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

Phathom Pharmaceuticals, Inc. is the larger business by last-quarter revenue ($57.6M vs $33.9M, roughly 1.7× Spok Holdings, Inc). On growth, Phathom Pharmaceuticals, Inc. posted the faster year-over-year revenue change (94.1% vs -0.1%). Spok Holdings, Inc produced more free cash flow last quarter ($10.1M vs $-167.0M).

Phathom Pharmaceuticals is a clinical-stage biopharmaceutical firm focused on developing and commercializing innovative therapies for gastrointestinal diseases. Its lead product candidates address acid-related disorders, inflammatory bowel disease, and other GI conditions, serving patients mainly across North America and Europe.

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.

PHAT vs SPOK — Head-to-Head

Bigger by revenue
PHAT
PHAT
1.7× larger
PHAT
$57.6M
$33.9M
SPOK
Growing faster (revenue YoY)
PHAT
PHAT
+94.2% gap
PHAT
94.1%
-0.1%
SPOK
More free cash flow
SPOK
SPOK
$177.1M more FCF
SPOK
$10.1M
$-167.0M
PHAT

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
PHAT
PHAT
SPOK
SPOK
Revenue
$57.6M
$33.9M
Net Profit
$2.9M
Gross Margin
86.7%
76.7%
Operating Margin
11.6%
Net Margin
8.7%
Revenue YoY
94.1%
-0.1%
Net Profit YoY
71.6%
-19.6%
EPS (diluted)
$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
PHAT
PHAT
SPOK
SPOK
Q4 25
$57.6M
$33.9M
Q3 25
$49.5M
$33.9M
Q2 25
$39.5M
$35.7M
Q1 25
$28.5M
$36.3M
Q4 24
$29.7M
$33.9M
Q3 24
$16.4M
$34.9M
Q2 24
$7.3M
$34.0M
Q1 24
$34.9M
Net Profit
PHAT
PHAT
SPOK
SPOK
Q4 25
$2.9M
Q3 25
$-30.0M
$3.2M
Q2 25
$-75.8M
$4.6M
Q1 25
$-94.3M
$5.2M
Q4 24
$3.6M
Q3 24
$-85.6M
$3.7M
Q2 24
$-91.4M
$3.4M
Q1 24
$4.2M
Gross Margin
PHAT
PHAT
SPOK
SPOK
Q4 25
86.7%
76.7%
Q3 25
87.5%
78.3%
Q2 25
87.2%
79.5%
Q1 25
86.9%
80.1%
Q4 24
87.1%
78.5%
Q3 24
85.6%
79.5%
Q2 24
81.2%
78.9%
Q1 24
79.5%
Operating Margin
PHAT
PHAT
SPOK
SPOK
Q4 25
11.6%
Q3 25
-30.8%
12.9%
Q2 25
-151.7%
15.1%
Q1 25
-276.5%
16.6%
Q4 24
13.7%
Q3 24
-433.0%
14.2%
Q2 24
-1055.4%
13.2%
Q1 24
14.0%
Net Margin
PHAT
PHAT
SPOK
SPOK
Q4 25
8.7%
Q3 25
-60.5%
9.5%
Q2 25
-191.9%
12.8%
Q1 25
-330.7%
14.3%
Q4 24
10.8%
Q3 24
-523.3%
10.5%
Q2 24
-1248.6%
10.1%
Q1 24
12.1%
EPS (diluted)
PHAT
PHAT
SPOK
SPOK
Q4 25
$0.13
Q3 25
$-0.41
$0.15
Q2 25
$-1.05
$0.22
Q1 25
$-1.31
$0.25
Q4 24
$0.17
Q3 24
$-1.32
$0.18
Q2 24
$-1.56
