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

HEALTHSTREAM INC is the larger business by last-quarter revenue ($79.7M vs $40.7M, roughly 2.0× PETMED EXPRESS INC). On growth, HEALTHSTREAM INC posted the faster year-over-year revenue change (7.4% vs -23.3%). HEALTHSTREAM INC produced more free cash flow last quarter ($13.0M vs $-9.2M). Over the past eight quarters, HEALTHSTREAM INC's revenue compounded faster (4.7% CAGR vs -20.9%).

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.

PetMed Express, Inc., also known as PetMeds, is an online pet pharmacy based in the United States. It is publicly traded and sells prescription and non-prescription pet medication.

HSTM vs PETS — Head-to-Head

Bigger by revenue
HSTM
HSTM
2.0× larger
HSTM
$79.7M
$40.7M
PETS
Growing faster (revenue YoY)
HSTM
HSTM
+30.6% gap
HSTM
7.4%
-23.3%
PETS
More free cash flow
HSTM
HSTM
$22.2M more FCF
HSTM
$13.0M
$-9.2M
PETS
Faster 2-yr revenue CAGR
HSTM
HSTM
Annualised
HSTM
4.7%
-20.9%
PETS

Income Statement — Q4 FY2025 vs Q3 FY2026

Metric
HSTM
HSTM
PETS
PETS
Revenue
$79.7M
$40.7M
Net Profit
$-10.6M
Gross Margin
23.3%
Operating Margin
3.0%
-25.7%
Net Margin
-26.0%
Revenue YoY
7.4%
-23.3%
Net Profit YoY
-1392.6%
EPS (diluted)
$0.09
$-0.50

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
PETS
PETS
Q4 25
$79.7M
$40.7M
Q3 25
$76.5M
$44.4M
Q2 25
$74.4M
$51.2M
Q1 25
$73.5M
$50.8M
Q4 24
$74.2M
$52.0M
Q3 24
$73.1M
$58.0M
Q2 24
$71.6M
$66.2M
Q1 24
$72.8M
$65.1M
Net Profit
HSTM
HSTM
PETS
PETS
Q4 25
$-10.6M
Q3 25
$6.1M
$-8.5M
Q2 25
$5.4M
$-34.2M
Q1 25
$4.3M
$-11.6M
Q4 24
$-707.0K
Q3 24
$5.7M
$2.3M
Q2 24
$4.2M
$3.8M
Q1 24
$5.2M
$-5.0M
Gross Margin
HSTM
HSTM
PETS
PETS
Q4 25
23.3%
Q3 25
28.0%
Q2 25
28.1%
Q1 25
29.9%
Q4 24
31.0%
Q3 24
32.3%
Q2 24
28.8%
Q1 24
29.3%
Operating Margin
HSTM
HSTM
PETS
PETS
Q4 25
3.0%
-25.7%
Q3 25
9.9%
-18.9%
Q2 25
7.9%
-66.7%
Q1 25
6.0%
-11.9%
Q4 24
6.3%
-0.9%
Q3 24
8.9%
1.0%
Q2 24
6.2%
6.6%
Q1 24
7.8%
-5.9%
Net Margin
HSTM
HSTM
PETS
PETS
Q4 25
-26.0%
Q3 25
8.0%
-19.2%
Q2 25
7.2%
-66.7%
Q1 25
5.9%
-22.9%
Q4 24
-1.4%
Q3 24
7.8%
4.0%
Q2 24
5.8%
5.7%
Q1 24
7.2%
-7.7%
EPS (diluted)
HSTM
HSTM
PETS
PETS
Q4 25
$0.09
$-0.50
Q3 25
$0.20
$-0.41
Q2 25
$0.18
$-1.65
Q1 25
$0.14
$-0.56
Q4 24
$0.16
$-0.03
Q3 24
$0.19
$0.11
Q2 24
$0.14
$0.18
Q1 24
$0.17
$-0.24

