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Side-by-side financial comparison of HEALTHSTREAM INC (HSTM) and SMARTFINANCIAL INC. (SMBK). Click either name above to swap in a different company.

HEALTHSTREAM INC is the larger business by last-quarter revenue ($79.7M vs $53.8M, roughly 1.5× SMARTFINANCIAL INC.). Over the past eight quarters, SMARTFINANCIAL INC.'s revenue compounded faster (15.4% CAGR vs 4.7%).

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.

SmartFinancial Inc. is a U.S.-based bank holding company that operates its wholly owned subsidiary SmartBank. It offers a full range of retail and commercial banking products including deposit accounts, personal and business loans, mortgage services, and wealth management solutions, primarily serving individual customers and small-to-medium enterprises across the Southeastern United States.

HSTM vs SMBK — Head-to-Head

Bigger by revenue
HSTM
HSTM
1.5× larger
HSTM
$79.7M
$53.8M
SMBK
Faster 2-yr revenue CAGR
SMBK
SMBK
Annualised
SMBK
15.4%
4.7%
HSTM

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
HSTM
HSTM
SMBK
SMBK
Revenue
$79.7M
$53.8M
Net Profit
$13.7M
Gross Margin
Operating Margin
3.0%
Net Margin
25.4%
Revenue YoY
7.4%
Net Profit YoY
21.6%
EPS (diluted)
$0.09
$0.81

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
SMBK
SMBK
Q1 26
$53.8M
Q4 25
$79.7M
$53.3M
Q3 25
$76.5M
$51.1M
Q2 25
$74.4M
$49.2M
Q1 25
$73.5M
$46.8M
Q4 24
$74.2M
$46.8M
Q3 24
$73.1M
$44.2M
Q2 24
$71.6M
$40.4M
Net Profit
HSTM
HSTM
SMBK
SMBK
Q1 26
$13.7M
Q4 25
$13.7M
Q3 25
$6.1M
$13.7M
Q2 25
$5.4M
$11.7M
Q1 25
$4.3M
$11.3M
Q4 24
$9.6M
Q3 24
$5.7M
$9.1M
Q2 24
$4.2M
$8.0M
Operating Margin
HSTM
HSTM
SMBK
SMBK
Q1 26
Q4 25
3.0%
31.3%
Q3 25
9.9%
33.2%
Q2 25
7.9%
29.0%
Q1 25
6.0%
29.0%
Q4 24
6.3%
26.5%
Q3 24
8.9%
24.3%
Q2 24
6.2%
25.6%
Net Margin
HSTM
HSTM
SMBK
SMBK
Q1 26
25.4%
Q4 25
25.7%
Q3 25
8.0%
26.8%
Q2 25
7.2%
23.8%
Q1 25
5.9%
24.0%
Q4 24
20.6%
Q3 24
7.8%
20.7%
Q2 24
5.8%
19.8%
EPS (diluted)
HSTM
HSTM
SMBK
SMBK
Q1 26
$0.81
Q4 25
$0.09
$0.81
Q3 25
$0.20
$0.81
Q2 25
$0.18
$0.69
Q1 25
$0.14
$0.67
Q4 24
$0.16
$0.57
Q3 24
$0.19
$0.54
Q2 24
$0.14
$0.48

Balance Sheet & Financial Strength

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

Metric
HSTM
HSTM
SMBK
SMBK
Cash + ST InvestmentsLiquidity on hand
$36.2M
$346.1M
Total DebtLower is stronger
Stockholders' EquityBook value
$354.0M
$562.2M
Total Assets
$520.4M
$5.9B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HSTM
HSTM
SMBK
SMBK
Q1 26
$346.1M
Q4 25
$36.2M
$464.4M
Q3 25
$53.5M
$557.1M
Q2 25
$52.1M
$365.1M
Q1 25
$77.3M
$423.0M
Q4 24
$59.5M
$387.6M
Q3 24
$57.5M
$192.9M
Q2 24
$46.1M
$342.8M
Total Debt
HSTM
HSTM
SMBK
SMBK
Q1 26
Q4 25
Q3 25
$1.3M
Q2 25
$7.0M
Q1 25
$7.6M
Q4 24
$8.1M
Q3 24
$9.0M
Q2 24
$12.7M
Stockholders' Equity
HSTM
HSTM
SMBK
SMBK
Q1 26
$562.2M
Q4 25
$354.0M
$552.4M
Q3 25
$349.2M
$538.4M
Q2 25
$350.6M
$519.0M
Q1 25
$362.8M
$505.8M
Q4 24
$359.4M
$491.3M
Q3 24
$355.5M
$489.0M
Q2 24
$349.2M
$472.5M
Total Assets
HSTM
HSTM
SMBK
SMBK
Q1 26
$5.9B
Q4 25
$520.4M
$5.9B
Q3 25
$499.9M
$5.8B
Q2 25
$500.1M
$5.5B
Q1 25
$524.0M
$5.4B
Q4 24
$510.8M
$5.3B
Q3 24
$502.8M
$4.9B
Q2 24
$499.6M
$4.9B
Debt / Equity
HSTM
HSTM
SMBK
SMBK
Q1 26
Q4 25
Q3 25
0.00×
Q2 25
0.01×
Q1 25
0.02×
Q4 24
0.02×
Q3 24
0.02×
Q2 24
0.03×

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
SMBK
SMBK
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
SMBK
SMBK
Q1 26
Q4 25
$13.2M
$61.7M
Q3 25
$18.0M
$16.9M
Q2 25
$5.0M
$14.0M
Q1 25
$27.1M
$14.3M
Q4 24
$11.2M
$52.7M
Q3 24
$19.1M
$12.4M
Q2 24
$6.5M
$16.5M
Free Cash Flow
HSTM
HSTM
SMBK
SMBK
Q1 26
Q4 25
$13.0M
$59.3M
Q3 25
$17.9M
$16.6M
Q2 25
$2.7M
$13.2M
Q1 25
$26.0M
$13.4M
Q4 24
$11.0M
$46.3M
Q3 24
$18.8M
$11.3M
Q2 24
$6.3M
$15.4M
FCF Margin
HSTM
HSTM
SMBK
SMBK
Q1 26
Q4 25
16.3%
111.3%
Q3 25
23.4%
32.4%
Q2 25
3.6%
26.9%
Q1 25
35.4%
28.5%
Q4 24
14.8%
98.9%
Q3 24
25.8%
25.7%
Q2 24
8.8%
38.2%
Capex Intensity
HSTM
HSTM
SMBK
SMBK
Q1 26
Q4 25
0.3%
4.5%
Q3 25
0.1%
0.6%
Q2 25
3.1%
1.6%
Q1 25
1.4%
2.0%
Q4 24
0.3%
13.7%
Q3 24
0.4%
2.4%
Q2 24
0.2%
2.7%
Cash Conversion
HSTM
HSTM
SMBK
SMBK
Q1 26
Q4 25
4.50×
Q3 25
2.96×
1.23×
Q2 25
0.93×
1.20×
Q1 25
6.25×
1.27×
Q4 24
5.47×
Q3 24
3.34×
1.36×
Q2 24
1.55×
2.07×

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%

SMBK
SMBK

Net Interest Income$45.9M85%
Noninterest Income$7.9M15%

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