X0609 4 2026-03-30 0001095565 HEALTHSTREAM INC HSTM 0001769058 Roberts Scott Alexander false 500 11TH AVENUE NORTH SUITE 850 NASHVILLE TN 37203 1 CFO and SVP 0 Common Stock Holding 2026-03-30 4 M 0 5601 0 A 38164 D Common Stock Holding 2026-03-30 4 F 0 1364 21.25 D 36800 D Restricted Share Units 0 2026-03-30 4 M 0 285 0 D Common Stock 285 1616 D Restricted Share Units 0 2026-03-30 4 M 0 448 0 D Common Stock 448 1456 D Restricted Share Units 0 2026-03-30 4 M 0 686 0 D Common Stock 686 800 D Restricted Share Units 0 2026-03-30 4 M 0 2460 0 D Common Stock 2460 3076 D Restricted Share Units 0 2026-03-30 4 M 0 1722 0 D Common Stock 1722 0 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 19, 2026, 20% vest on March 19, 2027, 30% vest on March 19, 2028, and the remaining 35% vest on March 19, 2029. 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 20, 2025, 20% vest on March 20, 2026, 30% vest on March 20, 2027, and the remaining 35% vest on March 20, 2028. The RSUs are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on March 22, 2024, 20% vest on March 22, 2025, 30% vest on March 22, 2026, and the remaining 35% vest on March 22, 2027. Vesting of these RSUs is contingent upon continued service at the time of vesting and the achievement of certain performance criteria. The performance criteria will be established on an annual basis by the Compensation Committee of the Board of Directors. 15% vest on March 23, 2023 for the period January 1, 2022 through December 31, 2022; 20% vest on March 23, 2024 for the period January 1, 2023 through December 31, 2023; 20% vest on March 23, 2025 for the period January 1, 2024 through December 31, 2024; 20% vest on March 23, 2026 for the period January 1, 2025 through December 31, 2025; and 25% vest on March 23, 2027 for the period January 1, 2026 through December 31, 2026. Vesting is determined based on actual performance. The performance criteria for the period January 1, 2025 through December 31, 2025 was achieved; therefore 20% of the awards vested on March 23, 2026. The RSUs are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on March 23, 2023, 20% vest on March 23, 2024, 30% vest on March 23, 2025, and the remaining 35% vest on March 23, 2026. /s/ Scott Alexander Roberts 2026-03-30