Document:

<PAGE>   1
                                                                   EXHIBIT 10.24

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

June 26, 1999

Dr. Robert L. Addleton Ed.D.
Medical Association of Georgia                               [HEALTHSTREAM LOGO]
1330 W. Peachtree Street N.W., #500
Atlanta, GA 38309-2904

Re: LETTER OF AGREEMENT

Dear Dr. Addleton,

This letter is intended to set forth an agreement by and between HealthStream,
Inc. ("HealthStream"), a Tennessee corporation, and the Medical Association of
Georgia ("MAG"), a Georgia, not-for-profit corporation.

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

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

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

         b)  Distribute HealthStream's CME Web Courses through a link to MAG's
             web page(s)

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

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

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

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

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

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

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

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

HealthStream, Inc./Medical Association of Georgia                              1
Letter of Agreement
<PAGE>   2
    been made to or by the parties hereto. This letter may be amended only by
    written agreement, signed by the parties to be bound by the amendment.

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

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

Accepted and Agreed:
HealthStream, Inc.

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

By: /s/ Robert A. Frist
    --------------------------------------
Title: Chief Executive
Date: 12/14/99

Accepted and Agreed:
Medical Association of Georgia

Signed: Robert L. Addleton
        ----------------------------------

By: /s/ Robert L. Addleton
    --------------------------------------
Title: Director of Education
Date: 10/21/99

HealthStream, Inc./Medical Association of Georgia                              2
Letter of Agreement<PAGE>   1

                                                                   EXHIBIT 10.25

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

                  ONLINE EDUCATION SERVICES PROVIDER AGREEMENT

         This Online Education Services Provider Agreement ("Agreement"), is
entered into as of February 10, 2000 ("Effective Date") between HealthStream,
Inc., a Tennessee corporation with its principal place of business at 209 10th
Avenue South, Suite 450, Nashville, Tennessee 37203 ("HealthStream") and
Columbia Information Systems, Inc. a Tennessee Corporation with its principal
place of business at 2555 Park Plaza, Nashville, Tennessee 37203 ("Client").

         WHEREAS, HealthStream has developed and marketed and continues to
develop and market web-based applications that provide training and education
services for healthcare organizations;

         WHEREAS, Client and its affiliates own and operate healthcare provider
organizations and have affiliations with other owners and operators of
healthcare provider organizations;

         WHEREAS, Client wishes to access and utilize HealthStream's training
and education services and to make such services available to its affiliated
entities, and HealthStream has agreed to provide such training and education
services to Client;

         WHEREAS, Client and HealthStream wish to provide for appropriate
consideration for the services obtained under this Agreement and each
acknowledge the sufficiency and adequacy of the value, concessions, and
recitations set forth herein;

         NOW THEREFORE, Client and HealthStream agree as follows:

1.       DEFINITIONS. As used in this Agreement, the following terms shall have
         the meanings assigned below:

1.1.     "Affiliated Providers" shall mean C/HCA Providers, HPG Providers,
         LifePoint Providers, Triad Providers, or CIS Providers.

         1.1.1.   "C/HCA Providers" shall mean those Providers owned, controlled
                  or operated by any entity owned or controlled by Columbia/HCA
                  Healthcare Corporation.

         1.1.2.   "HPG Providers" shall mean HealthTrust Purchasing Group, L.P.
                  and Providers which are or become members of HealthTrust
                  Purchasing Group, LP and which are not C/HCA Providers,
                  LifePoint Providers or Triad Providers.

         1.1.3.   "LifePoint Providers" shall mean those Providers owned,
                  controlled, or operated by any entity owned or controlled by
                  LifePoint Hospitals, Inc.

         1.1.4.   "Triad Providers" shall mean those Providers owned,
                  controlled, or operated by any entity owned or controlled by
                  Triad Hospitals, Inc.

         1.1.5.   "CIS Providers" shall mean those Providers which receive
                  information systems services from Client.

1.2.     "Authorized Users" shall mean (i) Client, (ii) Affiliated Providers to
         which Client provides the Services under this Agreement, and (iii)
         persons who access portions of the Services that may require user
         registration and authentication in compliance with terms of
         HealthStream's Services.

1.3.     "Client Courseware" shall mean those courses based upon Client or
         Affiliated Provider materials and information that have been conformed
         for Web use by HealthStream or those Courses provided by Client or
         Affiliated Providers to HealthStream in web-ready format. Client
         Courseware will be provided to Authorized Users by HealthStream
         pursuant to the terms of this Agreement.

1.4.     "Confidential Information" shall mean the User Data, individual
         performance records of Authorized Users, the identity and individual
         performance records of Providers, financial and

                                                                    Page 1 of 22
<PAGE>   2

         tax information, the object and source codes and documentation for
         proprietary software, and such other information that is confidential
         or proprietary business information and delivered or disclosed pursuant
         to this Agreement.

1.5.     "Content" shall mean all the information, excluding User Data,
         disseminated by HealthStream in providing the Services. Content
         includes HealthStream Courseware, promotional information, messages and
         communication to Authorized Users, software (in object code format),
         scripting, photos, text, video, graphics, sounds, images and other
         material and services provided hereunder by HealthStream through the
         Gateways, including the Gateways.

1.6.     "Content Partners" shall mean those third parties that have licensed
         HealthStream certain information or Courses included in the Content.

1.7.     "Content Partner Courseware" shall mean Courses licensed by
         HealthStream from Content Partners.

1.8.     "Contracted Client" shall mean those Providers who have contracted with
         Client for the Services.

1.9.     "Course" shall mean any individual unit of instruction provided through
         HealthStream's web-based applications. HealthStream Courseware and
         Client Courseware are comprised of multiple Courses.

1.10.    "Courseware" shall mean collectively the HealthStream Courseware and
         Client Courseware.

1.11.    "Expiration Date" shall mean four years from the Effective Date.

1.12.    "Gateways" shall mean the online websites enabled by HealthStream
         web-based applications that allow Authorized Users access to the
         Services offered pursuant to the terms of this Agreement. Gateways are
         designed to be Client or Contracted Client specific in branding and
         identification pursuant to Section 2.

1.13.    "HealthStream Courseware" shall mean Content Partner Courseware and
         those Courses that are the proprietary property of HealthStream
         provided to Authorized Users though the Gateways pursuant to the terms
         of this Agreement. The library of HealthStream Courseware will expand
         over time; new Course offerings will add to the breadth of the library
         and replace those Courses that become outdated.

1.14.    "HHS" shall mean the Department of Health and Human Services.

1.15.    "Personal Information" shall mean information submitted by the
         Authorized Users of the Services for personal identification, profiling
         and report generation. Such Personal Information may include the name,
         employer, department, social security number, profession, address, and
         past educational activities for Authorized Users.

1.16.    "Provider" shall mean healthcare provider facilities whose employees
         require training to comply with legal requirements and continuing
         education to maintain clinical or non-clinical licensure.

1.17.    "Service Fees" shall mean the Courseware Fees, Administrative Fees,
         Support Fees, Gateway Customization Fees, Report Creation Fees and
         Courseware Development Fees due monthly for the Services.

1.18.    "Services" shall mean the Learning Services, Administrative Services,
         Support Services, Gateway Initialization Services, Report Creation
         Services, Courseware Development Services, and other services as
         provided by HealthStream to Client pursuant to the terms of this
         Agreement.

1.19.    "User Data" shall mean the Personal Information and other data
         submitted and generated by Authorized Users of the Services under this
         Agreement. Both parties shall have access to User Data subject to
         Sections 4.4, 4.5 and 4.6 herein.

2.       SERVICES. For the Fees specified in Article 3 herein, HealthStream
         hereby agrees to perform the Services for the Client and its Authorized
         Users based upon the terms of this Agreement.

                                                                    Page 2 of 22
<PAGE>   3

2.1      Learning Services. HealthStream hereby agrees to maintain, at its cost,
         Gateways on the World Wide Web so that Authorized Users may access,
         register for and take Courseware (the "Learning Services") through the
         use of a password on the Gateway. The Learning Services provided
         hereunder will enable each Authorized User to:

         A.       Register on the Gateway, subject to restrictions;
         B.       Search, select, enroll and take Courseware, subject to
                  restrictions;
         C.       Take exams and have exams graded and scored; and
         D.       Access a personalized educational transcript that documents
                  each Authorized User's completed Courseware, completion dates
                  and test scores (the "Educational Transcript").

2.2.     Administrative Services. The Services provided pursuant to this Section
         2.2 shall be known as the "Administrative Services."

