Document:

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                                                                   EXHIBIT 10.13

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

                     DEVELOPMENT AND DISTRIBUTION AGREEMENT

         This Agreement, effective as of June 14th, 1999, is between GE Medical
Systems, a division of General Electric Company, a corporation organized and
existing under the laws of the state of New York ("GEMS"), and HealthStream,
Inc., a corporation organized and existing under the laws of the state of
Tennessee ("HealthStream").

                                    RECITALS

         A.       GEMS or its affiliates have purchased 100,000 shares of
HealthStream Series B Convertible Preferred Stock pursuant to a Stock Purchase
Agreement dated May 10, 1999, in consideration of, in part, the arrangement set
forth in this Agreement.

         B.       HealthStream owns or has rights to certain computer software
and Internet web site content for healthcare professionals' education and
training and has developed and markets a computer-based education system called
"Training Navigator" ("T.NAV") that delivers and monitors content on the World
Wide Web.

         C.       GEMS owns or has rights to certain content, satellite
broadcast programming and branding and related goods and services which are used
in health, medicine, training and education, and which may be used to distribute
information about and to promote its other goods and services.

         D.       The parties intend to convert or adapt certain GEMS content
and programming that is in existence or to be developed for use through T.NAV.
GEMS and HealthStream are allowed certain rights hereunder to distribute the
HealthStream content and the converted or adapted GEMS content using T.NAV, and
the parties are to share Revenue (as defined herein) in connection therewith.

         E.       Simultaneous with this Agreement, the parties are entering
into a Warrant Purchase Agreement (the "Warrant Agreement") of even date
herewith, under which GEMS acquires a warrant to purchase certain stock of
HealthStream as set forth therein.

         NOW, THEREFORE, in consideration of the foregoing premises and the
mutual promises and covenants set forth below, the parties agree as follows:

                                    ARTICLE I
                                   DEFINITIONS

         Capitalized terms herein shall have the following meanings for purposes
of this Agreement:

         1.1      "Confidential Information" means any information received by a
party that is marked "Confidential" or "Proprietary" or, in the case of
information that is disclosed orally, is reduced to writing and such writing is
delivered to the receiving party confirming the oral disclosure and identifying
the oral disclosure as "Confidential." Confidential Information shall

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not include any information that the receiving party can demonstrate, by a
preponderance of the evidence, was already in its possession of the receiving
party at the time of disclosure, is in the public domain other than as
consequence of breach by it of its obligation hereunder not to disclose the
information, is received from another without an obligation of confidentiality,
or is thereafter independently developed by it without the use of any such
information.

         1.2      "Enhancements" means all GEMS content (including works of
authorship, source and object code, and databases) that is converted or adapted
for use on T.NAV and approved by GEMS.

         1.3      "GEMS Web Site" means the primary web site designated by GEMS
or its affiliates, or other GEMS distributors authorized under Section 4.1
below, for distribution by GEMS of HealthStream Content.

         1.4      "HealthStream Content" means all interactive courses that
HealthStream owns or has the right to distribute (but not including
Enhancements).

         1.5      "HealthStream Web sites" means the primary web sites
designated by HealthStream, and/or HealthStream distributors listed in Exhibit B
attached hereto, for distribution by HealthStream of Enhancements.

         1.6      "Revenue" means all monetary consideration and the fair market
value of all non-monetary consideration charged, not including any sales or
value-added taxes, and less any returns or refunds. In the case of Revenue in a
currency other than United States dollars, such Revenue shall be converted to
United States dollars using the exchange rate in effect on the last day of the
calendar quarter during which such Revenue is received.

         1.7      "TiP-TV" means the live interactive satellite broadcasts of
that name to GEMS-authorized customer sites, also known as
"Training-in-Partnership Television."

         1.8      "T.NAV" means all present and all future releases, versions
and embodiments of the HealthStream products and services currently known as
"Training Navigator" or "T.NAV" which delivers and monitors World Wide Web based
content.

         1.9      "Individual Course Transactions" means purchases of Products
other than Non-Individual Course Transactions.

         1.10     "Non-Individual Course Transactions" means purchases of
Products in a single transaction entailing multiple courses or courses that are
in combination with other goods or services.

         1.11     "Products" means HealthStream Content and Enhancements singly
and jointly.

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                                   ARTICLE II
                                   DEVELOPMENT

         2.1      Development of Enhancements. The parties will collaborate in
the development of Enhancements identified and approved by GEMS, integrating
such Enhancements into T.NAV, and deploying two similar, but separately branded
in accordance with Section 5.5 below, sets of Products. The Enhancements will be
directed toward specific areas of expertise of GEMS, including, but not limited
to, radiology, cardiology and women's health, and related educational materials,
and GEMS e-commerce applications. The development, implementation and
integration of Enhancements will occur in three phrases:

                  (i)      the development of on-line continuing education and
         continuing medical education examinations after TiP-TV broadcasts on
         such schedule as the parties may mutually agree;

                  (ii)     the conversion and repurposing into T.NAV of * of
         existing TiP-TV programming of GEMS identified by the agreement of the
         parties within thirty (30) days after the effective date of this
         Agreement, such conversion and repurposing to be accomplished within
         three months after the effective date of this Agreement; and

                  (iii)    the development of new content as mutually agreed
         upon by the parties for desired market segments and healthcare
         professional occupations and specialties, provided that HealthStream
         shall be under no obligation to incur the costs of developing any
         content beyond the first *.

