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Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and VIEMED HEALTHCARE, INC. (VMD). Click either name above to swap in a different company.
HEALTHSTREAM INC is the larger business by last-quarter revenue ($79.7M vs $76.2M, roughly 1.0× VIEMED HEALTHCARE, INC.). On growth, VIEMED HEALTHCARE, INC. posted the faster year-over-year revenue change (25.5% vs 7.4%). HEALTHSTREAM INC produced more free cash flow last quarter ($13.0M vs $9.7M). Over the past eight quarters, VIEMED HEALTHCARE, INC.'s revenue compounded faster (22.7% 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.
Viemed Healthcare, Inc. is a medical technology firm specializing in respiratory care solutions. It develops, manufactures and distributes portable ventilators, respiratory therapy devices and related support services, catering to acute care, post-acute care and home care segments across North America, Europe and key Asia-Pacific markets for patients with respiratory conditions.
HSTM vs VMD — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $79.7M | $76.2M |
| Net Profit | — | $5.6M |
| Gross Margin | — | 57.9% |
| Operating Margin | 3.0% | 11.0% |
| Net Margin | — | 7.4% |
| Revenue YoY | 7.4% | 25.5% |
| Net Profit YoY | — | 30.7% |
| EPS (diluted) | $0.09 | $0.14 |
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 | $76.2M | ||
| Q3 25 | $76.5M | $71.9M | ||
| Q2 25 | $74.4M | $63.1M | ||
| Q1 25 | $73.5M | $59.1M | ||
| Q4 24 | $74.2M | $60.7M | ||
| Q3 24 | $73.1M | $58.0M | ||
| Q2 24 | $71.6M | $55.0M | ||
| Q1 24 | $72.8M | $50.6M |
| Q4 25 | — | $5.6M | ||
| Q3 25 | $6.1M | $3.5M | ||
| Q2 25 | $5.4M | $3.2M | ||
| Q1 25 | $4.3M | $2.6M | ||
| Q4 24 | — | $4.3M | ||
| Q3 24 | $5.7M | $3.9M | ||
| Q2 24 | $4.2M | $1.5M | ||
| Q1 24 | $5.2M | $1.6M |
| Q4 25 | — | 57.9% | ||
| Q3 25 | — | 57.5% | ||
| Q2 25 | — | 58.3% | ||
| Q1 25 | — | 56.3% | ||
| Q4 24 | — | 59.5% | ||
| Q3 24 | — | 59.3% | ||
| Q2 24 | — | 59.8% | ||
| Q1 24 | — | 58.9% |
| Q4 25 | 3.0% | 11.0% | ||
| Q3 25 | 9.9% | 7.8% | ||
| Q2 25 | 7.9% | 8.1% | ||
| Q1 25 | 6.0% | 6.5% | ||
| Q4 24 | 6.3% | 10.6% | ||
| Q3 24 | 8.9% | 9.7% | ||
| Q2 24 | 6.2% | 6.6% | ||
| Q1 24 | 7.8% | 4.4% |
| Q4 25 | — | 7.4% | ||
| Q3 25 | 8.0% | 4.9% | ||
| Q2 25 | 7.2% | 5.0% | ||
| Q1 25 | 5.9% | 4.4% | ||
| Q4 24 | — | 7.1% | ||
| Q3 24 | 7.8% | 6.7% | ||
| Q2 24 | 5.8% | 2.7% | ||
| Q1 24 | 7.2% | 3.2% |
| Q4 25 | $0.09 | $0.14 | ||
| Q3 25 | $0.20 | $0.09 | ||
| Q2 25 | $0.18 | $0.08 | ||
| Q1 25 | $0.14 | $0.06 | ||
| Q4 24 | $0.16 | $0.10 | ||
| Q3 24 | $0.19 | $0.10 | ||
