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Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and TETRA TECHNOLOGIES INC (TTI). Click either name above to swap in a different company.

TETRA TECHNOLOGIES INC is the larger business by last-quarter revenue ($156.3M vs $79.7M, roughly 2.0× HEALTHSTREAM INC). On growth, HEALTHSTREAM INC posted the faster year-over-year revenue change (7.4% vs -0.6%). HEALTHSTREAM INC produced more free cash flow last quarter ($13.0M vs $-31.9M). Over the past eight quarters, HEALTHSTREAM INC's revenue compounded faster (4.7% 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.

Tetra Tech, Inc. is an American consulting and engineering services firm based in Pasadena, California. The company provides consulting, engineering, program management, and construction management services in the areas of water, environment, infrastructure, resource management, energy, and international development.

HSTM vs TTI — Head-to-Head

Bigger by revenue
TTI
TTI
2.0× larger
TTI
$156.3M
$79.7M
HSTM
Growing faster (revenue YoY)
HSTM
HSTM
+7.9% gap
HSTM
7.4%
-0.6%
TTI
More free cash flow
HSTM
HSTM
$44.9M more FCF
HSTM
$13.0M
$-31.9M
TTI
Faster 2-yr revenue CAGR
HSTM
HSTM
Annualised
HSTM
4.7%
-4.7%
TTI

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
HSTM
HSTM
TTI
TTI
Revenue
$79.7M
$156.3M
Net Profit
$8.3M
Gross Margin
24.5%
Operating Margin
3.0%
8.2%
Net Margin
5.3%
Revenue YoY
7.4%
-0.6%
Net Profit YoY
105.5%
EPS (diluted)
$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.

Revenue
HSTM
HSTM
TTI
TTI
Q1 26
$156.3M
Q4 25
$79.7M
$146.7M
Q3 25
$76.5M
$153.2M
Q2 25
$74.4M
$173.9M
Q1 25
$73.5M
$157.1M
Q4 24
$74.2M
$134.5M
Q3 24
$73.1M
$141.7M
Q2 24
$71.6M
$171.9M
Net Profit
HSTM
HSTM
TTI
TTI
Q1 26
$8.3M
Q4 25
$-16.5M
Q3 25
$6.1M
$4.2M
Q2 25
$5.4M
$11.3M
Q1 25
$4.3M
$4.0M
Q4 24
$102.7M
Q3 24
$5.7M
$-3.0M
Q2 24
$4.2M
$7.6M
Gross Margin
HSTM
HSTM
TTI
TTI
Q1 26
24.5%
Q4 25
19.4%
Q3 25
23.7%
Q2 25
27.7%
Q1 25
27.3%
Q4 24
23.1%
Q3 24
24.3%
Q2 24
25.2%
Operating Margin
HSTM
HSTM
TTI
TTI
Q1 26
8.2%
Q4 25
3.0%
-4.2%
Q3 25
9.9%
7.3%
Q2 25
7.9%
11.2%
Q1 25
6.0%
3.2%
Q4 24
6.3%
5.5%
Q3 24
8.9%
8.4%
Q2 24
6.2%
7.3%
Net Margin
HSTM
HSTM
TTI
TTI
Q1 26
5.3%
Q4 25
-11.3%
Q3 25
8.0%
2.7%
Q2 25
7.2%
6.5%
Q1 25
5.9%
2.6%
Q4 24
76.4%
Q3 24
7.8%
-2.1%
Q2 24
5.8%
4.4%
EPS (diluted)
HSTM
HSTM
TTI
TTI
Q1 26
Q4 25
$0.09
$-0.12
Q3 25
$0.20
$0.03
Q2 25
$0.18
$0.08
Q1 25
$0.14
$0.03
Q4 24
$0.16
$0.77
Q3 24
$0.19
$-0.02
Q2 24
$0.14
$0.06

