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Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
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Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
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Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
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Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
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Exhibit
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Description
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10.1*
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99.1*
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104
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Cover Page Interactive Data File (embedded within the Inline XBRL document).
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HealthStream, Inc.
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Date: March 13, 2026
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By:
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/s/ Scott A. Roberts
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Scott A. Roberts
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Chief Financial Officer and Senior Vice President
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Exhibit 10.1
FIRST AMENDMENT TO AMENDED AND RESTATED REVOLVING CREDIT AGREEMENT
THIS FIRST AMENDMENT TO AMENDED AND RESTATED REVOLVING CREDIT AGREEMENT (the “Amendment”) is entered into by and between HEALTHSTREAM, INC., a Tennessee corporation (the “Borrower”), and TRUIST BANK, a North Carolina banking corporation, in its capacity as Administrative Agent, as the Issuing Bank, as the Swingline Lender, and as a Lender (the “Administrative Agent”), dated this 13th day of March, 2026.
RECITALS:
A. Borrower, and Truist Bank in its capacities as the Administrative Agent, the Issuing Bank, the Swingline Lender, and as a Lender, previously entered into that certain Amended and Restated Revolving Credit Agreement dated October 6, 2023 (the “Credit Agreement”). Capitalized terms used in this Amendment but not otherwise defined in this Amendment shall have the meanings set forth in the Credit Agreement.
B. Borrower has requested that Administrative Agent modify certain terms pertaining to the indebtedness underlying the Credit Agreement.
C. The Administrative Agent is willing to enter into the requested modifications, on the terms set forth herein.
NOW, THEREFORE, in consideration of the premises and for other good and valuable consideration, the receipt and adequacy of which is hereby acknowledged, the Borrower and the Administrative Agent agree as follows:
1. Section 7.5 of the Credit Agreement is hereby amended and restated to provide as follows:
Section 7.5. Restricted Payments. The Borrower will not, and will not permit any of its Subsidiaries to, declare or make, or agree to pay or make, directly or indirectly, any Restricted Payment, except:
(a) dividends payable by the Borrower solely in interests of any class of its common equity;
(b) Restricted Payments made by any Subsidiary to the Borrower or to another Subsidiary, on at least a pro rata basis with any other shareholders if such Subsidiary is not wholly owned by the Borrower and other wholly owned Subsidiaries of the Borrower;
(c) Restricted Payments, which, after giving effect thereto, do not increase the Borrower’s pro forma Leverage Ratio above 1.50:1.00, provided no Default or Event of Default shall have occurred and be continuing at the time such Restricted Payment is paid or would occur as a result of such payment;
(d) any stock repurchases made by Borrower pursuant to the share repurchase program of Borrower disclosed on September 13, 2023, authorizing the repurchase of up to $10,000,000.00 of Borrower’s common stock (as such program may be amended or extended from time to time), but only to the extent that stock repurchases under such program do not exceed $10,000,000.00;
(e) Restricted Payments disclosed on Schedule II hereto; and
(f) other Restricted Payments in an aggregate amount not exceeding $50,000,000.00, provided no Default or Event of Default shall have occurred and be continuing at the time such Restricted Payment is paid or would occur as the result of such payment;
2. A new Schedule II is hereby added to the Credit Agreement, as set forth in the exhibit attached hereto.
3. The Credit Agreement is not amended in any other respect.
4. Nothing contained herein shall be construed as a waiver or release of any term or obligation of Borrower or any other party under the Credit Agreement.
5. This Amendment is intended to be performed in accordance with and to the extent permitted by all applicable laws, ordinances, rules and regulations. If any provision of this Amendment, or the application thereof to any person or circumstance shall, for any reason and to any extent, be invalid or unenforceable, the remainder of this Amendment and the application of such provision to other persons or circumstances, shall not be affected thereby but rather shall be enforced to the fullest extent permitted by law. This Amendment may be executed in more than one counterpart, all of which, taken together, shall constitute one and the same instrument. The executed Amendment may be sent via e-mail, via PDF or via facsimile. Facsimile or electronic signatures shall be deemed valid and binding to the same extent as an original signature.
6. The Borrower reaffirms all of its obligations under the Credit Agreement, as amended hereby, and under all of the other Loan Documents. The Borrower agrees that its obligations thereunder are its true and lawful obligations, enforceable in accordance with their terms, subject to no defense, counterclaim, or objection.
[Remainder of page left blank. Signature pages follow.]
[SIGNATURE PAGE TO FIRST AMENDMENT TO AMENDED AND RESTATED REVOLVING CREDIT AGREEMENT]
ENTERED INTO as of the date first above written.
