HSTM / HealthStream, Inc. - Документы SEC, Годовой отчет, Доверенное заявление

HealthStream, Inc.
US ˙ NasdaqGS ˙ US42222N1037

Основная статистика
LEI 529900OJ88H8635JNH64
CIK 1095565
SEC Filings
All companies that sell securities in the United States must register with the Securities and Exchange Commission (SEC) and file reports on a regular basis. These reports include company annual reports (10K, 10Q), news updates (8K), investor presentations (found in 8Ks), insider trades (form 4), ownership reports (13D, and 13G), and reports related to the specific securities sold, such as registration statements and prospectus. This page shows recent SEC filings related to HealthStream, Inc.
SEC Filings (Chronological Order)
На этой странице представлен полный хронологический список документов SEC, за исключением документов о собственности, которые мы предоставляем в других местах.
August 7, 2025 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended June 30, 2025 ☐ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant as sp

August 4, 2025 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): August 4, 2025 (August 4, 2025) H

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): August 4, 2025 (August 4, 2025) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation)

August 4, 2025 EX-99.1

HEALTHSTREAM ANNOUNCES SECOND QUARTER 2025 RESULTS

HealthStream Announces Second Quarter 2025 Results Page 1 August 4, 2025 Exhibit 99.

May 30, 2025 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): May 30, 2025 (May 29, 2025) Healt

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): May 30, 2025 (May 29, 2025) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction (Commission File Numb

May 9, 2025 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended March 31, 2025 ☐ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant as s

May 9, 2025 EX-10.1

HealthStream, Inc. 2025 Cash Incentive Bonus Plan

Exhibit 10.1 HealthStream, Inc. 2025 Cash Incentive Bonus Plan Overview: Pursuant to the HealthStream, Inc. 2022 Omnibus Incentive Plan, the Compensation Committee (the “Committee”) of the Board of Directors of HealthStream, Inc. (the “Company”) hereby establishes this 2025 Cash Incentive Bonus Plan (the “Plan”). The Plan is the cash-based, short-term incentive portion of HealthStream's incentive

May 8, 2025 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): May 8, 2025 HealthStream, Inc. (E

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): May 8, 2025 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission File Nu

May 8, 2025 EX-99.1

HealthStream Announces Share Repurchase Program

Exhibit 99.1 PRESS RELEASE For Immediate Release: Contact: Mollie Condra, Ph.D. Head, Investor Relations & Communications HealthStream (615)-301-3237 [email protected] HealthStream Announces Share Repurchase Program NASHVILLE, Tennessee (May 8, 2025) – HealthStream (Nasdaq: HSTM), a leading healthcare technology platform company for workforce solutions, today announced that its Board

May 5, 2025 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): May 5, 2025 (May 5, 2025) HealthS

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): May 5, 2025 (May 5, 2025) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Comm

May 5, 2025 EX-99.1

HEALTHSTREAM ANNOUNCES FIRST QUARTER 2025 RESULTS

HealthStream Announces First Quarter 2025 Results Page 1 May 5, 2025 Exhibit 99.1 Contact: Scott A. Roberts Chief Financial Officer (615) 301-3182 [email protected] Media: Mollie Condra, Ph.D. Head, Investor Relations & Communications (615) 301-3237 [email protected] HEALTHSTREAM ANNOUNCES FIRST QUARTER 2025 RESULTS NASHVILLE, Tenn. (May 5, 2025)— HealthStream, Inc. (the "Company")

April 10, 2025 DEFA14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. )

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant ☒ Filed by a Party other than the Registrant ☐ Check the appropriate box: ☐ Preliminary Proxy Statement ☐ Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) ☐ Defin

April 10, 2025 DEF 14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. )

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant ☒ Filed by a Party other than the Registrant ☐ Check the appropriate box: ☐ Preliminary Proxy Statement ☐ Confidential, for Use of the Commission Only (as permitted by Rule 14

March 28, 2025 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of The Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): March 28, 2025 (March 24, 2025) HealthStream, Inc. (Exact name of registrant as specified in its charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation)

March 14, 2025 EX-99.1

HealthStream Embraces Hybrid, High-Performance Corporate Culture, Reducing Office Space via Partial Subleasing of its Nashville Office

Exhibit 99.1 P R E S S R E L E A S E For Immediate Release: Contact: Mollie Condra, Ph.D. Head, Investor Relations & Communications HealthStream (615)-301-3237 [email protected] HealthStream Embraces Hybrid, High-Performance Corporate Culture, Reducing Office Space via Partial Subleasing of its Nashville Office NASHVILLE, Tennessee (March 13, 2025) – HealthStream, Inc. (Nasdaq: HSTM),

March 14, 2025 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): March 13, 2025 (March 13, 2025) H

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): March 13, 2025 (March 13, 2025) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation)

March 11, 2025 EX-99.1

HealthStream Announces the Addition of Charles E. Beard, Jr. to the Board of Directors

Exhibit 99.1 P R E S S R E L E A S E For Immediate Release: Contact: Mollie Condra, Ph.D. Head, Investor Relations & Communications HealthStream (615)-301-3237 [email protected] HealthStream Announces the Addition of Charles E. Beard, Jr. to the Board of Directors NASHVILLE, Tennessee (March 11, 2025) – HealthStream, Inc. (Nasdaq: HSTM), a leading healthcare technology platform compan

March 11, 2025 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): March 11, 2025 (March 7, 2025) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation)

February 28, 2025 EX-10.16

Letter Agreement, dated as of January 30, 2025, between HealthStream, Inc. and Michael Collier.

EXHIBIT 10.16 January 30, 2025 Re: Offer Letter Dear Michael: This offer letter will confirm the terms of your offer of ongoing employment with HealthStream, Inc. (the “Company”) as its Executive Vice President, Corporate Strategy, Development, and Operations and the terms associated with the Company’s consideration to promote you to Chief Operating Officer in the next 12-months. The following des

February 28, 2025 EX-10.17

Letter Agreement, dated as of January 28, 2025, between HealthStream, Inc. and Trisha Coady.

EXHIBIT 10.17 January 28, 2025 Re: Offer Letter Dear Trisha: This offer letter will confirm the terms of your offer of promotion with HealthStream, Inc. (the “Company”) as its Executive Vice President, Workforce Solutions. This promotion is being offered to you in recognition of your outstanding performance and to incentive ongoing excellence in your performance. The following describes the genera

February 28, 2025 10-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K ☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED December 31, 2024 OR ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM TO Commission File Number 000-27701 HEALTHST

February 28, 2025 EX-19.1

HealthStream, Inc. Insider Trading Policy

EXHIBIT 19.1 HEALTHSTREAM, INC. INSIDER TRADING POLICY Overview HealthStream, Inc.(the “Company”) has adopted this Insider Trading Policy (this “Trading Policy”), which (i) places limitations on transactions in Company securities for all Company directors and employees (collectively, “Company Persons”), and (ii) places certain additional limitations on transactions in Company securities for all di

February 28, 2025 8-K

Current Report

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): February 28, 2025 (February 24, 2025) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorpor

February 28, 2025 EX-10.18

Letter Agreement, dated as of January 28, 2025, between HealthStream, Inc. and Kevin O'Hara.

EXHIBIT 10.18 January 28, 2025 Re: Offer Letter Dear Kevin: This offer letter will confirm the terms of your offer of employment with HealthStream, Inc. (the “Company”) as its Executive Vice President, Enterprise Workforce Platform. The following describes the general terms of your employment: 1. Position and Responsibilities. Effective as of the date determined by the Compensation Committee, you

February 28, 2025 EX-10.5

Summary of Director and Executive Officer Compensation

EXHIBIT 10.5 HealthStream, Inc. (the Company) Summary of Director and Executive Officer Compensation I. Director Compensation. Directors who are employees of the Company do not receive additional compensation for serving as directors of the Company. For fiscal year 2024, each director received an annual retainer of $30,000, except for the Audit Committee Chair and Nominating and Corporate Governan

February 28, 2025 EX-21.1

Subsidiaries of HealthStream, Inc.

EXHIBIT 21.1 SUBSIDIARIES OF HEALTHSTREAM, INC. Names Under Which We Do Business State or Other Jurisdiction of Incorporation or Organization HealthStream Information Solutions Company Nova Scotia, Canada HSTM Group Australia PTY Limited Australia HSTM Group New Zealand New Zealand

February 24, 2025 EX-99.1

HealthStream Announces Fourth Quarter & Full-Year 2024 Results

HealthStream Announces Fourth Quarter and Full-Year 2024 Results Page 1 February 24, 2025 Exhibit 99.

February 24, 2025 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): February 24, 2025 (February 24, 2025) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorpor

October 24, 2024 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended September 30, 2024 ☐ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant

October 21, 2024 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): October 21, 2024 (October 21, 2024) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporat

October 21, 2024 EX-99.1

HEALTHSTREAM ANNOUNCES THIRD QUARTER 2024 RESULTS

HealthStream Announces Third Quarter 2024 Results Page 1 October 21, 2024 Exhibit 99.

July 25, 2024 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended June 30, 2024 ☐ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant as sp

July 25, 2024 EX-10.1

HealthStream, Inc. 2024 Cash Incentive Bonus Plan

EXHIBIT 10.1 HealthStream, Inc. 2024 Cash Incentive Bonus Plan Overview: Pursuant to the HealthStream, Inc. 2022 Omnibus Incentive Plan, the Compensation Committee (the “Committee”) of the Board of Directors of HealthStream, Inc. (the “Company”) hereby establishes this 2024 Cash Incentive Bonus Plan (the “Plan”). The Plan is the cash-based, short-term incentive portion of HealthStream's incentive

July 22, 2024 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): July 22, 2024 (July 22, 2024) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (

July 22, 2024 EX-99.1

HEALTHSTREAM ANNOUNCES SECOND QUARTER 2024 RESULTS

HealthStream Announces Second Quarter 2024 Results Page 1 July 22, 2024 Exhibit 99.

