X0306 4 2022-03-17 0001095565 HEALTHSTREAM INC HSTM 0001840759 Fenstermacher Scott 500 11TH AVENUE NORTH SUITE 1000 NASHVILLE TN 37203 1 Senior Vice President Common Stock Holding 2022-03-17 4 M 0 3048 0 A 7007 D Common Stock Holding 2022-03-17 4 F 0 1079 19.94 D 5928 D Restricted Share Units 0 2022-03-17 4 M 0 1044 0 D Common Stock 1044 0 D Restricted Share Units 0 2022-03-17 4 M 0 738 0 D Common Stock 738 862 D Restricted Share Units 0 2022-03-17 4 M 0 679 0 D Common Stock 679 2208 D Restricted Share Units 0 2022-03-17 4 M 0 587 0 D Common Stock 587 3324 D Shares acquired on vesting of restricted share units. Shares withheld for payment of tax liability. Each restricted share unit (RSU) represents the contingent right to receive one share of common stock upon vesting of the unit. The RSUs are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on March 15, 2019, 20% vest on March 15, 2020, 30% vest on March 15, 2021, and the remaining 35% vest on March 15, 2022. Not applicable. The RSUs are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on March 15, 2020, 20% vest on March 15, 2021, 30% vest on March 15, 2022, and the remaining 35% vest on March 15, 2023. The RSUs are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on March 11, 2021, 20% vest on March 11, 2022, 30% vest on March 11, 2023, and the remaining 35% vest on March 11, 2024. The RSUs are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on March 17, 2022, 20% vest on March 17, 2023, 30% vest on March 17, 2024, and the remaining 35% vest on March 17, 2025. /s/ Scott Fenstermacher 2022-03-18