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

PAMT CORP is the larger business by last-quarter revenue ($141.3M vs $79.7M, roughly 1.8× HEALTHSTREAM INC). On growth, HEALTHSTREAM INC posted the faster year-over-year revenue change (7.4% vs -15.1%). HEALTHSTREAM INC produced more free cash flow last quarter ($13.0M vs $-25.0M). Over the past eight quarters, HEALTHSTREAM INC's revenue compounded faster (4.7% CAGR vs -12.0%).

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.

HSTM vs PAMT — Head-to-Head

Bigger by revenue
PAMT
PAMT
1.8× larger
PAMT
$141.3M
$79.7M
HSTM
Growing faster (revenue YoY)
HSTM
HSTM
+22.5% gap
HSTM
7.4%
-15.1%
PAMT
More free cash flow
HSTM
HSTM
$38.0M more FCF
HSTM
$13.0M
$-25.0M
PAMT
Faster 2-yr revenue CAGR
HSTM
HSTM
Annualised
HSTM
4.7%
-12.0%
PAMT

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
HSTM
HSTM
PAMT
PAMT
Revenue
$79.7M
$141.3M
Net Profit
$-29.3M
Gross Margin
Operating Margin
3.0%
-27.0%
Net Margin
-20.7%
Revenue YoY
7.4%
-15.1%
Net Profit YoY
7.4%
EPS (diluted)
$0.09
$-1.38

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
PAMT
PAMT
Q4 25
$79.7M
$141.3M
Q3 25
$76.5M
$150.3M
Q2 25
$74.4M
$151.1M
Q1 25
$73.5M
$155.3M
Q4 24
$74.2M
$166.5M
Q3 24
$73.1M
$182.6M
Q2 24
$71.6M
$182.9M
Q1 24
$72.8M
$182.6M
Net Profit
HSTM
HSTM
PAMT
PAMT
Q4 25
$-29.3M
Q3 25
$6.1M
$-5.6M
Q2 25
$5.4M
$-9.6M
Q1 25
$4.3M
$-8.1M
Q4 24
$-31.6M
Q3 24
$5.7M
$2.4M
Q2 24
$4.2M
$-2.9M
Q1 24
$5.2M
$281.0K
Operating Margin
HSTM
HSTM
PAMT
PAMT
Q4 25
3.0%
-27.0%
Q3 25
9.9%
-3.8%
Q2 25
7.9%
-7.3%
Q1 25
6.0%
-5.9%
Q4 24
6.3%
-22.6%
Q3 24
8.9%
1.3%
Q2 24
6.2%
-0.4%
Q1 24
7.8%
-0.4%
Net Margin
HSTM
HSTM
PAMT
PAMT
Q4 25
-20.7%
Q3 25
8.0%
-3.7%
Q2 25
7.2%
-6.4%
Q1 25
5.9%
-5.2%
Q4 24
-19.0%
Q3 24
7.8%
1.3%
Q2 24
5.8%
-1.6%
Q1 24
7.2%
0.2%
EPS (diluted)
HSTM
HSTM
PAMT
PAMT
Q4 25
$0.09
$-1.38
Q3 25
$0.20
$-0.27
Q2 25
$0.18
$-0.46
Q1 25
$0.14
$-0.37
Q4 24
$0.16
$-1.44
Q3 24
$0.19
$0.11
Q2 24
$0.14
$-0.13
Q1 24
$0.17
$0.01

