Document:

<PAGE>   1
                                                                   EXHIBIT 10.20

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

                  SOFTWARE LICENSING AND DISTRIBUTION AGREEMENT

         This Software Licensing and Distribution Agreement ("Agreement") is
made by and between HealthStream, Inc., a Tennessee corporation having its
principal place of business at 209 10th Avenue South, Suite 450, Nashville,
Tennessee 37203 ("HealthStream") and Pointshare having its principal place of
business at 1300 114th Ave. SE, Suite 100, Bellevue, WA 98004 ("Distributor").

                                   BACKGROUND

         WHEREAS, Distributor delivers Internet healthcare services targeted at
the healthcare community and consumers among others;

         WHEREAS, HealthStream has developed and marketed and continues to
develop and market a computer-based education system known as the Training
Navigator(TM) ("T.NAV(R)") that delivers and monitors World Wide Web based
content;

         WHEREAS, Distributor and HealthStream wish to enter into a cooperative
effort to 1) deploy HealthStream branded educational offerings utilizing
T.NAV(R) technology and Distributor's distribution channels; 2) market the goods
and services incorporated therein; and 3) sell course sponsorships;

         WHEREAS, Distributor wishes to acquire a license and HealthStream has
agreed to grant a license to Distributor for the utilization of T.NAV(R)
iCommerce with Distributor's Internet healthcare services;

         WHEREAS, Distributor and HealthStream wish to provide appropriate
consideration for those efforts that each party has agreed to undertake;

         WHEREAS, Distributor and HealthStream each acknowledge the sufficiency
and adequacy of the value, concessions, and recitations set forth herein;

         NOW THEREFORE, Distributor and HealthStream agree as follows:

                                    ARTICLE 1

                                   DEFINITIONS

For purposes of this Agreement, the terms below shall have the following
meanings:

1.1.     "Distributor" means Pointshare and any affiliated entity of
         Distributor.

1.2.     "Course" means healthcare related Internet based curricula designed to
         be delivered by T.NAV(R).

1.3.     "Effective Date" means July 12, 1999, the date on which both parties to
         this Agreement have executed same.

1.4.     "Sponsorship Revenue" means payments by third party organizations to
         provide courses free to Pointshare users.

1.5.     "HealthStream Courses" means interactive courses that are the
         proprietary property of HealthStream including training and education
         content, including, but not limited to, OSHA and JCAHO mandated
         training, continuing medical education, and office training.

1.6.     "Internet" means the international network of computers and computer
         networks accessible by the public at large of which the World Wide Web
         is a subset.

1.7.     "Intranet" means an internal network protected from unauthorized users
         by a firewall and accessible only by individuals within the
         organization serving the network.

1.8.     "HealthStream" means HealthStream, Inc. and any Subsidiary of
         HealthStream, Inc.

1.9.     "Net Revenue" means gross revenue derived by Distributor or
         HealthStream from Transactions Fees less discounts, rebates, and/or
         refunds.

                                              Distributor and HealthStream Media
                                                                     Page 1 of 9

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1.10.    "Subsidiary" means a company in which, on a class-by-class basis, more
         than fifty percent (50%) of the stock entitled to vote for the election
         of directors is owned or controlled by another company, but only so
         long as such ownership or control exists.

1.11.    "Third Party Content" means interactive content that is the proprietary
         property of a third party to this Agreement.

1.12.    "T.NAV(R)" is a branded trademark of HealthStream and is a computer
         based training product that delivers and monitors World Wide Web based
         Content.

1.13.    "T.NAV(R) iCommerce" means HealthStream's proprietary computer based
         training product that is a derivative product of T.NAV(R) with
         additional features added by HealthStream in its sole discretion and
         designated by HealthStream in its sole discretion as "T.NAV(R)v.x.x.c."

1.14.    "Transaction Fees" means fees received by HealthStream for healthcare
         related training courses delivered over the Internet via the T.NAV(R)
         on Distributor's World Wide Web Site.