         2.2      Content Integration. HealthStream, at its expense, will
provide all necessary services and support for the conversion of content and
features provided by GEMS into Enhancements and the integration of Enhancements
into T.NAV, including adding GEMS content, enabling linkage to other GEMS web
sites and the customizations listed on Exhibit A hereto.

         2.3      Technical Support. HealthStream, at its expense, will provide
all necessary technical support and maintenance to the Products, including
hosting web sites containing Products. HealthStream shall promptly deliver to
GEMS upon its request all reasonably available usage, tracking and similar
information related to each such web site.

                                   ARTICLE III
                                    OWNERSHIP

         3.1      Ownership of Enhancements. GEMS will own, and HealthStream
hereby assigns to GEMS, all Enhancements including all copyrights, trade secret
rights and other intellectual property rights thereto, with the unrestricted
right to reproduce, use, perform, display, prepare derivative works and
distribute such Enhancements, subject to the distribution and other rights of
HealthStream under Article IV below.

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         3.2      Ownership of T.NAV and HealthStream Content. HealthStream
shall own, and GEMS hereby assigns to HealthStream, all of T.NAV and
HealthStream Content, including all copyrights, trade secret rights and other
intellectual property rights thereto, with the unrestricted right to reproduce,
use, perform, display, prepare derivative works and distribute T.NAV and
HealthStream Content, subject to the distribution and other rights of GEMS under
Article IV below.

         3.3      Assignments. Each party agrees to take such action as may be
reasonably required to effectuate the ownership provisions of this Article III,
including without limitation the execution and delivery of instruments of
assignment, recordation or registration, and the giving of truthful testimony.

         3.4      Enforcement. Each party shall promptly notify the other of any
infringement or other violation of which it becomes aware by any third party of
any patent, copyright, trade secret, trademark or other intellectual property
right related to Products. The party owning such right may enforce such right
against such third party, and the other party shall reasonably cooperate with
such enforcement at the enforcing party's expense. Any damages or other monetary
recovery in the enforcement action shall be retained by the enforcing party.

                                   ARTICLE IV
                               DISTRIBUTION RIGHTS

         4.1      Grant by HealthStream. Subject to all the terms and conditions
of this Agreement, HealthStream hereby grants to GEMS and its affiliates a
worldwide right and license to distribute HealthStream Content through the GEMS
Web Site. Any distribution of HealthStream Content by GEMS other than through
the GEMS Web Site or by any subdistributors will require the prior written
approval of HealthStream.

         4.2      Grant by GEMS. Subject to all the terms and conditions of this
Agreement, GEMS hereby grants to HealthStream a worldwide right and license to
distribute Enhancements through the HealthStream Web sites. Any distribution of
Enhancements by HealthStream other than through the HealthStream Web sites will
require the prior written approval of GEMS.

                                    ARTICLE V
                                    MARKETING

         5.1      Product Marketing. Each party will work independently to
market the Products, with input from the other party and in accordance with this
Article V.

         5.2      Cooperation by HealthStream. HealthStream will provide to GEMS
all relevant technical, marketing and other information regarding the Products
and will provide appropriate artwork for marketing communications regarding the
HealthStream Content.

         5.3      Cooperation by GEMS. The Products may be included as a part of
industry trade shows and exhibitions in which GEMS participates, at GEMS
discretion. The Products may be included as a part of GEMS public advertising
strategy, at GEMS discretion.

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         5.4      TiP-TV Programming Advertising. During the term of this
Agreement, GEMS will promote HealthStream on the GEMS branded offering of the
Products in the TiP-TV Broadcast Guide magazine by including a one-quarter page
advertisement therefor in each magazine issue. Such advertisement will contain
the "Powered by HealthStream, Powered by T.NAV" logo or other HealthStream logo
acceptable to GEMS, and shall be at * HealthStream. HealthStream may choose to
sponsor Tip-TV programming, subject to program availability. Pricing for such
sponsorship will be set at the then current sponsorship market price, less at
least a * discount. In exchange for the discounted sponsorship fee,
HealthStream will be named as such program's sponsor.

         5.5      Branding. Each party reserves all rights to any name, marks
and logos ("Marks") it may have. GEMS will have the right, but not the
obligation, to include its Marks in the Enhancements, and in any HealthStream
Content that GEMS distributes. GEMS may prohibit the use in any Enhancements,
and in any HealthStream Content that GEMS distributes, of any Marks of any
company in competition with GEMS in any goods or services distributed by GEMS.
The Products will also include the name of HealthStream, consistent with
applicable General Electric Company corporate guidelines including, without
limitation, guidelines to avoid confusion of customers, sales forces and others
and to produce and maintain market identity. Each use by HealthStream of any
Marks of GEMS in any manner, including in all Products and web pages shall be
subject to the prior written approval of GEMS. Neither party shall by this
Agreement obtain any right, title, or interest in or to any Marks of the other
party or its affiliates. Accordingly, neither party shall use any Marks
confusingly similar to or likely to cause confusion with the Marks of the other
or of any other person or entity. This Section 5.5 shall survive termination of
this Agreement. Violation of this Section 5.5 shall entitle the owner of the
Mark to seek any legal or equitable remedy it has, whether arising under this
Agreement or otherwise.

