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        <link:definition>0610 - Disclosure - Business Segments (Details)</link:definition>
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        <link:definition>0210 - Disclosure - Business Segments</link:definition>
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      <link:roleType roleURI="http://healthstream.com/role/BusinessCombinations" id="BusinessCombinations">
        <link:definition>0205 - Disclosure - Business Combinations</link:definition>
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        <link:definition>0140 - Statement - Consolidated Statements of Shareholders' Equity</link:definition>
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        <link:definition>06124 - Disclosure - Stock Based Compensation (Details 4)</link:definition>
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        <link:definition>0506 - Disclosure - Goodwill (Tables)</link:definition>
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        <link:definition>0606 - Disclosure - Goodwill (Details)</link:definition>
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        <link:definition>06112 - Disclosure - Income Taxes (Details 2)</link:definition>
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        <link:definition>06151 - Disclosure - Leases (Details Textual)</link:definition>
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      <link:roleType roleURI="http://healthstream.com/role/LeasesDetails" id="LeasesDetails">
        <link:definition>0615 - Disclosure - Leases (Details)</link:definition>
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      <link:roleType roleURI="http://healthstream.com/role/DebtDetails" id="DebtDetails">
        <link:definition>0614 - Disclosure - Debt (Details)</link:definition>
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      <link:roleType roleURI="http://healthstream.com/role/EmployeeBenefitPlanDetails" id="EmployeeBenefitPlanDetails">
        <link:definition>0613 - Disclosure - Employee Benefit Plan (Details)</link:definition>
        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:presentationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/StockBasedCompensationDetails3" id="StockBasedCompensationDetails3">
        <link:definition>06123 - Disclosure - Stock Based Compensation (Details 3)</link:definition>
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      <link:roleType roleURI="http://healthstream.com/role/StockBasedCompensationDetails2" id="StockBasedCompensationDetails2">
        <link:definition>06122 - Disclosure - Stock Based Compensation (Details 2)</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/IncomeTaxesDetailsTextuals" id="IncomeTaxesDetailsTextuals">
        <link:definition>06113 - Disclosure - Income Taxes (Details Textual)</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/IncomeTaxesDetails1" id="IncomeTaxesDetails1">
        <link:definition>06111 - Disclosure - Income Taxes (Details 1)</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
      </link:roleType>
      <link:roleType roleURI="http://healthstream.com/role/IntangibleAssetsDetailsTextual" id="IntangibleAssetsDetailsTextual">
        <link:definition>06072 - Disclosure - Intangible Assets (Details Textual)</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/IntangibleAssetsDetails1" id="IntangibleAssetsDetails1">
        <link:definition>06071 - Disclosure - Intangible Assets (Details 1)</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
      </link:roleType>
      <link:roleType roleURI="http://healthstream.com/role/IntangibleAssetsDetails" id="IntangibleAssetsDetails">
        <link:definition>0607 - Disclosure - Intangible Assets (Details)</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/GoodwillDetailsTextual" id="GoodwillDetailsTextual">
        <link:definition>06061 - Disclosure - Goodwill (Details Textual)</link:definition>
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        <link:usedOn>link:calculationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/ShareholdersEquityDetailsTextual" id="ShareholdersEquityDetailsTextual">
        <link:definition>0602 - Disclosure - Shareholders' Equity (Details Textual)</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/SummaryOfSignificantAccountingPoliciesDetailsTextual" id="SummaryOfSignificantAccountingPoliciesDetailsTextual">
        <link:definition>06012 - Disclosure - Summary of Significant Accounting Policies (Details Textual)</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
      </link:roleType>
      <link:roleType roleURI="http://healthstream.com/role/SummaryOfSignificantAccountingPoliciesDetails1" id="SummaryOfSignificantAccountingPoliciesDetails1">
        <link:definition>06011 - Disclosure - Summary of Significant Accounting Policies (Details 1)</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
      </link:roleType>
      <link:roleType roleURI="http://healthstream.com/role/SummaryOfSignificantAccountingPoliciesDetails" id="SummaryOfSignificantAccountingPoliciesDetails">
        <link:definition>0601 - Disclosure - Summary of Significant Accounting Policies (Details)</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
      </link:roleType>
      <link:roleType roleURI="http://healthstream.com/role/LeasesTables" id="LeasesTables">
        <link:definition>0515 - Disclosure - Leases (Tables)</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
      </link:roleType>
      <link:roleType roleURI="http://healthstream.com/role/IncomeTaxesTables" id="IncomeTaxesTables">
        <link:definition>0511 - Disclosure - Income Taxes (Tables)</link:definition>
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        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
      </link:roleType>
      <link:roleType roleURI="http://healthstream.com/role/IntangibleAssetsTables" id="IntangibleAssetsTables">
        <link:definition>0507 - Disclosure - Intangible Assets (Tables)</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
      </link:roleType>
      <link:roleType roleURI="http://healthstream.com/role/SummaryOfSignificantAccountingPoliciesTables" id="SummaryOfSignificantAccountingPoliciesTables">
