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Side-by-side financial comparison of ESTABLISHMENT LABS HOLDINGS INC. (ESTA) and HEALTHSTREAM INC (HSTM). Click either name above to swap in a different company.
HEALTHSTREAM INC is the larger business by last-quarter revenue ($79.7M vs $64.6M, roughly 1.2× ESTABLISHMENT LABS HOLDINGS INC.). On growth, ESTABLISHMENT LABS HOLDINGS INC. posted the faster year-over-year revenue change (45.2% vs 7.4%). HEALTHSTREAM INC produced more free cash flow last quarter ($13.0M vs $-2.0M). Over the past eight quarters, ESTABLISHMENT LABS HOLDINGS INC.'s revenue compounded faster (31.9% CAGR vs 4.7%).
Astera Labs, Inc. is an American fabless semiconductor manufacturer and artificial intelligence company. The company specializes in designing high-speed connectivity solutions for data centers and AI infrastructure. The company has been listed on the Nasdaq since March 2024.
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.
ESTA vs HSTM — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $64.6M | $79.7M |
| Net Profit | — | — |
| Gross Margin | 70.5% | — |
| Operating Margin | -6.1% | 3.0% |
| Net Margin | — | — |
| Revenue YoY | 45.2% | 7.4% |
| Net Profit YoY | — | — |
| EPS (diluted) | $-0.07 | $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.
| Q4 25 | $64.6M | $79.7M | ||
| Q3 25 | $53.8M | $76.5M | ||
| Q2 25 | $51.3M | $74.4M | ||
| Q1 25 | $41.4M | $73.5M | ||
| Q4 24 | $44.5M | $74.2M | ||
| Q3 24 | $40.2M | $73.1M | ||
| Q2 24 | $44.1M | $71.6M | ||
| Q1 24 | $37.2M | $72.8M |
| Q4 25 | — | — | ||
| Q3 25 | $-11.1M | $6.1M | ||
| Q2 25 | $-16.6M | $5.4M | ||
| Q1 25 | $-20.7M | $4.3M | ||
| Q4 24 | — | — | ||
| Q3 24 | $-16.7M | $5.7M | ||
| Q2 24 | $-17.2M | $4.2M | ||
| Q1 24 | $-16.2M | $5.2M |
| Q4 25 | 70.5% | — | ||
| Q3 25 | 70.1% | — | ||
| Q2 25 | 68.8% | — | ||
| Q1 25 | 67.2% | — | ||
| Q4 24 | 68.5% | — | ||
| Q3 24 | 63.9% | — | ||
| Q2 24 | 65.6% | — | ||
| Q1 24 | 65.6% | — |
| Q4 25 | -6.1% | 3.0% | ||
| Q3 25 | -7.5% | 9.9% | ||
| Q2 25 | -27.5% | 7.9% | ||
| Q1 25 | -41.0% | 6.0% | ||
| Q4 24 | -41.9% | 6.3% | ||
| Q3 24 | -32.7% | 8.9% | ||
| Q2 24 | -21.2% | 6.2% | ||
| Q1 24 | -23.8% | 7.8% |
| Q4 25 | — | — | ||
| Q3 25 | -20.7% | 8.0% | ||
| Q2 25 | -32.3% | 7.2% | ||
| Q1 25 | -50.1% | 5.9% | ||
| Q4 24 | — | — | ||
| Q3 24 | -41.5% | 7.8% | ||
| Q2 24 | -38.9% | 5.8% | ||
| Q1 24 | -43.6% | 7.2% |
| Q4 25 | $-0.07 | $0.09 | ||
| Q3 25 | $-0.38 | $0.20 | ||
| Q2 25 | $-0.57 | $0.18 | ||
| Q1 25 | $-0.70 | $0.14 | ||
| Q4 24 | $-1.21 | $0.16 | ||
| Q3 24 | $-0.59 | $0.19 | ||
| Q2 24 | $-0.62 | $0.14 | ||
| Q1 24 | $-0.58 | $0.17 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $75.6M | $36.2M |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $23.5M | $354.0M |
