Saturday 17 October 2026
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Spok Holdings, Inc.
SPOK Healthcare Health Information Services
Spok Holdings, Inc.’s revenue for fiscal 2025 (year ended December 2025) was $139.7 million, up 1.49% from fiscal 2024. In the quarter to June 2026, revenue fell 1.89%, EPS fell 9.09% and free cash flow fell 2.00%, each against the same quarter a year earlier. Dividend growth for five consecutive years, operating cash flow growth for three; insiders bought in the last twelve months.
10.61
0.12
−1.12%
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Target Price Range
Analyst price targets
Free accountTen years at a glance Fiscal years to December
| Group | Line | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 | Trend | 2026e | 2027e | 2028e |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Price, $ | |||||||||||||||
| Price, $ | Low | 15.49 | 14.45 | 12.21 | 11.00 | 8.53 | 7.16 | 6.13 | 8.05 | 13.24 | 12.26 |
Analyst estimates 2026–2028 Powerpack |
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| High | 21.85 | 22.60 | 16.25 | 17.25 | 12.33 | 12.86 | 10.14 | 18.05 | 18.14 | 19.31 | |||||
| People | |||||||||||||||
| People | Employees | 587 | 596 | 596 | 638 | 602 | 563 | 376 | 384 | 410 | 421 | ||||
| Revenue/emp, $m | 0.31 | 0.29 | 0.28 | 0.25 | 0.25 | 0.25 | 0.36 | 0.36 | 0.34 | 0.33 | |||||
| Income, $m | |||||||||||||||
| Income, $m | Revenue | 180 | 171 | 169 | 160 | 148 | 142 | 135 | 139 | 138 | 140 | ||||
| Gross margin, % | 82.93 | 83.40 | 80.88 | 79.67 | 79.12 | 77.16 | 78.99 | 80.51 | 79.15 | 78.68 | |||||
| EBT | 23 | 12 | (2) | (13) | (22) | (27) | 1 | 22 | 20 | 21 | |||||
| EBT margin, % | 12.79 | 6.75 | (1.29) | (8.37) | (14.69) | (19.23) | 0.74 | 16.06 | 14.55 | 15.35 | |||||
| Net income | 14 | (15) | (1) | (11) | (44) | (22) | 22 | 16 | 15 | 16 | |||||
| Depreciation | 13 | 12 | 11 | 18 | 34 | 26 | 4 | 4 | 4 | 3 | |||||
| Per share, $ | |||||||||||||||
| Per share, $ | Revenue | 8.72 | 8.47 | 8.62 | 8.40 | 7.79 | 7.33 | 6.84 | 6.97 | 6.80 | 6.80 | ||||
| Earnings | 0.68 | (0.76) | (0.08) | (0.56) | (2.32) | (1.14) | 1.11 | 0.79 | 0.74 | 0.77 | |||||
| Cash flow | 1.82 | 0.77 | 0.52 | 0.61 | 1.37 | 0.41 | 0.33 | 1.31 | 1.43 | 1.41 | |||||
| Capex | (0.30) | (0.46) | (0.30) | (0.25) | (0.77) | (0.79) | (0.19) | (0.17) | (0.16) | (0.18) | |||||
| Free cash flow | 1.52 | 0.31 | 0.22 | 0.36 | 0.60 | (0.37) | 0.14 | 1.14 | 1.27 | 1.23 | |||||
| Book value | 15.65 | 14.38 | 13.96 | 13.10 | 10.54 | 8.95 | 8.70 | 8.21 | 7.65 | 7.12 | |||||
| Shares, m | 21 | 20 | 20 | 19 | 19 | 19 | 20 | 20 | 20 | 21 | |||||
| Valuation, × | |||||||||||||||
| Valuation, × | P/E | 31.30 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 7.65 | 19.52 | 21.69 | 17.13 | ||||
| P/S | 2.48 | 1.81 | 1.54 | 1.46 | 1.43 | 1.27 | 1.24 | 2.21 | 2.36 | 1.94 | |||||
| P/B | 1.38 | 1.07 | 0.95 | 0.93 | 1.06 | 1.04 | 0.98 | 1.88 | 2.10 | 1.85 | |||||
| EV/Sales | 1.78 | 1.19 | 1.02 | 0.97 | 0.90 | 0.85 | 0.98 | 1.98 | 2.15 | 1.76 | |||||
| EV/FCF | 10.19 | 32.23 | 39.43 | 22.78 | 11.62 | (16.71) | 48.98 | 12.11 | 11.50 | 9.76 | |||||
| Cash, $m | |||||||||||||||
| Cash, $m | Operating cash flow | 38 | 16 | 10 | 12 | 26 | 8 | 6 | 26 | 29 | 29 | ||||
| Capex | (6) | (9) | (6) | (5) | (15) | (15) | (4) | (3) | (3) | (4) | |||||
| Free cash flow | 31 | 6 | 4 | 7 | 11 | (7) | 3 | 23 | 26 | 25 | |||||
| Balance, $m | |||||||||||||||
| Balance, $m | Working capital | 100 | 96 | 86 | 66 | 61 | 39 | 16 | 16 | 13 | 9 | ||||
| Total debt | — | — | — | 17 | 15 | 17 | 16 | — | — | — | |||||
| Net debt | (126) | (107) | (87) | (77) | (79) | (60) | (36) | (32) | (29) | (25) | |||||
| Shareholders’ equity | 322 | 291 | 275 | 250 | 201 | 174 | 171 | 164 | 155 | 146 | |||||
| Returns, % | |||||||||||||||
| Returns, % | ROA | 3.61 | (4.16) | (0.44) | (3.32) | (14.81) | (8.44) | 8.87 | 6.64 | 6.73 | 7.50 | ||||
| ROIC | 7.05 | 3.65 | (1.06) | (5.72) | (11.62) | (15.18) | 0.11 | 10.07 | 9.44 | 10.17 | |||||
| ROE | 4.29 | (5.00) | (0.52) | (4.10) | (19.62) | (11.85) | 12.68 | 9.36 | 9.40 | 10.55 | |||||
Negative figures in brackets.
