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Side-by-side financial comparison of FIRST MID BANCSHARES, INC. (FMBH) and Health Catalyst, Inc. (HCAT). Click either name above to swap in a different company.

FIRST MID BANCSHARES, INC. is the larger business by last-quarter revenue ($88.2M vs $74.7M, roughly 1.2× Health Catalyst, Inc.). FIRST MID BANCSHARES, INC. runs the higher net margin — 26.8% vs -121.9%, a 148.7% gap on every dollar of revenue. On growth, FIRST MID BANCSHARES, INC. posted the faster year-over-year revenue change (3.4% vs -6.2%). FIRST MID BANCSHARES, INC. produced more free cash flow last quarter ($124.0M vs $9.6M). Over the past eight quarters, FIRST MID BANCSHARES, INC.'s revenue compounded faster (5.0% CAGR vs -0.0%).

First Mid Bancshares Inc. is a U.S.-headquartered regional financial services holding company. It provides full-range retail and commercial banking products, wealth management, insurance solutions, and agricultural financing, mainly serving individual consumers, small and medium-sized enterprises, and agricultural clients across multiple Midwestern states including Illinois, Missouri, and Indiana.

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...

FMBH vs HCAT — Head-to-Head

Bigger by revenue
FMBH
FMBH
1.2× larger
FMBH
$88.2M
$74.7M
HCAT
Growing faster (revenue YoY)
FMBH
FMBH
+9.6% gap
FMBH
3.4%
-6.2%
HCAT
Higher net margin
FMBH
FMBH
148.7% more per $
FMBH
26.8%
-121.9%
HCAT
More free cash flow
FMBH
FMBH
$114.4M more FCF
FMBH
$124.0M
$9.6M
HCAT
Faster 2-yr revenue CAGR
FMBH
FMBH
Annualised
FMBH
5.0%
-0.0%
HCAT

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
FMBH
FMBH
HCAT
HCAT
Revenue
$88.2M
$74.7M
Net Profit
$23.7M
$-91.0M
Gross Margin
Operating Margin
34.0%
-115.3%
Net Margin
26.8%
-121.9%
Revenue YoY
3.4%
-6.2%
Net Profit YoY
23.5%
-340.3%
EPS (diluted)
$0.98
$-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
FMBH
FMBH
HCAT
HCAT
Q4 25
$88.2M
$74.7M
Q3 25
$89.3M
$76.3M
Q2 25
$87.5M
$80.7M
Q1 25
$84.3M
$79.4M
Q4 24
$85.3M
$79.6M
Q3 24
$80.6M
$76.4M
Q2 24
$79.2M
$75.9M
Q1 24
$79.9M
$74.7M
Net Profit
FMBH
FMBH
HCAT
HCAT
Q4 25
$23.7M
$-91.0M
Q3 25
$22.5M
$-22.2M
Q2 25
$23.4M
$-41.0M
Q1 25
$22.2M
$-23.7M
Q4 24
$19.2M
$-20.7M
Q3 24
$19.5M
$-14.7M
Q2 24
$19.7M
$-13.5M
Q1 24
$20.5M
$-20.6M
Gross Margin
FMBH
FMBH
HCAT
HCAT
Q4 25
Q3 25
52.6%
Q2 25
Q1 25
Q4 24
Q3 24
47.5%
Q2 24
Q1 24
Operating Margin
FMBH
FMBH
HCAT
HCAT
Q4 25
34.0%
-115.3%
Q3 25
32.2%
-22.9%
Q2 25
34.4%
-46.0%
Q1 25
33.4%
-25.4%
Q4 24
29.7%
-22.0%
Q3 24
31.5%
-17.9%
Q2 24
33.7%
-20.8%
Q1 24
33.7%
-30.5%
Net Margin
FMBH
FMBH
HCAT
HCAT
Q4 25
26.8%
-121.9%
Q3 25
25.2%
-29.1%
Q2 25
26.8%
-50.8%
Q1 25
26.3%
-29.9%
Q4 24
22.5%
-26.0%
Q3 24
24.2%
-19.3%
Q2 24
24.9%
-17.8%
Q1 24
25.6%
-27.6%
EPS (diluted)
FMBH
FMBH
HCAT
HCAT
Q4 25
$0.98
$-1.29
Q3 25
$0.94
$-0.32
Q2 25
$0.98
$-0.59
Q1 25
$0.93
$-0.35
Q4 24
$0.81
$-0.33
Q3 24
$0.81
$-0.24
Q2 24
$0.82
$-0.23
Q1 24
$0.86
$-0.35