June 3, 2024 8-K

Current Report

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report: May 30, 2024 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission File Number) (IRS Employer Identificatio

May 14, 2024 CORRESP

May 14, 2024

May 14, 2024 Via EDGAR (correspondence) Division of Corporation Finance Office of Technology U.

April 25, 2024 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended March 31, 2024 ☐ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant as s

April 25, 2024 EX-99

HealthStream, Inc. Amended and Restated Compensation Recoupment Policy

EXHIBIT 99 HealthStream, Inc. Amended and Restated Compensation Recoupment Policy 1. Purpose. The purpose of this Amended and Restated Compensation Recoupment Policy of the Company (as amended from time to time, the “Policy”), dated as of July 24, 2023 (the “Adoption Date”) is to describe the circumstances in which current and former Executive Officers will be required to repay or return Erroneous

April 22, 2024 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): April 22, 2024 (April 22, 2024) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation)

April 22, 2024 EX-99.1

HEALTHSTREAM ANNOUNCES FIRST QUARTER 2024 RESULTS

HealthStream Announces First Quarter 2024 Results Page 1 April 22, 2024 Exhibit 99.

April 11, 2024 DEFA14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. )

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant ☒ Filed by a Party other than the Registrant ☐ Check the appropriate box: ☐ Preliminary Proxy Statement ☐ Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) ☐ Defin

April 11, 2024 DEF 14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. )

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant ☒ Filed by a Party other than the Registrant ☐ Check the appropriate box: ☐ Preliminary Proxy Statement ☐ Confidential, for Use of the Commission Only (as permitted by Rule 14

February 26, 2024 EX-21.1

Subsidiaries of HealthStream, Inc.

EXHIBIT 21.1 SUBSIDIARIES OF HEALTHSTREAM, INC. Names Under Which We Do Business State or Other Jurisdiction of Incorporation or Organization HealthStream Information Solutions Company Nova Scotia, Canada HSTM Group Australia PTY Limited Australia HSTM Group New Zealand New Zealand

February 26, 2024 10-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K ☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED December 31, 2023 OR ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM TO Commission File Number 000-27701 HEALTHST

February 26, 2024 EX-10.5

Summary of Director and Executive Officer Compensation

EXHIBIT 10.5 HealthStream, Inc. (the Company) Summary of Director and Executive Officer Compensation I. Director Compensation. Directors who are employees of the Company do not receive additional compensation for serving as directors of the Company. For fiscal year 2023, each director received an annual retainer of $10,000, except for the Audit Committee Chair and Nominating and Corporate Governan

February 20, 2024 EX-99.1

HealthStream Announces Fourth Quarter & Full-Year 2023 Results; Increases Quarterly Dividend

HealthStream Announces Fourth Quarter and Full-Year 2023 Results Page 1 February 19, 2024 Exhibit 99.

February 20, 2024 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): February 20, 2024 (February 19, 2024) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorpor

February 13, 2024 SC 13G/A

HSTM / HealthStream, Inc. / VANGUARD GROUP INC - SCHEDULE 13G/A Passive Investment

SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Schedule 13G Under the Securities Exchange Act of 1934 (Amendment No.: 9)* Name of issuer: HealthStream Inc Title of Class of Securities: Common Stock CUSIP Number: 42222N103 Date of Event Which Requires Filing of this Statement: December 29, 2023 Check the appropriate box to designate the rule pursuant to which this Schedule is filed: ☒ Ru

February 9, 2024 SC 13G

HSTM / HealthStream, Inc. / DIMENSIONAL FUND ADVISORS LP - SEC SCHEDULE 13G Passive Investment

SC 13G 1 SEC13GFiling.htm SEC SCHEDULE 13G UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. )* HealthStream Inc (Name of Issuer) Common Stock (Title of Class of Securities) 42222N103 (CUSIP Number) December 29, 2023 (Date of Event Which Requires Filing of this Statement) Check the appropriate box to design

October 26, 2023 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended September 30, 2023 ☐ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant

October 23, 2023 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): October 23, 2023 (October 23, 2023) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporat

October 23, 2023 EX-3.1

Third Amended and Restated Bylaws of HealthStream, Inc.

Exhibit 3.1 THIRD AMENDED AND RESTATED BYLAWS OF HEALTHSTREAM, INC. PREAMBLE These Bylaws, as they may be amended from time to time (the “Bylaws”), are subject to, and governed by, the Tennessee Business Corporation Act (the “Act”) and the Fourth Amended and Restated Charter of HealthStream, Inc., a Tennessee corporation (the “Corporation”), as amended from time to time (the “Charter”). In the eve

October 23, 2023 EX-99.1

HEALTHSTREAM ANNOUNCES THIRD QUARTER 2023 RESULTS

HealthStream Announces Third Quarter 2023 Results Page 1 October 23, 2023 Exhibit 99.

October 23, 2023 8-K

Amendments to Articles of Incorporation or Bylaws; Change in Fiscal Year

-12-31 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): October 23, 2023 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commis

October 10, 2023 EX-10.1

Amended and Restated Credit Agreement, dated October 6, 2023, by and among the several banks and other financial institutions and lenders from time to time party thereto and Truist Bank, as administrative agent

Exhibit 10.1 AMENDED AND RESTATED REVOLVING CREDIT AGREEMENT dated as of October 6, 2023 among HEALTHSTREAM, INC. as Borrower THE LENDERS FROM TIME TO TIME PARTY HERETO and TRUIST BANK as Administrative Agent TRUIST SECURITIES, INC. as Sole Lead Arranger and Sole Book Manager ARTICLE I DEFINITIONS; CONSTRUCTION 1 Section 1.1. Definitions 1 Section 1.2. Classifications of Loans and Borrowings 30 Se

October 10, 2023 8-K

Entry into a Material Definitive Agreement, Financial Statements and Exhibits, Creation of a Direct Financial Obligation or an Obligation under an Off-Balance Sheet Arrangement of a Registrant

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): October 6, 2023 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission Fil

September 13, 2023 8-K

Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): September 13, 2023 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission

September 13, 2023 EX-99.1

HealthStream Announces Share Repurchase Program

Exhibit 99.1 P R E S S R E L E A S E For Immediate Release: Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream Announces Share Repurchase Program NASHVILLE, Tennessee (September 13, 2023) – HealthStream (Nasdaq: HSTM), a leading healthcare technology platform for workforce solutions, today announced that its Board of Directors has approved a new s

July 27, 2023 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended June 30, 2023 ☐ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant as sp

July 27, 2023 EX-10.1

Form of HealthStream, Inc. Restricted Share Unit Agreement (Non-Employee Director) under 2022 Omnibus Incentive Plan.

EXHIBIT 10.1 HEALTHSTREAM, INC. RESTRICTED SHARE UNIT AGREEMENT This RESTRICTED SHARE UNIT AGREEMENT (this “Agreement”) is made and entered into as of the 6th day of June, 2023 (the “Grant Date”), between HealthStream, Inc., a Tennessee corporation (together with its Subsidiaries and Affiliates, the “Company”), and [Name] (the “Grantee”). Capitalized terms not otherwise defined herein shall have t

July 24, 2023 EX-99.1

HEALTHSTREAM ANNOUNCES SECOND QUARTER 2023 RESULTS

HealthStream Announces Second Quarter 2023 Results Page 1 July 24, 2023 Exhibit 99.

July 24, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): July 24, 2023 (July 24, 2023) Hea

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): July 24, 2023 (July 24, 2023) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (

June 5, 2023 EX-99.1

HealthStream Announces the Addition of Dr. Alex Jahangir to the Board of Directors

Exhibit 99.1 P R E S S R E L E A S E For Immediate Release: Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream Announces the Addition of Dr. Alex Jahangir to the Board of Directors Nashville, Tennessee (June 5, 2023) – HealthStream (Nasdaq: HSTM), a leading healthcare technology platform for workforce solutions, today announced that Dr. Alex Jahan

June 5, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): June 5, 2023 (May 30, 2023) Healt

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): June 5, 2023 (May 30, 2023) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Co

May 26, 2023 8-K

Current Report

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): May 26, 2023 (May 25, 2023) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Co

April 27, 2023 EX-10.2

Letter Agreement, dated as of February 20, 2023, between HealthStream, Inc. and Michael Sousa.

EXHIBIT 10.2 February 20, 2023 Re: Offer Letter Dear Michael: This offer letter will confirm the terms of your offer of employment with HealthStream, Inc. (the “Company”) as its Executive Vice President, Enterprise Applications, as well as anticipated increases in responsibilities and potentially changing titles (e.g., Chief Transformation Officer) over the course of the next five-year period. The

April 27, 2023 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended March 31, 2023 ☐ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant as s

April 27, 2023 EX-10.3

Form of HealthStream, Inc. Restricted Share Unit Agreement (Time Based) under 2022 Omnibus Incentive Plan

EXHIBIT 10.3 HEALTHSTREAM, INC. RESTRICTED SHARE UNIT AGREEMENT This RESTRICTED SHARE UNIT AGREEMENT (this “Agreement”) is made and entered into as of the 22nd day of March, 2023 (the “Grant Date”), between HealthStream, Inc., a Tennessee corporation (together with its Subsidiaries and Affiliates, the “Company”), and [NAME] (the “Grantee”). Capitalized terms not otherwise defined herein shall have

April 27, 2023 EX-10.1

HealthStream, Inc. 2023 Cash Incentive Bonus Plan

EXHIBIT 10.1 HealthStream, Inc. 2023 Cash Incentive Bonus Plan Overview: Pursuant to the HealthStream, Inc. 2022 Omnibus Incentive Plan, the Compensation Committee (the “Committee”) of the Board of Directors of HealthStream, Inc. (the “Company”) hereby establishes this 2023 Cash Incentive Bonus Plan (the “Plan”). The Plan is the cash-based, short-term incentive portion of HealthStream's incentive

April 24, 2023 EX-99.1

HEALTHSTREAM ANNOUNCES FIRST QUARTER 2023 RESULTS

HealthStream Announces First Quarter 2023 Results Page 1 April 24, 2023 Exhibit 99.