                                    ARTICLE 2

                            STRATEGIC RIGHTS GRANTS

2.1      During the term of this Agreement, Distributor shall:

         2.1.1    Include on the home page of Distributor's World Wide Web site
                  a logo of the HealthStream trademark and a hyperlink to the
                  HealthStream section of Distributor's World Wide Web site; and

         2.1.2    Promote the HealthStream service as a part of industry trade
                  shows and exhibitions in which Distributor participates and as
                  a part of Distributor's public advertising strategy.
                  Distributor will provide HealthStream with a specific
                  promotion plan within ninety (90) days of the Effective Date
                  that will include a minimum of one (1) event per quarter.

2.2      During the term of this Agreement, HealthStream shall:

         2.2.1    Include on the partners page of its World Wide Web site a logo
                  of the Distributor trademark and a hyperlink to the
                  Distributor's World Wide Web site; and

         2.2.2    Provide standard Personalization for Distributor, as defined
                  in Exhibit A; and

         2.2.3    Enable Distributor to participate in co-marketing campaigns,
                  at HealthStream's discretion.

                                    ARTICLE 3

                                 LICENSE GRANTS

3.1      Subject to the payment of the consideration set forth in Article 4,
         HealthStream grants the Distributor non-exclusive worldwide license
         rights for T.NAV(R) iCommerce to deliver healthcare related training
         courses over the Internet.

3.2.     Any and all rights not expressly granted by either of the parties to
         the other are reserved by the respective party claiming reservation of
         that right.

                                    ARTICLE 4

                                PRICE AND PAYMENT

4.1.     During the term of this Agreement, HealthStream shall pay to
         Distributor:

                                              Distributor and HealthStream Media
                                                                     Page 2 of 9
<PAGE>   3

         4.1.1    * of all Net Revenue derived from
                  Transaction Fees;

         4.1.2.   * of all Net Revenue derived from
                  Sponsorship Revenue sold by Distributor.

         4.1.3.   * of all Net Revenue derived from
                  Sponsorship Revenue sold by HealthStream.

4.2      Distributor and HealthStream agree to deliver monthly sales statements
         that detail Net Revenue and payment according to the percentages
         outlined in this Article 4 to each other within forty five (45) days
         after the end of each calendar month. These monthly reports shall
         indicate the total number of Transactions and Sponsorships for which
         either party derives revenue. Each party shall submit monthly reports
         even if no royalties or other amounts are due for such month. A monthly
         finance charge based on an annual rate of prime plus 2% will be
         assessed on all amounts that are paid later than forty five (45) days
         after the end of the last month.

4.3.     In the event that Distributor hosts T.NAV(R) on its own server,
         Distributor shall be responsible for any costs associated with the
         licensing of third party applications such as database licenses which
         are required for the proper functioning of T.NAV(R) Commerce, hosting
         and Internet access services necessary for distribution including, but
         not limited to, the hardware infrastructure to meet additional demand.
         HealthStream, however, shall be responsible for all taxes based upon
         its personal property ownership and gross or net income.

4.4.     Distributor and HealthStream will meet as necessary to review pricing,
         discounting policy and the rationale behind any discounts granted for
         Courses and Intranet products and services.

                                    ARTICLE 5

                        INDEMNIFICATION FOR INFRINGEMENT

5.1.     HealthStream represents and warrants that to the best of its knowledge:

         5.1.1.   T.NAV(R) iCommerce does not infringe any copyright or patent
                  enforceable under the laws of any country; and

         5.1.2.   T.NAV(R) iCommerce does not violate the trade secret rights of
                  any third party; and

5.2.     HealthStream agrees to indemnify, hold harmless, and defend Distributor
         from any and all damages, costs, and expenses, including reasonable
         attorneys' fees, incurred in connection with a claim which constitutes
         a breach of the warranties set forth in Section 5.1 and where judgment
         has been rendered (hereinafter claims under Subsections 5.1.1 and 5.1.2
         shall collectively be referred to as "Infringement Judgments");
         provided, HealthStream is notified promptly in writing of an
         Infringement Judgment and has sole control over its defense or
         settlement, and Distributor provides reasonable assistance in the
         defense of the same.

5.3.     HealthStream shall have no liability for any Infringement Judgment
         based on Distributor's:

         5.3.1.   use or distribution of T.NAV(R) iCommerce after HealthStream's
                  written notice that Distributor should cease use or
                  distribution of T.NAV(R) iCommerce due to an Infringement
                  Judgment, or

         5.3.2.   combination of T.NAV(R) iCommerce with a non-HealthStream
                  program or data if such Infringement Judgment would have been
                  avoided by the exclusive use of T.NAV(R) iCommerce.

