STOCK TITAN

HealthStream (HSTM) CEO gains shares via RSU vesting and tax withholding

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

Rhea-AI Filing Summary

HealthStream CEO and Chairman Robert A. Frist Jr. reported routine equity compensation activity involving restricted share units (RSUs). He exercised RSUs to acquire 4,038 shares of common stock at a conversion price of $0.00 per share, reflecting vesting of previously granted awards. To cover tax obligations, 984 shares were withheld at $21.25 per share, a non-market, tax-withholding disposition. After these transactions, his directly held common stock position is 4,051,106 shares. The filing also lists multiple indirect common stock holdings through various family and children’s trusts, which are shown as holdings rather than new open-market trades. Several RSU grants remain subject to multi-year vesting schedules contingent on continued service through dates in 2026–2029.

Positive

  • None.

Negative

  • None.
Insider FRIST ROBERT A JR
Role CEO and Chairman
Type Security Shares Price Value
Exercise Restricted Share Units 356 $0.00 --
Exercise Restricted Share Units 560 $0.00 --
Exercise Restricted Share Units 857 $0.00 --
Exercise Restricted Share Units 2,265 $0.00 --
Exercise Common Stock Holding 4,038 $0.00 --
Tax Withholding Common Stock Holding 984 $21.25 $21K
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: Restricted Share Units — 2,020 shares (Direct); Common Stock Holding — 4,052,090 shares (Direct); Common Stock Holding — 10,000 shares (Indirect, The Carolyn Marie Frist 2005 Vested Trust)
Footnotes (1)
  1. Shares acquired on vesting of restricted share units. Shares withheld for payment of tax liability. Each restricted share unit (RSU) represents the contingent right to receive one share of common stock upon vesting of the unit. The RSUs are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on March 19, 2026, 20% vest on March 19, 2027, 30% vest on March 19, 2028, and the remaining 35% vest on March 19, 2029. Not applicable. The RSUs are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on March 20, 2025, 20% vest on March 20, 2026, 30% vest on March 20, 2027, and the remaining 35% vest on March 20, 2028. The RSUs are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on March 22, 2024, 20% vest on March 22, 2025, 30% vest on March 22, 2026, and the remaining 35% vest on March 22, 2027. The RSUs are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on March 23, 2023, 20% vest on March 23, 2024, 30% vest on March 23, 2025, and the remaining 35% vest on March 23, 2026.
RSU shares exercised 4,038 shares Common stock received from RSU vesting on March 30, 2026
Shares withheld for taxes 984 shares Tax-withholding disposition at $21.25 per share
Tax withholding price $21.25 per share Value used for payment of tax liability via shares
Net shares added 3,054 shares RSU shares received minus tax-withholding shares
Direct common stock holdings 4,051,106 shares Total direct shares following transactions
Children’s GST-Exempt Trust holdings 995,000 shares Indirect common stock holding via 2012 GST-Exempt Trust
Typical RSU vesting tranche 15%, 20%, 30%, 35% Four-year vesting schedule percentages for RSU grants
Restricted Share Units financial
"security_title: "Restricted Share Units" with underlying security title "Common Stock""
Restricted share units (RSUs) are a promise from a company to give an employee or service provider actual shares or cash equal to the shares after certain conditions are met, typically staying with the company for a set time or hitting performance targets. Think of them like a time-locked gift card that becomes usable only after you’ve earned it. For investors, RSUs matter because they align employee incentives with company performance and can increase the number of shares outstanding over time, diluting existing ownership and affecting earnings per share.
tax-withholding disposition financial
"transaction_action: "tax-withholding disposition" for 984 shares at $21.2500"
A tax-withholding disposition is an event or transaction—such as selling or transferring securities, exercising options, or receiving compensation—that triggers a requirement to hold back part of the payment and remit it to tax authorities. It matters to investors because it reduces the cash they receive immediately and can change the timing and amount of taxable income, like a cashier taking a portion of your sale proceeds to pay taxes before you get the rest.
Exercise or conversion of derivative security financial
"transaction_code_description: "Exercise or conversion of derivative security" for RSU entries"
four year vesting schedule financial
"The RSUs are subject to a four year vesting schedule, contingent upon continued service"
contingent right to receive one share financial
"Each restricted share unit (RSU) represents the contingent right to receive one share of common stock"
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)
03/30/2026
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 Holding03/30/2026M4,038(1)A$04,052,090D
Common Stock Holding03/30/2026F984(2)D$21.254,051,106D
Common Stock Holding10,000IThe Carolyn Marie Frist 2005 Vested Trust
Common Stock Holding10,000IThe Eleanor Knox Frist 2005 Vested Trust
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
Restricted Share Units$0(3)03/30/2026M356 (4) (5)Common Stock356$02,020D
Restricted Share Units$0(3)03/30/2026M560 (6) (5)Common Stock560$01,820D
Restricted Share Units$0(3)03/30/2026M857 (7) (5)Common Stock857$01,000D
Restricted Share Units$0(3)03/30/2026M2,265 (8) (5)Common Stock2,265$00D
Explanation of Responses:
1. Shares acquired on vesting of restricted share units.
2. Shares withheld for payment of tax liability.
3. Each restricted share unit (RSU) represents the contingent right to receive one share of common stock upon vesting of the unit.
4. The RSUs are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on March 19, 2026, 20% vest on March 19, 2027, 30% vest on March 19, 2028, and the remaining 35% vest on March 19, 2029.
5. Not applicable.
6. The RSUs are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on March 20, 2025, 20% vest on March 20, 2026, 30% vest on March 20, 2027, and the remaining 35% vest on March 20, 2028.
7. The RSUs are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on March 22, 2024, 20% vest on March 22, 2025, 30% vest on March 22, 2026, and the remaining 35% vest on March 22, 2027.
8. The RSUs are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on March 23, 2023, 20% vest on March 23, 2024, 30% vest on March 23, 2025, and the remaining 35% vest on March 23, 2026.
/s/ Robert A Frist Jr03/30/2026
** 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 activity did HEALTHSTREAM INC (HSTM) report for Robert A. Frist Jr.?