        <link:definition>0501 - Disclosure - Summary of Significant Accounting Policies (Tables)</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/SummaryOfSignificantAccountingPoliciesPolicies" id="SummaryOfSignificantAccountingPoliciesPolicies">
        <link:definition>0401 - Disclosure - Summary of Significant Accounting Policies (Policies)</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/Litigation" id="Litigation">
        <link:definition>0216 - Disclosure - Litigation</link:definition>
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        <link:usedOn>link:calculationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/Leases" id="Leases">
        <link:definition>0215 - Disclosure - Leases</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/Debt" id="Debt">
        <link:definition>0214 - Disclosure - Debt</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/EmployeeBenefitPlan" id="EmployeeBenefitPlan">
        <link:definition>0213 - Disclosure - Employee Benefit Plan</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
      </link:roleType>
      <link:roleType roleURI="http://healthstream.com/role/IntangibleAssets" id="IntangibleAssets">
        <link:definition>0207 - Disclosure - Intangible Assets</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/Goodwill" id="Goodwill">
        <link:definition>0206 - Disclosure - Goodwill</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
      </link:roleType>
      <link:roleType roleURI="http://healthstream.com/role/ShareholdersEquity" id="ShareholdersEquity">
        <link:definition>0202 - Disclosure - Shareholders' Equity</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/SummaryOfSignificantAccountingPolicies" id="SummaryOfSignificantAccountingPolicies">
        <link:definition>0201 - Disclosure - Summary of Significant Accounting Policies</link:definition>
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        <link:usedOn>link:calculationLink</link:usedOn>
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      </link:roleType>
      <link:roleType roleURI="http://healthstream.com/role/ContentRightsAndDeferredServiceCreditsDetails" id="ContentRightsAndDeferredServiceCreditsDetails">
        <link:definition>0609 - Disclosure - Content Rights and Deferred Service Credits (Details)</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/ContentRightsAndDeferredServiceCredits" id="ContentRightsAndDeferredServiceCredits">
        <link:definition>0209 - Disclosure - Content Rights and Deferred Service Credits</link:definition>
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        <link:usedOn>link:calculationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/BalanceSheetsParenthetical" id="BalanceSheetsParenthetical">
        <link:definition>0111 - Statement - Consolidated Balance Sheets (Parenthetical)</link:definition>
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        <link:usedOn>link:calculationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/BusinessCombinationDetails" id="BusinessCombinationDetails">
        <link:definition>0605 - Disclosure - Business Combination (Details)</link:definition>
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        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/MarketableSecuritiesDetails" id="MarketableSecuritiesDetails">
        <link:definition>0604 - Disclosure - Marketable Securities (Details)</link:definition>
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        <link:usedOn>link:calculationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/EarningsPerShareDetailsTextual" id="EarningsPerShareDetailsTextual">
        <link:definition>06031 - Disclosure - Earnings Per Share (Details Textual)</link:definition>
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        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/MarketableSecuritiesTables" id="MarketableSecuritiesTables">
        <link:definition>0504 - Disclosure - Marketable Securities (Tables)</link:definition>
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      <link:roleType roleURI="http://healthstream.com/role/EarningsPerShareDetails" id="EarningsPerShareDetails">
        <link:definition>0603 - Disclosure - Earnings Per Share (Details)</link:definition>
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      <link:roleType roleURI="http://healthstream.com/role/EarningsPerShareTables" id="EarningsPerShareTables">
        <link:definition>0503 - Disclosure - Earnings Per Share (Tables)</link:definition>
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        <link:usedOn>link:calculationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/MarketableSecurities" id="MarketableSecurities">
        <link:definition>0204 - Disclosure - Marketable Securities</link:definition>
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      <link:roleType roleURI="http://healthstream.com/role/EarningsPerShare" id="EarningsPerShare">
        <link:definition>0203 - Disclosure - Earnings Per Share</link:definition>
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        <link:usedOn>link:calculationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/StatementsOfComprehensiveIncome" id="StatementsOfComprehensiveIncome">
        <link:definition>0130 - Statement - Consolidated Statements of Comprehensive Income</link:definition>
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        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/CollaborativeArrangementDetails" id="CollaborativeArrangementDetails">
        <link:definition>0608 - Disclosure - Collaborative Arrangement (Details)</link:definition>
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        <link:usedOn>link:calculationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/StockBasedCompensationDetailsTextual" id="StockBasedCompensationDetailsTextual">
        <link:definition>06125 - Disclosure - Stock Based Compensation (Details Textual)</link:definition>
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        <link:usedOn>link:calculationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/StockBasedCompensationDetails1" id="StockBasedCompensationDetails1">
        <link:definition>06121 - Disclosure - Stock Based Compensation (Details 1)</link:definition>
