Document:

<PAGE>   1

                                                                   EXHIBIT 10.22

We have omitted certain portions of this document and filed them separately with
the Commission. These portions are marked with an asterisk (*).

                              NON-EXCLUSIVE CONTENT
                                LICENSE AGREEMENT

         THIS AGREEMENT ("Agreement"), made and entered into as of this 6th day
of January 2000, ("Effective Date") by and between HEALTHSTREAM, INC. a
Tennessee corporation with its principal place of business at 209 10TH AVENUE
SOUTH, SUITE 450, NASHVILLE, TENNESSEE 37203, ("HealthStream") or ("Party") and
AMERICAN HEALTH CONSULTANTS, a corporation with its principal place of business
at 3525 PIEDMONT ROAD, BUILDING SIX, SUITE 400, ATLANTA, GA 30305, ("Publisher")
or ("Party").

         WHEREAS, Publisher possesses or has the authority to license all
necessary rights, including the trademark and/or copyright, as applicable in and
to certain Continuing Medical Education Materials ("CME Materials");

         WHEREAS, HealthStream distributes information services;

         WHEREAS, HealthStream desires to incorporate the CME Materials into
those information services; and

         WHEREAS, Publisher desires to grant HealthStream the full right to
incorporate, use and distribute the CME Materials or portions thereof within
HealthStream's information services;

         NOW, THEREFORE, in consideration of the mutual promises and in
accordance with the terms and conditions hereinafter set forth, the Parties
agree as follows:

         1.       CERTAIN DEFINITIONS

                  1.1 "Intellectual Property Rights" shall mean any and all
rights existing from time to time under patent law, copyright law, moral rights
law, trade-secret law, trademark law, unfair competition law, publicity rights,
privacy rights and any and all other similar proprietary rights, and any and all
renewals, extensions and restorations thereof now or hereafter in force and
effect in the United States and throughout the Universe.

                  1.2 "CME Materials" shall mean the items listed in Exhibit A
(said items being hereinafter referred to as "CME Materials"), as amended from
time to time by the parties, and subsequent issues of CME Materials published
during the Term (as defined in Section 7.1 herein). Exhibit A is incorporated
herein by this reference.

                  1.3 "Launch Date" means the earlier of the date on which the
CME Materials become available to the public on the Web via T.NAV(R), or May 1,
2000.

                  1.4 "Services" shall mean the information services, which
HealthStream distributes, transmits, reproduces, performs, displays or otherwise
disseminates throughout the universe to Users (i) online, via the Internet,
America Online, Compuserve, Prodigy, @Home, other digital and analog
subscription or non-subscription communication networks, and any other means of
transmission or distribution by wire or carrier wave now known or hereafter
devised ("Online Services"); (ii) by means of computer-generated copies on paper
or microform ordered by Users via the Online Services; and (iii) by means of
copies reproduced on magnetic or optical storage media and intended for use only
in conjunction with stand-alone computers, local area computer networks, or
other single-enterprise computer networks, which copies are intended to
replicate, supplement or enhance the Online Services; provided, however, that
HealthStream may not include any CME Materials or substantial portion thereof as
part of any product on

Integrated Agreement
                                       1
<PAGE>   2

tangible storage media, including, but not limited to CD-ROM, other than a
product used solely to enhance performance of the Online Services.

                  1.5 "Users" shall mean persons and/or entities that pay
HealthStream for access to Services. Users may include but are not limited to
physicians, nurses, clinical care providers, managed care organizations,
hospitals, health care institutions, and other health care providers.

         2.       GRANT OF LICENSE AND DISTRIBUTION RIGHTS

                  2.1 Publisher hereby grants HealthStream the non-exclusive
                  license, for the Term of this Agreement, throughout the
                  universe, for the purpose of providing access to and
                  disseminating the CME Materials or portions thereof through
                  HealthStream's Services, to do and authorize any of the
                  following:

                  (i) to market, advertise, promote (including with third party
                  promotional partners authorized by HealthStream), distribute,
                  sell, use, reproduce, perform, display, or offer to the public
                  the CME Materials or portions thereof by means of the Services
                  and to use Publishers' Intellectual Property Rights
                  ("Properties") subsisting in the CME Materials in connection
                  therewith; HealthStream bearing any and all costs and expenses
                  related thereto; and

                  (ii) to recast, transform, or adapt the CME Materials or
                  portions thereof only as necessary for the purpose of
                  utilizing the CME Materials or portions thereof within the
                  Services and as necessary for the purpose of exercising
                  HealthStream's rights as set forth above in this Section 2.

