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

HEALTHSTREAM INC is the larger business by last-quarter revenue ($79.7M vs $65.1M, roughly 1.2× MESA LABORATORIES INC). On growth, HEALTHSTREAM INC posted the faster year-over-year revenue change (7.4% vs 3.6%). MESA LABORATORIES INC produced more free cash flow last quarter ($18.0M vs $13.0M). Over the past eight quarters, MESA LABORATORIES INC's revenue compounded faster (5.1% 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.

Mesa Laboratories Inc. develops, manufactures and sells professional quality control, calibration and monitoring instruments as well as related supporting services. Its core offerings cater to healthcare, pharmaceutical, food and beverage, industrial hygiene and environmental testing markets, helping global clients meet regulatory compliance and operational safety requirements.

HSTM vs MLAB — Head-to-Head

Bigger by revenue
HSTM
HSTM
1.2× larger
HSTM
$79.7M
$65.1M
MLAB
Growing faster (revenue YoY)
HSTM
HSTM
+3.7% gap
HSTM
7.4%
3.6%
MLAB
More free cash flow
MLAB
MLAB
$5.0M more FCF
MLAB
$18.0M
$13.0M
HSTM
Faster 2-yr revenue CAGR
MLAB
MLAB
Annualised
MLAB
5.1%
4.7%
HSTM

Income Statement — Q4 FY2025 vs Q3 FY2026

Metric
HSTM
HSTM
MLAB
MLAB
Revenue
$79.7M
$65.1M
Net Profit
$3.6M
Gross Margin
64.2%
Operating Margin
3.0%
12.2%
Net Margin
5.6%
Revenue YoY
7.4%
3.6%
Net Profit YoY
316.6%
EPS (diluted)
$0.09
$0.65

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
MLAB
MLAB
Q4 25
$79.7M
$65.1M
Q3 25
$76.5M
$60.7M
Q2 25
$74.4M
$59.5M
Q1 25
$73.5M
$62.1M
Q4 24
$74.2M
$62.8M
Q3 24
$73.1M
$57.8M
Q2 24
$71.6M
$58.2M
Q1 24
$72.8M
$58.9M
Net Profit
HSTM
HSTM
MLAB
MLAB
Q4 25
$3.6M
Q3 25
$6.1M
$2.5M
Q2 25
$5.4M
$4.7M
Q1 25
$4.3M
$-7.1M
Q4 24
$-1.7M
Q3 24
$5.7M
$3.4M
Q2 24
$4.2M
$3.4M
Q1 24
$5.2M
$-254.6M
Gross Margin
HSTM
HSTM
MLAB
MLAB
Q4 25
64.2%
Q3 25
61.5%
Q2 25
62.0%
Q1 25
61.8%
Q4 24
63.3%
Q3 24
61.3%
Q2 24
64.0%
Q1 24
62.1%
Operating Margin
HSTM
HSTM
MLAB
MLAB
Q4 25
3.0%
12.2%
Q3 25
9.9%
7.8%
Q2 25
7.9%
5.1%
Q1 25
6.0%
2.4%
Q4 24
6.3%
9.2%
Q3 24
8.9%
6.1%
Q2 24
6.2%
9.6%
Q1 24
7.8%
-460.6%
Net Margin
HSTM
HSTM
MLAB
MLAB
Q4 25
5.6%
Q3 25
8.0%
4.1%
Q2 25
7.2%
8.0%
Q1 25
5.9%
-11.4%
Q4 24
-2.7%
Q3 24
7.8%
5.9%
Q2 24
5.8%
5.8%
Q1 24
7.2%
-432.2%
EPS (diluted)
HSTM
HSTM
MLAB
MLAB
Q4 25
$0.09
$0.65
Q3 25
$0.20
$0.45
Q2 25
$0.18
$0.85
Q1 25
$0.14
$-1.30
Q4 24
$0.16
$-0.31
Q3 24
$0.19
$0.63
Q2 24
$0.14
$0.62
Q1 24
$0.17
$-47.26

