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Side-by-side financial comparison of ALERUS FINANCIAL CORP (ALRS) and ESTABLISHMENT LABS HOLDINGS INC. (ESTA). Click either name above to swap in a different company.

ESTABLISHMENT LABS HOLDINGS INC. is the larger business by last-quarter revenue ($64.6M vs $45.2M, roughly 1.4× ALERUS FINANCIAL CORP). On growth, ESTABLISHMENT LABS HOLDINGS INC. posted the faster year-over-year revenue change (45.2% vs 18.0%). ALERUS FINANCIAL CORP produced more free cash flow last quarter ($58.8M vs $-2.0M). Over the past eight quarters, ESTABLISHMENT LABS HOLDINGS INC.'s revenue compounded faster (31.9% CAGR vs -2.5%).

Alerus Financial Corporation, marketed as simply Alerus, is a chain of financial institutions headquartered in Grand Forks, North Dakota, with locations in North Dakota, Minnesota, Wisconsin, and Arizona. Alerus offers banking, mortgage, wealth management, and retirement services.

Astera Labs, Inc. is an American fabless semiconductor manufacturer and artificial intelligence company. The company specializes in designing high-speed connectivity solutions for data centers and AI infrastructure. The company has been listed on the Nasdaq since March 2024.

ALRS vs ESTA — Head-to-Head

Bigger by revenue
ESTA
ESTA
1.4× larger
ESTA
$64.6M
$45.2M
ALRS
Growing faster (revenue YoY)
ESTA
ESTA
+27.2% gap
ESTA
45.2%
18.0%
ALRS
More free cash flow
ALRS
ALRS
$60.8M more FCF
ALRS
$58.8M
$-2.0M
ESTA
Faster 2-yr revenue CAGR
ESTA
ESTA
Annualised
ESTA
31.9%
-2.5%
ALRS

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ALRS
ALRS
ESTA
ESTA
Revenue
$45.2M
$64.6M
Net Profit
$-33.1M
Gross Margin
70.5%
Operating Margin
-96.0%
-6.1%
Net Margin
-73.2%
Revenue YoY
18.0%
45.2%
Net Profit YoY
-49232.8%
EPS (diluted)
$-1.27
$-0.07

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
ALRS
ALRS
ESTA
ESTA
Q4 25
$45.2M
$64.6M
Q3 25
$72.6M
$53.8M
Q2 25
$74.8M
$51.3M
Q1 25
$68.8M
$41.4M
Q4 24
$72.2M
$44.5M
Q3 24
$50.9M
$40.2M
Q2 24
$51.4M
$44.1M
Q1 24
$47.5M
$37.2M
Net Profit
ALRS
ALRS
ESTA
ESTA
Q4 25
$-33.1M
Q3 25
$16.9M
$-11.1M
Q2 25
$20.3M
$-16.6M
Q1 25
$13.3M
$-20.7M
Q4 24
$-67.0K
Q3 24
$5.2M
$-16.7M
Q2 24
$6.2M
$-17.2M
Q1 24
$6.4M
$-16.2M
Gross Margin
ALRS
ALRS
ESTA
ESTA
Q4 25
70.5%
Q3 25
70.1%
Q2 25
68.8%
Q1 25
67.2%
Q4 24
68.5%
Q3 24
63.9%
Q2 24
65.6%
Q1 24
65.6%
Operating Margin
ALRS
ALRS
ESTA
ESTA
Q4 25
-96.0%
-6.1%
Q3 25
30.4%
-7.5%
Q2 25
35.2%
-27.5%
Q1 25
25.5%
-41.0%
Q4 24
-0.8%
-41.9%
Q3 24
13.4%
-32.7%
Q2 24
15.8%
-21.2%
Q1 24
17.9%
-23.8%
Net Margin
ALRS
ALRS
ESTA
ESTA
Q4 25
-73.2%
Q3 25
23.3%
-20.7%
Q2 25
27.1%
-32.3%
Q1 25
19.4%
-50.1%
Q4 24
-0.2%
Q3 24
10.2%
-41.5%
Q2 24
12.1%
-38.9%
Q1 24
13.5%
-43.6%
EPS (diluted)
ALRS
ALRS
ESTA
ESTA
Q4 25
$-1.27
$-0.07
Q3 25
$0.65
$-0.38
Q2 25
$0.78
$-0.57
Q1 25
$0.52
$-0.70
Q4 24
$-0.06
$-1.21
Q3 24
$0.26
$-0.59
Q2 24
$0.31
$-0.62
Q1 24
$0.32
$-0.58