Balance Sheet & Financial Strength

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

Metric
HSTM
HSTM
TTI
TTI
Cash + ST InvestmentsLiquidity on hand
$36.2M
$35.5M
Total DebtLower is stronger
$5.9M
Stockholders' EquityBook value
$354.0M
$285.6M
Total Assets
$520.4M
$662.3M
Debt / EquityLower = less leverage
0.02×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HSTM
HSTM
TTI
TTI
Q1 26
$35.5M
Q4 25
$36.2M
$72.6M
Q3 25
$53.5M
$67.1M
Q2 25
$52.1M
$68.7M
Q1 25
$77.3M
$41.0M
Q4 24
$59.5M
$37.0M
Q3 24
$57.5M
$48.4M
Q2 24
$46.1M
$37.7M
Total Debt
HSTM
HSTM
TTI
TTI
Q1 26
$5.9M
Q4 25
$190.0M
Q3 25
$180.9M
Q2 25
$180.5M
Q1 25
Q4 24
$179.7M
Q3 24
Q2 24
$179.7M
Stockholders' Equity
HSTM
HSTM
TTI
TTI
Q1 26
$285.6M
Q4 25
$354.0M
$283.8M
Q3 25
$349.2M
$296.7M
Q2 25
$350.6M
$290.9M
Q1 25
$362.8M
$273.0M
Q4 24
$359.4M
$254.6M
Q3 24
$355.5M
$156.7M
Q2 24
$349.2M
$154.8M
Total Assets
HSTM
HSTM
TTI
TTI
Q1 26
$662.3M
Q4 25
$520.4M
$675.8M
Q3 25
$499.9M
$655.2M
Q2 25
$500.1M
$645.6M
Q1 25
$524.0M
$614.1M
Q4 24
$510.8M
$605.2M
Q3 24
$502.8M
$501.2M
Q2 24
$499.6M
$605.2M
Debt / Equity
HSTM
HSTM
TTI
TTI
Q1 26
0.02×
Q4 25
0.67×
Q3 25
0.61×
Q2 25
0.62×
Q1 25
Q4 24
0.71×
Q3 24
Q2 24
1.16×

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
TTI
TTI
Operating Cash FlowLast quarter
$13.2M
Free Cash FlowOCF − Capex
$13.0M
$-31.9M
FCF MarginFCF / Revenue
16.3%
-20.4%
Capex IntensityCapex / Revenue
0.3%
4.5%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$59.6M
$1.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HSTM
HSTM
TTI
TTI
Q1 26
Q4 25
$13.2M
$31.7M
Q3 25
$18.0M
$16.4M
Q2 25
$5.0M
$48.3M
Q1 25
$27.1M
$3.9M
Q4 24
$11.2M
$5.6M
Q3 24
$19.1M
$19.9M
Q2 24
$6.5M
$24.8M
Free Cash Flow
HSTM
HSTM
TTI
TTI
Q1 26
$-31.9M
Q4 25
$13.0M
$4.1M
Q3 25
$17.9M
$627.0K
Q2 25
$2.7M
$28.8M
Q1 25
$26.0M
$-14.0M
Q4 24
$11.0M
$-9.3M
Q3 24
$18.8M
$5.3M
Q2 24
$6.3M
$9.4M
FCF Margin
HSTM
HSTM
TTI
TTI
Q1 26
-20.4%
Q4 25
16.3%
2.8%
Q3 25
23.4%
0.4%
Q2 25
3.6%
16.6%
Q1 25
35.4%
-8.9%
Q4 24
14.8%
-6.9%
Q3 24
25.8%
3.7%
Q2 24
8.8%
5.5%
Capex Intensity
HSTM
HSTM
TTI
TTI
Q1 26
4.5%
Q4 25
0.3%
18.8%
Q3 25
0.1%
10.3%
Q2 25
3.1%
11.2%
Q1 25
1.4%
11.4%
Q4 24
0.3%
11.1%
Q3 24
0.4%
10.3%
Q2 24
0.2%
9.0%
Cash Conversion
HSTM
HSTM
TTI
TTI
Q1 26
Q4 25
Q3 25
2.96×
3.94×
Q2 25
0.93×
4.28×
Q1 25
6.25×
0.97×
Q4 24
0.05×
Q3 24
3.34×
Q2 24
1.55×
3.25×

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%

TTI
TTI

Segment breakdown not available.

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