                  2.2 HealthStream may not offer the CME Materials in any format
                  to licensing partners of Publisher ("Partners") without
                  Publisher's approval. These Partners are identified in Exhibit
                  C attached hereto. Publisher reserves the right to add
                  Partners to Exhibit C in the future if Publisher executes
                  written agreements with additional entities. Publisher shall
                  send written notice to HealthStream of its intent to add a
                  Partner to Exhibit C. If a proposed Partner is an entity with
                  whom HealthStream already has an established relationship, the
                  proposed Partner shall not be added to Exhibit C or subject to
                  the limitations of this Section. Established relationship
                  shall mean that the entity is one with whom HealthStream has
                  entered into negotiations to enter a business relationship.

         All rights not specifically granted and licensed to HealthStream herein
are reserved to the Publisher.

         3.        FEES AND CHARGES

         HealthStream shall compensate Publisher as set forth in Exhibit B which
is attached hereto and incorporated herein by this reference.

Integrated Agreement
                                       2
<PAGE>   3

         4.       REPRESENTATIONS AND WARRANTIES

                  4.1 Publisher hereby represents and warrants that: (i)
Publisher has all authority and rights necessary to enter into and to fulfill
the terms of this Agreement and to grant the rights and to consummate the
obligations described herein; (ii) except for third party Intellectual Property
Rights identified in the CME Materials by means of, among other things,
copyright notices, acknowledgments and credit lines, and except for other third
party Intellectual Property Rights expressly identified to HealthStream in
writing by Publisher (collectively "Third Party Intellectual Property Rights"),
Publisher owns or has the right to license all Intellectual Property Rights
subsisting in the CME Materials and necessary to enable HealthStream to exercise
the rights granted hereunder, and Publisher has the right to enter into this
Agreement with HealthStream and to license the CME Materials or portions thereof
to HealthStream as set forth in this Agreement; and (iii) the use of the CME
Materials or portions thereof by HealthStream in accordance with the terms of
this Agreement shall not constitute a libel or slander against any person or
entity.

                  4.2 Publisher hereby represents and warrants that (i) with
respect to each and every right herein granted to HealthStream there is no legal
obstacle to the granting of such rights; (ii) there is no outstanding claim of
any kind whatsoever against any right, title or interest in or to the CME
Materials or portions thereof which could adversely affect the rights granted to
HealthStream hereunder; (iii) the CME Materials or portions thereof do not
infringe the Intellectual Property Rights of any third parties; and (iv) there
are no pending, or, to the best of Publisher's knowledge, threatened claims from
a third party claiming any right, title or interest in the CME Materials or
portions thereof which could adversely affect the rights granted to HealthStream
hereunder or alleging that the CME Materials or portions thereof infringes the
Intellectual Property Rights of any such third party. If any claim is asserted
against the Publisher alleging that the CME Materials or portions thereof
infringes upon a third party's Intellectual Property Rights, then the Publisher
shall promptly notify HealthStream of such infringement claim.

                  4.3 Publisher shall indemnify, defend and hold harmless
HealthStream from and against any liability arising out of (i) any breach of
this Section 4 by Publisher; and (ii) any injury or damages caused to any third
party due to reliance upon the editorial content of the CME Materials or
portions thereof. Publisher shall have sole control over the defense of any
third party claims asserting a liability covered by this section 4.3.

                  4.4 HealthStream hereby represents and warrants that it has
full power and authority to enter into this Agreement and to consummate the
obligations contemplated herein; and that HealthStream's entering this Agreement
does not conflict with or constitute a breach of any Agreement to which
HealthStream is subject.

                  4.5 HealthStream hereby agrees to indemnify, defend and hold
harmless Publisher, its officers, directors, employees, agents, successors and
assigns, authors, editors and licensors from and against all loss, liability,
damage, cost and expense arising solely and directly out of (i) HealthStream's
transcription, digitization, or other processing or transmission of the CME
Materials or portions thereof within the Services; (ii) the operation of the
Services (other than claims covered under Section 4.2 above); and (iii) the
content of the Services other than the editorial content of any Properties
licensed hereunder or portions thereof.

Integrated Agreement
                                       3
<PAGE>   4

         5.       OBLIGATIONS OF PUBLISHER

                  5.1 Publisher agrees to deliver the CME Materials in html
format to HealthStream within thirty (30) days of the execution of this
Agreement.

