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Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and iQSTEL Inc (IQST). Click either name above to swap in a different company.
iQSTEL Inc is the larger business by last-quarter revenue ($84.2M vs $79.7M, roughly 1.1× HEALTHSTREAM INC). On growth, HEALTHSTREAM INC posted the faster year-over-year revenue change (7.4% vs -14.9%). HEALTHSTREAM INC produced more free cash flow last quarter ($13.0M vs $-1.2M). Over the past eight quarters, iQSTEL Inc's revenue compounded faster (28.0% CAGR vs 4.7%).
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.
iQSTEL Inc is a technology holding company operating three core segments: telecommunications, Internet of Things (IoT), and fintech. It offers connectivity services, smart IoT monitoring solutions, and digital financial tools, mainly serving small and medium-sized enterprises and retail customers in North and South American markets.
HSTM vs IQST — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $79.7M | $84.2M |
| Net Profit | — | $-2.7M |
| Gross Margin | — | 3.5% |
| Operating Margin | 3.0% | -2.9% |
| Net Margin | — | -3.2% |
| Revenue YoY | 7.4% | -14.9% |
| Net Profit YoY | — | -44.5% |
| EPS (diluted) | $0.09 | $-0.92 |
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 | $84.2M | ||
| Q3 25 | $76.5M | $102.9M | ||
| Q2 25 | $74.4M | $72.2M | ||
| Q1 25 | $73.5M | $57.6M | ||
| Q4 24 | $74.2M | $98.9M | ||
| Q3 24 | $73.1M | $54.2M | ||
| Q2 24 | $71.6M | $78.6M | ||
| Q1 24 | $72.8M | $51.4M |
| Q4 25 | — | $-2.7M | ||
| Q3 25 | $6.1M | $-2.3M | ||
| Q2 25 | $5.4M | $-2.3M | ||
| Q1 25 | $4.3M | $-1.1M | ||
| Q4 24 | — | $-1.9M | ||
| Q3 24 | $5.7M | $-773.0K | ||
| Q2 24 | $4.2M | $-2.0M | ||
| Q1 24 | $5.2M | $-580.2K |
| Q4 25 | — | 3.5% | ||
| Q3 25 | — | 2.7% | ||
| Q2 25 | — | 2.6% | ||
| Q1 25 | — | 3.4% | ||
| Q4 24 | — | 2.7% | ||
| Q3 24 | — | 3.7% | ||
| Q2 24 | — | 2.8% | ||
| Q1 24 | — | 2.7% |
| Q4 25 | 3.0% | -2.9% | ||
| Q3 25 | 9.9% | -0.5% | ||
| Q2 25 | 7.9% | -0.9% | ||
| Q1 25 | 6.0% | -1.0% | ||
| Q4 24 | 6.3% | -0.3% | ||
| Q3 24 | 8.9% | -0.1% | ||
| Q2 24 | 6.2% | -0.4% | ||
| Q1 24 | 7.8% | -0.4% |
| Q4 25 | — | -3.2% | ||
| Q3 25 | 8.0% | -2.3% | ||
| Q2 25 | 7.2% | -3.3% | ||
| Q1 25 | 5.9% | -2.0% | ||
| Q4 24 | — | -1.9% | ||
| Q3 24 | 7.8% | -1.4% | ||
| Q2 24 | 5.8% | -2.5% | ||
| Q1 24 | 7.2% | -1.1% |
| Q4 25 | $0.09 | $-0.92 | ||
| Q3 25 | $0.20 | $-0.68 | ||
| Q2 25 | $0.18 | $-0.82 | ||
| Q1 25 | $0.14 | $-0.44 | ||
| Q4 24 | $0.16 | $-1.19 | ||
| Q3 24 | $0.19 | $-0.40 | ||
| Q2 24 | $0.14 | $-0.90 | ||
| Q1 24 | $0.17 | $-0.37 |
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 | $2.2M |
| Total DebtLower is stronger | — | $4.1M |
