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HEALTHSTREAM INC

For the period ended May 28, 2026. Filed Apr 10, 2026.

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About this filing

What shareholders are asked to vote on at a company's meeting. It is where to find what directors and top executives are paid, and who owns the most shares.

May 28, 2026 · Filed Apr 10, 2026

HSTM$28.89-2.4%Stored close · as of Nov 6, 2026
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Contents

Pay Versus Performance

As required by Section 953(a) of the Dodd-Frank Wall Street Reform Act and Consumer Protection Act and Regulation S-K, we are providing the following information about the relationship between executive compensation actually paid to executive officers of the Company and the Company’s financial performance.

A.Required Tabular Disclosure of Compensation Actually Paid versus Performance

The following table discloses information on "compensation actually paid" or "CAP" (as determined pursuant to SEC rules) to our principal executive officer ("PEO") and (on average) to our other Named Executive Officers ("non-PEO NEOs") during the specified years alongside total shareholder return and net income, as well as the Company-selected measure of Company adjusted EBITDA, as defined under the 2025 Cash Incentive Bonus Plan ("2025 Incentive Plan Company Adjusted EBITDA"). The Company selected this measure as the most important in linking compensation actually paid to our Named Executive Officers for 2025 to Company performance by virtue of the fact that the 2025 Cash Incentive Bonus Plan was a key component of our 2025 executive compensation program, and 2025 Incentive Plan Company Adjusted EBITDA was the primary metric for determining achievement under the 2025 Cash Incentive Bonus Plan for all of our Named Executive Officers.

Value of initial fixed $100 investment based on (3):
Year (1)Summary compensation table total for PEOCompensation actually paid to PEO (2)Average summary compensation table total for non-PEO NEOsAverage compensation actually paid to non-PEO NEOs (2)Total shareholder returnPeer group total shareholder return (Dow Jones US Software TSM)Net Income (4)Company-selected measure: Adjusted EBITDA (5)
2025868,037715,4211,024,881825,997106.97180.4218,342,00071,740,000
2024702,131786,546820,457927,914146.79165.1820,007,00066,726,000
2023727,109787,761795,497853,601124.27140.2415,213,00061,295,000
2022749,901735,100811,303787,891113.7488.0412,091,00053,192,000
2021641,950714,120746,776827,431120.70131.755,845,00052,315,000
(1)Non-PEO NEOs in the table above include the following individuals: for 2021, J. Edward Pearson, Michael Sousa, Scott A. Roberts, and Kevin P. O'Hara; for 2022, J. Edward Pearson, Michael Sousa, Scott A. Roberts, and Trisha L. Coady; for 2023, Michael Sousa, Michael M. Collier, Scott A. Roberts, and Trisha L. Coady; for 2024, Michael Sousa, Michael M. Collier, Kevin P. O'Hara, and Scott A. Roberts, and for 2025, Scott A. Roberts, Michael M. Collier, Kevin P. O'Hara, and Trisha L. Coady. Our principal executive officer for each of the years set forth above was Robert A. Frist, Jr.
(2)Adjustments made to calculate "compensation actually paid" pursuant to the SEC rules to our principal executive officer for the years set forth below are as follows:
PEO20252024202320222021
Total Compensation in SCT868,037702,131727,109749,901641,950
Less: Grant date value of stock awards and option awards reported in SCT(304,526)(150,020)(150,006)(205,336)(131,548)
Plus: Year-end value of awards granted during the year that are outstanding and unvested as of year-end265,569170,448172,235240,128150,700
Plus/(less): Change in fair value, from prior year-end to year-end, of awards granted in a prior year that are outstanding and unvested as of year-end(105,476)65,34930,524(15,580)44,436
Plus/(less): Change in value, from prior year-end to vesting date, of awards granted in a prior year that vested during the year(8,183)(1,362)7,899(34,013)8,582
Less: Prior year-end value of awards granted in a prior year that failed to vest during the year—————
Total Adjustments(152,616)84,41560,652(14,801)72,170
Compensation Actually Paid715,421786,546787,761735,100714,120

Adjustments made to calculate “compensation actually paid” pursuant to the SEC rules to our named executive officers (other than our principal executive officer) on average for the years set forth below are as follows:

Average of Non-PEO NEOs20252024202320222021
Total Compensation in SCT1,024,881820,457795,497811,303746,776
Less: Grant date value of stock awards and option awards reported in SCT(507,164)(326,717)(286,382)(343,069)(316,719)
Plus: Year-end value of awards granted during the year that are outstanding and unvested as of year-end409,687380,590310,886273,103359,083
Plus/(less): Change in fair value, from prior year-end to year-end, of awards granted in a prior year that are outstanding and unvested as of year-end(93,055)61,53126,078115,13229,252
Plus/(less): Change in value, from prior year-end to vesting date, of awards granted in a prior year that vested during the year(8,352)(7,947)7,522(68,578)9,039
Less: Prior year-end value of awards granted in a prior year that failed to vest during the year—————
Total Adjustments(198,884)107,45758,104(23,412)80,655
Compensation Actually Paid825,997927,914853,601787,891827,431
(3)Pursuant to SEC rules, the TSR figures assume an initial investment of $100 on December 31, 2020 in our stock and the Dow Jones US Software TSM index. The Dow Jones US Software TSM index was the index that was disclosed in our performance graph in Part II, Item 5 of the Company’s Annual Report on Form 10-K for the year ended December 31, 2025, filed on February 27, 2026 pursuant to Item 201(e) of Regulation S-K.
(4)Reflects after-tax net income prepared in accordance with GAAP for each of the years shown above.
(5)Adjusted EBITDA as defined under the Company’s 2025 cash incentive bonus plan, or 2025 Incentive Plan Company Adjusted EBITDA, equals the Company’s consolidated adjusted EBITDA for the year ended December 31, 2025 as publicly disclosed by the Company, subject to the following adjustments: (i) excluding acquisition-related expenses incurred during the year to the extent such expenses were in excess of the amount originally allocated to such purpose in the Company's 2025 budget, and (ii) excluding the impact on adjusted EBITDA from acquisitions and divestitures consummated during the year. For purposes of clarity, the calculation of consolidated adjusted EBITDA as publicly disclosed by the Company, as well as 2025 Incentive Plan Company Adjusted EBITDA, takes into account any bonus amounts payable by the Company under the 2025 Cash Incentive Bonus Plan. For additional information regarding this measure, see "Compensation Discussion and Analysis" above. In addition, see Appendix A for additional information regarding adjusted EBITDA as publicly disclosed by the Company, including a reconciliation of adjusted EBITDA for the year ended December 31, 2025, to the most comparable GAAP measure, net income.
B.Required Tabular Disclosure of Most Important Measures Linking Compensation Actually Paid During 2025 to Company Performance

Listed below are the performance measures which in our assessment represent the most important financial performance measures (as defined by SEC rules) we used to link compensation actually paid to our Named Executive Officers for 2025 to the Company's performance.

2025 Most Important Financial Performance Measures

●2025 Incentive Plan Adjusted EBITDA (as calculated under the 2025 Cash Incentive Bonus Plan)
●2025 Incentive Plan Revenue Growth Percentage Rate (as calculated under the 2025 Cash Incentive Bonus Plan)
●2025 RSU Company Adjusted EBITDA (as calculated per the performance criteria established by the Compensation Committee under the 2022 Plan)

See "Compensation Discussion and Analysis" above, including under “Cash Bonuses” and “Long-Term Stock-Based Incentive Compensation,” for additional information regarding how we utilized these performance measures in connection with determining compensation paid to our Named Executive Officers during 2025. In addition, see Appendix A for additional information regarding adjusted EBITDA as publicly disclosed by the Company, including a reconciliation of adjusted EBITDA for the year ended December 31, 2025 to the most comparable GAAP measure, net income.

C.Required Disclosure of the Relationship Between Compensation Actually Paid and Financial Performance Measures

The following graphs illustrate the relationship between the pay and performance figures that are included in the pay versus performance tabular disclosure above. In addition, the first graph below further illustrates the relationship between Company total shareholder return and cumulative total shareholder returns of the Dow Jones US Software TSM index. As noted above, “compensation actually paid” for purposes of the tabular disclosure and the following graphs were calculated in accordance with the SEC rules and may not fully represent the actual final amount of compensation earned by or actually paid to our Named Executive Officers during the applicable years.

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