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%
Market cap
$224.5M
P/E
17.7×
Fwd P/E
16.2×
Dividend yield
11.8%
F-score
6/9
Altman Z
4.04
Beneish M
−2.76
Dividend safety
32/100

Insider Decisions trades per month

Total buys 0.47
Total sells 0.43
Totals in millions of $.
Dec 25 Mar 26 Jun 26 Sep 26
Buy — — — — — — 1 1 — — — —
Sell — — — — — — 1 — — 2 — —
Insider Ownership 2.20%

Capital & Financial Ratios $m

Market Cap 224.45
Revenue 135.97
Net Income 12.24
Free Cash Flow 25.41
Net Debt (16.59)
Current Ratio 1.09
Debt/Equity 0.00 (at or below 0.5: strong)
P/E ratio 17.68
Fwd P/E 16.20
P/S ratio 1.63
P/B ratio 1.59
Past 5Y EPS Growth —
This Y EPS Growth (12.00%) (below 0%: weak)
Next Y EPS Growth 3.75%
Next Y revenue growth (0.29%) (below 0%: weak)
Next 5Y EPS Growth —

Green and red mark values outside typical ranges. How we judge →

Valuation vs history

P/E against its own 10 years 47.73%
10-year low 10-year high
P/S against its own 10 years 39.62%
10-year low 10-year high
P/B against its own 10 years 72.50%
10-year low 10-year high
EV/Sales against its own 10 years 67.56%
10-year low 10-year high
EV/FCF against its own 10 years 11.44%
10-year low 10-year high

Dividends

Payout Ratio 2.16
Annual Dividend Rate 1.25
Annual Dividend Yield 11.78%
total individual payouts
2026 0.94
0.31
0.31
0.31
2025 1.25
0.31
0.31
0.31
0.31
2024 1.25
0.31
0.31
0.31
0.31
2023 1.25
0.31
0.31
0.31
0.31
2022 1.25
0.31
0.31
0.31
0.31
2021 0.50
0.13
0.13
0.13
0.13
2020 0.50
0.13
0.13
0.13
0.13
2019 0.50
0.13
0.13
0.13
0.13
2018 0.50
0.13
0.13
0.13
0.13
2017 0.50
0.13
0.13
0.13
0.13
2016 0.50
0.13
0.13
0.13
0.13
0.25
special payouts not included in total or ratios

Assets vs Liabilities $m

2023 2024 2025 Q'26
Cash 32 29 25 17
Receivables 23 22 23 23
Inventory — — — —
Other 1 1 1 1
64 61 58 51
2023 2024 2025 Q'26
Payables 6 6 4 4
ST’ Debt — — — —
Other 4 5 5 4
48 49 49 46

Compound Annual Growth %

10y 5y 3y
Sales (3.01%) (1.17%) 1.27%
Cash Flow (3.62%) 2.04% 64.90%
Earnings (14.96%) 0.00% (10.10%)
Book Value (7.80%) (6.11%) (5.07%)

Revenue $m

Mar Jun Sep Dec Year
’26 33 35 — — —
’25 36 36 34 34 140
’24 35 34 35 34 138
’23 33 36 35 34 139
’22 34 34 34 33 135
’21 36 36 36 35 142
’20 37 36 38 37 148
Fiscal quarters ending in the months shown.

Operating Cash Flow $m

Mar Jun Sep Dec Year
’26 2 6 — — —
’25 2 7 8 12 29
’24 2 7 11 8 29
’23 3 9 3 12 26
’22 (5) (1) 6 7 6
’21 1 3 6 (2) 8
’20 1 5 14 5 26
Fiscal quarters ending in the months shown.

Free Cash Flow $m

Mar Jun Sep Dec Year
’26 2 6 — — —
’25 2 6 8 10 25
’24 1 7 10 8 26
’23 2 7 3 11 23
’22 (6) (2) 5 5 3
’21 (3) (1) 2 (5) (7)
’20 (1) 1 11 2 11
Fiscal quarters ending in the months shown.

EPS $

Mar Jun Sep Dec Year
’26 0.09 0.20 — — —
’25 0.25 0.22 0.15 0.14 0.75
’24 0.21 0.17 0.18 0.18 0.73
’23 0.15 0.23 0.22 0.17 0.77
’22 (0.37) 0.10 0.15 1.21 1.09
’21 (0.12) (0.04) (0.13) (0.86) (1.14)
’20 (0.24) 0.20 0.16 (2.44) (2.32)
Fiscal quarters ending in the months shown.

Target Price Range

Analyst price targets

Recommendation Rating

3
1Buy 2 3Hold 4 5Sell

Ten 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
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.

All 10 years →

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%)

All 51 Health Information Services stocks →

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.

Source: company filings (standardised) and stockrow calculations.

Spok Holdings, Inc. (SPOK) Latest News

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stockrow.com/SPOK · Data as of Jun 30, 2026 · For information only; not investment advice. · © 2026 stockrow.com