5.4.     For all Infringement Judgments arising under Section 5.3, Distributor
         agrees to indemnify and defend HealthStream from and against all
         damages, costs, and expenses, including reasonable attorneys' fees. In
         the event HealthStream notifies Distributor that it should cease
         distribution of T.NAV(R) iCommerce due to an Infringement Judgment,
         Distributor may terminate this Agreement.

                                              Distributor and HealthStream Media
                                                                     Page 3 of 9

<PAGE>   4

                                    ARTICLE 6

                        INTELLECTUAL PROPERTY PROVISIONS

6.1.     Both parties will cause to appear on all marketing or promotional
         materials concerning the healthcare related training courses, the other
         party's copyright, trademark, or patent notices.

6.2.     The parties agree that ownership for any invention conceived or
         developed during the course of this Agreement shall vest in accordance
         with the patent rules governing inventorship.

6.3.     To the extent that source code is written by either party title shall
         vest in the party who has written such code.

6.4.     Each party is responsible for protecting, documenting, and maintaining
         its own intellectual property. Except as expressly set forth herein,
         this Agreement does not grant either party any proprietary rights of
         any type in the other party's materials, services or Content.

6.5.     Both parties acknowledge that, except as otherwise provided herein,
         each party owns and retains all right, title and interest in and to its
         own Content provided to the other party.

6.6.     HealthStream acknowledges that Distributor owns and retains all right,
         title and interest in and to Distributor's World Wide Web site and all
         Distributor's products, services and derivatives thereof arising from
         the performance of this Agreement.

6.7.     Distributor acknowledges that, except for the license granted to
         Distributor in Section 3.1 herein, HealthStream owns and retains all
         right, title and interest in and to T.NAV(R) iCommerce, the T.NAV(R)
         iCommerce source code, and the T.NAV(R) iCommerce object code.

                                    ARTICLE 7

                  PROHIBITION AGAINST ASSIGNMENT AND SUBLICENSE

This Agreement, and any rights or obligations hereunder, shall not be assigned
or sublicensed (except as permitted in this Article 7) by either party.
Notwithstanding the foregoing, this Agreement may be assigned to a successor in
interest to all of a party's assets or substantially all of a party's assets and
shall inure to the benefit of and be binding upon successors or purchasers of
substantially all of either party's assets.

                                    ARTICLE 8

                                TERM OF AGREEMENT

Provided this Agreement has been properly executed by an officer of Distributor
and by an officer of HealthStream, the term of this Agreement ("Term") shall run
from the Effective Date until one (1) year after the Effective Date, and
thereafter be automatically extended for additional one (1) year periods unless
either party provides thirty (30) days written notice to the non-terminating
party.

                                    ARTICLE 9

                             DEFAULT AND TERMINATION

9.1.     The non-defaulting party may terminate this Agreement in its entirety
         if any of the following events of default occur:

         9.1.1.   if the defaulting party materially fails to perform or comply
                  with this Agreement or any provision hereof;

         9.1.2.   if the defaulting party fails to strictly comply with the
                  provisions of Article 12, or makes an assignment in violation
                  of Article 7;

                                              Distributor and HealthStream Media
                                                                     Page 4 of 9

<PAGE>   5

         9.1.3.   if a party becomes insolvent or admits in writing its
                  inability to pay its debts as they mature, or makes an
                  assignment for the benefit of creditors;

         9.1.4.   if a petition under any foreign, state, or United States
                  bankruptcy act, receivership statute, or the like, as they now
                  exist, or as they may be amended, is filed by a party; or

         9.1.5.   if such a petition is filed by any third party, or an
                  application for a receiver of a party is made by anyone and
                  such petition or application is not resolved favorably or
                  discharged to such party within ninety (90) days.

9.2.     Termination due to a breach of Articles 7 or 12 shall be effective upon
         notice. In all other cases termination shall be effective sixty (60)
         days after notice of termination to the defaulting party if the
         defaults have not been cured within such sixty (60) day period. The
         rights and remedies of the parties provided herein shall not be
         exclusive and are in addition to any other rights and remedies provided
         by law or this Agreement.