| Stockholders' EquityBook value | $354.0M | $16.3M |
| Total Assets | $520.4M | $51.1M |
| Debt / EquityLower = less leverage | — | 0.25× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $36.2M | $2.2M | ||
| Q3 25 | $53.5M | $2.3M | ||
| Q2 25 | $52.1M | $2.0M | ||
| Q1 25 | $77.3M | $1.1M | ||
| Q4 24 | $59.5M | $2.5M | ||
| Q3 24 | $57.5M | $2.1M | ||
| Q2 24 | $46.1M | $797.2K | ||
| Q1 24 | $52.4M | $2.7M |
| Q4 25 | — | $4.1M | ||
| Q3 25 | — | $2.7M | ||
| Q2 25 | — | $4.5M | ||
| Q1 25 | — | $3.5M | ||
| Q4 24 | — | $2.5M | ||
| Q3 24 | — | $3.2M | ||
| Q2 24 | — | $2.5M | ||
| Q1 24 | — | $194.0K |
| Q4 25 | $354.0M | $16.3M | ||
| Q3 25 | $349.2M | $17.9M | ||
| Q2 25 | $350.6M | $14.3M | ||
| Q1 25 | $362.8M | $11.6M | ||
| Q4 24 | $359.4M | $11.9M | ||
| Q3 24 | $355.5M | $8.1M | ||
| Q2 24 | $349.2M | $7.6M | ||
| Q1 24 | $344.9M | $8.4M |
| Q4 25 | $520.4M | $51.1M | ||
| Q3 25 | $499.9M | $46.9M | ||
| Q2 25 | $500.1M | $51.4M | ||
| Q1 25 | $524.0M | $42.0M | ||
| Q4 24 | $510.8M | $79.0M | ||
| Q3 24 | $502.8M | $32.4M | ||
| Q2 24 | $499.6M | $30.0M | ||
| Q1 24 | $511.6M | $22.1M |
| Q4 25 | — | 0.25× | ||
| Q3 25 | — | 0.15× | ||
| Q2 25 | — | 0.31× | ||
| Q1 25 | — | 0.31× | ||
| Q4 24 | — | 0.21× | ||
| Q3 24 | — | 0.40× | ||
| Q2 24 | — | 0.34× | ||
| Q1 24 | — | 0.02× |
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 | $-1.2M |
| Free Cash FlowOCF − Capex | $13.0M | $-1.2M |
| FCF MarginFCF / Revenue | 16.3% | -1.5% |
| Capex IntensityCapex / Revenue | 0.3% | 0.0% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | $59.6M | $-4.0M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $13.2M | $-1.2M | ||
| Q3 25 | $18.0M | $-953.0K | ||
| Q2 25 | $5.0M | $257.7K | ||
| Q1 25 | $27.1M | $-1.9M | ||
| Q4 24 | $11.2M | $-403.7K | ||
| Q3 24 | $19.1M | $625.0K | ||
| Q2 24 | $6.5M | $-2.6M | ||
| Q1 24 | $20.9M | $-536.9K |
| Q4 25 | $13.0M | $-1.2M | ||
| Q3 25 | $17.9M | $-969.2K | ||
| Q2 25 | $2.7M | $211.7K | ||
| Q1 25 | $26.0M | $-2.0M | ||
| Q4 24 | $11.0M | $-421.3K | ||
| Q3 24 | $18.8M | $594.5K | ||
| Q2 24 | $6.3M | $-2.6M | ||
| Q1 24 | $20.2M | $-608.5K |
| Q4 25 | 16.3% | -1.5% | ||
| Q3 25 | 23.4% | -0.9% | ||
| Q2 25 | 3.6% | 0.3% | ||
| Q1 25 | 35.4% | -3.4% | ||
| Q4 24 | 14.8% | -0.4% | ||
| Q3 24 | 25.8% | 1.1% | ||
| Q2 24 | 8.8% | -3.4% | ||
| Q1 24 | 27.8% | -1.2% |
| Q4 25 | 0.3% | 0.0% | ||
| Q3 25 | 0.1% | 0.0% | ||
| Q2 25 | 3.1% | 0.1% | ||
| Q1 25 | 1.4% | 0.1% | ||
| Q4 24 | 0.3% | 0.0% | ||
| Q3 24 | 0.4% | 0.1% | ||
| Q2 24 | 0.2% | 0.0% | ||
| Q1 24 | 1.0% | 0.1% |
| 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% |
IQST
| USA | $53.2M | 63% |
| Other | $29.9M | 35% |
| Switzerland | $1.1M | 1% |
