Stocks · Healthcare · Medical - Healthcare Information Services

Spok Holdings, Inc. SPOK

$10.89 +2.06% Close, Oct 2, 2026 · NASDAQ · Market cap $227.5M

High qualityInexpensive vs sectorLow risk

Next earnings report: Nov 4, 2026

Scroll or pinch to zoom, drag to move. Daily prices adjusted for splits. Markers: E = earnings (green beat, red miss), S = split, D = dividend.

Three things to know

  1. The stock is in a downtrend: below its 200-day average, with the 50-day average below the 200-day.
  2. Diluted EPS over the last four quarters was $0.58, down 30.1% year over year.
  3. Over the past year the stock returned -34.2%, behind the S&P 500 by 49.3 percentage points.

PromtFinance scores

Each score is a percentile within the Healthcare sector (0–100). Under each score: how the stock ranks in its sector on every component. As of Oct 5, 2026.

Growth19Very weak

How fast revenue, earnings and cash flow are growing.

  • Revenue growth (TTM, YoY)Bottom 25%
  • EPS growth (TTM, YoY)Bottom 33%
  • FCF growth (TTM, YoY)Bottom 39%
  • Revenue growth, 3-year CAGRBottom 26%
  • Revenue growth accelerationBottom 36%
Quality97Exceptional

Returns on capital, margins, earnings quality and balance-sheet strength.

  • Return on invested capitalTop 18%
  • Gross marginTop 21%
  • Operating marginTop 19%
  • Cash conversion (OCF / net income)Top 26%
  • Accruals (lower is better)Top 40%
  • Net debt / EBITDA (lower is better)Top 25%
Value89Strong

How cheap the shares are relative to earnings, cash flow and their own history.

  • Earnings yieldTop 9%
  • Free-cash-flow yieldTop 6%
  • EBITDA / enterprise valueTop 8%
  • Sales / enterprise valueTop 19%
  • P/E vs own 5-year history (lower is better)Bottom 34%
Momentum32Weak

Strength and persistence of the price trend, including versus the S&P 500.

  • 12-month return excluding last monthBottom 12%
  • 6-month returnBottom 41%
  • 1-year return vs S&P 500Bottom 19%
  • Distance from 52-week highBottom 47%
  • Trend checklist (0–4)Top 39%
Revisions19Very weak

Earnings surprises and analyst sentiment (estimate-revision history is being collected).

  • Average EPS surprise, last 4 quartersBottom 24%
  • Consecutive EPS beatsBottom 49%
  • Upside to consensus price targetBottom 39%
Stability97Exceptional

Low volatility, shallow drawdowns, low market sensitivity and modest leverage.

  • Volatility, 60 days (lower is better)Top 3%
  • Maximum drawdown, 3 yearsTop 18%
  • Beta vs S&P 500 (lower is better)Top 19%
  • Net debt / EBITDA (lower is better)Top 25%

What changed

Latest four quarters versus the same period a year earlier (growth: versus one quarter earlier).

MeasureBeforeNow
Revenue growth (YoY)-1.7%-3.4%↓
EPS growth (YoY)-23.1%-30.1%↓
Gross margin69.8%88.1%↑
Operating margin15.2%13.2%↓
FCF margin18.0%18.7%↑

Fundamental momentum

MeasureNow (TTM)Year / quarter beforeSector rank
Revenue growth (TTM, YoY)-3.4%-1.7%↓Bottom 25%
EPS growth (TTM, YoY)-30.1%-23.1%↓Bottom 33%
Gross margin88.1%69.8%↑Top 21%
Operating margin13.2%15.2%↓Top 19%
Net margin9.0%12.1%↓—
Free-cash-flow margin18.7%18.0%↑—
Return on invested capital8.5%—Top 18%
Revenue growth, 3-year CAGR1.3%—Bottom 26%

Quality of earnings and balance sheet

Cash conversion (OCF / net income)Above 1× means profits are backed by cash.
2.34×
Accruals (net income − OCF) / assetsLower is better; high accruals can signal weaker earnings quality.
-8.4%
Stock-based compensation / revenueA cost to shareholders through dilution.
2.9%
Receivables growth vs revenue growthReceivables growing much faster than sales can be a warning.
-5.6 pp
Net debt / EBITDABelow 1× is conservative; above 3× is high leverage.
-0.47×

Shareholder returns

Dividend yield (dividends paid, TTM)
12.01%
Net buyback yield (TTM)
0.75%
Shareholder yield
12.77%
Share count change, 1 year
+2.1%
Share count change, 3-year CAGR
+1.5%

Shareholder yield = dividends + net buybacks over the last four quarters, divided by market cap.

Based on the four quarters through Jun 30, 2026 (filed Jul 30, 2026).

Earnings and expectations

Earnings momentum

Consecutive EPS beats
1
Beats in the last 8 reports
3 of 8
Average EPS surprise, last 4
-15.0%
Average 2-day reaction, last 8
-1.3%
Positive 20 days after report
3 of 8

Analysts

Consensus price target
$15.00
Target vs current price
+37.7%

How the stock reacted to recent reports

Report dateEPS surprise2 days5 days20 days60 days
Jul 29, 2026+33.3%+0.6%+2.9%-2.8%—
Apr 29, 2026-50.0%-3.7%-5.2%-7.8%-7.7%
Feb 25, 2026-22.2%-0.3%-11.4%-18.4%-20.1%
Oct 29, 2025-21.1%-3.7%-16.1%-20.2%-17.6%
Jul 30, 2025+22.2%-0.3%+7.5%+4.3%-5.0%
Apr 30, 2025+38.9%-0.6%+14.5%+12.2%+21.2%
Feb 26, 2025-10.0%-2.2%-3.0%-4.4%-2.3%
Oct 30, 2024+0.0%-0.7%+5.9%+8.8%+9.0%

Returns from the close before each report. Past reactions do not determine future ones.