         5.6      Direct Marketing. The parties shall each ensure that all
communications (including, without limitation, email acknowledgments,
transaction invoicing, direct mail campaigns, customer feed back surveys and
other electronic and written communications) with individuals, groups, companies
or other entities conducting transactions through the GEMS Web site shall have
the appropriate GEMS Marks consistent with General Electric Company corporate
guidelines.

         5.7      GEMS Web site Infrastructure. HealthStream shall operate and
maintain the HealthStream Content and T.NAV in support of the GEMS Web site,
including processing user transactions on the GEMS Web site (including
invoicing, billing and processing credit card transactions) and tracking user
course history.

         5.8      Web Partners. GEMS in its sole discretion may introduce
HealthStream to its current or potential Web partners for the purpose of
creating strategic partnerships and alliances and deploying HealthStream Content
using T.NAV into other channels.

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                                   ARTICLE VI
                                 REVENUE SHARING

         6.1      Individual Course Transactions. During the term of this
Agreement, Revenue from Individual Course Transactions shall be shared on a
quarterly basis, based upon content and distribution channel, per the following:

<TABLE>
<CAPTION>
      CHANNEL                  COLUMN A                       COLUMN B
CONTENT                     GEMS WEB SITE             HEALTHSTREAM WEB SITES
<S>                      <C>                          <C>
Enhancement              GEMS             *           GEMS              *
                         HealthStream     *           HealthStream      *
HealthStream Content     GEMS             *           GEMS              *
                         HealthStream     *           HealthStream      *
</TABLE>

         6.2      Accelerated Royalty. During the first nine month period
following the release by either party of the initial Individual Course
Transactions in Enhancements for deployment in T.NAV, HealthStream shall retain
an additional * of Revenues related to such Enhancements, regardless of
channel.

         6.3      Non-Individual Course Transactions. Revenue from
Non-Individual Course Transactions which may be developed as part of future GEMS
or HealthStream on-line offerings, shall be shared * to GEMS and * to
HealthStream; except that during the first nine months following the release by
either party of the initial Non-Individual Course Transactions in Enhancements
for development in T.NAV, HealthStream shall retain an additional * of Revenue
related to such Enhancements, regardless of channel.

         6.4      Advertising Revenue. All Revenues collected by HealthStream
for advertisements or other promotional material in page views that include any
portion of the Enhancements shall be divided * to HealthStream and * to GEMS.
All Revenues collected by GEMS for advertisements and other promotional material
in page views that include any portion of T.NAV shall be divided * to GEMS and *
to HealthStream.

         6.5      Pricing. GEMS reserves the right, with advice from
HealthStream, to set the * price for HealthStream's distribution of Individual
Course Transactions in the Enhancements. HealthStream reserves the right, with
advice from GEMS, to set the * price for GEMS' distribution of Individual Course
Transactions in the HealthStream Content. In no instance shall pricing for
Non-Incidental Course Transactions by either party be less than * of the pricing
for Individual Course Transactions, except with the consent of the other party.

                                   ARTICLE VII
                                   ACCOUNTING

         7.1      Accounting. Reconciliation of accounts in accordance with the
Revenue sharing arrangements set forth in Article VI above shall be made within
thirty (30) days after each calendar quarter with respect to Revenues received
during such calendar quarter, by each party

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delivering to the other party a check for the amount due without offset for any
amount due from the other party together with the report described in Section
7.2 below.

         7.2      Records. Each party shall keep complete and accurate records
showing its Revenues hereunder, for the term of this Agreement and a period of
one (1) year thereafter. Each party shall deliver to the other party a written
report accompanying each of the payments described in Section 7.1 above setting
forth the share of Revenues due to the other party and the calculation thereof.

                                  ARTICLE VIII
                           WARRANTIES AND INDEMNITIES

         8.1      Representations and Warranties of HealthStream. HealthStream
represents and warrants to GEMS as follows:

                  (i)      that HealthStream is a validly existing corporation
         in good standing under the laws of the State of Tennessee;

                  (ii)     that HealthStream has full corporate power and
         authority to execute and deliver this Agreement and to perform its
         obligations hereunder;

                  (iii)    that HealthStream has full right, power and authority
         to enter into and perform its obligations under this Agreement, and
         that HealthStream has the right to grant to and vest in GEMS all rights
         and licenses set forth in this Agreement, free and clear of any and all
         claims, rights and obligations whatsoever;

                  (iv)     that except for any portion of the Products that may
         be created by GEMS, to the best of HealthStream's knowledge, no part of
         T.NAV or the Products is or shall be an imitation or copy of, or shall
         infringe upon, any other materials, or shall violate or infringe upon
         any common law or statutory rights of any person or entity, including
         without limitation rights relating to defamation, contract, trademark,
         patent, copyright, trade secret, privacy or publicity;

                  (v)      that HealthStream has not sold, assigned, leased,
         licensed, or in any other way disposed of or encumbered any of the
         rights or licenses granted to GEMS in this Agreement nor shall
         HealthStream sell, assign, lease, license or in any other way dispose
         of or encumber such rights; and

                  (vi)     to the best of HealthStream's knowledge, all versions
         of T.NAV and the Products delivered to GEMS under this Agreement shall
         be free from any specification non-conformities, significant
         programming errors or defects in workmanship or materials and shall
         operate and run in a reasonable and efficient business manner
         (including being free of any Year 2000 defects or non-conformities due
         to the passage of the year 1999). In the event of any breach of this
         Section 8.1 (vi), HealthStream shall, at its sole expense, immediately
         correct the nonconformity or other defect.

