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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
 Washington, D.C. 20549
 FORM 10-K/A
 (Amendment No. 1)
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    ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 FOR THE FISCAL YEAR ENDED DECEMBER 31, 2010
 OR
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    TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 FOR THE TRANSITION PERIOD FROM            TO
 Commission File Number 000-27701
 HEALTHSTREAM, INC.
  Tennessee
    
    62-1443555(State or other jurisdiction of
    
    (I.R.S. Employer Identification No.)incorporation or organization)209 10th Avenue South, Suite 450
    
    37203Nashville, Tennessee
    
    (Zip Code)(Address of principal executive offices)
 (615) 301-3100  (Registrants telephone number, including area code)  Securities Registered Pursuant To Section 12(b) Of The Act:
 Title of each class Common
Stock, No Par Value
    
    Name of each Exchange on which registered NASDAQ
Global Market
 Securities Registered Pursuant To Section 12(g) Of The Act: None
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  Large accelerated filer o   
    Accelerated filer o
    Non-accelerated filer o
    Smaller reporting company þ(Do not check if a smaller reporting company)
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   DOCUMENTS INCORPORATED BY REFERENCE




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TABLE OF CONTENTS  SIGNATURESINDEX TO EXHIBITSEX-23.1EX-31.1EX-31.2EX-32.1EX-32.2    Table of Contents  Explanatory Note




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SIGNATURES
 th
 HEALTHSTREAM, INC.By:
    /s/ Gerard M. Hayden Jr.Gerard M. Hayden, Jr.Chief Financial Officer




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##### Table of Contents



INDEX TO EXHIBITS
 ExhibitNumber
    
    Description2.1(1)
    
    Stock Purchase Agreement, dated as of March 28, 2005, by and among
HealthStream, Inc., Mel B. Thompson and Data Management & Research, Inc.2.2(2)
    
    Stock Purchase Agreement, dated as of March 12, 2007, by and among
HealthStream, Inc., The Jackson Organization, Research Consultants, Inc., David Jackson and
the Jackson Charitable Remainder Trust3.1*
    
    Form of Fourth Amended and Restated Charter of HealthStream, Inc.3.2*
    
    Form of Amended and Restated Bylaws of HealthStream, Inc.4.1*
    
    Form of certificate representing the common stock, no par value per share, of HealthStream, Inc.4.2
    
    Reference is made to Exhibits 3.1 and 3.2.10.1^*
    
    1994 Employee Stock Option Plan, effective as of April 15, 199410.2^*
    
    2000 Stock Incentive Plan, effective as of April 10, 200010.3^ (9)
    
    2010 Stock Incentive Plan, effective as of May 27, 201010.4^*
    
    Form of Indemnification Agreement10.5^ (3)
    
    Executive Employment Agreement, dated July 21, 2005, between HealthStream,
Inc. and Robert A. Frist, Jr.10.6*
    
    Lease dated March 27, 1995, as amended June 6, 1995 and September 22, 1998, between Cummins
Station LLC, as landlord, and NewOrder Media, Inc., as tenant10.7^ (4)
    
    Form of HealthStream, Inc. Non-Qualified Stock Option Agreement
(Employees)10.8^ (4)
    
    Form of HealthStream, Inc. Incentive Stock Option Agreement
(Employees)10.9^ (4)
    
    Form of HealthStream, Inc. Non-Qualified Stock Option Agreement
(Directors)10.10 (5)
    
    Loan Agreement dated July 21, 2006 between HealthStream, Inc. and SunTrust
Bank10.11 (6)
    
    First Amendment to Loan Agreement dated February 16, 2007 between HealthStream, Inc. and SunTrust Bank10.12 (7)
    
    Second Amendment to Loan Agreement dated July 23, 2007 between HealthStream, Inc. and SunTrust Bank10.13 (8)
    
    Third Amendment to Loan Agreement dated July 17, 2009 between HealthStream, Inc. and SunTrust Bank10.14^**
    
    Summary of Director and Executive Officer Compensation21.1**
    
    Subsidiaries of HealthStream, Inc.23.1
    
    Consent of Independent Registered Public Accounting Firm31.1
    
    Certification of the Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 200231.2
    
    Certification of the Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 200232.1
    
    Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 200232.2
    
    Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the
Sarbanes-Oxley Act of 2002*
    
    Incorporated by reference to Registrants Registration Statement on Form S-1, as amended
(Reg. No. 333-88939).**
    
    Previously filed on our Annual Report on Form 10-K for the year ended December 31, 2010 filed with the Securities and Exchange Commission on March 23, 2011.^
    
    Management contract or compensatory plan or arrangement.(1)
    
    Incorporated by reference from exhibit filed on our Current Report on Form 8-K, dated March
29, 2005.(2)
    
    Incorporated by reference from exhibit filed on our Current Report on Form 8-K, dated March
12, 2007.(3)
    
    Incorporated by reference from exhibit filed on our Current Report on Form 8-K, dated July
25, 2005.(4)
    
    Incorporated by reference from exhibit filed on our Current Report on Form 8-K, dated
June 1, 2010.(5)
    
    Incorporated by reference from exhibit filed on our Current Report on Form 8-K, dated
July 25, 2006.(6)
    
    Incorporated by reference from exhibit filed on our Current Report on Form 8-K, dated
February 20, 2007.(7)
    
    Incorporated by reference from exhibit filed on our Current Report on Form 8-K, dated July
24, 2007.(8)
    
    Incorporated by reference from exhibit filed on our Current Report on Form 8-K, dated July
17, 2009.(9)
    
    Incorporated by reference to Appendix B of the Companys Definitive Proxy Statement filed
with the SEC on April 29, 2010.