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Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and Neuronetics, Inc. (STIM). Click either name above to swap in a different company.
HEALTHSTREAM INC is the larger business by last-quarter revenue ($79.7M vs $41.8M, roughly 1.9× Neuronetics, Inc.). On growth, Neuronetics, Inc. posted the faster year-over-year revenue change (85.7% vs 7.4%). HEALTHSTREAM INC produced more free cash flow last quarter ($13.0M vs $692.0K). Over the past eight quarters, Neuronetics, Inc.'s revenue compounded faster (54.9% 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.
Neuronetics is a Malvern, PA based, publicly traded company incorporated in Delaware in April 2003, that develops non-invasive treatments for psychiatric disorders that have shown resistance or lack of improvement using traditional medicine. The treatments are based upon neuromodulation technology.
HSTM vs STIM — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $79.7M | $41.8M |
| Net Profit | — | $-7.2M |
| Gross Margin | — | 52.0% |
| Operating Margin | 3.0% | -12.1% |
| Net Margin | — | -17.2% |
| Revenue YoY | 7.4% | 85.7% |
| Net Profit YoY | — | 43.2% |
| EPS (diluted) | $0.09 | $-0.10 |
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 | $41.8M | ||
| Q3 25 | $76.5M | $37.3M | ||
| Q2 25 | $74.4M | $38.1M | ||
| Q1 25 | $73.5M | $32.0M | ||
| Q4 24 | $74.2M | $22.5M | ||
| Q3 24 | $73.1M | $18.5M | ||
| Q2 24 | $71.6M | $16.4M | ||
| Q1 24 | $72.8M | $17.4M |
| Q4 25 | — | $-7.2M | ||
| Q3 25 | $6.1M | $-9.0M | ||
| Q2 25 | $5.4M | $-10.1M | ||
| Q1 25 | $4.3M | $-12.7M | ||
| Q4 24 | — | $-12.7M | ||
| Q3 24 | $5.7M | $-13.3M | ||
| Q2 24 | $4.2M | $-9.8M | ||
| Q1 24 | $5.2M | $-7.9M |
| Q4 25 | — | 52.0% | ||
| Q3 25 | — | 45.9% | ||
| Q2 25 | — | 46.6% | ||
| Q1 25 | — | 49.2% | ||
| Q4 24 | — | 66.2% | ||
| Q3 24 | — | 75.6% | ||
| Q2 24 | — | 74.0% | ||
| Q1 24 | — | 75.1% |
| Q4 25 | 3.0% | -12.1% | ||
| Q3 25 | 9.9% | -19.6% | ||
| Q2 25 | 7.9% | -21.1% | ||
| Q1 25 | 6.0% | -34.4% | ||
| Q4 24 | 6.3% | -51.0% | ||
| Q3 24 | 8.9% | -41.7% | ||
| Q2 24 | 6.2% | -51.7% | ||
| Q1 24 | 7.8% | -39.4% |
| Q4 25 | — | -17.2% | ||
| Q3 25 | 8.0% | -24.3% | ||
| Q2 25 | 7.2% | -26.6% | ||
| Q1 25 | 5.9% | -39.6% | ||
| Q4 24 | — | -56.4% | ||
| Q3 24 | 7.8% | -72.0% | ||
| Q2 24 | 5.8% | -59.8% | ||
| Q1 24 | 7.2% | -45.2% |
| Q4 25 | $0.09 | $-0.10 | ||
| Q3 25 | $0.20 | $-0.13 | ||
| Q2 25 | $0.18 | $-0.15 | ||
| Q1 25 | $0.14 | $-0.21 | ||
| Q4 24 | $0.16 | $-0.34 | ||
| Q3 24 | $0.19 | $-0.44 | ||
| Q2 24 | $0.14 | $-0.33 | ||
| Q1 24 | $0.17 | $-0.27 |
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 | $28.1M |