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         8.2      Representations and Warranties of GEMS. GEMS represents and
warrants to HealthStream as follows:

                  (i)      that GEMS is a validly existing corporation in good
         standing under the laws of the State of New York;

                  (ii)     that it has full corporate power and authority to
         execute and deliver this Agreement and to perform the transactions
         contemplated hereunder;

                  (iii)    that GEMS has full right, power and authority to
         enter into and perform its obligations under this Agreement, and that
         GEMS has the right to grant to and vest in HealthStream all rights and
         licenses set forth in this Agreement, free and clear of any and all
         claims, rights and obligations whatsoever; and

                  (iv)     that to the best of GEMS' knowledge, no part of GEMS
         content shall infringe upon, any other materials, or shall violate or
         infringe upon any common law or statutory rights of any person or
         entity, including without limitation rights relating to defamation,
         contract, trademark, patent, copyright, trade secret, privacy or
         publicity.

         8.3      Indemnity. Each party will indemnify and hold harmless the
other from and against any liability, costs or expenses (including attorney
fees) based upon any action, claim or assertion inconsistent with the warranties
and representations of Section 8.1 or 8.2 above. The indemnified party shall
promptly notify the indemnifying party of any such action or assertion and shall
cooperate in the defense thereof.

         8.4      Insurance. HealthStream will maintain insurance coverage for
product liabilities and other claims arising from the Products in the policy
amount of $5 million combined single limit per occurrence and $5 million in the
aggregate (with a self-insured retention of $10,000 per occurrence and $50,000
aggregate). During the term of the Agreement, HealthStream covenants to maintain
such insurance policy and to take such steps, as necessary, to name GEMS as an
additional insured under such insurance policy. Evidence of the existence and
amount of the insurance policy shall be provided by HealthStream to GEMS.

         8.5      NO OTHER WARRANTIES. THE WARRANTIES EXPRESSED IN THIS ARTICLE
VIII ARE IN LIEU OF ALL OTHER WARRANTIES, WHETHER EXPRESSED OR IMPLIED OR
ARISING BY PERFORMANCE, CUSTOM OR USAGE IN THE TRADE, AND THE PARTIES HEREBY
DISCLAIM ALL OTHER WARRANTIES, INCLUDING WITHOUT LIMITATION THE IMPLIED
WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE.

         8.6      No Consequential Damages. Except as expressly set forth
herein, in no event shall either party be liable under, or in connection with,
this Agreement for any indirect, special, incidental, punitive or consequential
losses, expenses or damages whatsoever, including, but not limited to, loss of
revenue or profits or increased costs as a result of inability to operate,
inability to fulfill contracts with third parties, or similar matters or events.
The limitations, exclusions and disclaimers in this Agreement shall apply
irrespective of the nature of the cause of the action or

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demand, including but not limited to breach of contract, negligence, tort or any
other legal theory and shall survive any breach or breaches and/or failure of
the essential purpose of this Agreement, or any remedy contained in this
Agreement.

                                   ARTICLE IX
                                 CONFIDENTIALITY

         9.1      Obligation. Each party agrees that any Confidential
Information furnished or disclosed to it by the other party shall be treated as
confidential by it and used by it only as expressly authorized herein, that no
such Confidential Information shall be disclosed to others by it or its
employees without the prior written consent of the disclosing party, and that it
shall take all measures to protect the confidentiality of such Confidential
Information that it takes to protect its own similar proprietary or confidential
information, which shall in no event be less than those required by law to
protect the confidentiality and proprietary nature of such information except
insofar as:

                  (i)      expressly provided otherwise herein or in any other
         written agreement with the disclosing party;

                  (ii)     such Confidential Information is necessarily
         disclosed by its use in products manufactured and sold or otherwise
         disposed of by the disclosing party; or

                  (iii)    such Confidential Information is necessarily
         disclosed to bona fide subcontractors of such party provided that such
         subcontractors agree to maintain such Confidential Information in
         confidence and to protect such Confidential Information from disclosure
         to others to the extent of the foregoing requirements of this Section
         and to limit their use of such Confidential Information to fulfilling
         their obligations as a subcontractor or supplier.

         9.2      Cooperative Development. Without limiting the generality of
Section 9.1 above, should any joint development effort be undertaken by the
parties involving software owned by GEMS, then GEMS may in its sole discretion
make source code for such software available to HealthStream to the extent
reasonably necessary for HealthStream to perform the development or maintenance
obligations agreed upon by the parties or provided hereunder. HealthStream shall
not use such source code or software except in performing such obligations and
shall not disclose it to anyone other than its employees who both (i) require
access thereto in order to allow HealthStream to perform such obligations and
(ii) have agreed in writing to refrain from using or disclosing it other than as
permitted hereunder.

         9.3      Other Confidentiality Agreement. Except to the extent modified
hereunder, all the obligations of the Confidentiality Agreement made as of March
22, 1999 between General Electric Company and HealthStream remain in full force
and effect as provided thereunder.

