Stock Analysis
Data Source: SEC EDGAR 13F
Updated Hourly

HEALTHSTREAM INC COM (HSTM)

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

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Current Price
-- USD
Analyst Target
-- (0 analysts)
Upside
0.00%
Net Flow Q/Q
↓ -10
Streak
1Q ▼
Buyers last Q
48%

Smart Money Signals — HSTM

Based on 178 hedge funds · latest filing: 2025 Q4 · updated quarterly

📉

Selling streak — 1 quarter in a row

last 6Q
For 1 consecutive quarter, more hedge funds reduced or closed their HSTM positions than added to them. Sustained institutional selling is a meaningful warning sign — these are professionals with deep research teams collectively deciding to exit.
📊

High ownership — 90% of 3.0Y peak

90% of all-time peak
178 funds currently hold this stock — 90% of the 3.0-year high of 198 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
13 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 sellers than buyers — 48% buying

90 buying99 selling
Last quarter: 99 funds reduced or exited vs 90 that bought or added. When more than half of active funds are selling, it's a caution flag — especially if the stock price hasn't moved down yet.
➡️

Steady new buyers — ~24 new funds per quarter

new funds entering per quarter
Funds opening this position for the first time: 29 → 22 → 27 → 24. A stable flow of new institutional buyers suggests ongoing interest without signs of either acceleration or slowdown.
🔒

69% of holders stayed for 2+ years

69% conviction (2yr+) 16% medium 16% new
122 out of 178 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.
💎

Buying through price weakness — shares -1%, value -19%

Value
-19%
Shares
-1%
Last quarter: funds added -1% more shares while total portfolio value only changed -19%. Institutions were buying while the price was falling — a high-conviction accumulation signal. They're deliberately loading up on the dip.
➡️

Steady discovery — ~24 new funds/quarter

26 → 29 → 22 → 27 → 24 new funds/Q
New funds entering each quarter: 29 → 22 → 27 → 24. Consistent flow of new institutional buyers without clear acceleration or slowdown.
🏛️

Deep conviction — 72% of holders stayed 2+ years

72% veterans 11% 1-2yr 17% new
Of 178 current holders: 128 (72%) 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.
🏆

Elite ownership — 44% AUM from top-100 funds

44% from top-100 AUM funds
33 of 178 holders are among the 100 largest funds by AUM, controlling 44% of total institutional value in HSTM. When the biggest players dominate the cap table, it signifies deep institutional support — since mega-funds deploy the most rigorous due diligence and capital.
3.0
out of 10
Low Exit Risk
Exit risk score 3.0/10 — 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.

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

-- --
Smart Money Signal ?
Limited Smart Money Interest

No strong consensus or elite conviction detected among institutional holders.

37 top-rated funds 0 high-conviction
Consensus
6.9
/ 10
breadth
×
Elite
0.5
/ 10
conviction
Hedge Fund Positioning: HSTM
2026 Q1 Stats Unlock in 20 days 178 + Investors

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

Metric All 13F Filers (2025 Q4) Prior (2025 Q3) Change
Funds Holding 178 188 -5.32%
13F Shares 21M 21M -1.3%
Total Value $478M $593M -19.36%
New Positions 24 27 -3
Increased Positions 66 46 +20
Closed Positions 34 27 +7
Reduced Positions 65 78 -13
Total Calls 0 0 -
Total Puts 0 0 -
PUT/CALL Ratio 0.0 0.0 Bullish

Statistics: HSTM

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Valuation Measures Data as of: --

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Enterprise Value --
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PEG Ratio (5yr expected) --
Price/Sales (ttm) --
Price/Book (mrq) --
Enterprise Value/Revenue --
Enterprise Value/EBITDA --
Beta (5Y Monthly) --
Short Ratio (Days to Cover) --
Short % of Float --

Financial Highlights

Profitability
Profit Margin --
Return on Assets (ttm) --
Return on Equity (ttm) --
Income Statement & Cash Flow
Revenue (ttm) --
Net Income Avi to Common (ttm) --
Diluted EPS (ttm) --
Total Cash (mrq) --
Total Debt/Equity (mrq) --
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Institutional Holders (2026 Q1)

178 + investors

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

Top 25 institutional holders of HSTM — 2025 Q4 · Source: SEC Form 13F
# Investor % of Portfolio Shares Mkt Value
1 AM INVESTMENT STRATEGIES LLC 0.26% 57,738 $1.2M
2 Inspire Investing, LLC 0.04% 24,802 $514K
3 NJ State Employees Deferred Compensation Plan 0.03% 10,000 $282K
4 GAMMA Investing LLC 0.02% 16,801 $348K
5 Robeco Institutional Asset Management B.V. 0.01% 313,359 $6.5M
6 Brooklyn Investment Group 0.01% 9,981 $207K
7 Diversified Trust Co 0.01% 13,717 $284K
8 KLP KAPITALFORVALTNING AS 0.00% 50,100 $1.0M
9 Louisiana State Employees Retirement System 0.00% 10,500
10 State of Alaska, Department of Revenue 0.00% 13,506
11 Versant Capital Management, Inc 0.00% 782 $16K
12 OREGON PUBLIC EMPLOYEES RETIREMENT FUND 0.00% 5,427 $112K
13 Police & Firemen's Retirement System of New Jersey 0.00% 7,099 $147K
14 STRS OHIO 0.00% 13,700 $284K
15 SG Americas Securities, LLC 0.00% 39,798
16 NEW YORK STATE TEACHERS RETIREMENT SYSTEM 0.00% 12,701
17 MassMutual Private Wealth & Trust, FSB 0.00% 581 $12K
18 HARBOR CAPITAL ADVISORS, INC. 0.00% 168
19 Sterling Capital Management LLC 0.00% 523 $11K
20 GILPIN WEALTH MANAGEMENT, LLC 0.00% 12
21 SIGNATUREFD, LLC 0.00% 246 $5K
22 Root Financial Partners, LLC 0.00% 33
23 Farther Finance Advisors, LLC 0.00% 154 $3K
24 GHP Investment Advisors, Inc. 0.00% 18
25 SJS Investment Consulting Inc. 0.00% 4
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 COM (HSTM)

What does the Smart Money Trend signal show for HSTM?

Selling streak — 1 quarter in a row: For 1 consecutive quarter, more hedge funds reduced or closed their HSTM positions than added to them. Sustained institutional selling is a meaningful warning sign — these are professionals with deep research teams collectively deciding to exit.

What is the institutional breadth score for HSTM?

More sellers than buyers — 48% buying: Last quarter: 99 funds reduced or exited vs 90 that bought or added. When more than half of active funds are selling, it's a caution flag — especially if the stock price hasn't moved down yet.

What is the fund quality score for HSTM holders?

Elite ownership — 44% AUM from top-100 funds: 33 of 178 holders are among the 100 largest funds by AUM, controlling 44% of total institutional value in HSTM. When the biggest players dominate the cap table, it signifies deep institutional support — since mega-funds deploy the most rigorous due diligence and capital.

How long have hedge funds held HSTM?

69% of holders stayed for 2+ years: 122 out of 178 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.

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.