                                   ARTICLE 10

                          OBLIGATIONS UPON TERMINATION

10.1.    From and after termination or expiration of this Agreement, Distributor
         shall not employ T.NAV(R) iCommerce or portion thereof which is owned
         by HealthStream, as part or portion of any product that Distributor may
         use, sell, assign, lease, license, or transfer to third parties. Both
         parties shall cease and desist from all use of the other party's
         name(s) and associated trademark(s) and, upon request, deliver to the
         other party or its authorized representatives or destroy all material
         upon which those name(s) and the associated trademarks appear.

10.2.    Articles 5, 6, 10, 11, 12, 13, 14, Section 15.1, and Article 16 shall
         survive termination or expiration of this Agreement.

                                   ARTICLE 11

                WARRANTIES, LIMITATION OF LIABILITY AND REMEDIES

HealthStream represents and warrants that T.NAV(R) shall operate and perform
according to specifications attached hereto as Exhibit A. EXCEPT AS EXPRESSLY
SET FORTH IN THIS AGREEMENT, NEITHER PARTY MAKES ANY OTHER WARRANTIES. ANY AND
ALL OTHER IMPLIED WARRANTIES OF ANY KIND WHATSOEVER, INCLUDING THOSE FOR
MERCHANTABILITY AND/OR FITNESS FOR A PARTICULAR PURPOSE, ARE EXPRESSLY EXCLUDED.
NEITHER PARTY SHALL BE LIABLE FOR ANY CONSEQUENTIAL (INCLUDING WITHOUT
LIMITATION LOST PROFITS, UNLIQUIDATED INVENTORY, ETC.), INCIDENTAL, INDIRECT,
ECONOMIC, OR PUNITIVE DAMAGES EVEN IF THE OTHER PARTY HAS BEEN ADVISED OF THE
POSSIBILITY OF SUCH DAMAGES.

                                   ARTICLE 12

                             NONDISCLOSURE AGREEMENT

12.1.    HealthStream expressly undertakes to retain in confidence all
         information and know-how transmitted to HealthStream by Distributor
         that Distributor has identified as being proprietary and/or
         confidential or that, by the nature of the circumstances surrounding
         the disclosure, ought in good faith to be treated as proprietary and/or
         confidential, and will make no use of such information and know-how
         except under the terms and during the existence of this Agreement.
         HealthStream shall not disclose, disseminate or distribute any such
         confidential information or know how to any third party without
         Distributor's prior written consent. HealthStream agrees to use the
         same degree of care to protect Distributor confidential information as
         HealthStream takes to protect its own confidential information of like
         importance. However, HealthStream shall have no obligation to maintain
         the confidentiality of information that:

                                              Distributor and HealthStream Media
                                                                     Page 5 of 9

<PAGE>   6

         12.1.1.  it received rightfully from another party prior to its receipt
                  from Distributor;

         12.1.2.  Distributor has disclosed to a third party without any
                  obligation to maintain such information in confidence; or

         12.1.3.  has been or is independently developed by HealthStream.

12.2.    Further, HealthStream may disclose confidential information as required
         by governmental or judicial order, provided HealthStream gives
         Distributor prompt notice of such order and complies with any
         confidentiality or protective order (or equivalent) imposed on such
         disclosure. HealthStream shall treat the terms and conditions of this
         Agreement as confidential; however, HealthStream may disclose such
         information in confidence to its immediate legal and financial
         consultants as required in the ordinary course of HealthStream's
         business. HealthStream's obligation under this Article 12 shall extend
         to the earlier of such time as the information protected hereby is in
         the public domain through no fault of HealthStream or five (5) years
         following termination or expiration of this Agreement. HealthStream
         shall not disclose any information on Distributor's unannounced
         products to HealthStream's employees or any third party.

12.3.    Distributor shall have the same obligations in Sections 12.1 and 12.2
         above with respect to HealthStream's information and know-how. In
         addition, Distributor shall treat all T.NAV(R) iCommerce materials
         (including source code) as confidential information and shall not
         disclose, disseminate, or distribute such materials to any third party
         without HealthStream's prior written permission.

12.4.    Both parties shall prepare a mutually acceptable press release, if any,
         to announce this Agreement.

                                   ARTICLE 13

                                     AUDITS

13.1.    During the term of this Agreement, the parties hereto agree to keep all
         usual and proper records and books of account and all usual and proper
         entries relating to each T.NAV(R) iCommerce licensed consistent with
         generally accepted accounting principles.

