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Side-by-side financial comparison of FIRST MID BANCSHARES, INC. (FMBH) and HEALTHSTREAM INC (HSTM). 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 $79.7M, roughly 1.1× HEALTHSTREAM INC). On growth, HEALTHSTREAM INC posted the faster year-over-year revenue change (7.4% vs 3.4%). FIRST MID BANCSHARES, INC. produced more free cash flow last quarter ($124.0M vs $13.0M). Over the past eight quarters, FIRST MID BANCSHARES, INC.'s revenue compounded faster (5.0% CAGR vs 4.7%).

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.

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.

FMBH vs HSTM — Head-to-Head

Bigger by revenue
FMBH
FMBH
1.1× larger
FMBH
$88.2M
$79.7M
HSTM
Growing faster (revenue YoY)
HSTM
HSTM
+4.0% gap
HSTM
7.4%
3.4%
FMBH
More free cash flow
FMBH
FMBH
$111.0M more FCF
FMBH
$124.0M
$13.0M
HSTM
Faster 2-yr revenue CAGR
FMBH
FMBH
Annualised
FMBH
5.0%
4.7%
HSTM

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
FMBH
FMBH
HSTM
HSTM
Revenue
$88.2M
$79.7M
Net Profit
$23.7M
Gross Margin
Operating Margin
34.0%
3.0%
Net Margin
26.8%
Revenue YoY
3.4%
7.4%
Net Profit YoY
23.5%
EPS (diluted)
$0.98
$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.

Revenue
FMBH
FMBH
HSTM
HSTM
Q4 25
$88.2M
$79.7M
Q3 25
$89.3M
$76.5M
Q2 25
$87.5M
$74.4M
Q1 25
$84.3M
$73.5M
Q4 24
$85.3M
$74.2M
Q3 24
$80.6M
$73.1M
Q2 24
$79.2M
$71.6M
Q1 24
$79.9M
$72.8M
Net Profit
FMBH
FMBH
HSTM
HSTM
Q4 25
$23.7M
Q3 25
$22.5M
$6.1M
Q2 25
$23.4M
$5.4M
Q1 25
$22.2M
$4.3M
Q4 24
$19.2M
Q3 24
$19.5M
$5.7M
Q2 24
$19.7M
$4.2M
Q1 24
$20.5M
$5.2M
Operating Margin
FMBH
FMBH
HSTM
HSTM
Q4 25
34.0%
3.0%
Q3 25
32.2%
9.9%
Q2 25
34.4%
7.9%
Q1 25
33.4%
6.0%
Q4 24
29.7%
6.3%
Q3 24
31.5%
8.9%
Q2 24
33.7%
6.2%
Q1 24
33.7%
7.8%
Net Margin
FMBH
FMBH
HSTM
HSTM
Q4 25
26.8%
Q3 25
25.2%
8.0%
Q2 25
26.8%
7.2%
Q1 25
26.3%
5.9%
Q4 24
22.5%
Q3 24
24.2%
7.8%
Q2 24
24.9%
5.8%
Q1 24
25.6%
7.2%
EPS (diluted)
FMBH
FMBH
HSTM
HSTM
Q4 25
$0.98
$0.09
Q3 25
$0.94
$0.20
Q2 25
$0.98
$0.18
Q1 25
$0.93
$0.14
Q4 24
$0.81
$0.16
Q3 24
$0.81
$0.19
Q2 24
$0.82
$0.14
Q1 24
$0.86
$0.17

