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Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and Repay Holdings Corp (RPAY). Click either name above to swap in a different company.
HEALTHSTREAM INC is the larger business by last-quarter revenue ($79.7M vs $78.6M, roughly 1.0× Repay Holdings Corp). On growth, HEALTHSTREAM INC posted the faster year-over-year revenue change (7.4% vs 0.4%). Repay Holdings Corp produced more free cash flow last quarter ($23.2M vs $13.0M). Over the past eight quarters, HEALTHSTREAM INC's revenue compounded faster (4.7% CAGR vs -1.3%).
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.
Repay Holdings Corp is a leading payment technology provider delivering integrated end-to-end payment processing solutions for businesses across North America. Its offerings include credit/debit card processing, ACH transfer services, POS system integrations and digital payment tools, serving retail, healthcare, automotive and e-commerce segments to help clients streamline transaction workflows and boost operational efficiency.
HSTM vs RPAY — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $79.7M | $78.6M |
| Net Profit | — | $-140.1M |
| Gross Margin | — | 74.2% |
| Operating Margin | 3.0% | -182.2% |
| Net Margin | — | -178.3% |
| Revenue YoY | 7.4% | 0.4% |
| Net Profit YoY | — | -3304.1% |
| EPS (diluted) | $0.09 | $-1.68 |
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 | $78.6M | ||
| Q3 25 | $76.5M | $77.7M | ||
| Q2 25 | $74.4M | $75.6M | ||
| Q1 25 | $73.5M | $77.3M | ||
| Q4 24 | $74.2M | $78.3M | ||
| Q3 24 | $73.1M | $79.1M | ||
| Q2 24 | $71.6M | $74.9M | ||
| Q1 24 | $72.8M | $80.7M |
| Q4 25 | — | $-140.1M | ||
| Q3 25 | $6.1M | $-6.4M | ||
| Q2 25 | $5.4M | $-102.3M | ||
| Q1 25 | $4.3M | $-7.9M | ||
| Q4 24 | — | $-4.1M | ||
| Q3 24 | $5.7M | $3.2M | ||
| Q2 24 | $4.2M | $-4.1M | ||
| Q1 24 | $5.2M | $-5.2M |
| Q4 25 | — | 74.2% | ||
| Q3 25 | — | 74.4% | ||
| Q2 25 | — | 75.7% | ||
| Q1 25 | — | 75.9% | ||
| Q4 24 | — | 76.3% | ||
| Q3 24 | — | 77.8% | ||
| Q2 24 | — | 78.2% | ||
| Q1 24 | — | 76.2% |
| Q4 25 | 3.0% | -182.2% | ||
| Q3 25 | 9.9% | -3.9% | ||
| Q2 25 | 7.9% | -138.7% | ||
| Q1 25 | 6.0% | -4.7% | ||
| Q4 24 | 6.3% | -1.5% | ||
| Q3 24 | 8.9% | -0.9% | ||
| Q2 24 | 6.2% | -4.6% | ||
| Q1 24 | 7.8% | -3.1% |
| Q4 25 | — | -178.3% | ||
| Q3 25 | 8.0% | -8.3% | ||
| Q2 25 | 7.2% | -135.2% | ||
| Q1 25 | 5.9% | -10.3% | ||
| Q4 24 | — | -5.3% | ||
| Q3 24 | 7.8% | 4.1% | ||
| Q2 24 | 5.8% | -5.4% | ||
| Q1 24 | 7.2% | -6.5% |
| Q4 25 | $0.09 | $-1.68 | ||
| Q3 25 | $0.20 | $-0.08 | ||
| Q2 25 | $0.18 | $-1.15 | ||
| Q1 25 | $0.14 | $-0.09 | ||
| Q4 24 | $0.16 | $-0.04 | ||
| Q3 24 | $0.19 | $0.03 | ||
| Q2 24 | $0.14 | $-0.04 | ||
| Q1 24 | $0.17 | $-0.06 |
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 | $115.7M |
| Total DebtLower is stronger | — | $280.1M |