13.2.    HealthStream may cause an audit to be made of the applicable
         Distributor records that pertain to this Agreement for the sole purpose
         of verifying royalty reports issued by Distributor to HealthStream and
         prompt adjustment shall be made to compensate for any errors or
         omissions disclosed by such audit. Any such audit shall be conducted by
         an independent certified public accountant of national stature (e.g.,
         Deloitte) selected by HealthStream (other than on a contingent fee
         basis) and shall be conducted during regular business hours at
         Distributor's offices and in such a manner as not to interfere with
         Distributor's normal business activities. Any such audit shall occur no
         more than once per calendar year and within six (6) months of the end
         of the calendar year. HealthStream shall pay for any such audit unless
         Material discrepancies are disclosed. "Material" shall mean the lesser
         of Five Thousand Dollars (US$5,000.00) or five percent (5%) of the
         amount that should have been reported. If Material discrepancies are
         disclosed, Distributor agrees to pay HealthStream the costs associated
         with the audit not to exceed Five Thousand Dollars (US$5,000.00). The
         auditor shall only disclose the correct data and amounts as called for
         on the royalty reports.

13.3.    Distributor may cause an audit to be made of the applicable
         HealthStream records and facilities for the sole purpose of verifying
         any reports issued by HealthStream to Distributor, and prompt
         adjustment shall be made to compensate for any errors or omissions
         disclosed by such audit. Any such audit shall be conducted by an
         independent certified public accountant of national stature (e.g.,
         Deloitte) selected by Distributor (other than on a contingent fee
         basis) and shall be conducted during regular business hours at
         HealthStream's offices and in such a manner as not

                                              Distributor and HealthStream Media
                                                                     Page 6 of 9

<PAGE>   7

         to interfere with HealthStream's normal business activities. Any such
         audit shall be paid for by Distributor unless Material discrepancies
         are disclosed. 'Material" shall mean the lesser of Five Thousand
         Dollars (US$5,000.00) or five percent (5%) of the amount that should
         have been reported. If Material discrepancies are disclosed,
         HealthStream agrees to pay Distributor for the costs associated with
         the audit not to exceed Five Thousand Dollars (US$5,000.00). In no
         event shall audits be made more frequently than annually unless the
         immediately preceding audit disclosed a Material discrepancy. The
         auditor shall only disclose the correct data and amounts as called for
         on the royalty reports.

13.4.    Any statement shall affect neither the right to examine and audit nor
         the right to receive an adjustment to the contrary, appearing on checks
         or otherwise, unless expressly agreed to in writing by the party having
         such right.

13.5.    In the event that either party makes any claim with respect to an
         audit, upon the audited party's written request the party who has
         requested such audit will make available to the audited party the
         records and reports pertaining to such audit prepared by the
         independent auditor who performed such audit.

                                   ARTICLE 14

                              NOTICES AND REQUESTS

All notices, authorizations, and requests in connection with this Agreement
shall be deemed given on the day they are deposited in the U.S. mails, postage
prepaid, certified or registered, return receipt requested, or sent by air
express courier, charges prepaid; and addressed as follows:

DISTRIBUTOR:               Pointshare
                           Attn: Timothy J. Kilgallon
                           President & CEO
                           1300 114th Ave. SE
                           Suite 450
                           Bellevue, WA 98004

HEALTHSTREAM:              HealthStream, Inc.
                           Attn:    Robert H. Laird, Jr.
                           General Counsel
                           209 10th Avenue South
                           Suite 450
                           Nashville, Tennessee 37203

or to such other address as the party to receive the notice or request so
designates by written notice to the other.

                                   ARTICLE 15

                                 CONTROLLING LAW

15.1.    This Agreement shall be construed and controlled by the laws of the
         State of Tennessee.

15.2.    Neither this Agreement, nor any terms and conditions contained herein,
         shall be construed as creating a partnership, joint venture or agency
         relationship or as granting a franchise as defined in 16 CFR Section
         436.2(a). The price and payment described in Article 4 of this
         Agreement shall

                                              Distributor and HealthStream Media
                                                                     Page 7 of 9

<PAGE>   8

         be construed as a royalty fee for the rights granted in Article 3 of
         this Agreement, and not as a franchise fee.

