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Side-by-side financial comparison of Envoy Medical, Inc. (COCH) 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 $75.0K, roughly 861.6× Envoy Medical, Inc.). On growth, Envoy Medical, Inc. posted the faster year-over-year revenue change (78.6% vs 45.2%). ESTABLISHMENT LABS HOLDINGS INC. produced more free cash flow last quarter ($-2.0M vs $-5.9M). Over the past eight quarters, ESTABLISHMENT LABS HOLDINGS INC.'s revenue compounded faster (31.9% CAGR vs 12.7%).
Envoy Medical, Inc. is a medical technology firm specializing in developing and commercializing advanced implantable hearing solutions for sensorineural hearing loss patients. Its core products include fully implanted middle ear hearing devices, with primary markets across North America and Europe, serving users who gain limited benefit from conventional external hearing aids.
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.
COCH vs ESTA — Head-to-Head
Income Statement — Q4 2025 vs Q4 2025
| Metric | | |
|---|---|---|
| Revenue | $75.0K | $64.6M |
| Net Profit | $-6.6M | — |
| Gross Margin | -181.3% | 70.5% |
| Operating Margin | -8513.3% | -6.1% |
| Net Margin | -8781.3% | — |
| Revenue YoY | 78.6% | 45.2% |
| Net Profit YoY | -42.6% | — |
| EPS (diluted) | $-0.27 | $-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.
| Q4 25 | $75.0K | $64.6M | ||
| Q3 25 | $42.0K | $53.8M | ||
| Q2 25 | $78.0K | $51.3M | ||
| Q1 25 | $46.0K | $41.4M | ||
| Q4 24 | $42.0K | $44.5M | ||
| Q3 24 | $56.0K | $40.2M | ||
| Q2 24 | $68.0K | $44.1M | ||
| Q1 24 | $59.0K | $37.2M |
| Q4 25 | $-6.6M | — | ||
| Q3 25 | $-6.5M | $-11.1M | ||
| Q2 25 | $-5.7M | $-16.6M | ||
| Q1 25 | $-5.0M | $-20.7M | ||
| Q4 24 | $-4.6M | — | ||
| Q3 24 | $-6.0M | $-16.7M | ||
| Q2 24 | $-3.9M | $-17.2M | ||
| Q1 24 | $-6.3M | $-16.2M |
| Q4 25 | -181.3% | 70.5% | ||
| Q3 25 | -383.3% | 70.1% | ||
| Q2 25 | -200.0% | 68.8% | ||
| Q1 25 | -391.3% | 67.2% | ||
| Q4 24 | -273.8% | 68.5% | ||
| Q3 24 | -233.9% | 63.9% | ||
| Q2 24 | -260.3% | 65.6% | ||
| Q1 24 | -159.3% | 65.6% |
| Q4 25 | -8513.3% | -6.1% | ||
| Q3 25 | -13590.5% | -7.5% | ||
| Q2 25 | -6500.0% | -27.5% | ||
| Q1 25 | -11102.2% | -41.0% | ||
| Q4 24 | -10828.6% | -41.9% | ||
| Q3 24 | -8878.6% | -32.7% | ||
| Q2 24 | -7135.3% | -21.2% | ||
| Q1 24 | -8278.0% | -23.8% |
| Q4 25 | -8781.3% | — | ||
| Q3 25 | -15433.3% | -20.7% | ||
| Q2 25 | -7294.9% | -32.3% | ||
| Q1 25 | -10865.2% | -50.1% | ||
| Q4 24 | -10995.2% | — | ||
| Q3 24 | -10642.9% | -41.5% | ||
| Q2 24 | -5804.4% | -38.9% | ||
| Q1 24 | -10627.1% | -43.6% |
| Q4 25 | $-0.27 | $-0.07 | ||
| Q3 25 | $-0.35 | $-0.38 | ||
| Q2 25 | $-0.32 | $-0.57 | ||
