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HealthStream, Inc. (HSTM) vs Veradigm Inc. (MDRX)

HealthStream, Inc. and Veradigm Inc. are both Health Information Services companies. HealthStream, Inc. is the larger, with a market value of $1.0B against $654.5M — 1.6× the size. Veradigm Inc. has negative trailing earnings, so its P/E is not meaningful; HealthStream, Inc. trades at 46.0×. HealthStream, Inc. grew revenue faster over the last twelve months: 8.78% against 1.83%. HealthStream, Inc. has the higher net margin (6.60% vs −14.7%) and the higher return on invested capital (5.56% vs −2.20%). Across the 21 metrics below, HealthStream, Inc. leads on 14 and Veradigm Inc. on 7.

Valuation

Metric HSTM MDRX Health Information Services median
P/E 46.01 n/m 39.82
P/S 3.02 0.95 2.24
P/B 2.72 0.55 1.79
Price to free cash flow 13.86 6.63 19.04
EV/EBITDA 11.10 4.61 11.52
EV/Sales 2.90 0.61 2.64
Earnings yield 2.17% (15.40%) (2.45%)
Free cash flow yield 7.21% 15.09% 0.00%

Profitability

Metric HSTM MDRX Health Information Services median
Gross margin 65.08% 52.45% 62.87%
Operating margin 8.04% (4.61%) (9.45%)
Net margin 6.60% (14.70%) (15.48%)
Free cash flow margin 21.76% 14.38% 0.00%
Return on equity 6.00% (7.27%) (6.91%)
Return on assets 4.15% (4.53%) (6.28%)
Return on invested capital 5.56% (2.20%) 0.00%

Growth

Metric HSTM MDRX Health Information Services median
Revenue growth (TTM) 8.78% 1.83% 8.78%
EPS growth (last fiscal year) (7.58%) (783.10%) 57.06%
Revenue growth, 5-year CAGR 4.43% (18.30%) 11.91%
Net income growth, 5-year CAGR 5.41% 0.00% 0.00%

Health

Metric HSTM MDRX Health Information Services median
Debt to equity 0.00 0.20 0.00
Current ratio 1.06 2.95 2.31
Net debt to EBITDA (0.75) 0.48 0.48

Dividend

Metric HSTM MDRX Health Information Services median
Dividend yield 0.41% — —
Payout ratio 0.19 — —

Size

Metric HSTM MDRX Health Information Services median
Market cap 1.03b 654.47m 332.37m

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