$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
PHAT
PHAT
SPOK
SPOK
Cash + ST InvestmentsLiquidity on hand
$130.0M
$25.3M
Total DebtLower is stronger
$209.1M
Stockholders' EquityBook value
$-438.2M
$146.4M
Total Assets
$259.1M
$206.1M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
PHAT
PHAT
SPOK
SPOK
Q4 25
$130.0M
$25.3M
Q3 25
$135.2M
$21.4M
Q2 25
$149.6M
$20.2M
Q1 25
$212.3M
$19.9M
Q4 24
$297.3M
$29.1M
Q3 24
$334.7M
$27.8M
Q2 24
$276.2M
$23.9M
Q1 24
$23.3M
Total Debt
PHAT
PHAT
SPOK
SPOK
Q4 25
$209.1M
Q3 25
$207.1M
Q2 25
$205.1M
Q1 25
$203.2M
Q4 24
$201.4M
Q3 24
$175.7M
Q2 24
$174.4M
Q1 24
Stockholders' Equity
PHAT
PHAT
SPOK
SPOK
Q4 25
$-438.2M
$146.4M
Q3 25
$-422.5M
$148.7M
Q2 25
$-405.8M
$150.9M
Q1 25
$-338.4M
$151.7M
Q4 24
$-253.6M
$154.7M
Q3 24
$-187.1M
$156.3M
Q2 24
$-233.8M
$158.2M
Q1 24
$160.2M
Total Assets
PHAT
PHAT
SPOK
SPOK
Q4 25
$259.1M
$206.1M
Q3 25
$240.3M
$209.7M
Q2 25
$250.2M
$208.7M
Q1 25
$294.2M
$204.5M
Q4 24
$378.3M
$217.1M
Q3 24
$387.0M
$216.8M
Q2 24
$319.4M
$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
PHAT
PHAT
SPOK
SPOK
Operating Cash FlowLast quarter
$-166.8M
$11.5M
Free Cash FlowOCF − Capex
$-167.0M
$10.1M
FCF MarginFCF / Revenue
-290.0%
29.9%
Capex IntensityCapex / Revenue
0.4%
4.1%
Cash ConversionOCF / Net Profit
3.93×
TTM Free Cash FlowTrailing 4 quarters
$-328.9M
$25.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
PHAT
PHAT
SPOK
SPOK
Q4 25
$-166.8M
$11.5M
Q3 25
$-14.1M
$8.1M
Q2 25
$-62.7M
$7.0M
Q1 25
$-84.9M
$2.3M
Q4 24
$-266.8M
$8.4M
Q3 24
$-63.6M
$11.1M
Q2 24
$-70.7M
$7.4M
Q1 24
$2.0M
Free Cash Flow
PHAT
PHAT
SPOK
SPOK
Q4 25
$-167.0M
$10.1M
Q3 25
$-14.1M
$7.6M
Q2 25
$-62.8M
$6.0M
Q1 25
$-84.9M
$1.5M
Q4 24
$-266.9M
$7.5M
Q3 24
$-63.6M
$10.3M
Q2 24
$-70.8M
$6.8M
Q1 24
$1.1M
FCF Margin
PHAT
PHAT
SPOK
SPOK
Q4 25
-290.0%
29.9%
Q3 25
-28.6%
22.4%
Q2 25
-159.0%
16.8%
Q1 25
-297.9%
4.2%
Q4 24
-899.8%
22.3%
Q3 24
-389.0%
29.4%
Q2 24
-966.2%
20.0%
Q1 24
3.2%
Capex Intensity
PHAT
PHAT
SPOK
SPOK
Q4 25
0.4%
4.1%
Q3 25
0.1%
1.6%
Q2 25
0.2%
2.9%
Q1 25
0.1%
2.1%
Q4 24
0.5%
2.5%
Q3 24
0.3%
2.4%
Q2 24
0.6%
1.9%
Q1 24
2.5%
Cash Conversion
PHAT
PHAT
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

PHAT
PHAT

Segment breakdown not available.

SPOK
SPOK

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

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