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                                    ARTICLE X
                              TERM AND TERMINATION

         10.1     Term. This Agreement shall be for an initial term of two
years, automatically renewed for successive one-year periods unless either party
delivers written notice of non-renewal at least forty five (45) days prior to
the end of the initial term or any renewal term.

         10.2     Early Termination. If either party commits a material breach
of this Agreement or the Warrant Agreement, then the other party may deliver
written notice of such breach to the breaching party. If the breaching party
fails to remedy such breach within thirty (30) days after such notice, then the
other party may terminate this Agreement by written notice of termination. A
material breach shall be deemed to include without limitation any failure to
remit in a timely manner amounts due under Article VI above, any violation of
the distribution rights under Article IV above, any breach of any of the
representations or warranties of Article VIII, any violation of any of the
Confidentiality Obligations of Article IX, and any dissolution, insolvency,
bankruptcy, appointment of a receiver or trustee, making of an assignment for
the benefit of creditors, the commencement of any proceeding (state or federal)
relating to the administration of creditors rights generally, or the failure
generally to pay debts as they become due.

         10.3     Remedies. Upon any termination of this Agreement pursuant to
this Article X, each party shall have all rights and remedies available to it
hereunder and at law or in equity, it being understood that the exercise of any
one remedy is not meant to be exclusive of any other remedy and that all
remedies hereunder are intended to be cumulative. Following termination, the
terminating party may suspend any and all performance hereunder except as
provided under Section 10.4 below.

         10.4     Survival and Post-Termination Rights. The provisions of
Sections 3.1, 3.2, 3.3, 5.5, 9.1 (to the extent provided in each such Section)
and 9.3 shall survive any termination or expiration of this Agreement. No
termination or expiration shall in any way terminate or otherwise affect the
right of any user, distributor, reseller, or other sublicensee or customer of
GEMS' rights with respect to any Enhancements.

                                   ARTICLE XI
                                  MISCELLANEOUS

         11.1     Entire Agreement. This Agreement together with the Warrant
Agreement constitute the entire agreement and understanding of the parties with
regard to the subject matter hereof. This Agreement shall not be modified or
supplemented except by a written instrument signed by both parties.

         11.2     Notices. Any notice required or permitted under this Agreement
shall be deposited in First Class Mail addressed as follows:

                  If to GEMS:
                  GE Medical Systems
                  3000 N. Grandview Blvd., W502
                  Waukesha, WI 53188
                  Attention:  Jack Albertson

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                  If to HealthStream:

                  HealthStream, Inc.
                  209 10th Avenue South
                  Suite 450
                  Nashville, TN  37203
                  Attention:  Robert Laird, Vice President and General Counsel

         11.3     No Assignment. Except as set forth in this Section 11.3,
neither this Agreement nor any rights or obligations hereunder may be assigned
or transferred by either party without the written consent of the other party.
GEMS may freely assign this Agreement to affiliates of GEMS, may assign this
Agreement to non-affiliates of GEMS in connection with a reorganization or sale
of the business to which this Agreement pertains, and may assign this Agreement
to other non-affiliates of GEMS with the consent of HealthStream which consent
shall not be unreasonably withheld. GEMS shall notify HealthStream of any
assignment of this Agreement or any rights or obligations hereunder, and the
assignee shall agree in writing to assume all obligations of GEMS. Any
transaction or series of related transactions pursuant to which any entity or
person (including without limitation any of their respective affiliates) first
acquires after the effective date of this Agreement, directly or indirectly, an
aggregate amount of fifty percent (50%) or more voting control or fifty percent
(50%) or more of the equity securities ("Control") of HealthStream (or of any
entity directly or indirectly having Control of HealthStream) or by contract or
otherwise obtains the right to appoint at least fifty percent (50%) of the Board
of Directors of HealthStream (or any entity directly or indirectly having
Control of HealthStream), shall be deemed an assignment of rights under this
Agreement for purposes of this Section 11.3. Further, any sale, assignment,
pledge, hypothecation, or exclusive license of any of the copyrights, patents,
trade secret rights or other intellectual property rights in or relating to any
of the Products shall be deemed an assignment of this Agreement for purposes of
this Section 11.3. Any purported assignment or other transaction in violation of
this Section 11.3 shall be null and void and of no force or effect.

         11.4     Governing Law. This Agreement shall be governed by and
construed in accordance with the internal laws of the State of New York without
reference to any conflict of law principles.

         11.5     Arbitration. Any dispute under this Agreement shall initially
be mediated in New York, New York pursuant to the Center for Public Resources
Model Procedure for Mediation of Business Disputes. Any disputes not so resolved
shall be finally resolved by arbitration by a panel of three arbitrators (or
such other number as the parties may agree to) in New York, New York, in
accordance with the Commercial Arbitration Rules of the American Arbitration
Association. The arbitrators may award attorney fees to the prevailing party to
the extent they may deem appropriate. The parties hereto waive all rights to
trial by jury in any action, suit or proceeding brought to enforce or defend any
rights or remedies arising under or in connection with this Agreement, whether
grounded in tort, contract or otherwise.

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         11.6     Confidentiality. No public announcements may be made of the
existence or contents of the Agreement except as mutually agreed in writing.

