vs
Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and Quest Resource Holding Corp (QRHC). Click either name above to swap in a different company.
HEALTHSTREAM INC is the larger business by last-quarter revenue ($79.7M vs $58.9M, roughly 1.4× Quest Resource Holding Corp). On growth, HEALTHSTREAM INC posted the faster year-over-year revenue change (7.4% vs -15.8%). HEALTHSTREAM INC produced more free cash flow last quarter ($13.0M vs $1.0M). Over the past eight quarters, HEALTHSTREAM INC's revenue compounded faster (4.7% CAGR vs -10.0%).
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.
Quest Resource Holding Corp provides end-to-end waste management, recycling, and sustainability solutions to commercial, industrial, and retail clients across North America. It helps businesses cut waste volumes, reduce operational costs, and fulfill corporate environmental targets via customized waste diversion and circular economy initiatives.
HSTM vs QRHC — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $79.7M | $58.9M |
| Net Profit | — | $-1.7M |
| Gross Margin | — | 15.5% |
| Operating Margin | 3.0% | 0.9% |
| Net Margin | — | -2.8% |
| Revenue YoY | 7.4% | -15.8% |
| Net Profit YoY | — | 82.6% |
| EPS (diluted) | $0.09 | $-0.08 |
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 | $58.9M | ||
| Q3 25 | $76.5M | $63.3M | ||
| Q2 25 | $74.4M | $59.5M | ||
| Q1 25 | $73.5M | $68.4M | ||
| Q4 24 | $74.2M | $70.0M | ||
| Q3 24 | $73.1M | $72.8M | ||
| Q2 24 | $71.6M | $73.1M | ||
| Q1 24 | $72.8M | $72.7M |
| Q4 25 | — | $-1.7M | ||
| Q3 25 | $6.1M | $-1.3M | ||
| Q2 25 | $5.4M | $-2.0M | ||
| Q1 25 | $4.3M | $-10.4M | ||
| Q4 24 | — | $-9.5M | ||
| Q3 24 | $5.7M | $-3.4M | ||
| Q2 24 | $4.2M | $-1.5M | ||
| Q1 24 | $5.2M | $-655.0K |
| Q4 25 | — | 15.5% | ||
| Q3 25 | — | 18.1% | ||
| Q2 25 | — | 18.5% | ||
| Q1 25 | — | 16.0% | ||
| Q4 24 | — | 15.3% | ||
| Q3 24 | — | 16.1% | ||
| Q2 24 | — | 18.5% | ||
| Q1 24 | — | 19.3% |
| Q4 25 | 3.0% | 0.9% | ||
| Q3 25 | 9.9% | 1.7% | ||
| Q2 25 | 7.9% | 0.6% | ||
| Q1 25 | 6.0% | -11.9% | ||
| Q4 24 | 6.3% | -10.3% | ||
| Q3 24 | 8.9% | -1.3% | ||
| Q2 24 | 6.2% | 2.4% | ||
| Q1 24 | 7.8% | 2.6% |
| Q4 25 | — | -2.8% | ||
| Q3 25 | 8.0% | -2.1% | ||
| Q2 25 | 7.2% | -3.3% | ||
| Q1 25 | 5.9% | -15.2% | ||
| Q4 24 | — | -13.6% | ||
| Q3 24 | 7.8% | -4.7% | ||
| Q2 24 | 5.8% | -2.1% | ||
| Q1 24 | 7.2% | -0.9% |
| Q4 25 | $0.09 | $-0.08 | ||
| Q3 25 | $0.20 | $-0.06 | ||
| Q2 25 | $0.18 | $-0.09 | ||
| Q1 25 | $0.14 | $-0.50 | ||
| Q4 24 | $0.16 | $-0.47 | ||
| Q3 24 | $0.19 | $-0.16 | ||
| Q2 24 | $0.14 | $-0.07 | ||
| Q1 24 | $0.17 | $-0.03 |
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 | $1.0M |
| Total DebtLower is stronger | — | $64.0M |
| Stockholders' EquityBook value | $354.0M | $40.5M |
