<?xml version="1.0" encoding="UTF-8"?>

<!--XBRL Document Created with the Workiva Platform-->
<!--Copyright 2026 Workiva-->
<!--r:019f94fb-94bb-70b3-9aca-47088c6fe259,g:de7ce912-793f-4b4c-9aed-ce7b33ea8d37-->
<link:linkbase xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.xbrl.org/2003/linkbase http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd">
  <link:roleRef roleURI="http://www.healthcatalyst.com/role/CoverPage" xlink:type="simple" xlink:href="hcat-20260731.xsd#CoverPage"/>
  <link:presentationLink xlink:role="http://www.healthcatalyst.com/role/CoverPage" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_CoverAbstract"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentType_019f94fb-94bb-75ed-b7c6-4d3d9ba2e01d" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_DocumentType"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_DocumentType_019f94fb-94bb-75ed-b7c6-4d3d9ba2e01d" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentPeriodEndDate_019f94fb-94bb-707f-96cf-87d4340acbfb" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_DocumentPeriodEndDate"/>
    <link:presentationArc order="2" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_DocumentPeriodEndDate_019f94fb-94bb-707f-96cf-87d4340acbfb" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityRegistrantName_019f94fb-94bb-73bb-9f1d-16fafcdde52d" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityRegistrantName"/>
    <link:presentationArc order="3" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_EntityRegistrantName_019f94fb-94bb-73bb-9f1d-16fafcdde52d" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityIncorporationStateCountryCode_019f94fb-94bb-780c-a1de-fa7ff73d320b" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityIncorporationStateCountryCode"/>
    <link:presentationArc order="4" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_EntityIncorporationStateCountryCode_019f94fb-94bb-780c-a1de-fa7ff73d320b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityFileNumber_019f94fb-94bb-7849-afe2-7dd489449809" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityFileNumber"/>
    <link:presentationArc order="5" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_EntityFileNumber_019f94fb-94bb-7849-afe2-7dd489449809" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityTaxIdentificationNumber_019f94fb-94bb-74b9-a1b0-a8a7f02fd738" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityTaxIdentificationNumber"/>
    <link:presentationArc order="6" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_EntityTaxIdentificationNumber_019f94fb-94bb-74b9-a1b0-a8a7f02fd738" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine1_019f94fb-94bb-71aa-8891-b7aaad96b847" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityAddressAddressLine1"/>
    <link:presentationArc order="7" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_EntityAddressAddressLine1_019f94fb-94bb-71aa-8891-b7aaad96b847" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine2_019f94fb-94bb-709d-81fb-813f45fe68eb" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityAddressAddressLine2"/>
    <link:presentationArc order="8" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_EntityAddressAddressLine2_019f94fb-94bb-709d-81fb-813f45fe68eb" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressCityOrTown_019f94fb-94bb-745b-85c6-f4f9bdf9eec1" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityAddressCityOrTown"/>
    <link:presentationArc order="9" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_EntityAddressCityOrTown_019f94fb-94bb-745b-85c6-f4f9bdf9eec1" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressStateOrProvince_019f94fb-94bb-7526-89ed-0cac661954d7" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityAddressStateOrProvince"/>
    <link:presentationArc order="10" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_EntityAddressStateOrProvince_019f94fb-94bb-7526-89ed-0cac661954d7" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressPostalZipCode_019f94fb-94bb-7b86-b80d-f81f1afabf3a" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityAddressPostalZipCode"/>
    <link:presentationArc order="11" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_EntityAddressPostalZipCode_019f94fb-94bb-7b86-b80d-f81f1afabf3a" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CityAreaCode_019f94fb-94bb-7564-8133-97fa4f725fa3" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_CityAreaCode"/>
    <link:presentationArc order="12" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_CityAreaCode_019f94fb-94bb-7564-8133-97fa4f725fa3" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_LocalPhoneNumber_019f94fb-94bb-7e73-ae9c-9b483f94f258" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_LocalPhoneNumber"/>
    <link:presentationArc order="13" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_LocalPhoneNumber_019f94fb-94bb-7e73-ae9c-9b483f94f258" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_WrittenCommunications_019f94fb-94bb-7a35-97b4-3ce1f08ac65c" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_WrittenCommunications"/>
    <link:presentationArc order="14" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_WrittenCommunications_019f94fb-94bb-7a35-97b4-3ce1f08ac65c" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SolicitingMaterial_019f94fb-94bb-708a-9424-4de6c903dd5c" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_SolicitingMaterial"/>
    <link:presentationArc order="15" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_SolicitingMaterial_019f94fb-94bb-708a-9424-4de6c903dd5c" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementTenderOffer_019f94fb-94bb-7fe4-b342-8883f8f8aa34" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_PreCommencementTenderOffer"/>
    <link:presentationArc order="16" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_PreCommencementTenderOffer_019f94fb-94bb-7fe4-b342-8883f8f8aa34" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementIssuerTenderOffer_019f94fb-94bb-74c7-b05e-0289b53e10cb" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_PreCommencementIssuerTenderOffer"/>
    <link:presentationArc order="17" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_PreCommencementIssuerTenderOffer_019f94fb-94bb-74c7-b05e-0289b53e10cb" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_Security12bTitle_019f94fb-94bb-7b58-9c25-2bb1dd989aa3" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_Security12bTitle"/>
    <link:presentationArc order="18" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_Security12bTitle_019f94fb-94bb-7b58-9c25-2bb1dd989aa3" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_TradingSymbol_019f94fb-94bb-7a9e-8f10-50ba4cb88188" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_TradingSymbol"/>
    <link:presentationArc order="19" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_TradingSymbol_019f94fb-94bb-7a9e-8f10-50ba4cb88188" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SecurityExchangeName_019f94fb-94bb-7750-8bef-786f83a1f28c" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_SecurityExchangeName"/>
    <link:presentationArc order="20" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_SecurityExchangeName_019f94fb-94bb-7750-8bef-786f83a1f28c" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityEmergingGrowthCompany_019f94fb-94bb-7a93-92c8-78829f29213e" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityEmergingGrowthCompany"/>
    <link:presentationArc order="21" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_EntityEmergingGrowthCompany_019f94fb-94bb-7a93-92c8-78829f29213e" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_AmendmentFlag_019f94fb-94bb-71ff-a110-9b4634911c53" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_AmendmentFlag"/>
    <link:presentationArc order="22" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_AmendmentFlag_019f94fb-94bb-71ff-a110-9b4634911c53" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityCentralIndexKey_019f94fb-94bb-76fa-9874-e8a363420a19" xlink:href="https://xbrl.sec.gov/dei/2025/dei-2025.xsd#dei_EntityCentralIndexKey"/>
    <link:presentationArc order="23" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019f94fb-94bb-7950-bdd0-3800a5b62235" xlink:to="loc_dei_EntityCentralIndexKey_019f94fb-94bb-76fa-9874-e8a363420a19" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
  </link:presentationLink>
</link:linkbase>
