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Side-by-side financial comparison of Spok Holdings, Inc (SPOK) and Neuronetics, Inc. (STIM). Click either name above to swap in a different company.
Neuronetics, Inc. is the larger business by last-quarter revenue ($41.8M vs $33.9M, roughly 1.2× Spok Holdings, Inc). Spok Holdings, Inc runs the higher net margin — 8.7% vs -17.2%, a 25.9% gap on every dollar of revenue. On growth, Neuronetics, Inc. posted the faster year-over-year revenue change (85.7% vs -0.1%). Spok Holdings, Inc produced more free cash flow last quarter ($10.1M vs $692.0K). Over the past eight quarters, Neuronetics, Inc.'s revenue compounded faster (54.9% CAGR vs -1.5%).
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.
Neuronetics is a Malvern, PA based, publicly traded company incorporated in Delaware in April 2003, that develops non-invasive treatments for psychiatric disorders that have shown resistance or lack of improvement using traditional medicine. The treatments are based upon neuromodulation technology.
SPOK vs STIM — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $33.9M | $41.8M |
| Net Profit | $2.9M | $-7.2M |
| Gross Margin | 76.7% | 52.0% |
| Operating Margin | 11.6% | -12.1% |
| Net Margin | 8.7% | -17.2% |
| Revenue YoY | -0.1% | 85.7% |
| Net Profit YoY | -19.6% | 43.2% |
| EPS (diluted) | $0.13 | $-0.10 |
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 | $33.9M | $41.8M | ||
| Q3 25 | $33.9M | $37.3M | ||
| Q2 25 | $35.7M | $38.1M | ||
| Q1 25 | $36.3M | $32.0M | ||
| Q4 24 | $33.9M | $22.5M | ||
| Q3 24 | $34.9M | $18.5M | ||
| Q2 24 | $34.0M | $16.4M | ||
| Q1 24 | $34.9M | $17.4M |
| Q4 25 | $2.9M | $-7.2M | ||
| Q3 25 | $3.2M | $-9.0M | ||
| Q2 25 | $4.6M | $-10.1M | ||
| Q1 25 | $5.2M | $-12.7M | ||
| Q4 24 | $3.6M | $-12.7M | ||
| Q3 24 | $3.7M | $-13.3M | ||
| Q2 24 | $3.4M | $-9.8M | ||
| Q1 24 | $4.2M | $-7.9M |
| Q4 25 | 76.7% | 52.0% | ||
| Q3 25 | 78.3% | 45.9% | ||
| Q2 25 | 79.5% | 46.6% | ||
| Q1 25 | 80.1% | 49.2% | ||
| Q4 24 | 78.5% | 66.2% | ||
| Q3 24 | 79.5% | 75.6% | ||
| Q2 24 | 78.9% | 74.0% | ||
| Q1 24 | 79.5% | 75.1% |
| Q4 25 | 11.6% | -12.1% | ||
| Q3 25 | 12.9% | -19.6% | ||
| Q2 25 | 15.1% | -21.1% | ||
| Q1 25 | 16.6% | -34.4% | ||
| Q4 24 | 13.7% | -51.0% | ||
| Q3 24 | 14.2% | -41.7% | ||
| Q2 24 | 13.2% | -51.7% | ||
| Q1 24 | 14.0% | -39.4% |
| Q4 25 | 8.7% | -17.2% | ||
| Q3 25 | 9.5% | -24.3% | ||
| Q2 25 | 12.8% | -26.6% | ||
| Q1 25 | 14.3% | -39.6% | ||
| Q4 24 | 10.8% | -56.4% | ||
| Q3 24 | 10.5% | -72.0% | ||
| Q2 24 | 10.1% | -59.8% | ||
| Q1 24 | 12.1% | -45.2% |
| Q4 25 | $0.13 | $-0.10 | ||
| Q3 25 | $0.15 | $-0.13 | ||
| Q2 25 | $0.22 | $-0.15 | ||
| Q1 25 | $0.25 | $-0.21 | ||
| Q4 24 | $0.17 | $-0.34 | ||
| Q3 24 | $0.18 | $-0.44 | ||
| Q2 24 | $0.17 | $-0.33 | ||
| Q1 24 | $0.21 | $-0.27 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $25.3M | $28.1M |
