Quarterlytics / Healthcare / Medical - Healthcare Information Services / Spok Holdings, Inc.

Spok Holdings, Inc.

spok · NASDAQ Healthcare
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Ticker spok
Exchange NASDAQ
Sector Healthcare
Industry Medical - Healthcare Information Services
Employees 418
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FY2022 Annual Report · Spok Holdings, Inc.
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Smarter, faster, clinical  
communication 

2022

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A Message from the President and Chief Executive Officer

Dear Fellow Stockholders, 

2022 was a year of change in an effort to quickly respond to marketplace dynamics, as well as demand for our 

products and solutions. In February, we announced a new strategic business plan that set a priority on maximizing 

cash flow, with the goal of returning capital to our stockholders. As part of that strategic pivot, we made the tough 

decision to discontinue the development and sales of Spok Go® and eliminate all associated costs and focus our 

attention on our existing software solutions. 

As such, we right-sized the company to focus on cash-flow generation. This was accomplished by focusing 

on our core Wireless and Software solutions, while streamlining Spok’s management and board structure by 

approximately 50%, reducing our employee head count by about 30%, rationalizing external costs, reducing capital 

expenditures, and consolidating our offices. 

These difficult steps were taken due to the challenging financial and resource environments our hospital 

customer base has experienced and continues to experience due to the pandemic. This continues to be a difficult 

environment for new projects, as hospital resources and budgets remain tight and are focused on getting more out 

of their existing solutions. Spok’s Wireless and Software service lines are ideally situated for this environment. 

Our new strategic business plan, which we began implementing on Feb. 17, 2022, includes maximizing revenue 

and cash flow generation from our established Spok Care Connect® suite, including Spok Mobile®, and our 

Wireless service offerings. The Company already has an excellent track record of driving revenue from these 

businesses and enjoys a significant market leadership position in narrowband personal communications services 

and hospital call center solutions. Moving forward, we plan to invest in a targeted and disciplined manner in these 

important and valuable franchises in order to continue our long-standing relationships with the nation’s leading 

healthcare providers. These customers include 18 of the top 20 adult hospitals and all 10 children’s hospitals 

named to the U.S. News & World Report’s 2022-2023 Best Hospitals Honor Roll. In fact, over the past decade, 

nearly every hospital named to that honor roll has been a Spok customer. 

 The Company has prioritized returning capital to our stockholders, and as a result of the pivot, we increased 

our regular quarterly dividend by 150% from $0.125 per share, or $0.50 annually, to $0.3125 per share, or $1.25 

annually. Based on our new business plan and our view of the future, we believe we can continue to pay this level 

of dividend for the foreseeable future and expect to be able to fund the majority of it from net cash provided by 

operating activities in 2023 and beyond. This new level of dividend represents a significant recurring yield on Spok 

shares going forward. 

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True To Our Mission

 .

While our operations have seen significant change 

over the past several years, we have remained true to 

our mission and core values. Spok delivers information 

to care teams, when and where it matters most, to 

improve patient outcomes, as Spok enables smarter, 

faster, clinical communications for our customers. 

Spok’s solutions for critical communications provide a 

vital service for our trusted customers.  

We have over 2,200 health care facilities as 

customers, representing the who’s who of hospitals 

in the United States. We have built our solutions 

over many years and have long-standing, valuable 

customer relationships. We honor and respect our 

customer service in providing world-class healthcare, 

and we value our place in their communications 

ecosystem. This is coupled with a financial strength 

that over 83% of our revenue is re-occurring in nature, 

and we are a company with no debt, which provides 

us significant flexibility. 

We continue to focus on investing in and enhancing 

our integrated Spok Care Connect software solutions 

and wireless products in order to continue our long-

standing relationships with the nation’s leading 

healthcare providers. In 2022, although we sharply 

reduced our research and development spend from 

the previous year, we still spent approximately $8.7 

million to support development of our Spok Care 

Connect platform, as well as wireless products. 

We expect to expand that investment to 

approximately $11.3 million this year, in line with 

spending levels prior to the introduction of Spok Go. 

This investment is important, relative to our plans for 

stabilization and eventual growth of future software 

revenue, and these incremental costs are embedded 

in our financial guidance. We believe these attributes, 

combined with our experienced, dedicated, and 

committed employee base, will allow us to generate 

significant cash flow into the future and return capital 

to our stockholders.

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Corporate Highlights

While 2022 was a challenging year for the Company, 

Spok pagers help provide peace of mind and remain 

we made significant progress in our strategic pivot 

and saw strong improvement in many performance 

among the most reliable, survivable, and affordable 

technology for critical communications that many of 

metrics, including wireless trends, software bookings 

our customers rely on. We are committed to continually 

and backlog levels, as well as expense management, as 

enhancing communication solutions, like the GenA 

we further aligned our cost structure with our business 

pager, that can help save lives and eliminate the barriers 

plan. In 2022, Spok generated over $24 million of 

to effective communication facing healthcare systems 

proforma adjusted EBITDA¹ and returned $25 million 

and public safety organizations today.  

Finally, subsequent to the end of the fourth quarter 

2022, we announced that for the sixth consecutive year 

Spok was voted the top-rated secure communications 

platform by healthcare industry clients in Black Book 

Industry’s 2023 survey. The award demonstrates that our 

customers can continue to count on Spok for secure and 

reliable care team communications, especially with the 

increase in data breaches and security threats since the 

onset of the pandemic.  

to stockholders through the quarterly dividend. And as 

you’ve seen from our guidance, we are on track to do 

it again this year. With a renewed focus on Spok Care 

Connect clients, full year 2022 software operations 

bookings totaled just under $25 million, a nearly 17% 

year-over-year increase, and we signed 66 new six-figure 

customer contracts. This momentum continues in 2023, 

as we continue to see growth in our new customer sales 

pipeline, both in terms of size and quality.  

As I stated previously, in 2022, we made significant 

progress in mitigating wireless customer and revenue 

attrition, through pricing actions and sales of our new 

GenA™ pager. The GenA pager enables fast, secure, and 

effective communication--when and where it is needed 

most. More than ever before, communication needs to 

be immediate and reliable regardless of cell coverage.  

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Cash Returned to Stockholders 
Dividends and Share Repurchases 
(dollars in millions) 

$23.6

$16.4

$25.0

$9.8

$10.0

2018

2019

2020

2021

2022

$30.0

$25.0

$20.0

$15.0

$10.0

$5.0

$0.0

2022 Financial Performance

For fiscal year 2022, we achieved our previously communicated full year financial guidance for revenue, adjusted 

operating expenses², and capital expenditures. Total GAAP revenue for fiscal year 2022 was $134.5 million, 

consisting of wireless revenue of $75.6 million and software revenue of $58.9 million. With respect to wireless 

revenue, 2022 performance was driven by a lower level of pager unit churn on a year-over-year basis. Our 2022 

adjusted operating expenses of $123.4 million were down significantly from $154.3 million in the prior year. 

Adjusted operating expenses were lower primarily due to the previously outlined cost actions we took early in the 

year as a result of our strategic alternatives review process. Our balance sheet remained strong with a cash, cash 

equivalents, and short-term investment balance of $35.8 million as of December 31, 2022, and deferred tax assets 

totaling $52.4 million. Finally, we continue to operate as a debt-free company! 

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We remain committed to our mission to be a strategic partner 
of choice for enterprise grade communications and patient care 
coordination. This commitment has allowed Spok to create a significant 
market position with long-standing relationships with the nation’s 
leading healthcare providers. This vision serves as the framework for 
every aspect of our business. We want to express to all our stakeholders 
that we are committed to the core principles that will guide our 
organization’s future. Every Spok representative and partner must 
embody these core tenets of our values.

2023 and Beyond

We are optimistic about our prospects for 2023 and are confident in our plan to maximize revenue and 

cash flow generation from our established Spok Care Connect solutions, including Spok Mobile and 

our wireless service offerings. Our offerings provide the Company with a very predictable revenue 

base, coming from either our legacy wireless offerings or software maintenance contracts. Additionally, 

our Spok Care Connect solutions provide products with potential for new license sales and a valuable 

maintenance stream. Maintenance continues to provide a foundation under our legacy software 

business and is important to maintain as we transition to focus on cash flow generation.   

For 2023 we expect total revenue to be in the range of $129.0 million to $136.5 million. Included in 

that, we expect wireless revenue to range between $71.5 million to $74.5 million, where the midpoint 

reflects an annual revenue attrition rate of approximately 3.4%, 230 basis points lower than the attrition 

rate in 2021. Software revenue is expected to range from $57.5 million to $62.0 million, where the 

midpoint reflects a slight year-over-year annual revenue increase of approximately $0.9 million from 

2022. We believe that these revenue projections will drive our business to generate adjusted EBITDA 

in the range of $24 million to $26 million in 2023. Finally, though we are not providing specific guidance 

for capital expenditures, we would expect those levels would be in line with prior years. Total capital 

expenditures for the full year 2022 were $3.8 million, down from $4.4 million in 2021. 

We remain committed to our mission to be a strategic partner of choice for enterprise grade 

communications and patient care coordination. This commitment has allowed Spok to create a 

significant market position with long-standing relationships with the nation’s leading healthcare 

providers. This vision serves as the framework for every aspect of our business. We want to express 

to all our stakeholders that we are committed to the core principles that will guide our organization’s 

future. Every Spok representative and partner must embody these core tenets of our values. 

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In summary, our commitment to our stockholders, customers and other stakeholders has never wavered. We are moving 

forward with a clear vision for the future, and we are focused on transforming that vision into action through compelling 

products and innovative strategies that position us to capitalize on the robust opportunities in our evolving marketplace. 

We wish to thank you, our stockholders, for your support and patience as we have navigated these challenging times. We 

believe that the best is yet to come. We also thank our Board of Directors for their continued stewardship and guidance, 

our employees for their tireless dedication to our mission, and our customers for their continued support. We look 

forward to the journey ahead. 

Yours truly, 

Vincent D. Kelly 

President and Chief Executive Officer 

April 2023

Adjusted EBITDA represents net income/(loss) before interest income/expense, income tax benefit/expense, depreciation, amortization and accretion 
expense, stock-based compensation expense, impairment of intangible assets, severance and restructuring, and effects of capitalized software development 
costs. Proforma Adjusted EBITDA results exclude one-time costs related to the strategic pivot as well as costs related to operations under our prior strategy 
that will not be incurred going for ward. Had those strategic changes been in effect as of January 1, 2022, our Adjusted EBITDA would have been $9.5 
million higher for the year. This includes costs related to terminated employees of approximately $7.5 million, and non-payroll Spok Go and other costs of 
approximately $2.0 million. 

Adjusted operating expenses excludes depreciation, amortization and accretion, impairment of intangible assets, severance and restructuring costs, and 
effects of capitalized software development costs. 

Statements contained herein which are not historical fact, such as statements regarding our future operating and financial performance, are for ward-looking 
statements for purposes of the safe harbor provisions under the Private Securities Litigation Reform Act of 1995. These for ward-looking statements involve 
risks and uncertainties that may cause our actual results to be materially different from the future results expressed or implied by such for ward-looking 
statements. Factors that could cause actual results to differ materially from those expectations include, but are not limited to, our ability to manage wireless 
network rationalization to lower our costs without causing disruption of service to our customers; our ability to retain key management personnel and to 
attract and retain talent within the organization; the productivity of our sales organization and our ability to deliver effective customer support; our ability to 
identify potential acquisitions, consummate and successfully integrate such acquisitions, and achieve the expected benefits of such acquisitions; risks related 
to the COVID-19 pandemic; economic conditions such as recessionary economic cycles, higher interest rates, inflation and higher levels of unemployment; 
competition for our services and products from new technologies or those offered and/or developed from firms that are substantially larger and have much 
greater financial and human capital resources; continuing decline in the number of paging units we have in service with customers, commensurate with a 
continuing decline in our wireless revenue; our ability to address changing market conditions with new or revised software solutions; undetected defects, 
bugs, or security vulnerabilities in our products; our dependence on the U.S. healthcare industry; the sales cycle of our software solutions and services can 
run from six to eighteen months, making it difficult to plan for and meet our sales objectives and bookings on a steady basis quarter-to-quarter and year-
to-year; our reliance on third-party vendors to supply us with wireless paging equipment; our ability to maintain successful relationships with our channel 
partners; our ability to protect our rights in intellectual property that we own and develop and the potential for litigation claiming intellectual property 
infringement by us; our use of open source software, third-party software and other intellectual property; the reliability of our networks and servers and our 
ability to prevent cyber-attacks and other security issues and disruptions; unauthorized breaches or failures in cybersecurity measures adopted by us and/or 
included in our products and services; our ability to realize the benefits associated with our deferred income tax assets; future impairments of our long-lived 
assets, amortizable intangible assets or goodwill; risks related to data privacy and protection-related laws and regulation; and our ability to manage changes 
related to regulation, including laws and regulations affecting hospitals and the healthcare industry generally, as well as other risks described from time to 
time in our other filings with the Securities and Exchange Commission. Although we believe the expectations reflected in the for ward-looking statements 
are based on reasonable assumptions, we can give no assurance that our expectations will be attained. We disclaim any intent or obligation to update any 
for ward-looking statements. 

