file

Shares Owned by Insiders

Shares held % of outstanding

Latest —

Average ownership —

Peak ownership —

Open-Market Insider Trades

Bought Sold

Latest quarter —

Net over range —

Net-buying quarters —

Insider Ownership Summary

Updated Nov 4, 2026

In the last 12 months, insiders at Healthstream made open-market sales of $5.16 million (174.75K shares) and bought no shares on the open market.

Counted by insider, open-market selling of HSTM stock in the past 12 months came from 5 insiders, with no insider buying.
Robert A. Frist Jr. (CEO and Chairman) was HSTM's largest open-market seller in the past 12 months, with $4.25 million of sales (144.07K shares); the latest was on September 14, 2026.
Linda Rebrovick (Director) made the most recent open-market trade by an insider of Healthstream, a sale of 12K shares for $420,000 on October 23, 2026.
Away from the open market, HSTM insiders received 4.63K shares in stock awards, acquired 56.09K shares through option exercises and conversions, gave up 13.99K shares to cover taxes or exercise prices and gave away 1.06Mn shares as gifts over the last 12 months.
According to Business Quant data, insiders at Healthstream reported 5.75Mn shares in total in their latest Form 4 filings, down 4.18% from 6Mn shares at the end of Q2 2026 and down 7.79% from 6.24Mn shares at the end of Q3 2025.
Indirect holdings, through trusts, partnerships, family members and other entities, make up 17.37% (999K shares) of Healthstream's insider total, with the other 82.63% (4.75Mn shares) held directly.
Business Quant counts 19 insiders with holdings in Healthstream stock, among the officers, directors and 10% owners who have filed a Form 4 in the past two years.
HSTM's three largest insider shareholders, per their latest Form 4 filings, are Robert A. Frist Jr. (CEO and Chairman, 4.9Mn shares), Frank Gordon (Director, 219.55K shares) and Thompson Dent (Director, 139.97K shares).
Robert A. Frist Jr. holds 85.25% of the combined insider position in Healthstream.
Institutions accounted for 75.76% of HSTM's outstanding shares in Q2 2026, insiders about 19.67% per their latest Form 4 filings, and other investors, including the public, about 4.57%.
Over the past 12 months, 16 insiders reported transactions in Healthstream stock in 88 Form 4 filings.
These insider figures for Healthstream are based on Form 4 filings through October 29, 2026.

Form 4 Holdings

Insiders Holding HSTM

Insiders 21

Shares held 9.42Mn

Of outstanding 32.23%

#	Insider	Position	Direct	Total	Share of Insiders	Last Filed
1	Robert A Jr Frist	Ceo And Chairman	7,960,468	7,960,468	84.5%	29 Oct, 2026
2	Frank Gordon	Director	215,552	215,552	2.3%	09 Jun, 2026
3	J Edward Pearson	President And Coo	179,165	179,165	1.9%	28 Apr, 2023
4	Thompson Dent	Director	139,975	139,975	1.5%	09 Jun, 2026
5	Michael D Shmerling	Director	133,609	133,609	1.4%	25 May, 2023
6	Michael Manning Collier	Executive Vice President	122,853	122,853	1.3%	29 Oct, 2026
7	Linda Rebrovick	Director	90,658	90,658	1.0%	23 Oct, 2026
8	Trisha L Coady	Executive Vice President	82,497	82,497	0.9%	29 Oct, 2026
9	Jeff Cunningham	Chief Technology Officer	76,886	76,886	0.8%	29 Oct, 2026
10	Scott Alexander Roberts	Cfo And Svp	75,460	75,460	0.8%	29 Oct, 2026
11	Michael Scott Mcquigg	Senior Vice President	72,242	72,242	0.8%	29 Oct, 2026
12	Michael Sousa	Executive Vice President	65,529	65,529	0.7%	28 Mar, 2025
13	William Stead	Director	48,298	48,298	0.5%	30 May, 2025
14	Kevin P O'Hara	Executive Vice President	43,883	43,883	0.5%	29 Oct, 2026
15	Tate Deborah Taylor	Director	43,187	43,187	0.5%	09 Jun, 2026
16	Jeffrey L Mclaren	Director	25,748	25,748	0.3%	09 Jun, 2026
17	Scott Fenstermacher	Senior Vice President	16,837	16,837	0.2%	31 Oct, 2025
18	Jennifer Hayes Lopresto	Senior Vice President	13,574	13,574	0.1%	29 Oct, 2026
19	Terry Allison Rappuhn	Director	10,391	10,391	0.1%	09 Jun, 2026
20	Amir Alex Jahangir	Director	6,405	6,405	0.1%	09 Jun, 2026
21	Charles Jr. Beard	Director	1,249	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.