| Q1 25 | $-0.29 | $-0.70 | ||
| Q4 24 | $-0.40 | $-1.21 | ||
| Q3 24 | $-0.39 | $-0.59 | ||
| Q2 24 | $-0.29 | $-0.62 | ||
| Q1 24 | $-0.41 | $-0.58 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | — | $75.6M |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $-12.2M | $23.5M |
| Total Assets | $8.6M | $357.2M |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | — | $75.6M | ||
| Q3 25 | — | $70.6M | ||
| Q2 25 | — | $54.6M | ||
| Q1 25 | — | $69.2M | ||
| Q4 24 | — | $90.3M | ||
| Q3 24 | — | — | ||
| Q2 24 | — | — | ||
| Q1 24 | — | — |
| Q4 25 | — | — | ||
| Q3 25 | — | — | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | — | $0 | ||
| Q3 24 | — | — | ||
| Q2 24 | — | — | ||
| Q1 24 | — | — |
| Q4 25 | $-12.2M | $23.5M | ||
| Q3 25 | $-7.7M | $16.4M | ||
| Q2 25 | $-29.9M | $22.8M | ||
| Q1 25 | $-24.2M | $38.5M | ||
| Q4 24 | $-18.8M | $53.1M | ||
| Q3 24 | $-18.5M | $32.7M | ||
| Q2 24 | $-12.4M | $45.0M | ||
| Q1 24 | $-7.4M | $56.9M |
| Q4 25 | $8.6M | $357.2M | ||
| Q3 25 | $8.2M | $338.9M | ||
| Q2 25 | $9.9M | $329.7M | ||
| Q1 25 | $10.4M | $333.4M | ||
| Q4 24 | $11.5M | $346.8M | ||
| Q3 24 | $9.4M | $282.7M | ||
| Q2 24 | $6.7M | $285.1M | ||
| Q1 24 | $8.5M | $301.8M |
| Q4 25 | — | — | ||
| Q3 25 | — | — | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | — | 0.00× | ||
| 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 | | |
|---|---|---|
| Operating Cash FlowLast quarter | $-5.7M | $-162.0K |
| Free Cash FlowOCF − Capex | $-5.9M | $-2.0M |
| FCF MarginFCF / Revenue | -7809.3% | -3.1% |
| Capex IntensityCapex / Revenue | 229.3% | 2.8% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | — | $-56.9M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $-5.7M | $-162.0K | ||
| Q3 25 | $-4.3M | $-11.3M | ||
| Q2 25 | $-4.5M | $-18.8M | ||
| Q1 25 | $-3.7M | $-20.7M | ||
| Q4 24 | $-5.1M | $-20.7M | ||
| Q3 24 | $-2.6M | $-12.5M | ||
| Q2 24 | $-4.6M | $-14.2M | ||
| Q1 24 | $-5.6M | $-11.2M |
| Q4 25 | $-5.9M | $-2.0M | ||
| Q3 25 | — | $-13.1M | ||
| Q2 25 | $-4.5M | $-20.4M | ||
| Q1 25 | $-3.7M | $-21.5M | ||
| Q4 24 | — | $-21.3M | ||
| Q3 24 | $-3.8M | $-13.9M | ||
| Q2 24 | — | $-15.0M | ||
| Q1 24 | $-5.7M | $-14.5M |
| Q4 25 | -7809.3% | -3.1% | ||
| Q3 25 | — | -24.4% | ||
| Q2 25 | -5719.2% | -39.7% | ||
| Q1 25 | -8110.9% | -51.9% | ||
| Q4 24 | — | -47.8% | ||
| Q3 24 | -6750.0% | -34.6% | ||
| Q2 24 | — | -33.9% | ||
| Q1 24 | -9657.6% | -38.9% |
| Q4 25 | 229.3% | 2.8% | ||
| Q3 25 | 0.0% | 3.4% | ||
| Q2 25 | 1.3% | 3.2% | ||
| Q1 25 | 13.0% | 1.8% | ||
| Q4 24 | — | 1.2% | ||
| Q3 24 | 2066.1% | 3.7% | ||
| Q2 24 | — | 1.8% | ||
| Q1 24 | 184.7% | 8.9% |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
