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Side-by-side financial comparison of ESTABLISHMENT LABS HOLDINGS INC. (ESTA) and Spok Holdings, Inc (SPOK). 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 $33.9M, roughly 1.9× Spok Holdings, Inc). On growth, ESTABLISHMENT LABS HOLDINGS INC. posted the faster year-over-year revenue change (45.2% vs -0.1%). Spok Holdings, Inc produced more free cash flow last quarter ($10.1M vs $-2.0M). Over the past eight quarters, ESTABLISHMENT LABS HOLDINGS INC.'s revenue compounded faster (31.9% CAGR vs -1.5%).
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.
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.
ESTA vs SPOK — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $64.6M | $33.9M |
| Net Profit | — | $2.9M |
| Gross Margin | 70.5% | 76.7% |
| Operating Margin | -6.1% | 11.6% |
| Net Margin | — | 8.7% |
| Revenue YoY | 45.2% | -0.1% |
| Net Profit YoY | — | -19.6% |
| EPS (diluted) | $-0.07 | $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.
| Q4 25 | $64.6M | $33.9M | ||
| Q3 25 | $53.8M | $33.9M | ||
| Q2 25 | $51.3M | $35.7M | ||
| Q1 25 | $41.4M | $36.3M | ||
| Q4 24 | $44.5M | $33.9M | ||
| Q3 24 | $40.2M | $34.9M | ||
| Q2 24 | $44.1M | $34.0M | ||
| Q1 24 | $37.2M | $34.9M |
| Q4 25 | — | $2.9M | ||
| Q3 25 | $-11.1M | $3.2M | ||
| Q2 25 | $-16.6M | $4.6M | ||
| Q1 25 | $-20.7M | $5.2M | ||
| Q4 24 | — | $3.6M | ||
| Q3 24 | $-16.7M | $3.7M | ||
| Q2 24 | $-17.2M | $3.4M | ||
| Q1 24 | $-16.2M | $4.2M |
| Q4 25 | 70.5% | 76.7% | ||
| Q3 25 | 70.1% | 78.3% | ||
| Q2 25 | 68.8% | 79.5% | ||
| Q1 25 | 67.2% | 80.1% | ||
| Q4 24 | 68.5% | 78.5% | ||
| Q3 24 | 63.9% | 79.5% | ||
| Q2 24 | 65.6% | 78.9% | ||
| Q1 24 | 65.6% | 79.5% |
| Q4 25 | -6.1% | 11.6% | ||
| Q3 25 | -7.5% | 12.9% | ||
| Q2 25 | -27.5% | 15.1% | ||
| Q1 25 | -41.0% | 16.6% | ||
| Q4 24 | -41.9% | 13.7% | ||
| Q3 24 | -32.7% | 14.2% | ||
| Q2 24 | -21.2% | 13.2% | ||
| Q1 24 | -23.8% | 14.0% |
| Q4 25 | — | 8.7% | ||
| Q3 25 | -20.7% | 9.5% | ||
| Q2 25 | -32.3% | 12.8% | ||
| Q1 25 | -50.1% | 14.3% | ||
| Q4 24 | — | 10.8% | ||
| Q3 24 | -41.5% | 10.5% | ||
| Q2 24 | -38.9% | 10.1% | ||
| Q1 24 | -43.6% | 12.1% |
| Q4 25 | $-0.07 | $0.13 | ||
| Q3 25 | $-0.38 | $0.15 | ||
| Q2 25 | $-0.57 | $0.22 | ||
| Q1 25 | $-0.70 | $0.25 | ||
| Q4 24 | $-1.21 | $0.17 | ||
| Q3 24 | $-0.59 | $0.18 | ||
| Q2 24 | $-0.62 | $0.17 | ||
| Q1 24 | $-0.58 | $0.21 |
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 | $25.3M |
| Total DebtLower is stronger | — | — |