April 24, 2023 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): April 24, 2023 (April 24, 2023) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation)

April 10, 2023 DEF 14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. )

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant ☒ Filed by a Party other than the Registrant ☐ Check the appropriate box: ☐ Preliminary Proxy Statement ☐ Confidential, for Use of the Commission Only (as permitted by Rule 14

April 10, 2023 DEFA14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. )

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant ☒ Filed by a Party other than the Registrant ☐ Check the appropriate box: ☐ Preliminary Proxy Statement ☐ Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) ☐ Defin

April 6, 2023 EX-99.1

HEALTHSTREAM ANNOUNCES QUARTERLY CASH DIVIDEND

Exhibit 99.1 P R E S S R E L E A S E For Immediate Release: Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HEALTHSTREAM ANNOUNCES QUARTERLY CASH DIVIDEND NASHVILLE, Tenn. (April 6, 2023)—HealthStream, Inc. (the “Company”) (Nasdaq: HSTM), a leading healthcare technology platform for workforce solutions, announced today that, as previously disclosed in the C

April 6, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): April 6, 2023 (April 6, 2023) Hea

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): April 6, 2023 (April 6, 2023) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (

March 28, 2023 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): March 28, 2023 (March 27, 2023) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation)

February 28, 2023 EX-10.5

Summary of Director and Executive Officer Compensation

EXHIBIT 10.5 HealthStream, Inc. (the Company) Summary of Director and Executive Officer Compensation I. Director Compensation. Directors who are employees of the Company do not receive additional compensation for serving as directors of the Company. For fiscal year 2022, each director received an annual retainer of $10,000, except for the Audit Committee Chair and Nominating and Corporate Governan

February 28, 2023 10-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K ☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED December 31, 2022 OR ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM TO Commission File Number 000-27701 HEALTHST

February 28, 2023 EX-10.22

Form of HealthStream, Inc. Restricted Share Unit Agreement (Performance) under 2022 Omnibus Incentive Plan

Exhibit 10.22 HEALTHSTREAM, INC. RESTRICTED SHARE UNIT AGREEMENT This RESTRICTED SHARE UNIT AGREEMENT (this “Agreement”) is made and entered into as of the 23rd day of February, 2023, between HealthStream, Inc., a Tennessee corporation (together with its Subsidiaries and Affiliates, the “Company”), and [ ] (the “Grantee”). Capitalized terms not otherwise defined herein shall have the meaning ascri

February 28, 2023 EX-21.1

Subsidiaries of HealthStream, Inc.

EXHIBIT 21.1 SUBSIDIARIES OF HEALTHSTREAM, INC. Names Under Which We Do Business State or Other Jurisdiction of Incorporation or Organization VerityStream, Inc. (f/k/a Echo, Inc.) Tennessee HealthStream Information Solutions Company Nova Scotia, Canada HSTM Group Australia PTY Limited Australia HSTM Group New Zealand New Zealand

February 23, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): February 23, 2023 (February 20, 2

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): February 23, 2023 (February 20, 2023) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorpor

February 21, 2023 EX-99.1

HealthStream Announces Fourth Quarter & Full-Year 2022 Results, Initiation of Quarterly Cash Dividend, and Operational & Leadership Updates

HealthStream Announces Fourth Quarter and Full-Year 2022 Results Page 1 February 20, 2023 Exhibit 99.

February 21, 2023 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): February 21, 2023 (February 20, 2

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): February 21, 2023 (February 20, 2023) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorpor

February 9, 2023 SC 13G/A

HSTM / HealthStream, Inc. / VANGUARD GROUP INC - SCHEDULE 13G/A Passive Investment

SC 13G/A 1 tv01057-healthstreaminc.htm SCHEDULE 13G/A SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Schedule 13G Under the Securities Exchange Act of 1934 (Amendment No.: 8)* Name of issuer: HealthStream Inc. Title of Class of Securities: Common Stock CUSIP Number: 42222N103 Date of Event Which Requires Filing of this Statement: December 30, 2022 Check the appropriate box to designate

January 4, 2023 EX-99.1

HealthStream Acquires Electronic Education Documentation System, LLC (d/b/a “eeds”) As its 3rd acquisition in CME management software in 13 months, HealthStream becomes a leading provider in this market, fulfilling its planned investment strategy for

Exhibit 99.1 P R E S S R E L E A S E For Immediate Release: Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream Acquires Electronic Education Documentation System, LLC (d/b/a ?eeds?) As its 3rd acquisition in CME management software in 13 months, HealthStream becomes a leading provider in this market, fulfilling its planned investment strategy for

January 4, 2023 8-K

Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): January 3, 2023 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission Fil

October 27, 2022 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ? Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended September 30, 2022 ? Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant

October 24, 2022 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): October 24, 2022 (October 24, 2022) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporat

October 24, 2022 EX-99.1

HEALTHSTREAM ANNOUNCES THIRD QUARTER 2022 RESULTS

HealthStream Announces Third Quarter 2022 Results Page 1 October 24, 2022 Exhibit 99.

July 28, 2022 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ? Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended June 30, 2022 ? Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant as sp

July 25, 2022 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): July 25, 2022 (July 25, 2022) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (

July 25, 2022 EX-99.1

HEALTHSTREAM ANNOUNCES SECOND QUARTER 2022 RESULTS

HealthStream Announces Second Quarter 2022 Results Page 1 July 25, 2022 Exhibit 99.

May 31, 2022 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Submission of Matters to a Vote of Security Holders

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): May 31, 2022 (May 26, 2022) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Co

May 26, 2022 EX-99.1

HealthStream, Inc. 2022 Omnibus Incentive Plan

Exhibit 99.1 HEALTHSTREAM, INC. 2022 OMNIBUS INCENTIVE PLAN 1 TABLE OF CONTENTS Section 1. Purpose. 3 Section 2. Definitions. 3 Section 3. Administration. 9 Section 4. Shares Available For Awards. 10 Section 5. Eligibility. 11 Section 6. Stock Options and Stock Appreciation Rights. 11 Section 7. Restricted Shares And Restricted Share Units. 13 Section 8. Performance Awards. 14 Section 9. Other Sto

May 26, 2022 S-8

As Filed With the Securities and Exchange Commission on May 26, 2022

As Filed With the Securities and Exchange Commission on May 26, 2022 Registration No.

May 26, 2022 EX-FILING FEES

Filing Fee Table.

Exhibit FILING FEES. Calculation of Filing Fee Tables Form S-8 (Form Type) HEALTHSTREAM, INC. (Exact Name of Registrant as Specified in its Charter) Table 1: Newly Registered Securities Security Type Security Class Title Fee Calculation or Carry Forward Rule Amount Registered (1) Proposed Maximum Offering Price Per Unit Maximum Aggregate Offering Price Fee Rate Amount of Registration Fee Fees to B

May 18, 2022 8-K

Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): May 18, 2022 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission File N

May 18, 2022 EX-99.1

HealthStream Acquires CloudCME HealthStream expands its presence as a market leader in healthcare continuing education and continuing medical education management with the acquisition of another powerful application specifically designed for healthca

Exhibit 99.1 P R E S S R E L E A S E For Immediate Release: Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream Acquires CloudCME HealthStream expands its presence as a market leader in healthcare continuing education and continuing medical education management with the acquisition of another powerful application specifically designed for healthcar

May 3, 2022 CORRESP

HealthStream, Inc. 500 11th Avenue North, Suite 1000 Nashville, TN 37203 May 3, 2022

HealthStream, Inc. 500 11th Avenue North, Suite 1000 Nashville, TN 37203 May 3, 2022 Via EDGAR United States Securities and Exchange Commission Division of Corporation Finance 100 F Street, NE Washington, D.C. 20549 Re: HealthStream, Inc. Registration Statement on Form S-3 File No. 333-263949 Ladies and Gentlemen: Pursuant to Rule 461 promulgated under the Securities Act of 1933, as amended, Healt

April 28, 2022 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ? Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended March 31, 2022 ? Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant as s

April 28, 2022 EX-10.1

HealthStream, Inc. 2022 Cash Incentive Bonus Plan

EXHIBIT 10.1 HealthStream, Inc. 2022 Cash Incentive Bonus Plan Overview: Pursuant to the HealthStream, Inc. 2016 Omnibus Incentive Plan, the Compensation Committee (the ?Committee?) of the Board of Directors of HealthStream, Inc. (the ?Company?) hereby establishes this 2022 Cash Incentive Bonus Plan (the ?Plan?). The Plan is the cash-based, short-term incentive portion of HealthStream's incentive

April 28, 2022 EX-10.2

Form of HealthStream, Inc. Restricted Share Unit Agreement (Performance) under 2016 Omnibus Incentive Plan

EXHIBIT 10.2 HEALTHSTREAM, INC. RESTRICTED SHARE UNIT AGREEMENT This RESTRICTED SHARE UNIT AGREEMENT (this ?Agreement?) is made and entered into as of the 23rd day of March, 2022 (the ?Grant Date?), between HealthStream, Inc., a Tennessee corporation (together with its Subsidiaries and Affiliates, the ?Company?), and [ ] (the ?Grantee?). Capitalized terms not otherwise defined herein shall have th

