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HealthStream Inc (HSTM) CEO receives 18,781 stock options at $23.96 strike

Filing Impact
(Neutral)
Filing Sentiment
(Neutral)
Form Type
4

Rhea-AI Filing Summary

HEALTHSTREAM INC CEO and Chairman Robert A. Frist Jr. reported an equity compensation grant and updated indirect and direct holdings in HealthStream common stock. The filing shows a grant of employee stock options covering 18,781 shares of common stock at an exercise price of $23.96 per share.

The options vest over four years, with 15% on May 8, 2027, 20% on each of May 8, 2028, 2029, and 2030, and the remaining 25% on May 8, 2031, contingent on continued service. After this grant, Frist holds 4,051,106 shares directly, plus several indirect positions through various family and children’s trusts, including 995,000 shares held by the Bobby and Melissa Frist Children’s 2012 GST-Exempt Trust.

Positive

  • None.

Negative

  • None.
Insider FRIST ROBERT A JR
Role CEO and Chairman
Type Security Shares Price Value
Grant/Award Employee Stock Option (right to buy) 18,781 $0.00 --
holding Common Stock Holding -- -- --
holding Common Stock Holding -- -- --
holding Common Stock Holding -- -- --
holding Common Stock Holding -- -- --
holding Common Stock Holding -- -- --
holding Common Stock Holding -- -- --
holding Common Stock Holding -- -- --
holding Common Stock Holding -- -- --
holding Common Stock Holding -- -- --
holding Common Stock Holding -- -- --
Holdings After Transaction: Employee Stock Option (right to buy) — 18,781 shares (Direct, null); Common Stock Holding — 4,051,106 shares (Direct, null); Common Stock Holding — 10,000 shares (Indirect, The Carolyn Marie Frist 2005 Vested Trust)
Footnotes (1)
  1. [object Object]
Option grant size 18,781 options Employee stock option grant on May 8, 2026
Option exercise price $23.96 per share Strike price for 18,781 employee stock options
Option expiration May 8, 2036 Expiration date of granted employee stock options
Direct common shares held 4,051,106 shares Direct ownership following reported transactions
Children’s 2012 GST-Exempt Trust holding 995,000 shares Indirect common stock holding via Bobby and Melissa Frist Children’s 2012 GST-Exempt Trust
Knox Trust holding 18,334 shares Indirect holding via Knox Trust u/a/d 08-16-2007
Louise Trust holding 18,335 shares Indirect holding via Louise Trust u/a/d 08-16-2007
Each 2005 vested trust holding 10,000 shares Indirect holdings via each of three 2005 vested trusts
Employee Stock Option (right to buy) financial
"security_title: "Employee Stock Option (right to buy)""
grant/award acquisition financial
"transaction_action: "grant/award acquisition""
vesting schedule financial
"The options are subject to a four year vesting schedule"
A vesting schedule is a timeline that determines when someone gains full ownership of certain benefits, such as company stock or retirement contributions. Think of it like earning the right to own a gift gradually over time, rather than receiving it all at once. It matters to investors because it affects when they can fully access or sell these benefits, influencing their financial planning and decision-making.
grantor retained annuity trust financial
"nature_of_ownership: "By grantor retained annuity trust (1)""
A grantor retained annuity trust (GRAT) is an estate-planning tool where the person who creates the trust transfers assets into it but receives fixed cash payments (an annuity) from the trust for a set number of years; whatever remains after that term passes to designated beneficiaries. It matters to investors because it can shift future appreciation of assets out of the creator’s taxable estate—like putting an asset into a timed vending machine that pays you fixed amounts while any extra value that grows inside the machine goes to heirs with reduced gift or estate tax consequences.
GST-Exempt Trust financial
"Bobby and Melissa Frist Children's 2012 GST-Exempt Trust"
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SEC Form 4
FORM 4UNITED 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 TENNESSEE 37203

(City)(State)(Zip)

UNITED STATES

(Country)
2. Issuer Name and Ticker or Trading Symbol
HEALTHSTREAM INC [ HSTM ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
XDirectorX10% Owner
XOfficer (give title below)Other (specify below)
CEO and Chairman
2a. Foreign Trading Symbol
3. Date of Earliest Transaction (Month/Day/Year)
05/08/2026
6. Individual or Joint/Group Filing (Check Applicable Line)
XForm filed by One Reporting Person
Form filed by More than One Reporting Person
4. If Amendment, Date of Original Filed (Month/Day/Year)

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)
CodeVAmount(A) or (D)Price
Common Stock Holding4,051,106D
Common Stock Holding10,000IThe Carolyn Marie Frist 2005 Vested Trust
Common Stock Holding10,000IThe Cate Merriman Frist 2005 Vested Trust
Common Stock Holding10,000IThe Eleanor Knox Frist 2005 Vested Trust
Common Stock Holding0IBy grantor retained annuity trust (1)
Common Stock Holding18,335ILouise Trust u/a/d 08-16-2007
Common Stock Holding18,334IMerriman Trust u/a/d 08-16-2007
Common Stock Holding18,334IMarie Trust u/a/d 08-16-2007
Common Stock Holding18,334IKnox Trust u/a/d 08-16-2007
Common Stock Holding995,000IBobby and Melissa Frist Children's 2012 GST-Exempt Trust
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)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Employee Stock Option (right to buy)$23.9605/08/2026A18,781 (1)05/08/2036Common Stock18,781$018,781D
Explanation of Responses:
1. The options are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on May 8, 2027, 20% vest on May 8, 2028, 20% vest on May 8, 2029, 20% vest on May 8, 2030, and the remaining 25% vest on May 8, 2031.
/s/ Robert A. Frist, Jr.05/11/2026
** Signature of Reporting PersonDate
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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
* Form 4: SEC 1474 (03-26)

FAQ

What insider transaction did HEALTHSTREAM INC (HSTM) report for Robert A. Frist Jr.?

HEALTHSTREAM INC reported that CEO and Chairman Robert A. Frist Jr. received an employee stock option grant for 18,781 shares at a $23.96 exercise price, along with updated direct and indirect common stock holdings in multiple family-related trusts.

How many HEALTHSTREAM INC (HSTM) stock options were granted and at what price?

The filing shows a grant of employee stock options covering 18,781 shares of HealthStream common stock, with an exercise price of $23.96 per share. These options are compensation-related and give the right to buy shares at that fixed price in the future.

What is the vesting schedule for the new HEALTHSTREAM INC (HSTM) stock options?

The options vest over several years: 15% on May 8, 2027, 20% on May 8, 2028, 20% on May 8, 2029, 20% on May 8, 2030, and 25% on May 8, 2031, all contingent on continued service at each vesting date.

How many HEALTHSTREAM INC (HSTM) shares does Robert A. Frist Jr. hold directly after this filing?

After the reported transactions, Robert A. Frist Jr. holds 4,051,106 shares of HEALTHSTREAM INC common stock directly. This direct position is separate from additional indirect holdings reported through various trusts associated with him and his family.

What indirect HEALTHSTREAM INC (HSTM) holdings are reported through family trusts?

Indirect holdings include 995,000 shares held by the Bobby and Melissa Frist Children’s 2012 GST-Exempt Trust and several smaller positions, such as 18,334–18,335 shares in multiple 2007 trusts and 10,000-share positions in several 2005 vested trusts.

When do the newly granted HEALTHSTREAM INC (HSTM) options expire?

The employee stock options granted to Robert A. Frist Jr. have an expiration date of May 8, 2036. If not exercised by that date, the right to purchase the underlying 18,781 HealthStream common shares at $23.96 per share will lapse.