                  5.2 Publisher shall inform HealthStream of significant changes
in the format of the CME Materials or portions thereof, including content,
scheduling, and other factors which will be useful to HealthStream in selling,
marketing and providing customer service to its Users.

                  5.3 Publisher shall provide to HealthStream customer service
necessary to respond to inquiries by HealthStream made via telephone, fax or
written correspondence regarding HealthStream's subscribers' questions in regard
to CME credit provided by the Publisher.

         6.       OBLIGATIONS OF HEALTHSTREAM

                  6.1 HealthStream shall insert on each screen that contains CME
Materials, and in close proximity to the CME Materials the following notice:
"Copyright (insert year) American Health Consultants. All Rights Reserved."
HealthStream shall also insert a hyperlink from the copyright notice to the
American Health Consultants Informational Page residing on HealthStream's
Internet Site ("American Health Consultants Informational Page"), which will
contain the following language "Republication or redistribution of American
Health Consultants' content is expressly prohibited without the prior written
consent of American Health Consultants." HealthStream shall also include in the
American Health Consultants Informational Page, as displayed on the Services,
any disclaimers or such other notice as may be requested in writing by Publisher
from time to time during the Term.

                  6.2 HealthStream shall be responsible for providing customer
and technical support to Users, via telephone or electronic message
consultations. Such customer support shall include but not be limited to account
management, consultation, technical assistance and handling of User inquiries.
Publisher shall have no responsibility to communicate directly with Users
regarding operation of the Services.

                  6.3 HealthStream shall use its good faith efforts to convert,
digitize, reformat and/or otherwise manipulate the CME Materials in accordance
with the specifications set forth in this Agreement, and to reproduce the text
accurately in the implementation.

                  6.4 HealthStream shall correct any errors or inaccuracies in
the content of the CME Materials introduced or caused by HealthStream or its
agents or contractors promptly after learning of the existence of such errors or
inaccuracies. HealthStream shall promptly make corrections and changes to the
editorial content requested by Publisher for the purpose of (i) correcting
material errors, omissions or inaccuracies or (ii) complying with any judicial,
governmental or administrative decision, rule or order or settlement agreement
by which Publisher is bound or (iii) avoiding potential liability from continued
distribution of such materials.

                  6.5 HealthStream shall process CME Materials submitted for
credit by Users within twenty-four (24) hours and shall provide a certificate of
completion of CME Materials directly to Users via email, with an email copy sent
to Publisher.

Integrated Agreement
                                       4
<PAGE>   5

                  6.6 The right of HealthStream to use any trade names or
trademarks of Publisher included in the Intellectual Property Rights of
Publisher licensed hereunder is limited to the display of such trademarks on the
CME Materials as displayed in the Services and in promotional materials for the
Services. All such use of Publisher's trademarks shall accrue to the benefit of
Publisher. HealthStream will not use Publisher's trade names or trademarks in
any other manner without the prior consent of Publisher. HealthStream will not
use the name of any author of any CME Materials or of any professional
association or society under whose auspices CME Materials are published in any
manner other than to state the authorship or sponsorship of that specific CME
Materials.

                  6.7 HealthStream represents and warrants that it will not,
without Publisher's prior written permission, provide CME Materials to persons
or entities in such a fashion that no Fees (as defined in Exhibit B) are
generated.

                  6.8 HealthStream shall generate a monthly statement of CME
Materials used in the Services by Users to report to Publisher the Fees owed to
Publisher as set forth in Exhibit B.

         7.       TERM AND TERMINATION

                  7.1 This Agreement shall commence upon the Effective Date and
shall continue in force for one (1) year from the Launch Date ("Initial Term")
and shall be renewed for one (1) year terms ("Renewal Term" and collectively the
"Term"), automatically unless one Party shall give written notice of termination
to the other Party no later than one hundred and eighty (180) days prior to the
expiration of the Initial Term or the then current Renewal Term, as applicable.
Each Renewal Term shall commence simultaneously upon the expiration of the
immediately preceding Initial Term or Renewal Term. The inclusion of a
subsequent edition CME Materials pursuant to Section 1.2 shall not extend or
otherwise affect the Term of this Agreement with respect to such CME Materials
or otherwise.

