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  <xsd:element abstract="true" id="hstm_HealthstreamWorkforceSolutionsMember" name="HealthstreamWorkforceSolutionsMember" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:domainItemType" xbrli:periodType="duration"/>
  <xsd:element id="hstm_IncreaseDecreaseInDeferredCommissions" name="IncreaseDecreaseInDeferredCommissions" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="credit" xbrli:periodType="duration"/>
  <xsd:element id="hstm_LesseeOperatingLeaseAssetsAndLiabilitiesTableTextBlock" name="LesseeOperatingLeaseAssetsAndLiabilitiesTableTextBlock" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:textBlockItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_LetterOfCreditSubfacilityMember" name="LetterOfCreditSubfacilityMember" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:domainItemType" xbrli:periodType="duration"/>
  <xsd:element id="hstm_LeverageRatio" name="LeverageRatio" nillable="true" substitutionGroup="xbrli:item" type="xbrli:pureItemType" xbrli:periodType="duration"/>
  <xsd:element id="hstm_LineOfCreditFacilityIncreaseBasketForDividend" name="LineOfCreditFacilityIncreaseBasketForDividend" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="credit" xbrli:periodType="duration"/>
  <xsd:element id="hstm_LineOfCreditFacilityIncreasedFacilitySizeDueToAccordionFeature" name="LineOfCreditFacilityIncreasedFacilitySizeDueToAccordionFeature" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="credit" xbrli:periodType="instant"/>
  <xsd:element id="hstm_LineOfCreditFacilityPercentageOfApplicableMarginForBorrowings" name="LineOfCreditFacilityPercentageOfApplicableMarginForBorrowings" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:percentItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_March2020ShareRepurchaseProgramMember" name="March2020ShareRepurchaseProgramMember" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:domainItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_March2022ShareRepurchaseProgramMember" name="March2022ShareRepurchaseProgramMember" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:domainItemType" xbrli:periodType="duration"/>
  <xsd:element id="hstm_MinimumLiquidityAmount" name="MinimumLiquidityAmount" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="debit" xbrli:periodType="duration"/>
  <xsd:element id="hstm_MinorityOwnedInvestment" name="MinorityOwnedInvestment" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="credit" xbrli:periodType="duration"/>
  <xsd:element id="hstm_NonCashAdditionsToNonMarketableEquityMethodInvestment" name="NonCashAdditionsToNonMarketableEquityMethodInvestment" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="credit" xbrli:periodType="duration"/>
  <xsd:element id="hstm_NonCashPaidTimeOffExpense" name="NonCashPaidTimeOffExpense" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="debit" xbrli:periodType="duration"/>
  <xsd:element id="hstm_NonCashRoyaltyExpense" name="NonCashRoyaltyExpense" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="debit" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_NonmarketableEquityInvestmentMember" name="NonmarketableEquityInvestmentMember" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:domainItemType" xbrli:periodType="duration"/>
  <xsd:element id="hstm_NonmarketableEquityInvestmentsDisclosureTextBlock" name="NonmarketableEquityInvestmentsDisclosureTextBlock" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:textBlockItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_NoteToFinancialStatementDetailsTextual" name="NoteToFinancialStatementDetailsTextual" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_NotesToFinancialStatements" name="NotesToFinancialStatements" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_NotesToFinancialStatementsAbstract" name="NotesToFinancialStatementsAbstract" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_November2021ShareRepurchaseProgramMember" name="November2021ShareRepurchaseProgramMember" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:domainItemType" xbrli:periodType="duration"/>
  <xsd:element id="hstm_NumberOfEmployeesAwardedFullyVestedShares" name="NumberOfEmployeesAwardedFullyVestedShares" nillable="true" substitutionGroup="xbrli:item" type="xbrli:integerItemType" xbrli:periodType="duration"/>
  <xsd:element id="hstm_NumberOfPossibleSourcesOfTaxableIncome" name="NumberOfPossibleSourcesOfTaxableIncome" nillable="true" substitutionGroup="xbrli:item" type="xbrli:integerItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_NurseGridMember" name="NurseGridMember" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:domainItemType" xbrli:periodType="duration"/>
  <xsd:element id="hstm_PaymentsRelatedToTaxWithholdingForShareBasedCompensationForStockAwards" name="PaymentsRelatedToTaxWithholdingForShareBasedCompensationForStockAwards" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="credit" xbrli:periodType="duration"/>
  <xsd:element id="hstm_PaymentsToAcquireNonMarketableEquityInvestments" name="PaymentsToAcquireNonMarketableEquityInvestments" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="credit" xbrli:periodType="duration"/>