Form 4 Filings

2,858 Insider Transactions

Source SEC Form 4

Latest quarter Sep 2026

Date	Insider	Position	Transaction	Shares	Price	Value	Shares Held After	Ownership
29 Oct, 2026	Kevin P O'Hara	Executive Vice President	Acquired M	895	$0.00	$0	23,119	Direct
29 Oct, 2026	Michael Manning Collier	Executive Vice President	Acquired M	1,044	$0.00	$0	62,815	Direct
29 Oct, 2026	Jennifer Hayes Lopresto	Senior Vice President	Acquired M	224	$0.00	$0	7,066	Direct
29 Oct, 2026	Scott Alexander Roberts	Cfo And Svp	Acquired M	895	$0.00	$0	38,878	Direct
29 Oct, 2026	Robert A Jr Frist	Ceo And Chairman	Acquired M	1,119	$0.00	$0	3,909,635	Direct
29 Oct, 2026	Jeff Cunningham	Chief Technology Officer	Acquired M	895	$0.00	$0	39,591	Direct
29 Oct, 2026	Michael Scott Mcquigg	Senior Vice President	Acquired M	895	$0.00	$0	37,269	Direct
29 Oct, 2026	Trisha L Coady	Executive Vice President	Acquired M	2,995	$0.00	$0	43,732	Direct
29 Oct, 2026	Kevin P O'Hara	Executive Vice President	Disposed F	218	$34.18	$7.45K	22,901	Direct
29 Oct, 2026	Jennifer Hayes Lopresto	Senior Vice President	Disposed F	77	$34.18	$2.63K	6,989	Direct
29 Oct, 2026	Michael Scott Mcquigg	Senior Vice President	Disposed F	218	$34.18	$7.45K	37,051	Direct
29 Oct, 2026	Robert A Jr Frist	Ceo And Chairman	Disposed F	273	$34.18	$9.33K	3,909,362	Direct
29 Oct, 2026	Scott Alexander Roberts	Cfo And Svp	Disposed F	218	$34.18	$7.45K	38,660	Direct
29 Oct, 2026	Michael Manning Collier	Executive Vice President	Disposed F	255	$34.18	$8.72K	62,560	Direct
29 Oct, 2026	Trisha L Coady	Executive Vice President	Disposed F	730	$34.18	$24.95K	43,002	Direct
29 Oct, 2026	Jeff Cunningham	Chief Technology Officer	Disposed F	218	$34.18	$7.45K	39,373	Direct
29 Oct, 2026	Kevin P O'Hara	Executive Vice President	Disposed M	895	$0.00	$0	0	Direct
29 Oct, 2026	Jeff Cunningham	Chief Technology Officer	Disposed M	895	$0.00	$0	0	Direct
29 Oct, 2026	Scott Alexander Roberts	Cfo And Svp	Disposed M	895	$0.00	$0	0	Direct
29 Oct, 2026	Michael Scott Mcquigg	Senior Vice President	Disposed M	895	$0.00	$0	0	Direct

Showing 1 to 20 of 2,858 transactions