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Side-by-side financial comparison of Ceribell, Inc. (CBLL) and Spok Holdings, Inc (SPOK). Click either name above to swap in a different company.

Spok Holdings, Inc is the larger business by last-quarter revenue ($33.9M vs $24.8M, roughly 1.4× Ceribell, Inc.). Spok Holdings, Inc runs the higher net margin — 8.7% vs -54.6%, a 63.2% gap on every dollar of revenue. Spok Holdings, Inc produced more free cash flow last quarter ($10.1M vs $-11.0M).

Ceribell, Inc. develops and commercializes innovative portable neurodiagnostic medical devices, focused on rapid non-invasive electroencephalogram (EEG) solutions for seizure detection. Its core products serve hospital emergency departments, intensive care units, and long-term care facilities, with primary markets across North America and ongoing global expansion efforts.

Spok Holdings, Inc. is a global provider of critical communication solutions primarily serving the healthcare industry. It offers unified clinical communication platforms, secure messaging tools, alerting systems, and on-call scheduling software that help care teams coordinate efficiently, cut response times, and boost patient safety across medical facilities.

CBLL vs SPOK — Head-to-Head

Bigger by revenue
SPOK
SPOK
1.4× larger
SPOK
$33.9M
$24.8M
CBLL
Higher net margin
SPOK
SPOK
63.2% more per $
SPOK
8.7%
-54.6%
CBLL
More free cash flow
SPOK
SPOK
$21.1M more FCF
SPOK
$10.1M
$-11.0M
CBLL

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
CBLL
CBLL
SPOK
SPOK
Revenue
$24.8M
$33.9M
Net Profit
$-13.5M
$2.9M
Gross Margin
87.3%
76.7%
Operating Margin
-58.9%
11.6%
Net Margin
-54.6%
8.7%
Revenue YoY
-0.1%
Net Profit YoY
-19.6%
EPS (diluted)
$-0.35
$0.13

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
CBLL
CBLL
SPOK
SPOK
Q4 25
$24.8M
$33.9M
Q3 25
$22.6M
$33.9M
Q2 25
$21.2M
$35.7M
Q1 25
$20.5M
$36.3M
Q4 24
$33.9M
Q3 24
$17.2M
$34.9M
Q2 24
$34.0M
Q1 24
$34.9M
Net Profit
CBLL
CBLL
SPOK
SPOK
Q4 25
$-13.5M
$2.9M
Q3 25
$-13.5M
$3.2M
Q2 25
$-13.6M
$4.6M
Q1 25
$-12.8M
$5.2M
Q4 24
$3.6M
Q3 24
$-10.4M
$3.7M
Q2 24
$3.4M
Q1 24
$4.2M
Gross Margin
CBLL
CBLL
SPOK
SPOK
Q4 25
87.3%
76.7%
Q3 25
88.3%
78.3%
Q2 25
88.1%
79.5%
Q1 25
87.9%
80.1%
Q4 24
78.5%
Q3 24
87.3%
79.5%
Q2 24
78.9%
Q1 24
79.5%
Operating Margin
CBLL
CBLL
SPOK
SPOK
Q4 25
-58.9%
11.6%
Q3 25
-64.8%
12.9%
Q2 25
-70.5%
15.1%
Q1 25
-69.3%
16.6%
Q4 24
13.7%
Q3 24
-57.8%
14.2%
Q2 24
13.2%
Q1 24
14.0%
Net Margin
CBLL
CBLL
SPOK
SPOK
Q4 25
-54.6%
8.7%
Q3 25
-59.6%
9.5%
Q2 25
-64.4%
12.8%
Q1 25
-62.4%
14.3%
Q4 24
10.8%
Q3 24
-60.6%
10.5%
Q2 24
10.1%
Q1 24
12.1%
EPS (diluted)
CBLL
CBLL
SPOK
SPOK
Q4 25
$-0.35
$0.13
Q3 25
$-0.37
$0.15
Q2 25
$-0.38
$0.22
Q1 25
$-0.36
$0.25
Q4 24
$0.17
Q3 24
$-1.85
$0.18
Q2 24
$0.17
Q1 24
$0.21