| Q2 24 | $0.14 | $0.04 | ||
| Q1 24 | $0.17 | $0.04 |
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 | $13.5M |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $354.0M | $141.5M |
| Total Assets | $520.4M | $199.2M |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $36.2M | $13.5M | ||
| Q3 25 | $53.5M | $11.1M | ||
| Q2 25 | $52.1M | $20.0M | ||
| Q1 25 | $77.3M | $10.2M | ||
| Q4 24 | $59.5M | $17.5M | ||
| Q3 24 | $57.5M | $11.3M | ||
| Q2 24 | $46.1M | $8.8M | ||
| Q1 24 | $52.4M | $7.3M |
| Q4 25 | $354.0M | $141.5M | ||
| Q3 25 | $349.2M | $133.6M | ||
| Q2 25 | $350.6M | $139.7M | ||
| Q1 25 | $362.8M | $134.8M | ||
| Q4 24 | $359.4M | $131.4M | ||
| Q3 24 | $355.5M | $125.0M | ||
| Q2 24 | $349.2M | $119.4M | ||
| Q1 24 | $344.9M | $116.3M |
| Q4 25 | $520.4M | $199.2M | ||
| Q3 25 | $499.9M | $202.4M | ||
| Q2 25 | $500.1M | $184.6M | ||
| Q1 25 | $524.0M | $178.1M | ||
| Q4 24 | $510.8M | $177.1M | ||
| Q3 24 | $502.8M | $169.5M | ||
| Q2 24 | $499.6M | $163.9M | ||
| Q1 24 | $511.6M | $154.9M |
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 | $18.4M |
| Free Cash FlowOCF − Capex | $13.0M | $9.7M |
| FCF MarginFCF / Revenue | 16.3% | 12.7% |
| Capex IntensityCapex / Revenue | 0.3% | 11.5% |
| Cash ConversionOCF / Net Profit | — | 3.27× |
| TTM Free Cash FlowTrailing 4 quarters | $59.6M | $11.9M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $13.2M | $18.4M | ||
| Q3 25 | $18.0M | $18.4M | ||
| Q2 25 | $5.0M | $12.3M | ||
| Q1 25 | $27.1M | $2.9M | ||
| Q4 24 | $11.2M | $15.0M | ||
| Q3 24 | $19.1M | $12.7M | ||
| Q2 24 | $6.5M | $10.2M | ||
| Q1 24 | $20.9M | $1.2M |
| Q4 25 | $13.0M | $9.7M | ||
| Q3 25 | $17.9M | $10.7M | ||
| Q2 25 | $2.7M | $4.1M | ||
| Q1 25 | $26.0M | $-12.6M | ||
| Q4 24 | $11.0M | $3.2M | ||
| Q3 24 | $18.8M | $1.7M | ||
| Q2 24 | $6.3M | $1.2M | ||
| Q1 24 | $20.2M | $-4.8M |
| Q4 25 | 16.3% | 12.7% | ||
| Q3 25 | 23.4% | 14.9% | ||
| Q2 25 | 3.6% | 6.5% | ||
| Q1 25 | 35.4% | -21.4% | ||
| Q4 24 | 14.8% | 5.2% | ||
| Q3 24 | 25.8% | 3.0% | ||
| Q2 24 | 8.8% | 2.3% | ||
| Q1 24 | 27.8% | -9.5% |
| Q4 25 | 0.3% | 11.5% | ||
| Q3 25 | 0.1% | 10.6% | ||
| Q2 25 | 3.1% | 12.9% | ||
| Q1 25 | 1.4% | 26.2% | ||
| Q4 24 | 0.3% | 19.5% | ||
| Q3 24 | 0.4% | 19.0% | ||
| Q2 24 | 0.2% | 16.3% | ||
| Q1 24 | 1.0% | 11.9% |
| Q4 25 | — | 3.27× | ||
| Q3 25 | 2.96× | 5.23× | ||
| Q2 25 | 0.93× | 3.88× | ||
| Q1 25 | 6.25× | 1.09× | ||
| Q4 24 | — | 3.47× | ||
| Q3 24 | 3.34× | 3.29× | ||
| Q2 24 | 1.55× | 6.94× | ||
| Q1 24 | 4.01× | 0.73× |
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% |
VMD
Segment breakdown not available.
