[Form 4/A] HEALTHSTREAM INC Amended Insider Trading Activity

Rhea-AI Filing Summary

HealthStream Inc director and CEO Robert A. Frist Jr. corrected a prior insider report to reflect the full number of shares previously given away as a gift. The amended filing now shows that 527,918 shares of common stock were transferred by bona fide gift on December 15, 2025.

After this gift transfer, Frist directly beneficially owns 4,048,052 shares of HealthStream common stock. The amendment fixes an administrative error in an earlier amended Form 4, which had temporarily reduced the reported gift amount by 208 shares.

Insider Trade Summary

527,918 shares gifted

Mixed 1 txn

Insider FRIST ROBERT A JR

Role CEO and Chairman

Type	Security	Shares	Price	Value
Gift	Common Stock Holding	527,918	$0.00	--

Holdings After Transaction: Common Stock Holding — 4,048,052 shares (Direct)

Footnotes (1)

1. This Form 4 amendment is being filed solely to correct an administrative error associated with the Form 4/A filed by the reporting person on December 17, 2025 (the "December Form 4/A"), which amended a Form 4 filed on December 16, 2025 (the "Original Form 4"). The December Form 4/A was filed in connection with a determination that 208 shares were not transferred by the reporting person by gift on December 15, 2025, which transfer had been included within the total number of shares transferred on such date by gift as reported on the Original Form 4. Following the filing of the December Form 4/A, it was determined that such transfer of 208 shares via gift had in fact been executed on December 15, 2025, and as such this Form 4 amendment is being filed to report that (after taking into account such transfer) 527,918 shares were transferred via gift on December 15, 2025 (as was reported on the Original Form 4), rather than 527,710 shares (as was reported on the December Form 4/A). Reflects the amount of securities directly beneficially owned by the reporting person as of the date hereof.

Form 4 Insider Transactions: What Each Field Means →

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

OMB APPROVAL

OMB Number:			3235-0287
Estimated average burden
hours per response:			0.5

Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

1. Name and Address of Reporting Person^*

FRIST ROBERT A JR

(Last) (First) (Middle)

500 11TH AVENUE NORTH

SUITE 1000

(Street)

NASHVILLE TN 37203

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
HEALTHSTREAM INC [ HSTM ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	X	10% Owner
X	Officer (give title below)		Other (specify below)
	CEO and Chairman

3. Date of Earliest Transaction (Month/Day/Year)
12/15/2025

4. If Amendment, Date of Original Filed (Month/Day/Year)
12/17/2025

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Common Stock Holding	12/15/2025		G		527,918(1)	D	$0	4,048,052(2)	D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Explanation of Responses:

1. This Form 4 amendment is being filed solely to correct an administrative error associated with the Form 4/A filed by the reporting person on December 17, 2025 (the "December Form 4/A"), which amended a Form 4 filed on December 16, 2025 (the "Original Form 4"). The December Form 4/A was filed in connection with a determination that 208 shares were not transferred by the reporting person by gift on December 15, 2025, which transfer had been included within the total number of shares transferred on such date by gift as reported on the Original Form 4. Following the filing of the December Form 4/A, it was determined that such transfer of 208 shares via gift had in fact been executed on December 15, 2025, and as such this Form 4 amendment is being filed to report that (after taking into account such transfer) 527,918 shares were transferred via gift on December 15, 2025 (as was reported on the Original Form 4), rather than 527,710 shares (as was reported on the December Form 4/A).

2. Reflects the amount of securities directly beneficially owned by the reporting person as of the date hereof.

	/s/ Robert A. Frist, Jr.	02/27/2026
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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