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Side-by-side financial comparison of LifeStance Health Group, Inc. (LFST) and Paymentus Holdings, Inc. (PAY). Click either name above to swap in a different company.
LifeStance Health Group, Inc. is the larger business by last-quarter revenue ($382.2M vs $330.5M, roughly 1.2× Paymentus Holdings, Inc.). Paymentus Holdings, Inc. runs the higher net margin — 6.3% vs 3.1%, a 3.2% gap on every dollar of revenue. On growth, Paymentus Holdings, Inc. posted the faster year-over-year revenue change (28.1% vs 17.4%). LifeStance Health Group, Inc. produced more free cash flow last quarter ($46.6M vs $45.0M). Over the past eight quarters, Paymentus Holdings, Inc.'s revenue compounded faster (33.7% CAGR vs 12.8%).
Lifestance Health (Lifestance) is an American outpatient behavioral health services provider. They provide their services in person and via tele-health. Their services include therapy, psychiatry, TMS, and ketamine therapies. They have landed in lawsuits multiple times over labor violations, leaking of customer information, and misleading investors.
Paymentus Holdings, Inc. is a leading cloud-based bill payment and customer engagement technology provider. It offers integrated digital payment solutions, billing automation tools, and self-service portals for enterprises across utilities, financial services, government, healthcare, and telecommunications segments, primarily operating in the North American market.
LFST vs PAY — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $382.2M | $330.5M |
| Net Profit | $11.7M | $20.7M |
| Gross Margin | — | 25.4% |
| Operating Margin | 4.7% | 7.3% |
| Net Margin | 3.1% | 6.3% |
| Revenue YoY | 17.4% | 28.1% |
| Net Profit YoY | 264.1% | 57.2% |
| EPS (diluted) | — | $0.16 |
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 | $382.2M | $330.5M | ||
| Q3 25 | $363.8M | $310.7M | ||
| Q2 25 | $345.3M | $280.1M | ||
| Q1 25 | $333.0M | $275.2M | ||
| Q4 24 | $325.5M | $257.9M | ||
| Q3 24 | $312.7M | $231.6M | ||
| Q2 24 | $312.3M | $197.4M | ||
| Q1 24 | $300.4M | $184.9M |
| Q4 25 | $11.7M | $20.7M | ||
| Q3 25 | $1.1M | $17.7M | ||
| Q2 25 | $-3.8M | $14.7M | ||
| Q1 25 | $709.0K | $13.8M | ||
| Q4 24 | $-7.1M | $13.1M | ||
| Q3 24 | $-6.0M | $14.4M | ||
| Q2 24 | $-23.3M | $9.4M | ||
| Q1 24 | $-21.1M | $7.2M |
| Q4 25 | — | 25.4% | ||
| Q3 25 | — | 24.1% | ||
| Q2 25 | — | 25.5% | ||
| Q1 25 | — | 24.0% | ||
| Q4 24 | — | 25.6% | ||
| Q3 24 | — | 26.2% | ||
| Q2 24 | — | 29.8% | ||
| Q1 24 | — | 28.5% |
| Q4 25 | 4.7% | 7.3% | ||
| Q3 25 | 2.0% | 6.4% | ||
| Q2 25 | -0.9% | 5.7% | ||
| Q1 25 | 0.5% | 5.7% | ||
| Q4 24 | 0.3% | 5.5% | ||
| Q3 24 | 0.0% | 5.2% | ||
| Q2 24 | -5.1% | 5.2% | ||
| Q1 24 | -5.6% | 4.5% |
| Q4 25 | 3.1% | 6.3% | ||
| Q3 25 | 0.3% | 5.7% | ||
| Q2 25 | -1.1% | 5.3% | ||
| Q1 25 | 0.2% | 5.0% | ||
| Q4 24 | -2.2% | 5.1% | ||
| Q3 24 | -1.9% | 6.2% | ||
| Q2 24 | -7.5% | 4.7% | ||
| Q1 24 | -7.0% | 3.9% |
| Q4 25 | — | $0.16 | ||
| Q3 25 | — | $0.14 | ||
| Q2 25 | — | $0.11 | ||
| Q1 25 | — | $0.11 | ||
| Q4 24 | — | $0.11 | ||
| Q3 24 | — | $0.11 | ||
| Q2 24 | — | $0.07 | ||
