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                           April 10, 2024

       Jason Alger
       Chief Financial Officer
       Health Catalyst, Inc.
       10897 South River Front Parkway #300
       South Jordan , UT 84095

                                                        Re: Health Catalyst,
Inc.

       Dear Jason Alger:

              We have limited our review of your filing to the financial
statements and related
       disclosures and have the following comments.

              Please respond to this letter within ten business days by
providing the requested
       information or advise us as soon as possible when you will respond. If
you do not believe a
       comment applies to your facts and circumstances, please tell us why in
your response.

                                                        After reviewing your
response to this letter, we may have additional comments.

       Form 8-K filed on February 22, 2024

       Health Catalyst Reports Fourth Quarter and Year End 2023 Results, page 1

   1.                                                   We noted your
discussion and presentation of Adjusted EBITDA in Exhibit 99.2 to Form
                                                        8-K furnished on
February 22, 2024, without the discussion and the presentation of the
                                                        corresponding directly
comparable GAAP measure (i.e., GAAP Net Loss). Your
                                                        presentation appears to
give greater prominence to the non-GAAP measure and does not
                                                        comply with Item
10(e)(1)(i)(A) of Regulation S-K and Question 102.10 of the Division's
                                                        Compliance & Disclosure
Interpretations on Non- GAAP Financial Measures which
                                                        requires you to present
the most directly comparable GAAP measure with equal or greater
                                                        prominence. Please
revise your future presentations to comply.
       Form 10-Q filed on November 6, 2023

       Key Financial Metrics, page 44

   2.                                                   We noted your
discussion and presentation of Adjusted EBITDA within key financial
                                                        metrics in Form 10-Q
filed on November 6, 2023, without the discussion and the
                                                        presentation of the
corresponding directly comparable GAAP measure. Your presentation
                                                        in the Form 10-Q
appears to give greater prominence to the non-GAAP measure and does
 Jason Alger
FirstName   LastNameJason Alger
Health Catalyst, Inc.
Comapany
April       NameHealth Catalyst, Inc.
       10, 2024
April 210, 2024 Page 2
Page
FirstName LastName
         not comply with Item 10(e)(1)(i)(A) of Regulation S-K and Question
102.10 of the
         Division's Compliance & Disclosure Interpretations on Non- GAAP
Financial Measures
         which requires you to present the most directly comparable GAAP
measure with equal or
         greater prominence. Please revise your future presentations to comply.
Please consider
         including a presentation similar to that included in your Form 10-K.
Form 10-K filed February 22, 2024

Management's Discussion and Analysis of Financial Condition and Results of
Operations
Financial Measures and Key Business Metrics, page 63

3.       We note that you present the total adjusted gross profit and total
adjusted gross margin as
         your non-GAAP measures without the presentation of the corresponding
directly
         comparable GAAP measures. Refer to Question 102.10 and 104.04 of the
Compliance
         and Disclosure Interpretations on Non-GAAP Financial Measures. Please
revise future
         filings to include a "fully loaded" total GAAP gross profit and margin
or remove these
         measures. Your presentation appears to give greater prominence to the
non-GAAP
         measure and does not comply with Item 10(e)(1)(i)(A) of Regulation S-K
which requires
         you to present the most directly comparable GAAP measure with equal or
greater
         prominence. This comment also applies to your Form 10-Q for the
quarter ended
         September 30, 2023 and Exhibit 99.1 to Form 8-K furnished on February
22, 2024.
Notes to the Consolidated Financial Statements
Leases, page 103

4.       You disclose that your leases do not provide an implicit rate and you
use an estimated
         incremental borrowing rate based on the information available at the
lease commencement
         date in determining the present value of lease payments. Please revise
in future disclosures
         to clarify whether the rates implicit in your leases are readily
determinable and if that is
         the basis for using your incremental borrowing rate as the discount
rate for your leases.
         Refer to    Rate Implicit in the Lease    defined in ASC 842-20-20.
Note 9 - Leases
Operating leases, page 112

5.       Please revise future filings to include the disclosures outlined in
ASC 842-20-50-4 in a
         table or a format that properly conveys this information. Please
indicate whether your
         leases contain variable costs. In addition, please clarify why your
footnote 5 - Property
         and Equipment references amortization of assets recorded under a
capital lease. In this
         regard, we note your disclosure on page 103 that states that "[y]our
leasing commitments
         are classified either as operating leases or otherwise qualify as
short-term leases with lease
         terms of 12 months or less". Please clarify whether you do have
finance leases under ASC
         842. Clarify how you are presenting the reduction in the carrying
amount of ROU
         operating lease assets in your consolidated statements of cash flows.
 Jason Alger
Health Catalyst, Inc.
April 10, 2024
Page 3
EXHIBIT INDEX
Certificiations, page 132

6.       The Certifications pursuant to Rule 13a-14(a) or 15d-14(a) of the
Securities Exchange Act
         Rules omit introductory language in paragraph 4 and 4(b) referencing
to internal controls
         over financial reporting. Please amend the Form 10-K to provide a
compliant
         Certification.
       In closing, we remind you that the company and its management are
responsible for the
accuracy and adequacy of their disclosures, notwithstanding any review,
comments, action or
absence of action by the staff.

       Please contact Becky Chow at 202-551-6524 or Stephen Krikorian at
202-551-3488 with
any questions.



FirstName LastNameJason Alger                                Sincerely,
Comapany NameHealth Catalyst, Inc.
                                                             Division of
Corporation Finance
April 10, 2024 Page 3                                        Office of
Technology
FirstName LastName