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

Strategy Inc is the larger business by last-quarter revenue ($123.0M vs $79.7M, roughly 1.5× HEALTHSTREAM INC). On growth, HEALTHSTREAM INC posted the faster year-over-year revenue change (7.4% vs 1.9%). Over the past eight quarters, HEALTHSTREAM INC's revenue compounded faster (4.7% CAGR vs 3.3%).

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.

Strategy Inc., formerly known as MicroStrategy, is an American company that provides business intelligence (BI) and mobile software. Founded in 1989 by Michael J. Saylor, Sanju Bansal, and Thomas Spahr, the firm develops software to analyze internal and external data in order to make business decisions and to develop mobile apps. It is a public company headquartered in Tysons Corner, Virginia, in the Washington metropolitan area. Its primary business analytics competitors include SAP SE Busin...

HSTM vs MSTR — Head-to-Head

Bigger by revenue
MSTR
MSTR
1.5× larger
MSTR
$123.0M
$79.7M
HSTM
Growing faster (revenue YoY)
HSTM
HSTM
+5.5% gap
HSTM
7.4%
1.9%
MSTR
Faster 2-yr revenue CAGR
HSTM
HSTM
Annualised
HSTM
4.7%
3.3%
MSTR

Income Statement — Q4 FY2025 vs Q2 FY2026

Metric
HSTM
HSTM
MSTR
MSTR
Revenue
$79.7M
$123.0M
Net Profit
Gross Margin
66.1%
Operating Margin
3.0%
Net Margin
Revenue YoY
7.4%
1.9%
Net Profit YoY
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
MSTR
MSTR
Q4 25
$79.7M
$123.0M
Q3 25
$76.5M
$128.7M
Q2 25
$74.4M
$114.5M
Q1 25
$73.5M
$111.1M
Q4 24
$74.2M
$120.7M
Q3 24
$73.1M
$116.1M
Q2 24
$71.6M
$111.4M
Q1 24
$72.8M
$115.2M
Net Profit
HSTM
HSTM
MSTR
MSTR
Q4 25
Q3 25
$6.1M
$2.8B
Q2 25
$5.4M
$10.0B
Q1 25
$4.3M
$-4.2B
Q4 24
$-670.8M
Q3 24
$5.7M
$-340.2M
Q2 24
$4.2M
$-102.6M
Q1 24
$5.2M
$-53.1M
Gross Margin
HSTM
HSTM
MSTR
MSTR
Q4 25
66.1%
Q3 25
70.5%
Q2 25
68.8%
Q1 25
69.4%
Q4 24
71.7%
Q3 24
70.4%
Q2 24
72.2%
Q1 24
74.0%
Operating Margin
HSTM
HSTM
MSTR
MSTR
Q4 25
3.0%
Q3 25
9.9%
Q2 25
7.9%
Q1 25
6.0%
-5331.4%
Q4 24
6.3%
-842.1%
Q3 24
8.9%
-372.7%
Q2 24
6.2%
-179.7%
Q1 24
7.8%
-176.8%
Net Margin
HSTM
HSTM
MSTR
MSTR
Q4 25
Q3 25
8.0%
2164.1%
Q2 25
7.2%
8752.7%
Q1 25
5.9%
-3797.2%
Q4 24
-555.8%
Q3 24
7.8%
-293.1%
Q2 24
5.8%
-92.0%
Q1 24
7.2%
-46.1%
EPS (diluted)
HSTM
HSTM
MSTR
MSTR
Q4 25
$0.09
Q3 25
$0.20
$8.42
Q2 25
$0.18
$32.60
Q1 25
$0.14
$-16.49
Q4 24
$0.16
$4.49
Q3 24
$0.19
$-1.72
Q2 24
$0.14
$-0.57
Q1 24
$0.17
$-0.31