  <xsd:element id="hstm_ProceedsFromTheSaleOfNonmarketableEquityInvestments" name="ProceedsFromTheSaleOfNonmarketableEquityInvestments" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="debit" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_ProcessDATALimitedMember" name="ProcessDATALimitedMember" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:domainItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_ProductDevelopmentMember" name="ProductDevelopmentMember" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:domainItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_ProfessionalServicesMember" name="ProfessionalServicesMember" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:domainItemType" xbrli:periodType="duration"/>
  <xsd:element id="hstm_PropertyPlantAndEquipmentUsefulLivesTableTextBlock" name="PropertyPlantAndEquipmentUsefulLivesTableTextBlock" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:textBlockItemType" xbrli:periodType="duration"/>
  <xsd:element id="hstm_ReconciliationOfRevenueAndOperatingProfitLossFromSegmentsToConsolidatedTableTextBlock" name="ReconciliationOfRevenueAndOperatingProfitLossFromSegmentsToConsolidatedTableTextBlock" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:textBlockItemType" xbrli:periodType="duration"/>
  <xsd:element id="hstm_RevenueFromContractWithCustomerCommissionsPolicyPolicyTextBlock" name="RevenueFromContractWithCustomerCommissionsPolicyPolicyTextBlock" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:textBlockItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_RieventTechnologiesMember" name="RieventTechnologiesMember" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:domainItemType" xbrli:periodType="duration"/>
  <xsd:element id="hstm_ShippingAndHandlingCostsPolicyPolicyTextBlock" name="ShippingAndHandlingCostsPolicyPolicyTextBlock" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:textBlockItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_StockOptionsAndRestrictedStockUnitsMember" name="StockOptionsAndRestrictedStockUnitsMember" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:domainItemType" xbrli:periodType="duration"/>
  <xsd:element id="hstm_StockRepurchasedAveragePricePerShare" name="StockRepurchasedAveragePricePerShare" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:perShareItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_SubscriptionServicesMember" name="SubscriptionServicesMember" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:domainItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_SwingLineSubfacilityMember" name="SwingLineSubfacilityMember" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:domainItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_The2016OmnibusIncentivePlanMember" name="The2016OmnibusIncentivePlanMember" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:domainItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_The2016PlanMember" name="The2016PlanMember" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:domainItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_ThirdAmendmentMember" name="ThirdAmendmentMember" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:domainItemType" xbrli:periodType="duration"/>
  <xsd:element id="hstm_TreasuryStockSharesDonatedShares" name="TreasuryStockSharesDonatedShares" nillable="true" substitutionGroup="xbrli:item" type="xbrli:sharesItemType" xbrli:periodType="duration"/>
  <xsd:element id="hstm_TreasuryStockValueDonatedShares" name="TreasuryStockValueDonatedShares" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="debit" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_TruistBankMember" name="TruistBankMember" nillable="true" substitutionGroup="xbrli:item" type="dtr-types:domainItemType" xbrli:periodType="duration"/>
  <xsd:element id="hstm_UnrecognizedTaxBenefitsIncreaseResultingFromEvaluationResearchDevelopmentCreditRealizabilityQualification" name="UnrecognizedTaxBenefitsIncreaseResultingFromEvaluationResearchDevelopmentCreditRealizabilityQualification" nillable="true" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType" xbrli:balance="credit" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-1-summary-of-significant-accounting-policies-changes-in-the-allowance-for-doubtful-accounts-and-the-amounts-charged-to-bad-debt-expense-details" name="statement-statement-note-1-summary-of-significant-accounting-policies-changes-in-the-allowance-for-doubtful-accounts-and-the-amounts-charged-to-bad-debt-expense-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-1-summary-of-significant-accounting-policies-estimated-useful-lives-of-property-and-equipment-details" name="statement-statement-note-1-summary-of-significant-accounting-policies-estimated-useful-lives-of-property-and-equipment-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-1-summary-of-significant-accounting-policies-tables" name="statement-statement-note-1-summary-of-significant-accounting-policies-tables" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-10-income-taxes-reconciliation-of-income-taxes-at-the-statutory-federal-income-tax-rate-to-the-provision-for-income-taxes-details" name="statement-statement-note-10-income-taxes-reconciliation-of-income-taxes-at-the-statutory-federal-income-tax-rate-to-the-provision-for-income-taxes-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-10-income-taxes-reconciliation-of-the-beginning-and-ending-liability-for-gross-unrecognized-tax-benefits-details" name="statement-statement-note-10-income-taxes-reconciliation-of-the-beginning-and-ending-liability-for-gross-unrecognized-tax-benefits-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-10-income-taxes-schedule-of-components-of-earnings-before-income-taxes-details" name="statement-statement-note-10-income-taxes-schedule-of-components-of-earnings-before-income-taxes-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-10-income-taxes-significant-components-of-deferred-tax-assets-and-deferred-tax-liabilities-details" name="statement-statement-note-10-income-taxes-significant-components-of-deferred-tax-assets-and-deferred-tax-liabilities-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-10-income-taxes-summary-of-provision-for-income-taxes-details" name="statement-statement-note-10-income-taxes-summary-of-provision-for-income-taxes-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-10-income-taxes-tables" name="statement-statement-note-10-income-taxes-tables" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-11-stock-based-compensation-rsus-activities-details" name="statement-statement-note-11-stock-based-compensation-rsus-activities-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-11-stock-based-compensation-stock-based-compensation-expense-details" name="statement-statement-note-11-stock-based-compensation-stock-based-compensation-expense-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-11-stock-based-compensation-stock-option-activity-details" name="statement-statement-note-11-stock-based-compensation-stock-option-activity-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-11-stockbased-compensation-tables" name="statement-statement-note-11-stockbased-compensation-tables" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-14-leases-leaserelated-assets-and-liabilities-details" name="statement-statement-note-14-leases-leaserelated-assets-and-liabilities-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-14-leases-maturities-of-lease-liabilities-details" name="statement-statement-note-14-leases-maturities-of-lease-liabilities-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-14-leases-tables" name="statement-statement-note-14-leases-tables" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-3-earnings-per-share-computation-of-basic-and-diluted-earnings-per-share-details" name="statement-statement-note-3-earnings-per-share-computation-of-basic-and-diluted-earnings-per-share-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-3-earnings-per-share-tables" name="statement-statement-note-3-earnings-per-share-tables" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-4-marketable-securities-fair-value-of-available-for-sale-marketable-securities-details" name="statement-statement-note-4-marketable-securities-fair-value-of-available-for-sale-marketable-securities-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-4-marketable-securities-tables" name="statement-statement-note-4-marketable-securities-tables" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-5-revenue-recognition-and-sales-commissions-revenues-disaggregated-by-revenue-source-details" name="statement-statement-note-5-revenue-recognition-and-sales-commissions-revenues-disaggregated-by-revenue-source-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-5-revenue-recognition-and-sales-commissions-tables" name="statement-statement-note-5-revenue-recognition-and-sales-commissions-tables" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-6-property-and-equipment-summary-of-property-and-equipment-details" name="statement-statement-note-6-property-and-equipment-summary-of-property-and-equipment-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-6-property-and-equipment-tables" name="statement-statement-note-6-property-and-equipment-tables" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-7-goodwill-and-intangible-assets-changes-in-carrying-amount-of-goodwill-details" name="statement-statement-note-7-goodwill-and-intangible-assets-changes-in-carrying-amount-of-goodwill-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-7-goodwill-and-intangible-assets-expected-annual-amortization-expense-details" name="statement-statement-note-7-goodwill-and-intangible-assets-expected-annual-amortization-expense-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-7-goodwill-and-intangible-assets-identifiable-intangible-assets-details" name="statement-statement-note-7-goodwill-and-intangible-assets-identifiable-intangible-assets-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-7-goodwill-and-intangible-assets-tables" name="statement-statement-note-7-goodwill-and-intangible-assets-tables" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-9-business-segments-business-segment-information-based-on-assets-details" name="statement-statement-note-9-business-segments-business-segment-information-based-on-assets-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-9-business-segments-business-segment-information-based-on-net-revenues-and-operating-income-details" name="statement-statement-note-9-business-segments-business-segment-information-based-on-net-revenues-and-operating-income-details" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-note-9-business-segments-tables" name="statement-statement-note-9-business-segments-tables" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
  <xsd:element abstract="true" id="hstm_statement-statement-significant-accounting-policies-policies" name="statement-statement-significant-accounting-policies-policies" nillable="true" substitutionGroup="xbrli:item" type="xbrli:stringItemType" xbrli:periodType="duration"/>
</xsd:schema>
