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Side-by-side financial comparison of AMERISAFE INC (AMSF) and HEALTHSTREAM INC (HSTM). Click either name above to swap in a different company.
AMERISAFE INC is the larger business by last-quarter revenue ($80.1M vs $79.7M, roughly 1.0× HEALTHSTREAM INC). On growth, AMERISAFE INC posted the faster year-over-year revenue change (10.3% vs 7.4%). Over the past eight quarters, HEALTHSTREAM INC's revenue compounded faster (4.7% CAGR vs 2.8%).
AMERISAFE Inc. is a specialty insurance provider that focuses exclusively on workers' compensation coverage for small and mid-sized businesses in high-hazard industries including construction, logging, trucking, and manufacturing. It operates across 49 U.S. states, offering tailored insurance policies paired with targeted risk management support for clients.
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.
AMSF vs HSTM — Head-to-Head
Income Statement — Q1 FY2026 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $80.1M | $79.7M |
| Net Profit | $8.1M | — |
| Gross Margin | — | — |
| Operating Margin | — | 3.0% |
| Net Margin | 10.2% | — |
| Revenue YoY | 10.3% | 7.4% |
| Net Profit YoY | -9.0% | — |
| EPS (diluted) | $0.43 | $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.
| Q1 26 | $80.1M | — | ||
| Q4 25 | $81.6M | $79.7M | ||
| Q3 25 | $82.0M | $76.5M | ||
| Q2 25 | $81.1M | $74.4M | ||
| Q1 25 | $72.6M | $73.5M | ||
| Q4 24 | $74.0M | $74.2M | ||
| Q3 24 | $78.7M | $73.1M | ||
| Q2 24 | $75.8M | $71.6M |
| Q1 26 | $8.1M | — | ||
| Q4 25 | $10.4M | — | ||
| Q3 25 | $13.8M | $6.1M | ||
| Q2 25 | $14.0M | $5.4M | ||
| Q1 25 | $8.9M | $4.3M | ||
| Q4 24 | $13.2M | — | ||
| Q3 24 | $14.3M | $5.7M | ||
| Q2 24 | $11.0M | $4.2M |
| Q1 26 | — | — | ||
| Q4 25 | 15.6% | 3.0% | ||
| Q3 25 | 21.3% | 9.9% | ||
| Q2 25 | 21.5% | 7.9% | ||
| Q1 25 | 15.5% | 6.0% | ||
| Q4 24 | 22.7% | 6.3% | ||
| Q3 24 | 22.6% | 8.9% | ||
| Q2 24 | 18.1% | 6.2% |
| Q1 26 | 10.2% | — | ||
| Q4 25 | 12.8% | — | ||
| Q3 25 | 16.9% | 8.0% | ||
| Q2 25 | 17.2% | 7.2% | ||
| Q1 25 | 12.3% | 5.9% | ||
| Q4 24 | 17.8% | — | ||
| Q3 24 | 18.2% | 7.8% | ||
| Q2 24 | 14.5% | 5.8% |
| Q1 26 | $0.43 | — | ||
| Q4 25 | $0.55 | $0.09 | ||
| Q3 25 | $0.72 | $0.20 | ||
| Q2 25 | $0.73 | $0.18 | ||
| Q1 25 | $0.47 | $0.14 | ||
| Q4 24 | $0.69 | $0.16 | ||
| Q3 24 | $0.75 | $0.19 | ||
| Q2 24 | $0.57 | $0.14 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $34.2M | $36.2M |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $246.6M | $354.0M |
| Total Assets | — | $520.4M |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | $34.2M | — | ||
| Q4 25 | $61.9M | $36.2M | ||
| Q3 25 | $54.7M | $53.5M | ||
| Q2 25 | $48.5M | $52.1M | ||
| Q1 25 | $44.8M | $77.3M | ||
| Q4 24 | $44.1M | $59.5M | ||
| Q3 24 | $63.7M | $57.5M | ||
| Q2 24 | $30.6M | $46.1M |
| Q1 26 | $246.6M | — | ||
| Q4 25 | $251.6M | $354.0M | ||
| Q3 25 | $274.8M | $349.2M | ||
| Q2 25 | $265.6M | $350.6M | ||
| Q1 25 | $260.8M | $362.8M | ||
| Q4 24 | $257.3M | $359.4M | ||
| Q3 24 | $314.4M | $355.5M | ||
| Q2 24 | $301.0M | $349.2M |
| Q1 26 | — | — | ||
| Q4 25 | $1.1B | $520.4M | ||
| Q3 25 | $1.2B | $499.9M | ||
| Q2 25 | $1.2B | $500.1M | ||
| Q1 25 | $1.2B | $524.0M | ||
| Q4 24 | $1.2B | $510.8M | ||
| Q3 24 | $1.3B | $502.8M | ||
| Q2 24 | $1.2B | $499.6M |
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 |
| Free Cash FlowOCF − Capex | — | $13.0M |
| FCF MarginFCF / Revenue | — | 16.3% |
| Capex IntensityCapex / Revenue | — | 0.3% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | — | $59.6M |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | — | ||
| Q4 25 | $11.1M | $13.2M | ||
| Q3 25 | $10.7M | $18.0M | ||
| Q2 25 | $-8.4M | $5.0M | ||
| Q1 25 | $-1.8M | $27.1M | ||
| Q4 24 | $24.2M | $11.2M | ||
| Q3 24 | $8.4M | $19.1M | ||
| Q2 24 | $-2.6M | $6.5M |
| Q1 26 | — | — | ||
| Q4 25 | $8.9M | $13.0M | ||
| Q3 25 | $9.8M | $17.9M | ||
| Q2 25 | $-9.5M | $2.7M | ||
| Q1 25 | $-1.8M | $26.0M | ||
| Q4 24 | $23.4M | $11.0M | ||
| Q3 24 | $8.4M | $18.8M | ||
| Q2 24 | $-2.6M | $6.3M |
| Q1 26 | — | — | ||
| Q4 25 | 10.9% | 16.3% | ||
| Q3 25 | 11.9% | 23.4% | ||
| Q2 25 | -11.7% | 3.6% | ||
| Q1 25 | -2.5% | 35.4% | ||
| Q4 24 | 31.5% | 14.8% | ||
| Q3 24 | 10.7% | 25.8% | ||
| Q2 24 | -3.5% | 8.8% |
| Q1 26 | — | — | ||
| Q4 25 | 2.6% | 0.3% | ||
| Q3 25 | 1.1% | 0.1% | ||
| Q2 25 | 1.3% | 3.1% | ||
| Q1 25 | 0.0% | 1.4% | ||
| Q4 24 | 1.1% | 0.3% | ||
| Q3 24 | 0.0% | 0.4% | ||
| Q2 24 | 0.1% | 0.2% |
| Q1 26 | — | — | ||
| Q4 25 | 1.06× | — | ||
| Q3 25 | 0.77× | 2.96× | ||
| Q2 25 | -0.61× | 0.93× | ||
| Q1 25 | -0.20× | 6.25× | ||
| Q4 24 | 1.83× | — | ||
| Q3 24 | 0.59× | 3.34× | ||
| Q2 24 | -0.24× | 1.55× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
AMSF
Segment breakdown not available.
HSTM
| Subscription Services | $77.0M | 97% |
| Professional Services | $2.7M | 3% |