                  7.2 In the event that either Party commits a breach ("Breach")
of this Agreement, upon written notice ("Breach Notice") from the non-defaulting
Party, the defaulting Party shall use its best efforts to cure such breach
within thirty (30) days after the receipt of the Breach Notice. If such default
or breach is not cured within thirty (30) days of receipt of the Breach Notice,
the non-defaulting Party may give written notice ("Termination Notice") to the
defaulting Party of the non-defaulting Party's selection to terminate this
Agreement on a date specified in the Termination Notice. If the defaulting Party
is making diligent efforts to cure a breach that is not reasonably susceptible
to cure within thirty (30) days, the defaulting Party shall be provided a
reasonable time period up to forty-five (45) days from Breach Notice to complete
the cure of the breach. If such breach is not cured within such thirty (30) or
forty-five (45) day period, as applicable, the Agreement shall terminate on the
date specified in the Termination Notice. Such right of termination shall not be
exclusive of any other remedies or means of redress to which the non-defaulting
Party may be lawfully entitled. Notwithstanding the foregoing, a Party's default
on any provision of this Agreement shall not be considered a Breach to the
extent that this Agreement contains a remedy for such Breach.

                  7.3 If Publisher or HealthStream: (i) makes an assignment for
the benefit of creditors; (ii) becomes insolvent; (iii) files a voluntary
petition for bankruptcy; (iv) acquiesces to an involuntary bankruptcy petition;
(iv) is adjudicated as bankrupt; or (v) ceases to do business, the other Party,
at its option, may immediately terminate this Agreement upon giving written
notice thereof.

Integrated Agreement
                                       5
<PAGE>   6

                  7.4 In addition to those rights specified herein and subject
to Section 7.7 hereof, the following rights and obligations survive any
expiration or termination of this Agreement to the degree necessary to permit
their complete fulfillment or discharge: (i) the rights and obligations of the
Parties with respect to Publisher's Intellectual Property Rights and
HealthStream's Intellectual Property Rights; (ii) the rights and obligations of
the Parties with respect to the Services that have been sold or distributed,
including obligations of HealthStream to make all applicable payments under this
Agreement; (iii) any cause of action or claim of either Party, accrued or to
accrue, because of any breach or default by other parties; and (iv) the rights
and obligations of either Party with respect to confidentiality,
indemnification, warranties and representations.

                  7.5 If this Agreement is lawfully terminated by HealthStream
as a result of a breach of its terms or conditions by Publisher, HealthStream
may, for a period of one (1) year following the date of such termination of this
Agreement, sell, or continue to sell through the Services the CME Materials or
portions thereof as they exist at the time of HealthStream's termination for
Publisher's breach. The reporting and payment obligations of HealthStream shall
apply to the sales and distribution of the CME Materials or portions thereof
accruing after termination.

                  7.6 Without limiting the generality of the foregoing, the
provisions of termination of this Agreement for Sections 1, 4, 6.6, 7.5, 8, and
9.13 shall survive the expiration or early termination of this Agreement for any
reason.

                  7.7 In the event of termination or expiration of this
Agreement for any reason, HealthStream shall immediately (or at such later date
as is set forth in Section 7.5 in the event of a termination under that Section)
cease further distribution of the CME Materials through the Services. In
addition, HealthStream shall destroy all versions and copies of the Properties
in whatever form or medium in HealthStream's custody or under HealthStream's
control. An officer of HealthStream shall certify such action in writing to
Publisher.

         8.       OWNERSHIP OF THE PROPERTIES

                  8.1 Publisher acknowledges HealthStream's right, title and
interest to HealthStream's Intellectual Property Rights (including, without
limitation, all Intellectual Property Rights subsisting in the implementation
and all elements of HealthStream's computer graphic user interfaces, machine
interfaces and other computer programs and other audiovisual and literary
works), and will not at any time do or cause to be done any act or thing
contesting or in any way impairing or tending to impair any part of such right,
title and interest thereto. In connection with the use of HealthStream's
Intellectual Property Rights, Publisher shall not in any manner represent that
it has any ownership therein, and Publisher acknowledges that any use pursuant
to this Agreement (if any) of HealthStream's Intellectual Property Rights shall
not create any right, title or interest therein in Publisher's favor.

                  8.2 HealthStream acknowledges Publisher's right, title and
interest in and to Publisher's Intellectual Property Rights, and will not at any
time do or cause to be done any act or thing contesting or in any way impairing
or tending to impair any part of such right, title and interest thereto. In
connection with the use of Publisher's Intellectual Property Rights,
HealthStream shall not in any manner represent that it has any ownership therein
and HealthStream acknowledges that its use of Publisher's Intellectual Property
Rights shall not create any right, title and interest therein in HealthStream's
favor. HealthStream further agrees not to copy, reproduce, sell, license,
subscribe, lease or distribute the CME Materials or portions thereof other than
as expressly permitted herein.

