vs

Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and Summit Midstream Corp (SMC). Click either name above to swap in a different company.

Summit Midstream Corp is the larger business by last-quarter revenue ($142.3M vs $79.7M, roughly 1.8× HEALTHSTREAM INC). Summit Midstream Corp produced more free cash flow last quarter ($34.5M vs $13.0M).

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.

Summit Midstream Corp is a North American midstream energy firm serving upstream oil and gas producers. It runs natural gas and crude gathering pipelines, compression facilities, and produced water handling services, with assets across key US onshore resource basins.

HSTM vs SMC — Head-to-Head

Bigger by revenue
SMC
SMC
1.8× larger
SMC
$142.3M
$79.7M
HSTM
More free cash flow
SMC
SMC
$21.6M more FCF
SMC
$34.5M
$13.0M
HSTM

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
HSTM
HSTM
SMC
SMC
Revenue
$79.7M
$142.3M
Net Profit
$-7.3M
Gross Margin
72.1%
Operating Margin
3.0%
-5.5%
Net Margin
-5.1%
Revenue YoY
7.4%
Net Profit YoY
EPS (diluted)
$0.09
$-0.66

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.

Revenue
HSTM
HSTM
SMC
SMC
Q4 25
$79.7M
$142.3M
Q3 25
$76.5M
$146.9M
Q2 25
$74.4M
$140.2M
Q1 25
$73.5M
$132.7M
Q4 24
$74.2M
Q3 24
$73.1M
$102.4M
Q2 24
$71.6M
Q1 24
$72.8M
Net Profit
HSTM
HSTM
SMC
SMC
Q4 25
$-7.3M
Q3 25
$6.1M
$-1.6M
Q2 25
$5.4M
$-8.0M
Q1 25
$4.3M
$2.0M
Q4 24
Q3 24
$5.7M
$-204.9M
Q2 24
$4.2M
Q1 24
$5.2M
Gross Margin
HSTM
HSTM
SMC
SMC
Q4 25
72.1%
Q3 25
74.0%
Q2 25
74.4%
Q1 25
73.3%
Q4 24
Q3 24
72.4%
Q2 24
Q1 24
Operating Margin
HSTM
HSTM
SMC
SMC
Q4 25
3.0%
-5.5%
Q3 25
9.9%
3.8%
Q2 25
7.9%
-3.6%
Q1 25
6.0%
3.7%
Q4 24
6.3%
Q3 24
8.9%
-53.7%
Q2 24
6.2%
Q1 24
7.8%
Net Margin
HSTM
HSTM
SMC
SMC
Q4 25
-5.1%
Q3 25
8.0%
-1.1%
Q2 25
7.2%
-5.7%
Q1 25
5.9%
1.5%
Q4 24
Q3 24
7.8%
-200.1%
Q2 24
5.8%
Q1 24
7.2%
EPS (diluted)
HSTM
HSTM
SMC
SMC
Q4 25
$0.09
$-0.66
Q3 25
$0.20
$-0.13
Q2 25
$0.18
$-0.66
Q1 25
$0.14
$-0.16
Q4 24
$0.16
Q3 24
$0.19
$-19.25
Q2 24
$0.14
Q1 24
$0.17

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
HSTM
HSTM
SMC
SMC
Cash + ST InvestmentsLiquidity on hand
$36.2M
$9.3M
Total DebtLower is stronger
$1.0B
Stockholders' EquityBook value
$354.0M
$546.2M
Total Assets
$520.4M
$2.4B
Debt / EquityLower = less leverage
1.91×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HSTM
HSTM
SMC
SMC
Q4 25
$36.2M
$9.3M
Q3 25
$53.5M
$24.6M
Q2 25
$52.1M
$20.9M
Q1 25
$77.3M
$26.2M
Q4 24
$59.5M
Q3 24
$57.5M
$17.8M
Q2 24
$46.1M
Q1 24
$52.4M
Total Debt
HSTM
HSTM
SMC
SMC
Q4 25
$1.0B
Q3 25
$1.1B
Q2 25
$1.1B
Q1 25
$1.1B
Q4 24
Q3 24
$957.0M
Q2 24
Q1 24
Stockholders' Equity
HSTM
HSTM
SMC
SMC
Q4 25
$354.0M
$546.2M
Q3 25
$349.2M
$551.9M
Q2 25
$350.6M
$552.0M
Q1 25
$362.8M
$558.1M
Q4 24
$359.4M
Q3 24
$355.5M
$651.5M
Q2 24
$349.2M
Q1 24
$344.9M
Total Assets
HSTM
HSTM
SMC
SMC
Q4 25
$520.4M
$2.4B
Q3 25
$499.9M
$2.4B
Q2 25
$500.1M
$2.4B
Q1 25
$524.0M
$2.4B
Q4 24
$510.8M
Q3 24
$502.8M
$2.0B
Q2 24
$499.6M
Q1 24
$511.6M
Debt / Equity
HSTM
HSTM
SMC
SMC
Q4 25
1.91×
Q3 25
1.96×
Q2 25
1.95×
Q1 25
1.94×
Q4 24
Q3 24
1.47×
Q2 24
Q1 24

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
HSTM
HSTM
SMC
SMC
Operating Cash FlowLast quarter
$13.2M
$53.7M
Free Cash FlowOCF − Capex
$13.0M
$34.5M
FCF MarginFCF / Revenue
16.3%
24.3%
Capex IntensityCapex / Revenue
0.3%
13.4%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$59.6M
$44.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HSTM
HSTM
SMC
SMC
Q4 25
$13.2M
$53.7M
Q3 25
$18.0M
$26.7M
Q2 25
$5.0M
$37.2M
Q1 25
$27.1M
$16.0M
Q4 24
$11.2M
Q3 24
$19.1M
Q2 24
$6.5M
Q1 24
$20.9M
Free Cash Flow
HSTM
HSTM
SMC
SMC
Q4 25
$13.0M
$34.5M
Q3 25
$17.9M
$3.8M
Q2 25
$2.7M
$10.8M
Q1 25
$26.0M
$-4.6M
Q4 24
$11.0M
Q3 24
$18.8M
Q2 24
$6.3M
Q1 24
$20.2M
FCF Margin
HSTM
HSTM
SMC
SMC
Q4 25
16.3%
24.3%
Q3 25
23.4%
2.6%
Q2 25
3.6%
7.7%
Q1 25
35.4%
-3.4%
Q4 24
14.8%
Q3 24
25.8%
Q2 24
8.8%
Q1 24
27.8%
Capex Intensity
HSTM
HSTM
SMC
SMC
Q4 25
0.3%
13.4%
Q3 25
0.1%
15.6%
Q2 25
3.1%
18.8%
Q1 25
1.4%
15.5%
Q4 24
0.3%
Q3 24
0.4%
Q2 24
0.2%
Q1 24
1.0%
Cash Conversion
HSTM
HSTM
SMC
SMC
Q4 25
Q3 25
2.96×
Q2 25
0.93×
Q1 25
6.25×
7.89×
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

HSTM
HSTM

Subscription Services$77.0M97%
Professional Services$2.7M3%

SMC
SMC

Rockies Segment$86.2M61%
Mid Con Barnett Shale Segment$39.4M28%
Piceance Basin Segment$15.8M11%

Related Comparisons