                                   ARTICLE 16

                                 ATTORNEYS' FEES

If either HealthStream or Distributor employs attorneys to enforce any rights
arising out of or relating to this Agreement, the prevailing party in any
proceeding shall be entitled to recover its reasonable attorneys' fees, costs
and other expenses.

                                   ARTICLE 17

                                     GENERAL

17.1.    This Agreement does not constitute an offer by HealthStream and it
         shall not be effective until signed by both parties. Upon execution by
         both parties, this Agreement shall constitute the entire agreement
         between the parties with respect to the subject matter hereof and
         replaces and supplants all prior and contemporaneous communications. It
         shall not be modified except by a written agreement signed on behalf of
         Distributor and HealthStream by their respective duly authorized
         representatives. Unless agreed to in a separate writing signed by both
         parties, any statement appearing as a restrictive endorsement on a
         check or other document which purports to modify a right, obligation or
         liability of either party shall be of no force and effect.

17.2.    If any provision of this Agreement shall be held by a court of
         competent jurisdiction to be illegal, invalid, or unenforceable, the
         remaining provisions shall remain in full force and effect. If this
         Agreement as it relates to any product(s) licensed hereunder shall be
         held by a court of competent jurisdiction to be invalid, illegal, or
         unenforceable or if this Agreement is terminated as to particular
         product(s), this Agreement shall remain in full force and effect as to
         the remaining product(s).

17.3.    No waiver of any breach of any provision of this Agreement shall
         constitute a waiver of any prior, concurrent or subsequent breach of
         the same or any other provisions hereof, and no waiver shall be
         effective unless made in writing and signed by an authorized
         representative of the waiving party.

17.4.    The Article headings used in this Agreement and the attached Exhibits
         are intended for convenience only and shall not be deemed to supersede
         or modify any provisions.

         IN WITNESS WHEREOF, the parties have executed this Agreement as of the
date set forth in Section 1.5 above. All signed copies of this Agreement shall
be deemed originals.

         Pointshare                         HealthStream, Inc.

         By: /s/ Tim Kilgallon              By: /s/ Robert A. Frist, Jr.
            ----------------------------       ---------------------------------
         Name: Tim Kilgallon
               -------------------------    Title: Chief Executive
         Title: President & CEO                   ------------------------------
               -------------------------

                                              Distributor and HealthStream Media
                                                                     Page 8 of 9
<PAGE>   9

                                    EXHIBIT A

                             PERSONALIZATION ITEMS

HealthStream's online education Web site and T.NAV iCommerce systems can be
personalized to reflect Distributor's brand image. The following items are
standard elements of that Personalization:

1.       Left navigation bar light color
2.       Left navigation bar dark color
3.       The color that is the background of the main logo in the upper left
4.       The color for the ad banner section
5.       The light color for the catalog listing
6.       The dark color for the catalog listing
7.       The light color for the Your Menu listing
8.       The dark for the Your Menu listing
9.       The logo to display in the upper left
10.      The name to display in the site (i.e. "Healthstream@ahn.com")
11.      The phone number of technical support
12.      The email for tech support
13.      The address for tech support
14.      The first custom link to display
15.      The second custom link to display
16.      The third custom link to display
17.      The fourth custom link to display
18.      The fifth custom link to display
19.      The people support link to display
20.      Code to pre-populate the discount field
21.      Text to display on page for custom link 1
22.      Text to display for custom link 2
23.      Text to display for custom link 3
24.      Text to display for custom link 4
25.      Text to display for custom link 5
26.      Text to display for the people support link
27.      Default background color
28.      The path and file to call when doing an auto-logoff
29.      The background color for the title bar

                                              Distributor and HealthStream Media
                                                                     Page 9 of 9<PAGE>   1
                                                                   EXHIBIT 10.21

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 20th day
of September 1999, ("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 Education Materials ("CE Materials");

         WHEREAS, HealthStream distributes information services;

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

         WHEREAS, Publisher desires to grant HealthStream the full right to
incorporate, use and distribute the CE 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 "CE Materials" shall mean the items listed in Exhibit A
(said items being hereinafter referred to as "CE Materials"), as amended from
time to time by the parties, and subsequent issues of CE Materials published
during the Term (as defined in Section 7.1 herein). Exhibit A is incorporated
herein by this reference.

