MetaCap

HealthStream (HSTM) vs Phreesia (PHR)

Head-to-head comparison of performance, valuation, growth, profitability and dividends. Prices delayed 15 minutes; data as of Oct 8, 2026.

Summary

HealthStream (HSTM) has outperformed Phreesia (PHR) over the past year, gaining 19.4% versus a loss of 55.1%. Over five years, HSTM leads with a +15.4% price change compared with -83.5% for PHR. HealthStream is the larger company by market cap ($989.5 million vs $651.1 million), about 1.5 times the size.

On valuation, Phreesia trades at a lower forward P/E (6.6x vs 36.5x for HealthStream). HealthStream pays a dividend yielding 0.41%, while Phreesia does not currently pay one.

Summary generated from market data by MetaCap's automated system. Methodology

Relative performance

HSTM+19.38%PHR-55.15%
+24%-23%-70%
Oct 7, 20251 yearOct 7, 2026
HSTM+13.19%PHR-82.72%
+27%-33%-92%
Oct 4, 20215 yearsOct 5, 2026

Percent change in share price from the first common trading day shown; excludes dividends.

Head-to-head

HSTM versus PHR key metrics
MetricHSTMPHR
Share price$32.34$10.49
Market cap$989.47M$651.12M
1-day change+0.75%-0.10%
YTD return+39.14%-37.94%
1-year return+19.38%-55.15%
5-year return+15.43%-83.51%
P/E ratio (TTM)44.9261.71
Forward P/E36.546.63
EPS (TTM)$0.72$0.17
Dividend yield0.41%0.00%
Annual dividend$0.132$0.00
52-week high$32.47$24.25
52-week low$19.50$7.77
Distance from 52-week high-0.40%-56.73%
Analyst consensusbuybuy
Avg. price target upside+6.68%+34.13%
Average volume191.26K741.28K
Shares outstanding30.60M62.07M
Employees1,1391,789
SectorTechnologyConsumer Discretionary
IndustryComputer Software: Programming Data ProcessingBusiness Services

Highlighted cells mark the higher value for growth, returns, margins and yield, and the lower value for P/E ratios. Highlighting is a mechanical comparison, not a recommendation.

Key differences

  • HSTM has outperformed PHR by 74.5 percentage points over the past year.
  • Phreesia trades at a higher earnings multiple (61.7x vs 44.9x trailing P/E).
  • The two companies sit in different sectors: HealthStream in Technology and Phreesia in Consumer Discretionary.

About HealthStream

HSTM stock →

HealthStream, Inc. provides Software-as-a-Service (SaaS) based applications for healthcare organizations in the United States.

Technology · Computer Software: Programming Data Processing · 1,139 employees

About Phreesia

PHR stock →

Phreesia, Inc. provides an integrated SaaS-based software and payment platform for the healthcare industry in the United States and Canada.

Consumer Discretionary · Business Services · 1,789 employees

HSTM vs PHR FAQ

Which is bigger, HealthStream or Phreesia?

HealthStream (HSTM) is larger, with a market capitalization of $989.47M compared with $651.12M for Phreesia (PHR).

Which stock has performed better over the past year, HSTM or PHR?

HSTM returned +19.38% over the past 12 months, compared with -55.15% for PHR (price return, excluding dividends). Past performance does not predict future results.

Which has the lower P/E ratio, HSTM or PHR?

HSTM has the lower trailing P/E at 44.9, versus 61.7 for PHR. A lower P/E is not by itself a sign of a better investment; it can reflect slower expected growth or higher risk.

Which pays a higher dividend, HealthStream or Phreesia?

HealthStream pays a dividend yielding 0.41%, while Phreesia does not currently pay a regular dividend.

Are HealthStream and Phreesia in the same industry?

No. HealthStream is in the Technology sector, while Phreesia is in Consumer Discretionary.

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