Fiscal years to Dec 2025 · latest quarter Jun 2026
Charts ten years each
Spok Holdings, Inc. vs peers in Health Information Services (Q) = latest quarter vs a year earlier
| Company | Market cap | P/E | Fwd P/E | Revenue growth (Q) | EPS growth (Q) | FCF growth (Q) | Gross margin (Q) | EBIT margin (Q) | Compare |
|---|---|---|---|---|---|---|---|---|---|
| CTEV Claritev Corporation | $404.4M | — (loss-making) | — (loss-making) | +6.59% (above 0%: growing) | n/m | +49.10% (above 0%: growing) | 73.72% | 9.09% | Compare |
| CARL Carlsmed, Inc. | $380.9M | — (loss-making) | — (loss-making) | +56.75% (above 0%: growing) | n/m | −6.84% (below 0%: shrinking) | 76.78% | (58.27%) | Compare |
| CSLT Castlight Health, inc. | $332.4M | — (loss-making) | — (loss-making) | −0.86% (below 0%: shrinking) | n/m | +106.49% (above 0%: growing) | 66.20% | (5.42%) | Compare |
| SPOK Spok Holdings, Inc. | $224.5M | 17.7× | 16.2× | −1.89% (below 0%: shrinking) | −9.09% (below 0%: shrinking) | −2.00% (below 0%: shrinking) | 80.47% | 15.50% | |
| AMWL American Well Corporation | $210.6M | — (loss-making) | — (loss-making) | −26.59% (below 0%: shrinking) | n/m | +266.38% (above 0%: growing) | 52.95% | (18.36%) | Compare |
| SY So-Young International Inc. Sponsored ADR | $198.9M | — (loss-making) | 12.8× | +40.84% (above 0%: growing) | n/m | −798.37% (below 0%: shrinking) | 44.11% | (8.64%) | Compare |
| OPRX OptimizeRx Corp. | $166.7M | 35.4× | 23.0× | −29.77% (below 0%: shrinking) | n/m | +89.86% (above 0%: growing) | 76.51% | (0.43%) | Compare |
| DH Definitive Healthcare Corp. | $144.3M | — (loss-making) | — (loss-making) | −9.14% (below 0%: shrinking) | n/m | +21.44% (above 0%: growing) | 73.45% | (12.23%) | Compare |
| HCAT Health Catalyst, Inc. | $135.5M | — (loss-making) | — (loss-making) | −12.68% (below 0%: shrinking) | n/m | +64.26% (above 0%: growing) | 49.46% | (51.75%) | Compare |
| Median of peers | $204.7M | — | — | −5.00% | — | +56.68% | 69.83% | (10.43%) |
Spok Holdings, Inc. (SPOK) key facts
- Strength: Spok Holdings, Inc.’s revenue for fiscal 2025 (year ended December 2025) was $139.7 million, up 1.49% from fiscal 2024.
- Spok Holdings, Inc. (SPOK) is a Health Information Services company in the Healthcare sector, listed on Nasdaq.
- As of October 16, 2026, SPOK traded at $10.61, a market capitalization of $224.5 million.
- Spok Holdings, Inc. pays an annual dividend of $1.25 per share, a yield of 11.8%.
- Return on equity was 10.6% and debt-to-equity 0.00.
- Its Piotroski F-score is 6 out of 9 and its Altman Z-score is 4.04 (safe zone) for fiscal 2025.