Balance Sheet & Financial Strength

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

Metric
FMBH
FMBH
HCAT
HCAT
Cash + ST InvestmentsLiquidity on hand
$95.7M
Total DebtLower is stronger
$354.5M
$153.3M
Stockholders' EquityBook value
$958.7M
$245.8M
Total Assets
$8.0B
$502.6M
Debt / EquityLower = less leverage
0.37×
0.62×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FMBH
FMBH
HCAT
HCAT
Q4 25
$95.7M
Q3 25
$91.5M
Q2 25
$97.3M
Q1 25
$342.0M
Q4 24
$392.0M
Q3 24
$387.3M
Q2 24
$308.3M
Q1 24
$327.8M
Total Debt
FMBH
FMBH
HCAT
HCAT
Q4 25
$354.5M
$153.3M
Q3 25
$153.1M
Q2 25
$153.0M
Q1 25
$382.9M
Q4 24
$382.4M
Q3 24
$345.0M
Q2 24
Q1 24
Stockholders' Equity
FMBH
FMBH
HCAT
HCAT
Q4 25
$958.7M
$245.8M
Q3 25
$932.2M
$331.9M
Q2 25
$894.1M
$347.5M
Q1 25
$870.9M
$376.8M
Q4 24
$846.4M
$365.2M
Q3 24
$858.5M
$355.0M
Q2 24
$813.6M
$357.0M
Q1 24
$798.0M
$357.2M
Total Assets
FMBH
FMBH
HCAT
HCAT
Q4 25
$8.0B
$502.6M
Q3 25
$7.8B
$587.1M
Q2 25
$7.7B
$616.2M
Q1 25
$7.6B
$891.5M
Q4 24
$7.5B
$858.9M
Q3 24
$7.6B
$813.0M
Q2 24
$7.6B
$691.7M
Q1 24
$7.7B
$695.1M
Debt / Equity
FMBH
FMBH
HCAT
HCAT
Q4 25
0.37×
0.62×
Q3 25
0.46×
Q2 25
0.44×
Q1 25
1.02×
Q4 24
1.05×
Q3 24
0.97×
Q2 24
Q1 24

Cash Flow & Capital Efficiency

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

Metric
FMBH
FMBH
HCAT
HCAT
Operating Cash FlowLast quarter
$130.9M
$9.9M
Free Cash FlowOCF − Capex
$124.0M
$9.6M
FCF MarginFCF / Revenue
140.6%
12.9%
Capex IntensityCapex / Revenue
7.8%
0.4%
Cash ConversionOCF / Net Profit
5.53×
TTM Free Cash FlowTrailing 4 quarters
$207.9M
$-697.0K

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FMBH
FMBH
HCAT
HCAT
Q4 25
$130.9M
$9.9M
Q3 25
$33.0M
$-464.0K
Q2 25
$7.7M
$-9.0M
Q1 25
$47.9M
$280.0K
Q4 24
$124.4M
$-3.5M
Q3 24
$33.1M
$6.2M
Q2 24
$24.0M
$1.6M
Q1 24
$29.0M
$10.3M
Free Cash Flow
FMBH
FMBH
HCAT
HCAT
Q4 25
$124.0M
$9.6M
Q3 25
$31.9M
$-719.0K
Q2 25
$6.0M
$-9.2M
Q1 25
$46.0M
$-390.0K
Q4 24
$119.5M
$-3.9M
Q3 24
$32.0M
$5.5M
Q2 24
$22.9M
$1.3M
Q1 24
$27.6M
$10.1M
FCF Margin
FMBH
FMBH
HCAT
HCAT
Q4 25
140.6%
12.9%
Q3 25
35.8%
-0.9%
Q2 25
6.8%
-11.4%
Q1 25
54.5%
-0.5%
Q4 24
140.0%
-4.9%
Q3 24
39.7%
7.2%
Q2 24
28.9%
1.7%
Q1 24
34.5%
13.5%
Capex Intensity
FMBH
FMBH
HCAT
HCAT
Q4 25
7.8%
0.4%
Q3 25
1.2%
0.3%
Q2 25
2.0%
0.3%
Q1 25
2.3%
0.8%
Q4 24
5.8%
0.5%
Q3 24
1.4%
0.9%
Q2 24
1.4%
0.4%
Q1 24
1.9%
0.3%
Cash Conversion
FMBH
FMBH
HCAT
HCAT
Q4 25
5.53×
Q3 25
1.47×
Q2 25
0.33×
Q1 25
2.16×
Q4 24
6.49×
Q3 24
1.70×
Q2 24
1.21×
Q1 24
1.42×

Financial Flow Comparison

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

Revenue Breakdown by Segment

FMBH
FMBH

Segment breakdown not available.

HCAT
HCAT

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

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