vs
Side-by-side financial comparison of C3.ai, Inc. (AI) and HEALTHSTREAM INC (HSTM). Click either name above to swap in a different company.
HEALTHSTREAM INC is the larger business by last-quarter revenue ($79.7M vs $75.1M, roughly 1.1× C3.ai, Inc.). On growth, HEALTHSTREAM INC posted the faster year-over-year revenue change (7.4% vs -20.3%). HEALTHSTREAM INC produced more free cash flow last quarter ($13.0M vs $-46.9M). Over the past eight quarters, HEALTHSTREAM INC's revenue compounded faster (4.7% CAGR vs -2.1%).
C3.ai, Inc. is a leading enterprise artificial intelligence software provider that develops and delivers scalable AI applications, platform tools, and industry-specific solutions for clients across sectors including manufacturing, energy, financial services, healthcare and public sector. Its offerings help organizations optimize operations, reduce costs, mitigate risks, and realize data-driven decision making.
HealthStream Inc is a leading U.S.-based provider of workforce development, compliance, and training solutions tailored for the healthcare industry. It offers cloud-based platforms covering clinical skill training, talent management, patient safety education, and regulatory adherence tools, serving over 4,000 healthcare organizations including hospitals, clinics, and long-term care facilities nationwide.
AI vs HSTM — Head-to-Head
Income Statement — Q2 FY2026 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $75.1M | $79.7M |
| Net Profit | $-104.7M | — |
| Gross Margin | 40.4% | — |
| Operating Margin | -149.2% | 3.0% |
| Net Margin | -139.3% | — |
| Revenue YoY | -20.3% | 7.4% |
| Net Profit YoY | -58.7% | — |
| EPS (diluted) | $-0.75 | $0.09 |
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 | $75.1M | $79.7M | ||
| Q3 25 | $70.3M | $76.5M | ||
| Q2 25 | $108.7M | $74.4M | ||
| Q1 25 | $98.8M | $73.5M | ||
| Q4 24 | $94.3M | $74.2M | ||
| Q3 24 | $87.2M | $73.1M | ||
| Q2 24 | $86.6M | $71.6M | ||
| Q1 24 | $78.4M | $72.8M |
| Q4 25 | $-104.7M | — | ||
| Q3 25 | $-116.8M | $6.1M | ||
| Q2 25 | $-79.7M | $5.4M | ||
| Q1 25 | $-80.2M | $4.3M | ||
| Q4 24 | $-66.0M | — | ||
| Q3 24 | $-62.8M | $5.7M | ||
| Q2 24 | $-72.9M | $4.2M | ||
| Q1 24 | $-72.6M | $5.2M |
| Q4 25 | 40.4% | — | ||
| Q3 25 | 37.6% | — | ||
| Q2 25 | 62.1% | — | ||
| Q1 25 | 59.1% | — | ||
| Q4 24 | 61.3% | — | ||
| Q3 24 | 59.8% | — | ||
| Q2 24 | 59.6% | — | ||
| Q1 24 | 57.8% | — |
| Q4 25 | -149.2% | 3.0% | ||
| Q3 25 | -177.7% | 9.9% | ||
| Q2 25 | -81.8% | 7.9% | ||
| Q1 25 | -88.7% | 6.0% | ||
| Q4 24 | -79.8% | 6.3% | ||
| Q3 24 | -83.2% | 8.9% | ||
| Q2 24 | -95.1% | 6.2% | ||
| Q1 24 | -105.3% | 7.8% |
| Q4 25 | -139.3% | — | ||
| Q3 25 | -166.2% | 8.0% | ||
| Q2 25 | -73.3% | 7.2% | ||
| Q1 25 | -81.2% | 5.9% | ||
| Q4 24 | -69.9% | — | ||
| Q3 24 | -72.0% | 7.8% | ||
| Q2 24 | -84.2% | 5.8% | ||
| Q1 24 | -92.6% | 7.2% |