April 28, 2022 EX-10.3

Form of HealthStream, Inc. Restricted Share Unit Agreement (Performance) which were contingent upon approval of 2022 Omnibus Incentive Plan

EXHIBIT 10.3 HEALTHSTREAM, INC. RESTRICTED SHARE UNIT AGREEMENT This RESTRICTED SHARE UNIT AGREEMENT (this ?Agreement?) is made and entered into as of the 23rd day of March, 2022 (the ?Grant Date?), between HealthStream, Inc., a Tennessee corporation (together with its Subsidiaries and Affiliates, the ?Company?), and [ ] (the ?Grantee?). Capitalized terms not otherwise defined herein shall have th

April 28, 2022 EX-10.4

Form of HealthStream, Inc. Restricted Share Unit Agreement (Time Based) which were contingent upon approval of 2022 Omnibus Incentive Plan

EXHIBIT 10.4 FORM OF HEALTHSTREAM, INC. RESTRICTED SHARE UNIT AGREEMENT This RESTRICTED SHARE UNIT AGREEMENT (this ?Agreement?) is made and entered into as of the 23rd day of March, 2022 (the ?Grant Date?), between HealthStream, Inc., a Tennessee corporation (together with its Subsidiaries and Affiliates, the ?Company?), and [insert name] (the ?Grantee?). Capitalized terms not otherwise defined he

April 25, 2022 EX-99.1

HEALTHSTREAM ANNOUNCES FIRST QUARTER 2022 RESULTS

HealthStream Announces First Quarter 2022 Results Page 1 April 25, 2022 Exhibit 99.

April 25, 2022 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): April 25, 2022 (April 25, 2022) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation)

April 14, 2022 DEFA14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. )

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant ? Filed by a Party other than the Registrant ? Check the appropriate box: ? Preliminary Proxy Statement ? Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2)) ? Defin

April 14, 2022 DEF 14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. )

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant ? Filed by a Party other than the Registrant ? Check the appropriate box: ? Preliminary Proxy Statement ? Confidential, for Use of the Commission Only (as permitted by Rule 14

March 29, 2022 S-3

As filed with the Securities and Exchange Commission on March 29, 2022 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM S-3 REGISTRATION STATEMENT THE SECURITIES ACT OF 1933 HEALTHSTREAM, INC. (Exact name of registrant as

As filed with the Securities and Exchange Commission on March 29, 2022 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.

March 29, 2022 EX-FILING FEES

Filing Fee Table

Exhibit 107 Calculation of Filing Fee Tables Form S-3 (Form Type) HealthStream, Inc.

March 14, 2022 8-K

Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): March 14, 2022 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission File

March 14, 2022 EX-99.1

HealthStream Announces Expansion of Share Repurchase Program

Exhibit 99.1 P R E S S R E L E A S E For Immediate Release: Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream Announces Expansion of Share Repurchase Program NASHVILLE, Tennessee (March 14, 2022) ? HealthStream (Nasdaq: HSTM), a leading provider of workforce and provider solutions for the healthcare industry, today announced that its Board of Dir

February 28, 2022 10-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K ? ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED December 31, 2021 OR ? TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM TO Commission File Number 000-27701 HEALTHST

February 28, 2022 EX-10.4

Summary of Director and Executive Officer Compensation

EXHIBIT 10.4 HealthStream, Inc. (the Company) Summary of Director and Executive Officer Compensation I. Director Compensation. Directors who are employees of the Company do not receive additional compensation for serving as directors of the Company. For fiscal year 2021, each director received an annual retainer of $5,000, except for the Audit Committee Chair and Nominating and Corporate Governanc

February 28, 2022 EX-10.1

Form of Indemnification Agreement

EXHIBIT 10.1 INDEMNIFICATION AGREEMENT This Indemnification Agreement ("Agreement"), dated as of , 2022, is by and between HealthStream, Inc., a Tennessee corporation (the "Company"), and [NAME OF DIRECTOR] (the "Indemnitee"). WHEREAS, Indemnitee is a director of the Company; WHEREAS, both the Company and Indemnitee recognize the risk of litigation and other claims being asserted against directors

February 28, 2022 EX-21.1

Subsidiaries of HealthStream, Inc.

EXHIBIT 21.1 SUBSIDIARIES OF HEALTHSTREAM, INC. Names Under Which We Do Business State or Other Jurisdiction of Incorporation or Organization VerityStream, Inc. (f/k/a Echo, Inc.) Tennessee HealthStream Information Solutions Company Nova Scotia, Canada HSTM Group Australia PTY Limited Australia HSTM Group New Zealand New Zealand NHQ Canada, LLC Colorado

February 28, 2022 EX-10.19

Contribution Agreement dated as of December 29, 2021 between HealthStream, Inc. and Robert A. Frist, Jr.

EXHIBIT 10.19 CONTRIBUTION AGREEMENT This Contribution Agreement (the ?Agreement?), made and entered into as of December 29, 2021 (the ?Effective Date?), is by and between HealthStream, Inc., a Tennessee corporation (?HealthStream?), and Robert A. Frist, Jr., an individual resident of the State of Tennessee (?Frist?). WHEREAS, Frist desires to contribute to HealthStream, and HealthStream desires t

February 22, 2022 EX-99.1

HEALTHSTREAM ANNOUNCES FOURTH QUARTER & FULL-YEAR 2021 RESULTS

HealthStream Announces Fourth Quarter and Full-Year 2021 Results Page 1 February 21, 2022 Exhibit 99.

February 22, 2022 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): February 22, 2022 (February 21, 2022) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorpor

February 10, 2022 SC 13G/A

HSTM / HealthStream, Inc. / VANGUARD GROUP INC - SCHEDULE 13G/A Passive Investment

SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Schedule 13G Under the Securities Exchange Act of 1934 (Amendment No.: 7)* Name of issuer: HealthStream Inc. Title of Class of Securities: Common Stock CUSIP Number: 42222N103 Date of Event Which Requires Filing of this Statement: December 31, 2021 Check the appropriate box to designate the rule pursuant to which this Schedule is filed: ??R

January 11, 2022 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): January 6, 2022 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission Fil

January 11, 2022 EX-99.1

HealthStream Announces the Addition of Terry Allison Rappuhn to the Board of Directors

Exhibit 99.1 P R E S S R E L E A S E For Immediate Release: Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream Announces the Addition of Terry Allison Rappuhn to the Board of Directors Nashville, Tennessee (January 11, 2022) ? HealthStream (Nasdaq: HSTM), a leading provider of workforce and provider solutions for the healthcare industry, today ann

December 29, 2021 8-K

Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): December 29, 2021 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission F

December 29, 2021 EX-99.1

HealthStream CEO Rewards Employees with Contribution of Personally Owned Shares of Company Stock

Exhibit 99.1 P R E S S R E L E A S E For Immediate Release: Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream CEO Rewards Employees with Contribution of Personally Owned Shares of Company Stock Nashville, Tennessee (December 29, 2021) ? HealthStream (Nasdaq: HSTM) announced today that its Chief Executive Officer, Robert A. Frist, Jr., has contrib

December 1, 2021 8-K

Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): December 1, 2021 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission Fi

December 1, 2021 EX-99.1

HealthStream Acquires Rievent Technologies Leveraging its hStream open architecture, HealthStream expands its ecosystem with a powerful continuing education management and delivery application

Exhibit 99.1 P R E S S R E L E A S E For Immediate Release: Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream Acquires Rievent Technologies Leveraging its hStream open architecture, HealthStream expands its ecosystem with a powerful continuing education management and delivery application Nashville, Tennessee (December 1, 2021) ? HealthStream (Na

November 30, 2021 8-K

Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): November 30, 2021 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission F

November 30, 2021 EX-99.1

HealthStream Announces Share Repurchase Authorization

Exhibit 99.1 P R E S S R E L E A S E For Immediate Release: Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream Announces Share Repurchase Authorization NASHVILLE, Tennessee (November 30, 2021) ? HealthStream (Nasdaq: HSTM), a leading provider of workforce and provider solutions for the healthcare industry, today announced that its Board of Directo

October 28, 2021 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ? Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended September 30, 2021 ? Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant

October 25, 2021 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): October 25, 2021 (October 25, 2021) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporat

October 25, 2021 EX-99.1

HEALTHSTREAM ANNOUNCES THIRD QUARTER 2021 RESULTS

HealthStream Announces Third Quarter 2021 Results Page 1 October 25, 2021 Exhibit 99.

July 29, 2021 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ? Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended June 30, 2021 ? Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant as sp

July 26, 2021 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): July 26, 2021 (July 26, 2021) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (

July 26, 2021 EX-99.1

HEALTHSTREAM ANNOUNCES SECOND QUARTER 2021 RESULTS

HealthStream Announces Second Quarter 2021 Results Page 1 July 26, 2021 Exhibit 99.

