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Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and TACTILE SYSTEMS TECHNOLOGY INC (TCMD). Click either name above to swap in a different company.
TACTILE SYSTEMS TECHNOLOGY INC is the larger business by last-quarter revenue ($103.6M vs $79.7M, roughly 1.3× HEALTHSTREAM INC). On growth, TACTILE SYSTEMS TECHNOLOGY INC posted the faster year-over-year revenue change (21.0% vs 7.4%). TACTILE SYSTEMS TECHNOLOGY INC produced more free cash flow last quarter ($16.8M vs $13.0M). Over the past eight quarters, TACTILE SYSTEMS TECHNOLOGY INC's revenue compounded faster (30.2% CAGR vs 4.7%).
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.
Dominion Voting Systems Corporation was a North American company that produced and sold electronic voting hardware and software, including voting machines and tabulators, in Canada and the United States.
HSTM vs TCMD — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $79.7M | $103.6M |
| Net Profit | — | $10.6M |
| Gross Margin | — | 78.2% |
| Operating Margin | 3.0% | 18.1% |
| Net Margin | — | 10.3% |
| Revenue YoY | 7.4% | 21.0% |
| Net Profit YoY | — | 9.4% |
| EPS (diluted) | $0.09 | $0.45 |
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 | $103.6M | ||
| Q3 25 | $76.5M | $85.8M | ||
| Q2 25 | $74.4M | $78.9M | ||
| Q1 25 | $73.5M | $61.3M | ||
| Q4 24 | $74.2M | $85.6M | ||
| Q3 24 | $73.1M | $73.1M | ||
| Q2 24 | $71.6M | $73.2M | ||
| Q1 24 | $72.8M | $61.1M |
| Q4 25 | — | $10.6M | ||
| Q3 25 | $6.1M | $8.2M | ||
| Q2 25 | $5.4M | $3.2M | ||
| Q1 25 | $4.3M | $-3.0M | ||
| Q4 24 | — | $9.7M | ||
| Q3 24 | $5.7M | $5.2M | ||
| Q2 24 | $4.2M | $4.3M | ||
| Q1 24 | $5.2M | $-2.2M |
| Q4 25 | — | 78.2% | ||
| Q3 25 | — | 75.8% | ||
| Q2 25 | — | 74.5% | ||
| Q1 25 | — | 74.0% | ||
| Q4 24 | — | 75.2% | ||
| Q3 24 | — | 75.0% | ||
| Q2 24 | — | 73.9% | ||
| Q1 24 | — | 71.1% |
| Q4 25 | 3.0% | 18.1% | ||
| Q3 25 | 9.9% | 12.8% | ||
| Q2 25 | 7.9% | 5.2% | ||
| Q1 25 | 6.0% | -7.4% | ||
| Q4 24 | 6.3% | 14.6% | ||
| Q3 24 | 8.9% | 9.3% | ||
| Q2 24 | 6.2% | 8.0% | ||
| Q1 24 | 7.8% | -4.9% |
| Q4 25 | — | 10.3% | ||
| Q3 25 | 8.0% | 9.6% | ||
| Q2 25 | 7.2% | 4.1% | ||
| Q1 25 | 5.9% | -4.9% | ||
| Q4 24 | — | 11.4% | ||
| Q3 24 | 7.8% | 7.1% | ||
| Q2 24 | 5.8% | 5.9% | ||
| Q1 24 | 7.2% | -3.6% |
| Q4 25 | $0.09 | $0.45 | ||
| Q3 25 | $0.20 | $0.36 | ||
| Q2 25 | $0.18 | $0.14 | ||
| Q1 25 | $0.14 | $-0.13 | ||
| Q4 24 | $0.16 | $0.40 | ||
| Q3 24 | $0.19 | $0.21 | ||
| Q2 24 | $0.14 | $0.18 | ||
| Q1 24 | $0.17 | $-0.09 |
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 | $83.4M |
| Total DebtLower is stronger | — | $0 |
| Stockholders' EquityBook value | $354.0M | $218.9M |
| Total Assets | $520.4M | $273.9M |
| Debt / EquityLower = less leverage | — | 0.00× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $36.2M | $83.4M | ||
