# EDGAR Filing Document

**Accession Number:** 0001095565
**File Stem:** 0001437749-26-009604
**Filing Date:** 2026-3
**Character Count:** 7196
**Document Hash:** 343246284c34fbf67caca8c178de6dda
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001437749-26-009604.hdr.sgml**: 20260324

**ACCESSION NUMBER**: 0001437749-26-009604

**CONFORMED SUBMISSION TYPE**: 4

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20260318

**FILED AS OF DATE**: 20260324

**DATE AS OF CHANGE**: 20260324

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** FRIST ROBERT A JR
- **CENTRAL INDEX KEY:** 0001217273
- **STANDARD INDUSTRIAL CLASSIFICATION:** SERVICES-BUSINESS SERVICES, NEC [7389]
- **ORGANIZATION NAME:** 07 Trade & Services
- **STATE OF INCORPORATION:** TN
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 000-27701
- **FILM NUMBER:** 26786704

**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]
- **ORGANIZATION NAME:** 06 Technology
- **EIN:** 621443555
- **STATE OF INCORPORATION:** TN
- **FISCAL YEAR END:** 1231

**BUSINESS ADDRESS:**
- **STREET 1:** 500 11TH AVENUE NORTH
- **STREET 2:** SUITE 850
- **CITY:** NASHVILLE
- **STATE:** TN
- **BUSINESS PHONE:** 6153013100

**MAIL ADDRESS:**
- **STREET 1:** 500 11TH AVENUE NORTH
- **STREET 2:** SUITE 850
- **CITY:** NASHVILLE
- **STATE:** TN

### 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>2026-03-18 | **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 |  |  |  |  |  |  |  | 4048052 | 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 |  |  |  |  |  |  |  | 0 | I | By grantor retained annuity trust <sup>(1)</sup> |
| 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 |  |  |  |  |  |  |  | 995000 | 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 | <sup>(1)</sup> | 2026-03-18 |  | A |  | 3639 |  | <sup>(2)</sup> | <sup>(3)</sup> | Common Stock | 3639 | $0 | 3639 | D |  |

---

### Footnotes:

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

(2) The RSUs are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on March 18, 2027, 20% vest on March 18, 2028, 30% vest on March 18, 2029, and the remaining 35% vest on March 18, 2030.

(3) Not applicable.

**Signature:** /s/ Robert A. Frist, Jr.  
**Date:** 2026-03-24

### 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.**