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Table of ContentsUNITED STATESSECURITIES AND EXCHANGE COMMISSIONWASHINGTON, D.C. 20549FORM 10-K(Mark One)☒ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934For the Fiscal Year Ended December 31, 2022or☐TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934For the transition period from                      to                     Commission file number 001-32358SPOK HOLDINGS, INC.(Exact name of registrant as specified in its charter)Delaware16-1694797(State or other jurisdiction ofincorporation or organization)(I.R.S. EmployerIdentification No.)5911 Kingstowne Village Pkwy, 6th FloorAlexandria, Virginia22315(Address of principal executive offices)(Zip Code)(800) 611-8488(Registrant’s telephone number, including area code)Securities registered pursuant to Section 12(b) of the Act:Title of each classTrading SymbolName of each exchange on which registeredCommon Stock, par value $0.0001 per shareSPOKNASDAQSecurities registered pursuant to Section 12(g) of the Act:NoneIndicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.    Yes  ☐    No  ☒Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.    Yes  ☐    No  ☒Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject tosuch filing requirements for the past 90 days.    Yes  ☒    No  ☐Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required tosubmit such files).    Yes  ☒    No  ☐Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reportingcompany, or an emerging growth company. See the definitions of "large accelerated filer," "accelerated filer," "smaller reporting company," and"emerging growth company" in Rule 12b-2 of the Exchange Act.Large accelerated filer☐Accelerated filer☒Non-accelerated filer☐  Smaller reporting company☒Emerging growth company☐If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying withany new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.☐Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of itsinternal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accountingfirm that prepared or issued its audit report. ☒                Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).    YES    ☐    NO  ☒
The aggregate market value of the common stock held by non-affiliates of the registrant was $120 million based on the closing price of $6.30 per
share on the NASDAQ National Market  on June 30, 2022.

®

The number of shares of registrant’s common stock outstanding on February 17, 2023, was 19,997,142.

DOCUMENTS INCORPORATED BY REFERENCE

Portions of the registrant’s Definitive Proxy Statement for the 2023 Annual Meeting of Stockholders of the registrant, which will be filed with the
Securities and Exchange Commission pursuant to Regulation 14A no later than May 1, 2023, are incorporated by reference into Part III of this
Report.

Table of Contents

Business
Risk Factors
Unresolved Staff Comments
Properties
Legal Proceedings
Mine Safety Disclosures

TABLE OF CONTENTS

Part I

Part II

Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity
Securities
[Reserved]
Management’s Discussion and Analysis of Financial Condition and Results of Operations
Quantitative and Qualitative Disclosures About Market Risk
Financial Statements and Supplementary Data
Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
Controls and Procedures
Other Information
Disclosure Regarding Foreign Jurisdictions that Prevent Inspections

Part III

Directors, Executive Officers and Corporate Governance
Executive Compensation
Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
Certain Relationships and Related Transactions, and Director Independence
Principal Accountant Fees and Services

Item 1.
Item 1A.
Item 1B.
Item 2.
Item 3.
Item 4.

Item 5.

Item 6.
Item 7.
Item 7A.
Item 8
Item 9.
Item 9A.
Item 9B.
Item 9C.

Item 10.
Item 11.
Item 12.
Item 13.
Item 14.

Item 15.
Item 16.
Signatures

Exhibit and Financial Statement Schedules
Form 10-K Summary

Part IV

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Table of Contents

Forward-Looking Statements

This  Annual  Report  on  Form  10-K  contains  forward-looking  statements  and  information  relating  to  Spok  Holdings,  Inc.  and  its  subsidiaries
("Spok"  or  the  "Company")  that  set  forth  anticipated  results  based  on  management’s  current  plans,  known  trends  and  assumptions.  These
statements  are  made  pursuant  to  the  safe  harbor  provisions  of  the  Private  Securities  Litigation  Reform  Act  of  1995.  Statements  that  are
predictive in nature, that depend upon or refer to future events or conditions, or that include words such as "anticipate," "believe," "estimate,"
"expect," "intend," "will," "target," "forecast" and similar expressions, as they relate to Spok, are forward-looking statements.

Although  these  statements  are  based  upon  current  plans,  known  trends  and  assumptions  that  management  considers  reasonable,  they  are
subject to certain risks, uncertainties and assumptions, including but not limited to the following:

• Our ability to manage wireless network rationalization to lower our costs without causing disruption of service to our customers;
• Our ability to retain key management personnel and to attract and retain talent within the organization;
•
• Our ability to identify potential acquisitions, consummate and successfully integrate such acquisitions, and achieve the expected benefits

The productivity of our sales organization and our ability to deliver effective customer support;

of such acquisitions;

• Risks related to the COVID-19 pandemic;
•
•

Economic conditions such as recessionary economic cycles, higher interest rates, inflation and higher levels of unemployment;
Risks related to our overall business strategy, including maximizing revenue and cash generation from our established businesses and
returning capital to stockholders through dividends and repurchases of shares of our common stock;
Competition  for  our  services  and  products  from  new  technologies  or  those  offered  and/or  developed  from  firms  that  are  substantially
larger and have much greater financial and human capital resources;
Continuing  decline  in  the  number  of  paging  units  we  have  in  service  with  customers,  commensurate  with  a  continuing  decline  in  our
wireless revenue;

•

•

• Our ability to address changing market conditions with new or revised software solutions;
• Undetected defects, bugs, or security vulnerabilities in our products;
• Our dependence on the U.S. healthcare industry;
•

The sales cycle of our software solutions and services can run from six to eighteen months, making it difficult to plan for and meet our
sales objectives and bookings on a steady basis quarter-to-quarter and year-to-year;

• Our reliance on third-party vendors to supply us with wireless paging equipment;
• Our ability to maintain successful relationships with our channel partners;
• Our  ability  to  protect  our  rights  in  intellectual  property  that  we  own  and  develop  and  the  potential  for  litigation  claiming  intellectual

property infringement by us;

The reliability of our networks and servers and our ability to prevent cyber-attacks and other security issues and disruptions;
Unauthorized breaches or failures in cybersecurity measures adopted by us and/or included in our products and services;

• Our use of open source software, third-party software and other intellectual property;
•
•
• Our ability to realize the benefits associated with our deferred income tax assets;
•
•
• Our ability to manage change related to regulation, including laws and regulations affecting hospitals and the healthcare industry

Future impairments of our long-lived assets, amortizable intangible assets or goodwill;
Risks related to data privacy and protection-related laws and regulation

generally; and
Those matters that are discussed in this Annual Report under Item 1A "Risk Factors."

•

Should known or unknown risks or uncertainties materialize, known trends change, or underlying assumptions prove inaccurate, actual results or
outcomes may differ materially from past results and those described herein as anticipated, believed, estimated, expected, intended, targeted or
forecasted. Investors are cautioned not to place undue reliance on these forward-looking statements.

The  Company  undertakes  no  obligation  to  revise  or  update  forward-looking  statements,  except  as  required  by  law.  Investors  are  advised  to
consult all further disclosures the Company makes in its subsequent quarterly reports on Form 10-Q and current reports on Form 8-K that it will
file with the United States Securities and Exchange Commission ("SEC").

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Also  note  that,  in  the  risk  factors  section,  the  Company  provides  a  cautionary  discussion  of  risks,  uncertainties  and  possibly  inaccurate
assumptions relevant to its business. These are factors that, individually or in the aggregate, could cause the Company’s actual results to differ
materially from past results as well as those results that may be anticipated, believed, estimated, expected, intended, targeted or forecasted. It is
not possible to predict or identify all such risk factors. Consequently, investors should not consider the risk factor discussion to be a complete
discussion  of  all  of  the  potential  risks  or  uncertainties  that  could  affect  Spok’s  business,  statement  of  operations  or  financial  condition,
subsequent to the filing of this Annual Report.

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PART I

The terms "we," "us," "our," "Company" and "Spok" refer to Spok Holdings, Inc. and its direct and indirect wholly owned subsidiaries.

ITEM 1. BUSINESS

Overview

Spok, Inc., a wholly owned subsidiary of Spok Holdings, Inc. (NASDAQ: SPOK), is proud to be a global leader in healthcare communications.
We deliver clinical information to care teams when and where it matters most to improve patient outcomes. Top hospitals rely on Spok products
and services to enhance workflows for clinicians, support administrative compliance, and provide a better experience for patients.

Our headquarters is located at 5911 Kingstowne Village Pkwy, 6th Floor, Alexandria, Virginia 22315, and our telephone number is 800-611-8488.
We  maintain  a  website  at  http://www.spok.com.  (This  website  address  is  for  information  only  and  is  not  intended  to  be  an  active  link  or  to
incorporate any website information into this 2022 Annual Report on Form 10-K ("2022 Form 10-K").)

We deliver smart, reliable clinical communication and collaboration solutions to help protect the health, well-being, and safety of people in the
United States and abroad, on a limited basis, in Europe, Canada, Australia, Asia and the Middle East. Our customers rely on Spok for workflow
improvement, secure texting, paging services, contact center optimization, and public safety response. We develop, sell, and support enterprise-
wide  systems  primarily  for  healthcare  and  other  organizations  needing  to  automate,  centralize,  and  standardize  their  approach  to  clinical
communications. Our solutions can be found in prominent hospitals, large government agencies, leading public safety institutions, colleges and
universities;  large  hotels,  resorts  and  casinos;  and  well-known  manufacturers.  We  offer  our  services  and  products  to  three  major  market
segments: healthcare, government, and large enterprise, with a greater emphasis on the healthcare market segment.

In February 2022, our Board of Directors announced a new strategic business plan. In accordance with this plan, we discontinued Spok Go and
successfully eliminated all associated costs. We have completed rightsizing the Company to focus on cash flow and stabilizing revenue in our
Spok Care Connect and Wireless products and service lines.

Industry Overview

In  March  2020,  the  World  Health  Organization  declared  COVID-19  a  global  pandemic. The  pandemic  has  had  a  severe  impact  on  the  global
economy and has caused a significant strain on the healthcare industry. While the impact of COVID-19 has varied greatly from one organization
or region to the next, in general, reducing costs was a critical theme for the healthcare provider industry in 2020 and 2021.

Aside from the serious impact that COVID-19 has had on the healthcare industry, the United States healthcare market continues to experience
significant change. Healthcare costs continue to rise, reimbursements from Centers for Medicare and Medicaid Services are being reduced in
certain areas, digitization of healthcare information continues and the industry continues to shift towards a value-based purchasing model and
away from the traditional fee-for-service model. The value-based purchasing model places an emphasis on incentivizing value and quality at an
individual patient level in order to provide better patient outcomes and reduce 30-day readmissions.

In  response,  healthcare  providers  now  require  greater  communication  and  better  collaboration  between  clinicians  in  order  to  generate
improvements in the quality, safety, satisfaction and efficiency of patient care delivery. Improvements in these areas are necessary for healthcare
providers to successfully navigate many of these issues. Many providers are seeking improvement through the adoption of technology, looking to
take  advantage  of  workflow  automation,  process  improvement  and,  in  limited  circumstances,  machine  learning  and  artificial  intelligence.
Providers also look to increase efficiencies through consolidation as larger health systems continue to acquire smaller hospitals for the primary
purpose of gaining regional market share amongst tough competition.

We believe these changes and continued pressure for organizations to provide improved services with fewer resources place an even greater
emphasis  on  the  need  for  improved  clinical  communication  and  collaboration  tools  to  meet  the  increasing  requirements  demanded  by  the
healthcare industry in today’s marketplace. Our solutions help hospitals significantly increase the quality and safety of patient care delivery, while
increasing  patient  and  provider  satisfaction  and  simultaneously  increasing  employee  productivity,  reducing  costs  and  clinician  burnout. This  is
accomplished through workflow enhancement; secure, reliable and integrated communication tools; and mobile accessibility.

