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Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and Stoke Therapeutics, Inc. (STOK). Click either name above to swap in a different company.

Stoke Therapeutics, Inc. is the larger business by last-quarter revenue ($158.6M vs $79.7M, roughly 2.0× HEALTHSTREAM INC). On growth, Stoke Therapeutics, Inc. posted the faster year-over-year revenue change (3661.1% vs 7.4%). Stoke Therapeutics, Inc. produced more free cash flow last quarter ($131.7M vs $13.0M).

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.

Stoke Therapeutics, Inc. is a clinical-stage biotechnology company developing innovative RNA-targeted therapies for severe rare genetic diseases. Its lead candidates address unmet needs for Dravet syndrome, a rare epilepsy, and other neurological monogenic disorders, serving patients across North America and global markets.

HSTM vs STOK — Head-to-Head

Bigger by revenue
STOK
STOK
2.0× larger
STOK
$158.6M
$79.7M
HSTM
Growing faster (revenue YoY)
STOK
STOK
+3653.8% gap
STOK
3661.1%
7.4%
HSTM
More free cash flow
STOK
STOK
$118.7M more FCF
STOK
$131.7M
$13.0M
HSTM

Income Statement — Q4 FY2025 vs Q1 FY2025

Metric
HSTM
HSTM
STOK
STOK
Revenue
$79.7M
$158.6M
Net Profit
$112.9M
Gross Margin
Operating Margin
3.0%
70.2%
Net Margin
71.2%
Revenue YoY
7.4%
3661.1%
Net Profit YoY
528.0%
EPS (diluted)
$0.09
$1.90

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
STOK
STOK
Q4 25
$79.7M
Q3 25
$76.5M
Q2 25
$74.4M
Q1 25
$73.5M
$158.6M
Q4 24
$74.2M
$22.6M
Q3 24
$73.1M
Q2 24
$71.6M
Q1 24
$72.8M
Net Profit
HSTM
HSTM
STOK
STOK
Q4 25
Q3 25
$6.1M
Q2 25
$5.4M
Q1 25
$4.3M
$112.9M
Q4 24
$-10.5M
Q3 24
$5.7M
Q2 24
$4.2M
Q1 24
$5.2M
Operating Margin
HSTM
HSTM
STOK
STOK
Q4 25
3.0%
Q3 25
9.9%
Q2 25
7.9%
Q1 25
6.0%
70.2%
Q4 24
6.3%
-60.4%
Q3 24
8.9%
Q2 24
6.2%
Q1 24
7.8%
Net Margin
HSTM
HSTM
STOK
STOK
Q4 25
Q3 25
8.0%
Q2 25
7.2%
Q1 25
5.9%
71.2%
Q4 24
-46.4%
Q3 24
7.8%
Q2 24
5.8%
Q1 24
7.2%
EPS (diluted)
HSTM
HSTM
STOK
STOK
Q4 25
$0.09
Q3 25
$0.20
Q2 25
$0.18
Q1 25
$0.14
$1.90
Q4 24
$0.16
$-0.15
Q3 24
$0.19
Q2 24
$0.14
Q1 24
$0.17

Balance Sheet & Financial Strength

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

Metric
HSTM
HSTM
STOK
STOK
Cash + ST InvestmentsLiquidity on hand
$36.2M
$274.8M
Total DebtLower is stronger
Stockholders' EquityBook value
$354.0M
$350.1M
Total Assets
$520.4M
$406.9M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HSTM
HSTM
STOK
STOK
Q4 25
$36.2M
Q3 25
$53.5M
Q2 25
$52.1M
Q1 25
$77.3M
$274.8M
Q4 24
$59.5M
$128.0M
Q3 24
$57.5M
Q2 24
$46.1M
Q1 24
$52.4M
Stockholders' Equity
HSTM
HSTM
STOK
STOK
Q4 25
$354.0M
Q3 25
$349.2M
Q2 25
$350.6M
Q1 25
$362.8M
$350.1M
Q4 24
$359.4M
$229.0M
Q3 24
$355.5M
Q2 24
$349.2M
Q1 24
$344.9M
Total Assets
HSTM
HSTM
STOK
STOK
Q4 25
$520.4M
Q3 25
$499.9M
Q2 25
$500.1M
Q1 25
$524.0M
$406.9M
Q4 24
$510.8M
$271.6M
Q3 24
$502.8M
Q2 24
$499.6M
Q1 24
$511.6M

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
STOK
STOK
Operating Cash FlowLast quarter
$13.2M
$131.8M
Free Cash FlowOCF − Capex
$13.0M
$131.7M
FCF MarginFCF / Revenue
16.3%
83.0%
Capex IntensityCapex / Revenue
0.3%
0.1%
Cash ConversionOCF / Net Profit
1.17×
TTM Free Cash FlowTrailing 4 quarters
$59.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HSTM
HSTM
STOK
STOK
Q4 25
$13.2M
Q3 25
$18.0M
Q2 25
$5.0M
Q1 25
$27.1M
$131.8M
Q4 24
$11.2M
$-23.2M
Q3 24
$19.1M
Q2 24
$6.5M
Q1 24
$20.9M
Free Cash Flow
HSTM
HSTM
STOK
STOK
Q4 25
$13.0M
Q3 25
$17.9M
Q2 25
$2.7M
Q1 25
$26.0M
$131.7M
Q4 24
$11.0M
$-23.2M
Q3 24
$18.8M
Q2 24
$6.3M
Q1 24
$20.2M
FCF Margin
HSTM
HSTM
STOK
STOK
Q4 25
16.3%
Q3 25
23.4%
Q2 25
3.6%
Q1 25
35.4%
83.0%
Q4 24
14.8%
-102.7%
Q3 24
25.8%
Q2 24
8.8%
Q1 24
27.8%
Capex Intensity
HSTM
HSTM
STOK
STOK
Q4 25
0.3%
Q3 25
0.1%
Q2 25
3.1%
Q1 25
1.4%
0.1%
Q4 24
0.3%
0.2%
Q3 24
0.4%
Q2 24
0.2%
Q1 24
1.0%
Cash Conversion
HSTM
HSTM
STOK
STOK
Q4 25
Q3 25
2.96×
Q2 25
0.93×
Q1 25
6.25×
1.17×
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
HSTM

Subscription Services$77.0M97%
Professional Services$2.7M3%

STOK
STOK

Segment breakdown not available.

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