FRIST ROBERT A JR - 15 Dec 2025 Form 4/A - Amendment 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: 15 Dec 2025
Net transactions value: $0
Form type: 4/A - Amendment
Filing time: 27 Feb 2026, 19:56:33 UTC
Date Of Original Report: 17 Dec 2025
Previous filing: 09 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.	27 Feb 2026	0001217273

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	HSTM	Common Stock Holding	Gift	$0	-527,918	-12%	$0.000000	4,048,052	15 Dec 2025	Direct	F1, F2

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

Explanation of Responses:

Id	Content
F1	This Form 4 amendment is being filed solely to correct an administrative error associated with the Form 4/A filed by the reporting person on December 17, 2025 (the "December Form 4/A"), which amended a Form 4 filed on December 16, 2025 (the "Original Form 4"). The December Form 4/A was filed in connection with a determination that 208 shares were not transferred by the reporting person by gift on December 15, 2025, which transfer had been included within the total number of shares transferred on such date by gift as reported on the Original Form 4. Following the filing of the December Form 4/A, it was determined that such transfer of 208 shares via gift had in fact been executed on December 15, 2025, and as such this Form 4 amendment is being filed to report that (after taking into account such transfer) 527,918 shares were transferred via gift on December 15, 2025 (as was reported on the Original Form 4), rather than 527,710 shares (as was reported on the December Form 4/A).
F2	Reflects the amount of securities directly beneficially owned by the reporting person as of the date hereof.

Content

This Form 4 amendment is being filed solely to correct an administrative error associated with the Form 4/A filed by the reporting person on December 17, 2025 (the "December Form 4/A"), which amended a Form 4 filed on December 16, 2025 (the "Original Form 4"). The December Form 4/A was filed in connection with a determination that 208 shares were not transferred by the reporting person by gift on December 15, 2025, which transfer had been included within the total number of shares transferred on such date by gift as reported on the Original Form 4. Following the filing of the December Form 4/A, it was determined that such transfer of 208 shares via gift had in fact been executed on December 15, 2025, and as such this Form 4 amendment is being filed to report that (after taking into account such transfer) 527,918 shares were transferred via gift on December 15, 2025 (as was reported on the Original Form 4), rather than 527,710 shares (as was reported on the December Form 4/A).

Reflects the amount of securities directly beneficially owned by the reporting person as of the date hereof.