         2.2.1.   Authorized User Control. HealthStream will provide control
                  services to allow specified Client and Contracted Client
                  personnel to identify Authorized Users and assign Courseware
                  to Authorized Users.

         2.2.2.   Reporting. HealthStream hereby agrees to store and provide
                  access to reports to Client (and Affiliated Providers for
                  which custom reports are created pursuant to Section 2.5
                  hereof) documenting the completion of Courses by Authorized
                  Users on the Gateways.

2.3.     Support Services. The Phone Support Services and Email Support Services
         provided pursuant to this Section 2.3 shall be known as the "Support
         Services."

         2.3.1.   Phone Support Services. HealthStream hereby agrees to provide
                  to Client and Authorized Users access to HealthStream's
                  support personnel via telephone to obtain answers to questions
                  regarding the routine provision of Learning Services and
                  Administrative Services. Phone Support Services shall be
                  available to the Client or any Authorized User during normal
                  business hours, Central Standard Time. Each Authorized User
                  instance of access of the Phone Support Services shall be
                  known as a "Phone Support Session."

         2.3.2.   Email Support Services. HealthStream hereby agrees to provide
                  to Client and Authorized Users access to HealthStream's
                  support personnel via electronic mail to obtain answers to
                  questions regarding the routine provision of Learning Services
                  and Administrative Services. Electronic mail will be answered
                  during normal business hours, Central Standard Time. Each
                  Authorized User instance of access of the Email Support
                  Services shall be known as a "Email Support Session."

         2.3.3.   Error Correction Services. If Client or an Authorized User
                  suspects that an error is preventing provision of any of the
                  Administrative Services or the Learning Services, Client or an
                  Authorized User shall notify HealthStream of the suspected
                  error and HealthStream shall use commercially reasonable
                  efforts to confirm such suspected error. If the existence of
                  an error is confirmed by HealthStream, HealthStream shall
                  correct it as part of Support Services, but only to the extent
                  that the obligation to correct such error shall be in
                  conformity with Sections 6 (Warranty) and 12.6 (Force Majeure)
                  of this Agreement; However, provided that, HealthStream is
                  obligated to correct any defects addressed in items (a)
                  through (e) of Section 6.1.6 regardless of whether
                  HealthStream had knowledge of such defects. If the existence
                  of a suspected error cannot be confirmed by HealthStream or
                  should HealthStream ultimately determine that an error exists
                  because of any condition not attributable to HealthStream,
                  Client agrees to pay HealthStream for its error confirmation
                  and remedial services at HealthStream's prevailing hourly rate
                  for HealthStream's personnel time, plus reimbursement for
                  reasonable travel and living expenses incurred

                                                                    Page 3 of 22
<PAGE>   4

                  by HealthStream personnel in connection with such service. Any
                  invoice for such expenses shall be supported by receipts.
                  HealthStream will not initiate any remedial services for which
                  Client is obligated to pay HealthStream until Client agrees to
                  the scope and cost such of services.

         2.3.4    Additional Services. In the event the Client or any Authorized
                  User requests any support or services other than those
                  included under the terms of this Agreement, HealthStream
                  shall, depending upon the availability of its personnel,
                  furnish such support or support services subject to additional
                  fees, terms and conditions, if any, as mutually agreed.

2.4.     Gateway Initialization Services. HealthStream hereby agrees to set up
         each Gateway for operation for each Contracted Client according to the
         specifications described in Exhibit A attached hereto (the "Gateway
         Initialization Services"). Upon delivery of the Gateway Initialization
         Services, Contracted Client shall have fifteen (15) business days to
         examine the Gateway Initialization Services and inform HealthStream of
         a failure to conform to the specifications contained in Exhibit A
         attached hereto. If no such failure is communicated by Contracted
         Client to HealthStream within this time period, the Gateway
         Initialization Services shall be deemed accepted. Such acceptance shall
         not relieve HealthStream of its obligation to meet the specifications.
         If at any time the Gateway Initialization Services fail to conform to
         the specifications, HealthStream shall correct, modify or improve the
         Gateway Initialization Services to meet the specifications. -

2.5.     Report Creation Services. HealthStream will develop custom reports for
         Client and Affiliated Providers as needed ("the Report Creation
         Services"). HealthStream and Client or Affiliated Provider will agree
         in writing as to the scope of the Report Creation Services on a per
         project basis.

2.6.     Courseware Development Services. HealthStream will develop Client
         Courseware or customize certain HealthStream Courseware for Client and
         Affiliated Providers as needed ("the Courseware Development Services").
         HealthStream and Client or Affiliated Provider will agree in writing as
         to the scope of the Courseware Development Services on a per project
         basis.

2.7.     Delivery. The delivery of the Services shall be provided according to
         the delivery schedule outlined in Exhibit B attached hereto.

3.       SERVICE PLACEMENT AND FEES.

3.1.     Services Placement. HealthStream Grants Client the non-exclusive,
         non-transferable right to contract the delivery of the Services to
         Affiliated Providers. Each Provider that contracts with Client for the
         Services will become a Contracted Client and will have access to the
         Services.

         3.1.1    Any Affiliated Provider facility which is sold to an
                  independent third party may continue to utilize the Services
                  provided Client is providing data processing services to such
                  divested entity. If Client is not continuing to provide data
                  processing services to such divested entity, then such entity
                  shall have the right to continue to use the Services for the
                  remainder of the current calendar year, or ninety (90) days,
                  whichever is longer. After such time, the entity will have to
                  obtain its own license.

         3.1.2    HealthStream, acting as an agent on behalf of the applicable
                  Affiliated Provider shall have the right to license use of
                  Client Courseware through its own Web sites in a manner that
                  shall be mutually agreed upon in writing by the parties.

3.2      Service Fees. In consideration of the Services provided hereunder,
         Client shall pay to HealthStream:

         3.2.1.   Courseware Fee for Learning Services. Fees outlined in this
                  Section 3.2.1 shall be the "Courseware Fee." A list of
                  available courseware is described in Exhibit C attached
                  hereto.

                                                                    Page 4 of 22
<PAGE>   5

         3.2.1.1. Regulatory Courseware. A fee equal to * per course on OSHA and
                  JCAHO mandated topics (the "Regulatory Courseware").

         3.2.1.2. Content Partner Courseware. A fee equal to * for Content
                  Partner Courseware.

         3.2.1.3. HealthStream Owned Courseware. A fee equal to * per course for
                  all HealthStream Courseware that is not Regulatory Courseware
                  or Content Partner Courseware.

         3.2.1.4. Client Courseware. Fees for Client Courseware provided through
                  the Gateways will be negotiated on a case by case basis.

         3.2.2.   Administrative Fee for Administrative Services. A fee equal to
                  the sum of * per year, per Authorized User, billed at * per
                  month per Authorized User (the "Administrative Fee");

         3.2.3.   Support Fee for Support Services. One identified staff member
                  from each Contract Client Provider will be given un-metered
                  access to the Support Services.

                  3.2.3.1. A fee equal to the sum of * per Phone Support
                           Session, billed monthly.

                  3.2.3.2. A fee equal to the sum of * per Email Support Session
                           for each Email Support Session in excess of twenty
                           five (25) per Contract Client Provider per month,
                           billed monthly.

                  3.2.3.3. The fees due for Phone Support Sessions, 24/7 Online
                           Support Sessions and Email Support Sessions as
                           provided herein shall be known as the "Support Fees".

         3.2.4.   Gateway Initialization Fee for Gateway Initialization
                  Services. A one-time per Gateway fee equal to * for each
                  Gateway, billed monthly for each Gateway made operational and
                  accepted under Section 2.4 during the prior month (the
                  "Gateway Customization Fee");

         3.2.5.   Report Creation Fee for Report Creation Services. Customized
                  reports will be created by HealthStream for Client and
                  Affiliated Providers at its then hourly rate less * (the
                  "Report Creation Fee");

         3.2.6.   Courseware Development Fee for Courseware Development
                  Services. Fees for Courseware Development Services will be
                  mutually agreed upon by both parties when the scope of each
                  courseware development project is identified.

3.3      Payment. The Service Fees are due each month upon receipt of an invoice
         from HealthStream, subject to Section 3.5 herein, and payable within
         thirty (30) days after receipt. HealthStream will provide invoices
         detailing all Service Fees. All invoices shall be submitted
         electronically in (*.txt) Text Only format in form and content as
         specified in Exhibit B, or as mutually agreed between the parties from
         time to time.