May 21, 2021 8-K

Submission of Matters to a Vote of Security Holders

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): May 21, 2021 (May 20, 2021) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Co

April 29, 2021 EX-10.20

HealthStream, Inc. Directors Stock Election Plan

Exhibit 10.20 HEALTHSTREAM, INC. DIRECTORS STOCK ELECTION PLAN December 14, 2020 Section 1. Purpose. The purpose of this Directors Stock Election Plan (the ?Plan?) is to enable HealthStream, Inc. (the ?Company?) to provide a mechanism for non-employee directors of the Company (?Directors?) to elect to cause the cash compensation (the ?Director Cash Compensation?) otherwise payable by the Company t

April 29, 2021 EX-10.19

HealthStream, Inc. 2021 Provider Solutions Cash Incentive Bonus Plan

EXHIBIT 10.19 HealthStream, Inc. Board of Directors Compensation Committee 2021 Provider Solutions Cash Incentive Bonus Plan For the Business Segment President Overview: Pursuant to the HealthStream, Inc. 2016 Omnibus Incentive Plan, the Compensation Committee (the ?Committee?) of the Board of Directors of HealthStream, Inc. (the ?Company?) hereby establishes this Amended 2021 Provider Solutions C

April 29, 2021 10-Q

Quarterly Report - 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ? Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended March 31, 2021 ? Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant as s

April 29, 2021 EX-10.18

HealthStream, Inc. 2021 Executive and Corporate Management Cash Incentive Bonus Plan

EXHIBIT 10.18 HealthStream, Inc. Board of Directors Compensation Committee 2021 Executive and Corporate Management Cash Incentive Bonus Plan Overview: Pursuant to the HealthStream, Inc. 2016 Omnibus Incentive Plan, the Compensation Committee (the ?Committee?) of the Board of Directors of HealthStream, Inc. (the ?Company?) hereby establishes this 2021 Executive and Corporate Management Cash Incenti

April 26, 2021 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): April 26, 2021 (April 26, 2021) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation)

April 26, 2021 EX-99.1

HEALTHSTREAM ANNOUNCES FIRST QUARTER 2021 RESULTS

HealthStream Announces First Quarter 2021 Results Page 1 April 26, 2021 Exhibit 99.

April 7, 2021 SC 13G/A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 Amendment No. 4 HealthStream Inc (Name of Issuer) Common Stock (Title of Class of Securities) (CUSIP Number) April 07, 2021

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 Amendment No. 4 HealthStream Inc (Name of Issuer) Common Stock (Title of Class of Securities) 42222N103 (CUSIP Number) April 07, 2021 Check the appropriate box to designate the rule pursuant to which this Schedule is filed: x Rule 13d-1(b) ¨ Rule 13d-1(c) ¨ Rule 13d-1(d) *

April 6, 2021 DEFA14A

- DEFA14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant [X] Filed by a Party other than the Registrant [ ] Check the appropriate box: [ ] Preliminary Proxy Statement [ ] Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2))

April 6, 2021 DEF 14A

Schedule 14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant [X] Filed by a Party other than the Registrant [ ] Check the appropriate box: [ ] Preliminary Proxy Statement [ ] Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2))

March 23, 2021 POS AM

- POS AM

As filed with the Securities and Exchange Commission on March 23, 2021 Registration No.

February 26, 2021 EX-10.16

HealthStream, Inc. Amended 2020 Executive and Corporate Management Cash Incentive Bonus Plan

EXHIBIT 10.16 HealthStream, Inc. Board of Directors Compensation Committee Amended and Restated 2020 Executive and Corporate Management Cash Incentive Bonus Plan Overview: Pursuant to the HealthStream, Inc. 2016 Omnibus Incentive Plan, the Compensation Committee (the ?Committee?) of the Board of Directors of HealthStream, Inc. (the ?Company?) hereby establishes this 2020 Executive and Corporate Ma

February 26, 2021 EX-10.5

Summary of Director and Executive Officer Compensation

EXHIBIT 10.5 HealthStream, Inc. (the Company) Summary of Director and Executive Officer Compensation I. Director Compensation. Directors who are employees of the Company do not receive additional compensation for serving as directors of the Company. For fiscal year 2020, each director received an annual retainer of $5,000, except for the Audit Committee Chair and Nominating and Corporate Governanc

February 26, 2021 EX-10.19

Form of HealthStream, Inc. Non-Qualified Stock Option Agreement under 2016 Omnibus Incentive Plan.

EXHIBIT 10.19 HealthStream, Inc. non-qualified STOCK OPTION Agreement This NON-QUALIFIED STOCK OPTION AGREEMENT (this ?Agreement?) is made and entered into as of the [] day of [, 20] (the ?Grant Date?), between HealthStream, Inc., a Tennessee corporation (together with its Subsidiaries and Affiliates, the ?Company?), and [] (the ?Grantee?). Capitalized terms not otherwise defined herein shall have

February 26, 2021 EX-21.1

Subsidiaries of HealthStream, Inc.

EXHIBIT 21.1 SUBSIDIARIES OF HEALTHSTREAM, INC. Names Under Which We Do Business State or Other Jurisdiction of Incorporation or Organization VerityStream, Inc. (f/k/a Echo, Inc.) Tennessee HealthStream Information Solutions Company Nova Scotia, Canada Change Australia Pty Ltd Australia Change Healthcare New Zealand New Zealand CHC Max Holdings, LLC Delaware ProcessData, Ltd. Illinois HCT2 Co. d/b

February 26, 2021 EX-10.17

HealthStream, Inc. Amended 2020 Provider Solutions Cash Incentive Bonus Plan

EXHIBIT 10.17 HealthStream, Inc. Board of Directors Compensation Committee Amended and Restated 2020 Provider Solutions Cash Incentive Bonus Plan For the Business Segment President Overview: Pursuant to the HealthStream, Inc. 2016 Omnibus Incentive Plan, the Compensation Committee (the ?Committee?) of the Board of Directors of HealthStream, Inc. (the ?Company?) hereby establishes this Amended 2020

February 26, 2021 10-K

Annual Report - 10-K

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K ? ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED December 31, 2020 OR ? TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM TO Commission File Number 000-27701 HEALTHST

February 23, 2021 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): February 23, 2021 (February 22, 2021) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorpor

February 22, 2021 EX-99.1

HEALTHSTREAM ANNOUNCES FOURTH QUARTER & FULL-YEAR 2020 RESULTS

EX-99.1 2 hstm-ex9916.htm EX-99.1 HealthStream Announces Fourth Quarter and Full-Year 2020 Results Page 1 February 22, 2021 Exhibit 99.1 Contact: Scott A. Roberts Chief Financial Officer (615) 301-3182 [email protected] Media: Mollie Condra, Ph.D. Vice President, Investor Relations & Communications (615) 301-3237 [email protected] HEALTHSTREAM ANNOUNCES FOURTH QUARTER & FULL-YEAR 20

February 22, 2021 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): February 22, 2021 (February 22, 2021) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorpor

February 10, 2021 SC 13G/A

SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Schedule 13G Under the Securities Exchange Act of 1934 (Amendment No.: 6)*

SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Schedule 13G Under the Securities Exchange Act of 1934 (Amendment No.: 6)* Name of issuer: HealthStream Inc. Title of Class of Securities: Common Stock CUSIP Number: 42222N103 Date of Event Which Requires Filing of this Statement: December 31, 2020 Check the appropriate box to designate the rule pursuant to which this Schedule is filed: ☒ R

February 5, 2021 SC 13G/A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 Amendment No. 3 HealthStream Inc (Name of Issuer) Common Stock (Title of Class of Securities) (CUSIP Number) February 14, 2

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 Amendment No. 3 HealthStream Inc (Name of Issuer) Common Stock (Title of Class of Securities) 42222N103 (CUSIP Number) February 14, 2021 Check the appropriate box to designate the rule pursuant to which this Schedule is filed: x Rule 13d-1(b) ¨ Rule 13d-1(c) ¨ Rule 13d-1(d

January 19, 2021 EX-99.1

HealthStream Acquires ComplyALIGN

EX-99.1 2 hstm-ex9916.htm EX-99.1 Exhibit 99.1 PRESS RELEASE For Immediate Release:Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream Acquires ComplyALIGN Nashville, Tennessee (January 19, 2021) – HealthStream (Nasdaq: HSTM), a leading provider of workforce and provider solutions for the healthcare industry, today announced that it has acquired Co

January 19, 2021 8-K

Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): January 19, 2021 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission Fi

December 10, 2020 EX-99.1

HealthStream Acquires myClinicalExchange For the first time, HealthStream’s footprint expands to include the healthcare workforce before graduation, providing new opportunities to make the transition-to-practice by medical, nursing, and allied health

EX-99.1 2 hstm-ex9916.htm EX-99.1 Exhibit 99.1 PRESS RELEASE For Immediate Release:Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream Acquires myClinicalExchange For the first time, HealthStream’s footprint expands to include the healthcare workforce before graduation, providing new opportunities to make the transition-to-practice by medical, nurs

December 10, 2020 8-K

Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): December 10, 2020 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission F

December 3, 2020 8-K

Financial Statements and Exhibits - 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): December 3, 2020 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission Fi

December 3, 2020 EX-99.1

HealthStream Closes Acquisition of ANSOS™ Staff Scheduling

EX-99.1 2 hstm-ex9916.htm EX-99.1 PRESS RELEASE Exhibit 99.1 P R E S S R E L E A S E For Immediate Release: Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream Closes Acquisition of ANSOS™ Staff Scheduling Nashville, Tennessee (December 3, 2020) – HealthStream (Nasdaq: HSTM), a leading provider of workforce and provider solutions for the healthcare

November 30, 2020 8-K

Regulation FD Disclosure, Entry into a Material Definitive Agreement, Financial Statements and Exhibits - 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): November 30, 2020 (November 25, 2020) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorpor

November 30, 2020 EX-2.1

Equity Purchase Agreement, dated November 25, 2020, by and among HSTM Max Holdings, Inc., Change Healthcare Holdings, LLC, Change Healthcare Technologies, LLC and Change Healthcare Ireland Limited.

