American Well vs Healthstream
Healthstream is the larger business, with $304m of revenue in fiscal 2025 against $249m for American Well (1.2 times as much). Healthstream grew faster (4.3% against -2.0%). Healthstream kept more of each dollar of sales as profit: a net margin of 6.0% against -38.4%.
| Latest fiscal year | American WellAMWL, 2025 | HealthstreamHSTM, 2025 |
|---|---|---|
| Revenue | $249m | $304m |
| Revenue growth | -2.0% | 4.3% |
| Net income | −$95.7m | $18.3m |
| Operating margin | — | 6.7% |
| Net margin | -38.4% | 6.0% |
| Return on equity | -35.4% | 5.1% |
| Free cash flow | −$66.0m | $59.6m |
| Cash | $182m | $36.2m |
| Total debt | $0 | $0 |
| Debt to equity | — | 0.0% |
| Dividend per share | — | $0.12 |
| Dividend yield | — | 0.4% |
| Share buybacks | $4,000 | $30.0m |
| Employees | 562 | — |
| Market value | $215m | $933m |
| Price vs our value range | — | Below our value range |
| Moat score | 12 (Weak) | 55 (Moderate) |
| Insider trades, 12 months | 1 buys, 29 sales | 0 buys, 9 sales |