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Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and James River Group Holdings, Inc. (JRVR). Click either name above to swap in a different company.

James River Group Holdings, Inc. is the larger business by last-quarter revenue ($151.4M vs $79.7M, roughly 1.9× HEALTHSTREAM INC). On growth, HEALTHSTREAM INC posted the faster year-over-year revenue change (7.4% vs -12.1%). Over the past eight quarters, HEALTHSTREAM INC's revenue compounded faster (4.7% CAGR vs -10.3%).

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.

James River Corporation was an American pulp and paper company based in Richmond, Virginia, once the largest paper manufacturer in the world.

HSTM vs JRVR — Head-to-Head

Bigger by revenue
JRVR
JRVR
1.9× larger
JRVR
$151.4M
$79.7M
HSTM
Growing faster (revenue YoY)
HSTM
HSTM
+19.5% gap
HSTM
7.4%
-12.1%
JRVR
Faster 2-yr revenue CAGR
HSTM
HSTM
Annualised
HSTM
4.7%
-10.3%
JRVR

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
HSTM
HSTM
JRVR
JRVR
Revenue
$79.7M
$151.4M
Net Profit
Gross Margin
Operating Margin
3.0%
Net Margin
Revenue YoY
7.4%
-12.1%
Net Profit YoY
EPS (diluted)
$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
HSTM
HSTM
JRVR
JRVR
Q1 26
$151.4M
Q4 25
$79.7M
$167.7M
Q3 25
$76.5M
$172.7M
Q2 25
$74.4M
$174.8M
Q1 25
$73.5M
$172.3M
Q4 24
$74.2M
$126.7M
Q3 24
$73.1M
$191.5M
Q2 24
$71.6M
$188.3M
Net Profit
HSTM
HSTM
JRVR
JRVR
Q1 26
Q4 25
$32.1M
Q3 25
$6.1M
$1.0M
Q2 25
$5.4M
$4.8M
Q1 25
$4.3M
$9.6M
Q4 24
$-64.8M
Q3 24
$5.7M
$-39.4M
Q2 24
$4.2M
$7.6M
Operating Margin
HSTM
HSTM
JRVR
JRVR
Q1 26
Q4 25
3.0%
14.6%
Q3 25
9.9%
1.5%
Q2 25
7.9%
4.2%
Q1 25
6.0%
9.3%
Q4 24
6.3%
-57.0%
Q3 24
8.9%
-27.1%
Q2 24
6.2%
10.7%
Net Margin
HSTM
HSTM
JRVR
JRVR
Q1 26
Q4 25
19.1%
Q3 25
8.0%
0.6%
Q2 25
7.2%
2.7%
Q1 25
5.9%
5.6%
Q4 24
-51.1%
Q3 24
7.8%
-20.6%
Q2 24
5.8%
4.0%
EPS (diluted)
HSTM
HSTM
JRVR
JRVR
Q1 26
Q4 25
$0.09
$0.59
Q3 25
$0.20
$-0.02
Q2 25
$0.18
$0.06
Q1 25
$0.14
$0.16
Q4 24
$0.16
$-2.44
Q3 24
$0.19
$-1.10
Q2 24
$0.14
$0.13

Balance Sheet & Financial Strength

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

Metric
HSTM
HSTM
JRVR
JRVR
Cash + ST InvestmentsLiquidity on hand
$36.2M
$228.2M
Total DebtLower is stronger
Stockholders' EquityBook value
$354.0M
$518.4M
Total Assets
$520.4M
$4.8B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HSTM
HSTM
JRVR
JRVR
Q1 26
$228.2M
Q4 25
$36.2M
$260.9M
Q3 25
$53.5M
$238.8M
Q2 25
$52.1M
$220.0M
Q1 25
$77.3M
$279.4M
Q4 24
$59.5M
$362.3M
Q3 24
$57.5M
$359.8M
Q2 24
$46.1M
$672.5M
Stockholders' Equity
HSTM
HSTM
JRVR
JRVR
Q1 26
$518.4M
Q4 25
$354.0M
$538.2M
Q3 25
$349.2M
$503.6M
Q2 25
$350.6M
$492.6M
Q1 25
$362.8M
$484.5M
Q4 24
$359.4M
$460.9M
Q3 24
$355.5M
$530.3M
Q2 24
$349.2M
$541.8M
Total Assets
HSTM
HSTM
JRVR
JRVR
Q1 26
$4.8B
Q4 25
$520.4M
$4.9B
Q3 25
$499.9M
$5.0B
Q2 25
$500.1M
$5.0B
Q1 25
$524.0M
$4.9B
Q4 24
$510.8M
$5.0B
Q3 24
$502.8M
$5.0B
Q2 24
$499.6M
$4.7B

Cash Flow & Capital Efficiency

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

Metric
HSTM
HSTM
JRVR
JRVR
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.

Operating Cash Flow
HSTM
HSTM
JRVR
JRVR
Q1 26
Q4 25
$13.2M
$-18.8M
Q3 25
$18.0M
$34.3M
Q2 25
$5.0M
$25.2M
Q1 25
$27.1M
$-51.5M
Q4 24
$11.2M
$-247.1M
Q3 24
$19.1M
$-269.9M
Q2 24
$6.5M
$-8.7M
Free Cash Flow
HSTM
HSTM
JRVR
JRVR
Q1 26
Q4 25
$13.0M
$-23.6M
Q3 25
$17.9M
$33.7M
Q2 25
$2.7M
$24.7M
Q1 25
$26.0M
$-52.7M
Q4 24
$11.0M
$-252.0M
Q3 24
$18.8M
$-270.8M
Q2 24
$6.3M
$-9.3M
FCF Margin
HSTM
HSTM
JRVR
JRVR
Q1 26
Q4 25
16.3%
-14.1%
Q3 25
23.4%
19.5%
Q2 25
3.6%
14.1%
Q1 25
35.4%
-30.6%
Q4 24
14.8%
-198.9%
Q3 24
25.8%
-141.4%
Q2 24
8.8%
-4.9%
Capex Intensity
HSTM
HSTM
JRVR
JRVR
Q1 26
Q4 25
0.3%
2.9%
Q3 25
0.1%
0.4%
Q2 25
3.1%
0.3%
Q1 25
1.4%
0.7%
Q4 24
0.3%
3.9%
Q3 24
0.4%
0.4%
Q2 24
0.2%
0.3%
Cash Conversion
HSTM
HSTM
JRVR
JRVR
Q1 26
Q4 25
-0.59×
Q3 25
2.96×
33.61×
Q2 25
0.93×
5.29×
Q1 25
6.25×
-5.38×
Q4 24
Q3 24
3.34×
Q2 24
1.55×
-1.14×

Financial Flow Comparison

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

Revenue Breakdown by Segment

HSTM
HSTM

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

JRVR
JRVR

Segment breakdown not available.

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