vs

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

HEALTHSTREAM INC is the larger business by last-quarter revenue ($79.7M vs $55.5M, roughly 1.4× MFA FINANCIAL, INC.). On growth, MFA FINANCIAL, INC. posted the faster year-over-year revenue change (9.2% vs 7.4%). Over the past eight quarters, MFA FINANCIAL, INC.'s revenue compounded faster (7.7% 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.

MFA Financial, Inc. is a U.S.-headquartered real estate investment trust (REIT) specializing in investing in and managing residential and commercial mortgage-backed securities, mortgage loans, and other real estate-related financial assets. It caters primarily to institutional and individual investors across the U.S., focusing on delivering stable risk-adjusted returns via rigorous asset screening and risk management frameworks.

HSTM vs MFA — Head-to-Head

Bigger by revenue
HSTM
HSTM
1.4× larger
HSTM
$79.7M
$55.5M
MFA
Growing faster (revenue YoY)
MFA
MFA
+1.8% gap
MFA
9.2%
7.4%
HSTM
Faster 2-yr revenue CAGR
MFA
MFA
Annualised
MFA
7.7%
4.7%
HSTM

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
HSTM
HSTM
MFA
MFA
Revenue
$79.7M
$55.5M
Net Profit
Gross Margin
Operating Margin
3.0%
97.9%
Net Margin
Revenue YoY
7.4%
9.2%
Net Profit YoY
EPS (diluted)
$0.09
$0.43

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
MFA
MFA
Q4 25
$79.7M
$55.5M
Q3 25
$76.5M
$56.8M
Q2 25
$74.4M
$61.3M
Q1 25
$73.5M
$57.5M
Q4 24
$74.2M
$50.8M
Q3 24
$73.1M
$50.6M
Q2 24
$71.6M
$53.5M
Q1 24
$72.8M
$47.8M
Net Profit
HSTM
HSTM
MFA
MFA
Q4 25
Q3 25
$6.1M
$48.1M
Q2 25
$5.4M
$33.2M
Q1 25
$4.3M
$41.2M
Q4 24
Q3 24
$5.7M
$48.2M
Q2 24
$4.2M
$41.9M
Q1 24
$5.2M
$23.2M
Operating Margin
HSTM
HSTM
MFA
MFA
Q4 25
3.0%
97.9%
Q3 25
9.9%
84.5%
Q2 25
7.9%
54.5%
Q1 25
6.0%
70.0%
Q4 24
6.3%
6.8%
Q3 24
8.9%
98.2%
Q2 24
6.2%
79.1%
Q1 24
7.8%
50.7%
Net Margin
HSTM
HSTM
MFA
MFA
Q4 25
Q3 25
8.0%
84.7%
Q2 25
7.2%
54.2%
Q1 25
5.9%
71.6%
Q4 24
Q3 24
7.8%
95.2%
Q2 24
5.8%
78.4%
Q1 24
7.2%
48.5%
EPS (diluted)
HSTM
HSTM
MFA
MFA
Q4 25
$0.09
$0.43
Q3 25
$0.20
$0.35
Q2 25
$0.18
$0.21
Q1 25
$0.14
$0.31
Q4 24
$0.16
$-0.01
Q3 24
$0.19
$0.37
Q2 24
$0.14
$0.32
Q1 24
$0.17
$0.14

Balance Sheet & Financial Strength

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

Metric
HSTM
HSTM
MFA
MFA
Cash + ST InvestmentsLiquidity on hand
$36.2M
$213.2M
Total DebtLower is stronger
Stockholders' EquityBook value
$354.0M
$1.8B
Total Assets
$520.4M
$13.0B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HSTM
HSTM
MFA
MFA
Q4 25
$36.2M
$213.2M
Q3 25
$53.5M
$305.2M
Q2 25
$52.1M
$275.7M
Q1 25
$77.3M
$253.7M
Q4 24
$59.5M
$338.9M
Q3 24
$57.5M
$305.6M
Q2 24
$46.1M
$289.4M
Q1 24
$52.4M
$306.3M
Stockholders' Equity
HSTM
HSTM
MFA
MFA
Q4 25
$354.0M
$1.8B
Q3 25
$349.2M
$1.8B
Q2 25
$350.6M
$1.8B
Q1 25
$362.8M
$1.8B
Q4 24
$359.4M
$1.8B
Q3 24
$355.5M
$1.9B
Q2 24
$349.2M
$1.9B
Q1 24
$344.9M
$1.9B
Total Assets
HSTM
HSTM
MFA
MFA
Q4 25
$520.4M
$13.0B
Q3 25
$499.9M
$12.1B
Q2 25
$500.1M
$11.7B
Q1 25
$524.0M
$11.5B
Q4 24
$510.8M
$11.4B
Q3 24
$502.8M
$11.2B
Q2 24
$499.6M
$11.1B
Q1 24
$511.6M
$10.9B

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
MFA
MFA
Operating Cash FlowLast quarter
$13.2M
$76.2M
Free Cash FlowOCF − Capex
$13.0M
FCF MarginFCF / Revenue
16.3%
Capex IntensityCapex / Revenue
0.3%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$59.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HSTM
HSTM
MFA
MFA
Q4 25
$13.2M
$76.2M
Q3 25
$18.0M
$14.7M
Q2 25
$5.0M
$38.5M
Q1 25
$27.1M
$-14.6M
Q4 24
$11.2M
$200.1M
Q3 24
$19.1M
$-11.3M
Q2 24
$6.5M
$46.5M
Q1 24
$20.9M
$53.5M
Free Cash Flow
HSTM
HSTM
MFA
MFA
Q4 25
$13.0M
Q3 25
$17.9M
Q2 25
$2.7M
Q1 25
$26.0M
Q4 24
$11.0M
Q3 24
$18.8M
Q2 24
$6.3M
Q1 24
$20.2M
FCF Margin
HSTM
HSTM
MFA
MFA
Q4 25
16.3%
Q3 25
23.4%
Q2 25
3.6%
Q1 25
35.4%
Q4 24
14.8%
Q3 24
25.8%
Q2 24
8.8%
Q1 24
27.8%
Capex Intensity
HSTM
HSTM
MFA
MFA
Q4 25
0.3%
Q3 25
0.1%
Q2 25
3.1%
Q1 25
1.4%
Q4 24
0.3%
Q3 24
0.4%
Q2 24
0.2%
Q1 24
1.0%
Cash Conversion
HSTM
HSTM
MFA
MFA
Q4 25
Q3 25
2.96×
0.31×
Q2 25
0.93×
1.16×
Q1 25
6.25×
-0.35×
Q4 24
Q3 24
3.34×
-0.23×
Q2 24
1.55×
1.11×
Q1 24
4.01×
2.30×

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%

MFA
MFA

Segment breakdown not available.

Related Comparisons