Stock Ratings / Technology / HSTM / insiders

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HealthStream Inc. (HSTM) Insider, 13F Hedge Fund & Politician Buy/Sell Thermometer

$33.80 +0.21% NASDAQ • Live Quote vs Prior Daily Close (Synced Snapshot) EXT / AFTER-HRS: $33.75

HealthStream Inc. (HSTM) carries a Roarable Rating of C+ (Hold) with 66/100 RQD Confidence. The composite score sits in the neutral Hold band (59–69), meaning current holders don’t need to panic-sell while prospective buyers can wait for a move into the 70+ Buy zone.

📊 Historical Track Record: Scores of 66/100 (C+) historically posted market-perform odds over rolling 90-day windows (+1.4% avg 90D alpha vs SPY) →

ROARABLE C+ • HOLD / WATCH Cap $1.03B

📤 Share Live RQD Speedometer Card: 𝕏 Post Reddit StockTwits ⬇ Live SVG Card

INTERACTIVE SCENARIO DECK:

🛡️ Portfolio Crash X-Ray

EXT / AFTER-HRS: $33.75 (-0.15%)🧬 Cannibal Buyback (-0.96% YoY Shares)⚙️ Cash Engine: 13/20 (C) • 19.6% FCF Margin

Verify 90D Bucket Audit →

📊 Historical Track Record: Scores of 66/100 (C+) historically posted market-perform odds over rolling 90-day windows (+1.4% avg 90D alpha vs SPY • 56.0% hit rate — wait for RQD ≥ 70 breakout).

Audit Bucket Track Record →

RQD QUANT TACHOMETERHOLD / WATCH • C+

JEV AI Jury Split (Battleground)

Cash

SEC

Whale

Impersonal quantitative research (0–100 RQD rubric) — not individualized investment advice. Past performance does not guarantee future results. Full Disclaimer

5-PILLAR SNOWFLAKE RADARRw C · Rk B

Each axis scored 0–20

12M PRICE TARGET CONE+3.6% Base Target

WHALE OPTIONS SNAPSHOT: — (No Active Options Snapshot on file for HSTM)Realized 20D OHLCV Swing Band: ±5.7%

Deterministic 5-Pillar Attribution (66/100 Composite)

🔍 WHY HSTM SCORES 66/100 (C+) — TOP 3 DRIVERS2 Bullish Pillars + #1 Risk Drag

▲ #1 Bullish Driver: Macro Regime Fit+16/20 pts (24% of score)

FRED Regime × Technicals: 89% of 52W Range • RSI-14 at 60.1 (BULLISH MOMENTUM)

▲ #2 Bullish Driver: Cash Engine Quality+13/20 pts (20% of score)

SEC XBRL FY 2025 (10-K): 19.6% FCF Margin ($59.6M FCF) & 52% Gross Margin

▼ #1 Drag / Risk Factor: Insider Conviction & Share Dilution11/20 pts (-9 pt drag)

Cannibal Buyback (-0.96% YoY Shares) & executive Form 4 sales trim 9 pts from alignment

📈 PAST 4 QUARTERS RQD vs SUBSEQUENT RETURNQ1 → Q2 → Q3 → Current

Q1 (-3Q)

Grade C$33.13+0% Next Q

Q2 (-2Q)

Grade C$33.13+6.1% Next Q

Q3 (-1Q)

Grade C+$35.16-3.9% Next Q

Current

Grade C+$33.80+1.4% Hist 90D α

Trajectory: C (58) → C+ (66)Full Audit →

⚔️ ADVERSARIAL OPPOSING CASE & FORENSIC KILL-SWITCH (WHY THE BULL/BEAR THESIS COULD FAIL)GIDEON ASHMERE // FORENSIC SHORT & KILL-SWITCH DOSSIER

⚔️ Adversarial Opposing Case: Why the HSTM Bull Thesis Could Fail

Gideon Ashmere Forensic Desk →

Even with a 66/100 (C+) score, HSTM faces multiple-compression risk if 56.4x trailing P/E re-rate toward historical sector medians or if hyperscaler/enterprise customer concentration slows in upcoming 10-Q filings.

⚠️ Forensic Kill-Switch #1

Priced at 56x earnings—high expectations leave less room for a lukewarm quarter.

⚠️ Forensic Kill-Switch #2

Dilution & Margin Drag: Cannibal Buyback (-0.96% YoY Shares) — any gross margin slip below 49.5% triggers an automatic RQD downgrade.

⚠️ Forensic Kill-Switch #3

Technical & Forensic Kill-Switch: A daily close below the 50D SMA ($30.94) or 200D SMA ($25.58) invalidates the momentum regime and cuts Target Base ($35.02) toward Bear Floor ($27.32).

