<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:com="http://www.sec.gov/edgar/common">
  <!-- Generated by Workiva -->
  <headerData>
    <submissionType>144</submissionType>
    <filerInfo>
      <filer>
        <filerCredentials>
          <cik>0001780980</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>



    </filerInfo>
  </headerData>
  <formData>
    <issuerInfo>
      <issuerCik>0001636422</issuerCik>
      <issuerName>Health Catalyst, Inc.</issuerName>
      <secFileNumber>001-38993</secFileNumber>
      <issuerAddress>
        <com:street1>10897 S River Front Pkwy #100</com:street1>
        <com:city>South Jordan</com:city>
        <com:stateOrCountry>UT</com:stateOrCountry>
        <com:zipCode>84095</com:zipCode>
      </issuerAddress>
      <issuerContactPhone>8553096800</issuerContactPhone>
      <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Daniel Burton</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Officer</relationshipToIssuer>
      </relationshipsToIssuer>
    </issuerInfo>
    <securitiesInformation>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <brokerOrMarketmakerDetails>
        <name>Morgan Stanley Smith Barney LLC</name>
        <address>
          <com:street1>1 New York Plaza, 38th Floor</com:street1>
          <com:city>New York</com:city>
          <com:stateOrCountry>NY</com:stateOrCountry>
          <com:zipCode>10004</com:zipCode>
        </address>
      </brokerOrMarketmakerDetails>
      <noOfUnitsSold>55715</noOfUnitsSold>
      <aggregateMarketValue>161584.64</aggregateMarketValue>
      <noOfUnitsOutstanding>70730884</noOfUnitsOutstanding>
      <approxSaleDate>12/01/2025</approxSaleDate>
      <securitiesExchangeName>NASDAQ</securitiesExchangeName>
    </securitiesInformation>
    <securitiesToBeSold>
      <securitiesClassTitle>Common</securitiesClassTitle>
      <acquiredDate>12/01/2025</acquiredDate>
      <natureOfAcquisitionTransaction>Restricted Stock</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Health Catalyst, Inc.</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>55715</amountOfSecuritiesAcquired>
      <paymentDate>12/01/2025</paymentDate>
      <natureOfPayment>Compensation</natureOfPayment>
    </securitiesToBeSold>
    <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Daniel Burton</name>
        <address>
          <com:street1>c/o 10897 South River From Parkway #100</com:street1>
          <com:city>South Jordan</com:city>
          <com:stateOrCountry>UT</com:stateOrCountry>
          <com:zipCode>84095</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Restricted Stock</securitiesClassTitle>
      <saleDate>09/02/2025</saleDate>
      <amountOfSecuritiesSold>8335</amountOfSecuritiesSold>
      <grossProceeds>28028.1</grossProceeds>
    </securitiesSoldInPast3Months>
    <noticeSignature>
      <noticeDate>12/01/2025</noticeDate>
      <signature>Daniel Burton</signature>
    </noticeSignature>
  </formData>
</edgarSubmission>