         11.7     Relationships of the Parties. Each party is an independent
contractor under this Agreement. No party shall have any express or implied
right or authority to assume or create any obligations on behalf of or in the
name of the other party or to bind the other party to any contract, agreement or
undertaking with any third party.

         11.8     Interpretation. When a reference is made in this Agreement to
a Section, such reference shall be to a Section of this Agreement unless
otherwise indicated. Captions and headings to sections are included solely for
convenience and are not intended to affect the interpretation of any provision
of this Agreement. Whenever the words "included", "includes" or "including" are
used in this Agreement, they shall be deemed to be followed by the words
"without limitation." References to a person are also to its successors and
assigns, and references to any statute are also to all rules, regulations and
orders promulgated thereunder. No rule of construction shall be applied to the
disadvantage of a party by reason of that party having been responsible for the
preparation of this Agreement or any part hereof.

         11.9     Force Majeure. In the event an act of the government, war
conditions, fire, flood, or other act of God prevents either party from
performing in accordance with the provisions of this Agreement, such
nonperformance shall be excused and shall not be considered a breach or default
for so long as the said conditions prevail.

         11.10    Counterparts. This Agreement may be executed in any number of
counterparts and each of such counterparts shall for all purposes be deemed to
be an original, and all such counterparts shall together constitute but one and
the same instrument.

         IN WITNESS WHEREOF, the parties hereto have executed this Agreement on
the dates set forth below.

                              GE Medical Systems, a division of General Electric
                              Company

                              By:    /s/ MAF
                                     ----------------------------------------

                              Title: GM, Business Development
                                     ----------------------------------------

                              Date:                  6/15/99
                                     ----------------------------------------

                              HEALTHSTREAM, Inc.

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

                              Title: Chief Executive
                                     ----------------------------------------

                              Date:  June 14, 1999
                                     ----------------------------------------

                                    12 of 14
<PAGE>   13

                                    EXHIBIT A

                           ENHANCEMENT CUSTOMIZATIONS

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 with (NOT USED yet)
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

                                    13 of 14
<PAGE>   14

                                    EXHIBIT B

                            HEALTHSTREAM DISTRIBUTORS

 AHN.COM (www.ahn.com)

 Medsite.com (www.medsite.com, www.medbookstore.com, www.meduniversity.com)

 PhyCor, Inc. (PhyCor Online, the corporation's intranet)

 Medeon Corporation (www.medeon.com)

                                    14 of 14<PAGE>   1

                                                                   EXHIBIT 10.14

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

                                    AGREEMENT

         This 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
Medsite.com, Inc. having its principal place of business at 60 East 13th Street,
5th Floor, New York, NY 10003 ("Medsite").

         WHEREAS, Medsite delivers Internet healthcare services over the World
Wide Web 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, Medsite and HealthStream wish to enter into a cooperative
effort to 1) deploy HealthStream Courses and Medsite Courses utilizing T.NAV(R)
technology through Medsite and HealthStream distribution channels; 2) market the
goods and services incorporated therein; and 3) sell the ad space inventory
available therein;

         WHEREAS, Medsite wishes to acquire a license for T.NAV(R) Commerce and
HealthStream wishes to acquire a distribution license for Medsite Courses;

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

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

         NOW THEREFORE, Medsite and HealthStream agree as follows:

                                    ARTICLE 1

                                   DEFINITIONS

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

1.1.     "Available Ad Inventory" means any ad inventory unsold from the monthly
         available at the beginning of the month. Medsite reserves the first
         rights to Available Ad Inventory.

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

1.3.     "Education Channel" means the distinct portion on any Medsite managed
         Web site or service that is dedicated to education, including the
         MedUniversity.com web site.

1.4.     "Effective Date" means May 18, 1999, the date on which both parties to
         this Agreement have executed same.

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

1.6.     "HealthStream Ad Inventory" means advertising space on any of the pages
         of HealthStream Courses or Medsite Courses delivered using T.NAV or
         other content procured by HealthStream.

1.7.     "HealthStream Courses" means interactive courses using T.NAV Commerce
         that are the proprietary property of HealthStream (which may include
         licensed training and education content) including, but not limited to
         OSHA and JCAHO mandated training, continuing medical education, and
         office training.

1.8.     "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.

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

                                    1 of 11
<PAGE>   2

1.10.    "Medsite" means Medsite.com, Inc. and any affiliated entity of Medsite.

1.11.    "Medsite Ad Inventory" means advertising space on any of the pages of
         Medsite's World Wide Web site excluding the HealthStream Ad Inventory.

1.12.    "Medsite Courses" means interactive courses using T.NAV Commerce that
         are the proprietary property of Medsite (which may include licensed
         training and education content) including, but not limited to OSHA and
         JCAHO mandated training, Continuing Medical Education ("CME"), other
         professional Continuing Education ("CE"), and office training.

1.13.    "Net Revenue" means gross revenue derived by Medsite or HealthStream
         from Transactions Fees, sales of Medsite Ad Inventory and sales of
         HealthStream Ad Inventory less discounts and credits to customers.

1.14.    "Retailers" means third parties that may or may not be an affiliated
         partner of Medsite and whose business is the sale of the Courses to
         end-users who are eligible to receive the accredited CE credits or
         similar recognition at the retail price or organizations in the
         healthcare industry including but not limited to integrated delivery
         networks, hospitals, long term care facilities, and clinics.