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Sales and Marketing

We  offer  a  focused  suite  of  unified  clinical  communication  and  collaboration  solutions  primarily  to  organizations  in  the  healthcare  sector.  We
generate wireless revenue from the sales of wireless messaging services, equipment, maintenance plans and/or equipment loss protection to
both one-way and two-way messaging subscribers. We generate software revenue from the sale of our software solutions, including software
licenses, professional services, equipment we procure from third parties, and post-contract support.

Sales

We market and distribute our clinical communication and collaboration solutions through a direct sales force and an indirect sales channel.

The direct sales force contracts or sells products, solutions, messaging services and other services directly to customers ranging from small and
medium-sized  businesses  to  companies  in  the  Fortune  1000,  as  well  as  federal,  state,  and  local  government  agencies.  We  will  continue  to
market primarily to commercial enterprises, with a focus on healthcare organizations, interested in our communication solutions. We maintain a
sales presence in key markets throughout the United States, and in limited markets internationally through strategic partnerships, in an effort to
gain  new  customers  and  to  retain  and  increase  sales  to  existing  customers.  The  direct  sales  force  targets  leadership  responsible  for  the
procurement  of  clinical  communication  and  collaboration  solutions  such  as  chief  information  officers,  chief  technology  officers,  chief  medical
officers,  chief  nursing  officers,  information  technology  directors,  telecommunications  directors,  laboratory  directors,  radiology  directors  and
contact center managers. The timing for a direct sale varies but may take from 6 to 18 months depending on the type and scope of software
solution.

The indirect sales channel complements our direct sales force. Through relationships with alliance partners we are able to sell our solutions to a
wider customer base. For wireless services that we do not provide directly, we contract with and invoice an intermediary for airtime services. For
our  software  sales,  relationships  with  alliance  partners  assist  us  in  broadening  the  distribution  of  our  products  and  further  diversifying  into
markets outside of the healthcare provider vertical as well as in the Asia Pacific regions. We will continue to expand partnership efforts in 2023.

Within our target market, we have identified and focused our efforts to address the following dynamics:

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•
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•

A heightened awareness of the ubiquitous, critical role of communications in healthcare;
An increased focus within hospitals on quality of care and patient safety initiatives;
The importance of confidentiality when sharing information;
Increased regulations that may result in process changes, increased documentation and reporting and increased costs;
A continuing focus within hospitals to reduce labor and administrative costs while increasing productivity; and
A broader proliferation of information technology in healthcare as hospitals strive to apply technology to address their operational issues.

Marketing

We have a centralized marketing function, which is focused on supporting our solutions and sales efforts by strengthening our corporate brand,
generating sales leads, and facilitating the sales process. Our principal marketing programs include:

• Website  development  and  maintenance,  which  provides  product  and  Company  information,  customer  support  options,  paging

•

capabilities, as well as thought leadership and engagement;
Content  marketing  (e.g.,  eBriefs,  case  studies,  brochures,  videos  and  infographics)  as  an  underlying  foundation  of  all  marketing
campaigns or initiatives;

• Webinars about customer successes, current industry trends, and our solutions;
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Social media involvement to provide information regarding upcoming educational events or new product offerings;
Blog posts to provide information about industry trends and our solutions to customers, prospects, and alliances; and
Participation at trade shows and industry events, such as Healthcare Information and Management Systems Society (HIMSS), College
of  Healthcare  Information  Management  Executives  (CHIME),  and  other  Healthcare  Information  technology  related  shows  and
conferences; and
Annual customer conferences (virtual) that solicit feedback on our solutions and services.

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Licenses and Messaging Networks

In order to provide our wireless services, we hold licenses to operate on various frequencies in the 900 MHz narrowband. We are licensed by the
United States Federal Communications Commission (the “FCC”) to operate Commercial Mobile Radio Services (“CMRS”). These licenses are
required to provide one-way and two-way messaging services over our networks.

Our messaging networks and related infrastructure are located exclusively in the United States. We operate local, regional and nationwide one-
way  networks,  which  enable  subscribers  to  receive  messages  over  a  desired  geographic  area.  One-way  networks  operating  in  900  MHz
frequency  bands  utilize  the  FLEX™  protocol  developed  by  Motorola  Mobility,  Inc.  (“Motorola").  The  FLEX™  protocol  has  advantages  of
functioning at higher network speeds (which increases the volume of messages that can be transmitted over the network) and of having more
robust error correction (which facilitates message delivery to a device with fewer transmission errors).

Our  two-way  networks  utilize  the  ReFLEX  25™  protocol,  also  developed  by  Motorola.  ReFLEX  25™  promotes  spectrum  efficiency  and  high
network capacity by dividing coverage areas into zones and sub-zones. Messages are directed to the zone or sub-zone where the subscriber is
located, allowing the same frequency to be reused to carry different traffic in other zones or sub-zones. As a result, the ReFLEX 25™ protocol
allows the two-way network to transmit substantially more messages than a one-way network using the FLEX™ protocols. The two-way network
also provides for assured message delivery. The network stores, for a limited amount of time, messages that could not be delivered to a device
that  is  out  of  coverage  for  any  reason,  and  when  the  unit  returns  to  service,  those  messages  are  delivered.  The  two-way  paging  network
operates  under  a  set  of  licenses  called  narrowband  Personal  Communications  Service,  which  uses  900  MHz  frequencies.  These  licenses
require certain minimum five and ten-year build-out commitments established by the FCC, which have been satisfied.

Although the capacities of our networks vary by geographic area, we have excess capacity at a consolidated level. We have implemented a plan
to  manage  network  capacity  and  to  improve  overall  network  efficiency  by  consolidating  subscribers  onto  fewer,  higher  capacity  networks  with
increased  transmission  speeds.  This  plan  is  referred  to  as  network  rationalization.  Network  rationalization  will  result  in  fewer  networks  and
therefore fewer transmitter locations, which we believe will result in lower operating expenses due primarily to lower site rent expenses.

As  we  continue  to  implement  our  network  rationalization  plan,  we  expect  to  have  fewer  transmitters  that  can  be  removed  efficiently  from  our
networks  and  still  maintain  the  level  of  service  required  for  our  customers,  and  thus  the  benefits  of  network  rationalization  will  decline.  Cost
savings have slowed as compared to historical cost savings. As we reach certain minimum frequency commitments, as outlined by the FCC, we
may be limited in our ability to continue our efforts to rationalize and consolidate our networks.

Generally, our software solutions do not require licenses or permits from federal, state and/or local government agencies in order to be sold to
customers. However, certain of our software products are subject to regulation by the United States Food and Drug Administration ("FDA") and
are subject to certification by the Joint Interoperability Test Command to be sold to the branches of the armed services of the United States and
the United States government. (see "Regulation" below).

Our Strategy

In  alignment  with  our  strategic  business  plan  announced  in  February  2022,  our  over-arching  strategy  has  been,  and  will  continue  to  be,  the
prioritization  of  free  cash  flow  generation  and  the  return  of  capital  to  stockholders,  by  maximizing  revenue  and  cash  generation  from  our
established  lines  of  business  while  effectively  managing  expenses.  Through  targeted  investments  in  these  important  and  valuable  business
lines, we aim to reinvigorate growth in our legacy software solutions and minimize wireless revenue attrition.

Particular areas of strategic emphasis include:

Acquire new customers and expand relationships within our existing customer base - We will continue to focus our sales and marketing
efforts in the healthcare market in order to identify opportunities for new sales as well as grow revenues from our existing customer base. We
have ongoing initiatives to further penetrate the hospital segment in the United States, and while we believe there is a significant opportunity to
sell  clinical  communication  and  collaboration  solutions  to  hospitals  located  outside  the  United  States,  our  near-term  focus  is  on  the  domestic
market.

We have a significant presence in the healthcare marketplace, and we intend to leverage the strength of our market presence and the breadth of
our product offerings to further expand our customer base in healthcare.

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Minimize  wireless  revenue  attrition  -  We  continue  to  have  a  valuable  wireless  presence  in  the  healthcare  market,  particularly  in  larger
hospitals. We offer a comprehensive suite of wireless messaging products and services focused on healthcare and "campus" type environments
and  critical  mission  notification.  We  will  continue  to  focus  on  network  reliability  and  customer  service  to  help  minimize  the  rate  of  revenue
attrition.

We  recognize  that  the  number  of  wireless  subscribers,  units  in  service,  and  the  related  revenue  will  likely  continue  to  decline.  We  intend  to
continue reducing our underlying cost structure impacting this declining wireless revenue stream by reducing payroll and related expenses as
well as network related expenses where possible, alongside periodic price increases. We will integrate and consolidate operations as necessary
to ensure the lowest cost operational platform for our consolidated business.

The introduction of our GenA pagers in November 2021 was a key initiative that we believe will also help slow our wireless revenue attrition.
Further details on GenA pagers can be found under "GenA Pagers."

Enhance existing software applications - We will continue to invest in the development and enhancement of our Spok Care Connect Suite
products and services, although at a significantly reduced rate relative to our total research and development costs over the last several years.
Targeted enhancements and continued development efforts are critical to our ability to maintain our core software maintenance revenue and are
necessary to drive future software operations revenue. Additionally, targeted enhancements of the Spok Mobile application will be critical in our
ability to help further mitigate wireless customer attrition.

Manage expenses – With a renewed focus on generating cash flow, it is critical that we manage costs in alignment with our revenue. We will
continue  to  look  for  ways  to  reduce  our  underlying  cost  structure  should  revenue  continue  to  decline.  While  we  will  continue  to  invest  in  the
business, we will do so in a more targeted manner to drive tangible earnings that can be returned to our stockholders.

Return capital to our stockholders - We understand that our primary objective is to create long-term stockholder value. We will continue to
evaluate  how  best  to  deploy  our  capital  resources  to  support  sustainable  business  growth  and  maximize  stockholder  value.  We  expect  to
continue to pay a quarterly dividend of $0.3125 per share of common stock, or $1.250 annually, in 2023.

Products and Services

Wireless Products and Related Services

We offer subscriptions to one-way or two-way messaging services for a periodic (monthly, quarterly, semi-annual, or annual) service fee. The
level of service fees is generally based upon the type of service provided, the geographic area covered, the number of devices provided to the
customer and the period of commitment. We also sell devices to resellers who lease or resell them to their subscribers and then sell messaging
services utilizing our networks.

Wireless products and services revenue represented 56%, 55% and 56% of total consolidated revenue for the years ended December 31, 2022,
2021 and 2020, respectively. Demand for one-way and two-way messaging services declined during these years, and we believe demand will
continue  to  decline  for  the  foreseeable  future. As  demand  for  one-way  and  two-way  messaging  has  declined,  we  have  developed  or  added
service offerings, including our GenA pagers discussed below, in order to optimize our revenue potential and mitigate the decline in our wireless
revenues. We will continue to evaluate opportunities within our wireless business while providing customers the highest value possible.

Legacy Wireless Services

A subscriber to one-way messaging services may select coverage on a local, regional, or nationwide basis to best meet their messaging needs,
while two-way messaging is generally offered on a nationwide basis. In addition, subscribers either contract to use a messaging device that we
own for an additional fixed monthly fee, or they own the device used, after either purchasing it from us or from another vendor.

We offer exclusive one-way (T5) and two-way (T52) alphanumeric pagers that are configurable to support unencrypted or encrypted operation.
When  configured  for  encryption,  these  devices  utilize AES-128  bit  encryption,  screen  locking  and  remote  wipe  capabilities.  With  encryption,
these  secure  paging  devices  enhance  our  service  offerings  to  the  healthcare  community  by  adding  Health  Insurance  Portability  and
Accountability Act  ("HIPAA")  security  capabilities  to  the  low  cost  and  high  reliability  and  availability  benefits  of  paging.  We  also  offer  ancillary
services, such as voicemail and equipment loss or maintenance protection, which help increase the monthly recurring revenue we receive, along
with these traditional messaging services.

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GenA Pagers

On November 16, 2021, we announced the launch of our newest pager, GenA. This one-way alphanumeric pager, available on our wide-area
paging network, features a high resolution ePaper display, intuitive modern user interface, advanced HIPAA-compliant encryption and security
features,  over-the-air  remote  programming,  and  an  antimicrobial  housing.  The  ePaper  display  advances  the  user  experience  with  its  larger
screen featuring a high-resolution, high-contrast display for easy reading in all conditions, while an automatic front-light eases reading messages
in the dark. Users can select from various font sizes, and the large GenA display also leverages proportional fonts to maximize key information
on a single screen.