HEALTHSTREAM, INC., a Tennessee corporation
By: /s/ Scott A. Roberts
Name: Scott A. Roberts
Title: Chief Financial Officer
and Senior Vice President
STATE OF TENNESSEE )
)
COUNTY OF RUTHERFORD )
Before me, Mariah Ferguson, a Notary Public of said County and State, personally appeared SCOTT A. ROBERTS, with whom I am personally acquainted (or proved to me on the basis of satisfactory evidence), and who, upon oath, acknowledged himself to be Chief Financial Officer and Senior Vice President (or other officer authorized to execute the instrument) of HEALTHSTREAM, INC., a Tennessee corporation, the within named bargainor, a corporation, and that he as such Chief Financial Officer and Senior Vice President executed the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself as Chief Financial Officer and Senior Vice President.
Witness my hand and official seal, at Office in Murfreesboro, Tennessee, this 13th day of March, 2026.
/s/ Mariah Ferguson
Notary Public
My Commission expires: March 18, 2028
[SIGNATURE PAGE TO FIRST AMENDMENT TO AMENDED AND RESTATED REVOLVING CREDIT AGREEMENT]
TRUIST BANK, successor by merger to SunTrust Bank, as the Administrative Agent, as the Issuing Bank, Swingline Lender, and as a Lender
By: /s/ Tim Conway
Name: Tim Conway
Title: Vice President
SCHEDULE II
Existing Restricted Payments
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PAYEE |
DATE |
AMOUNT |
DESCRIPTION |
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Common stock cash dividend |
Dec-23 |
$757,350 |
Quarterly cash dividend |
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Common stock cash dividend |
Mar-24 |
$848,832 |
Quarterly cash dividend |
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Common stock cash dividend |
May-24 |
$851,141 |
Quarterly cash dividend |
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Common stock cash dividend |
Aug-24 |
$851,427 |
Quarterly cash dividend |
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Common stock cash dividend |
Nov-24 |
$851,928 |
Quarterly cash dividend |
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Common stock cash dividend |
Mar-25 |
$944,078 |
Quarterly cash dividend |
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Common stock cash dividend |
May-25 |
$946,283 |
Quarterly cash dividend |
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Share repurchases |
May-25 |
$11,094,372 |
Publicly announced share repurchase program |
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Share repurchases |
Jun-25 |
$7,013,708 |
Publicly announced share repurchase program |
|
Share repurchases |
Jul-25 |
$6,891,813 |
Publicly announced share repurchase program |
|
Common stock cash dividend |
Aug-25 |
$918,877 |
Quarterly cash dividend |
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Common stock cash dividend |
Nov-25 |
$919,712 |
Quarterly cash dividend |
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Share repurchases |
Nov-25 |
$2,499,964 |
Publicly announced share repurchase program |
|
Share repurchases |
Dec-25 |
$2,499,961 |
Publicly announced share repurchase program |
|
Share repurchases |
Jan-26 |
$4,999,897 |
Publicly announced share repurchase program |
Exhibit 99.1

P R E S S R E L E A S E
| For Immediate Release: |
Contact: Mollie Condra, Ph.D. Head, Investor Relations & Communications HealthStream (615)-301-3237 mollie.condra@healthstream.com |
HealthStream Announces Share Repurchase Program
NASHVILLE, Tennessee (March 13, 2026) – HealthStream (Nasdaq: HSTM), a leading healthcare technology platform company for clinical workforce solutions, today announced that its Board of Directors has approved a new share repurchase program for the Company’s common stock, under which the Company may repurchase up to $10 million of outstanding shares of common stock.
Pursuant to the authorization, repurchases may be made from time to time in the open market, including under Rule 10b5-1 plans, through privately negotiated transactions, or otherwise. In addition, any repurchases under the authorization will be subject to prevailing market conditions, liquidity and cash flow considerations, applicable securities laws requirements (including under Rule 10b-18 and Rule 10b5-1 of the Securities Exchange Act of 1934, as applicable), and other factors. The share repurchase program will terminate on the earlier of September 12, 2026 or when the maximum dollar amount has been expended. The share repurchase program does not require the Company to acquire any amount of shares and may be suspended, modified, or discontinued at any time.
About HealthStream
HealthStream (Nasdaq: HSTM) is the healthcare industry’s largest ecosystem of platform-delivered clinical workforce solutions that empowers healthcare professionals to do what they do best: deliver excellence in patient care. For more information, visit http://www.healthstream.com or call 615-301-3100.
This press release contains forward-looking statements that involve risks and uncertainties regarding HealthStream. This information has been included in reliance on the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1995. The Company cautions that forward-looking statements involve known and unknown risks, uncertainties, and other factors that may cause actual results or events to be materially different from results or events implied by forward-looking statements, including as a result of the risks disclosed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2025, filed on February 27, 2026, and in the Company’s other filings with the Securities and Exchange Commission from time to time. Many of the factors that will impact future results or events are beyond the ability of the Company to control or predict. Readers should not place undue reliance on forward-looking statements, which reflect management’s views only as of the date hereof. The Company undertakes no obligation to update or revise any such forward-looking statements.
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