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        <link:usedOn>link:calculationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/StockBasedCompensationDetails" id="StockBasedCompensationDetails">
        <link:definition>0612 - Disclosure - Stock Based Compensation (Details)</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/IncomeTaxesDetails" id="IncomeTaxesDetails">
        <link:definition>0611 - Disclosure - Income Taxes (Details)</link:definition>
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        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/StockBasedCompensationTables" id="StockBasedCompensationTables">
        <link:definition>0512 - Disclosure - Stock Based Compensation (Tables)</link:definition>
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        <link:usedOn>link:calculationLink</link:usedOn>
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      <link:roleType roleURI="http://healthstream.com/role/CollaborativeArrangement" id="CollaborativeArrangement">
        <link:definition>0208 - Disclosure - Collaborative Arrangement</link:definition>
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      <link:roleType roleURI="http://healthstream.com/role/StockBasedCompensation" id="StockBasedCompensation">
        <link:definition>0212 - Disclosure - Stock Based Compensation</link:definition>
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      <link:roleType roleURI="http://healthstream.com/role/IncomeTaxes" id="IncomeTaxes">
        <link:definition>0211 - Disclosure - Income Taxes</link:definition>
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        <link:definition>0150 - Statement - Consolidated Statements of Cash Flows</link:definition>
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      <link:roleType roleURI="http://healthstream.com/role/StatementsOfIncome" id="StatementsOfIncome">
        <link:definition>0120 - Statement - Consolidated Statements of Income</link:definition>
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        <link:definition>00 - Document - Document and Entity Information</link:definition>
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      <link:roleType roleURI="http://healthstream.com/role/BalanceSheets" id="BalanceSheets">
        <link:definition>0110 - Statement - Consolidated Balance Sheets</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
      </link:roleType>
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  <import namespace="http://www.xbrl.org/2003/linkbase" schemaLocation="http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd" />
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  <import namespace="http://xbrl.sec.gov/dei/2012-01-31" schemaLocation="http://xbrl.sec.gov/dei/2012/dei-2012-01-31.xsd" />
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  <import namespace="http://xbrl.sec.gov/currency/2012-01-31" schemaLocation="http://xbrl.sec.gov/currency/2012/currency-2012-01-31.xsd" />
  <import namespace="http://xbrl.sec.gov/naics/2011-01-31" schemaLocation="http://xbrl.sec.gov/naics/2011/naics-2011-01-31.xsd" />
  <import namespace="http://xbrl.sec.gov/exch/2012-01-31" schemaLocation="http://xbrl.sec.gov/exch/2012/exch-2012-01-31.xsd" />
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  <import namespace="http://xbrl.sec.gov/country/2012-01-31" schemaLocation="http://xbrl.sec.gov/country/2012/country-2012-01-31.xsd" />
  <import namespace="http://xbrl.sec.gov/stpr/2011-01-31" schemaLocation="http://xbrl.sec.gov/stpr/2011/stpr-2011-01-31.xsd" />
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  <element id="hstm_HealthstreamLearningMember" name="HealthstreamLearningMember" abstract="true" type="nonnum:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" />
  <element id="hstm_HealthstreamResearchMember" name="HealthstreamResearchMember" abstract="true" type="nonnum:domainItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" />
  <element id="hstm_BusinessSegmentInformationAbstract" name="BusinessSegmentInformationAbstract" abstract="true" type="xbrli:stringItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" />
  <element id="hstm_RevenueRecognitionPeriod" name="RevenueRecognitionPeriod" type="xbrli:durationItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" />
  <element id="hstm_NumberOfPossibleSourcesOfTaxableIncome" name="NumberOfPossibleSourcesOfTaxableIncome" type="xbrli:integerItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" />
  <element id="hstm_DeferredTaxLiabilitiesPrepaidAssets" name="DeferredTaxLiabilitiesPrepaidAssets" type="xbrli:monetaryItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="instant" xbrli:balance="credit" />
  <element id="hstm_DeferredTaxLiabilitiesDepreciation" name="DeferredTaxLiabilitiesDepreciation" type="xbrli:monetaryItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="instant" xbrli:balance="credit" />
  <element id="hstm_IncomeTaxExaminationYearSubjectToExaminationStart" name="IncomeTaxExaminationYearSubjectToExaminationStart" type="xbrli:gYearItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" />
  <element id="hstm_IncomeTaxExaminationYearSubjectToExaminationEnd" name="IncomeTaxExaminationYearSubjectToExaminationEnd" type="xbrli:gYearItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" />
  <element id="hstm_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardExpirationPeriod" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardExpirationPeriod" type="xbrli:durationItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" />
  <element id="hstm_NumberOfStockBasedCompensationPlans" name="NumberOfStockBasedCompensationPlans" type="xbrli:integerItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="instant" />
  <element id="hstm_DebtInstrumentPeriodOfLiborRate" name="DebtInstrumentPeriodOfLiborRate" type="xbrli:durationItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" />
  <element id="hstm_DebtInstrumentSpreadOnVariableRateOne" name="DebtInstrumentSpreadOnVariableRateOne" type="num:percentItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" />
  <element id="hstm_DebtInstrumentSpreadOnVariableRateTwo" name="DebtInstrumentSpreadOnVariableRateTwo" type="num:percentItemType" substitutionGroup="xbrli:item" nillable="true" xbrli:periodType="duration" />
</schema>