Integrated Agreement
                                       6
<PAGE>   7

                  8.3 HealthStream will place in writing in an agreement with
each User a warranty disclaimer and liability limitation clauses. HealthStream
shall make commercially reasonable efforts to ensure that any User provided with
access to CME Materials or portions thereof by or through Services expressly
agrees (i) to use the CME Materials or portions thereof exclusively as an
internal management, reference or informational tool for that User's use only;
and (ii) not to reproduce or distribute the CME Materials or portions thereof
for any commercial purpose. The sole obligation of HealthStream with respect to
the requirements identified in this Section 8.3 applicable to each User shall be
to include appropriate terms in written contracts with each such User, as
required by this Agreement and to take commercially reasonable steps to
terminate Users who intentionally breach the terms of such User Agreements.
Publisher shall look to each such User, and not HealthStream, to redress any
damages imposed on Publisher due to any actions taken by, or breach of the
obligations of, such User.

                  8.4 HealthStream shall promptly notify Publisher of any
unauthorized use or infringement of the CME Materials or portions thereof by
Users or others of which HealthStream becomes aware. Publisher shall have the
right, at its expense, to bring an action on account of such unauthorized uses
or infringements provided that Publisher will not bring an action against any
User without first consulting with HealthStream. HealthStream shall cooperate
with Publisher in such action in such manner as the Publisher may reasonably
request at Publisher's cost and expense.

         9.       MISCELLANEOUS

                  9.1 Recitals. The recitals herein constitute an integral part
of the Agreement reached by the Parties and are to be considered as such.

                  9.2 No Waiver. The waiver by either Party of a breach or
default of any provision of this Agreement by the other Party shall not
constitute a waiver by such Party of any succeeding breach of the same or other
provision; nor shall any delay or omission on the part of either Party to
exercise or avail itself of any right, power or privilege that it has or may
have hereunder operate as a waiver of any such right, power or privilege by such
Party.

                  9.3 Force Majeure. Neither HealthStream nor Publisher shall be
liable for any breach of this Agreement occasioned by any cause beyond the
reasonable control of such party, which for purposes of this Agreement shall
mean governmental action, war, riot, or civil commotion, fire, floods, labor
disputes, restraints affecting shipping or credit, delay of carrier, black-outs,
brown-outs, computer generated worms, viruses, and other self-destructing code,
a substantial change to the commercial structure of the Internet or any other
causes which could not with reasonable diligence be controlled or prevented by
the parties.

                  9.4 Headings. The headings of the Sections of this Agreement
are for convenience only and will not be of any effect in construing the
meanings of the Sections and subsections.

                  9.5 Counterparts; Facsimile. This Agreement may be executed in
one or more counterparts, each of which shall be deemed an original, but all of
which together shall constitute one and the same instrument. Any signed copy of
this Agreement delivered by facsimile transmission shall for all purposes be
treated as if it were delivered containing an original signature of the party
whose signature appears in the facsimile.

                   9.6 No Assignment. Neither Party shall assign this Agreement
or any of its rights hereunder or delegate any of its obligations hereunder
except with the prior written consent of the other

Integrated Agreement
                                       7
<PAGE>   8

Party; provided, however, that either Party may assign in conjunction with its
mergers, reorganization or the sale of substantially all assets to which this
Agreement pertains, provided that the surviving company continues in the same or
substantially similar business.

                  9.7 Invalidity. If any covenant or other provision of this
Agreement is invalid, illegal, or incapable of being enforced by reason of any
rule of law, administrative order, judicial decision or public policy, all other
conditions and provisions of this Agreement shall, nevertheless, remain in full
force and effect. The Parties shall make changes to this Agreement as are
necessary to cure the invalidity, consistent with the original objectives of the
Parties.

                  9.8 Relationship of the Parties. Nothing in this Agreement nor
the relations between the Parties of this Agreement shall be construed to
constitute a partnership or joint venture between or among the Parties of this
Agreement. Neither Party shall have the right or authority to bind or obligate
the other Party in any manner whatsoever and shall not expressly or impliedly
incur any liability or obligation on behalf of the other Party.

                  9.9 Reasonable Approval. Whenever any provision of this
Agreement requires the consent or approval of a Party, such consent or approval
shall be given in writing, and shall not be unreasonably withheld or delayed.

