# EDGAR Filing Document

**Accession Number:** 0001095565
**File Stem:** 0001437749-23-007817
**Filing Date:** 2023-3
**Character Count:** 8887
**Document Hash:** cc177e39b7bb44e4b5f6cfee859fee60
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001437749-23-007817.hdr.sgml**: 20230324

**ACCESSION NUMBER**: 0001437749-23-007817

**CONFORMED SUBMISSION TYPE**: 4

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20230322

**FILED AS OF DATE**: 20230324

**DATE AS OF CHANGE**: 20230324

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** FRIST ROBERT A JR
- **CENTRAL INDEX KEY:** 0001217273
- **STANDARD INDUSTRIAL CLASSIFICATION:** SERVICES-BUSINESS SERVICES, NEC [7389]
- **STATE OF INCORPORATION:** TN
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 000-27701
- **FILM NUMBER:** 23760189

**BUSINESS ADDRESS:**
- **STREET 1:** 209 10TH AVE SOUTH STE 450
- **CITY:** NASHVILLE
- **STATE:** TN
- **ZIP:** 37203
- **BUSINESS PHONE:** 6153013100

**MAIL ADDRESS:**
- **STREET 1:** 211 CRAIGHEAD AVE
- **CITY:** NASHVILLE
- **STATE:** TN
- **ZIP:** 37205
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** HEALTHSTREAM INC
- **CENTRAL INDEX KEY:** 0001095565
- **STANDARD INDUSTRIAL CLASSIFICATION:** SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370]
- **IRS NUMBER:** 621443555
- **STATE OF INCORPORATION:** TN
- **FISCAL YEAR END:** 1231

**BUSINESS ADDRESS:**
- **STREET 1:** 500 11TH AVENUE NORTH
- **STREET 2:** SUITE 1000
- **CITY:** NASHVILLE
- **STATE:** TN
- **ZIP:** 37203
- **BUSINESS PHONE:** 6153013100

**MAIL ADDRESS:**
- **STREET 1:** 500 11TH AVENUE NORTH
- **STREET 2:** SUITE 1000
- **CITY:** NASHVILLE
- **STATE:** TN
- **ZIP:** 37203

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 4

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>FRIST ROBERT A JR<br><sub>(Last) (First) (Middle)</sub><br>500 11TH AVENUE NORTH<br>SUITE 1000<br><sub>(Street)</sub><br>NASHVILLE, TN 37203<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-22 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[X] Director [X] 10% Owner<br>[X] Officer (give title below) [ ] Other (specify below)<br>_CEO and Chairman_ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>HEALTHSTREAM INC [ HSTM ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[X] Form filed by One Reporting Person<br>[ ] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| Common Stock Holding | 2023-03-23 |  | M |  | 5500<sup>(1)</sup> | A | $0 | 4757050 | D |  |
| Common Stock Holding | 2023-03-23 |  | F |  | 1340<sup>(2)</sup> | D | $26.25 | 4755710 | D |  |
| Common Stock Holding |  |  |  |  |  |  |  | 10000 | I | The Carolyn Marie Frist 2005 Vested Trust |
| Common Stock Holding |  |  |  |  |  |  |  | 10000 | I | The Cate Merriman Frist 2005 Vested Trust |
| Common Stock Holding |  |  |  |  |  |  |  | 10000 | I | The Eleanor Knox Frist 2005 Vested Trust |
| Common Stock Holding |  |  |  |  |  |  |  | 18335 | I | Louise Trust u/a/d 08-16-2007 |
| Common Stock Holding |  |  |  |  |  |  |  | 18334 | I | Merriman Trust u/a/d 08-16-2007 |
| Common Stock Holding |  |  |  |  |  |  |  | 18334 | I | Marie Trust u/a/d 08-16-2007 |
| Common Stock Holding |  |  |  |  |  |  |  | 18334 | I | Knox Trust u/a/d 08-16-2007 |
| Common Stock Holding |  |  |  |  |  |  |  | 595000 | I | Bobby and Melissa Frist Children's 2012 GST-Exempt Trust |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| Restricted Share Units | 0<sup>(3)</sup> | 2023-03-22 |  | A |  | 2857 |  | <sup>(4)</sup> | <sup>(5)</sup> | Common Stock | 2857 | $0 | 2857 | D |  |
| Restricted Share Units | 0<sup>(3)</sup> | 2023-03-23 |  | M |  |  | 1667 | <sup>(6)</sup> | <sup>(5)</sup> | Common Stock | 1667 | $0 | 0 | D |  |
| Restricted Share Units | 0<sup>(3)</sup> | 2023-03-23 |  | M |  |  | 1719 | <sup>(7)</sup> | <sup>(5)</sup> | Common Stock | 1719 | $0 | 2005 | D |  |
| Restricted Share Units | 0<sup>(3)</sup> | 2023-03-23 |  | M |  |  | 1143 | <sup>(8)</sup> | <sup>(5)</sup> | Common Stock | 1143 | $0 | 3716 | D |  |
| Restricted Share Units | 0<sup>(3)</sup> | 2023-03-23 |  | M |  |  | 971 | <sup>(9)</sup> | <sup>(5)</sup> | Common Stock | 971 | $0 | 5500 | D |  |

---

### Footnotes:

(1) Shares acquired on vesting of restricted share units.

(2) Shares withheld for payment of tax liability.

(3) Each restricted share unit (RSU) represents the contingent right to receive one share of common stock upon vesting of the unit.

(4) 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.

(5) Not applicable.

(6) 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.

(7) 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.

(8) 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.

(9) 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.

**Signature:** /s/ Robert A. Frist, Jr.  
**Date:** 2023-03-24

### Remarks:

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).

** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.

**Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.**