<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:com="http://www.sec.gov/edgar/common">
<headerData>
<submissionType>144</submissionType>
<filerInfo>
<filer>
<filerCredentials>
<cik>0001249921</cik>
<ccc>XXXXXXXX</ccc>
</filerCredentials>
</filer>
<liveTestFlag>LIVE</liveTestFlag>


</filerInfo>
</headerData>
<formData>
<issuerInfo>
<issuerCik>0001095565</issuerCik>
<issuerName>HealthStream, Inc.</issuerName>
<secFileNumber>000-27701</secFileNumber>
<issuerAddress>
<com:street1>500 11TH AVENUE NORTH</com:street1>
<com:street2>SUITE 1000</com:street2>
<com:city>NASHVILLE</com:city>
<com:stateOrCountry>TN</com:stateOrCountry>
<com:zipCode>37203</com:zipCode>
</issuerAddress>
<issuerContactPhone>615-301-3100</issuerContactPhone>
<nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Pearson, J. Edward</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
<relationshipsToIssuer>
<relationshipToIssuer>Former Officer </relationshipToIssuer>
</relationshipsToIssuer>
</issuerInfo>
<securitiesInformation>
<securitiesClassTitle>Common Stock Holding</securitiesClassTitle>
<brokerOrMarketmakerDetails>
<name>Raymond James</name>
<address>
<com:street1>1033 Demonbreun Street, Suite 500</com:street1>
<com:city>Nashville</com:city>
<com:stateOrCountry>TN</com:stateOrCountry>
<com:zipCode>37203</com:zipCode>
</address>
</brokerOrMarketmakerDetails>
<noOfUnitsSold>5000</noOfUnitsSold>
<aggregateMarketValue>112607.50</aggregateMarketValue>
<noOfUnitsOutstanding>30686568</noOfUnitsOutstanding>
<approxSaleDate>07/31/2023</approxSaleDate>
<securitiesExchangeName>NASDAQ</securitiesExchangeName>
</securitiesInformation>
<securitiesInformation>
<securitiesClassTitle>Common Stock Holding</securitiesClassTitle>
<brokerOrMarketmakerDetails>
<name>Raymond James</name>
<address>
<com:street1>1033 DemonBreun Street, Suite 500</com:street1>
<com:city>Nashville</com:city>
<com:stateOrCountry>TN</com:stateOrCountry>
<com:zipCode>37203</com:zipCode>
</address>
</brokerOrMarketmakerDetails>
<noOfUnitsSold>5000</noOfUnitsSold>
<aggregateMarketValue>112626.50</aggregateMarketValue>
<noOfUnitsOutstanding>30686568</noOfUnitsOutstanding>
<approxSaleDate>08/01/2023</approxSaleDate>
<securitiesExchangeName>NASDAQ</securitiesExchangeName>
</securitiesInformation>
<securitiesInformation>
<securitiesClassTitle>Common Stock Holding</securitiesClassTitle>
<brokerOrMarketmakerDetails>
<name>Raymond James</name>
<address>
<com:street1>1033 Demonbreun Street, Suite 500</com:street1>
<com:city>Nashville</com:city>
<com:stateOrCountry>TN</com:stateOrCountry>
<com:zipCode>37203</com:zipCode>
</address>
</brokerOrMarketmakerDetails>
<noOfUnitsSold>65000</noOfUnitsSold>
<aggregateMarketValue>1461200.00</aggregateMarketValue>
<noOfUnitsOutstanding>30686568</noOfUnitsOutstanding>
<approxSaleDate>08/02/2023</approxSaleDate>
<securitiesExchangeName>NASDAQ</securitiesExchangeName>
</securitiesInformation>
<securitiesToBeSold>
<securitiesClassTitle>Common Stock Holding</securitiesClassTitle>
<acquiredDate>03/17/2022</acquiredDate>
<natureOfAcquisitionTransaction>Stock-based compensation received from HealthStream</natureOfAcquisitionTransaction>
<nameOfPersonfromWhomAcquired>HealthStream, Inc.</nameOfPersonfromWhomAcquired>
<isGiftTransaction>N</isGiftTransaction>
<amountOfSecuritiesAcquired>10627</amountOfSecuritiesAcquired>
<paymentDate>03/17/2022</paymentDate>
<natureOfPayment>Stock-based compensation</natureOfPayment>
</securitiesToBeSold>
<securitiesToBeSold>
<securitiesClassTitle>Common Stock Holding</securitiesClassTitle>
<acquiredDate>03/11/2021</acquiredDate>
<natureOfAcquisitionTransaction>Stock-based compensation received from HealthStream</natureOfAcquisitionTransaction>
<nameOfPersonfromWhomAcquired>HealthStream, Inc.</nameOfPersonfromWhomAcquired>
<isGiftTransaction>N</isGiftTransaction>
<amountOfSecuritiesAcquired>9015</amountOfSecuritiesAcquired>
<paymentDate>03/11/2021</paymentDate>
<natureOfPayment>Stock-based compensation</natureOfPayment>
</securitiesToBeSold>
<securitiesToBeSold>
