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Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and Smart Sand, Inc. (SND). Click either name above to swap in a different company.
Smart Sand, Inc. is the larger business by last-quarter revenue ($86.0M vs $79.7M, roughly 1.1× HEALTHSTREAM INC). On growth, HEALTHSTREAM INC posted the faster year-over-year revenue change (7.4% vs -5.8%). Smart Sand, Inc. produced more free cash flow last quarter ($20.4M vs $13.0M). Over the past eight quarters, HEALTHSTREAM INC's revenue compounded faster (4.7% CAGR vs 1.8%).
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.
Sand 9 is a fabless Micro-electromechanical system (MEMS) company based in Cambridge, Massachusetts. Sand 9 developed a piezoelectric MEMS resonator to serve as an alternative for quartz timing devices in applications such as smart phones, low-power wireless devices, and communications infrastructure equipment.
HSTM vs SND — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $79.7M | $86.0M |
| Net Profit | — | $1.2M |
| Gross Margin | — | 13.0% |
| Operating Margin | 3.0% | -3.1% |
| Net Margin | — | 1.4% |
| Revenue YoY | 7.4% | -5.8% |
| Net Profit YoY | — | -68.5% |
| EPS (diluted) | $0.09 | $0.03 |
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 | $79.7M | $86.0M | ||
| Q3 25 | $76.5M | $92.8M | ||
| Q2 25 | $74.4M | $85.8M | ||
| Q1 25 | $73.5M | $65.6M | ||
| Q4 24 | $74.2M | $91.4M | ||
| Q3 24 | $73.1M | $63.2M | ||
| Q2 24 | $71.6M | $73.8M | ||
| Q1 24 | $72.8M | $83.1M |
| Q4 25 | — | $1.2M | ||
| Q3 25 | $6.1M | $3.0M | ||
| Q2 25 | $5.4M | $21.4M | ||
| Q1 25 | $4.3M | $-24.2M | ||
| Q4 24 | — | $3.7M | ||
| Q3 24 | $5.7M | $-98.0K | ||
| Q2 24 | $4.2M | $-430.0K | ||
| Q1 24 | $5.2M | $-216.0K |
| Q4 25 | — | 13.0% | ||
| Q3 25 | — | 16.1% | ||
| Q2 25 | — | 10.4% | ||
| Q1 25 | — | 4.2% | ||
| Q4 24 | — | 14.7% | ||
| Q3 24 | — | 10.3% | ||
| Q2 24 | — | 17.7% | ||
| Q1 24 | — | 14.2% |
| Q4 25 | 3.0% | -3.1% | ||
| Q3 25 | 9.9% | 5.8% | ||
| Q2 25 | 7.9% | -0.1% | ||
| Q1 25 | 6.0% | -10.8% | ||
| Q4 24 | 6.3% | 3.9% | ||
| Q3 24 | 8.9% | -7.8% | ||
| Q2 24 | 6.2% | 4.8% | ||
| Q1 24 | 7.8% | 0.9% |
| Q4 25 | — | 1.4% | ||
| Q3 25 | 8.0% | 3.2% | ||
| Q2 25 | 7.2% | 24.9% | ||
| Q1 25 | 5.9% | -37.0% | ||
| Q4 24 | — | 4.1% | ||
| Q3 24 | 7.8% | -0.2% | ||
| Q2 24 | 5.8% | -0.6% | ||
| Q1 24 | 7.2% | -0.3% |
| Q4 25 | $0.09 | $0.03 | ||
| Q3 25 | $0.20 | $0.08 | ||
| Q2 25 | $0.18 | $0.54 | ||
| Q1 25 | $0.14 | $-0.62 | ||
| Q4 24 | $0.16 | $0.10 | ||
| Q3 24 | $0.19 | $0.00 | ||
| Q2 24 | $0.14 | $-0.01 | ||
| Q1 24 | $0.17 | $-0.01 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $36.2M | $22.6M |
| Total DebtLower is stronger | — | $15.0M |
| Stockholders' EquityBook value | $354.0M | $239.7M |
| Total Assets | $520.4M | $340.0M |