GenA  pagers  also  allow  for  superior  message  reception  in  buildings  with  difficult  coverage  conditions  using  the  high-powered  Spok  900MHz
simulcast  network.  Enhanced  over-the-air  (OTA)  programming  through  the  Spok  My  Account  customer  web  portal  enables  remote  pager
configuration  changes  such  as  updating  the  user’s  name  on  the  pager,  assigning  a  pager  to  a  group,  deleting  message  data  and  encryption
keys,  modifying  global  security  settings,  and  remotely  unlocking  the  device. The  GenA  pager  also  provides  advanced  message  management
features allowing critical messages to be locked to prevent deletion or saved to a separate folder. In addition, separate inbox folders can be set
up for group messages.

The GenA pager is the only product available on the market with these capabilities, and we maintain an exclusive arrangement with the product's
manufacturer whereby it may not market or sell the product to any third party without our consent. Given the uniqueness of the GenA pager, we
believe its development is a key initiative that may help slow our wireless revenue attrition.

Software

Dependable clinical communications are paramount for individuals in healthcare and a host of other industries. We offer a number of solutions,
providing our customers with the ability to communicate anywhere, anytime across a number of situations. Our solutions are used for contact
centers, clinical alerting and notification, mobile communications and messaging, and for public safety notifications.

Spok Care Connect® Suite

Contact Center

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Spok®  Healthcare  Console:  Provides  operators  with  the  information  needed  to  process  calls  using  their  computers  with  just  a  few
keystrokes. This solution integrates with the customers’ existing phone systems and is used by the operator group to answer incoming
calls to the contact center. Operators can quickly and accurately perform directory searches and code calls, as well as messaging and
paging by individuals, groups, and roles using the Spok Healthcare Console’s computer telephony integration and directory capabilities.
Spok® Web-Based Directory: Makes employee contact information more accessible and enables staff to send messages quickly right
from the directory. Authenticated users can log on anywhere, anytime to perform a variety of important updates to contact information
and on-call schedules, search the directory, and send important messages.
Spok®  Web-Based  On-Call  Scheduling:  Keeps  personnel,  calendars  and  on-call  scheduling  information  updated,  even  with
thousands  of  staff,  using  a  secure  web  portal  to  maintain  and  allow  password-protected  access  to  the  latest  on-call  schedules  and
personnel information.
Spok® Speech: Enables the organization to process routine phone requests, including transfers, directory assistance, messaging and
paging without live operators and with more ease-of-use than touch-tone menus.
Spok®  Call  Recording  and  Quality  Management:  Records,  monitors,  and  scores  operators’  conversations  to  allow  for  better
management of calls, helping improve customer service.

Clinical Alerting

•

Spok®  Messenger:  Provides  an  intelligent,  FDA-compliant,  510(k)-cleared  solution  that  connects  virtually  all  crucial  alert  systems,
including nurse call, fire, security, patient monitoring, and building management to mobile staff via their wireless communication devices.
This solution provides the ability to reach mobile team members within seconds of an alert, improving overall workflow, staff productivity,
and the convenience and safety of everyone in the facility.

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Spok® e.Notify: Enables organizations to quickly and reliably notify and confirm team member availability during emergency situations
without relying on calling trees, thereby reducing confusion that may arise in an emergency situation. This solution automatically delivers
messages, collects responses, escalates issues to others, and logs all activities for reporting and analysis purposes.
Spok® Critical Test Results Management: Automates and streamlines the process of delivering critical test results to the appropriate
clinicians to help ensure patient safety. This solution can send messages from the cardiology, laboratory and radiology departments by
means  of  encrypted  smartphone  communications,  two-way  paging,  secure  email,  secure  text,  images,  annotations,  and  voice  to  a
variety of endpoints such as workstations, laptops, tablets, smartphones, pagers, and other wireless devices.

Mobile Communications

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Spok  Mobile®:  Simplifies  communications  and  strengthens  care  by  using  smartphones  and  tablets  for  secure  code  alerts,  patient
updates,  results,  consult  requests,  and  much  more. Allows  users  to  access  the  full  directory  of  accurate  contact  information  to  send
messages/photos/videos  to  smartphones  and  other  devices,  and  helps  to  ensure  all  clinical  communications  are  logged  with  security,
traceability, and reliability.
Spok®  Device  Preference  Engine:  Facilitates  voice  conversations  among  doctors  and  caregivers  by  enabling  users  to  choose  the
desired communication method based on factors such as message priority.

Public Safety

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Spok®  pc/psap:  Speeds  emergency  dispatch  by  giving  Public  Safety Answering  Point  call-takers  an  easy-to-use,  standards-based,
graphical  interface  that  integrates  the  underlying  phone  system,  mapping  systems,  and  other  resources  for  critical  information
availability. 9-1-1 call-takers are able to instantly involve police, fire, EMT, and hazardous material personnel with a single click of the
mouse or touch of the screen.
Spok® Enterprise Alert: Directs emergency personnel to a 9-1-1 caller’s exact location (building, floor, room), helping to ensure speed,
accuracy,  and  reliability  of  response.  The  E9-1-1  software  provides  real-time,  onsite  notification  when  9-1-1  is  dialed,  and  works  to
decrease emergency response time.

Services

We offer a variety of professional services to assist our customers in the successful implementation of, and to maximize the benefits obtained
from  the  use  of,  our  software  solutions.  We  also  offer  support  services  to  enhance  and  refine  the  customer's  experience  throughout  their
relationship with Spok.

•

•

Professional  Services:  We  offer  a  full  suite  of  professional  services  that  are  provided  by  a  dedicated  group  of  professional  service
employees. Our professional services include consultation, implementation, and training services. Our professional services staff uses a
branded, consistent methodology that provides a comprehensive phased work plan for both new software installations and/or upgrades.
In  support  of  our  implementation  methodology,  we  manage  the  various  aspects  of  the  process  through  a  professional  services
automation  tool.  We  may  also  use  third-party  professional  services  firms  as  supplemental  resources  to  implement  our  solutions  for
customers as needed. Professional services revenue represented 9% of total consolidated revenue for the year ended December 31,
2022 and 12% each for the years ended December 31, 2021 and 2020. The decrease in the professional services revenue for 2022 was
from  having  lower  billable  hours  as  a  result  of  our  efforts  to  better  align  staffing  levels  with  our  backlog  as  well  as  to  drive  greater
profitability through more efficient services delivery.
Software License Updates and Product Support (Maintenance): Software license updates and product support, which is generally
referred to as maintenance when sold to customers, is an important offering to customers who utilize our on-premise software solutions.
In order to support our products that provide clinical communication and collaboration solutions to our customer’s organizations, we have
a dedicated customer support organization. The customer support organization provides support 24 hours a day, seven days a week,
365 days a year and the service can be accessed via telephone, email or the Internet via the Spok webpage. The Spok support service
is augmented by third-party services where needed. Software license updates and product support are generally priced together as a
percentage of the software licenses for which these services will be provided. Largely all of our customers purchase maintenance when
they  purchase  new  software  licenses,  after  which  renewals  generally  occur  on  an  annual  basis  and  are  paid  in  advance.  Software
license  updates  provide  customers  with  rights  to  unspecified  product  upgrades  as  well  as  maintenance  and  patch  releases  that  are
released  during  the  term  of  the  support  period.  Software  license  updates  and  product  support  revenue  (i.e.  Maintenance  revenue)
represented  27%  of  total  consolidated  revenue  for  the  years  ended  December  31,  2022  and  2021,  and  26%  for  the  year  ended
December 31, 2020.

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Sources of Equipment

We do not manufacture the messaging devices our customers need to make use of our wireless services or the network equipment we use to
provide  wireless  messaging  services.  We  have  relationships  with  several  vendors  to  purchase  new  messaging  devices.  Used  messaging
devices  are  available  in  the  secondary  market  from  various  sources.  We  believe  existing  inventory,  returns  of  devices  from  customers  that
canceled wireless services, and purchases from other available sources of new and reconditioned devices will be sufficient to meet expected
messaging  device  requirements  for  the  foreseeable  future.  With  the  exception  of  our  GenA  pagers,  the  network  equipment  and  messaging
devices on which we may place our logo or label are generic.

We  sell  third-party  equipment  for  use  with  our  software  solutions.  The  third-party  equipment  that  we  sell  is  generally  available  and  does  not
require any specialty manufacturing to accommodate our software solutions.

We  currently  have  inventory  and  network  equipment  on  hand  that  we  believe  will  be  sufficient  to  meet  our  wireless  and  software  equipment
requirements for the foreseeable future. However, the COVID-19 pandemic has contributed to global supply chain disruptions from which we are
not immune. These disruptions may contribute to delayed production of certain of the products that we offer, including, but not limited to, GenA
pagers,  which  are  assembled  with  certain  microchip  technology  that  has  experienced,  and  may  continue  to  experience,  shortages.  Such
shortages may result in delayed delivery of the products that we offer to customers.

Intellectual Property

As  of  December  31,  2022,  we  held  74  trademarks  and  five  patents,  as  well  as  four  pending  trademarks  and  one  pending  patent,  which  we
believe are important to protect our intellectual property. We believe our intellectual property distinguishes our business from our competition and
is integral to our continued success in the area of clinical communication and collaboration solutions. The expiration dates of these trademarks
range from 2023 to 2033 and can be extended for 10-year periods upon renewals.

Research and Development

We  maintain  a  product  development  group,  a  substantial  portion  of  which  is  focused  on  the  enhancement  of  existing  software  products.  Our
product development group uses a methodology that balances enhancement requests from a number of sources including customers, regulatory
requirements,  professional  services  staff,  customer  support  incidents,  known  defects,  market  and  technology  trends,  and  competitive
requirements. These requests are reviewed and prioritized based on criteria that include the potential for increased revenue, customer/employee
satisfaction, possible cost savings, and development time and expense.

Customers

Our customers include businesses and their employees who need to be accessible to their offices or customers, first responders who need to be
accessible in emergencies, and third parties, such as other telecommunication carriers and resellers that pay us to use our networks. Customers
include  businesses,  professionals,  management  personnel,  medical  personnel,  field  sales  personnel  and  service  forces,  members  of  the
construction  industry  and  construction  trades,  real  estate  brokers  and  developers,  sales  and  services  organizations,  specialty  trade
organizations, manufacturing organizations and government agencies.

Our wide-ranging customer base allows for low customer revenue concentration and as a result, no single customer accounted for more than
10% of our total revenues in 2022, 2021 or 2020.

We pursue close, long-term relationships with our customers because we believe strong customer relationships enable us to retain our current
customer base and expand our services and revenue to that customer base.

Competition

The  competitors  and  degree  of  competition  vary  among  our  various  product  categories.  Competition  is  particularly  strong  for  our  wireless
messaging  services.  Within  the  wireless  industry,  companies  compete  on  the  basis  of  price,  coverage  area,  services  offered,  transmission
quality,  network  reliability  and  customer  service.  We  compete  by  maintaining  competitive  pricing  for  our  products  and  services,  by  providing
broad  coverage  options  through  high-quality,  reliable  messaging  networks  and  by  providing  quality  customer  service.  Direct  competitors  for
wireless messaging services include American Messaging Service, LLC and a variety of other regional and local providers. We also compete
with a broad array of wireless messaging services provided by mobile telephone companies, including AT&T Mobility LLC,T-Mobile USA, Inc.,
and Verizon Wireless, Inc. This competition has intensified as prices for the services of mobile

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telephone  companies  have  declined  and  messaging  capabilities  are  generally  available  in  today's  mobile  phone  devices.  Many  of  these
companies possess far greater financial, technical and other resources than we do.

Most personal communication and other mobile phone devices currently sold in the United States are capable of sending and receiving one-way
and  two-way  messages.  Most  subscribers  that  purchase  these  services  no  longer  need  to  subscribe  to  a  separate  messaging  service. As  a
result,  many  one-way  and  two-way  messaging  subscribers  can  readily  switch  to  cellular,  personal  communications  service  and  other  mobile
telephone services. The decrease in prices and increase in capacity and functionality for cellular, personal communications service, Wi-Fi, and
other mobile telephone services have led many subscribers to select combined voice and messaging services from mobile telephone companies
as an alternative to our stand-alone messaging services.

