X0306 4 2022-12-16 0001095565 HEALTHSTREAM INC HSTM 0001217273 FRIST ROBERT A JR 500 11TH AVENUE NORTH SUITE 1000 NASHVILLE TN 37203 1 1 1 CEO and Chairman Common Stock Holding 2022-12-16 4 G 0 6800 0 D 4751550 D Common Stock Holding 10000 I The Carolyn Marie Frist 2005 Vested Trust Common Stock Holding 10000 I The Cate Merriman Frist 2005 Vested Trust Common Stock Holding 10000 I The Eleanor Knox Frist 2005 Vested Trust Common Stock Holding 18335 I Louise Trust u/a/d 08-16-2007 Common Stock Holding 18334 I Merriman Trust u/a/d 08-16-2007 Common Stock Holding 18334 I Marie Trust u/a/d 08-16-2007 Common Stock Holding 18334 I Knox Trust u/a/d 08-16-2007 Common Stock Holding 595000 I Bobby and Melissa Frist Children's 2012 GST-Exempt Trust /s/ Robert A. Frist, Jr. 2022-12-20