Balance Sheet & Financial Strength

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

Metric
HSTM
HSTM
PETS
PETS
Cash + ST InvestmentsLiquidity on hand
$36.2M
$26.9M
Total DebtLower is stronger
Stockholders' EquityBook value
$354.0M
$32.8M
Total Assets
$520.4M
$88.0M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HSTM
HSTM
PETS
PETS
Q4 25
$36.2M
$26.9M
Q3 25
$53.5M
$36.1M
Q2 25
$52.1M
$41.1M
Q1 25
$77.3M
$54.7M
Q4 24
$59.5M
$50.1M
Q3 24
$57.5M
$52.0M
Q2 24
$46.1M
$46.0M
Q1 24
$52.4M
$55.3M
Stockholders' Equity
HSTM
HSTM
PETS
PETS
Q4 25
$354.0M
$32.8M
Q3 25
$349.2M
$43.1M
Q2 25
$350.6M
$51.5M
Q1 25
$362.8M
$85.1M
Q4 24
$359.4M
$96.2M
Q3 24
$355.5M
$96.4M
Q2 24
$349.2M
$93.5M
Q1 24
$344.9M
$96.7M
Total Assets
HSTM
HSTM
PETS
PETS
Q4 25
$520.4M
$88.0M
Q3 25
$499.9M
$100.3M
Q2 25
$500.1M
$109.8M
Q1 25
$524.0M
$148.7M
Q4 24
$510.8M
$144.8M
Q3 24
$502.8M
$146.0M
Q2 24
$499.6M
$152.7M
Q1 24
$511.6M
$169.9M

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
PETS
PETS
Operating Cash FlowLast quarter
$13.2M
$-9.2M
Free Cash FlowOCF − Capex
$13.0M
$-9.2M
FCF MarginFCF / Revenue
16.3%
-22.7%
Capex IntensityCapex / Revenue
0.3%
0.1%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$59.6M
$-23.0M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HSTM
HSTM
PETS
PETS
Q4 25
$13.2M
$-9.2M
Q3 25
$18.0M
$-2.2M
Q2 25
$5.0M
$-12.3M
Q1 25
$27.1M
$7.0M
Q4 24
$11.2M
$-1.2M
Q3 24
$19.1M
$7.4M
Q2 24
$6.5M
$-8.5M
Q1 24
$20.9M
$7.1M
Free Cash Flow
HSTM
HSTM
PETS
PETS
Q4 25
$13.0M
$-9.2M
Q3 25
$17.9M
$-4.8M
Q2 25
$2.7M
$-13.6M
Q1 25
$26.0M
$4.6M
Q4 24
$11.0M
$-1.9M
Q3 24
$18.8M
$6.1M
Q2 24
$6.3M
$-9.2M
Q1 24
$20.2M
$5.9M
FCF Margin
HSTM
HSTM
PETS
PETS
Q4 25
16.3%
-22.7%
Q3 25
23.4%
-10.8%
Q2 25
3.6%
-26.5%
Q1 25
35.4%
9.1%
Q4 24
14.8%
-3.7%
Q3 24
25.8%
10.6%
Q2 24
8.8%
-13.9%
Q1 24
27.8%
9.0%
Capex Intensity
HSTM
HSTM
PETS
PETS
Q4 25
0.3%
0.1%
Q3 25
0.1%
5.9%
Q2 25
3.1%
2.5%
Q1 25
1.4%
4.7%
Q4 24
0.3%
1.5%
Q3 24
0.4%
2.2%
Q2 24
0.2%
1.0%
Q1 24
1.0%
1.9%
Cash Conversion
HSTM
HSTM
PETS
PETS
Q4 25
Q3 25
2.96×
Q2 25
0.93×
Q1 25
6.25×
Q4 24
Q3 24
3.34×
3.18×
Q2 24
1.55×
-2.27×
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%

PETS
PETS

Reorder$34.0M84%
New Order$5.0M12%
Membership Fees$1.6M4%

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