3.4      Annual Commitment. Client makes a commitment to purchase * of Services
         in each year of the Agreement (the "Annual Commitment") for a total
         commitment to purchase * of Services over the initial Term of this
         Agreement (the "Total Commitment"). Up to * of Annual Commitment from
         the first year of this Agreement (the "First Year") may be shifted pro
         rata to years two, three and four of this Agreement (the "Later
         Years") at Client option provided the Total Commitment is achieved by
         the Expiration Date. Payments by Authorized Users for Learning
         Services accessed through the Gateways shall be credited to the Annual
         Commitment.

3.5      Annual Reconciliation. Pursuant to the Annual Commitment, Client agrees
         to pay HealthStream the difference between the Annual Commitment and
         any Services Fees billed

                                                                    Page 5 of 22
<PAGE>   6

         during each of year of the Agreement within thirty (30) days of the end
         of each year of this Agreement.

3.6      Adjustment in Fees. The Fees due hereunder and set forth in Section 3.2
         herein may be subject to an annual adjustment prior to the Expiration
         Date. Fee increases shall not exceed five percent (5%) per annum. If
         HealthStream provides substantially similar Services to another party
         at prices less than the prices being paid by Client, HealthStream and
         Client shall mutually agree to an appropriate reduction in the price;
         provided, however the reduced price shall not be less than the price
         paid by the other party.

3.7      Fees Related to Additional Products and Services. Notwithstanding
         anything to the contrary contained in the fee adjustment procedures
         described in this Agreement or the fee schedule set forth in Section
         3.2 herein, any modification to the Services, which are requested by
         Client, may be accompanied by additional fees as determined by
         HealthStream, and approved in writing by Client prior to initiation of
         such modification. If HealthStream initiates a modification on its own
         initiative without a request by Client, then there will be no
         additional costs or fees for such modification prior to the Expiration
         Date.

3.8      All undisputed amounts due hereunder must be paid within thirty (30)
         days after the date of receipt of an invoice (the "Due Date"). Any
         payment not received within fifteen (15) days of its Due Date shall
         accrue at the rate of one percent (1%) per month; provided, however, if
         such rate is not then lawful, any such payment shall accrue at the
         highest lawful rate then available.

4.       INTELLECTUAL PROPERTY.

4.1.     Content. Content may be accessed by Client and any Authorized User, but
         only for the purposes described herein.

4.2.     Prohibited Use of Content. The Content is protected in the U.S. and
         internationally by a variety of laws, including without limitation,
         copyright laws, trademark laws and other proprietary rights laws.
         Client and any Authorized User are granted permission to access the
         Content from HealthStream, but only for purposes of viewing, browsing
         or ordering products and services from HealthStream. HealthStream is
         not granting Client or any Authorized User permission to use the
         Content other than as expressly stated in this Agreement. Except as
         stated herein and in Section 5 hereof, none of the Content may be
         copied, reproduced, distributed, republished, downloaded, displayed,
         posted or transmitted, in any form or by any means, including without
         limitation, electronic, mechanical, photocopying, or recording, without
         the prior written permission of HealthStream.

4.3.     Trademarks. The trademarks, service marks, and logos (collectively, the
         "Trademarks") used and displayed on the Content are registered and
         unregistered trademarks of HealthStream, Client, Authorized Users and
         others. Nothing in this Agreement, the Gateway or on any HealthStream
         Web site should be construed as granting, by implication, estoppel, or
         otherwise, any license or right to use any Trademark displayed on the
         Gateway or on any HealthStream Web site, without the express written
         permission of the Trademark owner. Client, Authorized Users and
         HealthStream will refrain from issuing each other's name or logo as a
         link to any network site unless establishment of such a link is
         approved in advance and in writing by the owner of the name or logo.

4.4.     Confidential and Proprietary Information. With respect to the
         development services provided in Section 2 herein, HealthStream
         acknowledges that Confidential Information provided by Client or
         Authorized Users is protected by law. HealthStream will neither
         disclose such information, directly or indirectly, nor use such
         information for any purpose except to perform the services described in
         this Agreement, except as provided below, or outlined in Sections 4.5
         and 4.6 herein. All documents or records of a disclosing party which
         may be used or received by HealthStream shall remain exclusive property
         of the disclosing party. Client, on behalf of itself and the Affiliated
         Providers, acknowledges that Confidential Information provided by
         HealthStream is also protected by law. Client and the Affiliated
         Providers will neither disclose such information, directly or
         indirectly, nor use such information for any purpose except to

                                                                    Page 6 of 22
<PAGE>   7

         perform the services described in this Agreement. Either party shall
         take appropriate action, by instruction to or agreement with its
         employees, agents and subcontractors, to maintain the confidentiality
         of the Confidential Information. Either party shall exercise at least
         the same degree of care to safeguard the confidentiality of the other
         party's Confidential Information as it does to safeguard its own
         proprietary confidential information of equal importance, but not less
         than a reasonable degree of care. Either party agrees to execute
         written confidentiality agreements with its employees, agents, and
         subcontractors addressing either party's obligations set forth in this
         section. Either party shall promptly notify the other party in the
         event that it learns of any unauthorized release of Confidential
         Information. Either party shall have no obligation with respect to: (a)
         Confidential Information publicly known prior to the disclosure or
         which becomes publicly known through no wrongful act of the receiving
         party; (b) Confidential Information that was in lawful possession of
         the recipient prior to the disclosure, without any confidentiality
         obligation; (c) Confidential Information that was independently
         developed by the recipient outside the scope of this Agreement and
         without access to information received from the other party pursuant to
         this Agreement; (d) Confidential Information that was disclosed to the
         recipient by an unrelated third party in lawful possession of the
         information and not in breach of any confidentiality obligation with
         respect to such information; or (e) Confidential Information required
         to be disclosed pursuant to regulatory action or court order, provided
         adequate prior written notice of any such request to product is given
         to the discloser of the information. Upon the termination of this
         Agreement, either party shall: (i) immediately cease to use the
         Confidential Information; (ii) return to the other party Confidential
         Information and all copies thereof within thirty (30) days of the
         termination or destroy the Confidential Information in accordance with
         the other party's policy and all-applicable state and federal laws; or
         (iii) upon request, certify in writing to the other party that it has
         complied with its obligations set forth in (i) and (ii) above. The
         parties acknowledge that monetary remedies may be inadequate to protect
         their rights with respect to Confidential Information and that, in
         addition to legal remedies otherwise available to either party,
         injunctive relief is an appropriate judicial remedy to protect either
         party's rights in Confidential Information. Either party may enforce
         the other party's obligations hereunder by seeking equitable relief
         which remedy shall be nonexclusive. Either party agrees to provide
         reasonable assistance and cooperation upon the request of the other
         party in connection with any litigation against third parties to
         protect Confidential Information

4.5.     Aggregated Data. HealthStream agrees not to distribute directly any
         User Data which may be collected or received by HealthStream. Client
         grants HealthStream an unrestricted, royalty-free, irrevocable license
         to maintain and distribute aggregated compilations of User Data
         ("Aggregated Data") such that Personal Information and the identity of
         Client and Contract Client Providers is not included. Aggregated Data
         will be used for measurement of performance norms for all HealthStream
         clients and will likewise include performance information generated by
         other HealthStream clients. The process of collecting and generating
         Aggregated Data assists HealthStream clients maximize the effectiveness
         of the Services for their employees. HealthStream will adhere to all
         HHS or United States governmental regulations regarding privacy of User
         Data. The right to maintain and distribute Aggregated Data shall
         survive this Agreement. HealthStream will provide Client with
         Aggregated Data upon request.

4.6.     Licensing Organization Distribution. In the regular course of
         performing the Services, HealthStream may distribute certain User Data
         to licensing organizations for the benefit of Authorized Users. The
         release of such information is consistent with the current practice
         used by Authorized Users themselves when reporting educational activity
         for credit toward professional licensure. HealthStream will release
         only the minimum information required by these organizations to
         adequately credit Authorized Users for educational activities
         completed. The provisions of this Section 4 shall survive any
         termination of this Agreement.

4.7.     Title. Title to Client Courseware (including Web versions thereof
         subject to this Section 4.7) remains in name of Client or Affiliated
         Providers, as applicable, and HealthStream shall not use Client
         Courseware except as expressly allowed under this Agreement. Subject to
         this

                                                                    Page 7 of 22
<PAGE>   8

         Section 4.7, nothing in this Agreement, either express or implied,
         shall give HealthStream any right, title or ownership in and unto
         Client Courseware. This Agreement does not grant HealthStream a license
         to use or distribute the Client Courseware other than as set forth
         herein. Title to HealthStream Courseware remains in name of
         HealthStream or Content Partners, as applicable, and Client and
         Affiliated Providers shall not use HealthStream Courseware except as
         expressly allowed under this Agreement. HealthStream shall retain title
         to any software code it uses to conform Client Courseware into a Web
         based format; provided that, HealthStream grants Client and Affiliated
         Providers a transferable, non-terminable, worldwide, royalty free
         license to use such software code to the extent necessary to make
         Client Courseware available to Affiliated Providers as provided under
         this Agreement.

