Stock Analysis
Data Source: SEC EDGAR 13F
Updated Hourly

Healthstream Inc (HSTM)

197 + Investors. Track Smart Money conviction in HSTM. See who's accumulating, reducing, or initiating positions.

Current Price
-- USD
Analyst Target
-- (0 analysts)
Upside
0.00%
Net Flow Q/Q
↑ +7
Streak
1Q ▲
Buyers last Q
60%

Smart Money Signals — HSTM

Based on 197 hedge funds · latest filing: 2026 Q1 · updated quarterly

📈

Buying streak — 1 quarter in a row

last 6Q
For 1 consecutive quarter, more hedge funds added HSTM than sold it. That's a consistent pattern of professional buying — not a one-time trade. When institutions keep buying quarter after quarter, it usually means they see a multi-year opportunity, not just a short-term momentum flip.
📊

High ownership — 93% of 3.0Y peak

93% of all-time peak
197 funds currently hold this stock — 93% of the 3.0-year high of 211 funds (reached 2025 Q1). Ownership is elevated but not yet at maximum concentration. Room to grow, but watch if the trend reverses.
📉

Outflows — 7% fewer funds vs a year ago

fund count last 6Q
14 fewer hedge funds hold HSTM compared to a year ago (-7% decline). When institutions consistently reduce their exposure, it's worth exploring the underlying fundamental reasons driving them away.
🟢

More buyers than sellers — 60% buying

119 buying79 selling
Last quarter: 119 funds were net buyers (40 opened a brand new position + 79 added to an existing one). Only 79 were sellers (46 trimmed + 33 sold completely). A clear majority buying is a strong confirmation signal.
📈

More new buyers each quarter (+15 vs last Q)

new funds entering per quarter
Funds opening a new HSTM position: 22 → 28 → 25 → 40. A growing influx of new institutional buyers means the asset is still gathering momentum — the consensus hasn't fully saturated yet.
🔒

63% of holders stayed for 2+ years

■ 63% conviction (2yr+) ■ 16% medium ■ 20% new
125 out of 197 hedge funds have held HSTM for over 2 years without selling. Long-term investors are generally harder to shake out during market stress, creating a stable ownership base that limits the risk of sudden capitulation.
📈

Growing discovery — still being found

31 → 22 → 28 → 25 → 40 new funds/Q
New funds entering each quarter: 22 → 28 → 25 → 40. A growing number of institutions are discovering HSTM each quarter. The narrative is still spreading — leaving room for ongoing capital accumulation.
🏛️

Deep conviction — 66% of holders stayed 2+ years

■ 66% veterans ■ 12% 1-2yr ■ 21% new
Of 197 current holders: 131 (66%) have held for over 2 years without selling. These are not momentum buyers — they have lived through drawdowns and stayed. A large veteran base acts as a stabilizing force during selloffs.
✅

Strong quality — 35% AUM from major funds

35% from top-100 AUM funds
45 of 197 holders rank in the top 100 by AUM, accounting for 35% of total institutional value held. A meaningful share of the ownership value comes from the most well-resourced institutions.
3.2
out of 10
Low Exit Risk
Exit risk score 3.2/10 — low institutional crowding. Ownership is below peak levels, holder base is relatively sticky, and buying momentum is positive.

Methodology note: these Smart Money cards use consecutive 13F disclosure snapshots, not trade-by-trade execution data. "Buying", "selling", "new holders", and "trimmed" refer to quarter-over-quarter changes in reported holders, aggregate shares, or disclosed position values between filings. They are useful for ownership regime analysis and crowding, but they do not imply exact trade timing on the filing date.

Institutional Sentiment Summary — HSTM

In 2026 Q1, 119 hedge funds were net buyers of HSTM (40 opened a new position, 79 added to an existing one), while 79 reduced or exited (46 trimmed, 33 sold completely) — a 60% buyer ratio, indicating clear institutional accumulation. 35% of total institutional value in HSTM is held by top-100 AUM funds, reflecting strong institutional quality. Net fund flow last quarter: +7 funds (more new holders than closures). Total institutional holders: 197.

Hedge Fund Ownership: HSTM

How many hedge funds hold HSTM — quarterly history vs. share price
Quarterly hedge fund ownership of HSTM vs. share price

Market Analysis: HSTM

Analyst Price Targets

Avg. Price Target
--

Analyst Recommendations

Stock Performance

Real-time

Company Profile: HSTM

-- --

Institutional ownership data sourced from SEC EDGAR Form 13F-HR filings.

Is It Too Late to Buy Healthstream Inc (HSTM) Based on Hedge Fund 13F Filings?

Signal Freshness measures how much HSTM has moved relative to its sector benchmark (XLV) since the 2026 Q1 13F filing. A stock that has barely outrun its sector is still a relatively fresh entry point — the fund's thesis has not yet been priced in by the broader market.

Since Quarter End March 31, 2026 · 78d ago
HSTM
+25.4%
XLV
+3.0%

HSTM outperformed XLV by +22.4% since March 31, 2026.

Since 13F Filing Date May 15, 2026 · 33d ago
HSTM
+13.4%
XLV
+4.1%

Since the filing became public, HSTM outperformed XLV by +9.3% .

Interpretation: The stock is tracking its sector benchmark closely. The signal remains fresh and the entry point is still near the fund's implied reference. Learn more →

Smart Money Signal ?
Limited Smart Money Interest

No strong consensus or elite conviction detected among institutional holders.