| Q3 25 | $53.5M | $66.0M | ||
| Q2 25 | $52.1M | $81.5M | ||
| Q1 25 | $77.3M | $83.6M | ||
| Q4 24 | $59.5M | $94.4M | ||
| Q3 24 | $57.5M | $82.1M | ||
| Q2 24 | $46.1M | $73.6M | ||
| Q1 24 | $52.4M | $60.7M |
| Q4 25 | — | $0 | ||
| Q3 25 | — | $0 | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | — | — | ||
| Q3 24 | — | $27.0M | ||
| Q2 24 | — | $27.8M | ||
| Q1 24 | — | $28.5M |
| Q4 25 | $354.0M | $218.9M | ||
| Q3 25 | $349.2M | $204.9M | ||
| Q2 25 | $350.6M | $194.9M | ||
| Q1 25 | $362.8M | $205.6M | ||
| Q4 24 | $359.4M | $216.6M | ||
| Q3 24 | $355.5M | $207.9M | ||
| Q2 24 | $349.2M | $200.7M | ||
| Q1 24 | $344.9M | $193.5M |
| Q4 25 | $520.4M | $273.9M | ||
| Q3 25 | $499.9M | $259.2M | ||
| Q2 25 | $500.1M | $273.0M | ||
| Q1 25 | $524.0M | $280.2M | ||
| Q4 24 | $510.8M | $297.9M | ||
| Q3 24 | $502.8M | $287.7M | ||
| Q2 24 | $499.6M | $278.8M | ||
| Q1 24 | $511.6M | $272.0M |
| Q4 25 | — | 0.00× | ||
| Q3 25 | — | 0.00× | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | — | — | ||
| Q3 24 | — | 0.13× | ||
| Q2 24 | — | 0.14× | ||
| Q1 24 | — | 0.15× |
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 | $17.3M |
| Free Cash FlowOCF − Capex | $13.0M | $16.8M |
| FCF MarginFCF / Revenue | 16.3% | 16.2% |
| Capex IntensityCapex / Revenue | 0.3% | 0.5% |
| Cash ConversionOCF / Net Profit | — | 1.63× |
| TTM Free Cash FlowTrailing 4 quarters | $59.6M | $40.4M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $13.2M | $17.3M | ||
| Q3 25 | $18.0M | $10.3M | ||
| Q2 25 | $5.0M | $14.8M | ||
| Q1 25 | $27.1M | $417.0K | ||
| Q4 24 | $11.2M | $16.3M | ||
| Q3 24 | $19.1M | $10.3M | ||
| Q2 24 | $6.5M | $13.1M | ||
| Q1 24 | $20.9M | $924.0K |
| Q4 25 | $13.0M | $16.8M | ||
| Q3 25 | $17.9M | $9.2M | ||
| Q2 25 | $2.7M | $14.4M | ||
| Q1 25 | $26.0M | $38.0K | ||
| Q4 24 | $11.0M | $15.9M | ||
| Q3 24 | $18.8M | $9.3M | ||
| Q2 24 | $6.3M | $12.6M | ||
| Q1 24 | $20.2M | $442.0K |
| Q4 25 | 16.3% | 16.2% | ||
| Q3 25 | 23.4% | 10.8% | ||
| Q2 25 | 3.6% | 18.2% | ||
| Q1 25 | 35.4% | 0.1% | ||
| Q4 24 | 14.8% | 18.5% | ||
| Q3 24 | 25.8% | 12.7% | ||
| Q2 24 | 8.8% | 17.3% | ||
| Q1 24 | 27.8% | 0.7% |
| Q4 25 | 0.3% | 0.5% | ||
| Q3 25 | 0.1% | 1.3% | ||
| Q2 25 | 3.1% | 0.5% | ||
| Q1 25 | 1.4% | 0.6% | ||
| Q4 24 | 0.3% | 0.5% | ||
| Q3 24 | 0.4% | 1.3% | ||
| Q2 24 | 0.2% | 0.7% | ||
| Q1 24 | 1.0% | 0.8% |
| Q4 25 | — | 1.63× | ||
| Q3 25 | 2.96× | 1.26× | ||
| Q2 25 | 0.93× | 4.59× | ||
| Q1 25 | 6.25× | — | ||
| Q4 24 | — | 1.68× | ||
| Q3 24 | 3.34× | 1.99× | ||
| Q2 24 | 1.55× | 3.06× | ||
| 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% |
TCMD
| Private Insurers | $57.6M | 56% |
| Medicare | $24.6M | 24% |
| Durable Medical Equipment Distributors | $14.1M | 14% |
| Veterans Administration | $7.3M | 7% |