                  1.3 "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 CE Materials or substantial portion thereof as
part of any product on tangible storage media, including, but not limited to
CD-ROM, other than a product used solely to enhance performance of the Online
Services.

Integrated Agreement
                                       1
<PAGE>   2

                  1.4 "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

         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 CE 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 CE Materials or portions thereof by means of the Services
                  and to use Publishers' Intellectual Property Rights
                  ("Properties") subsisting in the CE Materials in connection
                  therewith; HealthStream bearing any and all costs and expenses
                  related thereto; and

                  (ii) to recast, transform, or adapt the CE Materials or
                  portions thereof only as necessary for the purpose of
                  utilizing the CE 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.

         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.

         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 CE 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 CE 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 CE Materials or portions thereof to HealthStream
as set forth in this Agreement; and (iii) the use of the CE 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.

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                                       2
<PAGE>   3

                  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 CE
Materials or portions thereof which could adversely affect the rights granted to
HealthStream hereunder; (iii) the CE 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 CE Materials or
portions thereof which could adversely affect the rights granted to HealthStream
hereunder or alleging that the CE 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 CE 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 CE 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 CE
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.

         5.       OBLIGATIONS OF PUBLISHER

                  5.1 Publisher agrees to deliver the CE 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 CE 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 CE credit provided by the Publisher.

         6.       OBLIGATIONS OF HEALTHSTREAM

                  6.1 HealthStream shall insert on each screen that contains CE
Materials, and in close proximity to the CE Materials the following notice:
"Copyright (insert year) American Health Consultants.

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                                       3
<PAGE>   4

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 CE Materials in accordance
with the specifications set forth in this Agreement, and to reproduce the text
accurately in the implementation.

                  6.5 HealthStream shall correct any errors or inaccuracies in
the content of the CE 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.

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

                  6.7 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
CE 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 CE Materials or of any professional
association or society under whose auspices CE Materials are published in any
manner other than to state the authorship or sponsorship of that specific CE
Material.

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

                  6.10 HealthStream shall generate a monthly statement of CE
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 a term which shall consist of an initial Term of two
(2) years ("Initial Term") and shall be renewed

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                                       4
<PAGE>   5

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 CE Materials pursuant to Section 1.2 shall not extend or
otherwise affect the Term of this Agreement with respect to such CE 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.

                  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 two (2) years following the date of such termination of
this Agreement, sell, or continue to sell through the Services the CE 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 CE 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

Integrated Agreement
                                       5
<PAGE>   6

termination under that Section) cease further distribution of the CE 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.

Integrated Agreement
                                       6
<PAGE>   7

         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 CE Materials or portions thereof other than
as expressly permitted herein.

                  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 CE Materials or portions thereof by or through Services expressly
agrees (i) to use the CE 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 CE 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 CE 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

Integrated Agreement
                                       7
<PAGE>   8

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 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.

Integrated Agreement
                                       8
<PAGE>   9

            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.

                   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

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                                       9
<PAGE>   10

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:  9/30/99                        Date:   9/30/99
      ---------------------------           -------------------------------

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                                       10
<PAGE>   11

                               EXHIBIT A: PROPERTY

Description of "CE Materials"

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

Continuing Education Materials

1.       Hospital Peer Review
2.       Hospital Case Management
3.       Case Management Advisor
4.       Hospital Employee Health
5.       Hospital Infection Control
6.       Contraceptive Technology Update
7.       Home Infusion Therapy Management
8.       Homecare Education Management
9.       Homecare Quality Management
10.      Hospital Home Health
11.      Private Duty Homecare
12.      Same-Day Surgery

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                                       11
<PAGE>   12

                       EXHIBIT B: COMPENSATION PROVISIONS

B1.      "Fees" shall mean amounts billed to and actually received by
         HealthStream for access to CE 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 CE 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.
         HealthStream shall compute within forty five (45) days after each 12
         month anniversary of the Effective 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 the 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 CE Materials listed in
         Exhibit A falls below four hundred (400) Healthstream shall have the
         right to terminate the contract immediately, and must remove all of
         Publisher's content per article 7.7 of this agreement.

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 CE Materials or portions thereof.

Integrated Agreement
                                       12

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