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Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and Inogen Inc (INGN). Click either name above to swap in a different company.
HEALTHSTREAM INC is the larger business by last-quarter revenue ($79.7M vs $68.6M, roughly 1.2× Inogen Inc). On growth, HEALTHSTREAM INC posted the faster year-over-year revenue change (7.4% vs 3.4%). HEALTHSTREAM INC produced more free cash flow last quarter ($13.0M vs $-1.9M). Over the past eight quarters, HEALTHSTREAM INC's revenue compounded faster (4.7% CAGR vs 4.2%).
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.
Inogen Inc is a medical technology firm specializing in the development, production and distribution of portable oxygen concentrators and associated respiratory care products. It caters primarily to patients with chronic respiratory conditions needing long-term oxygen therapy across North America, Europe and other global markets, focusing on home care and ambulatory patient segments to enhance users' quality of life.
HSTM vs INGN — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $79.7M | $68.6M |
| Net Profit | — | — |
| Gross Margin | — | 51.4% |
| Operating Margin | 3.0% | -13.6% |
| Net Margin | — | — |
| Revenue YoY | 7.4% | 3.4% |
| Net Profit YoY | — | — |
| EPS (diluted) | $0.09 | $-0.26 |
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 | $79.7M | $68.6M | ||
| Q3 25 | $76.5M | $79.1M | ||
| Q2 25 | $74.4M | $79.2M | ||
| Q1 25 | $73.5M | $68.5M | ||
| Q4 24 | $74.2M | $66.3M | ||
| Q3 24 | $73.1M | $74.9M | ||
| Q2 24 | $71.6M | $74.4M | ||
| Q1 24 | $72.8M | $63.1M |
| Q4 25 | — | — | ||
| Q3 25 | $6.1M | $-5.3M | ||
| Q2 25 | $5.4M | $-4.2M | ||
| Q1 25 | $4.3M | $-6.2M | ||
| Q4 24 | — | — | ||
| Q3 24 | $5.7M | $-6.0M | ||
| Q2 24 | $4.2M | $-5.6M | ||
| Q1 24 | $5.2M | $-14.6M |
| Q4 25 | — | 51.4% | ||
| Q3 25 | — | 52.2% | ||
| Q2 25 | — | 52.2% | ||
| Q1 25 | — | 53.1% | ||
| Q4 24 | — | 54.7% | ||
| Q3 24 | — | 55.2% | ||
| Q2 24 | — | 57.4% | ||
| Q1 24 | — | 54.5% |
| Q4 25 | 3.0% | -13.6% | ||
| Q3 25 | 9.9% | -9.0% | ||
| Q2 25 | 7.9% | -7.7% | ||
| Q1 25 | 6.0% | -11.2% | ||
| Q4 24 | 6.3% | -17.2% | ||
| Q3 24 | 8.9% | -10.4% | ||
| Q2 24 | 6.2% | -9.5% | ||
| Q1 24 | 7.8% | -25.8% |
| Q4 25 | — | — | ||
| Q3 25 | 8.0% | -6.7% | ||
| Q2 25 | 7.2% | -5.2% | ||
| Q1 25 | 5.9% | -9.0% | ||
| Q4 24 | — | — | ||
| Q3 24 | 7.8% | -8.0% | ||
| Q2 24 | 5.8% | -7.5% | ||
| Q1 24 | 7.2% | -23.1% |
| Q4 25 | $0.09 | $-0.26 | ||
| Q3 25 | $0.20 | $-0.20 | ||
| Q2 25 | $0.18 | $-0.15 | ||
| Q1 25 | $0.14 | $-0.25 | ||
| Q4 24 | $0.16 | $-0.41 | ||
| Q3 24 | $0.19 | $-0.25 | ||
| Q2 24 | $0.14 | $-0.24 | ||
| Q1 24 | $0.17 | $-0.62 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $36.2M | $103.7M |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $354.0M | $192.2M |
| Total Assets | $520.4M | $298.6M |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $36.2M | $103.7M | ||
| Q3 25 | $53.5M | $106.5M | ||
| Q2 25 | $52.1M | $103.7M | ||
| Q1 25 | $77.3M | $118.9M | ||
| Q4 24 | $59.5M | $113.8M | ||
| Q3 24 | $57.5M | $105.7M | ||
| Q2 24 | $46.1M | $97.9M | ||
| Q1 24 | $52.4M | $107.4M |
| Q4 25 | $354.0M | $192.2M | ||
| Q3 25 | $349.2M | $197.2M | ||
| Q2 25 | $350.6M | $199.5M | ||
| Q1 25 | $362.8M | $198.0M | ||
| Q4 24 | $359.4M | $173.9M | ||
| Q3 24 | $355.5M | $185.4M | ||
| Q2 24 | $349.2M | $187.6M | ||
| Q1 24 | $344.9M | $191.9M |
| Q4 25 | $520.4M | $298.6M | ||
| Q3 25 | $499.9M | $307.0M | ||
| Q2 25 | $500.1M | $312.0M | ||
| Q1 25 | $524.0M | $308.4M | ||
| Q4 24 | $510.8M | $296.2M | ||
| Q3 24 | $502.8M | $306.2M | ||
| Q2 24 | $499.6M | $308.9M | ||
| Q1 24 | $511.6M | $315.6M |
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 | $13.2M | $-943.0K |
| Free Cash FlowOCF − Capex | $13.0M | $-1.9M |
| FCF MarginFCF / Revenue | 16.3% | -2.8% |
| Capex IntensityCapex / Revenue | 0.3% | 1.4% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | $59.6M | $-13.7M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $13.2M | $-943.0K | ||
| Q3 25 | $18.0M | $2.2M | ||
| Q2 25 | $5.0M | $4.3M | ||
| Q1 25 | $27.1M | $-16.8M | ||
| Q4 24 | $11.2M | $-3.0M | ||
| Q3 24 | $19.1M | $7.0M | ||
| Q2 24 | $6.5M | $6.7M | ||
| Q1 24 | $20.9M | $-4.7M |
| Q4 25 | $13.0M | $-1.9M | ||
| Q3 25 | $17.9M | $1.6M | ||
| Q2 25 | $2.7M | $3.7M | ||
| Q1 25 | $26.0M | $-17.1M | ||
| Q4 24 | $11.0M | $-3.3M | ||
| Q3 24 | $18.8M | $5.3M | ||
| Q2 24 | $6.3M | $6.6M | ||
| Q1 24 | $20.2M | $-6.1M |
| Q4 25 | 16.3% | -2.8% | ||
| Q3 25 | 23.4% | 2.0% | ||
| Q2 25 | 3.6% | 4.6% | ||
| Q1 25 | 35.4% | -24.9% | ||
| Q4 24 | 14.8% | -5.0% | ||
| Q3 24 | 25.8% | 7.1% | ||
| Q2 24 | 8.8% | 8.9% | ||
| Q1 24 | 27.8% | -9.6% |
| Q4 25 | 0.3% | 1.4% | ||
| Q3 25 | 0.1% | 0.7% | ||
| Q2 25 | 3.1% | 0.9% | ||
| Q1 25 | 1.4% | 0.4% | ||
| Q4 24 | 0.3% | 0.5% | ||
| Q3 24 | 0.4% | 2.2% | ||
| Q2 24 | 0.2% | 0.1% | ||
| Q1 24 | 1.0% | 2.1% |
| 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
HSTM
| Subscription Services | $77.0M | 97% |
| Professional Services | $2.7M | 3% |
INGN
| Other | $36.1M | 53% |
| Non Us | $32.5M | 47% |