                  9.10 Notices. All notices or other communications that shall
or may be given pursuant to this Agreement, shall be in writing, in English, and
shall be sent by certified or registered air mail with postage prepaid, return
receipt requested, by facsimile, telex or cable communication, or by hand
delivery. Such communications shall be deemed given and received upon dispatch,
if sent by facsimile, telex, or cable communication; or upon delivery if hand
delivered; or within five (5) days of mailing, if sent by certified or
registered mail, and shall be addressed to the parties as set forth below or to
such other addresses as the parties may designate in writing from time to time.

            If to Publisher:          American Health Consultants
                                      3525 Piedmont Road
                                      Building 6, Suite 400
                                      Atlanta, Georgia 30305
                                      Fax:     (404) 262-5510

                                      Attn: Marcus Underwood
                                            Director, Special Projects

            If to HealthStream:       209 10th Avenue South
                                      Suite 450
                                      Nashville, TN 37203
                                      Fax:  (615) 301-3200

                                      Attn: Robert H. Laird
                                            Vice President and General Counsel

                   9.11 Governing Law. This Agreement shall be governed by the
laws of the State of Georgia, notwithstanding that state's choice of law rules.

Integrated Agreement
                                       8
<PAGE>   9

                  9.12 Entire Agreement. This Agreement, including the exhibits
attached hereto, state the entire Agreement between the Parties relating to the
subject matter of this Agreement and supersedes any and all prior Agreements and
communications, written or oral. No amendment or modification of this Agreement
may be made except by an instrument in writing signed by both Parties.

                  9.13 Non-Disclosure. The terms and provisions of this
Agreement, any amounts paid to Publisher hereunder, and any and all other
business information disclosed by either party (the "Disclosing Party") to the
other (the "Receiving Party") in the course of its performance of this
Agreement, which information is designated by the Disclosing Party as
confidential or proprietary or which the Receiving Party should recognize from
the facts and circumstances surrounding the disclosure of such information is
confidential or proprietary to the Disclosing Party, shall constitute
confidential information ("Confidential Information") of the Disclosing Party.
The Receiving Party shall hold the Confidential Information of the Disclosing
Party in confidence and will use such Confidential Information only for the
purposes of fulfilling its obligations under this Agreement. Nothing in this
Agreement will be interpreted to confer upon the Receiving Party any implied or
express license to use the Confidential Information of the Disclosing Party for
any other purpose. The Receiving Party will not disclose, provide, disseminate
or otherwise make available any Confidential Information of the Disclosing Party
or any part thereof in any form whatsoever to any third party without the
express written permission of the Disclosing Party. The obligations in this
Section 5.4 shall not apply to any (a) information that is now or later becomes
publicly available through no fault of the Receiving Party; (b) information that
is obtained by the Receiving Party from a third party (other than in connection
with this Agreement) who is not under any obligation of secrecy or
confidentiality to the Disclosing Party with respect to such information; (c)
information that is independently developed by the Receiving Party (e.g.,
without reference to any Confidential Information); (d) any disclosure required
by applicable law, provided that the Receiving Party shall use reasonable
efforts to give advance notice to and cooperate with the Disclosing Party in
connection with any such disclosure; and (e) any disclosure with the consent of
the Disclosing Party. The parties acknowledge that the covenants contained in
this Section 5.4 are reasonable and necessary to protect their legitimate
interests, that the parties would not have entered into this Agreement in the
absence of such covenants, that any breach or threatened breach of such
covenants will result in irreparable injury to the Disclosing Party, and that
the remedy at law for such breach or threatened breach would be inadequate.
Accordingly, the Parties agree that the Disclosing Party shall, in addition to
any other rights or remedies which it may have, be entitled to seek such
equitable and injunctive relief without the posting of any bond or security as
may be available from any court of competent jurisdiction to restrain the
Receiving Party from any breach or threatened breach of such covenants.

         IN WITNESS WHEREOF, each of the Parties has caused a duly authorized
officer or agent to execute the Agreement as of the dates set forth below.

On Behalf of HealthStream:            On Behalf of Publisher:

By:   /s/ Robert A. Frist, Jr.        By:    /s/ Jeff MacDonald
   ------------------------------         ---------------------------------
Name:  Robert A. Frist, Jr.           Name:  Jeff MacDonald
      ---------------------------           -------------------------------
Title: CEO                            Title: President & CEO
      ---------------------------           -------------------------------
Date:  January 27, 2000               Date:  January 31, 2000
      ---------------------------           -------------------------------

Integrated Agreement

                                       9
<PAGE>   10

                               EXHIBIT A: PROPERTY

Description of "CME Materials"

CME Materials consist of all material currently available on Publisher's cmeweb
Internet site (listed below and hereafter referred to as "Modules"), any Modules
that become available on Publisher's cmeweb Internet site during the Term, and
updates to the Modules within 30 days of the modules going live on the cmeweb
site.