We  also  have  a  number  of  competitors  whose  software  products  compete  with  one  or  more  modules  of  our  clinical  communication  and
collaboration solutions. These competitors are a mix of privately held and public companies that offer a number of call center, alerting and mobile
communication products. Our primary competitive advantages include having:

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•
•

•

An integrated product suite;
A communication-driven workflow;
Certifications, such as those through the Joint Interoperability Test Command (see "Joint Interoperability Test Command" below) and the
FDA; and
A complete directory of contacts throughout the customer enterprise.

Although we have no competitors that offer a comprehensive set of software modules that match our product offerings, several competitors offer
software similar to many of our solutions. Selected competitors for portions of our product portfolio include:

American Software, Inc.. - Enterprise software solutions;
CareCloud, Inc. - Healthcare solutions;
Computer Programs and Systems, Inc. - Healthcare IT solutions;
Domo, Inc. - Cloud-based solutions;
eGain Corporation - Cloud-based solutions;
Health Catalyst, Inc. - Healthcare data and analytics;
HealthStream, Inc. - Healthcare workforce solutions;
Kaltura, Inc. - Cloud-based solutions;
KORE Group Holdings Inc. - Mobile communications solutions;
LiveVox Holdings, Inc. - Healthcare solutions;
NantHealth Inc. - Healthcare solutions;

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• OptimizeRx Corporation. - Healthcare solutions;
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• Weave Communications, Inc. - Software solutions.

Tabula Rasa Healthcare, Inc. - Healthcare solutions;
UpHealth, Inc. - Healthcare solutions; and

In  addition  to  these  select  competitors,  substantially  larger  companies  in  the  electronic  medical  records  space  such  as  Epic  Systems
Corporation,  Cerner  Corporation,  Athenahealth,  Inc.  and  Allscripts  Healthcare  Solutions,  Inc.  may  choose  to  offer  software-related  solutions
similar to our clinical communication and collaboration solutions or may acquire one of our competitors.

Furthermore, the healthcare sector continues to experience significant consolidation, in large part due to COVID-19, which has highlighted the
need to improve patient outcomes, reduce the burden on providers and streamline operations. As certain industries have been challenged during
the  pandemic,  many  organizations  are  motivated  to  reduce  costs  and  improve  efficiencies  while  others  attempt  to  enter  new  markets  with
complementary  or  divergent  product  offerings  and  drive  growth.  With  larger  organizations  like  Microsoft  Corporation  and  Oracle  Corporation
entering  the  market  in  which  we  operate,  they  may  have  a  competitive  advantage  through  aggressive  pricing  power,  established  brand
recognition, extensive capital resources, and broader delivery and distribution channels.

Human Capital

At December 31, 2022 and 2021, we had 376 and 563 full time equivalent ("FTE") employees, respectively. As part of the restructuring of our
business  in  connection  with  the  strategic  business  plan  announced  by  our  Board  of  Directors  in  February  2022,  we  eliminated  176  positions,
primarily in research and development, and also in professional services,

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selling  and  marketing,  and  back-office  support  functions.  Our  employees  are  not  represented  by  labor  unions  or  covered  by  a  collective
bargaining agreement.

Employee Health, Safety and Well-Being

Spok is committed to conducting its business operations in a manner that protects the health and safety of its employees, visitors, contractors
and the public, and reduces risks within our work centers. Spok believes that no job is so important that our employees cannot take the time to
ensure  the  work  is  performed  safely  and  in  an  environmentally  conscious  manner.  Spok’s  policies  and  procedures  are  intended  to  provide
employees with the information needed to meet all federal, state and local guidelines for occupational health and safety.

The COVID-19 pandemic continues to affect our policies with regard to our employees, whose health and safety is our highest priority. Following
strategies recommended by the Centers for Disease Control and Prevention, we have continued to follow enhanced safety measures, including
performing enhanced cleaning procedures in our offices, providing remote work arrangements for our office-based employees, and liberal leave
policies  for  employees  who  may  be  affected  by  illness,  isolation  or  childcare  obligations.  We  are  compliant  with  all  federal,  state  and  local
regulations as applicable.

Diversity and Inclusion

As  a  global  company,  Spok  strives  to  create  an  environment  that  embraces  diversity  and  fosters  inclusion.  We  recognize  the  value  and
contributions of individuals with a wide range of capabilities, experience, and perspectives, and draw upon this diversity to create value for our
customers and maintain an effective and engaged workforce. Spok is committed to maintaining a work environment free from discrimination and
harassment,  and  one  where  employees  are  treated  with  dignity  and  respect.  We  refuse  to  accept  or  tolerate  harassment  or  discrimination
against any employee or applicant for employment.

Spok has a council composed of employees and executive sponsors to provide feedback and make recommendations regarding our diversity
and inclusion policies and practices. We believe that by promoting and supporting inclusiveness and by leveraging our organization’s diversity,
we  have  a  competitive  advantage  that  allows  us  to  innovate  and  draw  from  our  workforce’s  differing  perspectives.  By  bringing  together
employees from diverse backgrounds and providing each with an opportunity to develop their skills and actively contribute to our mission, we
cultivate an engaged workforce which in turn helps us deliver value to our customers.

Ethical Standards

Integrity is a core tenet of Spok’s culture, and we have measures and controls in place to regularly ensure that our work and organization are
held to the highest ethical standards. We provide numerous resources to our employees, including regular, annual training on maintaining these
standards. We also maintain employee guidelines and policies that align with Spok’s Code of Business Conduct and Ethics.

Regulation

Federal Regulation

The FCC issues licenses to use radio frequencies necessary to conduct our business and regulate many aspects of the operations that support
our wireless revenue. Licenses granted to us by the FCC have varying terms, generally of up to 10 years, at which time the FCC must approve
renewal applications. In the past, FCC renewal applications generally been granted upon showing compliance with the Communications Act of
1934, as amended (the "Communications Act"), and FCC regulations and adequate service to the public. Other than those still pending, the FCC
has thus far granted each license renewal that we have requested.

The Communications Act requires radio licensees, including us, to obtain prior approval from the FCC for the assignment or transfer of control of
any construction permit or station license or authorization of any rights thereunder. The FCC has thus far granted each assignment or transfer
request we have made in connection with a change of control.

The  Communications Act  also  places  limitations  on  foreign  ownership  of  CMRS  licenses,  which  constitute  the  majority  of  our  licenses. These
foreign ownership restrictions limit the percentage of stockholders’ equity that may be owned or voted, directly or indirectly, by non-United States
citizens or their representatives, foreign governments or their representatives, or foreign corporations. Our Amended and Restated Certificate of
Incorporation permits the redemption of our equity from stockholders where necessary to ensure compliance with these requirements.

The FCC’s rules require us to pay a variety of fees that increase our costs of doing business. For example, the FCC requires licensees, including
Spok, to pay levies and fees, such as universal service fees, to cover the costs of certain

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regulatory programs and to promote various other societal goals. These requirements increase the cost of the services we provide. By law, we
are permitted to bill our customers for these regulatory costs and we typically do so.

Additionally, the Communications Assistance to Law Enforcement Act of 1994, ("CALEA") and certain rules implementing CALEA require some
telecommunication companies, including Spok, to design and/or modify their equipment in order to allow law enforcement personnel to "wiretap"
or otherwise intercept messages. Other regulatory requirements restrict how we may use customer information and prohibit certain commercial
electronic messages, even to our own customers.

In addition, the FCC’s rules require us to pay other carriers for the transport and termination of some telecommunication traffic. As a result of
various FCC decisions over the last few years, we no longer pay fees for the termination of traffic originating on the networks of local exchange
carriers providing wireline services interconnected with our services. In some instances, we received refunds for prior payments to certain local
exchange carriers. We have entered into a number of interconnection agreements with local exchange carriers in order to resolve various issues
regarding charges imposed by local exchange carriers for interconnection.

Failure  to  follow  the  FCC’s  rules  and  regulations  can  result  in  a  variety  of  penalties,  ranging  from  monetary  fines  to  the  loss  of  licenses.
Additionally, the FCC has the authority to modify licenses, or impose additional requirements through changes to its rules.

The  FDA  has  determined  software  systems  that  connect  to  medical  devices  are  subject  to  regulation  as  medical  devices  as  defined  by  the
federal Food, Drug and Cosmetic Act (the "FDC Act"). Since our middleware software products connect to medical devices, we are required to
comply  with  the  FDC Act’s  requirements,  including  but  not  limited  to:  registration  and  listing,  labeling,  medical  device  reporting  (reporting  of
medical  device-related  adverse  events),  removal  and  correction,  and  good  manufacturing  practice  requirements.  We  have  complied  with  the
regulatory requirements of the FDC Act, and registered and received the necessary clearances for our products. As we modify and/or enhance
our  software  products  (including  our  middleware  product),  we  may  be  required  to  request  FDA  clearance  before  we  are  permitted  to  market
these products.

In  addition,  our  software  solutions  may  handle  or  have  access  to  personal  health  information  subject  in  the  United  States  to  the  HIPAA,  the
Health Information Technology for Economic and Clinical Health Act ("HITECH"), and related regulations. These statutes and related regulations
impose numerous requirements regarding the use and disclosure of personal health information with which we help our customers comply. Our
failure to accurately anticipate or interpret these complex and technical laws could subject us to civil and/or criminal liability. We believe that we
are in compliance with these laws and their related regulations.

Although these and other regulatory requirements have not, to date, had a material adverse effect on our operating results, such requirements
could  have  a  material  impact  on  our  operating  results  in  the  future.  We  monitor  discussions  at  the  FCC  and  FDA  on  pending  changes  in
regulatory policy or regulations; however, we are unable to predict what changes, if any, may occur in 2023 to regulatory policy or regulations.

State Regulation

As a result of the enactment by the United States Congress of the Omnibus Budget Reconciliation Act of 1993 ("OBRA") in August 1993, states
are now generally preempted from exercising rate or entry regulation over any of our operations. States are not preempted, however, from
regulating "other terms and conditions" of our operations, including consumer protection and similar rules of general applicability. Zoning
requirements are also generally permissible, however, provisions of the OBRA prohibit local zoning authorities from unreasonably restricting
wireless services. Several states require us to hold a license or otherwise register to provide our wireless services in the jurisdiction, and those
states that regulate our services also may require us to obtain prior approval of (1) the acquisition of controlling interests in other paging
companies and (2) a change of control.

At this time, we are not aware of any proposed state legislation or regulations that would have a material adverse impact on our business.

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Joint Interoperability Test Command ("JITC") Certification

JITC is a military organization that tests technology for use by the branches of the armed services of the United States and the United States
government. JITC certification is required of all systems with joint interfaces or joint information exchanges with other systems used by these
organizations  and  is  done  to  ensure  all  systems  operate  effectively  together.  All  information  technology  and  national  security  systems  that
exchange  and  use  information  to  enable  units  or  forces  to  operate  effectively  in  joint,  combined,  coalition  and  interagency  operations  and
simulations must be certified. Once a system has been certified under this program, the certification must be renewed every four years or after
any changes that may affect interoperability. The interoperability certification process consists of four basic steps, which are:

•
•
•
•

Identify (interoperability) requirements;
Develop certification approach (planning);
Perform interoperability test and evaluation; and
Report certifications and statuses.

We submit and receive JITC certification for certain of our products through the Defense Information Systems Agency, which allows us to sell
and  implement  our  solutions  at  federal  government  agencies.  We  currently  certify  a  console,  web,  speech,  mass  notification,  public  safety
answering point, call recording and campus 911 product with JITC. We have a roadmap to renew the existing certifications with new releases of
existing products and to bring additional products to JITC to increase the products that can be sold to federal agencies.

Available Information

We  make  available  on  our  website,  http://www.spok.com,  free  of  charge,  our  annual  reports  on  Form  10-K,  quarterly  reports  on  Form  10-Q,
current reports on Form 8-K and all amendments to those reports as soon as reasonably practicable after such reports are electronically filed
with,  or  furnished  to,  the  SEC.  The  SEC  also  maintains  an  Internet  site  that  contains  reports,  proxy  and  information  statements,  and  other
information regarding issuers that file electronically with the SEC at http://www.sec.gov. We also make available on our website, and in print, if
any  stockholder  or  other  person  so  requests,  our  code  of  business  conduct  and  ethics  entitled  "Code  of  Ethics"  which  is  applicable  to  all
employees and directors, our "Corporate Governance Guidelines" and the charters for all committees of our Board of Directors, including Audit,
Compensation and Nominating and Governance. Any changes to our Code of Ethics or waiver, if any, of our Code of Ethics for executive officers
or directors will be posted on that website.

