Results of Operations and Financial Condition. On November 2, 2026, HealthStream, Inc. (the “Company”) issued a press release announcing results of operations for the third quarter ended September 30, 2026 and updated guidance for the full year 2026, the text of which is set forth in Exhibit 99.1.

Other Events. On November 2, 2026, we announced that our Board of Directors declared a quarterly cash dividend under the Company's dividend policy in the amount of $0.035 per share of the Company’s outstanding common stock, which dividend will be payable on November 27, 2026 to holders of record on November 16, 2026.

The filing discloses the approval of special equity grants to executive officers, which is a compensatory arrangement rather than a change in management personnel.

The Shares issued by the Company pursuant to the Securities Purchase Agreement have not been registered under the Securities Act or any state securities laws and have been issued pursuant to an exemption from registration under Section 4(a)(2) of the Securities Act. The Company relied on this exemption from registration based in part on representations made by the Investor. The Shares may not be offered or sold in the United States by the Investor absent registration or an applicable exemptio…

of this Current Report on Form 8-K, including Exhibit 99.1, is being furnished and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that Section and shall not be deemed to be incorporated by reference into any filing by the Company under the Securities Act, or the Exchange Act, except as shall be expressly set forth by specific reference in such filing. Cautionary Note reg…

Entry into a Material Definitive Agreement. Securities Purchase Agreement On September 11, 2026, HealthStream, Inc., a Tennessee corporation (the “Company”), and Robert A. Frist, Jr., the Chief Executive Officer and Chairman of the Company (the “Selling Shareholder”), entered into a Securities Purchase Agreement (the “Securities Purchase Agreement”) with WJRJJ Ventures, LLC, a Delaware limited liability company (the “Investor”), pursuant to which (i) the Company agreed to issue to the Investo…

Entry into a Material Definitive Agreement On September 10, 2026, HealthStream, Inc., a Tennessee corporation (the “Company”), entered into the Second Amendment to Amended and Restated Revolving Credit Agreement (the “Second Amendment”), dated as of September 10, 2026, by and among the Company, as Borrower, its domestic subsidiaries as Guarantors, certain lenders party thereto from time to time, and Truist Bank, as Administrative Agent, Issuing Bank, and Swingline Lender. The Second Amendment…

Creation of Direct Financial Obligation or an Obligation under an Off-Balance Sheet Arrangement of a Registrant. To the extent applicable, the information set forth above under

Results of Operations and Financial Condition. On August 3, 2026, HealthStream, Inc. (the “Company”) issued a press release announcing results of operations for the second quarter ended June 30, 2026 and updated guidance for the full year 2026, the text of which is set forth in Exhibit 99.1.

Other Events. On August 3, 2026, we announced that our Board of Directors declared a quarterly cash dividend under the Company's dividend policy in the amount of $0.035 per share of the Company’s outstanding common stock, which dividend will be payable on August 28, 2026 to holders of record on August 17, 2026.

Other Events. HealthStream, Inc. (the “Company”) recently detected that the Company had experienced a cybersecurity incident in which an unauthorized third party gained access to a limited portion of files on the Company’s corporate file server as described below. Following such detection, the Company initiated response protocols, launched an investigation, which remains ongoing, engaged the services of cybersecurity and forensics specialists and advisors, and notified certain law enforcement…

Chief Operating Officer and Executive Vice President — Michael M. Collier: Michael M. Collier was promoted to Chief Operating Officer and Executive Vice President.

Results of Operations and Financial Condition. On May 4, 2026, HealthStream, Inc. (the “Company”) issued a press release announcing results of operations for the first quarter ended March 31, 2026 and reaffirming guidance for the full year 2026, the text of which is set forth in Exhibit 99.1.

Other Events. On May 4, 2026, we announced that our Board of Directors declared a quarterly cash dividend under the Company's dividend policy in the amount of $0.035 per share of the Company’s outstanding common stock, which dividend will be payable on May 29, 2026 to holders of record on May 18, 2026.

Entry into a Material Definitive Agreement. On March 13, 2026, HealthStream, Inc., a Tennessee corporation (the “Company”), and Truist Bank, a North Carolina banking corporation (“Truist”), entered into that certain First Amendment to Amended and Restated Revolving Credit Agreement (the “Amendment”), amending the Amended and Restated Revolving Credit Agreement, dated as of October 6, 2023, by and among the Company, the lenders from time to time party thereto, and Truist, as administrative age…

Other Events. On March 13, 2026, the Company issued a press release announcing that the Board of Directors approved a new share repurchase program for the Company authorizing the repurchase of up to $10,000,000 of the Company’s outstanding common stock, no par value. The share repurchase program will terminate on the earlier of September 12, 2026 or when the maximum dollar amount has been expended. A copy of the press release announcing the share repurchase program is filed as Exhibit 99.1 to…

Other Events. On February 23, 2026, we announced that our Board of Directors declared a quarterly cash dividend under the Company's dividend policy in the amount of $0.035 per share of the Company’s outstanding common stock, which dividend will be payable on March 20, 2026 to holders of record on March 9, 2026.

Results of Operations and Financial Condition. On February 23, 2026, HealthStream, Inc. (the “Company”) issued a press release announcing results of operations for the fourth quarter and full year ended December 31, 2025 and provided guidance for the full year 2026, the text of which is set forth in Exhibit 99.1.

Other Events On December 15, 2025, HealthStream, Inc., a Tennessee corporation (the “Company”), issued a press release announcing the Company’s acquisition of MissionCare Collective LLC, a healthcare workforce company. A copy of the press release is filed as Exhibit 99.1 and is incorporated by reference herein.

Other Events. On November 11, 2025, HealthStream, Inc. (the “Company”) issued a press release announcing that the Board of Directors approved a new share repurchase program for the Company authorizing the repurchase of up to $10,000,000 of the Company’s outstanding common stock, no par value. The share repurchase program will terminate on the earlier of February 26, 2026 or when the maximum dollar amount has been expended. A copy of the press release announcing the share repurchase program is…

Other Events. On November 3, 2025, we announced that our Board of Directors declared a quarterly cash dividend under the Company's dividend policy in the amount of $0.031 per share of the Company’s outstanding common stock, which dividend will be payable on November 28, 2025 to holders of record on November 17, 2025.

Results of Operations and Financial Condition. On November 3, 2025, HealthStream, Inc. (the “Company”) issued a press release announcing results of operations for the third quarter ended September 30, 2025 and updated guidance for the full year 2025, the text of which is set forth in Exhibit 99.1.

Other Events On October 8, 2025, HealthStream, Inc., a Tennessee corporation (the “Company”), issued a press release announcing the Company’s acquisition of Virsys12, LLC, a Tennessee limited liability company. A copy of the press release is filed as Exhibit 99.1 and is incorporated by reference herein.

Results of Operations and Financial Condition. On August 4, 2025, HealthStream, Inc. (the “Company”) issued a press release announcing results of operations for the second quarter ended June 30, 2025 and updated guidance for the full year 2025, the text of which is set forth in Exhibit 99.1.

Other Events. On August 4, 2025, we announced that our Board of Directors declared a quarterly cash dividend under the Company's dividend policy in the amount of $0.031 per share of the Company’s outstanding common stock, which dividend will be payable on August 29, 2025 to holders of record on August 18, 2025.