Balance Sheet & Financial Strength

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

Metric
FMBH
FMBH
HSTM
HSTM
Cash + ST InvestmentsLiquidity on hand
$36.2M
Total DebtLower is stronger
$354.5M
Stockholders' EquityBook value
$958.7M
$354.0M
Total Assets
$8.0B
$520.4M
Debt / EquityLower = less leverage
0.37×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FMBH
FMBH
HSTM
HSTM
Q4 25
$36.2M
Q3 25
$53.5M
Q2 25
$52.1M
Q1 25
$77.3M
Q4 24
$59.5M
Q3 24
$57.5M
Q2 24
$46.1M
Q1 24
$52.4M
Total Debt
FMBH
FMBH
HSTM
HSTM
Q4 25
$354.5M
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
Q1 24
Stockholders' Equity
FMBH
FMBH
HSTM
HSTM
Q4 25
$958.7M
$354.0M
Q3 25
$932.2M
$349.2M
Q2 25
$894.1M
$350.6M
Q1 25
$870.9M
$362.8M
Q4 24
$846.4M
$359.4M
Q3 24
$858.5M
$355.5M
Q2 24
$813.6M
$349.2M
Q1 24
$798.0M
$344.9M
Total Assets
FMBH
FMBH
HSTM
HSTM
Q4 25
$8.0B
$520.4M
Q3 25
$7.8B
$499.9M
Q2 25
$7.7B
$500.1M
Q1 25
$7.6B
$524.0M
Q4 24
$7.5B
$510.8M
Q3 24
$7.6B
$502.8M
Q2 24
$7.6B
$499.6M
Q1 24
$7.7B
$511.6M
Debt / Equity
FMBH
FMBH
HSTM
HSTM
Q4 25
0.37×
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
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
HSTM
HSTM
Operating Cash FlowLast quarter
$130.9M
$13.2M
Free Cash FlowOCF − Capex
$124.0M
$13.0M
FCF MarginFCF / Revenue
140.6%
16.3%
Capex IntensityCapex / Revenue
7.8%
0.3%
Cash ConversionOCF / Net Profit
5.53×
TTM Free Cash FlowTrailing 4 quarters
$207.9M
$59.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FMBH
FMBH
HSTM
HSTM
Q4 25
$130.9M
$13.2M
Q3 25
$33.0M
$18.0M
Q2 25
$7.7M
$5.0M
Q1 25
$47.9M
$27.1M
Q4 24
$124.4M
$11.2M
Q3 24
$33.1M
$19.1M
Q2 24
$24.0M
$6.5M
Q1 24
$29.0M
$20.9M
Free Cash Flow
FMBH
FMBH
HSTM
HSTM
Q4 25
$124.0M
$13.0M
Q3 25
$31.9M
$17.9M
Q2 25
$6.0M
$2.7M
Q1 25
$46.0M
$26.0M
Q4 24
$119.5M
$11.0M
Q3 24
$32.0M
$18.8M
Q2 24
$22.9M
$6.3M
Q1 24
$27.6M
$20.2M
FCF Margin
FMBH
FMBH
HSTM
HSTM
Q4 25
140.6%
16.3%
Q3 25
35.8%
23.4%
Q2 25
6.8%
3.6%
Q1 25
54.5%
35.4%
Q4 24
140.0%
14.8%
Q3 24
39.7%
25.8%
Q2 24
28.9%
8.8%
Q1 24
34.5%
27.8%
Capex Intensity
FMBH
FMBH
HSTM
HSTM
Q4 25
7.8%
0.3%
Q3 25
1.2%
0.1%
Q2 25
2.0%
3.1%
Q1 25
2.3%
1.4%
Q4 24
5.8%
0.3%
Q3 24
1.4%
0.4%
Q2 24
1.4%
0.2%
Q1 24
1.9%
1.0%
Cash Conversion
FMBH
FMBH
HSTM
HSTM
Q4 25
5.53×
Q3 25
1.47×
2.96×
Q2 25
0.33×
0.93×
Q1 25
2.16×
6.25×
Q4 24
6.49×
Q3 24
1.70×
3.34×
Q2 24
1.21×
1.55×
Q1 24
1.42×
4.01×

Financial Flow Comparison

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

Revenue Breakdown by Segment

FMBH
FMBH

Segment breakdown not available.

HSTM
HSTM

Subscription Services$77.0M97%
Professional Services$2.7M3%

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