Financial Data and Key Metrics Changes - For Q4 2020, revenues were $61.8 million, down 1% year-over-year, while operating income decreased by 66% to $1.1 million [20][25] - Income from continuing operations was $0.9 million, down 74%, and EPS from continuing operations was $0.03 per diluted share, down from $0.11 [20][25] - Adjusted EBITDA was $10.7 million, a decline of 4% [20][25] - Cash flows from operations were $35.9 million, down from $65.7 million the previous year, primarily due to lower cash receipts from legacy resuscitation products [26] Business Line Data and Key Metrics Changes - Workforce Solutions segment revenues totaled $49.7 million, down 2% year-over-year, while revenues from legacy resuscitation products declined by $5.7 million [22] - Revenues from the American Red Cross simulation suite program contributed positively to Q4 revenue growth [23] - Provider Solutions segment revenues were $12.1 million, growing by 3% year-over-year, mainly due to the acquisition of CredentialMyDoc [23] Market Data and Key Metrics Changes - The company signed over 180 new contracts for the Red Cross Suite in 2020, indicating strong market acceptance [14] - Approximately 345 customer accounts were contracted for the Verity hStream application suite, showing significant adoption [16] - The company added approximately 380,000 net new hStream subscriptions, bringing the total to approximately 4.2 million [17] Company Strategy and Development Direction - The company aims for organic high single-digit revenue growth rates and a gross margin profile of approximately 65% by 2022 [10][11] - The focus is on transitioning from legacy resuscitation products to new offerings, including the Red Cross Resuscitation Suite and Verity hStream [13][18] - The company plans to invest in R&D and acquisitions to enhance its technology platform and maintain a competitive edge [12][30] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about a gradual return to normalcy in hospital operations as vaccination rates increase [62][64] - The company anticipates that customer purchasing decisions will improve as healthcare providers adapt to operating under COVID-19 conditions [63] - There is confidence in achieving revenue growth despite the challenges posed by the pandemic and the decline in legacy product revenues [57] Other Important Information - The company completed several acquisitions, including ShiftWizard, ANSOS, and myClinicalExchange, which are expected to enhance its service offerings [21][39] - The company ended the year with $46.5 million in cash and investments and renewed its revolving credit facility [34] - The company received two patents for its next-generation clinical solutions, indicating ongoing innovation [37][38] Q&A Session Summary Question: Can you elaborate on the 2022 outlook and specific drivers for growth? - Management highlighted confidence in achieving high single-digit organic growth due to successful adoption of the Red Cross Resuscitation Suite and the new Jane platform [50][52] Question: How are hospital purchasing conversations changing as the pandemic evolves? - Management noted that hospitals are learning to operate under both COVID-19 and traditional service models, leading to a gradual return to normal operations [62][63] Question: Will the sales cycle shorten with the new platforms? - Management refrained from projecting a shorter sales cycle due to ongoing uncertainties but noted that as the hStream architecture matures, it may facilitate quicker product launches [65] Question: Should we expect three different segments in financial modeling? - Management indicated that for the near future, the company will maintain its current segment structure but aims for a unified platform approach in the long term [69]

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended September 30, 2020 ☐ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant as specified in its charter) Indicate by check mark whether the registrant is a large accelerated filer, an acce ...

