FRIST ROBERT A JR - 09 Dec 2025 Form 4 Insider Report for HEALTHSTREAM INC (HSTM)

Role: CEO and Chairman, Director, 10%+ Owner
Signature: /s/ Robert A. Frist, Jr.
Issuer symbol: HSTM
Transactions as of: 09 Dec 2025
Transactions value $: $0
Form type: 4
Filing time: 09 Dec 2025, 17:21:03 UTC
Previous filing: 09 Dec 2025
Next filing: 17 Dec 2025
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
FRIST ROBERT A JR	CEO and Chairman, Director, 10%+ Owner	500 11TH AVENUE NORTH, SUITE 1000, NASHVILLE	/s/ Robert A. Frist, Jr.	09 Dec 2025	0001217273

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	HSTM	Common Stock Holding	Disposed to Issuer	$0	-158K	-3.33%	$0.00	4.59M	09 Dec 2025	Direct	F1
holding	HSTM	Common Stock Holding						10K	09 Dec 2025	The Carolyn Marie Frist 2005 Vested Trust
holding	HSTM	Common Stock Holding						10K	09 Dec 2025	The Cate Merriman Frist 2005 Vested Trust
holding	HSTM	Common Stock Holding						10K	09 Dec 2025	The Eleanor Knox Frist 2005 Vested Trust
holding	HSTM	Common Stock Holding						0	09 Dec 2025	By grantor retained annuity trust (1)
holding	HSTM	Common Stock Holding						18.3K	09 Dec 2025	Louise Trust u/a/d 08-16-2007
holding	HSTM	Common Stock Holding						18.3K	09 Dec 2025	Merriman Trust u/a/d 08-16-2007
holding	HSTM	Common Stock Holding						18.3K	09 Dec 2025	Marie Trust u/a/d 08-16-2007
holding	HSTM	Common Stock Holding						18.3K	09 Dec 2025	Knox Trust u/a/d 08-16-2007
holding	HSTM	Common Stock Holding						595K	09 Dec 2025	Bobby and Melissa Frist Children's 2012 GST-Exempt Trust

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	On December 9, 2025, Robert A. Frist, Jr., the chief executive officer of HealthStream, Inc. (the "Company"), contributed 146,286 of his shares of Company common stock to the Company without any consideration paid to Mr. Frist. This contribution is for the benefit of over 700 employees, excluding executives, vice presidents, and associate vice presidents. The Company has approved the grant of that same number of shares contributed by Mr. Frist under its 2022 Omnibus Incentive Plan to eligible employees, which shares will be issued effective immediately and will not be subject to any vesting condition. In addition, on December 9, 2025, Mr. Frist contributed an additional 11,492 shares to the Company, without consideration paid to Mr. Frist, which amount is equivalent to the estimated Company costs associated with the equity grants, such as administrative expenses and employer payroll taxes, which will be associated with the grants.

Content

On December 9, 2025, Robert A. Frist, Jr., the chief executive officer of HealthStream, Inc. (the "Company"), contributed 146,286 of his shares of Company common stock to the Company without any consideration paid to Mr. Frist. This contribution is for the benefit of over 700 employees, excluding executives, vice presidents, and associate vice presidents. The Company has approved the grant of that same number of shares contributed by Mr. Frist under its 2022 Omnibus Incentive Plan to eligible employees, which shares will be issued effective immediately and will not be subject to any vesting condition. In addition, on December 9, 2025, Mr. Frist contributed an additional 11,492 shares to the Company, without consideration paid to Mr. Frist, which amount is equivalent to the estimated Company costs associated with the equity grants, such as administrative expenses and employer payroll taxes, which will be associated with the grants.