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

Ramaco Resources, Inc. is the larger business by last-quarter revenue ($121.0M vs $79.7M, roughly 1.5× HEALTHSTREAM INC). On growth, HEALTHSTREAM INC posted the faster year-over-year revenue change (7.4% vs -27.7%). HEALTHSTREAM INC produced more free cash flow last quarter ($13.0M vs $-17.5M). Over the past eight quarters, HEALTHSTREAM INC's revenue compounded faster (4.7% CAGR vs -22.7%).

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.

Ramaco Resources, Inc. is a U.S.-based mining company focused on high-grade metallurgical coal production. It operates mining assets across the Appalachian region, supplying products to global steel manufacturing and industrial clients, with core operations centered on sustainable low-cost metallurgical coal extraction and distribution.

HSTM vs METC — Head-to-Head

Bigger by revenue
METC
METC
1.5× larger
METC
$121.0M
$79.7M
HSTM
Growing faster (revenue YoY)
HSTM
HSTM
+35.1% gap
HSTM
7.4%
-27.7%
METC
More free cash flow
HSTM
HSTM
$30.5M more FCF
HSTM
$13.0M
$-17.5M
METC
Faster 2-yr revenue CAGR
HSTM
HSTM
Annualised
HSTM
4.7%
-22.7%
METC

Income Statement — Q4 FY2025 vs Q3 FY2025

Metric
HSTM
HSTM
METC
METC
Revenue
$79.7M
$121.0M
Net Profit
$-13.3M
Gross Margin
15.8%
Operating Margin
3.0%
-12.0%
Net Margin
-11.0%
Revenue YoY
7.4%
-27.7%
Net Profit YoY
-5468.2%
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.

Revenue
HSTM
HSTM
METC
METC
Q4 25
$79.7M
Q3 25
$76.5M
$121.0M
Q2 25
$74.4M
$153.0M
Q1 25
$73.5M
$134.7M
Q4 24
$74.2M
$170.9M
Q3 24
$73.1M
$167.4M
Q2 24
$71.6M
$155.3M
Q1 24
$72.8M
$172.7M
Net Profit
HSTM
HSTM
METC
METC
Q4 25
Q3 25
$6.1M
$-13.3M
Q2 25
$5.4M
$-14.0M
Q1 25
$4.3M
$-9.5M
Q4 24
$3.9M
Q3 24
$5.7M
$-239.0K
Q2 24
$4.2M
$5.5M
Q1 24
$5.2M
$2.0M
Gross Margin
HSTM
HSTM
METC
METC
Q4 25
Q3 25
15.8%
Q2 25
12.3%
Q1 25
15.2%
Q4 24
20.4%
Q3 24
19.5%
Q2 24
21.0%
Q1 24
19.1%
Operating Margin
HSTM
HSTM
METC
METC
Q4 25
3.0%
Q3 25
9.9%
-12.0%
Q2 25
7.9%
-9.1%
Q1 25
6.0%
-8.9%
Q4 24
6.3%
3.7%
Q3 24
8.9%
1.0%
Q2 24
6.2%
3.5%
Q1 24
7.8%
1.9%
Net Margin
HSTM
HSTM
METC
METC
Q4 25
Q3 25
8.0%
-11.0%
Q2 25
7.2%
-9.1%
Q1 25
5.9%
-7.0%
Q4 24
2.3%
Q3 24
7.8%
-0.1%
Q2 24
5.8%
3.6%
Q1 24
7.2%
1.2%
EPS (diluted)
HSTM
HSTM
METC
METC
Q4 25
$0.09
Q3 25
$0.20
Q2 25
$0.18
Q1 25
$0.14
Q4 24
$0.16
$0.06
Q3 24
$0.19
$-0.03
Q2 24
$0.14
$0.08
Q1 24
$0.17
$0.00