5.       CLIENT AND AUTHORIZED USER CONDUCT.

5.1.     Permitted and Prohibited Conduct. Client and any Authorized User may
         access, download, or copy Content located on the Gateways, only for
         non-commercial use within Client's organization, provided that Client
         retains all copyright, trademark and other proprietary notices
         contained in such Content in all printed and other copies. Client and
         any Authorized User may not de-compile, reverse engineer, modify, copy,
         distribute, transmit, display, perform, reproduce, publish, license,
         create derivative works from, transfer, or sell any information,
         software, products, or services obtained from the Gateways.

5.2.     Prohibited Distribution. In no event may Client and any Authorized
         User, directly or indirectly, sell or offer for sale any Content
         located on the Gateways or upload, distribute, or otherwise publish
         Content in any other form or medium.

5.3.     Prohibited Infringement. Neither Client nor any Authorized User shall
         knowingly upload to, or distribute or otherwise publish through the
         Gateways any content that violates or infringes the rights of any
         persons, including but not limited to, rights in copyrights, patents,
         trademarks, trade secrets, and other proprietary rights.

5.4.     Prohibited Information. Client nor any Authorized User shall knowingly
         upload to, or distribute or otherwise publish through the Gateways any
         content that (1) is libelous, threatening, defamatory, obscene,
         indecent, pornographic, abusive, or could give rise to any civil or
         criminal liability under U.S. or international law, or (2) includes any
         bugs, viruses, worms, trojan horses, or other harmful properties.
         Client and any Authorized User will not use the Gateways for, or to
         further, any illegal purposes.

5.5.     Prohibited Solicitation. Neither Client nor any Authorized User shall
         upload to, or distribute or otherwise publish through the Gateways any
         content containing any solicitations of funds, advertising, or
         solicitations for goods or services.

6.       WARRANTIES AND REPRESENTATIONS.

6.1.     HealthStream warrants and represents that:

         6.1.1.   all of the Services HealthStream performs under this Agreement
                  will be performed in a professional and workmanlike manner,
                  consistent with generally accepted industry standards, using
                  properly trained personnel and in conformance with standards
                  and specifications expressly stated herein;

         6.1.2.   HealthStream has all requisite power, authority and legal
                  right to execute, deliver and perform its obligations under
                  this Agreement and all of such actions have been duly and
                  validly authorized by all necessary proceedings on the part of
                  HealthStream;

         6.1.3.   no authorization, consent, approval, license, permit,
                  exemption or other action by, and no registration,
                  qualification, designation, declaration or filing with any
                  governmental authority is or will be necessary in connection
                  with the execution of this Agreement and HealthStream will
                  comply with all applicable laws and regulations in the
                  performance of its obligations under this Agreement;

                                                                    Page 8 of 22
<PAGE>   9

         6.1.4.   the execution and delivery of this Agreement by HealthStream
                  does not and will not (a) violate any applicable law; or (b)
                  conflict with or result in a material breach of or default
                  under any agreement or instrument to which HealthStream is a
                  party or by which any of its properties is bound;

         6.1.5.   there is no pending action, suit or threatened proceeding by
                  or before any governmental authority against HealthStream that
                  in any way affects HealthStream's ability to enter into this
                  Agreement or perform any of HealthStream's obligations
                  hereunder;

         6.1.6.   to the best of HealthStream's knowledge, HealthStream's
                  performance of this Agreement shall not (a) impair or infringe
                  on the intellectual property rights of any third party or any
                  rights of publicity or privacy; (b) violate any law, including
                  without limitation, the laws and regulations governing export
                  control, unfair competition, anti-discrimination or false
                  advertising; (c) be defamatory, trade libelous, or unlawfully
                  harassing; (d) be obscene, child pornographic or indecent; (e)
                  contain any viruses, Trojan horses, trap doors, Easter eggs,
                  worms, time bombs, or other computer programming routines
                  intended to damage, interfere with, intercept, or expropriate
                  any hardware, software, data or peripheral equipment system;
                  and

         6.1.7.   any Content that has been represented as being accredited by
                  an accrediting body shall be so accredited.

6.2.     Client warrants and represents that:

         6.2.1.   Client has all requisite power, authority and legal right to
                  execute, deliver and perform its obligations under this
                  Agreement and all of such actions have been duly and validly
                  authorized by all necessary proceedings on the part of Client;

         6.2.2.   the execution and delivery of this Agreement by Client does
                  not and will not (a) materially violate any applicable law; or
                  (b) conflict with or result in a material breach of or default
                  under any agreement or instrument to which Client is a party
                  or by which any of its properties is bound;

         6.2.3.   Client shall not allow any other entity or third party to
                  purchase, license or sublicense the Services, except those
                  Affiliated Providers as provided herein;

         6.2.4.   Client shall be responsible for any and all taxes, other than
                  HealthStream income tax, applicable to or in connection with
                  the services rendered by HealthStream pursuant to the terms of
                  this Agreement; and

         6.2.5.   the content submitted to HealthStream for the Gateway
                  Customization Services shall not knowingly infringe any
                  patents, copyrights, trade secrets, or other proprietary
                  rights of any third parties, and Client will have no reason to
                  believe that any such infringement or claims thereof could be
                  made by third parties.

7.   DISCLAIMER OF WARRANTIES.

7.1.     THE WARRANTIES EXPRESSED IN SECTION 6 HEREIN REPRESENT THE ENTIRE
         WARRANTY OF HEALTHSTREAM WITH RESPECT TO THIS AGREEMENT, AND ARE IN
         LIEU OF ANY AND ALL OTHER WARRANTIES, WRITTEN OR ORAL, EXPRESS OR
         IMPLIED.

7.2.     EXCEPT AS OTHERWISE EXPRESSLY PROVIDED HEREIN, THE GATEWAYS AND THE
         SERVICES AND ALL OTHER OBLIGATIONS PROVIDED BY HEALTHSTREAM PURSUANT TO
         THE TERMS OF THIS AGREEMENT ARE PROVIDED "AS-IS" WITHOUT ANY WARRANTIES
         OF ANY KIND, EITHER EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO
         THE IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR
         PURPOSE.

7.3.     DUE TO THE NUMBER OF SOURCES FROM WHICH CONTENT DELIVERED VIA THE

                                                                    Page 9 of 22
<PAGE>   10

         SERVICES IS OR WILL BE OBTAINED, AND THE INHERENT HAZARDS OF ELECTRONIC
         DISTRIBUTION, THERE MAY BE DELAYS, OMISSIONS OR INACCURACIES IN SUCH
         CONTENT AND THE SERVICES. THE SERVICES COULD INCLUDE TECHNICAL OR OTHER
         INACCURACIES OR TYPOGRAPHICAL ERRORS. PERIODICALLY, CHANGES MAY BE MADE
         IN THE CONTENT PROVIDED IN THE SERVICES. HEALTHSTREAM WARRANTS THAT IT
         WILL EXERCISE COMMERCIALLY REASONABLE EFFORTS TO ENSURE THE ACCURACY,
         COMPLETENESS, CURRENTNESS OF THE CONTENT AVAILABLE THROUGH THE
         SERVICES, OR THE SERVICES THEMSELVES, OR ANY OTHER CONTENT WHICH IS
         REFERENCED BY OR LINKED TO THE SERVICES. HEALTHSTREAM DOES NOT CLAIM
         COMPREHENSIVENESS OR THE ABSENCE OF ERRORS. HEALTHSTREAM ASSUMES NO
         INDIRECT RESPONSIBILITY FOR THE USE OF THE SERVICES BY THE CLIENT OR
         AUTHORIZED USERS. NEITHER PARTY, AUTHORIZED USERS NOR THEIR CONTENT
         PARTNERS SHALL BE LIABLE FOR LOSS OF PROFITS, LOSS OF USE, OR
         INCIDENTAL, CONSEQUENTIAL, OR EXEMPLARY DAMAGES AS A RESULT OF USE OF
         THE SERVICES OR THE CONTENT, EVEN IF EXPRESSLY MADE AWARE OF THE
         POSSIBILITY THEREOF.

