Nobilis Health Corp (NYSE: HLTH) and HealthStream (NASDAQ:HSTM) are both small-cap healthcare companies, but which is the better investment? We will contrast the two businesses based on the strength of their risk, profitability, valuation, analyst recommendations, dividends, earnings and institutional ownership.

Analyst Recommendations

This is a breakdown of recent recommendations and price targets for Nobilis Health Corp and HealthStream, as provided by

Sell Ratings Hold Ratings Buy Ratings Strong Buy Ratings Rating Score
Nobilis Health Corp 0 2 1 0 2.33
HealthStream 0 3 3 0 2.50

Nobilis Health Corp presently has a consensus target price of $2.25, suggesting a potential upside of 50.00%. HealthStream has a consensus target price of $25.17, suggesting a potential upside of 6.68%. Given Nobilis Health Corp’s higher possible upside, analysts plainly believe Nobilis Health Corp is more favorable than HealthStream.


This table compares Nobilis Health Corp and HealthStream’s net margins, return on equity and return on assets.

Net Margins Return on Equity Return on Assets
Nobilis Health Corp N/A N/A N/A
HealthStream 1.85% 2.27% 1.65%

Valuation and Earnings

This table compares Nobilis Health Corp and HealthStream’s top-line revenue, earnings per share (EPS) and valuation.

Gross Revenue Price/Sales Ratio EBITDA Earnings Per Share Price/Earnings Ratio
Nobilis Health Corp $321.25 million 0.36 $33.65 million N/A N/A
HealthStream $238.45 million 3.15 $23.61 million $0.14 168.50

Nobilis Health Corp has higher revenue and earnings than HealthStream.

Insider and Institutional Ownership

75.9% of HealthStream shares are owned by institutional investors. 21.1% of HealthStream shares are owned by company insiders. Strong institutional ownership is an indication that endowments, large money managers and hedge funds believe a stock will outperform the market over the long term.


HealthStream beats Nobilis Health Corp on 9 of the 12 factors compared between the two stocks.

Nobilis Health Corp Company Profile

Nobilis Health Corp. (Nobilis) owns and manages healthcare facilities in the States of Texas and Arizona, consisting primarily of ambulatory surgery centers (ASCs) and acute-care and surgical hospitals. The Company’s segments include Medical Services, Marketing Services and Corporate. The Medical Services segment owns and manages approximately nine healthcare facilities in Texas and Arizona; over four hospitals, and approximately five ambulatory surgery centers. The Marketing Services segment provides marketing services, patient education services and patient care co-ordination management services. The Company provides care across a range of specialties in its facilities, including orthopedic surgery, podiatric surgery, pain management, gastro-intestinal, gynecology, and general surgery. Many of its surgical patients require additional complementary healthcare services, and its suite of ancillary services, including surgical assist, intraoperative neuromonitoring and anesthesia.

HealthStream Company Profile

HealthStream, Inc. (HealthStream) provides workforce, patient experience and provider solutions for healthcare organizations. The Company operates in three segments: HealthStream Workforce Solutions, HealthStream Patient Experience Solutions and HealthStream Provider Solutions. HealthStream’s products and services are organized into three segments: Workforce Solutions, Patient Experience Solutions, and Provider Solutions. HealthStream’s solutions are provided to a range of customers within the healthcare industry across the continuum of care. Delivered primarily as Software-as-a-Service (SaaS), the Company’s solutions focus on challenges facing the healthcare workforce and healthcare organizations, including the need to manage, retain, engage and develop healthcare workforce talent; meet compliance requirements; manage ongoing medical staff credentialing and privileging processes, and deliver patient experiences of care in healthcare organizations.

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