<securitiesClassTitle>Common Stock Holding</securitiesClassTitle>
<acquiredDate>03/17/2020</acquiredDate>
<natureOfAcquisitionTransaction>Stock-based compensation received from HealthStream</natureOfAcquisitionTransaction>
<nameOfPersonfromWhomAcquired>HealthStream, Inc.</nameOfPersonfromWhomAcquired>
<isGiftTransaction>N</isGiftTransaction>
<amountOfSecuritiesAcquired>7920</amountOfSecuritiesAcquired>
<paymentDate>03/17/2020</paymentDate>
<natureOfPayment>Stock-based compensation</natureOfPayment>
</securitiesToBeSold>
<securitiesToBeSold>
<securitiesClassTitle>Common Stock Holding</securitiesClassTitle>
<acquiredDate>03/20/2018</acquiredDate>
<natureOfAcquisitionTransaction>Stock-based compensation received from HealthStream</natureOfAcquisitionTransaction>
<nameOfPersonfromWhomAcquired>HealthStream, Inc.</nameOfPersonfromWhomAcquired>
<isGiftTransaction>N</isGiftTransaction>
<amountOfSecuritiesAcquired>3479</amountOfSecuritiesAcquired>
<paymentDate>03/20/2018</paymentDate>
<natureOfPayment>Stock-based compensation</natureOfPayment>
</securitiesToBeSold>
<securitiesToBeSold>
<securitiesClassTitle>Common Stock Holding</securitiesClassTitle>
<acquiredDate>01/15/2018</acquiredDate>
<natureOfAcquisitionTransaction>Stock-based compensation received from HealthStream</natureOfAcquisitionTransaction>
<nameOfPersonfromWhomAcquired>HealthStream, Inc.</nameOfPersonfromWhomAcquired>
<isGiftTransaction>N</isGiftTransaction>
<amountOfSecuritiesAcquired>2628</amountOfSecuritiesAcquired>
<paymentDate>01/15/2018</paymentDate>
<natureOfPayment>Stock-based compensation</natureOfPayment>
</securitiesToBeSold>
<securitiesToBeSold>
<securitiesClassTitle>Common Stock Holding</securitiesClassTitle>
<acquiredDate>03/20/2017</acquiredDate>
<natureOfAcquisitionTransaction>Stock-based compensation received from HealthStream</natureOfAcquisitionTransaction>
<nameOfPersonfromWhomAcquired>HealthStream, Inc.</nameOfPersonfromWhomAcquired>
<isGiftTransaction>N</isGiftTransaction>
<amountOfSecuritiesAcquired>3257</amountOfSecuritiesAcquired>
<paymentDate>03/20/2017</paymentDate>
<natureOfPayment>Stock-based compensation</natureOfPayment>
</securitiesToBeSold>
<securitiesToBeSold>
<securitiesClassTitle>Common Stock Holding</securitiesClassTitle>
<acquiredDate>03/18/2016</acquiredDate>
<natureOfAcquisitionTransaction>Stock-based compensation received from HealthStream</natureOfAcquisitionTransaction>
<nameOfPersonfromWhomAcquired>HealthStream, Inc.</nameOfPersonfromWhomAcquired>
<isGiftTransaction>N</isGiftTransaction>
<amountOfSecuritiesAcquired>3444</amountOfSecuritiesAcquired>
<paymentDate>03/18/2016</paymentDate>
<natureOfPayment>Stock-based compensation</natureOfPayment>
</securitiesToBeSold>
<securitiesToBeSold>
<securitiesClassTitle>Common Stock Holding</securitiesClassTitle>
<acquiredDate>03/05/2015</acquiredDate>
<natureOfAcquisitionTransaction>Stock-based compensation received from HealthStream</natureOfAcquisitionTransaction>
<nameOfPersonfromWhomAcquired>HealthStream, Inc.</nameOfPersonfromWhomAcquired>
<isGiftTransaction>N</isGiftTransaction>
<amountOfSecuritiesAcquired>34125</amountOfSecuritiesAcquired>
<paymentDate>03/05/2015</paymentDate>
<natureOfPayment>Stock-based compensation</natureOfPayment>
</securitiesToBeSold>
<securitiesToBeSold>
<securitiesClassTitle>Common Stock Holding</securitiesClassTitle>
<acquiredDate>03/18/2013</acquiredDate>
<natureOfAcquisitionTransaction>Stock-based compensation received from HealthStream</natureOfAcquisitionTransaction>
<nameOfPersonfromWhomAcquired>HealthStream, Inc.</nameOfPersonfromWhomAcquired>
<isGiftTransaction>N</isGiftTransaction>
<amountOfSecuritiesAcquired>505</amountOfSecuritiesAcquired>
<paymentDate>03/18/2013</paymentDate>
<natureOfPayment>Stock-based compensation</natureOfPayment>
</securitiesToBeSold>
<nothingToReportFlagOnSecuritiesSoldInPast3Months>Y</nothingToReportFlagOnSecuritiesSoldInPast3Months>
<noticeSignature>
<noticeDate>08/01/2023</noticeDate>
<signature>/s/ J. Edward Pearson, Jr.</signature>
</noticeSignature>
</formData>
</edgarSubmission>