EX-2.1 2 hstm-ex2135.htm EX-2.1 EQUITY PURCHASE AGREEMENT Exhibit 2.1 EXECUTION VERSION EQUITY PURCHASE AGREEMENT by and among HSTM Max holdings, inc., CHANGE HEALTHCARE HOLDINGS, LLC, CHANGE HEALTHCARE TECHNOLOGIES, LLC, and CHANGE HEALTHCARE IRELAND LIMITED, dated as of November 25, 2020 . EQUITY PURCHASE AGREEMENT This Equity Purchase Agreement (this “Agreement”) is dated as of November 25, 202

November 30, 2020 EX-99.1

from Change Healthcare Establishes HealthStream as a market leader in healthcare workforce scheduling business; Acquisition is expected to be accretive to the overall financial results of the Company on pro forma basis, excluding deferred revenue wri

EX-99.1 3 hstm-ex99133.htm EX-99.1 PRESS RELEASE Exhibit 99.1 P R E S S R E L E A S E For Immediate Release: Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream to Acquire ANSOS™ Staff Scheduling from Change Healthcare Establishes HealthStream as a market leader in healthcare workforce scheduling business; Acquisition is expected to be accretive to

October 29, 2020 EX-10.1

Third Amendment to Revolving Credit Agreement, dated as of October 28, 2020, by and between HealthStream, Inc. and SunTrust Bank.

EX-10.1 2 hstm-ex10133.htm EX-10.1 THIRD AMENDMENT TO REVOLVING CREDIT AGREEMENT, DATED AS OF OCTOBER 28, 2020 Exhibit 10.1 THIRD AMENDMENT TO REVOLVING CREDIT AGREEMENT THIS THIRD AMENDMENT TO REVOLVING CREDIT AGREEMENT (the “Amendment”) is entered into by and between HEALTHSTREAM, INC., a Tennessee corporation (the “Borrower”), and TRUIST BANK, a North Carolina banking corporation, as successor

October 29, 2020 10-Q

Quarterly Report - 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended September 30, 2020 ☐ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant

October 29, 2020 8-K

Entry into a Material Definitive Agreement, Financial Statements and Exhibits, Creation of a Direct Financial Obligation or an Obligation under an Off-Balance Sheet Arrangement of a Registrant - HSTM-8K-20201023-CREDIT_FACILITY_AMENDMENT

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): October 28, 2020 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission Fi

October 26, 2020 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition - 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): October 26, 2020 (October 26, 2020) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporat

October 26, 2020 EX-99.1

HEALTHSTREAM ANNOUNCES THIRD QUARTER 2020 RESULTS

EX-99.1 2 hstm-ex9916.htm EX-99.1 HealthStream Announces Third Quarter 2020 Results Page 1 October 26, 2020 Exhibit 99.1 Contact: Scott A. Roberts Chief Financial Officer (615) 301-3182 [email protected] Media: Mollie Condra, Ph.D. Vice President, Investor Relations & Communications (615) 301-3237 [email protected] HEALTHSTREAM ANNOUNCES THIRD QUARTER 2020 RESULTS NASHVILLE, Tenn. (

October 13, 2020 EX-99.1

HealthStream Acquires ShiftWizard, Expanding its Nurse & Staff Scheduling Solutions for Healthcare Providers Named Category Leader in “2020 Best in KLAS Software & Services” report, ShiftWizard’s innovative SaaS-based scheduling application has earne

Exhibit 99.1 PRESS RELEASE For Immediate Release:Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream Acquires ShiftWizard, Expanding its Nurse & Staff Scheduling Solutions for Healthcare Providers Named Category Leader in “2020 Best in KLAS Software & Services” report, ShiftWizard’s innovative SaaS-based scheduling application has earned a 97% rete

October 13, 2020 8-K

Financial Statements and Exhibits - 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): October 12, 2020 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission Fi

July 31, 2020 10-Q

Quarterly Report - 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended June 30, 2020 ☐ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant as sp

July 27, 2020 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): July 27, 2020 (July 27, 2020) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (

July 27, 2020 EX-99.1

HEALTHSTREAM ANNOUNCES SECOND QUARTER 2020 RESULTS

HealthStream Announces Second Quarter 2020 Results Page 1 July 27, 2020 Exhibit 99.

May 22, 2020 8-K

Submission of Matters to a Vote of Security Holders

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): May 21, 2020 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission File N

April 30, 2020 EX-10.18

HealthStream, Inc. 2020 Executive and Corporate Management Cash Incentive Bonus Plan

EXHIBIT 10.18 HealthStream, Inc. Board of Directors Compensation Committee 2020 Executive and Corporate Management Cash Incentive Bonus Plan Overview: Pursuant to the HealthStream, Inc. 2016 Omnibus Incentive Plan, the Compensation Committee (the “Committee”) of the Board of Directors of HealthStream, Inc. (the “Company”) hereby establishes this 2020 Executive and Corporate Management Cash Incenti

April 30, 2020 EX-10.19

HealthStream, Inc. 2020 Provider Solutions Cash Incentive Bonus Plan

EXHIBIT 10.19 HealthStream, Inc. Board of Directors Compensation Committee 2020 Provider Solutions Cash Incentive Bonus Plan For the Business Segment President Overview: Pursuant to the HealthStream, Inc. 2016 Omnibus Incentive Plan, the Compensation Committee (the “Committee”) of the Board of Directors of HealthStream, Inc. (the “Company”) hereby establishes this Amended 2020 Provider Solutions C

April 30, 2020 10-Q

Quarterly Report - 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended March 31, 2020 ☐ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant as s

April 27, 2020 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): April 27, 2020 (April 27, 2020) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation)

April 27, 2020 EX-99.1

HEALTHSTREAM ANNOUNCES FIRST QUARTER 2020 RESULTS

HealthStream Announces First Quarter 2020 Results Page 1 April 27, 2020 Exhibit 99.

April 9, 2020 DEF 14A

HSTM / HealthStream, Inc. DEF 14A - - DEF 14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant [X] Filed by a Party other than the Registrant [ ] Check the appropriate box: [ ] Preliminary Proxy Statement [ ] Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2))

April 9, 2020 DEFA14A

HSTM / HealthStream, Inc. DEFA14A - - DEFA14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant [X] Filed by a Party other than the Registrant [ ] Check the appropriate box: [ ] Preliminary Proxy Statement [ ] Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2))

March 13, 2020 EX-99.1

HealthStream Announces Share Repurchase Authorization

Exhibit 99.1 PRESS RELEASE For Immediate Release:Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream Announces Share Repurchase Authorization NASHVILLE, Tennessee (March 13, 2020) – HealthStream (Nasdaq: HSTM), a leading provider of workforce and provider solutions for the healthcare industry, today announced that its Board of Directors has approve

March 13, 2020 8-K

Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): March 13, 2020 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission File

March 10, 2020 8-K

Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): March 9, 2020 HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission File

March 10, 2020 EX-99.1

Mollie Condra, Ph.D.

Exhibit 99.1 PRESS RELEASE For Immediate Release:Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream Acquires NurseGrid, #1 Rated and Top Downloaded App for Nurses NASHVILLE, Tennessee (March 9, 2020) – HealthStream (Nasdaq: HSTM), a leading provider of workforce and provider solutions for the healthcare industry, today announced that it has acquir

February 26, 2020 10-K

Annual Report - 10-K

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K ☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED December 31, 2019 OR ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM TO Commission File Number 000-27701 HEALTHST

February 26, 2020 EX-21.1

Subsidiaries of HealthStream, Inc.

EXHIBIT 21.1 SUBSIDIARIES OF HEALTHSTREAM, INC. Names Under Which We Do Business State or Other Jurisdiction of Incorporation or Organization Decision Critical, Inc. Texas VerityStream, Inc. (f/k/a Echo, Inc.) Tennessee Morrisey Associates, Inc. Illinois Performance Management Services, Inc. California Nursing Registry Consultants Corporation Delaware Health Care Compliance Strategies, Inc. New Yo

February 26, 2020 EX-4.3

Description of Capital Stock of HealthStream, Inc.

Exhibit 4.3 Description of Capital Stock The following description of the capital stock of HealthStream, Inc. (“us,” “our,” “we,” “HSTM” or the “Company”) is a summary of the rights of our common stock and certain provisions of our Fourth Amended and Restated Charter (the “Charter”) and Second Amended and Restated Bylaws (the “Bylaws”) as currently in effect. This summary does not purport to be co

February 26, 2020 EX-10.10

Summary of Director and Executive Officer Compensation

EX-10.10 3 hstm-ex10106.htm EX-10.10 EXHIBIT 10.10 HealthStream, Inc. (the Company) Summary of Director and Executive Officer Compensation I. Director Compensation. Directors who are employees of the Company do not receive additional compensation for serving as directors of the Company. For fiscal year 2019, each director received an annual retainer of $5,000, except for the Audit Committee Chair

February 18, 2020 EX-99.1

HEALTHSTREAM ANNOUNCES FOURTH QUARTER & FULL-YEAR 2019 RESULTS

HealthStream Announces Fourth Quarter and Full-Year 2019 Results Page 1 February 18, 2020 Exhibit 99.

