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Side-by-side financial comparison of CareTrust REIT, Inc. (CTRE) and HEALTHSTREAM INC (HSTM). Click either name above to swap in a different company.

CareTrust REIT, Inc. is the larger business by last-quarter revenue ($134.9M vs $79.7M, roughly 1.7× HEALTHSTREAM INC). On growth, CareTrust REIT, Inc. posted the faster year-over-year revenue change (55.1% vs 7.4%). Over the past eight quarters, CareTrust REIT, Inc.'s revenue compounded faster (46.2% CAGR vs 4.7%).

Target Healthcare REIT is a British property investment company which invests in healthcare properties and holds a large portfolio of care homes. It is structured as a real estate investment trust (REIT) and is listed on the London Stock Exchange and is a constituent of the FTSE 250 Index.

HealthStream Inc is a leading U.S.-based provider of workforce development, compliance, and training solutions tailored for the healthcare industry. It offers cloud-based platforms covering clinical skill training, talent management, patient safety education, and regulatory adherence tools, serving over 4,000 healthcare organizations including hospitals, clinics, and long-term care facilities nationwide.

CTRE vs HSTM — Head-to-Head

Bigger by revenue
CTRE
CTRE
1.7× larger
CTRE
$134.9M
$79.7M
HSTM
Growing faster (revenue YoY)
CTRE
CTRE
+47.7% gap
CTRE
55.1%
7.4%
HSTM
Faster 2-yr revenue CAGR
CTRE
CTRE
Annualised
CTRE
46.2%
4.7%
HSTM

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
CTRE
CTRE
HSTM
HSTM
Revenue
$134.9M
$79.7M
Net Profit
$111.3M
Gross Margin
Operating Margin
3.0%
Net Margin
82.5%
Revenue YoY
55.1%
7.4%
Net Profit YoY
113.5%
EPS (diluted)
$0.52
$0.09

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
CTRE
CTRE
HSTM
HSTM
Q4 25
$134.9M
$79.7M
Q3 25
$132.4M
$76.5M
Q2 25
$112.5M
$74.4M
Q1 25
$96.6M
$73.5M
Q4 24
$86.9M
$74.2M
Q3 24
$77.4M
$73.1M
Q2 24
$68.9M
$71.6M
Q1 24
$63.1M
$72.8M
Net Profit
CTRE
CTRE
HSTM
HSTM
Q4 25
$111.3M
Q3 25
$74.9M
$6.1M
Q2 25
$68.5M
$5.4M
Q1 25
$65.8M
$4.3M
Q4 24
$52.1M
Q3 24
$33.4M
$5.7M
Q2 24
$10.8M
$4.2M
Q1 24
$28.7M
$5.2M
Operating Margin
CTRE
CTRE
HSTM
HSTM
Q4 25
3.0%
Q3 25
58.1%
9.9%
Q2 25
61.3%
7.9%
Q1 25
6.0%
Q4 24
6.3%
Q3 24
43.0%
8.9%
Q2 24
15.1%
6.2%
Q1 24
7.8%
Net Margin
CTRE
CTRE
HSTM
HSTM
Q4 25
82.5%
Q3 25
56.6%
8.0%
Q2 25
60.9%
7.2%
Q1 25
68.1%
5.9%
Q4 24
60.0%
Q3 24
43.2%
7.8%
Q2 24
15.6%
5.8%
Q1 24
45.6%
7.2%
EPS (diluted)
CTRE
CTRE
HSTM
HSTM
Q4 25
$0.52
$0.09
Q3 25
$0.35
$0.20
Q2 25
$0.35
$0.18
Q1 25
$0.35
$0.14
Q4 24
$0.30
$0.16
Q3 24
$0.21
$0.19
Q2 24
$0.07
$0.14
Q1 24
$0.22
$0.17

