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                    <ccc>XXXXXXXX</ccc>
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            <liveTestFlag>LIVE</liveTestFlag>



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            <secFileNumber>001-42125</secFileNumber>
            <issuerAddress>
                <ns2:street1>1550 DIGITAL DRIVE</ns2:street1>
                <ns2:city>LEHI</ns2:city>
                <ns2:stateOrCountry>UT</ns2:stateOrCountry>
                <ns2:zipCode>84043</ns2:zipCode>
            </issuerAddress>
            <issuerContactPhone>844-492-9782</issuerContactPhone>
            <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>MATTHEW J HAWKINS</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
            <relationshipsToIssuer>
                <relationshipToIssuer>Officer</relationshipToIssuer>
                <relationshipToIssuer>Director</relationshipToIssuer>
            </relationshipsToIssuer>
        </issuerInfo>
        <securitiesInformation>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <brokerOrMarketmakerDetails>
                <name>Morgan Stanley Smith Barney LLC Executive Financial Services</name>
                <address>
                    <ns2:street1>1 New York Plaza</ns2:street1>
                    <ns2:street2>8th Floor</ns2:street2>
                    <ns2:city>New York</ns2:city>
                    <ns2:stateOrCountry>NY</ns2:stateOrCountry>
                    <ns2:zipCode>10004</ns2:zipCode>
                </address>
            </brokerOrMarketmakerDetails>
            <noOfUnitsSold>197847</noOfUnitsSold>
            <aggregateMarketValue>7623460.39</aggregateMarketValue>
            <noOfUnitsOutstanding>173018999</noOfUnitsOutstanding>
            <approxSaleDate>05/23/2025</approxSaleDate>
            <securitiesExchangeName>NASDAQ</securitiesExchangeName>
        </securitiesInformation>
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            <securitiesClassTitle>Common</securitiesClassTitle>
            <acquiredDate>05/23/2025</acquiredDate>
            <natureOfAcquisitionTransaction>Exercise of options under a registered plan</natureOfAcquisitionTransaction>
            <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
            <isGiftTransaction>N</isGiftTransaction>
            <amountOfSecuritiesAcquired>197847</amountOfSecuritiesAcquired>
            <paymentDate>05/23/2025</paymentDate>
            <natureOfPayment>Cash</natureOfPayment>
        </securitiesToBeSold>
        <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
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            <sellerDetails>
                <name>MATTHEW J HAWKINS</name>
                <address>
                    <ns2:street1>1550 DIGITAL DRIVE</ns2:street1>
                    <ns2:city>LEHI</ns2:city>
                    <ns2:stateOrCountry>UT</ns2:stateOrCountry>
                    <ns2:zipCode>84043</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>05/22/2025</saleDate>
            <amountOfSecuritiesSold>2153</amountOfSecuritiesSold>
            <grossProceeds>84300.28</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>Matthew Hawkins</name>
                <address>
                    <ns2:street1>1550 DIGITAL DRIVE</ns2:street1>
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                    <ns2:stateOrCountry>UT</ns2:stateOrCountry>
                    <ns2:zipCode>84043</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>05/13/2025</saleDate>
            <amountOfSecuritiesSold>46667</amountOfSecuritiesSold>
            <grossProceeds>1843346.00</grossProceeds>
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        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>Matthew Hawkins</name>
                <address>
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                    <ns2:stateOrCountry>UT</ns2:stateOrCountry>
                    <ns2:zipCode>84043</ns2:zipCode>
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            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>04/10/2025</saleDate>
            <amountOfSecuritiesSold>46667</amountOfSecuritiesSold>
            <grossProceeds>1723412.00</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>Matthew Hawkins</name>
                <address>
                    <ns2:street1>1550 DIGITAL DRIVE</ns2:street1>
                    <ns2:city>LEHI</ns2:city>
                    <ns2:stateOrCountry>UT</ns2:stateOrCountry>
                    <ns2:zipCode>84043</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>03/13/2025</saleDate>
            <amountOfSecuritiesSold>46665</amountOfSecuritiesSold>
            <grossProceeds>1701872.00</grossProceeds>
        </securitiesSoldInPast3Months>
        <noticeSignature>
            <noticeDate>05/23/2025</noticeDate>
            <planAdoptionDates/>
            <signature>/s/ Matthew J. Hawkins</signature>
        </noticeSignature>
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144
0001998256
XXXXXXXX
LIVE
0001990354
WAYSTAR HOLDING CORP.
001-42125
1550 DIGITAL DRIVE
LEHI
UT
84043
844-492-9782
MATTHEW J HAWKINS
Officer
Director
Common
Morgan Stanley Smith Barney LLC Executive Financial Services
1 New York Plaza
8th Floor
New York
NY
10004
197847
7623460.39
173018999
05/23/2025
NASDAQ
Common
05/23/2025
Exercise of options under a registered plan
Issuer
N
197847
05/23/2025
Cash
N
MATTHEW J HAWKINS
1550 DIGITAL DRIVE
LEHI
UT
84043
Common
05/22/2025
2153
84300.28
Matthew Hawkins
1550 DIGITAL DRIVE
LEHI
UT
84043
Common
05/13/2025
46667
1843346.00
Matthew Hawkins
1550 DIGITAL DRIVE
LEHI
UT
84043
Common
04/10/2025
46667
1723412.00
Matthew Hawkins
1550 DIGITAL DRIVE
LEHI
UT
84043
Common
03/13/2025
46665
1701872.00
05/23/2025
/s/ Matthew J. Hawkins