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Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and Star Equity Holdings, Inc. (STRR). Click either name above to swap in a different company.

HEALTHSTREAM INC is the larger business by last-quarter revenue ($79.7M vs $56.8M, roughly 1.4× Star Equity Holdings, Inc.). On growth, Star Equity Holdings, Inc. posted the faster year-over-year revenue change (69.0% vs 7.4%). HEALTHSTREAM INC produced more free cash flow last quarter ($13.0M vs $-9.0M). Over the past eight quarters, Star Equity Holdings, Inc.'s revenue compounded faster (29.5% 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.

Artists Equity is an American production company founded by actors and filmmakers Ben Affleck and Matt Damon in November 2022.

HSTM vs STRR — Head-to-Head

Bigger by revenue
HSTM
HSTM
1.4× larger
HSTM
$79.7M
$56.8M
STRR
Growing faster (revenue YoY)
STRR
STRR
+61.7% gap
STRR
69.0%
7.4%
HSTM
More free cash flow
HSTM
HSTM
$21.9M more FCF
HSTM
$13.0M
$-9.0M
STRR
Faster 2-yr revenue CAGR
STRR
STRR
Annualised
STRR
29.5%
4.7%
HSTM

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
HSTM
HSTM
STRR
STRR
Revenue
$79.7M
$56.8M
Net Profit
$-1.7M
Gross Margin
Operating Margin
3.0%
-0.2%
Net Margin
-3.0%
Revenue YoY
7.4%
69.0%
Net Profit YoY
-192.1%
EPS (diluted)
$0.09
$-0.49

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
STRR
STRR
Q4 25
$79.7M
$56.8M
Q3 25
$76.5M
$48.0M
Q2 25
$74.4M
$35.5M
Q1 25
$73.5M
$31.9M
Q4 24
$74.2M
$33.6M
Q3 24
$73.1M
$36.9M
Q2 24
$71.6M
$35.7M
Q1 24
$72.8M
$33.9M
Net Profit
HSTM
HSTM
STRR
STRR
Q4 25
$-1.7M
Q3 25
$6.1M
$-1.8M
Q2 25
$5.4M
$-688.0K
Q1 25
$4.3M
$-1.8M
Q4 24
$-585.0K
Q3 24
$5.7M
$-846.0K
Q2 24
$4.2M
$-441.0K
Q1 24
$5.2M
$-2.9M
Gross Margin
HSTM
HSTM
STRR
STRR
Q4 25
Q3 25
43.0%
Q2 25
Q1 25
Q4 24
Q3 24
50.5%
Q2 24
Q1 24
Operating Margin
HSTM
HSTM
STRR
STRR
Q4 25
3.0%
-0.2%
Q3 25
9.9%
-3.4%
Q2 25
7.9%
-0.6%
Q1 25
6.0%
-5.4%
Q4 24
6.3%
-0.4%
Q3 24
8.9%
-1.2%
Q2 24
6.2%
-0.5%
Q1 24
7.8%
-9.0%
Net Margin
HSTM
HSTM
STRR
STRR
Q4 25
-3.0%
Q3 25
8.0%
-3.7%
Q2 25
7.2%
-1.9%
Q1 25
5.9%
-5.5%
Q4 24
-1.7%
Q3 24
7.8%
-2.3%
Q2 24
5.8%
-1.2%
Q1 24
7.2%
-8.6%
EPS (diluted)
HSTM
HSTM
STRR
STRR
Q4 25
$0.09
$-0.49
Q3 25
$0.20
$-0.54
Q2 25
$0.18
$-0.23
Q1 25
$0.14
$-0.59
Q4 24
$0.16
$-0.21
Q3 24
$0.19
$-0.28
Q2 24
$0.14
$-0.15
Q1 24
$0.17
$-0.95