ITEM 1A. RISK FACTORS

The following important factors, among others, could cause our actual operating results to differ materially from those indicated or suggested by
forward-looking statements made in this 2022 Form 10-K or presented elsewhere by management from time to time.

Risks Related to our Business and Operations

Wireless service to our customers could be adversely impacted by network rationalization.

We have an active program to consolidate the number of wireless networks and related transmitter locations, which is referred to as network
rationalization. Network rationalization is necessary to match our technical infrastructure to our smaller subscriber base and to reduce both site
rent and telecommunication costs. The implementation of the network rationalization program could adversely impact wireless service to our new
and existing subscribers, and there can be no assurance that any efforts to minimize that impact would be successful. Any adverse impact to our
wireless  service  could  lead  to  increases  in  the  rate  of  gross  subscriber  cancellations  and/or  the  level  of  wireless  revenue  erosion.  Adverse
changes  in  gross  subscriber  cancellations  and/or  wireless  revenue  erosion  could  have  a  material  adverse  effect  on  our  business,  financial
condition, operating results and ability to pay cash dividends to stockholders.

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We depend on highly skilled personnel, and, if we are unable to retain or hire qualified personnel, we may not be able to achieve our
strategic objectives.

To  execute  our  growth  plan  and  achieve  our  strategic  objectives,  we  must  continue  to  attract,  hire  and  retain  highly  qualified  and  motivated
personnel across our organization. In particular, to continue to enhance our software solutions, add new and innovative core functionality and
services and develop new products, it is critical for us to maintain a strong research and development organization, including hiring and retaining
highly  skilled  software  engineers.  Competition  for  talent  is  intense  within  our  industry,  and  there  continues  to  be  upward  pressure  on
compensation. In addition, for us to achieve broader market acceptance of our software solutions, grow our customer base, and pursue adjacent
markets,  we  will  need  to  continue  to  develop  and  maintain  our  sales  and  marketing  and  customer  support  organizations.  Identifying  and
recruiting  qualified  personnel,  training  them  in  the  use  of  our  software  solutions  and  ensuring  they  are  well-equipped  to  serve  our  customers
requires a significant investment of time and resources, and it can be particularly difficult to retain these individuals.

We face significant competition for experienced personnel, and many of our competitors have greater name recognition and financial resources
than we have. If we hire employees from competitors or other companies, former employers may assert claims against us for breach of legal
obligations to the former employer, resulting in a diversion of our time and resources. In addition, the job market in the Minneapolis-St. Paul area,
where the majority of our software developers are located, has historically been very competitive. While we are able to expand our candidate
pool  by  opening  our  opportunities  nationwide,  allowing  us  to  be  more  competitive,  the  job  market  continues  to  be  a  challenge  everywhere,
making it vitally important to retain our current team members. When considering employment opportunities, candidates and existing employees
often consider the value of the equity awards. If the actual or perceived value of our equity awards declines, or if the price of our common stock
experiences  significant  volatility,  this  may  adversely  affect  our  ability  to  recruit  and  retain  highly  skilled  employees. As  a  result,  we  may  have
greater  difficulty  hiring  and  retaining  skilled  personnel  than  some  of  our  competitors.  If  we  are  unable  to  attract  and  retain  the  personnel
necessary  to  execute  our  growth  plan,  we  may  be  unable  to  achieve  our  strategic  objectives  and  our  business,  financial  condition,  operating
results and ability to pay cash dividends to stockholders may be adversely affected.

Growth  in  our  software  revenue  and  bookings,  and  maintenance  of  our  wireless  revenue  and  subscriber  base  is  dependent  on  the
productivity of our sales organization.

Our ability to achieve revenue growth will depend, in large part, on our success in recruiting, training and retaining sufficient numbers of sales
personnel to support our growth. New hires require significant training and may take significant time before they achieve full productivity. Based
on past experience, we expect new sales team members to reach full productivity after nine months of employment. However, our recent and
planned  hires  may  not  become  productive  as  quickly  as  expected,  or  at  all,  and  we  may  be  unable  to  hire  or  retain  a  sufficient  number  of
qualified individuals in the markets in which we do business or plan to do business.

From time to time it may be necessary to reorient our sales representatives to focus on specific market segments, product lines or new software
solutions  or  to  remove  underperforming  individuals,  which  may  require  additional  resources  to  maintain  productivity.  The  impact  of  these
changes could adversely impact our ability to achieve our sales productivity goals. We have also identified the following risks that could impact
our sales productivity:

•

•

•

•

•

Customer Dissatisfaction and Reputational Harm. We may experience customer dissatisfaction with our solutions that could result in
lost opportunities for sales. Potential low ratings of our solutions by customers may result in us being excluded from consideration by
current  and  prospective  customers  with  respect  to  future  opportunities.  In  addition,  fewer  customer  references  for  our  solutions  could
impact our ability to prospect new sales.
Training.  Training  of  our  marketing  and  sales  personnel  regarding  the  clinical  requirements  of  our  healthcare  customers  and  the
complexity  of  our  service  offerings,  takes  time  and  requires  a  substantial,  continuing  investment  for  both  new  hires  and  long-term
employees.
Competitive  Speed.  Sales  productivity  can  be  impacted  by  the  capabilities  of  our  competitors.  There  is  a  risk  that  competitors  may
innovate or partner faster than we do.
Employee Retention. The items noted above may challenge the ability of employees to generate sales, which may affect morale and
employee retention.
Customer Uncertainty. The discontinuation of Spok Go may create a perception of uncertainty regarding our future operations, which
may limit our ability to sell products and services to prospective customers. Additionally, this perceived uncertainty may contribute to an
increase in churn of existing customers.

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If  we  are  unable  to  deliver  effective  customer  support,  our  relationships  with  our  existing  customers  and  our  ability  to  attract  new
customers could be harmed

Our  revenue  growth  depends,  in  part,  on  our  ability  to  satisfy  our  customers,  including  by  providing  continued  customer  support,  which  may
contribute  to  increased  customer  retention  and  adoption  and  utilization  of  our  wireless  services  and  software  solutions.  Once  our  wireless
services and software solutions are deployed, our customers depend on our customer support group to resolve technical issues relating to their
use of our solutions. We may be unable to respond quickly to accommodate short-term increases in customer demand for support services or
may otherwise encounter difficult customer issues. If a customer is unsatisfied with the quality of our customer support, we may incur additional
costs or experience customer terminations or non-renewals.

Our  sales  process  is  highly  dependent  on  the  ease  of  use  of  our  wireless  services  and  software  solutions,  our  reputation  and  positive
recommendations from our existing customers. Any failure to maintain high-quality or responsive customer support, or a market perception that
we do not maintain high-quality or responsive customer support, could harm our reputation, cause us to lose customers and adversely impact
our ability to sell our wireless services and software solutions to prospective customers.

We  have  investigated  potential  acquisitions  and  may  not  be  able  to  identify  an  opportunity  at  favorable  terms  or  have  the  ability  to
close on the financing necessary to consummate the transaction.
We  cannot  provide  any  assurances  that  we  will  be  successful  in  finding  such  acquisitions  or  consummating  future  acquisitions  on  favorable
terms. We anticipate that future acquisitions will be financed through a combination of methods, including, but not limited to, the use of available
cash  on  hand,  and,  if  necessary,  borrowings  from  third-party  financial  institutions.  Disruptions  or  volatility  in  credit  markets  may  impede  our
access to capital markets, including higher borrowing costs, less available capital, more stringent terms and tighter covenants, and may limit our
ability to finance acquisitions.

We have investigated potential acquisitions and may be unable to successfully integrate such acquisitions into our business and may
not achieve all or any of the operating synergies or anticipated benefits of those acquisitions.

We  continue  to  evaluate  acquisitions  of  other  businesses  that  we  believe  will  yield  increased  cash  flows,  improved  market  penetration  and/or
operating  efficiencies  and  synergies.  We  may  face  various  challenges  with  integration  efforts  related  to  any  future  acquisitions,  including  the
combination and simplification of product and service offerings, sales and marketing approaches and establishment of combined operations.

We may have limited or no history of owning and operating any business that we acquire. If we were to acquire these businesses, there can be
no assurance that:

•
•
•

•

Such businesses will perform as expected;
Such businesses will not incur unforeseen obligations or liabilities;
Such businesses will generate sufficient cash flow to support the indebtedness, if incurred, to acquire such business or the expenditures
needed to develop such business; and
The rate of return from such businesses will justify the decision to invest the capital to acquire them.

There  can  be  no  assurance  that  we  will  manage  these  challenges  and  risks  successfully.  Moreover,  if  we  are  not  successful  in  completing
transactions that we have pursued or may pursue, our business may be adversely affected, and we may incur substantial expenses and divert
significant management time and resources. In addition, while pursuing and completing such transactions, we could use substantial portions of
our available cash to pay for all or a portion of the purchase price or retention incentives to employees of the acquired business, or we may incur
substantial debt. We could also issue additional securities to finance all or a portion of the purchase price for these transactions or as retention
incentives to employees of the acquired business, which could cause our stockholders to suffer significant dilution. Such transactions may not
generate  additional  revenue  or  profit  for  us,  or  may  take  longer  than  expected  to  do  so,  which  may  adversely  affect  our  business,  financial
condition, operating results and cash flows.

Our  business,  financial  condition  and  operating  results  have  been,  and  in  the  future  may  be,  adversely  affected  by  the  COVID-19
pandemic.

Our  business,  financial  condition  and  operating  results  have  been,  and  in  the  future  may  be,  adversely  affected  by  the  COVID-19  pandemic.
Beginning in early 2020, the COVID-19 pandemic caused delays in, or the loss of, revenue from services that required onsite implementation, as
well as delays in, or the loss of, software bookings, which directly impacted license and services revenues, as healthcare organizations put these
projects on hold to focus limited resources

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and  personnel  capacity  towards  the  treatment  of  COVID-19.  The  COVID-19  pandemic  also  contributed  to  global  supply  chain  disruptions,
including delayed production of certain products that we offer, such as our GenA pagers.

The extent to which COVID-19 may impact our results in the future will depend on future developments, which are highly uncertain and cannot
be predicted. These developments may include the emergence of new COVID-19 variants of concern, as well as actions taken to further contain
the virus or treat its impact, the possible reinstatement of government or other restrictions implemented in certain locations, and the acceptance,
distribution and effectiveness of new and existing vaccines and other medications to treat and prevent the spread of COVID-19.

Economic conditions that are largely out of our control may adversely affect our financial condition and statement of operations.

Our business is sensitive to recessionary economic cycles, higher interest rates, inflation, higher levels of unemployment, higher tax rates and
other changes in tax laws, or other economic factors that may affect business spending or buying habits that could adversely affect the demand
for  our  services. This  adverse  impact,  including  results  of  any  continuing  effects  of  the  COVID-19  pandemic,  could  increase  the  rate  of  gross
subscriber cancellations and/or the level of revenue erosion for our wireless business and could cause delays in or the loss of software revenue
or bookings, which impacts license, professional services, equipment and subscription revenues.

A  significant  portion  of  our  revenue  is  derived  from  healthcare  customers,  and  we  are  impacted  by  changes  in  the  healthcare  economic
environment.  The  healthcare  industry  is  highly  regulated  and  is  subject  to  changing  political,  legislative,  regulatory,  and  other  economic
developments.  These  developments  can  have  a  dramatic  effect  on  the  decision-making  and  spending  by  our  customers  for  information
technology and software. This economic uncertainty can add to the unpredictability of decision-making and lengthen our sales cycle.

Further, the uncertainty created by the possibility of additional healthcare reform legislation is impacts customer decision making and information
technology plans in our key healthcare market. We are unable to predict the full consequences of this uncertainty on our operations. Adverse
changes  in  the  economic  environment  could  adversely  impact  our  ability  to  increase  the  prices  we  charge  for  our  offerings,  while  effectively
managing customer churn, or successfully market and sell our wireless and software solutions to healthcare customers.

Risks Related to our Products and Services

The  rate  of  wireless  subscriber  and  revenue  erosion  could  exceed  our  ability  to  reduce  wireless  operating  expenses  in  order  to
maintain overall positive operating cash flow from our wireless business.

