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Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and TSS, Inc. (TSSI). Click either name above to swap in a different company.
HEALTHSTREAM INC is the larger business by last-quarter revenue ($79.7M vs $60.9M, roughly 1.3× TSS, Inc.). On growth, TSS, Inc. posted the faster year-over-year revenue change (21.8% vs 7.4%). TSS, Inc. produced more free cash flow last quarter ($15.8M vs $13.0M). Over the past eight quarters, TSS, Inc.'s revenue compounded faster (95.8% 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.
HSTM vs TSSI — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $79.7M | $60.9M |
| Net Profit | — | $12.2M |
| Gross Margin | — | 17.6% |
| Operating Margin | 3.0% | 1.5% |
| Net Margin | — | 20.0% |
| Revenue YoY | 7.4% | 21.8% |
| Net Profit YoY | — | 535.7% |
| EPS (diluted) | $0.09 | $0.44 |
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 | $60.9M | ||
| Q3 25 | $76.5M | $41.9M | ||
| Q2 25 | $74.4M | $44.0M | ||
| Q1 25 | $73.5M | $99.0M | ||
| Q4 24 | $74.2M | $50.0M | ||
| Q3 24 | $73.1M | $70.1M | ||
| Q2 24 | $71.6M | $12.2M | ||
| Q1 24 | $72.8M | $15.9M |
| Q4 25 | — | $12.2M | ||
| Q3 25 | $6.1M | $-1.5M | ||
| Q2 25 | $5.4M | $1.5M | ||
| Q1 25 | $4.3M | $3.0M | ||
| Q4 24 | — | $1.9M | ||
| Q3 24 | $5.7M | $2.6M | ||
| Q2 24 | $4.2M | $1.4M | ||
| Q1 24 | $5.2M | $15.0K |
| Q4 25 | — | 17.6% | ||
| Q3 25 | — | 11.1% | ||
| Q2 25 | — | 17.8% | ||
| Q1 25 | — | 9.3% | ||
| Q4 24 | — | 14.4% | ||
| Q3 24 | — | 11.3% | ||
| Q2 24 | — | 37.3% | ||
| Q1 24 | — | 17.1% |
| Q4 25 | 3.0% | 1.5% | ||
| Q3 25 | 9.9% | -2.2% | ||
| Q2 25 | 7.9% | 5.1% | ||
| Q1 25 | 6.0% | 4.2% | ||
| Q4 24 | 6.3% | 0.0% | ||
| Q3 24 | 8.9% | 5.4% | ||
| Q2 24 | 6.2% | 14.0% | ||
| Q1 24 | 7.8% | 1.6% |
| Q4 25 | — | 20.0% | ||
| Q3 25 | 8.0% | -3.6% | ||
| Q2 25 | 7.2% | 3.4% | ||
| Q1 25 | 5.9% | 3.0% | ||
| Q4 24 | — | 3.8% | ||
| Q3 24 | 7.8% | 3.8% | ||
| Q2 24 | 5.8% | 11.5% | ||
| Q1 24 | 7.2% | 0.1% |
| Q4 25 | $0.09 | $0.44 | ||
| Q3 25 | $0.20 | $-0.06 | ||
| Q2 25 | $0.18 | $0.06 | ||
| Q1 25 | $0.14 | $0.12 | ||
| Q4 24 | $0.16 | $0.08 | ||
| Q3 24 | $0.19 | $0.10 | ||
| Q2 24 | $0.14 | $0.06 | ||
| Q1 24 | $0.17 | $0.00 |
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 | $85.5M |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $354.0M | $76.6M |
| Total Assets | $520.4M | $184.9M |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $36.2M | $85.5M | ||
