144 0001249921 XXXXXXXX LIVE 0001095565 HealthStream, Inc. 000-27701 500 11TH AVENUE NORTH SUITE 1000 NASHVILLE TN 37203 615-301-3100 Pearson, J. Edward Former Officer Common Stock Holding Raymond James

1033 Demonbreun Street, Suite 500 Nashville TN 37203

9850 219805.00 30686568 07/28/2023 NASDAQ Common Stock Holding 03/18/2019 Stock-based compensation received from HealthStream HealthStream, Inc. N 4631 03/18/2019 Stock-based compensation Common Stock Holding 03/18/2015 Stock-based compensation received from HealthStream HealthStream, Inc. N 2244 03/18/2015 Stock-based compensation Common Stock Holding 03/05/2015 Stock-based compensation received from HealthStream HealthStream, Inc. N 2975 03/05/2015 Stock-based compensation Y 07/31/2023 /s/ J. Edward Pearson, Jr.