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
CTRE
CTRE
HSTM
HSTM
Cash + ST InvestmentsLiquidity on hand
$198.0M
$36.2M
Total DebtLower is stronger
$894.2M
Stockholders' EquityBook value
$4.0B
$354.0M
Total Assets
$5.1B
$520.4M
Debt / EquityLower = less leverage
0.22×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
CTRE
CTRE
HSTM
HSTM
Q4 25
$198.0M
$36.2M
Q3 25
$712.5M
$53.5M
Q2 25
$306.1M
$52.1M
Q1 25
$26.5M
$77.3M
Q4 24
$213.8M
$59.5M
Q3 24
$377.1M
$57.5M
Q2 24
$495.1M
$46.1M
Q1 24
$451.2M
$52.4M
Total Debt
CTRE
CTRE
HSTM
HSTM
Q4 25
$894.2M
Q3 25
$893.8M
Q2 25
$1.2B
Q1 25
$822.1M
Q4 24
$396.9M
Q3 24
$396.7M
Q2 24
$671.1M
Q1 24
$595.9M
Stockholders' Equity
CTRE
CTRE
HSTM
HSTM
Q4 25
$4.0B
$354.0M
Q3 25
$4.0B
$349.2M
Q2 25
$3.3B
$350.6M
Q1 25
$2.9B
$362.8M
Q4 24
$2.9B
$359.4M
Q3 24
$2.4B
$355.5M
Q2 24
$1.9B
$349.2M
Q1 24
$1.7B
$344.9M
Total Assets
CTRE
CTRE
HSTM
HSTM
Q4 25
$5.1B
$520.4M
Q3 25
$5.1B
$499.9M
Q2 25
$4.7B
$500.1M
Q1 25
$3.9B
$524.0M
Q4 24
$3.4B
$510.8M
Q3 24
$2.9B
$502.8M
Q2 24
$2.7B
$499.6M
Q1 24
$2.3B
$511.6M
Debt / Equity
CTRE
CTRE
HSTM
HSTM
Q4 25
0.22×
Q3 25
0.22×
Q2 25
0.35×
Q1 25
0.28×
Q4 24
0.14×
Q3 24
0.16×
Q2 24
0.35×
Q1 24
0.36×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
CTRE
CTRE
HSTM
HSTM
Operating Cash FlowLast quarter
$394.0M
$13.2M
Free Cash FlowOCF − Capex
$13.0M
FCF MarginFCF / Revenue
16.3%
Capex IntensityCapex / Revenue
0.3%
Cash ConversionOCF / Net Profit
3.54×
TTM Free Cash FlowTrailing 4 quarters
$59.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
CTRE
CTRE
HSTM
HSTM
Q4 25
$394.0M
$13.2M
Q3 25
$100.9M
$18.0M
Q2 25
$100.8M
$5.0M
Q1 25
$71.4M
$27.1M
Q4 24
$244.3M
$11.2M
Q3 24
$67.2M
$19.1M
Q2 24
$53.0M
$6.5M
Q1 24
$48.8M
$20.9M
Free Cash Flow
CTRE
CTRE
HSTM
HSTM
Q4 25
$13.0M
Q3 25
$17.9M
Q2 25
$2.7M
Q1 25
$26.0M
Q4 24
$11.0M
Q3 24
$18.8M
Q2 24
$6.3M
Q1 24
$20.2M
FCF Margin
CTRE
CTRE
HSTM
HSTM
Q4 25
16.3%
Q3 25
23.4%
Q2 25
3.6%
Q1 25
35.4%
Q4 24
14.8%
Q3 24
25.8%
Q2 24
8.8%
Q1 24
27.8%
Capex Intensity
CTRE
CTRE
HSTM
HSTM
Q4 25
0.3%
Q3 25
0.1%
Q2 25
3.1%
Q1 25
1.4%
Q4 24
0.3%
Q3 24
0.4%
Q2 24
0.2%
Q1 24
1.0%
Cash Conversion
CTRE
CTRE
HSTM
HSTM
Q4 25
3.54×
Q3 25
1.35×
2.96×
Q2 25
1.47×
0.93×
Q1 25
1.08×
6.25×
Q4 24
4.68×
Q3 24
2.01×
3.34×
Q2 24
4.92×
1.55×
Q1 24
1.70×
4.01×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

CTRE
CTRE

Segment breakdown not available.

HSTM
HSTM

Subscription Services$77.0M97%
Professional Services$2.7M3%

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