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Side-by-side financial comparison of FINANCIAL INSTITUTIONS INC (FISI) and HEALTHSTREAM INC (HSTM). Click either name above to swap in a different company.
HEALTHSTREAM INC is the larger business by last-quarter revenue ($79.7M vs $62.7M, roughly 1.3× FINANCIAL INSTITUTIONS INC). Over the past eight quarters, HEALTHSTREAM INC's revenue compounded faster (4.7% 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.
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.
FISI vs HSTM — Head-to-Head
Income Statement — Q1 FY2026 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $62.7M | $79.7M |
| Net Profit | $21.0M | — |
| Gross Margin | — | — |
| Operating Margin | — | 3.0% |
| Net Margin | 33.5% | — |
| Revenue YoY | — | 7.4% |
| Net Profit YoY | 24.3% | — |
| EPS (diluted) | $1.04 | $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 | $62.7M | — | ||
| Q4 25 | $64.1M | $79.7M | ||
| Q3 25 | $63.8M | $76.5M | ||
| Q2 25 | $59.7M | $74.4M | ||
| Q1 25 | $57.2M | $73.5M | ||
| Q4 24 | $41.6M | $74.2M | ||
| Q3 24 | $50.1M | $73.1M | ||
| Q2 24 | $65.2M | $71.6M |
| Q1 26 | $21.0M | — | ||
| Q4 25 | $20.0M | — | ||
| Q3 25 | $20.5M | $6.1M | ||
| Q2 25 | $17.5M | $5.4M | ||
| Q1 25 | $16.9M | $4.3M | ||
| Q4 24 | $-82.8M | — | ||
| Q3 24 | $13.5M | $5.7M | ||
| Q2 24 | $25.6M | $4.2M |
| Q1 26 | — | — | ||
| Q4 25 | 37.4% | 3.0% | ||
| Q3 25 | 39.5% | 9.9% | ||
| Q2 25 | 36.0% | 7.9% | ||
| Q1 25 | 36.0% | 6.0% | ||
| Q4 24 | -276.9% | 6.3% | ||
| Q3 24 | 29.0% | 8.9% | ||
| Q2 24 | 46.2% | 6.2% |
| Q1 26 | 33.5% | — | ||
| Q4 25 | 38.3% | — | ||
| Q3 25 | 32.1% | 8.0% | ||
| Q2 25 | 29.3% | 7.2% | ||
| Q1 25 | 29.5% | 5.9% | ||
| Q4 24 | -198.9% | — | ||
| Q3 24 | 26.9% | 7.8% | ||
| Q2 24 | 39.3% | 5.8% |
| Q1 26 | $1.04 | — | ||
| Q4 25 | $0.96 | $0.09 | ||
| Q3 25 | $0.99 | $0.20 | ||
| Q2 25 | $0.85 | $0.18 | ||
| Q1 25 | $0.81 | $0.14 | ||
| Q4 24 | $-5.32 | $0.16 | ||
| Q3 24 | $0.84 | $0.19 | ||
| Q2 24 | $1.62 | $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 | $85.5M | $36.2M |
| Total DebtLower is stronger | $114.0M | — |
| Stockholders' EquityBook value | — | $354.0M |
| Total Assets | $6.3B | $520.4M |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | $85.5M | — | ||
| Q4 25 | $108.8M | $36.2M | ||
| Q3 25 | $185.9M | $53.5M | ||
| Q2 25 | $93.0M | $52.1M | ||
| Q1 25 | $167.4M | $77.3M | ||
| Q4 24 | $87.3M | $59.5M | ||
| Q3 24 | — | $57.5M | ||
| Q2 24 | — | $46.1M |
| Q1 26 | $114.0M | — | ||
| Q4 25 | $193.7M | — | ||
| Q3 25 | $115.0M | — | ||
| Q2 25 | $115.0M | — | ||
| Q1 25 | $124.9M | — | ||
| Q4 24 | $124.8M | — | ||
| Q3 24 | $124.8M | — | ||
| Q2 24 | $124.7M | — |
| Q1 26 | — | — | ||
| Q4 25 | $628.9M | $354.0M | ||
| Q3 25 | $621.7M | $349.2M | ||
| Q2 25 | $601.7M | $350.6M | ||
| Q1 25 | $589.9M | $362.8M | ||
| Q4 24 | $569.0M | $359.4M | ||
| Q3 24 | $500.3M | $355.5M | ||
| Q2 24 | $467.7M | $349.2M |
| Q1 26 | $6.3B | — | ||
| Q4 25 | $6.3B | $520.4M | ||
| Q3 25 | $6.3B | $499.9M | ||
| Q2 25 | $6.1B | $500.1M | ||
| Q1 25 | $6.3B | $524.0M | ||
| Q4 24 | $6.1B | $510.8M | ||
| Q3 24 | $6.2B | $502.8M | ||
| Q2 24 | $6.1B | $499.6M |
| Q1 26 | — | — | ||
| Q4 25 | 0.31× | — | ||
| Q3 25 | 0.18× | — | ||
| Q2 25 | 0.19× | — | ||
| Q1 25 | 0.21× | — | ||
| Q4 24 | 0.22× | — | ||
| Q3 24 | 0.25× | — | ||
| 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 | | |
|---|---|---|
| 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 | $18.8M | $13.2M | ||
| Q3 25 | $-6.9M | $18.0M | ||
| Q2 25 | $-5.7M | $5.0M | ||
| Q1 25 | $10.0M | $27.1M | ||
| Q4 24 | $77.1M | $11.2M | ||
| Q3 24 | $2.1M | $19.1M | ||
| Q2 24 | $35.7M | $6.5M |
| Q1 26 | — | — | ||
| Q4 25 | $13.3M | $13.0M | ||
| Q3 25 | $-7.9M | $17.9M | ||
| Q2 25 | $-7.3M | $2.7M | ||
| Q1 25 | $9.2M | $26.0M | ||
| Q4 24 | $72.2M | $11.0M | ||
| Q3 24 | $-299.0K | $18.8M | ||
| Q2 24 | $34.7M | $6.3M |
| Q1 26 | — | — | ||
| Q4 25 | 20.7% | 16.3% | ||
| Q3 25 | -12.4% | 23.4% | ||
| Q2 25 | -12.3% | 3.6% | ||
| Q1 25 | 16.1% | 35.4% | ||
| Q4 24 | 173.3% | 14.8% | ||
| Q3 24 | -0.6% | 25.8% | ||
| Q2 24 | 53.3% | 8.8% |
| Q1 26 | — | — | ||
| Q4 25 | 8.7% | 0.3% | ||
| Q3 25 | 1.6% | 0.1% | ||
| Q2 25 | 2.7% | 3.1% | ||
| Q1 25 | 1.4% | 1.4% | ||
| Q4 24 | 11.9% | 0.3% | ||
| Q3 24 | 4.9% | 0.4% | ||
| Q2 24 | 1.5% | 0.2% |
| Q1 26 | — | — | ||
| Q4 25 | 0.94× | — | ||
| Q3 25 | -0.34× | 2.96× | ||
| Q2 25 | -0.33× | 0.93× | ||
| Q1 25 | 0.59× | 6.25× | ||
| Q4 24 | — | — | ||
| Q3 24 | 0.16× | 3.34× | ||
| Q2 24 | 1.39× | 1.55× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
FISI
| Net Interest Income | $52.0M | 83% |
| Noninterest Income | $10.7M | 17% |
HSTM
| Subscription Services | $77.0M | 97% |
| Professional Services | $2.7M | 3% |