Continuing Medical Education Materials

1.     Clinical Cardiology Alert
2.     Clinical Oncology Alert
3.     Critical Care Alert
4.     Emergency Department Legal Letter
5.     Emergency Medicine Reports
6.     Infectious Disease Alerts
7.     Pediatric Emergency Medicine Reports
8.     Primary Care Reports
9.     Travel Medicine Advisor
10.    Neurology Alert
11.    Primary Care Reports
12.    Pediatric and Adolescent Medicine Reports
13.    OB/GYN Alert
14.    Emergency Medicine Alert
15.    Alternative Medicine Alert

Integrated Agreement
                                       10
<PAGE>   11

                       EXHIBIT B: COMPENSATION PROVISIONS

B1.      "Fees" shall mean amounts billed to and actually received by
         HealthStream for access to CME Materials from Users, distributors, or
         agents less discounts to distributors, credits or refunds actually paid
         by HealthStream.

B2.      HealthStream will collect from Users a Fee which shall not be less than
         * for each Module of Publisher's CME Materials a User accesses on the
         Service prior to permitting the User to access each Module. A User may
         access the Module(s) one or more times after the User has paid the Fees
         for access to the Module(s). Publisher's credit toward the yearly
         minimum as described in B3 shall in no instance be less than * per
         Module, provided Publisher's list price remains * or greater per
         Module. In the event Publisher's list price falls below * per module,
         Publisher's credit toward the yearly minimum as described in B3 shall
         be * of Publisher's list price.

B3.      Subject to the remaining provisions of this section B3, HealthStream
         shall pay Publisher * per month for the duration of the Term, due the
         first day of each month. In addition to the * each month, HealthStream
         shall compute within forty five (45) days after each 12 month
         anniversary of the Launch Date within the Initial Term or the then
         current Renewal Term (as applicable), the Fees collected during the
         previous 12 months of the Initial or Renewal Term, and shall furnish
         Publisher with a statement in sufficient detail to verify such total
         Fees (the "Compensation Statement"). HealthStream shall remit to
         Publisher along with the Compensation Statement an amount equal to * of
         any Fees collected during previous 12 months of the Initial or Renewal
         Term that are in excess of *. In the event that the total number of
         credit hours available from the CME Materials listed in Exhibit A falls
         below eight hundred (800), and stays below this level for more than 30
         consecutive days, the monthly licensing fee of * shall be prorated to
         reflect the reduced number of hours until the number of credit hours
         available exceeds eight hundred (800). The prorated fee shall be based
         on the number of credit hours available on the date when the available
         credit hours fall below eight hundred (800). The prorated fee will be
         recalculated at the regular monthly reporting intervals for the
         duration of the period during which the available credit hours remain
         below eight hundred (800).

B4.      HealthStream shall, upon thirty (30) days written notice by Publisher,
         make all of its records related to Fees calculations available to
         Publisher or its designees at HealthStream's principal place of
         business during normal business hours ("Audit"). All information
         obtained from such records shall remain strictly confidential and shall
         not be disclosed by Publisher or its designee to third Parties or used
         for any purpose other than calculating Fees due and verifying the
         accuracy of the computation of the Fees and other compliance with this
         Agreement. Notwithstanding the foregoing, Publisher may not (i) request
         an Audit more than once every twelve (12) months; or (ii) claim any
         Fees more than two (2) years following the Compensation Date by which
         such Fees were accrued. Publisher shall bear the expense of such Audit
         unless the Audit shows an error amounting to a deficiency to Publisher
         in excess of five percent (5%) of the actual Fees payable to Publisher
         for the applicable period, in which event, HealthStream shall bear the
         reasonable expense of the Audit. HealthStream shall pay Publisher the
         amount of any deficiency discovered by Publisher within thirty (30)
         days after receipt of notice thereof from Publisher.

B5       HealthStream is under no obligation to sell and distribute a minimum
         quantity of the CME Materials or portions thereof.

Integrated Agreement
                                       11
<PAGE>   12

                          EXHIBIT C: EXISTING PARTNERS

Below is a listing of Publisher's existing CME content licensing partners.
Publisher reserves the right to add to this list if it signs on new partners
during the term of this agreement.

