| Tennessee | 000-27701 | 62-1443555 |
| (State or Other Jurisdiction of Incorporation) | (Commission File Number) | (IRS Employer Identification No.) |
| 500 11th Avenue North, Suite 850, Nashville, Tennessee | 37203 | |
| (Address of Principal Executive Offices) | (Zip Code) |
| Title of each Class | Trading Symbol(s) | Name of each exchange on which registered |
| Common Stock (Par Value $0.00) | HSTM | Nasdaq Global Select Market |
| ☐ | Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) | |
| ☐ | Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) | |
| ☐ | Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) | |
| ☐ | Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |
| (1) | The shareholders of the Company elected each of the following three directors in Class II for a term of three years and until their successors are duly elected and qualified: |
| FOR | WITHHELD | BROKER NON VOTES | ||||||||||
| A. Alex Jahangir | 22,452,989 | 2,421,416 | 2,654,245 | |||||||||
| Jeffrey L. McLaren | 14,484,114 | 10,390,291 | 2,654,245 | |||||||||
| Linda Rebrovick | 23,316,490 | 1,557,915 | 2,654,245 | |||||||||
| (2) | The shareholders of the Company ratified the appointment of Ernst & Young LLP as the Company’s independent registered public accounting firm for the fiscal year ending December 31, 2026: |
| FOR | AGAINST | ABSTAIN | BROKER NON VOTES | ||||||||||
| 27,171,627 | 355,926 | 1,097 | 0 | ||||||||||
| (3) | The shareholders of the Company approved a non-binding advisory resolution on the Company’s executive compensation as described in the Proxy Statement (“say-on-pay”): |
| FOR | AGAINST | ABSTAIN | BROKER NON VOTES | ||||||||||
| 23,852,346 | 1,019,058 | 3,001 | 2,654,245 | ||||||||||
| 104 | Cover Page Interactive Data File (the cover page XBRL tags are imbedded in the Inline XBRL document) |
| Date: May 29, 2026 | HealthStream, Inc. | ||
| By: | /s/ Scott A. Roberts | ||
| Scott A. Roberts Chief Financial Officer | |||