| Debt / EquityLower = less leverage | — | 0.06× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $36.2M | $22.6M | ||
| Q3 25 | $53.5M | $5.1M | ||
| Q2 25 | $52.1M | $4.3M | ||
| Q1 25 | $77.3M | $5.1M | ||
| Q4 24 | $59.5M | $1.6M | ||
| Q3 24 | $57.5M | $7.2M | ||
| Q2 24 | $46.1M | $6.3M | ||
| Q1 24 | $52.4M | $4.6M |
| Q4 25 | — | $15.0M | ||
| Q3 25 | — | $14.3M | ||
| Q2 25 | — | $23.5M | ||
| Q1 25 | — | $13.7M | ||
| Q4 24 | — | $14.7M | ||
| Q3 24 | — | $15.7M | ||
| Q2 24 | — | $17.1M | ||
| Q1 24 | — | $25.5M |
| Q4 25 | $354.0M | $239.7M | ||
| Q3 25 | $349.2M | $239.9M | ||
| Q2 25 | $350.6M | $240.5M | ||
| Q1 25 | $362.8M | $219.9M | ||
| Q4 24 | $359.4M | $243.8M | ||
| Q3 24 | $355.5M | $243.6M | ||
| Q2 24 | $349.2M | $242.9M | ||
| Q1 24 | $344.9M | $242.5M |
| Q4 25 | $520.4M | $340.0M | ||
| Q3 25 | $499.9M | $343.1M | ||
| Q2 25 | $500.1M | $345.8M | ||
| Q1 25 | $524.0M | $326.9M | ||
| Q4 24 | $510.8M | $341.5M | ||
| Q3 24 | $502.8M | $335.8M | ||
| Q2 24 | $499.6M | $341.8M | ||
| Q1 24 | $511.6M | $349.3M |
| Q4 25 | — | 0.06× | ||
| Q3 25 | — | 0.06× | ||
| Q2 25 | — | 0.10× | ||
| Q1 25 | — | 0.06× | ||
| Q4 24 | — | 0.06× | ||
| Q3 24 | — | 0.06× | ||
| Q2 24 | — | 0.07× | ||
| Q1 24 | — | 0.11× |
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 | $13.2M | $22.4M |
| Free Cash FlowOCF − Capex | $13.0M | $20.4M |
| FCF MarginFCF / Revenue | 16.3% | 23.7% |
| Capex IntensityCapex / Revenue | 0.3% | 2.3% |
| Cash ConversionOCF / Net Profit | — | 18.99× |
| TTM Free Cash FlowTrailing 4 quarters | $59.6M | $32.5M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $13.2M | $22.4M | ||
| Q3 25 | $18.0M | $18.2M | ||
| Q2 25 | $5.0M | $-5.1M | ||
| Q1 25 | $27.1M | $8.7M | ||
| Q4 24 | $11.2M | $1.0M | ||
| Q3 24 | $19.1M | $5.8M | ||
| Q2 24 | $6.5M | $14.9M | ||
| Q1 24 | $20.9M | $-3.9M |
| Q4 25 | $13.0M | $20.4M | ||
| Q3 25 | $17.9M | $14.8M | ||
| Q2 25 | $2.7M | $-7.8M | ||
| Q1 25 | $26.0M | $5.2M | ||
| Q4 24 | $11.0M | $-840.0K | ||
| Q3 24 | $18.8M | $3.7M | ||
| Q2 24 | $6.3M | $13.5M | ||
| Q1 24 | $20.2M | $-5.5M |
| Q4 25 | 16.3% | 23.7% | ||
| Q3 25 | 23.4% | 15.9% | ||
| Q2 25 | 3.6% | -9.1% | ||
| Q1 25 | 35.4% | 7.9% | ||
| Q4 24 | 14.8% | -0.9% | ||
| Q3 24 | 25.8% | 5.8% | ||
| Q2 24 | 8.8% | 18.3% | ||
| Q1 24 | 27.8% | -6.6% |
| Q4 25 | 0.3% | 2.3% | ||
| Q3 25 | 0.1% | 3.6% | ||
| Q2 25 | 3.1% | 3.1% | ||
| Q1 25 | 1.4% | 5.4% | ||
| Q4 24 | 0.3% | 2.1% | ||
| Q3 24 | 0.4% | 3.4% | ||
| Q2 24 | 0.2% | 1.8% | ||
| Q1 24 | 1.0% | 2.0% |
| Q4 25 | — | 18.99× | ||
| Q3 25 | 2.96× | 6.05× | ||
| Q2 25 | 0.93× | -0.24× | ||
| Q1 25 | 6.25× | — | ||
| Q4 24 | — | 0.28× | ||
| 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
| Subscription Services | $77.0M | 97% |
| Professional Services | $2.7M | 3% |
SND
| Sand | $85.1M | 99% |
| Smart Systems Segment | $980.0K | 1% |