7.4.     EXCEPT HEALTHSTREAM'S BREACH OF THE WARRANTY MADE IN SECTION 6.1.6
         HEREOF, ANY MATERIAL AND/OR DATA DOWNLOADED OR OTHERWISE OBTAINED
         THROUGH THE USE OF THE GATEWAYS IS AT CLIENT AND AUTHORIZED USER'S OWN
         DISCRETION AND RISK AND CLIENT IS SOLELY RESPONSIBLE AND LIABLE FOR ANY
         DAMAGE TO CLIENT OR AUTHORIZED USER'S COMPUTER SYSTEM OR FOR LOSS OF
         DATA THAT RESULTS FROM THE DOWNLOAD OF SUCH MATERIAL AND/OR DATA.
         HEALTHSTREAM ASSUMES NO RESPONSIBILITY FOR THE USE OF THE GATEWAYS BY
         CLIENT OR ANY AUTHORIZED USER.

7.5.     NEITHER PARTY SHALL BE LIABLE FOR LOST PROFITS, LOST OPPORTUNITIES, OR
         INCIDENTAL OR CONSEQUENTIAL DAMAGES UNDER ANY CIRCUMSTANCES. IN NO CASE
         SHALL THE AMOUNT OF DAMAGES PAYABLE TO CLIENT FROM ANY AND ALL PARTIES
         FOR ANY CLAIM ARISING FROM THE PROGRAM OR THIS AGREEMENT (INCLUDING,
         WITHOUT LIMITATION, ITS WARRANTY PROVISIONS) EXCEED THE AMOUNTS PAID BY
         CLIENT TO HEALTHSTREAM UNDER THIS AGREEMENT.

7.6.     EXCEPT FOR ANY CLAIM FOR INDEMNITY UNDER SECTION 10, IN NO EVENT MAY
         ANY ACTION BE BROUGHT AGAINST HEALTHSTREAM, OR AN INFORMATION PARTNER
         ARISING OUT OF THIS AGREEMENT MORE THAN ONE YEAR AFTER THE CLAIM OR
         CAUSE OF ACTION ARISES, OR ONE YEAR AFTER THE CLIENT OR AUTHORIZED USER
         SHALL HAVE LEARNED OF THE ALLEGED DEFECT, INJURY, OR LOSS, WHICHEVER IS
         LATER. THE PROVISIONS OF THIS SECTION 7 SHALL SURVIVE ANY TERMINATION
         OF THIS AGREEMENT.

8.       LINKS TO OTHER WEB SITES

HEALTHSTREAM MAKES NO REPRESENTATIONS WHATSOEVER ABOUT ANY OTHER WEB SITE THAT
CLIENT OR ANY AUTHORIZED USER MAY ACCESS THROUGH HEALTHSTREAM'S WEB SITE OR THE
GATEWAYS. WHEN CLIENT OR ANY AUTHORIZED USER ACCESSES A NON-HEALTHSTREAM WEB
SITE, IT IS INDEPENDENT FROM HEALTHSTREAM, AND THAT HEALTHSTREAM HAS NO CONTROL
OVER THE CONTENT ON THAT WEB SITE. IN ADDITION, A LINK TO A NON-HEALTHSTREAM WEB
SITE DOES NOT MEAN THAT HEALTHSTREAM ENDORSES OR ACCEPTS ANY RESPONSIBILITY FOR
THE CONTENT, OR THE USE, OF SUCH WEB SITE. IT IS UP TO CLIENT OR ANY AUTHORIZED
USER TO TAKE PRECAUTIONS TO ENSURE THAT WHATEVER CLIENT OR ANY AUTHORIZED USER
SELECTS FOR CLIENT OR ANY AUTHORIZED USER'S USE IS FREE OF SUCH ITEMS AS
VIRUSES, WORMS, TROJAN HORSES AND OTHER ITEMS OF A DESTRUCTIVE NATURE.
HEALTHSTREAM MAKES NO REPRESENTATION OR WARRANTY AS TO ANY THIRD PARTY PRODUCTS
OR SERVICES.

                                                                   Page 10 of 22
<PAGE>   11

9.        LIMITATION OF LIABILITY

IN NO EVENT SHALL EITHER PARTY, AUTHORIZED USERS OR THEIR PARENT COMPANIES AND
AFFILIATES, OR ANY OF ITS OR THEIR OFFICERS, DIRECTORS, EMPLOYEES, AGENTS,
REPRESENTATIVES, CONTENT PARTNERS, OR LICENSORS BE LIABLE FOR ANY INDIRECT,
INCIDENTAL, SPECIAL, CONSEQUENTIAL, PUNITIVE, OR OTHER DAMAGES RESULTING FROM
USE OF THE GATEWAYS, ITS CONTENT OR LINKS, INCLUDING, BUT NOT LIMITED TO DAMAGES
FOR LOSS OF PROFITS, USE, DATA OR OTHER INTANGIBLES, EVEN IF A PARTY OR
AUTHORIZED USER HAD BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.

10.      INDEMNITY

10.1.    Indemnity by HealthStream. HealthStream shall defend, indemnify and
         hold Client and Authorized Users, their officers, directors, employees,
         consultants and agents harmless from any loss, liability, damage, cost,
         or expense (including reasonable counsel fees and litigation costs),
         arising out of any claims or suits that may be made or brought against
         Client by reason of the breach or alleged breach by HealthStream of the
         warranties or representations contained herein, or by reason of any
         infringement or alleged infringement of any patent, trademark,
         copyright or trade secret right resulting from the Services provided
         herein. HealthStream shall have the sole right to conduct the defense
         of any such claim or action and all negotiations for its settlement or
         compromise, unless otherwise mutually agreed upon in writing, or unless
         HealthStream fails to assume its obligation to defend and Client is
         required to do so to protect its interests.

10.2.    Indemnity by Client. Client agrees to indemnify, defend and hold
         harmless HealthStream, its officers, directors, employees, consultants
         and agents from any and all third party claims, liability, damages
         and/or costs (including but not limited to attorney's fees) arising
         from Client or any Authorized User's violation of the terms and
         conditions hereunder, arising out of any claims or suits that may be
         made or brought against HealthStream by reason of the breach or alleged
         breach by Client of the warranties or representations contained herein,
         or by reason that the content in the Client Courseware infringes any
         patent, trademark, copyright or trade secret right. Client shall have
         the sole right to conduct the defense of any such claim or action and
         all negotiations for its settlement or compromise, unless otherwise
         mutually agreed upon in writing, or unless Client fails to assume its
         obligation to defend and HealthStream is required to do so to protect
         its interests.

10.3     This Article 10 shall survive the termination, cancellation or
         expiration of these terms and conditions.

11.      TERM AND TERMINATION.

11.1.    Term. This Agreement shall be in effect until the Expiration Date (the
         "Term") and shall be automatically renewed for additional one (1) year
         periods unless notification by either party is provided forty-five (45)
         days in advance of the Expiration Date. During any renewal term, either
         party may terminate this Agreement upon forty-five (45) days notice to
         the other party.

11.2.    Termination or Cancellation. This Agreement may be terminated or
         canceled upon the occurrence of one or more of the following events:

         11.2.1.  by either party if the other party seeks protection under the
                  bankruptcy laws (other than as a creditor) or any assignment
                  is made for the benefit of creditors or a trustee is appointed
                  for all or any portion of such party's assets;

         11.2.2.  by either party in the event that the other party hereto has
                  materially breached this Agreement; provided, however, that no
                  such termination shall be effective unless (i) the terminating
                  party provides the written notice ("Termination Notice") via
                  overnight courier to the other party setting forth the facts
                  and circumstances constituting the

                                                                   Page 11 of 22
<PAGE>   12

                  breach, and (ii) the party alleged to be in default does not
                  cure such default within ten (10) business days following
                  receipt of the Termination Notice. In the event that the
                  nature of the default specified in the Termination Notice
                  cannot be reasonably cured within ten (10) business days
                  following receipt of the Termination Notice, a party shall not
                  be deemed to be in default if such party shall, within such
                  ten (10) day period, present a schedule to cure the default,
                  commences curing such default and thereafter diligently
                  executes the same to completion within six (6) months. If the
                  breach specified in the Termination Notice is timely cured or
                  cure is commenced and diligently pursued, as provided above,
                  the Termination Notice shall be deemed rescinded and this
                  Agreement shall continue in full force and effect.
                  Notwithstanding the foregoing, all Termination Notices for
                  non-payment must be cured with thirty (30) days of receipt. In
                  the event the default specified in the Termination Notice
                  cannot be reasonably cured at all, a party shall be deemed to
                  be in default.

11.3     Post Termination Obligations. In the event of termination of this
         Agreement by HealthStream due to a default by Client, all fees
         previously due or owing by Client and Authorized Users as of the date
         of termination will be immediately due and payable in full. In the
         event of termination of this Agreement by Client due to a default by
         HealthStream, HealthStream shall reimburse Client for any amounts paid
         by Client or Authorized Users for Services not provided prior to
         termination. This is in addition to any other remedies available to the
         parties at law.