Balance Sheet & Financial Strength

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

Metric
HSTM
HSTM
METC
METC
Cash + ST InvestmentsLiquidity on hand
$36.2M
$193.8M
Total DebtLower is stronger
$116.3M
Stockholders' EquityBook value
$354.0M
$526.9M
Total Assets
$520.4M
$849.7M
Debt / EquityLower = less leverage
0.22×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HSTM
HSTM
METC
METC
Q4 25
$36.2M
Q3 25
$53.5M
$193.8M
Q2 25
$52.1M
$28.1M
Q1 25
$77.3M
$43.5M
Q4 24
$59.5M
$33.0M
Q3 24
$57.5M
$22.9M
Q2 24
$46.1M
$27.6M
Q1 24
$52.4M
$30.5M
Total Debt
HSTM
HSTM
METC
METC
Q4 25
Q3 25
$116.3M
Q2 25
Q1 25
Q4 24
$88.2M
Q3 24
Q2 24
Q1 24
Stockholders' Equity
HSTM
HSTM
METC
METC
Q4 25
$354.0M
Q3 25
$349.2M
$526.9M
Q2 25
$350.6M
$347.4M
Q1 25
$362.8M
$355.2M
Q4 24
$359.4M
$362.8M
Q3 24
$355.5M
$361.8M
Q2 24
$349.2M
$366.1M
Q1 24
$344.9M
$372.3M
Total Assets
HSTM
HSTM
METC
METC
Q4 25
$520.4M
Q3 25
$499.9M
$849.7M
Q2 25
$500.1M
$674.6M
Q1 25
$524.0M
$685.7M
Q4 24
$510.8M
$674.7M
Q3 24
$502.8M
$645.4M
Q2 24
$499.6M
$659.2M
Q1 24
$511.6M
$674.0M
Debt / Equity
HSTM
HSTM
METC
METC
Q4 25
Q3 25
0.22×
Q2 25
Q1 25
Q4 24
0.24×
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
HSTM
HSTM
METC
METC
Operating Cash FlowLast quarter
$13.2M
$-1.4M
Free Cash FlowOCF − Capex
$13.0M
$-17.5M
FCF MarginFCF / Revenue
16.3%
-14.5%
Capex IntensityCapex / Revenue
0.3%
13.3%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$59.6M
$-24.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HSTM
HSTM
METC
METC
Q4 25
$13.2M
Q3 25
$18.0M
$-1.4M
Q2 25
$5.0M
$-4.3M
Q1 25
$27.1M
$26.0M
Q4 24
$11.2M
$15.7M
Q3 24
$19.1M
$37.4M
Q2 24
$6.5M
$34.4M
Q1 24
$20.9M
$25.2M
Free Cash Flow
HSTM
HSTM
METC
METC
Q4 25
$13.0M
Q3 25
$17.9M
$-17.5M
Q2 25
$2.7M
$-19.8M
Q1 25
$26.0M
$7.6M
Q4 24
$11.0M
$5.1M
Q3 24
$18.8M
$25.6M
Q2 24
$6.3M
$20.3M
Q1 24
$20.2M
$6.5M
FCF Margin
HSTM
HSTM
METC
METC
Q4 25
16.3%
Q3 25
23.4%
-14.5%
Q2 25
3.6%
-13.0%
Q1 25
35.4%
5.6%
Q4 24
14.8%
3.0%
Q3 24
25.8%
15.3%
Q2 24
8.8%
13.1%
Q1 24
27.8%
3.7%
Capex Intensity
HSTM
HSTM
METC
METC
Q4 25
0.3%
Q3 25
0.1%
13.3%
Q2 25
3.1%
10.2%
Q1 25
1.4%
13.7%
Q4 24
0.3%
6.2%
Q3 24
0.4%
7.0%
Q2 24
0.2%
9.1%
Q1 24
1.0%
10.8%
Cash Conversion
HSTM
HSTM
METC
METC
Q4 25
Q3 25
2.96×
Q2 25
0.93×
Q1 25
6.25×
Q4 24
4.06×
Q3 24
3.34×
Q2 24
1.55×
6.21×
Q1 24
4.01×
12.40×

Financial Flow Comparison

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

Revenue Breakdown by Segment

HSTM
HSTM

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

METC
METC

Export Coal Revenues$73.0M60%
Domestic Coal Revenues$48.0M40%

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