| Q1 24 | — | $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 | $248.6M | $320.9M |
| Total DebtLower is stronger | $282.8M | — |
| Stockholders' EquityBook value | $1.5B | $560.4M |
| Total Assets | $2.2B | $667.9M |
| Debt / EquityLower = less leverage | 0.19× | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $248.6M | $320.9M | ||
| Q3 25 | $203.9M | $287.9M | ||
| Q2 25 | $188.9M | $266.4M | ||
| Q1 25 | $134.3M | $245.8M | ||
| Q4 24 | $154.6M | $205.9M | ||
| Q3 24 | $102.6M | $187.5M | ||
| Q2 24 | $87.0M | $188.8M | ||
| Q1 24 | $49.5M | $180.1M |
| Q4 25 | $282.8M | — | ||
| Q3 25 | $284.6M | — | ||
| Q2 25 | $286.4M | — | ||
| Q1 25 | $288.2M | — | ||
| Q4 24 | $290.0M | — | ||
| Q3 24 | $287.3M | — | ||
| Q2 24 | $288.0M | — | ||
| Q1 24 | $288.8M | — |
| Q4 25 | $1.5B | $560.4M | ||
| Q3 25 | $1.5B | $537.4M | ||
| Q2 25 | $1.5B | $516.7M | ||
| Q1 25 | $1.5B | $500.4M | ||
| Q4 24 | $1.4B | $485.6M | ||
| Q3 24 | $1.4B | $468.8M | ||
| Q2 24 | $1.4B | $451.6M | ||
| Q1 24 | $1.4B | $439.4M |
| Q4 25 | $2.2B | $667.9M | ||
| Q3 25 | $2.1B | $644.4M | ||
| Q2 25 | $2.1B | $609.5M | ||
| Q1 25 | $2.1B | $590.9M | ||
| Q4 24 | $2.1B | $576.2M | ||
| Q3 24 | $2.1B | $552.9M | ||
| Q2 24 | $2.1B | $527.7M | ||
| Q1 24 | $2.1B | $514.0M |
| Q4 25 | 0.19× | — | ||
| Q3 25 | 0.19× | — | ||
| Q2 25 | 0.19× | — | ||
| Q1 25 | 0.20× | — | ||
| Q4 24 | 0.20× | — | ||
| Q3 24 | 0.20× | — | ||
| Q2 24 | 0.20× | — | ||
| Q1 24 | 0.20× | — |
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 | $57.6M | $45.1M |
| Free Cash FlowOCF − Capex | $46.6M | $45.0M |
| FCF MarginFCF / Revenue | 12.2% | 13.6% |
| Capex IntensityCapex / Revenue | 2.9% | 0.0% |
| Cash ConversionOCF / Net Profit | 4.93× | 2.18× |
| TTM Free Cash FlowTrailing 4 quarters | $110.0M | $161.8M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $57.6M | $45.1M | ||
| Q3 25 | $27.3M | $35.1M | ||
| Q2 25 | $64.4M | $31.5M | ||
| Q1 25 | $-3.1M | $50.4M | ||
| Q4 24 | $62.3M | $27.9M | ||
| Q3 24 | $22.7M | $6.7M | ||
| Q2 24 | $44.1M | $18.0M | ||
| Q1 24 | $-21.8M | $11.0M |
| Q4 25 | $46.6M | $45.0M | ||
| Q3 25 | $17.0M | $35.0M | ||
| Q2 25 | $56.6M | $31.4M | ||
| Q1 25 | $-10.3M | $50.4M | ||
| Q4 24 | $56.0M | $27.8M | ||
| Q3 24 | $17.7M | $6.7M | ||
| Q2 24 | $39.0M | $17.8M | ||
| Q1 24 | $-26.9M | $10.8M |
| Q4 25 | 12.2% | 13.6% | ||
| Q3 25 | 4.7% | 11.3% | ||
| Q2 25 | 16.4% | 11.2% | ||
| Q1 25 | -3.1% | 18.3% | ||
| Q4 24 | 17.2% | 10.8% | ||
| Q3 24 | 5.7% | 2.9% | ||
| Q2 24 | 12.5% | 9.0% | ||
| Q1 24 | -9.0% | 5.9% |
| Q4 25 | 2.9% | 0.0% | ||
| Q3 25 | 2.8% | 0.0% | ||
| Q2 25 | 2.2% | 0.0% | ||
| Q1 25 | 2.2% | 0.0% | ||
| Q4 24 | 1.9% | 0.0% | ||
| Q3 24 | 1.6% | 0.0% | ||
| Q2 24 | 1.6% | 0.1% | ||
| Q1 24 | 1.7% | 0.1% |
| Q4 25 | 4.93× | 2.18× | ||
| Q3 25 | 25.34× | 1.98× | ||
| Q2 25 | — | 2.14× | ||
| Q1 25 | -4.36× | 3.65× | ||
| Q4 24 | — | 2.12× | ||
| Q3 24 | — | 0.47× | ||
| Q2 24 | — | 1.93× | ||
| Q1 24 | — | 1.52× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
LFST
Segment breakdown not available.
PAY
| Payment Transaction Processing Revenue | $326.9M | 99% |
| Other | $3.5M | 1% |
