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Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and OPKO HEALTH, INC. (OPK). Click either name above to swap in a different company.
OPKO HEALTH, INC. is the larger business by last-quarter revenue ($148.5M vs $79.7M, roughly 1.9× HEALTHSTREAM INC). On growth, HEALTHSTREAM INC posted the faster year-over-year revenue change (7.4% vs -19.2%). HEALTHSTREAM INC produced more free cash flow last quarter ($13.0M vs $-28.6M). Over the past eight quarters, HEALTHSTREAM INC's revenue compounded faster (4.7% CAGR vs -7.5%).
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.
OPKO Health, Inc. is a medical test and medication company focused on diagnostics and pharmaceuticals. The company is a publicly traded company on NASDAQ and TASE under the symbol "OPK".
HSTM vs OPK — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $79.7M | $148.5M |
| Net Profit | — | $-31.3M |
| Gross Margin | — | 43.1% |
| Operating Margin | 3.0% | -25.8% |
| Net Margin | — | -21.1% |
| Revenue YoY | 7.4% | -19.2% |
| Net Profit YoY | — | -322.8% |
| EPS (diluted) | $0.09 | $-0.04 |
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.
| Q4 25 | $79.7M | $148.5M | ||
| Q3 25 | $76.5M | $151.7M | ||
| Q2 25 | $74.4M | $156.8M | ||
| Q1 25 | $73.5M | $150.0M | ||
| Q4 24 | $74.2M | $183.6M | ||
| Q3 24 | $73.1M | $173.6M | ||
| Q2 24 | $71.6M | $182.2M | ||
| Q1 24 | $72.8M | $173.7M |
| Q4 25 | — | $-31.3M | ||
| Q3 25 | $6.1M | $21.6M | ||
| Q2 25 | $5.4M | $-148.4M | ||
| Q1 25 | $4.3M | $-67.6M | ||
| Q4 24 | — | $14.0M | ||
| Q3 24 | $5.7M | $24.9M | ||
| Q2 24 | $4.2M | $-10.3M | ||
| Q1 24 | $5.2M | $-81.8M |
| Q4 25 | — | 43.1% | ||
| Q3 25 | — | 32.9% | ||
| Q2 25 | — | 31.5% | ||
| Q1 25 | — | 28.4% | ||
| Q4 24 | — | 46.1% | ||
| Q3 24 | — | 23.1% | ||
| Q2 24 | — | 28.4% | ||
| Q1 24 | — | 24.2% |
| Q4 25 | 3.0% | -25.8% | ||
| Q3 25 | 9.9% | 31.7% | ||
| Q2 25 | 7.9% | -38.3% | ||
| Q1 25 | 6.0% | -44.8% | ||
| Q4 24 | 6.3% | -18.0% | ||
| Q3 24 | 8.9% | 8.2% | ||
| Q2 24 | 6.2% | -33.9% | ||
| Q1 24 | 7.8% | -41.2% |
| Q4 25 | — | -21.1% | ||
| Q3 25 | 8.0% | 14.3% | ||
| Q2 25 | 7.2% | -94.7% | ||
| Q1 25 | 5.9% | -45.1% | ||
| Q4 24 | — | 7.6% | ||
| Q3 24 | 7.8% | 14.3% | ||
| Q2 24 | 5.8% | -5.7% | ||
| Q1 24 | 7.2% | -47.1% |
| Q4 25 | $0.09 | $-0.04 | ||
| Q3 25 | $0.20 | $0.03 | ||
| Q2 25 | $0.18 | $-0.19 | ||
| Q1 25 | $0.14 | $-0.10 | ||
| Q4 24 | $0.16 | $0.02 | ||
| Q3 24 | $0.19 | $0.03 | ||
| Q2 24 | $0.14 | $-0.01 | ||
| Q1 24 | $0.17 | $-0.12 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $36.2M | $364.4M |
| Total DebtLower is stronger | — | $344.0M |
| Stockholders' EquityBook value | $354.0M | $1.3B |
| Total Assets | $520.4M | $1.9B |
| Debt / EquityLower = less leverage | — | 0.27× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $36.2M | $364.4M | ||
