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HSTM vs TCMD

HSTM
HealthStream, Inc.
BEARISH
Price
$19.88
Market Cap
$589.8M
Sector
Healthcare
AI Confidence
85%
TCMD
Tactile Systems Technology, Inc.
NEUTRAL
Price
$25.52
Market Cap
$580.6M
Sector
Healthcare
AI Confidence
85%

Valuation

P/E Ratio
HSTM
32.59
TCMD
31.12
Forward P/E
HSTM
23.12
TCMD
17.3
P/B Ratio
HSTM
1.66
TCMD
2.62
P/S Ratio
HSTM
1.94
TCMD
1.76
EV/EBITDA
HSTM
14.2
TCMD
14.06

Profitability

Gross Margin
HSTM
64.74%
TCMD
75.91%
Operating Margin
HSTM
3.64%
TCMD
18.12%
Profit Margin
HSTM
6.03%
TCMD
5.79%
ROE
HSTM
5.14%
TCMD
8.77%
ROA
HSTM
2.51%
TCMD
6.4%

Growth

Revenue Growth
HSTM
7.4%
TCMD
21.0%
Earnings Growth
HSTM
-46.5%
TCMD
17.6%

Financial Health

Debt/Equity
HSTM
0.05
TCMD
0.07
Current Ratio
HSTM
0.96
TCMD
4.03
Quick Ratio
HSTM
0.77
TCMD
3.49

Dividends

Dividend Yield
HSTM
0.64%
TCMD
--
Payout Ratio
HSTM
20.33%
TCMD
0.0%

AI Verdict

HSTM BEARISH

HSTM presents a contradictory profile: while the Piotroski F-Score of 7/9 indicates strong fundamental health and a clean balance sheet, the valuation is severely disconnected from intrinsic reality. The stock trades at $19.88, significantly above both its Graham Number ($12.82) and its growth-based intrinsic value ($4.27). This valuation gap is exacerbated by a collapse in earnings growth (-46.5% YoY) and a completely bearish technical trend (0/100). Despite low debt, the combination of crashing profitability and insider selling suggests a value trap scenario.

Strengths
Strong Piotroski F-Score (7/9) indicating operational health
Extremely low Debt/Equity ratio (0.05)
High Gross Margins (64.74%)
Risks
Severe earnings contraction (-46.5% YoY)
Significant overvaluation relative to Graham Number and Intrinsic Value
Bearish technical momentum (0/100 trend score)
TCMD NEUTRAL

TCMD exhibits a stable financial foundation with a Piotroski F-Score of 4/9 and an exceptionally strong balance sheet characterized by very low leverage (Debt/Equity 0.07). While the company shows robust revenue growth of 21% and high gross margins, the stock is currently trading at a premium to its Intrinsic Value ($24.19) and significantly above its Graham Number ($13.42). The valuation is further strained by an extreme PEG ratio of 17.79, suggesting the price has outpaced fundamental growth. Imminent regulatory risks regarding CMS Prior Authorization (PAR) requirements starting April 2026 and bearish insider activity create significant headwinds.

Strengths
Fortress balance sheet with very low Debt/Equity (0.07)
Excellent liquidity with a Current Ratio of 4.03
Strong top-line growth (21% YoY Revenue Growth)
Risks
Regulatory risk: CMS Prior Authorization (PAR) requirements starting April 2026
Severe overvaluation relative to growth (PEG Ratio 17.79)
Bearish insider sentiment with consistent selling by CEO and CFO

Compare Another Pair

HSTM vs TCMD: Head-to-Head Comparison

This page compares HealthStream, Inc. (HSTM) and Tactile Systems Technology, Inc. (TCMD) across key fundamental metrics including valuation ratios, profitability margins, growth rates, financial health indicators, and dividend metrics. Each metric highlights the better-performing stock so you can quickly identify relative strengths and weaknesses.

Our AI engine independently analyzes each company's financials, competitive position, and market conditions to produce a verdict (Bullish, Neutral, or Bearish) along with key strengths and risks. Use this comparison alongside your own research to make informed investment decisions.

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