X0609 4 2026-09-14 0001095565 HEALTHSTREAM INC HSTM 0001217273 FRIST ROBERT A JR false 500 11TH AVENUE NORTH SUITE 850 NASHVILLE TN 37203 1 1 1 CEO and Chairman 0 Common Stock 2026-09-14 4 S 0 144068 29.50 D 3907038 D Common Stock 10000 I The Carolyn Marie Frist 2005 Vested Trust Common Stock 10000 I The Cate Merriman Frist 2005 Vested Trust Common Stock 10000 I The Eleanor Knox Frist 2005 Vested Trust Common Stock 18335 I Louise Trust u/a/d 08-16-2007 Common Stock 18334 I Merriman Trust u/a/d 08-16-2007 Common Stock 18334 I Marie Trust u/a/d 08-16-2007 Common Stock 18334 I Knox Trust u/a/d 08-16-2007 Common Stock 995000 I Bobby and Melissa Frist Children's 2012 GST-Exempt Trust Pursuant to the terms of that certain Securities Purchase Agreement, dated September 11, 2026, by and among the Reporting Person, HealthStream, Inc. (the "Company"), and WJRJJ Ventures, LLC (the "Investor"), the Reporting Person sold 144,068 shares of Common Stock to the Investor at $29.50 per share, for an aggregate purchase price of $4.25 million in cash, in a privately negotiated sale. /s/ Robert A. Frist, Jr. 2026-09-15