February 18, 2020 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): February 18, 2020 (February 18, 2020) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorpor

February 14, 2020 SC 13G/A

HSTM / HealthStream, Inc. / BROWN BROTHERS HARRIMAN & CO - SC 13G/A Passive Investment

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 Amendment No. 2 HealthStream Inc (Name of Issuer) Common Stock (Title of Class of Securities) 42222N103 (CUSIP Number) February 14, 2020 Check the appropriate box to designate the rule pursuant to which this Schedule is filed: x Rule 13d-1(b) ¨ Rule 13d-1(c) ¨ Rule 13d-1(d

February 12, 2020 SC 13G/A

HSTM / HealthStream, Inc. / VANGUARD GROUP INC - SCHEDULE 13G/A Passive Investment

SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Schedule 13G Under the Securities Exchange Act of 1934 (Amendment No.: 5)* Name of issuer: HealthStream Inc Title of Class of Securities: Common Stock CUSIP Number: 42222N103 Date of Event Which Requires Filing of this Statement: December 31, 2019 Check the appropriate box to designate the rule pursuant to which this Schedule is filed: ☒ Ru

December 16, 2019 EX-99.1

VerityStream, a HealthStream Company, Acquires CredentialMyDoc

EX-99.1 2 d815948dex991.htm EX-99.1 Exhibit 99.1 P R E S S R E L E A S E For Immediate Release: Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] VerityStream, a HealthStream Company, Acquires CredentialMyDoc NASHVILLE, Tennessee (December 16, 2019) – VerityStream, f/k/a Verity, a wholly owned subsidiary of HealthStream (Nasdaq: HSTM), which is focused on del

December 16, 2019 8-K

Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): December 16, 2019 HEALTHSTREAM, INC. (Exact name of registrant as specified in its charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation) (Commission F

October 28, 2019 10-Q

Quarterly Report - 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended September 30, 2019 ☐ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant

October 21, 2019 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): October 21, 2019 (October 21, 2019) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporat

October 21, 2019 EX-99.1

HEALTHSTREAM ANNOUNCES THIRD QUARTER 2019 RESULTS

HealthStream Announces Third Quarter 2019 Results Page 1 October 21, 2019 Exhibit 99.

September 25, 2019 EX-99.1

HealthStream, Inc. • 500 11th Avenue, North, Suite 1000 • Nashville, Tennessee 37203 • 615-301-3100 • www.healthstream.com

EX-99.1 2 hstm-ex9917.htm EX-99.1 PRESS RELEASE Exhibit 99.1 For Immediate Release:Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] Scott A. Roberts Named Chief Financial Officer at HealthStream NASHVILLE, Tennessee (Sept. 25, 2019) – HealthStream (Nasdaq: HSTM), a leading provider of workforce and provider solutions for the healthcare industry, announced to

September 25, 2019 8-K

Financial Statements and Exhibits

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): September 25, 2019 (September 20, 2019) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorp

July 26, 2019 10-Q

Quarterly Report - 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended June 30, 2019 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant as specified in its charter) Tennessee 62‑1443555 (State or other jurisdiction of incorporation or organizati

July 26, 2019 EX-10.18

HealthStream, Inc. Amended 2019 Executive and Corporate Management Cash Incentive Bonus Plan

EXHIBIT 10.18 HealthStream, Inc. Board of Directors Compensation Committee Amended 2019 Executive and Corporate Management Cash Incentive Bonus Plan Overview: Pursuant to the HealthStream, Inc. 2016 Omnibus Incentive Plan, the Compensation Committee (the “Committee”) of the Board of Directors of HealthStream, Inc. (the “Company”) hereby establishes this Amended 2019 Executive and Corporate Managem

July 26, 2019 EX-10.20

Contribution Agreement dated as of June 26, 2019 between HealthStream, Inc. and Robert A Frist, Jr.

EXHIBIT 10.20 CONTRIBUTION AGREEMENT This Contribution Agreement (the “Agreement”), made and entered into as of June 26, 2019 (the “Effective Date”), is by and between HealthStream, Inc., a Tennessee corporation (“HealthStream”), and Robert A. Frist, Jr., an individual resident of the State of Tennessee (“Frist”). WHEREAS, Frist desires to contribute to HealthStream, and HealthStream desires to ac

July 26, 2019 EX-10.19

HealthStream, Inc. Amended 2019 Provider Solutions Cash Incentive Bonus Plan

EXHIBIT 10.19 HealthStream, Inc. Board of Directors Compensation Committee Amended 2019 Provider Solutions Cash Incentive Bonus Plan For the Business Segment President Overview: Pursuant to the HealthStream, Inc. 2016 Omnibus Incentive Plan, the Compensation Committee (the “Committee”) of the Board of Directors of HealthStream, Inc. (the “Company”) hereby establishes this Amended 2019 Provider Sol

July 22, 2019 EX-99.1

HEALTHSTREAM ANNOUNCES SECOND QUARTER 2019 RESULTS

HealthStream Announces Second Quarter 2019 Results Page 1 July 22, 2019 Exhibit 99.

July 22, 2019 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): July 22, 2019 (July 22, 2019) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 621443555 (State or Other Jurisdiction of Incorporation) (C

June 27, 2019 8-K

Financial Statements and Exhibits, Other Events

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): June 27, 2019 (June 26, 2019) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 621443555 (State or Other Jurisdiction of Incorporation) (C

June 27, 2019 EX-99.1

HealthStream CEO Rewards Employees with Contribution of Personally Owned Shares of Company Stock

PRESS RELEASE Exhibit 99.1 For Immediate Release:Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream CEO Rewards Employees with Contribution of Personally Owned Shares of Company Stock NASHVILLE, Tennessee (June 27, 2019) – HealthStream (Nasdaq: HSTM) announced today that its chief executive officer, Robert A. Frist, Jr., has contributed approximat

May 28, 2019 8-K

Submission of Matters to a Vote of Security Holders

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): May 28, 2019 (May 23, 2019) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 621443555 (State or Other Jurisdiction of Incorporation) (Com

April 29, 2019 10-Q

Quarterly Report - 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10‑Q Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended March 31, 2019 Commission File No.: 000‑27701 HealthStream, Inc. (Exact name of registrant as specified in its charter) Tennessee 62‑1443555 (State or other jurisdiction of incorporation or organizat

April 29, 2019 EX-10.19

HealthStream, Inc. 2019 Provider Solutions Cash Incentive Bonus Plan

EX-10.19 3 hstm-ex1019251.htm EX-10.19 EXHIBIT 10.19 HealthStream, Inc. Board of Directors Compensation Committee 2019 Provider Solutions Cash Incentive Bonus Plan For the Business Segment President Overview: Pursuant to the HealthStream, Inc. 2016 Omnibus Incentive Plan, the Compensation Committee (the “Committee”) of the Board of Directors of HealthStream, Inc. (the “Company”) hereby establishes

April 29, 2019 EX-10.18

HealthStream, Inc. 2019 Executive and Corporate Management Cash Incentive Bonus Plan

EX-10.18 2 hstm-ex1018250.htm EX-10.18 EXHIBIT 10.18 HealthStream, Inc. Board of Directors Compensation Committee 2019 Executive and Corporate Management Cash Incentive Bonus Plan Overview: Pursuant to the HealthStream, Inc. 2016 Omnibus Incentive Plan, the Compensation Committee (the “Committee”) of the Board of Directors of HealthStream, Inc. (the “Company”) hereby establishes this 2019 Executiv

April 22, 2019 EX-99.1

HEALTHSTREAM ANNOUNCES FIRST QUARTER 2019 RESULTS

HealthStream Announces First Quarter 2019 Results Page 1 April 22, 2019 Exhibit 99.

April 22, 2019 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): April 22, 2019 (April 22, 2019) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 621443555 (State or Other Jurisdiction of Incorporation)

April 10, 2019 DEFA14A

HSTM / HealthStream, Inc. DEFA14A DEFA14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant [X] Filed by a Party other than the Registrant [ ] Check the appropriate box: [ ] Preliminary Proxy Statement [ ] Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2))

April 10, 2019 DEF 14A

HSTM / HealthStream, Inc. DEF 14A DEF 14A

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant [X] Filed by a Party other than the Registrant [ ] Check the appropriate box: [ ] Preliminary Proxy Statement [ ] Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2))

April 8, 2019 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers

Form 8-K UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): April 8, 2019 (April 6, 2019) HealthStream, Inc. (Exact name of registrant as specified in its charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorpo

March 8, 2019 S-3ASR

HSTM / HealthStream, Inc. FORM S-3ASR

Form S-3ASR Table of Contents As filed with the Securities and Exchange Commission on March 8, 2019 Registration No.

February 26, 2019 8-K/A

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K/A CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): February 26, 2019 (October 22, 2018) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 621443555 (State or Other Jurisdiction of Incorpor

February 25, 2019 10-K

Annual Report - 10-K

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K ☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED December 31, 2018 OR ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM TO Commission File Number 000-27701 HEALTHST

February 25, 2019 EX-10.19

HealthStream, Inc. 2018 Provider Solutions Cash Incentive Bonus Plan

EXHIBIT 10.19 HealthStream, Inc. Board of Directors Compensation Committee 2018 Provider Solutions Cash Incentive Bonus Plan For Business Segment Management Overview: Pursuant to the HealthStream, Inc. 2016 Omnibus Incentive Plan, the Compensation Committee (the “Committee”) of the Board of Directors of HealthStream, Inc. (the “Company”) hereby establishes this 2018 Provider Solutions Cash Incenti

February 25, 2019 EX-10.18

HealthStream, Inc. 2018 Executive and Corporate Management Cash Incentive Bonus Plan

EXHIBIT 10.18 HealthStream, Inc. Board of Directors Compensation Committee 2018 Executive and Corporate Management Cash Incentive Bonus Plan Overview: Pursuant to the HealthStream, Inc. 2016 Omnibus Incentive Plan, the Compensation Committee (the “Committee”) of the Board of Directors of HealthStream, Inc. (the “Company”) hereby establishes this 2018 Executive and Corporate Management Cash Incenti

February 25, 2019 EX-21.1

Subsidiaries of HealthStream, Inc.