HEALTHSTREAM INC reported that CEO and Chairman Robert A. Frist Jr. exercised restricted share units, receiving 4,038 common shares. These shares came from vesting of existing RSU awards, not open-market purchases, and represent routine equity compensation activity disclosed in a Form 4 filing.

How many HealthStream (HSTM) shares were withheld for taxes in this Form 4?

The Form 4 shows that 984 shares of HealthStream common stock were withheld at $21.25 per share to satisfy tax liabilities. This is a tax-withholding disposition, meaning it is not an open-market sale but a mechanism to pay associated taxes on vested equity.

What is Robert A. Frist Jr.’s direct HealthStream (HSTM) shareholding after these transactions?

After the reported RSU exercises and tax withholding, Robert A. Frist Jr. directly holds 4,051,106 shares of HealthStream common stock. This figure reflects his updated direct ownership position following the vesting-related acquisition of shares and the corresponding tax-withholding share disposition.

How many HealthStream (HSTM) shares did RSU exercises add net of tax withholding?

RSU exercises delivered 4,038 shares, while 984 shares were withheld for taxes, resulting in a net addition of 3,054 shares. This net increase comes from equity awards vesting rather than open-market buying, aligning with typical executive compensation structures.

What vesting schedules apply to Robert A. Frist Jr.’s HealthStream RSUs?

The footnotes state that certain RSU grants vest over four years, contingent on continued service. Typical schedules include 15% vesting in the first year, 20% in the second, 30% in the third, and the remaining 35% in the fourth year on specified March dates.

Does this HealthStream (HSTM) Form 4 include indirect holdings through family trusts?

Yes. The Form 4 lists indirect common stock holdings through multiple trusts, such as the Bobby and Melissa Frist Children’s 2012 GST-Exempt Trust and several 2005 and 2007 family trusts. These entries show existing trust holdings rather than new market transactions.