| Q4 25 | $-0.75 | $0.09 | ||
| Q3 25 | $-0.86 | $0.20 | ||
| Q2 25 | $-0.60 | $0.18 | ||
| Q1 25 | $-0.62 | $0.14 | ||
| Q4 24 | $-0.52 | $0.16 | ||
| Q3 24 | $-0.50 | $0.19 | ||
| Q2 24 | $-0.59 | $0.14 | ||
| Q1 24 | $-0.60 | $0.17 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $675.0M | $36.2M |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $771.9M | $354.0M |
| Total Assets | $961.3M | $520.4M |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $675.0M | $36.2M | ||
| Q3 25 | $711.9M | $53.5M | ||
| Q2 25 | $742.7M | $52.1M | ||
| Q1 25 | $724.3M | $77.3M | ||
| Q4 24 | $730.4M | $59.5M | ||
| Q3 24 | $762.5M | $57.5M | ||
| Q2 24 | $750.4M | $46.1M | ||
| Q1 24 | $723.3M | $52.4M |
| Q4 25 | $771.9M | $354.0M | ||
| Q3 25 | $798.8M | $349.2M | ||
| Q2 25 | $838.3M | $350.6M | ||
| Q1 25 | $860.2M | $362.8M | ||
| Q4 24 | $859.0M | $359.4M | ||
| Q3 24 | $874.9M | $355.5M | ||
| Q2 24 | $873.4M | $349.2M | ||
| Q1 24 | $898.0M | $344.9M |
| Q4 25 | $961.3M | $520.4M | ||
| Q3 25 | $968.7M | $499.9M | ||
| Q2 25 | $1.0B | $500.1M | ||
| Q1 25 | $1.1B | $524.0M | ||
| Q4 24 | $1.0B | $510.8M | ||
| Q3 24 | $1.1B | $502.8M | ||
| Q2 24 | $1.0B | $499.6M | ||
| Q1 24 | $1.1B | $511.6M |
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 | $-46.5M | $13.2M |
| Free Cash FlowOCF − Capex | $-46.9M | $13.0M |
| FCF MarginFCF / Revenue | -62.4% | 16.3% |
| Capex IntensityCapex / Revenue | 0.5% | 0.3% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | $-93.2M | $59.6M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $-46.5M | $13.2M | ||
| Q3 25 | $-33.5M | $18.0M | ||
| Q2 25 | $11.3M | $5.0M | ||
| Q1 25 | $-22.0M | $27.1M | ||
| Q4 24 | $-38.7M | $11.2M | ||
| Q3 24 | $8.0M | $19.1M | ||
| Q2 24 | $21.3M | $6.5M | ||
| Q1 24 | $-39.1M | $20.9M |
| Q4 25 | $-46.9M | $13.0M | ||
| Q3 25 | $-34.3M | $17.9M | ||
| Q2 25 | $10.3M | $2.7M | ||
| Q1 25 | $-22.4M | $26.0M | ||
| Q4 24 | $-39.5M | $11.0M | ||
| Q3 24 | $7.1M | $18.8M | ||
| Q2 24 | $18.8M | $6.3M | ||
| Q1 24 | $-45.1M | $20.2M |
| Q4 25 | -62.4% | 16.3% | ||
| Q3 25 | -48.8% | 23.4% | ||
| Q2 25 | 9.5% | 3.6% | ||
| Q1 25 | -22.7% | 35.4% | ||
| Q4 24 | -41.9% | 14.8% | ||
| Q3 24 | 8.2% | 25.8% | ||
| Q2 24 | 21.7% | 8.8% | ||
| Q1 24 | -57.6% | 27.8% |
| Q4 25 | 0.5% | 0.3% | ||
| Q3 25 | 1.1% | 0.1% | ||
| Q2 25 | 0.9% | 3.1% | ||
| Q1 25 | 0.4% | 1.4% | ||
| Q4 24 | 0.9% | 0.3% | ||
| Q3 24 | 1.1% | 0.4% | ||
| Q2 24 | 2.9% | 0.2% | ||
| Q1 24 | 7.8% | 1.0% |
| Q4 25 | — | — | ||
| Q3 25 | — | 2.96× | ||
| Q2 25 | — | 0.93× | ||
| Q1 25 | — | 6.25× | ||
| Q4 24 | — | — | ||
| Q3 24 | — | 3.34× | ||
| Q2 24 | — | 1.55× | ||
| Q1 24 | — | 4.01× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
AI
| License And Service | $70.2M | 93% |
| Professional Services | $4.9M | 7% |
HSTM
| Subscription Services | $77.0M | 97% |
| Professional Services | $2.7M | 3% |