Balance Sheet & Financial Strength

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

Metric
HSTM
HSTM
MLAB
MLAB
Cash + ST InvestmentsLiquidity on hand
$36.2M
$29.0M
Total DebtLower is stronger
$68.4M
Stockholders' EquityBook value
$354.0M
$186.7M
Total Assets
$520.4M
$434.8M
Debt / EquityLower = less leverage
0.37×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HSTM
HSTM
MLAB
MLAB
Q4 25
$36.2M
$29.0M
Q3 25
$53.5M
$20.4M
Q2 25
$52.1M
$21.3M
Q1 25
$77.3M
$27.3M
Q4 24
$59.5M
$27.3M
Q3 24
$57.5M
$24.3M
Q2 24
$46.1M
$28.5M
Q1 24
$52.4M
$28.2M
Total Debt
HSTM
HSTM
MLAB
MLAB
Q4 25
$68.4M
Q3 25
$69.4M
Q2 25
$70.3M
Q1 25
$71.3M
Q4 24
$72.2M
Q3 24
$73.1M
Q2 24
$74.1M
Q1 24
Stockholders' Equity
HSTM
HSTM
MLAB
MLAB
Q4 25
$354.0M
$186.7M
Q3 25
$349.2M
$178.5M
Q2 25
$350.6M
$172.5M
Q1 25
$362.8M
$159.8M
Q4 24
$359.4M
$155.2M
Q3 24
$355.5M
$161.5M
Q2 24
$349.2M
$150.7M
Q1 24
$344.9M
$145.4M
Total Assets
HSTM
HSTM
MLAB
MLAB
Q4 25
$520.4M
$434.8M
Q3 25
$499.9M
$430.4M
Q2 25
$500.1M
$435.7M
Q1 25
$524.0M
$433.3M
Q4 24
$510.8M
$433.3M
Q3 24
$502.8M
$454.1M
Q2 24
$499.6M
$440.4M
Q1 24
$511.6M
$446.8M
Debt / Equity
HSTM
HSTM
MLAB
MLAB
Q4 25
0.37×
Q3 25
0.39×
Q2 25
0.41×
Q1 25
0.45×
Q4 24
0.47×
Q3 24
0.45×
Q2 24
0.49×
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
MLAB
MLAB
Operating Cash FlowLast quarter
$13.2M
$18.8M
Free Cash FlowOCF − Capex
$13.0M
$18.0M
FCF MarginFCF / Revenue
16.3%
27.7%
Capex IntensityCapex / Revenue
0.3%
1.1%
Cash ConversionOCF / Net Profit
5.17×
TTM Free Cash FlowTrailing 4 quarters
$59.6M
$37.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HSTM
HSTM
MLAB
MLAB
Q4 25
$13.2M
$18.8M
Q3 25
$18.0M
$8.2M
Q2 25
$5.0M
$1.9M
Q1 25
$27.1M
$12.7M
Q4 24
$11.2M
$18.1M
Q3 24
$19.1M
$5.3M
Q2 24
$6.5M
$10.7M
Q1 24
$20.9M
$12.9M
Free Cash Flow
HSTM
HSTM
MLAB
MLAB
Q4 25
$13.0M
$18.0M
Q3 25
$17.9M
$7.1M
Q2 25
$2.7M
$884.0K
Q1 25
$26.0M
$11.9M
Q4 24
$11.0M
$17.3M
Q3 24
$18.8M
$3.5M
Q2 24
$6.3M
$9.9M
Q1 24
$20.2M
$12.3M
FCF Margin
HSTM
HSTM
MLAB
MLAB
Q4 25
16.3%
27.7%
Q3 25
23.4%
11.7%
Q2 25
3.6%
1.5%
Q1 25
35.4%
19.2%
Q4 24
14.8%
27.6%
Q3 24
25.8%
6.0%
Q2 24
8.8%
16.9%
Q1 24
27.8%
21.0%
Capex Intensity
HSTM
HSTM
MLAB
MLAB
Q4 25
0.3%
1.1%
Q3 25
0.1%
1.8%
Q2 25
3.1%
1.7%
Q1 25
1.4%
1.2%
Q4 24
0.3%
1.3%
Q3 24
0.4%
3.1%
Q2 24
0.2%
1.5%
Q1 24
1.0%
0.9%
Cash Conversion
HSTM
HSTM
MLAB
MLAB
Q4 25
5.17×
Q3 25
2.96×
3.32×
Q2 25
0.93×
0.40×
Q1 25
6.25×
Q4 24
Q3 24
3.34×
1.54×
Q2 24
1.55×
3.17×
Q1 24
4.01×

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%

MLAB
MLAB

Sterilization And Disinfection Control$24.9M38%
Biopharmaceutical Development$14.4M22%
Other$14.1M22%
Clinical Genomics$11.8M18%

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