Financial Data and Key Metrics Changes - Revenues for Q3 2020 decreased by 3% or $1.6 million to $60.9 million compared to the prior year [24] - Operating income fell by 16% to $3.1 million, while income from continuing operations dropped by 24% to $2.6 million [24] - Adjusted EBITDA from continuing operations decreased by 3% to $11.1 million [24] - Gross margin improved to 61.7% from 59.4% in the prior year, attributed to a favorable revenue mix [26] Business Line Data and Key Metrics Changes - Workforce Solutions segment revenues totaled $49.2 million, down 4% or $1.8 million year-over-year [25] - Revenues from legacy resuscitation products declined by $3.7 million, while revenues from other workforce products increased by $1.9 million or 5% [25] - Provider Solutions segment revenues grew by 2% to $11.7 million, primarily due to the acquisition of CredentialMyDoc [25] Market Data and Key Metrics Changes - The pandemic has led to a significant increase in COVID-19 cases, impacting healthcare organizations and consequently the company's business [7][10] - Nearly three-fourths of hospital executives reported concerns about financial viability without effective treatment or vaccine for COVID-19 [13] Company Strategy and Development Direction - The company announced the acquisition of ShiftWizard, enhancing its portfolio in workforce management solutions [5][32] - The strategy includes transitioning sales and marketing efforts to higher-margin products and platforms, such as the Red Cross Resuscitation Suite and VerityStream [15][17] - The company aims to leverage data across its applications to enhance service delivery and operational efficiency [56] Management's Comments on Operating Environment and Future Outlook - Management noted that while sales have slowed, they have not stopped, with customers adapting to virtual sales and implementation [12] - The company expects continued impacts from COVID-19 on sales volumes and purchasing decisions, particularly in the fourth quarter [36] - There is cautious optimism regarding future sales activities, with a focus on maintaining operational stability [37] Other Important Information - The company ended the quarter with approximately $150 million in cash and investments, maintaining a solid balance sheet with no debt [40] - A share repurchase program of up to $30 million was authorized, with $16.3 million repurchased through Q3 [31] Q&A Session Summary Question: Can you provide insights on sales cycle activity and demand environment? - Management indicated that while there has been a deferral in some elective product purchases, the sales pipeline remains strong with new sales in the Red Cross resuscitation suite [48] Question: What is the outlook for gross margins? - Management attributed gross margin fluctuations to revenue mix and noted that supplemental payroll payments impacted costs [50][51] Question: How do you envision integrating ShiftWizard with existing platforms? - The company plans to leverage the strengths of NurseGrid and ShiftWizard to enhance scheduling capabilities and connect them through the hStream platform [56] Question: What are the trends in contract renewals and pricing? - Pricing remains steady, with bundling services providing additional value, while unit pricing for core products is competitive [68] Question: How is employment trending among clients? - There has been a return of furloughed employees, with growth observed in certain healthcare sectors, indicating a positive employment trend [69]

(Mark One) ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q For the quarterly period ended June 30, 2020 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant as specified in its charter) Tennessee 62-1443555 (State or other jurisdiction of incorporation or organization) 500 11th Avenue North , Suite 1000, Nashville, Tennessee 37203 (Address of principal executive ...

HealthStream, Inc. (NASDAQ:HSTM) Q2 2020 Earnings Conference Call July 28, 2020 9:00 AM ET Company Participants Mollie Condra - Vice President, Investor Relations & Communications Robert Frist, Jr. - Chief Executive Officer & Chairman Scotty Roberts - Chief Financial Officer & Senior Vice President Conference Call Participants Jared Haase - William Blair Matthew Hewitt - Craig-Hallum Richard Close - Canaccord Genuity Vincent Colicchio - Barrington Research Operator Ladies and gentlemen, thank you for standi ...

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 For the quarterly period ended March 31, 2020 ☐ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Commission File No.: 000-27701 HealthStream, Inc. (Exact name of registrant as specified in its charter) Tennessee 62-1443555 (State or other jurisdiction of incorporation or organization) 500 ...

HealthStream, Inc. (NASDAQ:HSTM) Q1 2020 Earnings Conference Call April 28, 2020 9:00 AM ET Company Participants Mollie Condra - Vice President Investor Relations and Communications Robert Frist, Jr. - CEO and Chairman Scotty Roberts - CFO and Senior Vice President Conference Call Participants Matt Hewitt - Craig Hallum Ryan Daniels - William Blair Richard Close - Canaccord Genuity Vincent Colicchio - Barrington Research Operator Ladies and gentlemen, thank you for standing by, and welcome to the HealthStre ...

Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K ☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED DECEMBER 31, 2019 OR ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM TO Commission File Number 000-27701 HEALTHSTREAM, INC. (Exact name of registrant as specified in its charter) incorporation or organization) Tennessee 62-14 ...

HealthStream, Inc. (NASDAQ:HSTM) Q4 2019 Results Conference Call February 19, 2020 9:00 AM ET Company Participants Mollie Condra - Vice President Investor Relations and Communications Robert A. Frist, Jr. - CEO and Chairman Scotty Roberts - CFO and Senior Vice President Conference Call Participants Ryan Daniels - William Blair Matt Hewitt - Craig Hallum Andrew Cooper - Raymond James Vincent Colicchio - Barrington Research Operator Ladies and gentlemen, thank you for standing by, and welcome to the HealthStr ...

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 (Exact name of registrant as specified in its charter) ☐ Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 (Mark One) Commission File No.: 000-27701 ☒ Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 HealthStream, Inc. FORM 10-Q For the quarterly period ended September 30, 2019 Tennessee 62-1443555 (State or other jurisdiction of incorporation or organization) ...