12.      MISCELLANEOUS

12.1     STATUTE OF LIMITATIONS. EXCEPT FOR ANY CLAIM FOR INDEMINTY UNDER
         SECTION 10, ANY ACTION OR CLAIM AGAINST HEALTHSTREAM FOR ANY DAMAGES
         ARISING OUT OF, OR RELATING TO THE TERMS OF THIS AGREEMENT OR
         HEALTHSTREAM'S OBLIGATIONS HEREUNDER MUST BE COMMENCED WITHIN ONE YEAR
         AFTER COMPLETION OF SERVICES THAT ARE THE SUBJECT MATTER OF THE CLAIM.

12.2     Attorneys' Fees. In the event of breach by either party of any
         provision contained in this Agreement, the prevailing party shall be
         entitled to recover its reasonable attorneys' fees and costs incurred
         in enforcement of the provisions of this Agreement against the
         defaulting or breaching party.

12.3     Headings. Captions and headings to sections are included solely for
         convenience and are not intended to affect the interpretation of any
         provision of this Agreement.

12.4     Amendments in Writing. No amendment, modification, or waiver of any
         provision of this Agreement shall be effective unless it is set forth
         in a writing that refers to this Agreement and is executed by an
         authorized representative of each party hereto. No failure or delay by
         any party in exercising any right, power, or remedy will operate as a
         waiver of any such right, power, or remedy.

12.5     Third Party Rights. Except for Authorized Users, this Agreement is not
         intended and shall not be construed to create any rights for any third
         party.

12.6     Force Majeure. Neither party shall be liable nor deemed to be in
         default of its obligations hereunder for any delay or failure in
         performance under this Agreement or other interruption of service
         resulting, directly or indirectly, from acts of God, civil or military
         authority, act of war, accidents, natural disasters or catastrophes,
         strikes, or other work stoppages or any other cause beyond the
         reasonable control of the party affected thereby. However, each party
         shall utilize it best good faith efforts to perform such obligations to
         the extent of its ability to do so in the event of any such occurrence
         or circumstances. If a single force majeure condition causes a delay or
         failure in performance under this Agreement or other interruption of
         service exceeding ninety (90) days, the non-affected party may
         terminate subject to the requirements of Section 11.2 herein above by
         providing a Termination Notice to the affected party.

                                                                   Page 12 of 22
<PAGE>   13

12.7     Independent Contractors. Each party to this Agreement is an independent
         contractor and this Agreement shall not be construed as creating a
         joint venture, partnership, agency or employment relationship between
         the parties hereto nor shall either party have the right, power or
         authority to create any obligation or duty, express or implied, on
         behalf of the other.

12.8     Insurance. HealthStream shall maintain liability coverage for errors
         and omissions with coverage of at least $1,000,000 per incident and
         $2,000,000 in the aggregate. Client shall be provided a copy of the
         certificate of insurance upon signing of this Agreement. Client shall
         be promptly notified at least thirty (30) days prior to any
         cancellation of policy or reduction in coverage below the required
         amounts specified in this Section 12.8.

12.9     Governing Law. This Agreement shall be governed by the laws of the
         State of Tennessee without regard to its choice of law provisions.

12.10    Entire Agreement; Severability. This Agreement, together with the
         schedules and other attachments referenced herein, contains a full and
         complete expression of the rights and obligations of the parties
         hereto. If any provision of this Agreement conflicts with any schedule
         or attachment to this Agreement, this Agreement shall control with
         respect to the subject matter of such attachment. This Agreement
         supersedes any and all other previous agreements, written or oral, made
         by the parties concerning the subject matter hereof. If any provision
         of this Agreement is finally held by a court or arbitration panel of
         competent jurisdiction to be unlawful, the remaining provisions of this
         Agreement shall remain in full force and effect to the extent that the
         parties' intent can be lawfully enforced. Without limiting the
         generality of the foregoing, it is expressly agreed that the terms of
         any Client or Affiliated Provider purchase order will be subject to the
         terms of this Agreement and that any acceptance of a purchase order by
         HealthStream will be for acknowledgment purposes only and none of the
         terms set forth in the purchase order will be binding upon
         HealthStream.

12.11    Notice. All notices required hereunder (except invoice or purchase
         orders as provided herein) shall be in writing and shall be deemed to
         have been duly given upon receipt, and shall be either delivered in
         person, by registered or certified mail, postage prepaid, return
         receipt requested, or by overnight delivery service with proof of
         delivery, and addressed as follows:

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

         To Client:                 Director, I/S Contracts
                                    Columbia Information Systems, Inc.
                                    2555 Park Plaza
                                    Nashville, TN 37202-0550

         and to:                    General Counsel
                                    Columbia/HCA Healthcare Corporation
                                    One Park Plaza
                                    Nashville, Tennessee 37203

12.12    Publicity. HealthStream and Client agree not to advertise or to use the
         other party's name in any advertising, except as contemplated by this
         Agreement or as may be required by law, without first obtaining written
         consent from the other party, which consent shall not be unreasonably
         withheld.

12.13    Assignment, Subsidiaries, and Successors. It is understood and agreed
         that the parties are entering into this Agreement not only for their
         own benefit but also and equally for the direct benefit of their
         subsidiaries and affiliates, present and future, and that each and
         every right, benefit, remedy, and warranty accruing to the parties
         hereunder likewise accrue to the subsidiaries and affiliates of the
         parties, including but not limited to the right to enforce this

                                                                   Page 13 of 22
<PAGE>   14

         Agreement in their respective names. This Agreement shall inure to the
         benefit of and be binding on any respective successors and permitted
         assigns of the parties.

12.14    Books and Records. Pursuant to the requirements of 42 CFR 420.300 et
         seq., HealthStream agrees to make available to the Secretary of HHS,
         the Comptroller General of the Government Accounting Office ("GAO") or
         their authorized representatives, all contracts, books, documents and
         records necessary to verify the nature and extent of the costs of the
         services provided hereunder for a period of four (4) years after the
         furnishing of services hereunder for any and all services furnished
         under this Agreement. In addition, HealthStream hereby agrees to
         require by contract that each subcontractor makes available to the HHS
         and GAO, or their authorized representative, all contracts, books,
         documents and records necessary to verify the nature and extent of the
         costs of the services provided thereunder for a period of four (4)
         years after the furnishing of services thereunder. HealthStream agrees
         to comply at all times with the regulations issued by HHS, published at
         42 CFR 1001, and which relate to HealthStream's obligation to report
         and disclose discounts, rebates and other reductions to Client for
         products purchased by Client under this Agreement. If HealthStream
         carries out the duties of this Agreement through a subcontract worth
         $10,000 or more over a twelve month period with a related organization,
         the subcontract will also contain a clause substantially identical to
         those contained in the foregoing sections of this Agreement to permit
         access by Client, the Secretary, the United States Comptroller General
         and their representatives to the related organization's books and
         records. Client rights under this Section shall survive for a period of
         four (4) years after termination or expiration of this Agreement.
         HealthStream represents and warrants that it has not been excluded from
         participation in any Federal healthcare program as defined in 42 U.S.C.
         Section 1320a-7b(f).

12.15    Audit and Reporting. Client shall have the right, during normal
         business hours and with reasonable advance notice, to review and
         photocopy HealthStream's books and records that pertain directly to the
         accounts of Client, Affiliated Providers, or Authorized Users. The
         audit may be conducted by Client's employees or by an external auditing
         firm selected by Client. The cost of audit, including the cost of the
         auditors and reasonable cost of copies of books and records shall be
         paid by Client. Client shall have no obligation to pay the cost
         incurred by employees and agents of HealthStream in cooperating with
         Client in such audit. Client does not have the right to review the
         books and records that pertain to the accounts of other HealthStream
         customers or business partners. Client may not conduct more than one
         such audit per year. Any personnel of Client shall sign a mutually
         agreeable confidentiality agreement before such audit is done.

12.16    Counterparts. This Agreement may be executed in one or more
         counterparts, each of which will be deemed an original but all of which
         together shall constitute one and the same instrument.

                                                                   Page 14 of 22
<PAGE>   15

         IN WITNESS WHEREOF, and intending to be legally bound hereby, each
party hereto warrants and represents that this Agreement has been duly
authorized by all necessary corporate action and that this agreement has been
duly executed by and constitutes a valid and binding agreement of that party.
All signed copies of this Agreement shall be deemed originals.

                                            HealthStream, Inc.