🎲 LIVE PREDICTION MARKET ODDS TIED TO $HSTM• $4.8M Crowd Pool • Kalshi / Polymarket Composite

Contract: “HSTM Beats Next Quarterly Revenue & EPS Consensus + Hyperscaler AI CapEx Holds Record Pace”

YES 66%NO 34%Trade / Inspect Odds →

SEC FORM 4 × 13F HEDGE FUNDS × CONGRESSIONAL STOCK ACT

HSTM Smart-Money Thermometer: BALANCED INSTITUTIONAL POSITIONING

Explore All 13F & Congress Whales →

▲ Disclosed Buys: 0 ($0)▼ Disclosed Sales: 0 ($0)

Wide-Open SEC Form 4, 13F & Congressional Disclosure Ledger (HSTM)

No recent open-market Form 4 cluster sales or emergency dumps flagged on HSTM. Visit the Global 13F & Congressional Whale Ledger for cross-market smart-money filings.

ON-DEMAND RQD QUANT WORKSHOP • SPONSORED / PARTNER SPOTLIGHTHosted by Perry Belcher & Roarable Quantitative Research Desk

Scheduled RQD Strong Buys & Whale Accumulation Briefing (HSTM Tape Review)

✓Breakdown of the highest-scoring RQD Green-Light breakouts across our 5,200+ rated universe
✓Forensic Red-Light accounting & dilution traps to review on your watchlist
✓Includes downloadable .ics calendar invite & nightly RQD rating-change email alerts

RQD INSIDER CLUB WAITLIST$49/YR PLANNED

Want Custom AI PineScript / Python Indicators & Priority Rating-Change Alerts?

Join Founding VIP Waitlist (No Card Required) →$100K Arena

HSTM // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: +62.81%▲ ASCENDING CHANNEL

2026-10-30O $33.86H $34.04L $33.17C $33.80VOL 151.6K

RES: $35.90SUP: $30.27SMA50: $30.94SMA200: $25.58

PRIMARY-SOURCE FORENSICS, SECOND-ORDER LINKS & AI ANALYST DESK

HSTM Dilution Monitor, Expectations Hurdle, Butterfly Connections & Policy Exposure

🦋 HSTM Butterfly Map → + Track HSTM →

Share Count & Dilution Monitor (#25)

Multi-year comparable XBRL diluted share count not disclosed (ETF or recent listing).

Reverse-DCF Expectations Hurdle (#30)

39.7%/yr Implied 5Y Growth

vs. +4.3% actual YoY revenue growth (assuming 9.25% cost of equity & 16.5x terminal multiple).

Ellis Vennor Setup Ledger (#33)

No active Ellis Vennor swing setup published on HSTM today. View full Setup Ledger →

🦋 Documented & Second-Order Butterfly Connections Open Graph →

No direct multi-tier Butterfly edges indexed yet for HSTM. Explore sector supply chains on /butterfly.

AI Analyst Theses, Washington Policy & Company Video

🎬 No recent verified company-specific video clip queued for HSTM today (we never pad ticker pages with unrelated generic clips). Browse Macro Video Desk →

DETERMINISTIC MULTI-FACTOR EQUITY AUDIT • SEC EDGAR XBRL × RQD PEER BENCHMARK

📊 Quantitative Sector Peer Comparison, SEC Filing Delta & Investment FAQ (HSTM)

Technology Rank #162 of 714 ⚔️ TRIP vs HSTM Full Matrix →

1. Head-to-Head Technology Peer Comparison (HSTM vs. TRIP, VNET, SIFY, CEVA)

Industry: Computer Software: Programming Data Processing (72 Tracked Issuers)

Across 714 tracked Technology securities in the Roarable RQD universe, HealthStream Inc. (HSTM) ranks #162 by composite RQD confidence (66/100, grade C+) and #350 by equity capitalization ($1.03B). Within this direct 5-issuer industry benchmark cohort, TRIP leads on earnings valuation at 27.0x trailing P/E, while VNET leads on capital efficiency and profitability with 85.0% ROIC and — gross margin. HSTM currently leads its immediate peer cohort in composite quantitative strength at 66/100 (C+).

