12 unchanged sentences
Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
+Added: As discussed above, we completed the acquisition of Virsys12, LLC on October 8, 2025 and MissionCare Collective, LLC on December 15, 2025.
+Added: We are continuing the process of analyzing the systems of internal control over financial reporting of these acquired businesses and integrating them within our broader framework of controls.
+Added: In accordance with the SEC’s rules which allow us to exclude these acquired businesses from our internal controls assessment in respect of periods ending on or prior to the first anniversary of the completion of any such acquisition, and taking into account the proximity of the closing dates of these acquisitions to our internal controls assessment date of December 31, 2025, we have excluded these acquired businesses from management’s assessment of the effectiveness of internal control over financial reporting as of December 31, 2025.
+Added: The assets of Virsys12 as of December 31, 2025 represented approximately 2.8% of our total consolidated assets as of such date, and the net revenues of the Virsys12 during the year ended December 31, 2025 represented approximately 0.4% of our consolidated net revenues during our fiscal year ended December 31, 2025.
+Added: The assets of MissionCare as of December 31, 2025 represented approximately 7.2% of our total consolidated assets as of such date, and the net revenues of MissionCare during the year ended December 31, 2025 represented approximately 0.1% of our consolidated net revenues during our fiscal year ended December 31, 2025.
+Added: We plan to complete the integration of these acquired businesses within our broader framework of internal controls during 2026 and include these acquired businesses within management’s assessment of our internal control over financial reporting in our next annual report on Form 10-K.
Management assessed the effectiveness of the Company’s internal control over financial reporting as of December 31, 2025.
28 unchanged sentences
(a)(3) Exhibits
−Removed: Equity Purchase Agreement, dated November 25, 2020, by and among HSTM Max Holdings, Inc., Change Healthcare Holdings, LLC, Change Healthcare Technologies, LLC and Change Healthcare Ireland Limited.
Fourth Amended and Restated Charter of HealthStream, Inc.
50 unchanged sentences
Amended and Restated Credit Agreement, dated October 6, 2023, by and among the several banks and other financial institutions and lenders from time to time party thereto and Truist Bank, as administrative agent
+Added: Contribution Agreement dated as of December 3, 2025 between HealthStream, Inc.
+Added: and Robert A.
+Added: Form of HealthStream, Inc.
+Added: Non-Qualified Stock Option Agreement under 2022 Omnibus Incentive Plan
HealthStream, Inc.
+Added: 2026 Cash Incentive Bonus Plan
+Added: HealthStream, Inc.
Insider Trading Policy
25 unchanged sentences
Incorporated by reference from exhibit filed on our Quarterly Report on Form 10-Q, for the quarterly period ended March 31, 2023, filed with the SEC on April 27, 2023.
−Removed: Incorporated by reference from exhibit filed on our Quarterly Report on Form 10-Q, for the quarterly period ended June 30, 2024, filed with the SEC on July 25, 2024.
+Added: Incorporated by reference from exhibit filed on our Quarterly Report on Form 10-Q, for the quarterly period ended March 31, 2025, filed with the SEC on May 9, 2025.
Incorporated by reference from exhibit filed on our Current Report on Form 8-K, dated May 31, 2016.
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Incorporated by reference from exhibit filed on our Current Report on Form 8-K, dated October 6, 2023.
+Added: Incorporated by reference from exhibit filed on our Annual Report on Form 10-K, for the year ended December 31, 2024, filed with the SEC on February 28, 2025.
Form 10-K Summary
11 unchanged sentences
(Principal Financial and Accounting Officer)
−Removed: /s/ THOMPSON DENT
+Added: /s/ THOMPSON S.
February 26, 2026
−Removed: Thompson Dent
−Removed: /s/ FRANK GORDON
February 26, 2026
7 unchanged sentences
Linda Rebrovick
−Removed: /s/ ALEX JAHANGIR
+Added: ALEX JAHANGIR
February 26, 2026
Alex Jahangir
−Removed: /s/ WILLIAM STEAD
+Added: /s/ CHARLES E.
February 26, 2026
−Removed: William Stead
/s/ DEBORAH TAYLOR TATE
2 unchanged sentences
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.