Initial Statement of Beneficial Ownership (Form 3)

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940

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(Print or Type Responses)

1. Name and Address of Reporting Person * LoPresto Jennifer Hayes 2. Date of Event Requiring Statement (Month/Day/Year) 01/01/2026 3. Issuer Name and Ticker or Trading Symbol HEALTHSTREAM INC [HSTM] (Last) (First) (Middle) 500 11TH AVENUE NORTH, SUITE 850 4. Relationship of Reporting Person(s) to Issuer (Check all applicable) _____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Senior Vice President 5. If Amendment, Date Original Filed (Month/Day/Year) (Street) NASHVILLE, TN 37203 6. Individual or Joint/Group Filing (Check Applicable Line) _X_ Form filed by One Reporting Person ___ Form filed by More than One Reporting Person (City) (State) (Zip) Table I - Non-Derivative Securities Beneficially Owned

1.Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5) Common Stock Holding 6,056 D

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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Restricted Share Units	(1)	(2)	Common Stock	449	$0(3)	D
Restricted Share Units	(4)	(2)	Common Stock	224	$0(3)	D
Restricted Share Units	(5)	(2)	Common Stock	371	$0(3)	D
Restricted Share Units	(6)	(2)	Common Stock	457	$0(3)	D
Restricted Share Units	(7)	(2)	Common Stock	476	$0(3)	D
Restricted Share Units	(8)	(2)	Common Stock	435	$0(3)	D
Restricted Share Units	(9)	(2)	Common Stock	2,172	$0(3)	D
Restricted Share Units	(10)	(2)	Common Stock	475	$0(3)	D
Restricted Share Units	(11)	(2)	Common Stock	517	$0(3)	D
Restricted Share Units	(12)	(2)	Common Stock	1,880	$0(3)	D
Employee Stock Option (right to buy)	(13)	12/09/2035	Common Stock	5,641	$23.93	D

Reporting Owners

Reporting Owner Name / Address	Relationships
	Director	10% Owner	Officer	Other
LoPresto Jennifer Hayes 500 11TH AVENUE NORTH SUITE 850 NASHVILLE, TN 37203			Senior Vice President

Signatures

/s/ Jennifer H. LoPresto		02/03/2026
**Signature of Reporting Person		Date

Explanation of Responses:

*	If the form is filed by more than one reporting person, see Instruction 5(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).
(1)	The RSUs are subject to a vesting schedule, contingent upon continued service at the time of vesting. 449 RSUs vest on March 23, 2026.
(2)	Not applicable.
(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 vesting schedule, contingent upon continued service at the time of vesting. 224 RSUs vest on October 27, 2026.
(5)	The RSUs are subject to a vesting schedule, contingent upon continued service at the time of vesting. 171 RSUs vest on March 22, 2026 and 200 RSUs vest on March 22, 2027.
(6)	The RSUs are subject to a vesting schedule, contingent upon continued service at the time of vesting. 211 RSUs vest on September 20, 2026 and 246 RSUs vest on September 20, 2027.
(7)	The RSUs are subject to a vesting schedule, contingent upon continued service at the time of vesting. 112 RSUs vest on March 20, 2026, 168 RSUs vest on March 20, 2027, and 196 RSUs vest on March 20, 2028.
(8)	The RSUs are subject to a vesting schedule, contingent upon continued service at the time of vesting. 102 RSUs vest on September 18, 2026, 154 RSUs vest on September 18, 2027, and 179 RSUs vest on September 18, 2028.
(9)	The RSUs are subject to a vesting schedule, contingent upon continued service at the time of vesting. 511 RSUs vest on November 20, 2026, 767 RSUs vest on November 20, 2027, and 894 RSUs vest on November 20, 2028.
(10)	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.
(11)	The RSUs are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on September 24, 2026, 20% vest on September 24, 2027, 30% vest on September 24, 2028, and the remaining 35% vest on September 24, 2029.
(12)	The RSUs are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on December 9, 2026, 20% vest on December 9, 2027, 30% vest on December 9, 2028, and the remaining 35% vest on December 9, 2029.
(13)	The options are subject to a four year vesting schedule, contingent upon continued service at the time of vesting. 15% vest on December 9, 2026, 20% vest on December 9, 2027, 30% vest on December 9, 2028, and the remaining 35% vest on December 9, 2029.

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