| Stockholders' EquityBook value | $23.5M | $146.4M |
| Total Assets | $357.2M | $206.1M |
| Debt / EquityLower = less leverage | — | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $75.6M | $25.3M | ||
| Q3 25 | $70.6M | $21.4M | ||
| Q2 25 | $54.6M | $20.2M | ||
| Q1 25 | $69.2M | $19.9M | ||
| Q4 24 | $90.3M | $29.1M | ||
| Q3 24 | — | $27.8M | ||
| Q2 24 | — | $23.9M | ||
| Q1 24 | — | $23.3M |
| Q4 25 | — | — | ||
| Q3 25 | — | — | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | $0 | — | ||
| Q3 24 | — | — | ||
| Q2 24 | — | — | ||
| Q1 24 | — | — |
| Q4 25 | $23.5M | $146.4M | ||
| Q3 25 | $16.4M | $148.7M | ||
| Q2 25 | $22.8M | $150.9M | ||
| Q1 25 | $38.5M | $151.7M | ||
| Q4 24 | $53.1M | $154.7M | ||
| Q3 24 | $32.7M | $156.3M | ||
| Q2 24 | $45.0M | $158.2M | ||
| Q1 24 | $56.9M | $160.2M |
| Q4 25 | $357.2M | $206.1M | ||
| Q3 25 | $338.9M | $209.7M | ||
| Q2 25 | $329.7M | $208.7M | ||
| Q1 25 | $333.4M | $204.5M | ||
| Q4 24 | $346.8M | $217.1M | ||
| Q3 24 | $282.7M | $216.8M | ||
| Q2 24 | $285.1M | $216.4M | ||
| Q1 24 | $301.8M | $215.0M |
| 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 | $-162.0K | $11.5M |
| Free Cash FlowOCF − Capex | $-2.0M | $10.1M |
| FCF MarginFCF / Revenue | -3.1% | 29.9% |
| Capex IntensityCapex / Revenue | 2.8% | 4.1% |
| Cash ConversionOCF / Net Profit | — | 3.93× |
| TTM Free Cash FlowTrailing 4 quarters | $-56.9M | $25.2M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $-162.0K | $11.5M | ||
| Q3 25 | $-11.3M | $8.1M | ||
| Q2 25 | $-18.8M | $7.0M | ||
| Q1 25 | $-20.7M | $2.3M | ||
| Q4 24 | $-20.7M | $8.4M | ||
| Q3 24 | $-12.5M | $11.1M | ||
| Q2 24 | $-14.2M | $7.4M | ||
| Q1 24 | $-11.2M | $2.0M |
| Q4 25 | $-2.0M | $10.1M | ||
| Q3 25 | $-13.1M | $7.6M | ||
| Q2 25 | $-20.4M | $6.0M | ||
| Q1 25 | $-21.5M | $1.5M | ||
| Q4 24 | $-21.3M | $7.5M | ||
| Q3 24 | $-13.9M | $10.3M | ||
| Q2 24 | $-15.0M | $6.8M | ||
| Q1 24 | $-14.5M | $1.1M |
| Q4 25 | -3.1% | 29.9% | ||
| Q3 25 | -24.4% | 22.4% | ||
| Q2 25 | -39.7% | 16.8% | ||
| Q1 25 | -51.9% | 4.2% | ||
| Q4 24 | -47.8% | 22.3% | ||
| Q3 24 | -34.6% | 29.4% | ||
| Q2 24 | -33.9% | 20.0% | ||
| Q1 24 | -38.9% | 3.2% |
| Q4 25 | 2.8% | 4.1% | ||
| Q3 25 | 3.4% | 1.6% | ||
| Q2 25 | 3.2% | 2.9% | ||
| Q1 25 | 1.8% | 2.1% | ||
| Q4 24 | 1.2% | 2.5% | ||
| Q3 24 | 3.7% | 2.4% | ||
| Q2 24 | 1.8% | 1.9% | ||
| Q1 24 | 8.9% | 2.5% |
| 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
ESTA
Segment breakdown not available.
SPOK
| Paging | $16.8M | 50% |
| Software Operations | $16.0M | 47% |
| License | $1.2M | 4% |