19 top-rated funds 0 high-conviction
Consensus
5.6
/ 10
breadth
×
Elite
0.4
/ 10
conviction
Hedge Fund Positioning: HSTM
197 + Investors

Track Smart Money conviction in HSTM. See who's accumulating, reducing, or initiating positions.

Metric All 13F Filers (2026 Q1) Prior (2025 Q4) Change
Funds Holding 197 190 3.68%
13F Shares 21M 21M 1.16%
Total Value $432M $486M -11.05%
New Positions 40 25 +15
Increased Positions 79 69 +10
Closed Positions 33 35 -2
Reduced Positions 46 69 -23
Total Calls 0 0 -
Total Puts 0 0 -
PUT/CALL Ratio 0.0 0.0 Bullish

Statistics: HSTM

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Enterprise Value/EBITDA --
Beta (5Y Monthly) --
Short Ratio (Days to Cover) --
Short % of Float --

Financial Highlights

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Institutional Holders (2026 Q1)

197 + investors

Explore institutional interest and hedge fund ownership dynamics. Analyze portfolio weights, new positions, and conviction trends in HSTM. Verified SEC 13F-HR filings.

QUARTER:
Top 25 HSTM holders by conviction (% of portfolio weight) — 2026 Q1 · Source: SEC Form 13F
# Investor % of Portfolio Shares Mkt Value
1 Copeland Capital Management, LLC 0.59% 1,276,739 $26.4M
2 HERALD INVESTMENT MANAGEMENT Ltd 0.43% 150,000 $3.1M
3 Bridge City Capital, LLC 0.31% 53,449 $1.1M
4 nVerses Capital, LLC 0.28% 14,768 $306K
5 AM Investment Strategies LLC 0.26% 57,738 $1.2M
6 Numerai GP LLC 0.26% 123,627 $2.6M
7 Globeflex Capital L P 0.23% 72,988 $1.5M
8 Invenomic Capital Management LP 0.23% 240,370 $5.0M
9 Connors Investor Services Inc 0.19% 98,119 $2.0M
10 EntryPoint Capital, LLC 0.13% 20,782 $430K
11 Diametric Capital, LP 0.12% 22,148 $459K
12 Kennedy Capital Management LLC 0.09% 195,241 $4.0M
13 Campbell & CO Investment Adviser LLC 0.07% 63,233 $1.3M
14 Cambiar Investors LLC 0.06% 67,229 $1.4M
15 Nebula Research & Development LLC 0.05% 21,659 $599K
16 Virtus Advisers, LLC 0.05% 5,015 $104K
17 Quantbot Technologies LP 0.05% 54,180 $1.1M
18 AlphaQuest LLC 0.05% 35,313 $815K
19 Inspire Investing, LLC 0.04% 24,802 $514K
20 NJ State Employees Deferred Compensation Plan 0.03% 10,000 $282K
21 Jacobs Levy Equity Management, Inc 0.03% 288,179 $6.0M
22 Kornitzer Capital Management Inc /Ks 0.02% 55,957 $1.2M
23 Engineers Gate Manager LP 0.02% 88,758 $1.8M
24 Martingale Asset Management L P 0.02% 37,703 $781K
25 Susquehanna Portfolio Strategies, LLC 0.02% 58,044 $1.2M
Investor Ownership
History 		% of Portfolio Prev % Rank Conviction Avg Buy Price 13F Score™ 3Y / 7Y Sell Timing Shares Mkt Value Change Change % Source Quarter Filed

Frequently Asked Questions — Healthstream Inc (HSTM)

What does the Smart Money Trend signal show for HSTM?

Buying streak — 1 quarter in a row: For 1 consecutive quarter, more hedge funds added HSTM than sold it. That's a consistent pattern of professional buying — not a one-time trade. When institutions keep buying quarter after quarter, it usually means they see a multi-year opportunity, not just a short-term momentum flip.

What is the institutional breadth score for HSTM?

More buyers than sellers — 60% buying: Last quarter: 119 funds were net buyers (40 opened a brand new position + 79 added to an existing one). Only 79 were sellers (46 trimmed + 33 sold completely). A clear majority buying is a strong confirmation signal.

What is the fund quality score for HSTM holders?

Strong quality — 35% AUM from major funds: 45 of 197 holders rank in the top 100 by AUM, accounting for 35% of total institutional value held. A meaningful share of the ownership value comes from the most well-resourced institutions.

How long have hedge funds held HSTM?

63% of holders stayed for 2+ years: 125 out of 197 hedge funds have held HSTM for over 2 years without selling. Long-term investors are generally harder to shake out during market stress, creating a stable ownership base that limits the risk of sudden capitulation.

Is it too late to buy Healthstream Inc (HSTM) following the 2026 Q1 hedge fund 13F filings?

As of today, HSTM has moved +13.4% since the 2026 Q1 13F filing date (May 15, 2026), compared to +4.1% for the XLV sector ETF — an outperformance of +9.3%. Since the quarter end (March 31, 2026), HSTM has gained +25.4% vs +3.0% for XLV. The stock is tracking its sector benchmark closely. The signal remains fresh and the entry point is still near the fund's implied reference.

Where does this institutional ownership data come from?

All holdings data is sourced from SEC Form 13F filings, which institutional investment managers with over $100 million in assets are required to submit quarterly. Data is parsed directly from SEC EDGAR.

Disclaimer: The information on this page is for informational purposes only and does not constitute investment advice, a recommendation, or an offer to buy or sell any security. Institutional holdings data is sourced from SEC Form 13F filings and reflects positions as of the filing date. Past performance of any fund or portfolio is not indicative of future results. 13Foresight is not a registered investment adviser. Always conduct your own due diligence before making investment decisions.

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