X0609 4 2026-03-18 0001095565 HEALTHSTREAM INC HSTM 0001217273 FRIST ROBERT A JR false 500 11TH AVENUE NORTH SUITE 1000 NASHVILLE TN 37203 1 1 1 CEO and Chairman 0 Common Stock Holding 4048052 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 0 I By grantor retained annuity trust (1) 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 995000 I Bobby and Melissa Frist Children's 2012 GST-Exempt Trust Restricted Share Units 2026-03-18 4 A 0 3639 0 A Common Stock 3639 3639 D 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 18, 2027, 20% vest on March 18, 2028, 30% vest on March 18, 2029, and the remaining 35% vest on March 18, 2030. Not applicable. /s/ Robert A. Frist, Jr. 2026-03-24