X0407 4 2023-03-23 0001095565 HEALTHSTREAM INC HSTM 0001249921 PEARSON J EDWARD 500 11TH AVENUE NORTH SUITE 1000 NASHVILLE TN 37203 1 President and COO 0 Common Stock Holding 2023-03-23 4 M 0 16000 0 A 204211 D Common Stock Holding 2023-03-23 4 F 0 3896 26.25 D 200315 D Restricted Share Units 0 2023-03-23 4 M 0 10500 0 D Common Stock 10500 0 D Restricted Share Units 0 2023-03-23 4 M 0 1667 0 D Common Stock 1667 0 D Restricted Share Units 0 2023-03-23 4 M 0 1719 0 D Common Stock 1719 2005 D Restricted Share Units 0 2023-03-23 4 M 0 1143 0 D Common Stock 1143 3716 D Restricted Share Units 0 2023-03-23 4 M 0 971 0 D Common Stock 971 5500 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. Vesting of these RSUs is contingent upon continued service at the time of vesting and the achievement of certain performance criteria. The performance criteria are established on an annual basis by the Compensation Committee of the Board of Directors. Up to 10% vest on March 15, 2019 for the period January 1, 2018 through December 31, 2018; up to 15% vest on March 15, 2020 for the period January 1, 2019 through December 31, 2019; up to 20% vest on March 15, 2021 for the period January 1, 2020 through December 31, 2020; up to 25% vest on March 15, 2022 for the period January 1, 2021 through December 31, 2021; and up to 30% vest on March 15, 2023 for the period January 1, 2022 through December 31, 2022. Vesting is determined based on actual performance. The performance criteria for the period January 1, 2022 through December 31, 2022 was achieved; therefore 35% of the awards vested on March 15, 2023. 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. 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/ J. Edward Pearson 2023-03-24