Balance Sheet & Financial Strength

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

Metric
HSTM
HSTM
MSTR
MSTR
Cash + ST InvestmentsLiquidity on hand
$36.2M
$2.3B
Total DebtLower is stronger
$8.2B
Stockholders' EquityBook value
$354.0M
$44.1B
Total Assets
$520.4M
$61.6B
Debt / EquityLower = less leverage
0.19×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HSTM
HSTM
MSTR
MSTR
Q4 25
$36.2M
$2.3B
Q3 25
$53.5M
$54.3M
Q2 25
$52.1M
$50.1M
Q1 25
$77.3M
$60.3M
Q4 24
$59.5M
$38.1M
Q3 24
$57.5M
$46.3M
Q2 24
$46.1M
$66.9M
Q1 24
$52.4M
$81.3M
Total Debt
HSTM
HSTM
MSTR
MSTR
Q4 25
$8.2B
Q3 25
$8.2B
Q2 25
$8.2B
Q1 25
$8.1B
Q4 24
$7.2B
Q3 24
$4.2B
Q2 24
$3.8B
Q1 24
$3.6B
Stockholders' Equity
HSTM
HSTM
MSTR
MSTR
Q4 25
$354.0M
$44.1B
Q3 25
$349.2M
$52.3B
Q2 25
$350.6M
$47.5B
Q1 25
$362.8M
$32.2B
Q4 24
$359.4M
$18.2B
Q3 24
$355.5M
$3.8B
Q2 24
$349.2M
$2.8B
Q1 24
$344.9M
$2.4B
Total Assets
HSTM
HSTM
MSTR
MSTR
Q4 25
$520.4M
$61.6B
Q3 25
$499.9M
$73.6B
Q2 25
$500.1M
$64.8B
Q1 25
$524.0M
$43.9B
Q4 24
$510.8M
$25.8B
Q3 24
$502.8M
$8.3B
Q2 24
$499.6M
$7.1B
Q1 24
$511.6M
$6.4B
Debt / Equity
HSTM
HSTM
MSTR
MSTR
Q4 25
0.19×
Q3 25
0.16×
Q2 25
0.17×
Q1 25
0.25×
Q4 24
0.39×
Q3 24
1.12×
Q2 24
1.36×
Q1 24
1.48×

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
MSTR
MSTR
Operating Cash FlowLast quarter
$13.2M
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
MSTR
MSTR
Q4 25
$13.2M
Q3 25
$18.0M
$-8.3M
Q2 25
$5.0M
$-34.9M
Q1 25
$27.1M
$-2.4M
Q4 24
$11.2M
$-17.3M
Q3 24
$19.1M
$-41.0M
Q2 24
$6.5M
$-23.3M
Q1 24
$20.9M
$28.6M
Free Cash Flow
HSTM
HSTM
MSTR
MSTR
Q4 25
$13.0M
Q3 25
$17.9M
$-11.1M
Q2 25
$2.7M
$-37.0M
Q1 25
$26.0M
$-5.1M
Q4 24
$11.0M
$-17.6M
Q3 24
$18.8M
$-41.4M
Q2 24
$6.3M
$-24.1M
Q1 24
$20.2M
$27.0M
FCF Margin
HSTM
HSTM
MSTR
MSTR
Q4 25
16.3%
Q3 25
23.4%
-8.6%
Q2 25
3.6%
-32.3%
Q1 25
35.4%
-4.6%
Q4 24
14.8%
-14.6%
Q3 24
25.8%
-35.7%
Q2 24
8.8%
-21.6%
Q1 24
27.8%
23.5%
Capex Intensity
HSTM
HSTM
MSTR
MSTR
Q4 25
0.3%
Q3 25
0.1%
2.2%
Q2 25
3.1%
1.8%
Q1 25
1.4%
2.5%
Q4 24
0.3%
0.2%
Q3 24
0.4%
0.4%
Q2 24
0.2%
0.6%
Q1 24
1.0%
1.3%
Cash Conversion
HSTM
HSTM
MSTR
MSTR
Q4 25
Q3 25
2.96×
-0.00×
Q2 25
0.93×
-0.00×
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
HSTM

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

MSTR
MSTR

Segment breakdown not available.

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