EXHIBIT 21.1 SUBSIDIARIES OF HEALTHSTREAM, INC. Names Under Which We Do Business State or Other Jurisdiction of Incorporation or Organization Decision Critical, Inc. Texas Verity, Inc., a HealthStream Company (f/k/a Echo, Inc.) Tennessee Morrisey Associates, Inc. Illinois Performance Management Services, Inc. California Nursing Registry Consultants Corporation Delaware Health Care Compliance Strat

February 25, 2019 EX-10.10

Summary of Director and Executive Officer Compensation

EXHIBIT 10.10 HealthStream, Inc. (the Company) Summary of Director and Executive Officer Compensation I. Director Compensation. Directors who are employees of the Company do not receive additional compensation for serving as directors of the Company. For fiscal year 2019, each director will receive an annual retainer of $5,000, except for the Audit Committee Chair and Nominating and Corporate Gove

February 19, 2019 EX-99.1

HEALTHSTREAM ANNOUNCES FOURTH QUARTER & FULL-YEAR 2018 RESULTS

HealthStream Announces Fourth Quarter & Full-Year 2018 Results Page 1 February 19, 2019 Exhibit 99.

February 19, 2019 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): February 19, 2019 (February 19, 2019) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 621443555 (State or Other Jurisdiction of Incorpora

February 14, 2019 SC 13G/A

HSTM / HealthStream, Inc. / BROWN BROTHERS HARRIMAN & CO - SC 13G/A Passive Investment

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 Amendment No. 1 HealthStream Inc (Name of Issuer) Common Stock (Title of Class of Securities) 42222N103 (CUSIP Number) February 14, 2019 Check the appropriate box to designate the rule pursuant to which this Schedule is filed: x Rule 13d-1(b) ¨ Rule 13d-1(c) ¨ Rule 13d-1(d

February 11, 2019 SC 13G/A

HSTM / HealthStream, Inc. / VANGUARD GROUP INC Passive Investment

healthstreaminc.htm - Generated by SEC Publisher for SEC Filing SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Schedule 13G Under the Securities Exchange Act of 1934 (Amendment No.: 4 )* Name of issuer: HealthStream Inc Title of Class of Securities: Common Stock CUSIP Number: 42222N103 Date of Event Which Requires Filing of this Statement: December 31, 2018 Check the appropriate box to

January 10, 2019 8-K

Financial Statements and Exhibits, Other Events

Form 8-K UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): January 10, 2019 (January 10, 2019) HealthStream, Inc. (Exact name of registrant as specified in its charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of I

January 10, 2019 EX-99.1

HealthStream Acquires Providigm to Drive Quality Outcomes via Workforce Training for the Nation’s Skilled Nursing Facilities Over 2,000 skilled nursing facilities use Providigm’s market-leading quality management system to achieve better outcomes

EX-99.1 Exhibit 99.1 P R E S S R E L E A S E For Immediate Release: Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream Acquires Providigm to Drive Quality Outcomes via Workforce Training for the Nation’s Skilled Nursing Facilities Over 2,000 skilled nursing facilities use Providigm’s market-leading quality management system to achieve better outco

January 2, 2019 EX-10.1

Second Amendment to Revolving Credit Agreement, dated as of December 31, 2018, by and between HealthStream, Inc. and SunTrust Bank.

EX-10.1 2 hstm-ex1017.htm EX-10.1 SECOND AMENDMENT TO REVOLVING CREDIT AGREEMENT, DATED AS OF DECEMBER 31, 2018, BY AND BETWEEN HEALTHSTREAM, INC. AND SUNTRUST BANK Exhibit 10.1 SECOND AMENDMENT TO REVOLVING CREDIT AGREEMENT THIS SECOND AMENDMENT TO REVOLVING CREDIT AGREEMENT (the “Amendment”) is entered into by and between HEALTHSTREAM, INC., a Tennessee corporation (the “Borrower”), and SUNTRUST

January 2, 2019 8-K

Entry into a Material Definitive Agreement, Financial Statements and Exhibits, Creation of a Direct Financial Obligation or an Obligation under an Off-Balance Sheet Arrangement of a Registrant

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): January 2, 2019 (December 31, 2018) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 621443555 (State or Other Jurisdiction of Incorporati

October 29, 2018 10-Q

HSTM / HealthStream, Inc. 10-Q (Quarterly Report)

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10‑Q Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended September 30, 2018 Commission File No.: 000‑27701 HealthStream, Inc. (Exact name of registrant as specified in its charter) Tennessee 62‑1443555 (State or other jurisdiction of incorporation or organ

October 22, 2018 8-K

Regulation FD Disclosure, Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): October 22, 2018 (October 22, 2018) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 621443555 (State or Other Jurisdiction of Incorporati

October 22, 2018 EX-99.1

HEALTHSTREAM ANNOUNCES THIRD QUARTER 2018 RESULTS

HealthStream Announces Third Quarter 2018 Results Page 1 October 22, 2018 Exhibit 99.

August 7, 2018 10-Q

HSTM / HealthStream, Inc. 10-Q (Quarterly Report)

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10‑Q Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended June 30, 2018 Commission File No.: 000‑27701 HealthStream, Inc. (Exact name of registrant as specified in its charter) Tennessee 62‑1443555 (State or other jurisdiction of incorporation or organizati

July 23, 2018 EX-99.1

HEALTHSTREAM ANNOUNCES SECOND QUARTER 2018 RESULTS

HealthStream Announces Second Quarter 2018 Results Page 1 July 23, 2018 Exhibit 99.

July 23, 2018 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition

UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): July 23, 2018 (July 23, 2018) HealthStream, Inc. (Exact name of Registrant as Specified in Its Charter) Tennessee 000-27701 621443555 (State or Other Jurisdiction of Incorporation) (C

May 25, 2018 8-K

Submission of Matters to a Vote of Security Holders

8-K UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): May 25, 2018 (May 24, 2018) HealthStream, Inc. (Exact name of registrant as specified in its charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorporation)

May 16, 2018 8-K

Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers, Financial Statements and Exhibits

Form 8-K UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): May 16, 2018 (May 15, 2018) HealthStream, Inc. (Exact name of registrant as specified in its charter) Tennessee 000-27701 62-1443555 (State or Other Jurisdiction of Incorpora

May 16, 2018 EX-10.1

Form of HealthStream, Inc. Restricted Share Unit Agreement (Performance) under 2016 Omnibus Plan between HealthStream, Inc. and J. Edward Pearson

EX-10.1 2 d569040dex101.htm EX-10.1 Exhibit 10.1 HEALTHSTREAM, INC. RESTRICTED SHARE UNIT AGREEMENT This RESTRICTED SHARE UNIT AGREEMENT (this “Agreement”) is made and entered into as of the 15th day of May, 2018 (the “Grant Date”), between HealthStream, Inc., a Tennessee corporation (together with its Subsidiaries and Affiliates, the “Company”), and J. Edward Pearson (the “Grantee”). Capitalized

May 16, 2018 EX-10.2

Form of HealthStream, Inc. Restricted Share Unit Agreement (Performance) under 2016 Stock Incentive Plan between HealthStream, Inc. and Michael Sousa

EX-10.2 Exhibit 10.2 HEALTHSTREAM, INC. RESTRICTED SHARE UNIT AGREEMENT This RESTRICTED SHARE UNIT AGREEMENT (this “Agreement”) is made and entered into as of the 15th day of May, 2018 (the “Grant Date”), between HealthStream, Inc., a Tennessee corporation (together with its Subsidiaries and Affiliates, the “Company”), and Michael Sousa (the “Grantee”). Capitalized terms not otherwise defined here

May 16, 2018 EX-99.1

HealthStream Announces the Promotion of Chief Operating Officer J. Edward Pearson to President

EX-99.1 Exhibit 99.1 PRESS RELEASE For Immediate Release: Contact: Mollie Condra, Ph.D. HealthStream (615)-301-3237 [email protected] HealthStream Announces the Promotion of Chief Operating Officer J. Edward Pearson to President NASHVILLE, Tennessee (May 16, 2018) – HealthStream (NASDAQ: HSTM) today announced Chief Operating Officer (COO) J. Edward (“Eddie”) Pearson has been promoted

May 7, 2018 10-Q

HSTM / HealthStream, Inc. FORM 10-Q (Quarterly Report)

Form 10-Q Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.

April 30, 2018 8-K

Regulation FD Disclosure, Financial Statements and Exhibits, Results of Operations and Financial Condition

HealthStream, Inc. (Form: 8-K) UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of Earliest Event Reported): April 30, 2018 HealthStream, Inc. (Exact name of registrant as specified in its charter) Tennessee 000-27701 621443555 (State or other jurisdiction (Com

April 30, 2018 EX-99.1

2 HEALTHSTREAM, INC. Condensed Consolidated Statements of Income (In thousands, except per share data) Three Months Ended March 31, 2018 2017 Revenues $ 54,858 $ 51,967 Operating expenses: Cost of revenues (excluding depreciation and amortization) 22

EX-99.1 EXHIBIT 99.1 Contact: Gerard M. Hayden, Jr. Chief Financial Officer (615) 301-3163 [email protected] Media: Mollie Condra, Ph.D. Vice President, Investor Relations & Communications (615) 301-3237 [email protected] HEALTHSTREAM ANNOUNCES FIRST QUARTER 2018 RESULTS NASHVILLE, Tenn. (April 30, 2018)—HealthStream, Inc. (NASDAQ: HSTM), a leading provider of workforce and provider

April 11, 2018 DEFA14A

HSTM / HealthStream, Inc. DEFA14A

DEFA14A UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 14A Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934 (Amendment No. ) Filed by the Registrant ☒ Filed by a Party other than the Registrant ☐ Check the appropriate box: ☐ Preliminary Proxy Statement ☐ Confidential, for Use of the Commission Only (as permitted by Rule 14a-6(e)(2))

April 11, 2018 DEF 14A

HSTM / HealthStream, Inc. DEF 14A

DEF 14A Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.

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