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            <liveTestFlag>LIVE</liveTestFlag>



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            <issuerCik>0001636422</issuerCik>
            <issuerName>HEALTH CATALYST INC</issuerName>
            <secFileNumber>001-38993</secFileNumber>
            <issuerAddress>
                <ns2:street1>10897 South River Front Parkway, #300</ns2:street1>
                <ns2:city>South Jordan</ns2:city>
                <ns2:stateOrCountry>UT</ns2:stateOrCountry>
                <ns2:zipCode>84095</ns2:zipCode>
            </issuerAddress>
            <issuerContactPhone>8017086800</issuerContactPhone>
            <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>LINDA LLEWELYN</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
            <relationshipsToIssuer>
                <relationshipToIssuer>Officer</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>
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            <aggregateMarketValue>35994.22</aggregateMarketValue>
            <noOfUnitsOutstanding>60847658</noOfUnitsOutstanding>
            <approxSaleDate>02/18/2025</approxSaleDate>
            <securitiesExchangeName>NASDAQ</securitiesExchangeName>
        </securitiesInformation>
        <securitiesToBeSold>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <acquiredDate>12/01/2024</acquiredDate>
            <natureOfAcquisitionTransaction>Restricted Stock Units</natureOfAcquisitionTransaction>
            <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
            <isGiftTransaction>N</isGiftTransaction>
            <amountOfSecuritiesAcquired>6641</amountOfSecuritiesAcquired>
            <paymentDate>12/01/2024</paymentDate>
            <natureOfPayment>N/A</natureOfPayment>
        </securitiesToBeSold>
        <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
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                <address>
                    <ns2:street1>10897 South River Front Parkway, #300</ns2:street1>
                    <ns2:city>South Jordan</ns2:city>
                    <ns2:stateOrCountry>UT</ns2:stateOrCountry>
                    <ns2:zipCode>84095</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>COMMON</securitiesClassTitle>
            <saleDate>01/15/2025</saleDate>
            <amountOfSecuritiesSold>6442</amountOfSecuritiesSold>
            <grossProceeds>37347.91</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
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                <address>
                    <ns2:street1>10897 South River Front Parkway, #300</ns2:street1>
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                    <ns2:stateOrCountry>UT</ns2:stateOrCountry>
                    <ns2:zipCode>84095</ns2:zipCode>
                </address>
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            <securitiesClassTitle>COMMON</securitiesClassTitle>
            <saleDate>12/16/2024</saleDate>
            <amountOfSecuritiesSold>6442</amountOfSecuritiesSold>
            <grossProceeds>50793.88</grossProceeds>
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                    <ns2:stateOrCountry>UT</ns2:stateOrCountry>
                    <ns2:zipCode>84095</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>12/02/2024</saleDate>
            <amountOfSecuritiesSold>7766</amountOfSecuritiesSold>
            <grossProceeds>69685.87</grossProceeds>
        </securitiesSoldInPast3Months>
        <noticeSignature>
            <noticeDate>02/18/2025</noticeDate>
            <planAdoptionDates>
                <planAdoptionDate>03/12/2024</planAdoptionDate>
            </planAdoptionDates>
            <signature>/s/ Linda Llewelyn</signature>
        </noticeSignature>
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144
0001780878
XXXXXXXX
LIVE
0001636422
HEALTH CATALYST INC
001-38993
10897 South River Front Parkway, #300
South Jordan
UT
84095
8017086800
LINDA LLEWELYN
Officer
COMMON
Morgan Stanley Smith Barney LLC Executive Financial Services
1 New York Plaza
8th Floor
New York
NY
10004
6641
35994.22
60847658
02/18/2025
NASDAQ
Common
12/01/2024
Restricted Stock Units
Issuer
N
6641
12/01/2024
N/A
N
10b5-1 Sales for LINDA LLEWELYN
10897 South River Front Parkway, #300
South Jordan
UT
84095
COMMON
01/15/2025
6442
37347.91
10b5-1 Sales for LINDA LLEWELYN
10897 South River Front Parkway, #300
South Jordan
UT
84095
COMMON
12/16/2024
6442
50793.88
LINDA LLEWELYN
10897 South River Front Parkway, #300
South Jordan
UT
84095
Common
12/02/2024
7766
69685.87
02/18/2025
03/12/2024
/s/ Linda Llewelyn