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Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and PUMA BIOTECHNOLOGY, INC. (PBYI). Click either name above to swap in a different company.
HEALTHSTREAM INC is the larger business by last-quarter revenue ($79.7M vs $75.5M, roughly 1.1× PUMA BIOTECHNOLOGY, INC.). On growth, PUMA BIOTECHNOLOGY, INC. posted the faster year-over-year revenue change (27.7% vs 7.4%). PUMA BIOTECHNOLOGY, INC. produced more free cash flow last quarter ($14.4M vs $13.0M). Over the past eight quarters, PUMA BIOTECHNOLOGY, INC.'s revenue compounded faster (31.3% 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.
Puma Biotechnology is a publicly traded biopharmaceutical company headquartered in Los Angeles, CA.
HSTM vs PBYI — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $79.7M | $75.5M |
| Net Profit | — | — |
| Gross Margin | — | 69.3% |
| Operating Margin | 3.0% | 22.7% |
| Net Margin | — | — |
| Revenue YoY | 7.4% | 27.7% |
| Net Profit YoY | — | — |
| EPS (diluted) | $0.09 | $0.26 |
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 | $75.5M | ||
| Q3 25 | $76.5M | $54.5M | ||
| Q2 25 | $74.4M | $52.4M | ||
| Q1 25 | $73.5M | $46.0M | ||
| Q4 24 | $74.2M | $59.1M | ||
| Q3 24 | $73.1M | $80.5M | ||
| Q2 24 | $71.6M | $47.1M | ||
| Q1 24 | $72.8M | $43.8M |
| Q4 25 | — | — | ||
| Q3 25 | $6.1M | $8.8M | ||
| Q2 25 | $5.4M | $5.9M | ||
| Q1 25 | $4.3M | $3.0M | ||
| Q4 24 | — | — | ||
| Q3 24 | $5.7M | $20.3M | ||
| Q2 24 | $4.2M | $-4.5M | ||
| Q1 24 | $5.2M | $-4.8M |
| Q4 25 | — | 69.3% | ||
| Q3 25 | — | 77.7% | ||
| Q2 25 | — | 76.5% | ||
| Q1 25 | — | 77.1% | ||
| Q4 24 | — | 76.4% | ||
| Q3 24 | — | 63.9% | ||
| Q2 24 | — | 77.4% | ||
| Q1 24 | — | 75.5% |
| Q4 25 | 3.0% | 22.7% | ||
| Q3 25 | 9.9% | 17.6% | ||
| Q2 25 | 7.9% | 12.7% | ||
| Q1 25 | 6.0% | 8.7% | ||
| Q4 24 | 6.3% | 22.6% | ||
| Q3 24 | 8.9% | 27.4% | ||
| Q2 24 | 6.2% | -4.6% | ||
| Q1 24 | 7.8% | -5.3% |
| Q4 25 | — | — | ||
| Q3 25 | 8.0% | 16.2% | ||
| Q2 25 | 7.2% | 11.2% | ||
| Q1 25 | 5.9% | 6.5% | ||
| Q4 24 | — | — | ||
| Q3 24 | 7.8% | 25.2% | ||
| Q2 24 | 5.8% | -9.6% | ||
| Q1 24 | 7.2% | -11.0% |
| Q4 25 | $0.09 | $0.26 | ||
| Q3 25 | $0.20 | $0.17 | ||
| Q2 25 | $0.18 | $0.12 | ||
| Q1 25 | $0.14 | $0.06 | ||
| Q4 24 | $0.16 | $0.40 | ||
| Q3 24 | $0.19 | $0.41 | ||
| Q2 24 | $0.14 | $-0.09 | ||
| Q1 24 | $0.17 | $-0.10 |
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 | $97.5M |
| Total DebtLower is stronger | — | $22.7M |
| Stockholders' EquityBook value | $354.0M | $130.3M |
| Total Assets | $520.4M | $216.3M |
| Debt / EquityLower = less leverage | — | 0.17× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $36.2M | $97.5M | ||