Balance Sheet & Financial Strength

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

Metric
HSTM
HSTM
PAMT
PAMT
Cash + ST InvestmentsLiquidity on hand
$36.2M
$83.7M
Total DebtLower is stronger
$333.9M
Stockholders' EquityBook value
$354.0M
$210.5M
Total Assets
$520.4M
$697.9M
Debt / EquityLower = less leverage
1.59×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HSTM
HSTM
PAMT
PAMT
Q4 25
$36.2M
$83.7M
Q3 25
$53.5M
$115.6M
Q2 25
$52.1M
$117.3M
Q1 25
$77.3M
$102.7M
Q4 24
$59.5M
$110.7M
Q3 24
$57.5M
$92.3M
Q2 24
$46.1M
$114.0M
Q1 24
$52.4M
$125.8M
Total Debt
HSTM
HSTM
PAMT
PAMT
Q4 25
$333.9M
Q3 25
Q2 25
Q1 25
Q4 24
$325.6M
Q3 24
Q2 24
Q1 24
Stockholders' Equity
HSTM
HSTM
PAMT
PAMT
Q4 25
$354.0M
$210.5M
Q3 25
$349.2M
$239.5M
Q2 25
$350.6M
$244.9M
Q1 25
$362.8M
$269.6M
Q4 24
$359.4M
$277.5M
Q3 24
$355.5M
$308.9M
Q2 24
$349.2M
$306.7M
Q1 24
$344.9M
$314.6M
Total Assets
HSTM
HSTM
PAMT
PAMT
Q4 25
$520.4M
$697.9M
Q3 25
$499.9M
$715.2M
Q2 25
$500.1M
$707.9M
Q1 25
$524.0M
$712.6M
Q4 24
$510.8M
$741.7M
Q3 24
$502.8M
$756.7M
Q2 24
$499.6M
$733.5M
Q1 24
$511.6M
$746.4M
Debt / Equity
HSTM
HSTM
PAMT
PAMT
Q4 25
1.59×
Q3 25
Q2 25
Q1 25
Q4 24
1.17×
Q3 24
Q2 24
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
PAMT
PAMT
Operating Cash FlowLast quarter
$13.2M
$-5.8M
Free Cash FlowOCF − Capex
$13.0M
$-25.0M
FCF MarginFCF / Revenue
16.3%
-17.7%
Capex IntensityCapex / Revenue
0.3%
13.6%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$59.6M
$-23.4M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HSTM
HSTM
PAMT
PAMT
Q4 25
$13.2M
$-5.8M
Q3 25
$18.0M
$5.9M
Q2 25
$5.0M
$12.2M
Q1 25
$27.1M
$5.0M
Q4 24
$11.2M
$15.2M
Q3 24
$19.1M
$15.5M
Q2 24
$6.5M
$18.7M
Q1 24
$20.9M
$9.6M
Free Cash Flow
HSTM
HSTM
PAMT
PAMT
Q4 25
$13.0M
$-25.0M
Q3 25
$17.9M
$2.5M
Q2 25
$2.7M
$5.9M
Q1 25
$26.0M
$-6.8M
Q4 24
$11.0M
$-39.9M
Q3 24
$18.8M
$-33.6M
Q2 24
$6.3M
$4.1M
Q1 24
$20.2M
$-12.2M
FCF Margin
HSTM
HSTM
PAMT
PAMT
Q4 25
16.3%
-17.7%
Q3 25
23.4%
1.7%
Q2 25
3.6%
3.9%
Q1 25
35.4%
-4.4%
Q4 24
14.8%
-24.0%
Q3 24
25.8%
-18.4%
Q2 24
8.8%
2.2%
Q1 24
27.8%
-6.7%
Capex Intensity
HSTM
HSTM
PAMT
PAMT
Q4 25
0.3%
13.6%
Q3 25
0.1%
2.3%
Q2 25
3.1%
4.2%
Q1 25
1.4%
7.6%
Q4 24
0.3%
33.1%
Q3 24
0.4%
26.9%
Q2 24
0.2%
8.0%
Q1 24
1.0%
12.0%
Cash Conversion
HSTM
HSTM
PAMT
PAMT
Q4 25
Q3 25
2.96×
Q2 25
0.93×
Q1 25
6.25×
Q4 24
Q3 24
3.34×
6.44×
Q2 24
1.55×
Q1 24
4.01×
34.11×

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%

PAMT
PAMT

Freight Transportation Service$123.1M87%
Fuel Surcharge$18.2M13%

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