| Q3 25 | $53.5M | $412.0M | ||
| Q2 25 | $52.1M | $267.3M | ||
| Q1 25 | $77.3M | $428.8M | ||
| Q4 24 | $59.5M | $426.6M | ||
| Q3 24 | $57.5M | $400.1M | ||
| Q2 24 | $46.1M | $40.6M | ||
| Q1 24 | $52.4M | $75.6M |
| Q4 25 | — | $344.0M | ||
| Q3 25 | — | $344.2M | ||
| Q2 25 | — | $343.3M | ||
| Q1 25 | — | $439.2M | ||
| Q4 24 | — | $437.2M | ||
| Q3 24 | — | $441.0M | ||
| Q2 24 | — | $201.9M | ||
| Q1 24 | — | $350.1M |
| Q4 25 | $354.0M | $1.3B | ||
| Q3 25 | $349.2M | $1.3B | ||
| Q2 25 | $350.6M | $1.3B | ||
| Q1 25 | $362.8M | $1.3B | ||
| Q4 24 | $359.4M | $1.4B | ||
| Q3 24 | $355.5M | $1.4B | ||
| Q2 24 | $349.2M | $1.4B | ||
| Q1 24 | $344.9M | $1.3B |
| Q4 25 | $520.4M | $1.9B | ||
| Q3 25 | $499.9M | $2.0B | ||
| Q2 25 | $500.1M | $2.0B | ||
| Q1 25 | $524.0M | $2.1B | ||
| Q4 24 | $510.8M | $2.2B | ||
| Q3 24 | $502.8M | $2.3B | ||
| Q2 24 | $499.6M | $2.0B | ||
| Q1 24 | $511.6M | $2.0B |
| Q4 25 | — | 0.27× | ||
| Q3 25 | — | 0.26× | ||
| Q2 25 | — | 0.26× | ||
| Q1 25 | — | 0.33× | ||
| Q4 24 | — | 0.32× | ||
| Q3 24 | — | 0.31× | ||
| Q2 24 | — | 0.14× | ||
| Q1 24 | — | 0.28× |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | $13.2M | $-25.9M |
| Free Cash FlowOCF − Capex | $13.0M | $-28.6M |
| FCF MarginFCF / Revenue | 16.3% | -19.3% |
| Capex IntensityCapex / Revenue | 0.3% | 1.8% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | $59.6M | $-190.8M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $13.2M | $-25.9M | ||
| Q3 25 | $18.0M | $-34.6M | ||
| Q2 25 | $5.0M | $-83.4M | ||
| Q1 25 | $27.1M | $-34.6M | ||
| Q4 24 | $11.2M | $-44.4M | ||
| Q3 24 | $19.1M | $-77.1M | ||
| Q2 24 | $6.5M | $-26.4M | ||
| Q1 24 | $20.9M | $-35.6M |
| Q4 25 | $13.0M | $-28.6M | ||
| Q3 25 | $17.9M | $-37.8M | ||
| Q2 25 | $2.7M | $-86.7M | ||
| Q1 25 | $26.0M | $-37.7M | ||
| Q4 24 | $11.0M | $-49.8M | ||
| Q3 24 | $18.8M | $-85.0M | ||
| Q2 24 | $6.3M | $-33.7M | ||
| Q1 24 | $20.2M | $-40.0M |
| Q4 25 | 16.3% | -19.3% | ||
| Q3 25 | 23.4% | -24.9% | ||
| Q2 25 | 3.6% | -55.3% | ||
| Q1 25 | 35.4% | -25.2% | ||
| Q4 24 | 14.8% | -27.1% | ||
| Q3 24 | 25.8% | -49.0% | ||
| Q2 24 | 8.8% | -18.5% | ||
| Q1 24 | 27.8% | -23.0% |
| Q4 25 | 0.3% | 1.8% | ||
| Q3 25 | 0.1% | 2.1% | ||
| Q2 25 | 3.1% | 2.1% | ||
| Q1 25 | 1.4% | 2.1% | ||
| Q4 24 | 0.3% | 2.9% | ||
| Q3 24 | 0.4% | 4.6% | ||
| Q2 24 | 0.2% | 4.0% | ||
| Q1 24 | 1.0% | 2.6% |
| Q4 25 | — | — | ||
| Q3 25 | 2.96× | -1.60× | ||
| Q2 25 | 0.93× | — | ||
| Q1 25 | 6.25× | — | ||
| Q4 24 | — | -3.17× | ||
| Q3 24 | 3.34× | -3.10× | ||
| 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
| Subscription Services | $77.0M | 97% |
| Professional Services | $2.7M | 3% |
OPK
| Services | $71.1M | 48% |
| Transfer Of Intellectual Property And Other | $33.7M | 23% |
| IE | $22.1M | 15% |
| Rayaldee | $8.8M | 6% |
| Barda Agreement | $6.8M | 5% |
| MX | $6.3M | 4% |