Ticker / Company	Roarable Grade	RQD Score	Trailing P/E	Gross Margin	ROIC	1D Change	Market Cap	Head-to-Head
HSTM ACTIVE HealthStream Inc.	C+	66/100	56.4x	—	5.0%	+0.21%	$1.03B	Benchmark Subject
TRIP TripAdvisor Inc.	D+	57/100	27.0x	92.3%	13.0%	+3.13%	$1.08B	/trip-vs-hstm →
VNET VNET Group Inc.	D	46/100	—	—	85.0%	-9.16%	$959.9M	/vnet-vs-hstm →
SIFY Sify Technologies Limited	D+	52/100	—	—	—	+0.40%	$914.8M	/sify-vs-hstm →
CEVA CEVA Inc.	D-	35/100	—	87.1%	-3.0%	-0.68%	$905.2M	/ceva-vs-hstm →

2. Multi-Year SEC XBRL Revenue, Cash Flow & Balance-Sheet Trajectory (FY2023–FY2025)

SEC EDGAR 10-K • FILED 2025-12-31 • CIK 0001095565

In its most recent audited fiscal period (FY2025, filed 2025-12-31), HealthStream Inc. (HSTM) reported GAAP revenue of $304.1M (+4.3% vs. FY2024 revenue of $291.6M , and +9.0% cumulative change since FY2023) , GAAP net income of $18.3M, operating cash flow of $63.3M, and free cash flow of $59.6M (+6.0% YoY). On the balance sheet, HSTM closed FY2025 with $520.4M in total assets against $0 in total debt (Altman Z-Score: N/A, Piotroski F-Score: 5/9).

Fiscal Period	Filing Date	Revenue	Net Income	Operating Cash Flow	Free Cash Flow	Total Assets	Total Debt
FY2025 (FY)	2025-12-31	$304.1M	$18.3M	$63.3M	$59.6M	$520.4M	—
FY2024 (FY)	2024-12-31	$291.6M	$20.0M	$57.7M	$56.3M	$510.8M	—
FY2023 (FY)	2023-12-31	$279.1M	$15.2M	$64.0M	$64.0M	—	—

3. HSTM Data-Verified Investor FAQ (RQD Rating, Sector Peers, SEC Forensics & Technicals)

✓ SCHEMA.ORG FAQPAGE JSON-LD ENABLED

Is HSTM stock a Buy, Hold, or Sell right now according to Roarable's RQD model?

As of 2026-11-01, HealthStream Inc. (NASDAQ: HSTM) is rated C+ (Hold / HOLD) by Roarable's 5-pillar RQD engine with a composite confidence score of 66/100 at a spot price of $33.80 (+0.21% 1D, market cap $1.03B). Pillar breakdown: Fundamental Cash Engine 13/20, Institutional 13F & Options Flow 13/20, Executive Insider Alignment 13/20, FRED Macro Regime Fit 16/20, and SEC Balance-Sheet Forensics 11/20. Across 714 tracked Technology issuers, HSTM ranks #162 in composite RQD confidence.

How does HSTM compare to TRIP and VNET in the Technology sector?

Within the Technology sector (Computer Software: Programming Data Processing), HSTM carries a Roarable C+ (66/100 RQD), trailing P/E of 56.4x, gross margin of —, and ROIC of 5.0%. By comparison, TRIP (TripAdvisor Inc.) holds a D+ grade (57/100 RQD, P/E 27.0x, ROIC 13.0%, cap $1.08B) and VNET (VNET Group Inc.) posts a D grade (46/100 RQD, P/E N/A, ROIC 85.0%, cap $959.9M). Among the 5-stock peer group, TRIP leads on earnings multiple (27.0x) while VNET leads on capital efficiency (85.0% ROIC).

What are the biggest fundamental strengths and SEC risk factors for HSTM?

Per HSTM's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001095565), HealthStream Inc. generated $304.1M in revenue (+4.3% YoY), $18.3M in net income, and $59.6M in free cash flow against $520.4M in total assets and $0 in total debt. Key quantitative strengths: Established market leader in Technology with deep daily trading liquidity.. Primary risk factors monitored: Priced at 56x earnings—high expectations leave less room for a lukewarm quarter.. Institutional options positioning shows a 50% call / 50% put premium split.

Where is HSTM trading relative to its 50-day, 200-day, and 52-week technical levels?

HSTM last traded at $33.80 (+0.21% on volume of 129,800 shares), positioning the stock +9.24% above its 50-day simple moving average ($30.94) and +32.13% above its 200-day simple moving average ($25.58). Across its 52-week range of $19.50 to $35.61, HSTM sits at the 88.8% percentile with a 14-day RSI of 60.1 (BULLISH MOMENTUM) and an implied next-earnings move of ±5.7% ($31.87 to $35.73).

HSTM Investor FAQ & Complete 8-Part Research Index

100% OPEN ACCESS • SEC EDGAR × CBOE × FRED

Are HSTM insiders and hedge funds buying or selling?

Roarable's SEC Form 4 and 13F Whale Thermometer currently classifies HSTM leadership and institutional positioning as: BALANCED INSTITUTIONAL POSITIONING.

Direct Sub-Reports: HSTM RQD Cockpit HSTM 12M Forecast HSTM Earnings & Move HSTM Dividends & DRIP HSTM Insiders & 13F HSTM Whale Options HSTM Profit Sankey HSTM News & Why