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Side-by-side financial comparison of FINANCIAL INSTITUTIONS INC (FISI) and Health Catalyst, Inc. (HCAT). Click either name above to swap in a different company.

Health Catalyst, Inc. is the larger business by last-quarter revenue ($74.7M vs $62.7M, roughly 1.2× FINANCIAL INSTITUTIONS INC). FINANCIAL INSTITUTIONS INC runs the higher net margin — 33.5% vs -121.9%, a 155.4% gap on every dollar of revenue. Over the past eight quarters, Health Catalyst, Inc.'s revenue compounded faster (-0.0% CAGR vs -2.0%).

The Mizuho Financial Group, Inc. , known from 2000 to 2003 as Mizuho Holdings and abbreviated as MHFG or simply Mizuho, is a Japanese banking holding company headquartered in the Ōtemachi district of Chiyoda, Tokyo, Japan. The group was formed in 2000–2002 by merger of Dai-Ichi Kangyo Bank, Fuji Bank, and Industrial Bank of Japan. The name mizuho (瑞穂) literally means "abundant rice" in Japanese and "harvest" in the figurative sense.

Catalyst Pharmaceuticals, Inc. is a biopharmaceutical company based in Coral Gables, Florida, United States. The company develops medicines for rare diseases, including the phosphate salt of amifampridine for the treatment of Lambert–Eaton myasthenic syndrome (LEMS). The drug is referred to under the trade name Firdapse, which was approved by the FDA for approved use in children 6 years and older with LEMS in addition to the prior approval for use in adults with LEMS on November 28, 2018. Fir...

FISI vs HCAT — Head-to-Head

Bigger by revenue
HCAT
HCAT
1.2× larger
HCAT
$74.7M
$62.7M
FISI
Higher net margin
FISI
FISI
155.4% more per $
FISI
33.5%
-121.9%
HCAT
Faster 2-yr revenue CAGR
HCAT
HCAT
Annualised
HCAT
-0.0%
-2.0%
FISI

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
FISI
FISI
HCAT
HCAT
Revenue
$62.7M
$74.7M
Net Profit
$21.0M
$-91.0M
Gross Margin
Operating Margin
-115.3%
Net Margin
33.5%
-121.9%
Revenue YoY
-6.2%
Net Profit YoY
24.3%
-340.3%
EPS (diluted)
$1.04
$-1.29

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
FISI
FISI
HCAT
HCAT
Q1 26
$62.7M
Q4 25
$64.1M
$74.7M
Q3 25
$63.8M
$76.3M
Q2 25
$59.7M
$80.7M
Q1 25
$57.2M
$79.4M
Q4 24
$41.6M
$79.6M
Q3 24
$50.1M
$76.4M
Q2 24
$65.2M
$75.9M
Net Profit
FISI
FISI
HCAT
HCAT
Q1 26
$21.0M
Q4 25
$20.0M
$-91.0M
Q3 25
$20.5M
$-22.2M
Q2 25
$17.5M
$-41.0M
Q1 25
$16.9M
$-23.7M
Q4 24
$-82.8M
$-20.7M
Q3 24
$13.5M
$-14.7M
Q2 24
$25.6M
$-13.5M
Gross Margin
FISI
FISI
HCAT
HCAT
Q1 26
Q4 25
Q3 25
52.6%
Q2 25
Q1 25
Q4 24
Q3 24
47.5%
Q2 24
Operating Margin
FISI
FISI
HCAT
HCAT
Q1 26
Q4 25
37.4%
-115.3%
Q3 25
39.5%
-22.9%
Q2 25
36.0%
-46.0%
Q1 25
36.0%
-25.4%
Q4 24
-276.9%
-22.0%
Q3 24
29.0%
-17.9%
Q2 24
46.2%
-20.8%
Net Margin
FISI
FISI
HCAT
HCAT
Q1 26
33.5%
Q4 25
38.3%
-121.9%
Q3 25
32.1%
-29.1%
Q2 25
29.3%
-50.8%
Q1 25
29.5%
-29.9%
Q4 24
-198.9%
-26.0%
Q3 24
26.9%
-19.3%
Q2 24
39.3%
-17.8%
EPS (diluted)
FISI
FISI
HCAT
HCAT
Q1 26
$1.04
Q4 25
$0.96
$-1.29
Q3 25
$0.99
$-0.32
Q2 25
$0.85
$-0.59
Q1 25
$0.81
$-0.35
Q4 24
$-5.32
$-0.33
Q3 24
$0.84
$-0.24
Q2 24
$1.62
$-0.23