1.15.    "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.

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

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

1.18.    "T.NAV(R) Commerce" 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."

1.19.    "Transaction Fees" means fees received by Medsite for healthcare
         related training courses delivered over the Internet via the T.NAV(R).

1.20.    "Wholesalers" means third parties whose business is the sale of the
         Courses over the Internet to retailers at a price less than retail.

                                    ARTICLE 2

                               STRATEGIC ALLIANCE

2.1.     During the term of this Agreement, Medsite shall include on the home
         page of Medsite's Education Channel a logo of the HealthStream
         trademark and a hyperlink to the HealthStream section of Medsite's
         World Wide Web site.

2.2.     The parties will work on a best effort basis to formulate an exchange
         of equity between the two companies within ninety (90) days of the
         Effective Date.

                                    ARTICLE 3

                                 LICENSE GRANTS

3.1.     Subject to the payment of the consideration set forth in Article 4,
         HealthStream grants Medsite the following licenses:

         3.1.1.   Non-exclusive worldwide rights to be a Wholesaler and Retailer
                  of HealthStream Courses and MedSite Courses to end users,
                  using the T.NAV Commerce technology, under the royalty
                  structure defined in Article 4.

3.2.     Subject to the payment of the consideration set forth in Article 4,
         Medsite grants HealthStream the following licenses:

                                    2 of 11
<PAGE>   3

         3.2.1.   Non-exclusive worldwide rights to provide education services
                  to deliver Courses using T.NAV(R) Commerce, including but not
                  limited to CME and CE, for the Medsite network of Web sites.

         3.2.2.   Exclusive right to manage content development and management
                  relationships for the parties for Courses delivered using
                  T.NAV(R) Commerce on the Education Channel, unless otherwise
                  agreed to by both parties. Provided however, that managing the
                  content development does not necessarily convey proprietary or
                  ownership rights in the Courses created from this management.

         3.2.3.   Non-exclusive worldwide rights to distribute Medsite Courses
                  to Retailers using the T.NAV Commerce technology; provided
                  however that MedSite maintains the right of first refusal on
                  the sale to any retail channel.

         3.2.4.   Non-exclusive worldwide rights to provide other education
                  services on the Education Channel, as agreed by Medsite and
                  HealthStream.

3.3.     The parties shall mutually agree on ownership of a Course. In the event
         both parties claim ownership, those factors which shall be
         determinative include:

         3.3.1.   which party was responsible for identifying the third party
                  content; and

         3.3.2.   which party provided the introduction and contact for securing
                  access to the content.

3.4.     Medsite reserves the right to add any content, whether their own or
         licensed from a third party, to their Internet site or the Internet
         site of a Medsite affiliate that may or may not be a part of the
         HealthStream Course material regardless of the course.

3.5.     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.     Medsite and HealthStream will meet quarterly to review pricing,
         discounting policy and the rationale behind any discounts granted from
         the previous quarter for healthcare related training courses, ad space
         inventory, and Intranet products and services.

4.2.     During the term of this Agreement, HealthStream shall pay to Medsite:

         4.2.1.   * of all Net Revenue derived from HealthStream * sold by
                  HealthStream.

         4.2.2.   * of all Net Revenue generated by Healthstream from the sale
                  of Medsite Courses, pursuant to the license granted in
                  Sec. 3.2.3. .

         4.2.3.   In the event that HealthStream requests, during the
                  development of the Courses, the use of Medsite's assistance,
                  then HealthStream shall pay * per hour for the conversion of
                  content or * per hour for the programming of Courses.

4.3.     During the term of this Agreement, Medsite shall pay to HealthStream:

         4.3.1.   * of all Net Revenue derived from HealthStream * sold by
                  Medsite.

         4.3.2.   * of all Net Revenue derived from Transaction Fees from
                  HealthStream Courses or MedSite Courses sold by Medsite.

4.4.     Medsite agrees to spend at least * marketing and promoting the
         Education Channel in the twelve-month period following the Effective
         Date.

                                    3 of 11
<PAGE>   4

4.5.     Medsite 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 Ad Inventory 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.

4.6.     Medsite 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 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.

                                    ARTICLE 5

                        INDEMNIFICATION FOR INFRINGEMENT

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

         5.1.1.   T.NAV Commerce does not infringe any copyright or patent
                  enforceable under the laws of any country; and

         5.1.2.   T.NAV Commerce does not violate the trade secret rights of any
                  third party; and

5.2.     HealthStream agrees to indemnify, hold harmless, and defend Medsite
         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 Medsite provides reasonable assistance in the defense
         of the same.

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

         5.3.1.   use or distribution of T.NAV Commerce after HealthStream's
                  written notice that Medsite should cease use or distribution
                  of T.NAV Commerce due to an Infringement Judgment, or

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

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

                                    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.

                                    4 of 11
<PAGE>   5

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

6.7.     Medsite acknowledges that, except for the license granted to Medsite in
         Section 3.1 herein, HealthStream owns and retains all right, title and
         interest in and to T.NAV Commerce, the T.NAV Commerce source code, and
         the T.NAV Commerce 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 Medsite and
by an officer of HealthStream, the term of this Agreement ("Term") shall run
from the Effective Date until three (3) year(s) 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;

         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.