| Q3 25 | $53.5M | $70.7M | ||
| Q2 25 | $52.1M | — | ||
| Q1 25 | $77.3M | — | ||
| Q4 24 | $59.5M | $23.2M | ||
| Q3 24 | $57.5M | $46.4M | ||
| Q2 24 | $46.1M | $8.3M | ||
| Q1 24 | $52.4M | $14.4M |
| Q4 25 | $354.0M | $76.6M | ||
| Q3 25 | $349.2M | $63.4M | ||
| Q2 25 | $350.6M | $9.5M | ||
| Q1 25 | $362.8M | $9.4M | ||
| Q4 24 | $359.4M | $7.1M | ||
| Q3 24 | $355.5M | $7.7M | ||
| Q2 24 | $349.2M | $5.2M | ||
| Q1 24 | $344.9M | $3.7M |
| Q4 25 | $520.4M | $184.9M | ||
| Q3 25 | $499.9M | $165.4M | ||
| Q2 25 | $500.1M | $139.5M | ||
| Q1 25 | $524.0M | $113.5M | ||
| Q4 24 | $510.8M | $96.6M | ||
| Q3 24 | $502.8M | $67.3M | ||
| Q2 24 | $499.6M | $28.9M | ||
| Q1 24 | $511.6M | $26.8M |
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 | $16.3M |
| Free Cash FlowOCF − Capex | $13.0M | $15.8M |
| FCF MarginFCF / Revenue | 16.3% | 25.9% |
| Capex IntensityCapex / Revenue | 0.3% | 0.9% |
| Cash ConversionOCF / Net Profit | — | 1.34× |
| TTM Free Cash FlowTrailing 4 quarters | $59.6M | $2.1M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $13.2M | $16.3M | ||
| Q3 25 | $18.0M | $-18.4M | ||
| Q2 25 | $5.0M | $16.3M | ||
| Q1 25 | $27.1M | $20.6M | ||
| Q4 24 | $11.2M | $-21.6M | ||
| Q3 24 | $19.1M | $38.6M | ||
| Q2 24 | $6.5M | $-4.3M | ||
| Q1 24 | $20.9M | $2.6M |
| Q4 25 | $13.0M | $15.8M | ||
| Q3 25 | $17.9M | $-24.9M | ||
| Q2 25 | $2.7M | $5.4M | ||
| Q1 25 | $26.0M | $5.8M | ||
| Q4 24 | $11.0M | $-28.4M | ||
| Q3 24 | $18.8M | $38.6M | ||
| Q2 24 | $6.3M | $-6.0M | ||
| Q1 24 | $20.2M | $2.6M |
| Q4 25 | 16.3% | 25.9% | ||
| Q3 25 | 23.4% | -59.3% | ||
| Q2 25 | 3.6% | 12.3% | ||
| Q1 25 | 35.4% | 5.8% | ||
| Q4 24 | 14.8% | -56.7% | ||
| Q3 24 | 25.8% | 55.1% | ||
| Q2 24 | 8.8% | -49.4% | ||
| Q1 24 | 27.8% | 16.4% |
| Q4 25 | 0.3% | 0.9% | ||
| Q3 25 | 0.1% | 15.3% | ||
| Q2 25 | 3.1% | 24.8% | ||
| Q1 25 | 1.4% | 15.0% | ||
| Q4 24 | 0.3% | 13.4% | ||
| Q3 24 | 0.4% | 0.1% | ||
| Q2 24 | 0.2% | 13.8% | ||
| Q1 24 | 1.0% | 0.2% |
| Q4 25 | — | 1.34× | ||
| Q3 25 | 2.96× | — | ||
| Q2 25 | 0.93× | 11.02× | ||
| Q1 25 | 6.25× | 6.93× | ||
| Q4 24 | — | -11.32× | ||
| Q3 24 | 3.34× | 14.60× | ||
| Q2 24 | 1.55× | -3.09× | ||
| Q1 24 | 4.01× | 176.40× |
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% |
TSSI
| Procurement Revenues Segment | $43.2M | 71% |
| System Integration Services Segment | $14.2M | 23% |
| Facilities Segment | $3.5M | 6% |