Balance Sheet & Financial Strength

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

Metric
ALRS
ALRS
ESTA
ESTA
Cash + ST InvestmentsLiquidity on hand
$67.2M
$75.6M
Total DebtLower is stronger
$59.2M
Stockholders' EquityBook value
$564.9M
$23.5M
Total Assets
$5.2B
$357.2M
Debt / EquityLower = less leverage
0.10×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ALRS
ALRS
ESTA
ESTA
Q4 25
$67.2M
$75.6M
Q3 25
$92.0M
$70.6M
Q2 25
$80.9M
$54.6M
Q1 25
$83.0M
$69.2M
Q4 24
$61.2M
$90.3M
Q3 24
$66.0M
Q2 24
$438.1M
Q1 24
$545.8M
Total Debt
ALRS
ALRS
ESTA
ESTA
Q4 25
$59.2M
Q3 25
$59.2M
Q2 25
$59.1M
Q1 25
$59.1M
Q4 24
$59.1M
$0
Q3 24
$59.0M
Q2 24
$59.0M
Q1 24
$59.0M
Stockholders' Equity
ALRS
ALRS
ESTA
ESTA
Q4 25
$564.9M
$23.5M
Q3 25
$550.7M
$16.4M
Q2 25
$533.2M
$22.8M
Q1 25
$514.2M
$38.5M
Q4 24
$495.4M
$53.1M
Q3 24
$386.5M
$32.7M
Q2 24
$373.2M
$45.0M
Q1 24
$371.6M
$56.9M
Total Assets
ALRS
ALRS
ESTA
ESTA
Q4 25
$5.2B
$357.2M
Q3 25
$5.3B
$338.9M
Q2 25
$5.3B
$329.7M
Q1 25
$5.3B
$333.4M
Q4 24
$5.3B
$346.8M
Q3 24
$4.4B
$282.7M
Q2 24
$4.4B
$285.1M
Q1 24
$4.3B
$301.8M
Debt / Equity
ALRS
ALRS
ESTA
ESTA
Q4 25
0.10×
Q3 25
0.11×
Q2 25
0.11×
Q1 25
0.11×
Q4 24
0.12×
0.00×
Q3 24
0.15×
Q2 24
0.16×
Q1 24
0.16×

Cash Flow & Capital Efficiency

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

Metric
ALRS
ALRS
ESTA
ESTA
Operating Cash FlowLast quarter
$67.5M
$-162.0K
Free Cash FlowOCF − Capex
$58.8M
$-2.0M
FCF MarginFCF / Revenue
130.2%
-3.1%
Capex IntensityCapex / Revenue
19.3%
2.8%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$102.4M
$-56.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ALRS
ALRS
ESTA
ESTA
Q4 25
$67.5M
$-162.0K
Q3 25
$32.8M
$-11.3M
Q2 25
$10.7M
$-18.8M
Q1 25
$7.7M
$-20.7M
Q4 24
$21.7M
$-20.7M
Q3 24
$20.2M
$-12.5M
Q2 24
$-12.5M
$-14.2M
Q1 24
$11.7M
$-11.2M
Free Cash Flow
ALRS
ALRS
ESTA
ESTA
Q4 25
$58.8M
$-2.0M
Q3 25
$30.3M
$-13.1M
Q2 25
$7.6M
$-20.4M
Q1 25
$5.7M
$-21.5M
Q4 24
$9.4M
$-21.3M
Q3 24
$17.4M
$-13.9M
Q2 24
$-16.1M
$-15.0M
Q1 24
$10.8M
$-14.5M
FCF Margin
ALRS
ALRS
ESTA
ESTA
Q4 25
130.2%
-3.1%
Q3 25
41.8%
-24.4%
Q2 25
10.1%
-39.7%
Q1 25
8.2%
-51.9%
Q4 24
13.0%
-47.8%
Q3 24
34.2%
-34.6%
Q2 24
-31.4%
-33.9%
Q1 24
22.8%
-38.9%
Capex Intensity
ALRS
ALRS
ESTA
ESTA
Q4 25
19.3%
2.8%
Q3 25
3.4%
3.4%
Q2 25
4.2%
3.2%
Q1 25
3.0%
1.8%
Q4 24
17.1%
1.2%
Q3 24
5.4%
3.7%
Q2 24
7.2%
1.8%
Q1 24
1.9%
8.9%
Cash Conversion
ALRS
ALRS
ESTA
ESTA
Q4 25
Q3 25
1.94×
Q2 25
0.53×
Q1 25
0.58×
Q4 24
Q3 24
3.88×
Q2 24
-2.01×
Q1 24
1.82×

Financial Flow Comparison

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

Revenue Breakdown by Segment

ALRS
ALRS

Other$17.3M38%
Retirement And Benefit Services$17.3M38%
Wealth Management$7.4M16%
Mortgage Banking$3.2M7%

ESTA
ESTA

Segment breakdown not available.

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