                                            By: /s/ JEFF MCLAREN
                                               -----------------------------
                                            Name:    Jeff McLaren
                                            Title:   President

                                            Client

                                            By: /s/ NOEL WILLIAMS
                                               -----------------------------
                                            Name:    Noel Williams
                                            Title:   President

                                                                   Page 15 of 22
<PAGE>   16

                                    EXHIBIT A
                         GATEWAY INITIALIZATION SERVICES

HealthStream's Gateway Initialization Services will consist of the following
processes required to make each Gateway operational. The processes below are not
chronologically organized; selected processes below may be managed concurrently.
Additional processes may be required to ensure each Gateway is made operational
rapidly and efficiently.

1.       Gateway Customization - HealthStream will modify each Provider Gateway
         such that the name and or logo appear at the top of each page (except
         pages used to display Courseware). In addition, Provider Specific
         Information will be used in textual format as applicable in the
         Gateway.

         Deliverables from Contract Client to complete Gateway Customization:

         -        Provide Provider logo (or name) for display on Gateway.

         -        Provide Provider name, parent company name, address, division,
                  region, phone number, etc. (the "Provider Specific
                  Information") for use as needed in Gateway.

         -        Approve Provider logo and Provider Specific Information in
                  Gateway.

2.       User Import - HealthStream will import Provider Personal Information
         into the database so that each Authorized User is recognized by the
         Gateway.

         Deliverables from Contract Client to complete User Import:

         -        Provide Personal Information for each Authorized User (per
                  separate specification).

         -        Approve integrity of Personal Information imported into the
                  database.

3.       Administrative Orientation - HealthStream will provide an overview of
         Gateway operation and administrative procedures to select Provider
         personnel. HealthStream will provide Administrative Orientation
         sessions periodically to ensure Contract Clients complete

         Deliverables from Contract Client to complete Administrative
         Orientation:

         -        Ensure key Contract Client personnel from each Contract Client
                  attend a HealthStream Administrative Orientation sessions.

4.       Gateway Pilot - HealthStream will facilitate a brief pilot of the
         Gateway prior to use by the complete population of Authorized Users for
         a given Contract Client. This pilot will ensure that Contract Client
         specific data is operating as expected within the Gateway.

         Deliverables from Contract Client to complete Gateway Pilot:

         -        Ensure computer hardware with appropriate software and
                  internet connection (per separate specification) is
                  operational at Contract Client location.

         -        Ensure Contract Client administrative personnel test Gateway
                  performance (in conjunction with HealthStream personnel and
                  pilot processes).

                                                                   Page 16 of 22
<PAGE>   17

                                    EXHIBIT B
                          INVOICE DETAIL REPORT FORMAT

The format below will be used by HealthStream in submitting invoice detail
reports on Services Fees. Each monthly invoice detail report will be comprised
of a multiple transaction records. Each transaction record shall be a line of
text that is 110 continuous characters in length and will correspond to each
Services transaction that triggered a corresponding Service Fee. The character
by character standard for transaction records is outlined below.

Services Fees paid by Authorized Users directly pursuant to Section 3.4 will not
be included in the invoice detail report, but will be detailed in a separate
monthly report.

<TABLE>
<CAPTION>
                                                                                            Character          Item Length
     Item Description                  Columbia Code              Fixed Value               Locations          in Characters
     ----------------                  -------------              -----------               ---------          -------------

<S>                                    <C>                        <C>                       <C>                <C>
1.       Unit Number                   Pic X(05)                                            01- 05             5
2.       Type                          Pic X(01)                  2                         06                 1
3.       Incurred Month                Pic 9(02)                                            07-08              2
4.       Incurred Day                  Pic 9(02)                                            09-10              2
5.       End Date (ccyymCMEd)          Pic X(08)                                            11-18              8
6.       Description                   Pic X(35)                                            19-53              35
7.       Action                        Pic X(01)                  A                         54                 1
8.       Charge Amount                 Pic $9(09)(cent)9(02)                                55-65              2
9.       Indicator                     Pic X(01)                  S                         66                 1
10.      Cost Center                   Pic 9(04)                  8888                      67-70              4
11.      Project Code                  Pic 9(03)                  180                       71-73              3
12.      Display                       Pic 9(10)                  0000000000                74-83              10
13.      GL Account Number             Pic 9(06)                  701831                    84-89              6
14.      Revenue Code                  Pic 9(03)                  026                       90-92              3
15.      Filler                        Pic X(18)                  000000000000000000        93-110             18
</TABLE>

Notes:

A.       Where a specific fixed value is listed, the exact number and/or letter
         listed above must appear in the designated character locations for that
         item. If no fixed value is provided, HealthStream shall insert the
         appropriate information using the entire number of characters permitted
B.       For Item 6 above, any unused characters are to be filled with "space"
         characters so that Item 6 is 35 characters in length.
C.       For Item 8 above, the first nine characters apply to the dollar amount
         and the last two characters shall be the cents. There is no decimal
         point. Zeros are to be used where no number is available for the
         character, e.g., a charge of $101.59 will be recorded as "00000010159".

                                                                   Page 17 of 22
<PAGE>   18

                                    EXHIBIT C
                            CURRENT ONLINE COURSEWARE

REGULATORY COURSEWARE

The following 18 regulatory courses will be initially available for Authorized
Users. The number of Regulatory Courses and specific Regulatory Courseware
topics made available through the Gateways will change from time to time as new
courses are added and obsolete courses removed.

Abuse Identification (1 Contact Hours)
     The physical, psychological, and behavioral indicators of possible abuse,
neglect, or exploitation.

Abuse Reporting (1 Contact Hours)
     Interviewing techniques for victims of abuse and policies and procedures
for reporting of suspected abuse cases.

Bloodborne Pathogens (1 Contact Hours)
     Types of bloodborne pathogens and the use of universal precautions and body
     substance isolation (BSI) to prevent transmission.

Cardiopulmonary Resuscitation (0 Contact Hours)
     Recognition and immediate treatment of a myocardial infarction, including
one-person and two-person CPR.

Child CPR (0 Contact Hours)
     Recognition and immediate treatment of a myocardial infarction in infants
     and children, including appropriate CPR techniques.

Cytotoxin Use (1 Contact Hours)
     The potential hazards of exposure to cytotoxic substances and procedures to
prevent and monitor exposure.

Elderly Care (1 Contact Hours)
     Interventions to help alleviate common physical complaints of the elderly.

Electrical Safety (0 Contact Hours)
     Recognition of electrical hazards and prevention and immediate treatment of
injuries related to electrical shock.

Ergonomics (1 Contact Hours)
     Purpose and correct use of body mechanics, strategies to help prevent back
injury, and home treatment for back pain.

Fire Safety (0 Contact Hours)
     Fire rescue, alarm, containment and evacuation procedures for ambulatory
patients.

Hazardous Materials (1 Contact Hours)
     The purpose and content of MSDS, proper labeling of hazardous chemical
     containers and procedures for handling chemical spills.

Obstructed Airway (0 Contact Hours)
     Recognition and immediate treatment of an obstructed airway in a conscious
or unconscious adult or infant.

Patient Evacuation (1 Contact Hours)

                                                                   Page 18 of 22
<PAGE>   19

     General evacuation procedures, including one and two person techniques for
evacuation of a bed-bound patient.

Restraint Use (1 Contact Hours)
     Purposes, procedures, alternatives and documentation for use of patient
restraints.

Standard Precautions (1 Contact Hours)
     The infection transmission process, including associated risk factors, and
     the major components of a Standard Precautions Program.

Transmission-based Precautions (1 Contact Hours)
     The five types of transmission-based precautions, including the appropriate
     actions for each type of precaution and the diseases for which each type of
     transmission-based precaution is required.

Tuberculosis Control (1 Contact Hours)
     Identification, prevention, and treatment of tuberculosis, including
recognition of risk factors.

Tuberculosis Testing (1 Contact Hours)
     The purpose of tuberculin testing and techniques for testing.

HEALTHSTREAM OWNED COURSEWARE

The following list of 67 hours of HealthStream Owned Courseware topics are
currently available for use through HealthStream's online educational service.
The number of HealthStream Owned Courses and specific HealthStream Owned
Courseware topics made available through the Gateways will change from time to
time as new courses are added and obsolete courses removed. For each topic area,
the number of hours available within that topic is listed, not the individual
course name or subject areas.