Our wireless revenue is dependent on the number of subscribers that use our paging devices. Our customers may not renew their subscriptions
after  the  expiration  of  their  subscription  agreements.  In  addition,  our  customers  may  opt  for  one  of  our  lower-priced  offerings  or  for  fewer
subscriptions. Customer renewal rates may decline or fluctuate due to a number of factors, including their level of satisfaction with our offerings
and their ability to continue their operations and spending levels. Increasing awareness and concern over HIPAA/HITECH compliance is causing
healthcare organizations, our largest customer segment, to re-evaluate paging subscriptions for clinical use cases when users are not equipped
with our encrypted pager offerings.

We  face  intense  competition  for  subscribers  from  other  paging  service  providers  and  alternate  wireless  communications  providers,  such  as
mobile  phone  and  mobile  data  service  providers.  There  is  a  risk  that  our  competitors’  products  may  provide  better  performance  or  include
additional features when compared to our offerings. Competitive pressures could also affect the prices we may charge or the demand for our
offerings,  resulting  in  reduced  profit  margins  and  loss  of  market  share.  In  addition,  new  competitors  may  emerge  as  a  result  of  changing
dynamics  and  trends  in  the  market  and  industry,  and  we  may  not  be  adequately  prepared  to  respond  to  these  changes  in  the  healthcare
landscape.  If  we  are  unable  to  compete  effectively,  our  business,  financial  condition,  operating  results  and  ability  to  pay  cash  dividends  to
stockholders may be adversely affected.

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In addition to competition, our customer base may be impacted by the introduction of new technologies. As mobile communications technology
evolves,  competitors  that  provide  wireless  broadband  data  services  may  lower  their  prices  to  customers  that  approach,  meet  or  undercut  our
prices  for  paging  services.  We  are  unable  to  predict  how  customer  perceptions  of  the  value  of  our  wireless  services  will  be  impacted  by  the
development of new wireless technologies. Our continued success will depend on our ability to adapt to rapidly changing technologies and user
preferences,  to  adapt  our  offerings  to  evolving  industry  standards,  to  predict  user  preferences  and  industry  changes  in  order  to  continue  to
provide value to our customers and to improve the performance and reliability of our offerings. Our failure to adapt to such changes could harm
our  business,  and  our  efforts  to  adapt  to  such  changes  could  require  substantial  expenditures  on  our  part  to  modify  our  offerings  or
infrastructure.  Delays  in  developing,  completing  or  delivering  new  or  enhanced  offerings  and  technologies  could  result  in  delayed  or  reduced
revenue  for  those  offerings  and  could  also  adversely  affect  customer  acceptance  of  those  offerings  and  technologies.  Even  if  we  are  able  to
enhance our existing offerings or introduce new offerings that are well perceived by the market, if our marketing or sales efforts do not generate
interest in or sales for these offerings, they may be unsuccessful.

We  expect  our  wireless  subscriber  results,  units  in  service  and  revenue  will  continue  to  decline  for  the  foreseeable  future.  As  this  revenue
erosion  continues,  maintaining  positive  operating  cash  flow  from  our  wireless  business  is  dependent  on  substantial  and  timely  reductions  in
selected wireless operating expenses. Reductions in wireless operating expenses require both the reduction of internal costs and negotiation of
lower costs from outside vendors. As we require fewer services and products from our vendors, our negotiating leverage to lower our costs is
diminished. There can be no assurance that we will be able to reduce our wireless operating expenses commensurate with the level of revenue
erosion.  The  inability  to  reduce  wireless  operating  expenses  would  have  a  material  adverse  impact  on  our  business,  financial  condition,
operating results and ability to pay cash dividends to stockholders.

Technical problems and higher costs may affect our product development initiatives.

Our future software revenue growth depends on our ability to develop, introduce and effectively deploy new solutions and features to our existing
software  solutions.  These  new  features  and  functionalities  are  designed  to  address  both  existing  and  new  customer  requirements.  We  may
experience  technical  problems  and  additional  costs  as  these  new  features  are  tested  and  deployed.  Failure  to  effectively  develop  new  or
improved software solutions could adversely impact software revenue growth and could have a material adverse effect on our business, financial
condition, operating results and ability to pay cash dividends to stockholders.

Undetected defects, bugs, or security vulnerabilities in our products could adversely affect the market acceptance of new products,
damage our reputation with current or prospective customers, and materially and adversely affect our operating costs.

Software products, such as those we offer, may contain defects and bugs when they are first introduced or as new versions are released, or their
release may be delayed due to unforeseen difficulties during product development. If any of our products, including products of companies we
have acquired, or third-party components used in our products, contain defects or bugs, or have reliability, quality or compatibility problems, we
may not be able to successfully design workarounds or resolve these issues. Any defects we do not detect and fix in pre-release testing could
result in reduced sales and revenue, damage to our reputation, repair or remediation costs, delays in the release of new products or versions or
legal liability. There can be no assurance that provisions in our license agreements that limit our exposure to liability will be sufficient or withstand
legal  challenge.  Computer  programmers  and  hackers  also  may  be  able  to  develop  and  deploy  viruses,  worms,  and  other  malicious  software
programs that attack our products or otherwise exploit any security vulnerabilities of our products.

We are dependent on the U.S. healthcare provider industry for most of our revenue.

We  generate  more  than  75%  of  our  revenue  from  sales  to  hospitals  and  other  healthcare  provider  organizations  in  the  United  States. These
customers,  both  non-profit  and  for-profit,  are  greatly  affected  by  macroeconomic  conditions,  the  COVID-19  pandemic,  healthcare  reform
legislation  and  the  reimbursement  policies  of  federal  and  state  governments  and  health  insurance  companies,  and  any  decline  in  revenue
received by our customers due to adverse economic conditions or legislative or regulatory changes could significantly affect the type and amount
of services and products they order from us. We do not anticipate any flexibility in increasing prices for our wireless services, notwithstanding
general  inflation,  due  to  an  unrelenting  focus  by  our  customers  on  their  cost  structures,  and  our  customers  could  be  slow  to  invest  in  our
software products and professional services due to budgetary pressures.

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We may experience a long sales cycle for our software products.

Our software revenue growth results from a long sales cycle that from initial contact to final sales order may take 6 to 18 months, depending on
the  type  of  software  solution.  Our  software  sales  and  marketing  efforts  involve  educating  our  customers  on  the  technical  capabilities  of  our
software solutions and the potential benefits from the deployment of our software, as well as educating ourselves as to the clinical needs of our
customers.  The  inherent  unpredictability  of  decision  making  in  our  target  market  segment  of  healthcare,  resulting  from  customer  budget
constraints, multiple approvals and administrative issues, may result in fluctuating bookings and revenue from month to month, quarter to quarter
and year to year. Our bookings and corresponding revenue are dependent on actions that have occurred in the past. Each month we need to
spend substantial time, effort, and expense on our marketing and sales efforts that may not result in future revenue.

We may be unable to find vendors able to supply us with wireless paging equipment based on future demands.

We purchase paging equipment from third-party vendors. This equipment is sold or leased to customers in order to provide wireless messaging
services.  The  reduction  in  industry  demand  for  paging  equipment  has  caused  various  suppliers  to  cease  manufacturing  this  equipment  or
increase prices for devices. There can be no assurance that we will continue to find vendors to supply paging equipment, or that the vendors will
supply equipment at costs that allow us to remain a competitive alternative in the wireless messaging industry. A lack of paging equipment could
impact our ability to provide certain wireless messaging services and could have a material adverse effect on our business, leading to additional
wireless revenue erosion.

We may be unable to maintain successful relationships with our channel partners.

We use channel partners such as resellers, consulting firms, original equipment manufacturers, and technology partners to license and support
our products. We rely, to a significant degree, on each of our channel partners to select, screen and maintain relationships with its respective
distribution network and to distribute our offerings in a manner that is consistent with applicable law and regulatory requirements and our quality
standards.  Contract  defaults  by  any  of  these  channel  partners  or  the  loss  of  our  relationships  with  them  may  materially  adversely  affect  our
ability  to  develop,  market,  sell,  or  support  our  communication  solution  offerings.  If  our  indirect  distribution  channel  is  disrupted,  we  may  be
required to devote more resources to distribute our offerings directly and support our customers, which may not be as effective and could lead to
higher costs, reduced revenue and growth that is slower than expected.

Recruiting  and  retaining  qualified  channel  partners  and  training  them  in  the  use  of  our  enterprise  technologies  requires  significant  time  and
resources.  If  we  fail  to  devote  sufficient  resources  to  support  and  expand  our  network  of  channel  partners,  our  business  may  be  adversely
affected. In addition, because we rely on channel partners for the indirect distribution of our enterprise technologies, we may have little or no
contact  with  the  ultimate  end-users  of  our  technologies,  thereby  making  it  more  difficult  for  us  to  establish  brand  awareness,  ensure  proper
delivery  and  installation  of  our  software,  support  ongoing  customer  requirements,  estimate  end-user  demand,  respond  to  evolving  customer
needs and obtain subscription renewals from end users.

We  may  experience  litigation  claiming  intellectual  property  infringement  by  us,  and  we  may  not  be  able  to  protect  our  rights  in
intellectual property that we own and develop.

Intellectual property infringement litigation has become commonplace, particularly in the wireless and software industries in which we operate.
Litigation  can  be  protracted,  expensive,  and  time  consuming.  There  is  no  assurance  that  we  will  remain  immune  to  this  litigation. Any  such
claims, whether meritorious or not, could be time-consuming and costly in terms of both resources and management time.

We  may  receive  claims  that  we  have  infringed  the  intellectual  property  rights  of  others,  including  claims  regarding  patents,  copyrights,  and
trademarks. The number and types of these claims may grow as a result of constant technological change in the segments in which our wireless
services and software products compete, the extensive patent coverage of existing technologies, and the rapid rate of issuance of new patents.

Our patents, trademarks, copyrights and trade secrets relating to our wireless services and networks, and our software solutions, are important
assets. The efforts we undertake to protect our proprietary rights may not be sufficient or effective. Any significant impairment of our intellectual
property rights could harm our business and our ability to compete effectively. Protecting our intellectual property rights can be costly and time
consuming.

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We seek to maintain certain of our intellectual property rights as trade secrets, including the source code for many of our software solutions and
innovations.  Our  source  code  and  system  architecture  may  be  reverse  engineered  by  our  competitors,  or  the  secrecy  of  our  solutions  and
designs could be compromised through a security breach, cyberattack or otherwise, or by our employees or former employees, intentionally or
accidentally.  Any  compromise  of  our  trade  secrets  could  cause  us  to  lose  any  competitive  advantage  our  software  solutions  have  and  the
investment we have made in developing our products and services.

Our portfolio of issued patents and copyrights may be insufficient to defend ourselves against intellectual property infringement claims, and the
validity and scope of our patents could be challenged by third parties were we to seek to enforce them.

Risks Related to Technology

Our use of open source software, third-party software and other intellectual property may expose us to risks.

We license and integrate certain software components from third parties into our software, and we expect to continue to use third-party software
in the future. Some open source software licenses require users who distribute or make available as a service open source software as part of
their own software product to publicly disclose all or part of the source code of the users’ developed software or to make available any derivative
works of the open source code on unfavorable terms or at no cost. Our efforts to use the open source software in a manner consistent with the
relevant  license  terms  that  would  not  require  us  to  disclose  our  proprietary  code  or  license  our  proprietary  software  at  no  cost  may  not  be
successful.  We  may  face  claims  by  third  parties  seeking  to  enforce  the  license  terms  applicable  to  such  open  source  software,  including  by
demanding the release of the open source software, derivative works or our proprietary source code that was developed using such software. In
addition, if the license terms for the open source code change, we may be forced to re-engineer our software or incur additional costs.

Some of our products and services include other software or intellectual property licensed from third parties, and we also use software and other
intellectual  property  licensed  from  third  parties  in  our  business.  This  exposes  us  to  risks  over  which  we  may  have  little  or  no  control.  For
example,  a  licensor  may  have  difficulties  keeping  up  with  technological  changes  or  may  stop  supporting  the  software  or  other  intellectual
property that it licenses to us. There can be no assurance that the licenses we use will be available on acceptable terms, if at all. In addition, a
third party may assert that we or our customers are in breach of the terms of a license, which could, among other things, give such third party the
right to terminate a license or seek damages from us, or both. Our inability to obtain or maintain certain licenses or other rights or to obtain or
maintain such licenses or rights on favorable terms, or the need to engage in litigation regarding these matters, could result in delays in releases
of  new  products,  and  could  otherwise  disrupt  our  business,  until  equivalent  technology  can  be  identified,  licensed  or  developed.  In  addition,
sophisticated  hardware  and  operating  system  software  and  applications  that  we  procure  from  third  parties  may  contain  defects  in  design  or
manufacture, including "bugs," security vulnerabilities, and other problems that could unexpectedly interfere with the expected operation of our
products and services or expose us to cyberattacks and security breaches.