Balance Sheet & Financial Strength

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

Metric
CBLL
CBLL
SPOK
SPOK
Cash + ST InvestmentsLiquidity on hand
$159.3M
$25.3M
Total DebtLower is stronger
Stockholders' EquityBook value
$155.3M
$146.4M
Total Assets
$195.8M
$206.1M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
CBLL
CBLL
SPOK
SPOK
Q4 25
$159.3M
$25.3M
Q3 25
$168.5M
$21.4M
Q2 25
$177.4M
$20.2M
Q1 25
$182.7M
$19.9M
Q4 24
$29.1M
Q3 24
$14.1M
$27.8M
Q2 24
$23.9M
Q1 24
$23.3M
Stockholders' Equity
CBLL
CBLL
SPOK
SPOK
Q4 25
$155.3M
$146.4M
Q3 25
$164.1M
$148.7M
Q2 25
$172.2M
$150.9M
Q1 25
$180.9M
$151.7M
Q4 24
$154.7M
Q3 24
$-136.0M
$156.3M
Q2 24
$158.2M
Q1 24
$160.2M
Total Assets
CBLL
CBLL
SPOK
SPOK
Q4 25
$195.8M
$206.1M
Q3 25
$199.5M
$209.7M
Q2 25
$207.7M
$208.7M
Q1 25
$213.5M
$204.5M
Q4 24
$217.1M
Q3 24
$47.1M
$216.8M
Q2 24
$216.4M
Q1 24
$215.0M

Cash Flow & Capital Efficiency

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

Metric
CBLL
CBLL
SPOK
SPOK
Operating Cash FlowLast quarter
$-10.8M
$11.5M
Free Cash FlowOCF − Capex
$-11.0M
$10.1M
FCF MarginFCF / Revenue
-44.2%
29.9%
Capex IntensityCapex / Revenue
0.7%
4.1%
Cash ConversionOCF / Net Profit
3.93×
TTM Free Cash FlowTrailing 4 quarters
$-41.6M
$25.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
CBLL
CBLL
SPOK
SPOK
Q4 25
$-10.8M
$11.5M
Q3 25
$-11.1M
$8.1M
Q2 25
$-7.5M
$7.0M
Q1 25
$-11.4M
$2.3M
Q4 24
$8.4M
Q3 24
$11.1M
Q2 24
$7.4M
Q1 24
$2.0M
Free Cash Flow
CBLL
CBLL
SPOK
SPOK
Q4 25
$-11.0M
$10.1M
Q3 25
$-11.5M
$7.6M
Q2 25
$-7.6M
$6.0M
Q1 25
$-11.6M
$1.5M
Q4 24
$7.5M
Q3 24
$10.3M
Q2 24
$6.8M
Q1 24
$1.1M
FCF Margin
CBLL
CBLL
SPOK
SPOK
Q4 25
-44.2%
29.9%
Q3 25
-50.8%
22.4%
Q2 25
-35.9%
16.8%
Q1 25
-56.4%
4.2%
Q4 24
22.3%
Q3 24
29.4%
Q2 24
20.0%
Q1 24
3.2%
Capex Intensity
CBLL
CBLL
SPOK
SPOK
Q4 25
0.7%
4.1%
Q3 25
1.6%
1.6%
Q2 25
0.3%
2.9%
Q1 25
0.7%
2.1%
Q4 24
2.5%
Q3 24
2.4%
Q2 24
1.9%
Q1 24
2.5%
Cash Conversion
CBLL
CBLL
SPOK
SPOK
Q4 25
3.93×
Q3 25
2.54×
Q2 25
1.55×
Q1 25
0.43×
Q4 24
2.31×
Q3 24
3.03×
Q2 24
2.17×
Q1 24
0.47×

Financial Flow Comparison

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

Revenue Breakdown by Segment

CBLL
CBLL

Products$18.8M76%
Subscription$6.0M24%

SPOK
SPOK

Paging$16.8M50%
Software Operations$16.0M47%
License$1.2M4%

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