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Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and LifeMD, Inc. (LFMD). Click either name above to swap in a different company.
HEALTHSTREAM INC is the larger business by last-quarter revenue ($79.7M vs $60.2M, roughly 1.3× LifeMD, Inc.). On growth, LifeMD, Inc. posted the faster year-over-year revenue change (13.0% vs 7.4%). HEALTHSTREAM INC produced more free cash flow last quarter ($13.0M vs $-944.4K). Over the past eight quarters, LifeMD, Inc.'s revenue compounded faster (24.8% 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.
SBI Life Insurance Company Limited is an Indian life insurance company. It was started as a joint venture between State Bank of India (SBI) and French financial institution BNP Paribas Cardif.
HSTM vs LFMD — Head-to-Head
Income Statement — Q4 FY2025 vs Q3 FY2025
| Metric | | |
|---|---|---|
| Revenue | $79.7M | $60.2M |
| Net Profit | — | $-3.8M |
| Gross Margin | — | 87.7% |
| Operating Margin | 3.0% | -3.3% |
| Net Margin | — | -6.3% |
| Revenue YoY | 7.4% | 13.0% |
| Net Profit YoY | — | 18.3% |
| EPS (diluted) | $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 | $79.7M | — | ||
| Q3 25 | $76.5M | $60.2M | ||
| Q2 25 | $74.4M | $62.7M | ||
| Q1 25 | $73.5M | $64.1M | ||
| Q4 24 | $74.2M | — | ||
| Q3 24 | $73.1M | $53.3M | ||
| Q2 24 | $71.6M | $50.7M | ||
| Q1 24 | $72.8M | $44.1M |
| Q4 25 | — | — | ||
| Q3 25 | $6.1M | $-3.8M | ||
| Q2 25 | $5.4M | $-1.6M | ||
| Q1 25 | $4.3M | $-183.8K | ||
| Q4 24 | — | — | ||
| Q3 24 | $5.7M | $-4.7M | ||
| Q2 24 | $4.2M | $-6.9M | ||
| Q1 24 | $5.2M | $-6.8M |
| Q4 25 | — | — | ||
| Q3 25 | — | 87.7% | ||
| Q2 25 | — | 88.1% | ||
| Q1 25 | — | 86.5% | ||
| Q4 24 | — | — | ||
| Q3 24 | — | 90.6% | ||
| Q2 24 | — | 90.1% | ||
| Q1 24 | — | 89.6% |
| Q4 25 | 3.0% | — | ||
| Q3 25 | 9.9% | -3.3% | ||
| Q2 25 | 7.9% | -0.7% | ||
| Q1 25 | 6.0% | 1.5% | ||
| Q4 24 | 6.3% | — | ||
| Q3 24 | 8.9% | -7.5% | ||
| Q2 24 | 6.2% | -12.4% | ||
| Q1 24 | 7.8% | -14.0% |
| Q4 25 | — | — | ||
| Q3 25 | 8.0% | -6.3% | ||
| Q2 25 | 7.2% | -2.6% | ||
| Q1 25 | 5.9% | -0.3% | ||
| Q4 24 | — | — | ||
| Q3 24 | 7.8% | -8.7% | ||
| Q2 24 | 5.8% | -13.6% | ||
| Q1 24 | 7.2% | -15.3% |
| Q4 25 | $0.09 | — | ||
| Q3 25 | $0.20 | — | ||
| Q2 25 | $0.18 | $-0.05 | ||
| Q1 25 | $0.14 | $-0.02 | ||
| Q4 24 | $0.16 | — | ||
| Q3 24 | $0.19 | $-0.13 | ||
| Q2 24 | $0.14 | — | ||
| Q1 24 | $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 | $36.2M | — |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $354.0M | $1.3M |
| Total Assets | $520.4M | $66.0M |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $36.2M | — | ||
| Q3 25 | $53.5M | — | ||
| Q2 25 | $52.1M | $36.2M | ||
| Q1 25 | $77.3M | $34.4M | ||
| Q4 24 | $59.5M | — | ||
| Q3 24 | $57.5M | $37.6M | ||
| Q2 24 | $46.1M | $35.7M | ||
| Q1 24 | $52.4M | $35.1M |
| Q4 25 | — | — | ||
| Q3 25 | — | — | ||
| Q2 25 | — | $15.9M | ||
| Q1 25 | — | — | ||
| Q4 24 | — | — | ||
| Q3 24 | — | — | ||
| Q2 24 | — | — | ||
| Q1 24 | — | — |
| Q4 25 | $354.0M | — | ||
| Q3 25 | $349.2M | $1.3M | ||
| Q2 25 | $350.6M | $-1.8M | ||
| Q1 25 | $362.8M | $-2.3M | ||
| Q4 24 | $359.4M | — | ||
| Q3 24 | $355.5M | $-7.7M | ||
| Q2 24 | $349.2M | $-4.2M | ||
| Q1 24 | $344.9M | $-845.3K |
| Q4 25 | $520.4M | — | ||
| Q3 25 | $499.9M | $66.0M | ||
| Q2 25 | $500.1M | $73.6M | ||
| Q1 25 | $524.0M | $73.6M | ||
| Q4 24 | $510.8M | — | ||
| Q3 24 | $502.8M | $72.6M | ||
| Q2 24 | $499.6M | $63.8M | ||
| Q1 24 | $511.6M | $61.5M |
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 | $-147.1K |
| Free Cash FlowOCF − Capex | $13.0M | $-944.4K |
| FCF MarginFCF / Revenue | 16.3% | -1.6% |
| Capex IntensityCapex / Revenue | 0.3% | 1.3% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | $59.6M | $16.1M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $13.2M | — | ||
| Q3 25 | $18.0M | $-147.1K | ||
| Q2 25 | $5.0M | $8.6M | ||
| Q1 25 | $27.1M | $3.1M | ||
| Q4 24 | $11.2M | — | ||
| Q3 24 | $19.1M | $6.7M | ||
| Q2 24 | $6.5M | $4.5M | ||
| Q1 24 | $20.9M | $5.2M |
| Q4 25 | $13.0M | — | ||
| Q3 25 | $17.9M | $-944.4K | ||
| Q2 25 | $2.7M | $7.8M | ||
| Q1 25 | $26.0M | $2.9M | ||
| Q4 24 | $11.0M | — | ||
| Q3 24 | $18.8M | $6.3M | ||
| Q2 24 | $6.3M | $3.9M | ||
| Q1 24 | $20.2M | $5.0M |
| Q4 25 | 16.3% | — | ||
| Q3 25 | 23.4% | -1.6% | ||
| Q2 25 | 3.6% | 12.5% | ||
| Q1 25 | 35.4% | 4.6% | ||
| Q4 24 | 14.8% | — | ||
| Q3 24 | 25.8% | 11.7% | ||
| Q2 24 | 8.8% | 7.7% | ||
| Q1 24 | 27.8% | 11.4% |
| Q4 25 | 0.3% | — | ||
| Q3 25 | 0.1% | 1.3% | ||
| Q2 25 | 3.1% | 1.3% | ||
| Q1 25 | 1.4% | 0.2% | ||
| Q4 24 | 0.3% | — | ||
| Q3 24 | 0.4% | 0.8% | ||
| Q2 24 | 0.2% | 1.3% | ||
| Q1 24 | 1.0% | 0.4% |
| 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% |
LFMD
| Telehealth Subscription Revenue | $27.3M | 45% |
| Telehealth | $20.0M | 33% |
| Work Simpli Revenue | $12.9M | 21% |
| Product And Services | $2.5M | 4% |