| Q3 25 | $53.5M | $94.4M | ||
| Q2 25 | $52.1M | $96.0M | ||
| Q1 25 | $77.3M | $93.2M | ||
| Q4 24 | $59.5M | $101.0M | ||
| Q3 24 | $57.5M | $96.7M | ||
| Q2 24 | $46.1M | $96.8M | ||
| Q1 24 | $52.4M | $107.2M |
| Q4 25 | — | $22.7M | ||
| Q3 25 | — | $34.0M | ||
| Q2 25 | — | $45.3M | ||
| Q1 25 | — | $56.7M | ||
| Q4 24 | — | $68.0M | ||
| Q3 24 | — | $79.3M | ||
| Q2 24 | — | $90.7M | ||
| Q1 24 | — | $102.0M |
| Q4 25 | $354.0M | $130.3M | ||
| Q3 25 | $349.2M | $115.3M | ||
| Q2 25 | $350.6M | $104.7M | ||
| Q1 25 | $362.8M | $97.1M | ||
| Q4 24 | $359.4M | $92.1M | ||
| Q3 24 | $355.5M | $71.1M | ||
| Q2 24 | $349.2M | $48.5M | ||
| Q1 24 | $344.9M | $51.0M |
| Q4 25 | $520.4M | $216.3M | ||
| Q3 25 | $499.9M | $202.9M | ||
| Q2 25 | $500.1M | $194.9M | ||
| Q1 25 | $524.0M | $196.2M | ||
| Q4 24 | $510.8M | $213.3M | ||
| Q3 24 | $502.8M | $220.7M | ||
| Q2 24 | $499.6M | $205.0M | ||
| Q1 24 | $511.6M | $214.1M |
| Q4 25 | — | 0.17× | ||
| Q3 25 | — | 0.30× | ||
| Q2 25 | — | 0.43× | ||
| Q1 25 | — | 0.58× | ||
| Q4 24 | — | 0.74× | ||
| Q3 24 | — | 1.12× | ||
| Q2 24 | — | 1.87× | ||
| Q1 24 | — | 2.00× |
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 | $14.4M |
| Free Cash FlowOCF − Capex | $13.0M | $14.4M |
| FCF MarginFCF / Revenue | 16.3% | 19.1% |
| Capex IntensityCapex / Revenue | 0.3% | 0.0% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | $59.6M | $41.7M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $13.2M | $14.4M | ||
| Q3 25 | $18.0M | $9.7M | ||
| Q2 25 | $5.0M | $14.1M | ||
| Q1 25 | $27.1M | $3.6M | ||
| Q4 24 | $11.2M | $15.6M | ||
| Q3 24 | $19.1M | $11.0M | ||
| Q2 24 | $6.5M | $1.0M | ||
| Q1 24 | $20.9M | $11.2M |
| Q4 25 | $13.0M | $14.4M | ||
| Q3 25 | $17.9M | $9.7M | ||
| Q2 25 | $2.7M | $14.1M | ||
| Q1 25 | $26.0M | $3.6M | ||
| Q4 24 | $11.0M | $15.6M | ||
| Q3 24 | $18.8M | $11.0M | ||
| Q2 24 | $6.3M | $1.0M | ||
| Q1 24 | $20.2M | — |
| Q4 25 | 16.3% | 19.1% | ||
| Q3 25 | 23.4% | 17.7% | ||
| Q2 25 | 3.6% | 26.8% | ||
| Q1 25 | 35.4% | 7.7% | ||
| Q4 24 | 14.8% | 26.4% | ||
| Q3 24 | 25.8% | 13.7% | ||
| Q2 24 | 8.8% | 2.1% | ||
| Q1 24 | 27.8% | — |
| Q4 25 | 0.3% | 0.0% | ||
| Q3 25 | 0.1% | 0.0% | ||
| Q2 25 | 3.1% | 0.0% | ||
| Q1 25 | 1.4% | 0.1% | ||
| Q4 24 | 0.3% | 0.0% | ||
| Q3 24 | 0.4% | 0.0% | ||
| Q2 24 | 0.2% | 0.0% | ||
| Q1 24 | 1.0% | 0.0% |
| Q4 25 | — | — | ||
| Q3 25 | 2.96× | 1.10× | ||
| Q2 25 | 0.93× | 2.41× | ||
| Q1 25 | 6.25× | 1.21× | ||
| Q4 24 | — | — | ||
| Q3 24 | 3.34× | 0.54× | ||
| 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% |
PBYI
Segment breakdown not available.