Balance Sheet & Financial Strength

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

Metric
HSTM
HSTM
STRR
STRR
Cash + ST InvestmentsLiquidity on hand
$36.2M
$10.3M
Total DebtLower is stronger
Stockholders' EquityBook value
$354.0M
$65.7M
Total Assets
$520.4M
$113.2M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HSTM
HSTM
STRR
STRR
Q4 25
$36.2M
$10.3M
Q3 25
$53.5M
$15.4M
Q2 25
$52.1M
$16.8M
Q1 25
$77.3M
$16.6M
Q4 24
$59.5M
$17.0M
Q3 24
$57.5M
$15.8M
Q2 24
$46.1M
$14.7M
Q1 24
$52.4M
$20.4M
Total Debt
HSTM
HSTM
STRR
STRR
Q4 25
Q3 25
$6.5M
Q2 25
Q1 25
Q4 24
$0
Q3 24
Q2 24
Q1 24
Stockholders' Equity
HSTM
HSTM
STRR
STRR
Q4 25
$354.0M
$65.7M
Q3 25
$349.2M
$67.8M
Q2 25
$350.6M
$40.1M
Q1 25
$362.8M
$39.5M
Q4 24
$359.4M
$40.4M
Q3 24
$355.5M
$42.9M
Q2 24
$349.2M
$42.6M
Q1 24
$344.9M
$44.3M
Total Assets
HSTM
HSTM
STRR
STRR
Q4 25
$520.4M
$113.2M
Q3 25
$499.9M
$117.1M
Q2 25
$500.1M
$55.6M
Q1 25
$524.0M
$53.2M
Q4 24
$510.8M
$52.6M
Q3 24
$502.8M
$52.6M
Q2 24
$499.6M
$52.6M
Q1 24
$511.6M
$52.6M
Debt / Equity
HSTM
HSTM
STRR
STRR
Q4 25
Q3 25
0.10×
Q2 25
Q1 25
Q4 24
0.00×
Q3 24
Q2 24
Q1 24

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
STRR
STRR
Operating Cash FlowLast quarter
$13.2M
$-7.3M
Free Cash FlowOCF − Capex
$13.0M
$-9.0M
FCF MarginFCF / Revenue
16.3%
-15.8%
Capex IntensityCapex / Revenue
0.3%
3.0%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$59.6M
$-13.0M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HSTM
HSTM
STRR
STRR
Q4 25
$13.2M
$-7.3M
Q3 25
$18.0M
$-2.7M
Q2 25
$5.0M
$139.0K
Q1 25
$27.1M
$-802.0K
Q4 24
$11.2M
$-2.8M
Q3 24
$19.1M
$1.3M
Q2 24
$6.5M
$-4.3M
Q1 24
$20.9M
$-1.8M
Free Cash Flow
HSTM
HSTM
STRR
STRR
Q4 25
$13.0M
$-9.0M
Q3 25
$17.9M
$-3.4M
Q2 25
$2.7M
$102.0K
Q1 25
$26.0M
$-808.0K
Q4 24
$11.0M
$-2.8M
Q3 24
$18.8M
$1.3M
Q2 24
$6.3M
$-4.3M
Q1 24
$20.2M
$-1.8M
FCF Margin
HSTM
HSTM
STRR
STRR
Q4 25
16.3%
-15.8%
Q3 25
23.4%
-7.0%
Q2 25
3.6%
0.3%
Q1 25
35.4%
-2.5%
Q4 24
14.8%
-8.3%
Q3 24
25.8%
3.4%
Q2 24
8.8%
-12.0%
Q1 24
27.8%
-5.3%
Capex Intensity
HSTM
HSTM
STRR
STRR
Q4 25
0.3%
3.0%
Q3 25
0.1%
1.3%
Q2 25
3.1%
0.1%
Q1 25
1.4%
0.0%
Q4 24
0.3%
0.1%
Q3 24
0.4%
0.0%
Q2 24
0.2%
0.0%
Q1 24
1.0%
0.0%
Cash Conversion
HSTM
HSTM
STRR
STRR
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
HSTM

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

STRR
STRR

Revenue From Other Contracts With Customers$27.6M49%
Other$24.3M43%
Energy Services Segment$4.9M9%

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