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Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and NexPoint Residential Trust, Inc. (NXRT). Click either name above to swap in a different company.

HEALTHSTREAM INC is the larger business by last-quarter revenue ($79.7M vs $62.1M, roughly 1.3× NexPoint Residential Trust, Inc.). On growth, HEALTHSTREAM INC posted the faster year-over-year revenue change (7.4% vs -2.7%). Over the past eight quarters, HEALTHSTREAM INC's revenue compounded faster (4.7% CAGR vs -4.1%).

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.

NexPoint Residential Trust, Inc. is a publicly traded real estate investment trust focused on acquiring, renovating, and operating multifamily residential properties primarily across high-growth Sun Belt markets in the United States. Its portfolio consists mainly of affordable and mid-tier apartment communities, targeting steady rental income growth and long-term asset value appreciation for investors.

HSTM vs NXRT — Head-to-Head

Bigger by revenue
HSTM
HSTM
1.3× larger
HSTM
$79.7M
$62.1M
NXRT
Growing faster (revenue YoY)
HSTM
HSTM
+10.0% gap
HSTM
7.4%
-2.7%
NXRT
Faster 2-yr revenue CAGR
HSTM
HSTM
Annualised
HSTM
4.7%
-4.1%
NXRT

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
HSTM
HSTM
NXRT
NXRT
Revenue
$79.7M
$62.1M
Net Profit
Gross Margin
Operating Margin
3.0%
8.4%
Net Margin
Revenue YoY
7.4%
-2.7%
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
NXRT
NXRT
Q4 25
$79.7M
$62.1M
Q3 25
$76.5M
$62.8M
Q2 25
$74.4M
$63.1M
Q1 25
$73.5M
$63.2M
Q4 24
$74.2M
$63.8M
Q3 24
$73.1M
$64.1M
Q2 24
$71.6M
$64.2M
Q1 24
$72.8M
$67.6M
Net Profit
HSTM
HSTM
NXRT
NXRT
Q4 25
Q3 25
$6.1M
$-7.8M
Q2 25
$5.4M
$-7.0M
Q1 25
$4.3M
$-6.9M
Q4 24
Q3 24
$5.7M
$-8.9M
Q2 24
$4.2M
$10.6M
Q1 24
$5.2M
$26.3M
Operating Margin
HSTM
HSTM
NXRT
NXRT
Q4 25
3.0%
8.4%
Q3 25
9.9%
11.8%
Q2 25
7.9%
12.5%
Q1 25
6.0%
11.7%
Q4 24
6.3%
18.0%
Q3 24
8.9%
8.7%
Q2 24
6.2%
39.7%
Q1 24
7.8%
60.7%
Net Margin
HSTM
HSTM
NXRT
NXRT
Q4 25
Q3 25
8.0%
-12.4%
Q2 25
7.2%
-11.1%
Q1 25
5.9%
-10.9%
Q4 24
Q3 24
7.8%
-13.8%
Q2 24
5.8%
16.5%
Q1 24
7.2%
38.9%
EPS (diluted)
HSTM
HSTM
NXRT
NXRT
Q4 25
$0.09
Q3 25
$0.20
$-0.31
Q2 25
$0.18
$-0.28
Q1 25
$0.14
$-0.27
Q4 24
$0.16
Q3 24
$0.19
$-0.35
Q2 24
$0.14
$0.40
Q1 24
$0.17
$1.00

Balance Sheet & Financial Strength

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

Metric
HSTM
HSTM
NXRT
NXRT
Cash + ST InvestmentsLiquidity on hand
$36.2M
$13.7M
Total DebtLower is stronger
$1.6B
Stockholders' EquityBook value
$354.0M
$295.5M
Total Assets
$520.4M
$1.9B
Debt / EquityLower = less leverage
5.39×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HSTM
HSTM
NXRT
NXRT
Q4 25
$36.2M
$13.7M
Q3 25
$53.5M
$10.8M
Q2 25
$52.1M
$13.6M
Q1 25
$77.3M
$23.7M
Q4 24
$59.5M
$23.1M
Q3 24
$57.5M
$17.4M
Q2 24
$46.1M
$21.3M
Q1 24
$52.4M
$37.2M
Total Debt
HSTM
HSTM
NXRT
NXRT
Q4 25
$1.6B
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
Q1 24
$1.5B
Stockholders' Equity
HSTM
HSTM
NXRT
NXRT
Q4 25
$354.0M
$295.5M
Q3 25
$349.2M
$322.9M
Q2 25
$350.6M
$347.9M
Q1 25
$362.8M
$379.9M
Q4 24
$359.4M
$410.4M
Q3 24
$355.5M
$447.1M
Q2 24
$349.2M
$491.1M
Q1 24
$344.9M
$512.8M
Total Assets
HSTM
HSTM
NXRT
NXRT
Q4 25
$520.4M
$1.9B
Q3 25
$499.9M
$1.8B
Q2 25
$500.1M
$1.9B
Q1 25
$524.0M
$1.9B
Q4 24
$510.8M
$1.9B
Q3 24
$502.8M
$2.0B
Q2 24
$499.6M
$2.0B
Q1 24
$511.6M
$2.0B
Debt / Equity
HSTM
HSTM
NXRT
NXRT
Q4 25
5.39×
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
Q1 24
2.92×

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
NXRT
NXRT
Operating Cash FlowLast quarter
$13.2M
$83.6M
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
NXRT
NXRT
Q4 25
$13.2M
$83.6M
Q3 25
$18.0M
$29.3M
Q2 25
$5.0M
$19.9M
Q1 25
$27.1M
$28.3M
Q4 24
$11.2M
$73.6M
Q3 24
$19.1M
$27.8M
Q2 24
$6.5M
$19.7M
Q1 24
$20.9M
$19.7M
Free Cash Flow
HSTM
HSTM
NXRT
NXRT
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
NXRT
NXRT
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
NXRT
NXRT
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
NXRT
NXRT
Q4 25
Q3 25
2.96×
Q2 25
0.93×
Q1 25
6.25×
Q4 24
Q3 24
3.34×
Q2 24
1.55×
1.86×
Q1 24
4.01×
0.75×

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%

NXRT
NXRT

Segment breakdown not available.

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