Core Curriculum in Primary Care (50 hrs.)
     Cardiovascular Medicine (4.00 - CME)
     Dermatology (4.00 - CME)
     Endocrinology (3.00 - CME)
     Gastroenterology (4.00 - CME)
     Hematology (2.00 - CME)
     Infectious Disease (4.00 - CME)
     Laboratory Testing (2.00 - CME)
     Nephrology (1.00 - CME)
     Neurology (5.00 - CME)
     Obstetrics and Gynecology (4.00 - CME)
     Office Surgery (1.00 - CME)
     Oncology (1.00 - CME)
     Orthopedics and Sports Medicine (8.00 - CME)
     Psychiatry (4.00 - CME)
     Radiology (1.00 - CME)
     Risk Management (2.00 - CME)

Obstetrics/Gynecology  (5.00 hrs.)
     General  (5.00 - CME)

Nursing (12 Contact Hours)
     Adolescent Care (1 Contact Hours)
     Antibiotic Resistant Microbes (1 Contact Hours)
     Conscious Sedation (1 Contact Hours)
     Elderly Physical Changes (1 Contact Hours)
     Elderly Sensory Changes (1 Contact Hours)

                                                                   Page 19 of 22
<PAGE>   20

     Fecal Testing (1 Contact Hours)
     Glucose Testing (1 Contact Hours)
     Infant Care (1 Contact Hours) School-age Care (1 Contact Hours)
     Toddler Care (1 Contact Hours)
      Urine Testing (1 Contact Hours)
     Ventilation (1 Contact Hours)

CONTENT PARTNER COURSEWARE

The following list of 782 hours of Content Partner Courseware topics are
currently available for use through HealthStream's online educational service.
The number of Content Partner Courses and specific Content Partner Courseware
topics made available through the Gateways will change from time to time as new
courses are added and obsolete courses removed. For each topic area, the number
of hours available within that topic is listed, not the individual course name
or subject areas.

Cleveland Clinic Foundation - Educational Program (60 hrs.) Cardiology Series
     (6.00 - CME) Endocrinology Series (6.00 - CME)
     Gastroenterology Series (7.00 - CME)
     Hematology and Medical Oncology Series (6.00 - CME)
     Infectious Disease Series (6.00 - CME)
     Multidisciplinary Skills for the Internist Series (15.00 - CME)
     Nephrology and Hypertension Series (5.00 - CME)
     Pulmonary and Critical Care Medicine Series (5.00 - CME)
     Rheumatology Series (4.00 - CME)

Diagnostic Imaging (19.5 hrs.)
     Computed Tomography (9.00 - CE)
     Magnetic Resonance (3.00 - CE)
     Nuclear Medicine (4.50 - CE)
     X-Ray (1.50 - CE)
     X-Ray Mammography (1.50 - CE)

Emergency Medicine (203 hrs.)
     Allergy, Rheumatology, and Dermatology (4.50 - CME)
     Cardiovascular  Disorders (15.50 - CME)
     Endocrinology (7.50 - CME)
     Environmental Injuries (9.50 - CME)
     Eye, Ear, Nose and Throat (6.50 - CME)
     Gastroenterology (13.00 - CME)
     Gynecology and Obstetrics (6.50 - CME)
     Hematology and Oncology (5.00 - CME)
     Infectious Diseases (5.50 - CME)
     Law and Ethics (3.00 - CME)
     Life-Threatening Signs and Symptoms (9.50 - CME)
     Musculo-skeletal Disorders (5.00 - CME)
     Nephrology and Urology (5.00 - CME)
     Neurology (9.50 - CME)
     Pediatrics (14.50 - CME)
     Psychiatric and Behavioral Disorders (5.00 - CME)
     Pulmonary Disorders (8.50 - CME)
     Resuscitation: Arrhythmias (8.50 - CME)
     Resuscitation: CPR and Ventilation (6.00 - CME)
     Resuscitation: Fluids/Electrolytes (11.00 - CME)

                                                                   Page 20 of 22
<PAGE>   21

     Resuscitation: Pediatrics (6.00 - CME)
     Toxicology (12.00 - CME)
     Trauma: Extremity and Orthopedic (7.50 - CME)
     Trauma: Stabilization, Head and Neck (7.50 - CME)
     Trauma: Trunk (7.00 -
     CME) Wound Management (4.00 - CME)

Family Practice (194.5 hrs.)
     Allergy, Rheumatology, and Dermatology (4.50 - CME)
     Cardiovascular Disorders (15.00 - CME)
     Endocrinology (7.50 - CME)
     Environmental Injuries (9.50 - CME)
     Eye, Ear, Nose and Throat (5.00 - CME)
     Gastroenterology (13.00 - CME)
     Gynecology and Obstetrics (7.00 - CME)
     Hematology and Oncology (5.00 - CME)
     Infectious Diseases (5.00 - CME)
     Law and Ethics (2.00 - CME)
     Life-Threatening Signs and Symptoms (9.00 - CME)
     Musculo-skeletal Disorders (5.00 - CME)
     Nephrology and Urology (5.00 - CME)
     Neurology (9.50 - CME)
     Pediatrics (14.00 - CME)
     Psychiatric and Behavioral Disorders (5.00 - CME)
     Pulmonary Disorders (8.50 - CME)
     Resuscitation: Arrhythmias (8.00 - CME)
     Resuscitation: CPR and Ventilation (5.50 - CME)
     Resuscitation: Fluids/Electrolytes (11.00 - CME)
     Resuscitation: Pediatrics (6.00 - CME)
     Toxicology (12.00 - CME)
     Trauma: Extremity and Orthopedic (7.50 - CME)
     Trauma: Stabilization, Head and Neck (7.50 - CME)

                                                                   Page 21 of 22
<PAGE>   22

     Trauma: Trunk (4.00 - CME) Wound Management (3.50 - CME)

Internal Medicine (143.5 hrs.)
     Allergy, Rheumatology, and Dermatology (4.50 - CME)
     Cardiovascular  Disorders (13.50 - CME)
     Endocrinology (6.50 - CME)
     Environmental Injuries (7.50 - CME)
     Eye, Ear, Nose and Throat (1.50 - CME)
     Gastroenterology (15.50 - CME)
     Infectious Diseases (5.00 - CME)
     Law and Ethics (2.00 - CME)
     Life-Threatening Signs and Symptoms (6.50 - CME)
     Musculo-skeletal Disorders (4.00 - CME)
     Nephrology and Urology (4.50 - CME)
     Neurology (9.50 - CME)
     Pediatrics (16.00 - CME)
     Resuscitation: Arrhythmias (8.00 - CME)
     Resuscitation: CPR and Ventilation (3.50 - CME)
     Resuscitation: Fluids/Electrolytes (10.50 - CME)
     Resuscitation: Pediatrics (.50 - CME)
     Toxicology (11.50 - CME)
     Trauma: Extremity and Orthopedic (7.00 - CME)
     Trauma: Stabilization, Head and Neck (1.50 - CME)
     Trauma: Trunk (2.00 - CME) Wound Management (2.50 - CME)

Pediatrics  (161.5 hrs.)
     Allergy, Immunology & Dermatology (3.50 - CME)
     Cardiac and Vascular Disorders (7.50 - CME)
     Endocrine, Metabolic & Nutritional Disorders (6.50 - CME)
     Environmental Injuries (8.00 - CME)
     Eye, Ear, Nose & Throat (7.50 - CME)
     Gastroenterology (11.50 - CME)
     Gynecology & Obstetrics (5.50 - CME)
     Hematology & Oncology (5.50 - CME)
     Infectious Diseases (8.00 - CME)
     Law & Ethics (2.50 - CME)
     Life-Threatening Signs & Symptoms (7.00 - CME)
     Musculoskeletal Disorders (2.50 - CME)
     Nephrology & Urology (4.00 - CME)
     Neurology (7.00 - CME)
     Psychosocial Problems (3.00 - CME)
     Pulmonary Disorders (8.50 - CME)
     Resuscitation: Arrhythmias (5.50 - CME)
     Resuscitation: CPR & Ventilation (7.50 - CME)
     Resuscitation: Fluids & Electrolytes (12.50 - CME)
     Toxicology (10.50 - CME)
     Trauma: Chest, Abdomen & Pelvis (7.00 - CME)
     Trauma: Extremity & Orthopedic (9.00 - CME)
     Trauma: Stabilization, Head & Neck (8.00 - CME)
      Wound Management (3.50 - CME)

The term CME, CE and Contact Hours used above indicate the accreditation status
of a Course for continuing education credit. Continuing education credit is
periodically required for various healthcare professional groups (physicians,
nursing, radiologic technicians, emergency medicine technicians, etc.) to
maintain licensure with specific professional organizations and regulatory
boards. Typically, the continuing education accreditation of a Course for one
healthcare profession does not imply accreditation for other healthcare
professions.

                                                                   Page 22 of 22

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