Balance Sheet & Financial Strength

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

Metric
FISI
FISI
HCAT
HCAT
Cash + ST InvestmentsLiquidity on hand
$85.5M
$95.7M
Total DebtLower is stronger
$114.0M
$153.3M
Stockholders' EquityBook value
$245.8M
Total Assets
$6.3B
$502.6M
Debt / EquityLower = less leverage
0.62×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FISI
FISI
HCAT
HCAT
Q1 26
$85.5M
Q4 25
$108.8M
$95.7M
Q3 25
$185.9M
$91.5M
Q2 25
$93.0M
$97.3M
Q1 25
$167.4M
$342.0M
Q4 24
$87.3M
$392.0M
Q3 24
$387.3M
Q2 24
$308.3M
Total Debt
FISI
FISI
HCAT
HCAT
Q1 26
$114.0M
Q4 25
$193.7M
$153.3M
Q3 25
$115.0M
$153.1M
Q2 25
$115.0M
$153.0M
Q1 25
$124.9M
$382.9M
Q4 24
$124.8M
$382.4M
Q3 24
$124.8M
$345.0M
Q2 24
$124.7M
Stockholders' Equity
FISI
FISI
HCAT
HCAT
Q1 26
Q4 25
$628.9M
$245.8M
Q3 25
$621.7M
$331.9M
Q2 25
$601.7M
$347.5M
Q1 25
$589.9M
$376.8M
Q4 24
$569.0M
$365.2M
Q3 24
$500.3M
$355.0M
Q2 24
$467.7M
$357.0M
Total Assets
FISI
FISI
HCAT
HCAT
Q1 26
$6.3B
Q4 25
$6.3B
$502.6M
Q3 25
$6.3B
$587.1M
Q2 25
$6.1B
$616.2M
Q1 25
$6.3B
$891.5M
Q4 24
$6.1B
$858.9M
Q3 24
$6.2B
$813.0M
Q2 24
$6.1B
$691.7M
Debt / Equity
FISI
FISI
HCAT
HCAT
Q1 26
Q4 25
0.31×
0.62×
Q3 25
0.18×
0.46×
Q2 25
0.19×
0.44×
Q1 25
0.21×
1.02×
Q4 24
0.22×
1.05×
Q3 24
0.25×
0.97×
Q2 24
0.27×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
FISI
FISI
HCAT
HCAT
Operating Cash FlowLast quarter
$9.9M
Free Cash FlowOCF − Capex
$9.6M
FCF MarginFCF / Revenue
12.9%
Capex IntensityCapex / Revenue
0.4%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$-697.0K

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FISI
FISI
HCAT
HCAT
Q1 26
Q4 25
$18.8M
$9.9M
Q3 25
$-6.9M
$-464.0K
Q2 25
$-5.7M
$-9.0M
Q1 25
$10.0M
$280.0K
Q4 24
$77.1M
$-3.5M
Q3 24
$2.1M
$6.2M
Q2 24
$35.7M
$1.6M
Free Cash Flow
FISI
FISI
HCAT
HCAT
Q1 26
Q4 25
$13.3M
$9.6M
Q3 25
$-7.9M
$-719.0K
Q2 25
$-7.3M
$-9.2M
Q1 25
$9.2M
$-390.0K
Q4 24
$72.2M
$-3.9M
Q3 24
$-299.0K
$5.5M
Q2 24
$34.7M
$1.3M
FCF Margin
FISI
FISI
HCAT
HCAT
Q1 26
Q4 25
20.7%
12.9%
Q3 25
-12.4%
-0.9%
Q2 25
-12.3%
-11.4%
Q1 25
16.1%
-0.5%
Q4 24
173.3%
-4.9%
Q3 24
-0.6%
7.2%
Q2 24
53.3%
1.7%
Capex Intensity
FISI
FISI
HCAT
HCAT
Q1 26
Q4 25
8.7%
0.4%
Q3 25
1.6%
0.3%
Q2 25
2.7%
0.3%
Q1 25
1.4%
0.8%
Q4 24
11.9%
0.5%
Q3 24
4.9%
0.9%
Q2 24
1.5%
0.4%
Cash Conversion
FISI
FISI
HCAT
HCAT
Q1 26
Q4 25
0.94×
Q3 25
-0.34×
Q2 25
-0.33×
Q1 25
0.59×
Q4 24
Q3 24
0.16×
Q2 24
1.39×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

FISI
FISI

Net Interest Income$52.0M83%
Noninterest Income$10.7M17%

HCAT
HCAT

Recurring Technology$51.9M69%
Professional Services$22.8M31%

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