| Total Assets | $520.4M | $145.6M |
| Debt / EquityLower = less leverage | — | 1.58× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $36.2M | $1.0M | ||
| Q3 25 | $53.5M | $1.1M | ||
| Q2 25 | $52.1M | $449.0K | ||
| Q1 25 | $77.3M | $1.4M | ||
| Q4 24 | $59.5M | $396.0K | ||
| Q3 24 | $57.5M | $1.1M | ||
| Q2 24 | $46.1M | $957.5K | ||
| Q1 24 | $52.4M | $581.1K |
| Q4 25 | — | $64.0M | ||
| Q3 25 | — | $65.4M | ||
| Q2 25 | — | $69.7M | ||
| Q1 25 | — | $74.1M | ||
| Q4 24 | — | $76.3M | ||
| Q3 24 | — | $71.9M | ||
| Q2 24 | — | $70.7M | ||
| Q1 24 | — | $68.5M |
| Q4 25 | $354.0M | $40.5M | ||
| Q3 25 | $349.2M | $42.0M | ||
| Q2 25 | $350.6M | $42.9M | ||
| Q1 25 | $362.8M | $44.4M | ||
| Q4 24 | $359.4M | $54.2M | ||
| Q3 24 | $355.5M | $62.8M | ||
| Q2 24 | $349.2M | $65.6M | ||
| Q1 24 | $344.9M | $66.3M |
| Q4 25 | $520.4M | $145.6M | ||
| Q3 25 | $499.9M | $149.3M | ||
| Q2 25 | $500.1M | $153.1M | ||
| Q1 25 | $524.0M | $165.7M | ||
| Q4 24 | $510.8M | $175.6M | ||
| Q3 24 | $502.8M | $178.2M | ||
| Q2 24 | $499.6M | $181.8M | ||
| Q1 24 | $511.6M | $179.0M |
| Q4 25 | — | 1.58× | ||
| Q3 25 | — | 1.56× | ||
| Q2 25 | — | 1.62× | ||
| Q1 25 | — | 1.67× | ||
| Q4 24 | — | 1.41× | ||
| Q3 24 | — | 1.15× | ||
| Q2 24 | — | 1.08× | ||
| Q1 24 | — | 1.03× |
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 | $1.1M |
| Free Cash FlowOCF − Capex | $13.0M | $1.0M |
| FCF MarginFCF / Revenue | 16.3% | 1.7% |
| Capex IntensityCapex / Revenue | 0.3% | 0.1% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | $59.6M | $9.3M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $13.2M | $1.1M | ||
| Q3 25 | $18.0M | $5.7M | ||
| Q2 25 | $5.0M | $3.9M | ||
| Q1 25 | $27.1M | $-1.1M | ||
| Q4 24 | $11.2M | $-4.8M | ||
| Q3 24 | $19.1M | $-475.0K | ||
| Q2 24 | $6.5M | $808.0K | ||
| Q1 24 | $20.9M | $-1.7M |
| Q4 25 | $13.0M | $1.0M | ||
| Q3 25 | $17.9M | $5.6M | ||
| Q2 25 | $2.7M | $3.9M | ||
| Q1 25 | $26.0M | $-1.2M | ||
| Q4 24 | $11.0M | $-5.2M | ||
| Q3 24 | $18.8M | $-583.0K | ||
| Q2 24 | $6.3M | $-1.4M | ||
| Q1 24 | $20.2M | $-3.6M |
| Q4 25 | 16.3% | 1.7% | ||
| Q3 25 | 23.4% | 8.9% | ||
| Q2 25 | 3.6% | 6.5% | ||
| Q1 25 | 35.4% | -1.8% | ||
| Q4 24 | 14.8% | -7.4% | ||
| Q3 24 | 25.8% | -0.8% | ||
| Q2 24 | 8.8% | -2.0% | ||
| Q1 24 | 27.8% | -4.9% |
| Q4 25 | 0.3% | 0.1% | ||
| Q3 25 | 0.1% | 0.0% | ||
| Q2 25 | 3.1% | 0.0% | ||
| Q1 25 | 1.4% | 0.2% | ||
| Q4 24 | 0.3% | 0.6% | ||
| Q3 24 | 0.4% | 0.1% | ||
| Q2 24 | 0.2% | 3.1% | ||
| Q1 24 | 1.0% | 2.6% |
| Q4 25 | — | — | ||
| Q3 25 | 2.96× | — | ||
| Q2 25 | 0.93× | — | ||
| Q1 25 | 6.25× | — | ||
| Q4 24 | — | — | ||
| Q3 24 | 3.34× | — | ||
| 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% |
QRHC
| Services | $55.8M | 95% |
| Product Sales And Other | $3.1M | 5% |