1.       Healtheon/WebMD
2.       MDConsult
3.       Summa Health Systems

Integrated Agreement

                                       12<PAGE>   1
                                                                   EXHIBIT 10.23

We have omitted certain portions of this document and filed them separately
with the Commission. These portions are marked with an asterisk (*)

August 13, 1999

Ms. Linda McMullen
Mississippi State Medical Association                     [HealthStream (LOGO)]
P.O. Box 5229
Jackson, MS 39296-5229

Re: Letter of Agreement

Dear Ms. McMullen,

This letter is intended to set forth an agreement by and between HealthStream,
Inc., ("HealthStream"), a Tennessee corporation, and the Mississippi State
Medical Association ("MSMA"), a Mississippi, non-profit corporation.

1)   Overall Structure. This letter of agreement establishes a joint marketing
     agreement to cooperatively distribute continuing medical education (CME)
     for physicians.

2)   Purpose. The purpose of this venture is to jointly market and distribute
     online CME using the combined resources of MSMA and HealthStream.
     Specifically the parties intend to:

          a)   Market the availability of online CME courses to MSMA's members
               using marketing means consistent with current means of reaching
               MSMA physicians (i.e. newsletters, education catalog, Grand
               Round announcements, direct mail, etc.).

          b)   Distribute HealthStream's CME Web Courses through a link on
               MSMA's web page(s)

3)   Price and Payment. The pricing and payment for the online CME courses
     shall be on the following terms:

          a)   Due to the relationship between HealthStream and MSMA,
               HealthStream shall provide those physicians identifying
               themselves as MSMA physicians using either a) an event code
               provided by HealthStream unique to MSMA, or b) upon registering
               for a course by completing a demographic field indicating MSMA
               as their sponsoring organization, with a * discount off of the
               retail prices listed for the online courses on the HealthStream
               Web site (www.healthstream.com (Get CME!)).

          b)   Physicians shall bear the total cost for their CME courses less
               any discounts extended to them by HealthStream as a result of
               this agreement. MSMA shall not be obligated to pay for any
               online CME course or part of any online CME for their physicians
               at any time.

          c)   MSMA shall be responsible for the link provided on their Web
               site(s) for the CME courses at their cost. HealthStream will
               provide link graphics at no charge to MSMA at their request.

4)   Exclusivity. There is no overt or implied exclusivity by either party in
     this agreement.

5)   Confidentiality of Negotiations. The parties shall use reasonable efforts
     to maintain at all times as confidential information the terms of this
     letter and the content of any negotiations between us except that both
     parties may (i) inform advisors, counsel and employees with a need to know
     as each party deems necessary, and (ii) make appropriate disclosures if
     required by applicable securities laws. The parties will work together to
     determine the timing and content of releases of information to the press
     and other media entries.

6)   Governing Law.  This letter shall be governed by the substantive laws of
     the State of Tennessee.

7)   Entirety. This letter constitutes the entire understanding and agreement
     between the parties hereto and their affiliates with respect to its
     subject matter and supercedes all prior and contemporaneous agreements,
     representations, warranties, and understandings of such parties (Whether
     oral or written). No promise, inducement, representation or agreement,
     other than as expressly set forth

HealthStream, Inc./Mississippi State Medical Association
Letter of Agreement

                                                                               1
<PAGE>   2
     herein, has been made to or by the parties hereto. This letter may be
     amended only by written agreement, signed by the parties to be bound by the
     amendment.

8)   Construction. This letter shall be construed according to its fair meaning
     and not strictly for or against either party. This letter does not, and is
     not intended to, impose any binding obligations on the parties.

If the terms and condition of this letter are acceptable, please sign and
return to us a copy of this letter so that we can proceed with the effort.

Accepted and Agreed:
HealthStream, Inc.

Signed:  /s/ Robert A. Frist, Jr.
       ------------------------------------

By:    Robert A. Frist
    ---------------------------------------

Title:  CEO
      -------------------------------------

Date:    11/29/99
      -------------------------------------

Accepted and Agreed:
Mississippi State Medical Association

Signed:  /s/ Linda McMullen
       ------------------------------------

By:     Linda McMullen
       ------------------------------------

Title:  General Counsel
        -----------------------------------

Date:    November 23, 1999
        -----------------------------------

HealthStream, Inc./Mississippi State Medical Association
Letter of Agreement

                                                                               2

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00006-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00006-of-00352.parquet"}]]