X0609 4 2026-05-08 0001095565 HEALTHSTREAM INC HSTM 0001715401 Collier Michael Manning false 500 11TH AVENUE NORTH SUITE 850 NASHVILLE TN 37203 1 Executive Vice President 0 Common Stock Holding 60293 D Employee Stock Option (right to buy) 23.96 2026-05-08 4 A 0 18781 0 A 2036-05-08 Common Stock 18781 18781 D The options are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on May 8, 2027, 20% vest on May 8, 2028, 20% vest on May 8, 2029, 20% vest on May 8, 2030, and the remaining 25% vest on May 8, 2031. /s/ Michael M. Collier 2026-05-11