| Total Assets | $357.2M | $520.4M |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $75.6M | $36.2M | ||
| Q3 25 | $70.6M | $53.5M | ||
| Q2 25 | $54.6M | $52.1M | ||
| Q1 25 | $69.2M | $77.3M | ||
| Q4 24 | $90.3M | $59.5M | ||
| Q3 24 | — | $57.5M | ||
| Q2 24 | — | $46.1M | ||
| Q1 24 | — | $52.4M |
| Q4 25 | — | — | ||
| Q3 25 | — | — | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | $0 | — | ||
| Q3 24 | — | — | ||
| Q2 24 | — | — | ||
| Q1 24 | — | — |
| Q4 25 | $23.5M | $354.0M | ||
| Q3 25 | $16.4M | $349.2M | ||
| Q2 25 | $22.8M | $350.6M | ||
| Q1 25 | $38.5M | $362.8M | ||
| Q4 24 | $53.1M | $359.4M | ||
| Q3 24 | $32.7M | $355.5M | ||
| Q2 24 | $45.0M | $349.2M | ||
| Q1 24 | $56.9M | $344.9M |
| Q4 25 | $357.2M | $520.4M | ||
| Q3 25 | $338.9M | $499.9M | ||
| Q2 25 | $329.7M | $500.1M | ||
| Q1 25 | $333.4M | $524.0M | ||
| Q4 24 | $346.8M | $510.8M | ||
| Q3 24 | $282.7M | $502.8M | ||
| Q2 24 | $285.1M | $499.6M | ||
| Q1 24 | $301.8M | $511.6M |
| Q4 25 | — | — | ||
| Q3 25 | — | — | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | 0.00× | — | ||
| Q3 24 | — | — | ||
| Q2 24 | — | — | ||
| Q1 24 | — | — |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | $-162.0K | $13.2M |
| Free Cash FlowOCF − Capex | $-2.0M | $13.0M |
| FCF MarginFCF / Revenue | -3.1% | 16.3% |
| Capex IntensityCapex / Revenue | 2.8% | 0.3% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | $-56.9M | $59.6M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $-162.0K | $13.2M | ||
| Q3 25 | $-11.3M | $18.0M | ||
| Q2 25 | $-18.8M | $5.0M | ||
| Q1 25 | $-20.7M | $27.1M | ||
| Q4 24 | $-20.7M | $11.2M | ||
| Q3 24 | $-12.5M | $19.1M | ||
| Q2 24 | $-14.2M | $6.5M | ||
| Q1 24 | $-11.2M | $20.9M |
| Q4 25 | $-2.0M | $13.0M | ||
| Q3 25 | $-13.1M | $17.9M | ||
| Q2 25 | $-20.4M | $2.7M | ||
| Q1 25 | $-21.5M | $26.0M | ||
| Q4 24 | $-21.3M | $11.0M | ||
| Q3 24 | $-13.9M | $18.8M | ||
| Q2 24 | $-15.0M | $6.3M | ||
| Q1 24 | $-14.5M | $20.2M |
| Q4 25 | -3.1% | 16.3% | ||
| Q3 25 | -24.4% | 23.4% | ||
| Q2 25 | -39.7% | 3.6% | ||
| Q1 25 | -51.9% | 35.4% | ||
| Q4 24 | -47.8% | 14.8% | ||
| Q3 24 | -34.6% | 25.8% | ||
| Q2 24 | -33.9% | 8.8% | ||
| Q1 24 | -38.9% | 27.8% |
| Q4 25 | 2.8% | 0.3% | ||
| Q3 25 | 3.4% | 0.1% | ||
| Q2 25 | 3.2% | 3.1% | ||
| Q1 25 | 1.8% | 1.4% | ||
| Q4 24 | 1.2% | 0.3% | ||
| Q3 24 | 3.7% | 0.4% | ||
| Q2 24 | 1.8% | 0.2% | ||
| Q1 24 | 8.9% | 1.0% |
| Q4 25 | — | — | ||
| Q3 25 | — | 2.96× | ||
| Q2 25 | — | 0.93× | ||
| Q1 25 | — | 6.25× | ||
| Q4 24 | — | — | ||
| Q3 24 | — | 3.34× | ||
| Q2 24 | — | 1.55× | ||
| Q1 24 | — | 4.01× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
ESTA
Segment breakdown not available.
HSTM
| Subscription Services | $77.0M | 97% |
| Professional Services | $2.7M | 3% |