                                    5 of 11
<PAGE>   6

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, Medsite
         shall not employ T.NAV Commerce or portion thereof which is owned by
         HealthStream, as part or portion of any product that Medsite may use,
         sell, assign, lease, license, or transfer to third parties. Provided
         however, Courses which have been paid for by a customer shall be able
         to be delivered and fulfilled by MedSite. 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 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.

                                    6 of 11
<PAGE>   7

                                   ARTICLE 12

                             NONDISCLOSURE AGREEMENT

12.1.    HealthStream expressly undertakes to retain in confidence all
         information and know-how transmitted to HealthStream by Medsite that
         Medsite 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 Medsite's prior
         written consent. HealthStream agrees to use the same degree of care to
         protect Medsite 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:

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

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

12.2.    Further, HealthStream may disclose confidential information as required
         by governmental or judicial order, provided HealthStream gives Medsite
         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 Medsite's unannounced products to
         HealthStream's employees or any third party.

12.3.    Medsite shall have the same obligations in Sections 12.1 and 12.2 above
         with respect to HealthStream's information and know-how. In addition,
         Medsite shall treat all T.NAV Commerce 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 Commerce licensed consistent with
         generally accepted accounting principles.

13.2.    HealthStream may cause an audit to be made of the applicable Medsite
         records that pertain to this Agreement for the sole purpose of
         verifying royalty reports issued by Medsite 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
         Medsite's offices and in such a manner as not to interfere with
         Medsite'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, Medsite agrees to pay

                                    7 of 11
<PAGE>   8

         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.    Medsite 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 Medsite, 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 Medsite
         (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 to interfere with HealthStream's normal business activities. Any
         such audit shall be paid for by Medsite 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 Medsite 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:

MEDSITE:                   Medsite.com, Inc
                           Attn: Sanjay Pingle
                           60 E 13th st. 5th floor
                           New York, NY 10003

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.

                                    8 of 11
<PAGE>   9

                                   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 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 Medsite 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
         Medsite 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.

17.5.    This Agreement sets forth the entire agreement and understanding
         between the parties as to the subject matter of this Agreement and
         merges all prior discussions and correspondence between them, and
         neither of the parties shall be bound by any modification of this
         Agreement, or by any conditions, definitions, warranties, or
         representations with respect to the subject matter of this Agreement,
         other than as expressly provided in this Agreement or as duly set forth
         on or subsequent to the date hereof in writing and signed by a duly
         authorized representative of the party to be bound thereby.

                                    9 of 11
<PAGE>   10

         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.

         Medsite.com, Inc.                                 HealthStream, Inc.

         By: /s/                                 By: /s/ Robert A. First, Jr.
             --------------------------              --------------------------
         Title: Exec. Vice President             Title: Chief Executive
               ------------------------                 -----------------------

                                    10 of 11
<PAGE>   11

                                    EXHIBIT A

                          T.NAV COMMERCE SPECIFICATIONS

The Training Navigator(TM) Commerce system manages and delivers web-based course
content as defined in 1.5 of this Software Licensing Agreement. The system
requires the following hardware and software at a minimum:

<TABLE>
<CAPTION>
                  HARDWARD                                 OS                         SOFTWARE
------------------------------------------------------------------------------------------------------------
<S>                    <C>                        <C>                        <C>
STUDENT PC
               MINIMUM 100Mhz Pentium or          Windows 3.1, 95/98, NT;    Netscape Navigator 3.x or
                       greater, 32MB RAM,         Mac 7.5 or greater         greater, Microsoft Internet
                       Windows Compatible Sound                              Explorer 3.x or greater,
                       Card, Network card or
                       56K Modem; Macintosh
                       PowerPC 66Mhz or
                       greater, 32MB RAM
------------------------------------------------------------------------------------------------------------
           RECOMMENDED 233Mhz Pentium or          Win 95/98 or NT 4.x (or    Netscape Navigator 4.x,
                       greater, 32MB RAM,         greater)                   Microsoft IE 4.x
                       Windows Compatible
                       Sound Card, Network
                       card or 56K Modem
------------------------------------------------------------------------------------------------------------
DATABASE
               MINIMUM Pentium 200, 32 MB RAM,    Win 95/98                  DATABASE: Sybase SQLAnywhere
                       1GB HD, 4X CD, Win 95                                 5.5 Pro
------------------------------------------------------------------------------------------------------------
           RECOMMENDED Dual or Quad Pentium II    Win NT Server 4.x          DATABASE: Microsoft SQLServer
                       400, 256 MB RAM, 8X CD,                               6.5
                       16GB HD
------------------------------------------------------------------------------------------------------------
WEB & CONTENT SERVER
               MINIMUM Pentium 200, 32 MB RAM,    Win 95/98                  WEB SERVER: O'Rielly Website
                       1GB HD, 4X CD, Win 95                                 1.1 or Microsoft IIS 4.x
                                                                             MIDDLEWARE: Allaire Cold Fusion
                                                                             3.x
------------------------------------------------------------------------------------------------------------
           RECOMMENDED Dual or Quad Pentium II    Win NT Server 4.x          WEB SERVER: Microsoft IIS 4.0
                       400, 256 MB RAM, 8X CD,                               MIDDLEWARE: Allaire Cold Fusion
                       4GB HD                                                3.1
------------------------------------------------------------------------------------------------------------
</TABLE>

                                    11 of 11

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