| Total DebtLower is stronger | — | $65.8M |
| Stockholders' EquityBook value | $354.0M | $22.4M |
| Total Assets | $520.4M | $141.6M |
| Debt / EquityLower = less leverage | — | 2.94× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $36.2M | $28.1M | ||
| Q3 25 | $53.5M | $28.0M | ||
| Q2 25 | $52.1M | $11.0M | ||
| Q1 25 | $77.3M | $20.2M | ||
| Q4 24 | $59.5M | $18.5M | ||
| Q3 24 | $57.5M | $20.9M | ||
| Q2 24 | $46.1M | $42.6M | ||
| Q1 24 | $52.4M | $47.7M |
| Q4 25 | — | $65.8M | ||
| Q3 25 | — | $65.7M | ||
| Q2 25 | — | $55.5M | ||
| Q1 25 | — | $55.3M | ||
| Q4 24 | — | $55.2M | ||
| Q3 24 | — | $46.0M | ||
| Q2 24 | — | $59.8M | ||
| Q1 24 | — | $59.4M |
| Q4 25 | $354.0M | $22.4M | ||
| Q3 25 | $349.2M | $27.4M | ||
| Q2 25 | $350.6M | $27.1M | ||
| Q1 25 | $362.8M | $35.5M | ||
| Q4 24 | $359.4M | $27.7M | ||
| Q3 24 | $355.5M | $9.4M | ||
| Q2 24 | $349.2M | $19.4M | ||
| Q1 24 | $344.9M | $27.7M |
| Q4 25 | $520.4M | $141.6M | ||
| Q3 25 | $499.9M | $145.5M | ||
| Q2 25 | $500.1M | $134.7M | ||
| Q1 25 | $524.0M | $142.0M | ||
| Q4 24 | $510.8M | $140.9M | ||
| Q3 24 | $502.8M | — | ||
| Q2 24 | $499.6M | $96.8M | ||
| Q1 24 | $511.6M | $103.8M |
| Q4 25 | — | 2.94× | ||
| Q3 25 | — | 2.40× | ||
| Q2 25 | — | 2.05× | ||
| Q1 25 | — | 1.56× | ||
| Q4 24 | — | 1.99× | ||
| Q3 24 | — | 4.90× | ||
| Q2 24 | — | 3.08× | ||
| Q1 24 | — | 2.15× |
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 | $908.0K |
| Free Cash FlowOCF − Capex | $13.0M | $692.0K |
| FCF MarginFCF / Revenue | 16.3% | 1.7% |
| Capex IntensityCapex / Revenue | 0.3% | 0.5% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | $59.6M | $-21.2M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $13.2M | $908.0K | ||
| Q3 25 | $18.0M | $-785.0K | ||
| Q2 25 | $5.0M | $-3.5M | ||
| Q1 25 | $27.1M | $-17.0M | ||
| Q4 24 | $11.2M | $-8.6M | ||
| Q3 24 | $19.1M | $-5.4M | ||
| Q2 24 | $6.5M | $-5.0M | ||
| Q1 24 | $20.9M | $-12.0M |
| Q4 25 | $13.0M | $692.0K | ||
| Q3 25 | $17.9M | $-899.0K | ||
| Q2 25 | $2.7M | $-3.8M | ||
| Q1 25 | $26.0M | $-17.2M | ||
| Q4 24 | $11.0M | $-8.7M | ||
| Q3 24 | $18.8M | $-5.8M | ||
| Q2 24 | $6.3M | $-5.6M | ||
| Q1 24 | $20.2M | $-12.4M |
| Q4 25 | 16.3% | 1.7% | ||
| Q3 25 | 23.4% | -2.4% | ||
| Q2 25 | 3.6% | -9.9% | ||
| Q1 25 | 35.4% | -53.8% | ||
| Q4 24 | 14.8% | -38.6% | ||
| Q3 24 | 25.8% | -31.3% | ||
| Q2 24 | 8.8% | -34.0% | ||
| Q1 24 | 27.8% | -71.1% |
| Q4 25 | 0.3% | 0.5% | ||
| Q3 25 | 0.1% | 0.3% | ||
| Q2 25 | 3.1% | 0.7% | ||
| Q1 25 | 1.4% | 0.7% | ||
| Q4 24 | 0.3% | 0.4% | ||
| Q3 24 | 0.4% | 2.1% | ||
| Q2 24 | 0.2% | 3.7% | ||
| Q1 24 | 1.0% | 2.2% |
| 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% |
STIM
Segment breakdown not available.