| Total DebtLower is stronger | — | $65.8M |
| Stockholders' EquityBook value | $146.4M | $22.4M |
| Total Assets | $206.1M | $141.6M |
| Debt / EquityLower = less leverage | — | 2.94× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $25.3M | $28.1M | ||
| Q3 25 | $21.4M | $28.0M | ||
| Q2 25 | $20.2M | $11.0M | ||
| Q1 25 | $19.9M | $20.2M | ||
| Q4 24 | $29.1M | $18.5M | ||
| Q3 24 | $27.8M | $20.9M | ||
| Q2 24 | $23.9M | $42.6M | ||
| Q1 24 | $23.3M | $47.7M |
| Q4 25 | — | $65.8M | ||
| Q3 25 | — | $65.7M | ||
| Q2 25 | — | $55.5M | ||
| Q1 25 | — | $55.3M | ||
| Q4 24 | — | $55.2M | ||
| Q3 24 | — | $46.0M | ||
| Q2 24 | — | $59.8M | ||
| Q1 24 | — | $59.4M |
| Q4 25 | $146.4M | $22.4M | ||
| Q3 25 | $148.7M | $27.4M | ||
| Q2 25 | $150.9M | $27.1M | ||
| Q1 25 | $151.7M | $35.5M | ||
| Q4 24 | $154.7M | $27.7M | ||
| Q3 24 | $156.3M | $9.4M | ||
| Q2 24 | $158.2M | $19.4M | ||
| Q1 24 | $160.2M | $27.7M |
| Q4 25 | $206.1M | $141.6M | ||
| Q3 25 | $209.7M | $145.5M | ||
| Q2 25 | $208.7M | $134.7M | ||
| Q1 25 | $204.5M | $142.0M | ||
| Q4 24 | $217.1M | $140.9M | ||
| Q3 24 | $216.8M | — | ||
| Q2 24 | $216.4M | $96.8M | ||
| Q1 24 | $215.0M | $103.8M |
| Q4 25 | — | 2.94× | ||
| Q3 25 | — | 2.40× | ||
| Q2 25 | — | 2.05× | ||
| Q1 25 | — | 1.56× | ||
| Q4 24 | — | 1.99× | ||
| Q3 24 | — | 4.90× | ||
| Q2 24 | — | 3.08× | ||
| Q1 24 | — | 2.15× |
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 | $11.5M | $908.0K |
| Free Cash FlowOCF − Capex | $10.1M | $692.0K |
| FCF MarginFCF / Revenue | 29.9% | 1.7% |
| Capex IntensityCapex / Revenue | 4.1% | 0.5% |
| Cash ConversionOCF / Net Profit | 3.93× | — |
| TTM Free Cash FlowTrailing 4 quarters | $25.2M | $-21.2M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $11.5M | $908.0K | ||
| Q3 25 | $8.1M | $-785.0K | ||
| Q2 25 | $7.0M | $-3.5M | ||
| Q1 25 | $2.3M | $-17.0M | ||
| Q4 24 | $8.4M | $-8.6M | ||
| Q3 24 | $11.1M | $-5.4M | ||
| Q2 24 | $7.4M | $-5.0M | ||
| Q1 24 | $2.0M | $-12.0M |
| Q4 25 | $10.1M | $692.0K | ||
| Q3 25 | $7.6M | $-899.0K | ||
| Q2 25 | $6.0M | $-3.8M | ||
| Q1 25 | $1.5M | $-17.2M | ||
| Q4 24 | $7.5M | $-8.7M | ||
| Q3 24 | $10.3M | $-5.8M | ||
| Q2 24 | $6.8M | $-5.6M | ||
| Q1 24 | $1.1M | $-12.4M |
| Q4 25 | 29.9% | 1.7% | ||
| Q3 25 | 22.4% | -2.4% | ||
| Q2 25 | 16.8% | -9.9% | ||
| Q1 25 | 4.2% | -53.8% | ||
| Q4 24 | 22.3% | -38.6% | ||
| Q3 24 | 29.4% | -31.3% | ||
| Q2 24 | 20.0% | -34.0% | ||
| Q1 24 | 3.2% | -71.1% |
| Q4 25 | 4.1% | 0.5% | ||
| Q3 25 | 1.6% | 0.3% | ||
| Q2 25 | 2.9% | 0.7% | ||
| Q1 25 | 2.1% | 0.7% | ||
| Q4 24 | 2.5% | 0.4% | ||
| Q3 24 | 2.4% | 2.1% | ||
| Q2 24 | 1.9% | 3.7% | ||
| Q1 24 | 2.5% | 2.2% |
| 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
SPOK
| Paging | $16.8M | 50% |
| Software Operations | $16.0M | 47% |
| License | $1.2M | 4% |
STIM
Segment breakdown not available.