Earnings history

Report dateEPSEstimateSurpriseRevenue
Jul 29, 2026$0.20$0.15+33.3%$35.0M
Apr 29, 2026$0.09$0.18-50.0%$33.2M
Feb 25, 2026$0.14$0.18-22.2%$33.9M
Oct 29, 2025$0.15$0.19-21.1%$33.9M
Jul 30, 2025$0.22$0.18+22.2%$35.7M
Apr 30, 2025$0.25$0.18+38.9%$36.3M
Feb 26, 2025$0.18$0.20-10.0%$33.9M
Oct 30, 2024$0.18$0.18+0.0%$34.9M

Valuation in context

MultipleNow5-year median5-year percentileSector rank (cheapness)
P/E (trailing)18.8×17.8×60thTop 9%
P/E (forward)16.5×———
EV / EBITDA9.4×——Top 8%
EV / Sales1.59×——Top 19%
Free-cash-flow yield11.17%——Top 6%
Earnings yield5.33%——Top 9%

P/E over the past five years

Range 7.7× – 22.9× since Dec 31, 2022. Each point: price on the filing date divided by trailing-twelve-month EPS known then.

What moved the stock over the past year

Price return, 1 year
-34.2%
Earnings per share growth (TTM)
-30.1%
Change in P/E multiple
-16.2%

Most of the move came from earnings growth.

Technical state

Trend checklist

  • ✓ Price above 20-day average
  • ✓ Price above 50-day average
  • ✗ Price above 200-day average
  • ✗ 50-day average above 200-day
  • ✓ MACD histogram positive

Trend quality

Days above the 50-day average
1
Days above the 200-day average
0
50-day average slope (20 days)
+0.2%
200-day average slope (20 days)
-2.1%
Distance from 50-day average
+1.5%
Distance from 200-day average
-5.3%
RSI (14)
60.4
Relative volume
0.91×

Risk and drawdowns

Volatility, 60 days (annualized)
22.8%
Volatility vs own 5-year history
15th percentile · Low for this stock
Beta vs S&P 500 (2 years, weekly)
0.57
Correlation with S&P 500
0.32
Current drawdown from 1-year high
-33.6%
Maximum drawdown, 3 years
-45.4%

Largest declines in the past six years

From peakTo lowDeclineLengthRecovery
Jan 6, 2021Jul 1, 2022-50.9%374 days211 days (May 4, 2023)
Aug 13, 2025Jun 30, 2026-45.4%220 daysNot yet recovered
Feb 29, 2024Apr 28, 2025-23.1%290 days44 days (Jul 1, 2025)
Jun 22, 2023Jul 14, 2023-21.3%15 days10 days (Jul 28, 2023)
Nov 27, 2023Dec 15, 2023-20.0%14 days50 days (Feb 29, 2024)

Declines of 10% or more from a closing high, measured on daily closes.

Financial statements

Market cap
$227.5M
P/E (TTM)
18.8
EPS, diluted (TTM)
$0.58
Revenue (TTM)
$136.0M
Dividend yield
11.48%
52-week range
$9.95 – $16.63
FY 2021FY 2022FY 2023FY 2024FY 2025
Revenue$142.2M$134.5M$139.0M$137.7M$139.7M
Gross profit$69.9M$75.3M$81.9M$109.2M$110.1M
Operating income-$12.1M$7.6M$21.8M$19.0M$19.7M
Net income-$22.2M$21.9M$15.7M$15.0M$15.9M
EPS (diluted)-$1.14$1.09$0.77$0.73$0.75
Q3 2024Q4 2024Q1 2025Q2 2025Q3 2025Q4 2025Q1 2026Q2 2026
Revenue$34.9M$33.9M$36.3M$35.7M$33.9M$33.9M$33.2M$35.0M
Net income$3.7M$3.6M$5.2M$4.6M$3.2M$2.9M$2.0M$4.1M
EPS (diluted)$0.18$0.18$0.25$0.22$0.15$0.14$0.09$0.20
FY 2021FY 2022FY 2023FY 2024FY 2025
Operating cash flow$8.0M$6.5M$26.2M$28.9M$28.9M
Capital expenditure-$15.2M-$3.8M-$3.4M-$3.2M-$3.8M
Free cash flow-$7.3M$2.7M$22.8M$25.7M$25.2M
Dividends paid-$10.0M-$25.0M-$25.6M-$26.4M-$27.3M
Net share buybacks-$1.9M-$1.2M-$1.2M-$2.4M-$2.5M

Cash outflows are shown as negative numbers.

Cash and short-term investments
$16.6M
Total assets
$195.6M
Total liabilities
$55.7M
Total debt
$5.7M
Net debt
-$10.8M
Shareholders’ equity
$139.9M

As of Jun 30, 2026 (filed Jul 30, 2026).

Dividends

Ex-dateAmountPaid
Aug 19, 2026$0.31Sep 9, 2026
May 26, 2026$0.31Jun 24, 2026
Mar 16, 2026$0.31Mar 31, 2026
Nov 18, 2025$0.31Dec 9, 2025
Aug 19, 2025$0.31Sep 9, 2025
May 23, 2025$0.31Jun 24, 2025
Mar 14, 2025$0.31Mar 31, 2025
Nov 18, 2024$0.31Dec 9, 2024

Short interest

Shares sold short
679,661
Days to cover
5.75
Change vs previous report
+14.4%

FINRA short interest, settlement date Sep 15, 2026.