| Stockholders' EquityBook value | $354.0M | $484.4M |
| Total Assets | $520.4M | $1.2B |
| Debt / EquityLower = less leverage | — | 0.58× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $36.2M | $115.7M | ||
| Q3 25 | $53.5M | $95.7M | ||
| Q2 25 | $52.1M | $162.6M | ||
| Q1 25 | $77.3M | $165.5M | ||
| Q4 24 | $59.5M | $189.5M | ||
| Q3 24 | $57.5M | $168.7M | ||
| Q2 24 | $46.1M | $147.1M | ||
| Q1 24 | $52.4M | $128.3M |
| Q4 25 | — | $280.1M | ||
| Q3 25 | — | $279.5M | ||
| Q2 25 | — | $279.0M | ||
| Q1 25 | — | $497.6M | ||
| Q4 24 | — | $496.8M | ||
| Q3 24 | — | $496.2M | ||
| Q2 24 | — | $435.6M | ||
| Q1 24 | — | $434.9M |
| Q4 25 | $354.0M | $484.4M | ||
| Q3 25 | $349.2M | $616.9M | ||
| Q2 25 | $350.6M | $633.7M | ||
| Q1 25 | $362.8M | $755.7M | ||
| Q4 24 | $359.4M | $761.3M | ||
| Q3 24 | $355.5M | $754.7M | ||
| Q2 24 | $349.2M | $815.4M | ||
| Q1 24 | $344.9M | $813.8M |
| Q4 25 | $520.4M | $1.2B | ||
| Q3 25 | $499.9M | $1.3B | ||
| Q2 25 | $500.1M | $1.4B | ||
| Q1 25 | $524.0M | $1.5B | ||
| Q4 24 | $510.8M | $1.6B | ||
| Q3 24 | $502.8M | $1.6B | ||
| Q2 24 | $499.6M | $1.5B | ||
| Q1 24 | $511.6M | $1.5B |
| Q4 25 | — | 0.58× | ||
| Q3 25 | — | 0.45× | ||
| Q2 25 | — | 0.44× | ||
| Q1 25 | — | 0.66× | ||
| Q4 24 | — | 0.65× | ||
| Q3 24 | — | 0.66× | ||
| Q2 24 | — | 0.53× | ||
| Q1 24 | — | 0.53× |
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 | $23.3M |
| Free Cash FlowOCF − Capex | $13.0M | $23.2M |
| FCF MarginFCF / Revenue | 16.3% | 29.6% |
| Capex IntensityCapex / Revenue | 0.3% | 0.1% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | $59.6M | $90.7M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $13.2M | $23.3M | ||
| Q3 25 | $18.0M | $32.2M | ||
| Q2 25 | $5.0M | $33.1M | ||
| Q1 25 | $27.1M | $2.5M | ||
| Q4 24 | $11.2M | $34.3M | ||
| Q3 24 | $19.1M | $60.1M | ||
| Q2 24 | $6.5M | $31.0M | ||
| Q1 24 | $20.9M | $24.8M |
| Q4 25 | $13.0M | $23.2M | ||
| Q3 25 | $17.9M | $32.1M | ||
| Q2 25 | $2.7M | $33.0M | ||
| Q1 25 | $26.0M | $2.4M | ||
| Q4 24 | $11.0M | $34.0M | ||
| Q3 24 | $18.8M | $59.8M | ||
| Q2 24 | $6.3M | $30.5M | ||
| Q1 24 | $20.2M | $24.7M |
| Q4 25 | 16.3% | 29.6% | ||
| Q3 25 | 23.4% | 41.3% | ||
| Q2 25 | 3.6% | 43.6% | ||
| Q1 25 | 35.4% | 3.0% | ||
| Q4 24 | 14.8% | 43.5% | ||
| Q3 24 | 25.8% | 75.6% | ||
| Q2 24 | 8.8% | 40.7% | ||
| Q1 24 | 27.8% | 30.6% |
| Q4 25 | 0.3% | 0.1% | ||
| Q3 25 | 0.1% | 0.2% | ||
| Q2 25 | 3.1% | 0.1% | ||
| Q1 25 | 1.4% | 0.2% | ||
| Q4 24 | 0.3% | 0.3% | ||
| Q3 24 | 0.4% | 0.3% | ||
| Q2 24 | 0.2% | 0.6% | ||
| Q1 24 | 1.0% | 0.1% |
| Q4 25 | — | — | ||
| Q3 25 | 2.96× | — | ||
| Q2 25 | 0.93× | — | ||
| Q1 25 | 6.25× | — | ||
| Q4 24 | — | — | ||
| Q3 24 | 3.34× | 18.52× | ||
| 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% |
RPAY
| Sales Channel Directly To Consumer | $69.4M | 88% |
| Other | $6.8M | 9% |
| Sales Channel Through Intermediary | $2.3M | 3% |