System disruptions and security threats to our computer networks, satellite control or telecommunications systems, or to those of our
service providers, could have a material adverse effect on our business.

The performance and reliability of our computer network and telecommunications systems infrastructure, as well as the technology infrastructure
of third parties, are critical to our operations. This technology infrastructure may be vulnerable to damage or interruption from natural disasters,
power  loss,  telecommunication  failures,  terrorist  attacks,  software  errors  and  other  events. Any  computer  system  or  satellite  network  error  or
failure,  regardless  of  cause,  could  result  in  a  substantial  outage  that  materially  disrupts  our  operations.  In  addition,  we  face  the  threat  to  our
computer systems, or those of our service providers, of unauthorized access, computer hackers, computer viruses, malicious code, organized
cyber-attacks and other security problems and system disruptions (e.g., distributed denial of service (DDoS) attacks, ransomware attacks). Our
satellite  network  connections  for  our  wireless  services  depend  upon  very  small  aperture  terminals,  many  of  which  are  based  on  decades-old
technology  or  equipment  that  could  fail  and  result  in  a  loss  of  service  to  our  customers.  With  respect  to  our  Enterprise  Reporting  and
Management  systems  and  data  storage,  and  other  operational  needs,  we  rely  on  third-party  data  centers  and  services  for  maintaining
accessibility, reliability and uninterrupted connectivity, among other things.

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A significant number of the systems making up this infrastructure are not redundant, and our disaster recovery planning may not be sufficient for
every eventuality, such as a ransomware attack that encrypts some or all of our or our service providers' systems, data or infrastructure. We may
not carry business interruption insurance sufficient to protect us from all losses that may result from interruptions in our services as a result of
technology infrastructure failures or cyberattacks, or to cover all contingencies. We may be required to expend significant resources to protect
against the threat of these system disruptions or to remediate or otherwise alleviate problems caused by such disruptions. Any interruption in the
availability of our websites and online interactions with customers or partners may cause a reduction in customer or partner satisfaction levels,
which in turn could result in legal claims, reduced revenue or loss of customers or partners. There can be no assurance that any precautions we
take will prove successful, and such problems could result in, among other consequences, a loss of data, a loss of confidence in the stability and
reliability  of  our  offerings,  damage  to  our  reputation,  and  legal  liability,  all  of  which  may  adversely  affect  our  business,  financial  condition,
operating results and cash flows.

Unauthorized intrusions, data breaches or failures in cybersecurity measures adopted by us or our service providers and/or included
in our products and services could have a material adverse effect on our business.

Our  security  controls  are  designed  to  maintain  the  physical  security  of  our  facilities  and  to  protect  the  systems  that  process  and  store  our
customers’, suppliers’ and employees’ confidential information, as well as our own proprietary information. We are also dependent on a number
of third-party providers of various technology, tools and services relating to, among other things, human resources, electronic communications,
data storage, finance, and other business functions, and we are, of necessity, dependent on the security systems of these providers. Accidental
or willful cyberattacks, breaches or other unauthorized access events committed or enabled by third parties or by our employees or contractors
(for example, due to social engineering or phishing attacks) can impact the security of our facilities, our systems or the systems of our third-party
providers, and the information maintained in such systems. In addition, the existence of computer viruses, malware or security vulnerabilities in
our or our service providers' data, software, products or services, as well as external cyberattacks and data breaches, could expose us to the
risks of corruption, loss, and misappropriation of proprietary and confidential information. We also routinely transmit and receive proprietary and
confidential information, including through third parties, which makes that information vulnerable to interception, misuse or mishandling.

We utilize a security framework that includes security policies and procedures, security appliances and software, third-party vulnerability testing,
business  continuity  plans,  and  other  administrative,  physical  and  technical  measures.  The  frequency  and  scope  of  cyberattacks  has  been
steadily increasing, and attackers are increasingly sophisticated, using tools and techniques that we and our service providers may be unable to
detect or identify, or that may cause significant delays in our detection or identification. Once identified, we and our service providers may be
unable to investigate or remediate incidents due to attackers taking steps to obfuscate or remove forensic evidence and to circumvent logging
tools and counter-measures, rendering us unable to anticipate or implement adequate preventative or restorative measures.

We  and  our  service  providers  have,  from  time  to  time,  been  subject  to  unauthorized  network  intrusions,  malware  and  other  cyberattacks.  We
expect  cyberattacks  to  continue,  as  we  are  an  attractive  target  for  such  attacks  given  our  customer  base  and  industry.  In  addition,  remote
working  arrangements  that  started  during  the  COVID-19  pandemic  may  continue  in  the  future,  which  increases  the  risk  that  threat  actors  will
engage in social engineering and exploit vulnerabilities inherent in many non-corporate home networks. Any theft, misuse of, or unauthorized
access to confidential, personal or proprietary information as a result of such incidents could result in, among other things, unfavorable publicity,
damage  to  our  reputation,  loss  of  our  trade  secrets  and  other  competitive  information,  difficulty  in  marketing  our  products,  increased  costs  of
investigation,  remediation  and  compliance,  allegations  by  our  customers  that  we  have  not  performed  our  contractual  obligations,  litigation  by
affected  parties  (including  class  actions)  and  possible  financial  obligations  for  liabilities  and  damages  related  to  the  theft  or  misuse  of  such
information, regulatory investigations and enforcement actions, as well as fines and other sanctions pursuant to data privacy and security rules
and  regulations,  any  or  all  of  which  could  have  a  material  adverse  effect  on  our  reputation,  operations,  business,  profitability  and  financial
condition. Any losses, costs and liabilities may not be covered by, or may exceed the coverage limits of, any or all of our applicable insurance
policies.

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Risks Related to our Financial Results

We may be unable to realize the benefits associated with our deferred income tax assets.

We have significant deferred income tax assets that are available to offset future taxable income and increase cash flows from operations. The
use of these deferred income tax assets is dependent on the availability of taxable income in future periods. The availability of future taxable
income  is  dependent  on  our  ability  to  profitably  manage  our  operations  to  support  a  growing  base  of  software  revenue  offset  by  declining
wireless subscribers and revenue. To the extent that anticipated reductions in wireless operating expenses do not occur or sufficient revenue is
not  generated,  we  may  not  achieve  sufficient  taxable  income  to  allow  for  use  of  our  deferred  income  tax  assets. The  accounting  for  deferred
income tax assets is based upon an estimate of future results, and any valuation allowance we may apply to our deferred tax assets may be
increased  or  decreased  as  conditions  change  or  if  we  are  unable  to  implement  certain  tax  planning  strategies.  If  we  are  unable  to  use  these
deferred income tax assets, our financial condition and statement of operations may be materially affected. In addition, a significant portion of
our deferred income tax assets relate to net operating losses. If our ability to utilize these losses is limited, due to Internal Revenue Code ("IRC")
Section 382, our financial condition and statement of operations may be materially affected. For example, we maintained a valuation allowance
of $2.3 million and $24.2 million at December 31, 2022 and 2021, respectively, to reduce net deferred income tax assets as their realization did
not meet the applicable more-likely-than-not criterion.

If our long-lived assets or goodwill become impaired, we may be required to record significant impairment charges.

We  are  required  to  evaluate  the  carrying  value  of  our  long-lived  assets  and  goodwill.  For  long-lived  assets,  we  assess  quarterly  whether
circumstances exist which suggest that the carrying value of long-lived assets may not be recoverable. We evaluate goodwill for impairment at
least  annually,  or  when  events  or  circumstances  suggest  a  potential  impairment  has  occurred.  We  generally  perform  this  annual  goodwill
impairment test in the fourth quarter of the fiscal year.

If our long-lived assets or goodwill are deemed to be impaired, an impairment loss equal to the amount by which the carrying amount exceeds
the fair value of the assets would be recognized. We may be required to record a significant charge in our financial statements during the period
in which any impairment of our long-lived assets or goodwill is determined, which would negatively affect our results of operations. For example,
as a result of our periodic evaluation of our capitalized software development costs, we recorded an impairment charge of $15.7 million for the
year ended December 31, 2021.

Our estimates of market opportunity for our software solutions are subject to significant uncertainty and, even if the markets in which
we compete meet or exceed our size estimates, we could fail to increase our revenue or market share.

Market opportunity estimates are based on assumptions and estimates, and our internal analysis and industry experience. However, assessing
the market for clinical communication and collaboration solutions is difficult due to several factors, such as limited available information and rapid
evolution of the market. Our estimates of market opportunity depend on the assumptions we made, and the estimated market opportunity could
be  materially  different  with  different  assumptions.  Even  if  the  markets  in  which  we  compete  meet  or  exceed  our  size  estimates,  our  software
solutions may fail to gain market acceptance and our business may not grow in line with our forecasts. In addition, an increase in the prevalence
of cloud-based offerings by our competitors could also unfavorably impact the pricing of our on-premise offerings and dampen overall demand
for our on-premise offerings, which could have a material adverse impact on our business, financial condition and operating results.

Risks Related to Regulatory Matters

We are subject to data privacy and protection-related laws and regulation, and we may encounter issues with privacy and security of
personal information.

A substantial portion of our revenue comes from healthcare customers. As part of our business, we (or third parties with whom we contract) may
receive,  store  and  process  our  data,  as  well  as  our  customers’  and  partners’  private  data  and  personal  information. As  such,  our  business  is
subject  to  a  variety  of  federal,  state  and  international  laws  and  regulations  that  apply  to  the  collection,  use,  retention,  protection,  disclosure,
transfer and processing of personal data.

Our software solutions may handle or have access to personal health information subject in the United States to HIPAA, HITECH and related
regulations  as  well  as  legislation  and  regulations  in  foreign  countries. These  statutes  and  related  regulations  impose  numerous  requirements
regarding the use and disclosure of personal health information with which we and our software solutions must comply. Our failure to accurately
anticipate or interpret these complex and technical laws

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and regulations could subject us to civil and/or criminal liability. Such failure could adversely impact our ability to market and sell our software
solutions to healthcare customers, and have a material adverse impact on our software sales.

In addition to personal health information, the Company may handle or have access to personal information in the European Union subject to the
General Data Protection Regulation (the "GDPR"). The GDPR imposes several stringent requirements for controllers and processors of personal
data and increases our obligations, including, for example, by requiring more robust disclosures to individuals, strengthening the individual data
rights  regime,  shortening  timelines  for  data  breach  notifications,  limiting  retention  periods  and  secondary  use  of  information,  and  imposing
additional obligations when we contract third-party processors in connection with the processing of personal data. In addition, the GDPR restricts
transfers of personal data outside of the European Economic Area and the UK, including to the United States, under certain scenarios. While
lawful  data  transfer  mechanisms  have  been  proposed,  there  remains  uncertainty,  and  we  are  exposed  to  potential  investigations  and
enforcement in this area.

The GDPR could limit our ability to use and share personal data or could cause our costs to increase and harm our business, financial condition,
operating results and cash flows. Failure to comply with the requirements of the GDPR and the applicable European Union member states may
result in fines of up to €20,000,000 or up to 4% of the total worldwide annual turnover of the preceding financial year, whichever is higher, and
other  administrative  penalties. To  comply  with  the  data  protection  rules  imposed  by  the  GDPR,  we  may  be  required  to  put  in  place  additional
mechanisms that could be onerous and adversely affect our business, financial condition, and operating results.

Existing  privacy-related  laws  and  regulations  in  the  United  States  and  other  countries  are  evolving  and  are  subject  to  potentially  differing
interpretations, and various federal and state or other international legislative and regulatory bodies may expand or enact laws regarding privacy
and data security-related matters. For example, in the U.S., the state of California enacted the California Consumer Privacy Act ("CPPA"), which
came  into  effect  on  January  1,  2020,  and  the  California  Privacy  Rights Act  (“CPRA”),  which  will  expand  upon  the  CCPA  and  go  into  effect  in
January 2023 (with a lookback period until January 2022). The CCPA requires (and the CPRA will require) covered businesses to, among other
things,  provide  certain  disclosures  to  California  consumers  and  afford  such  consumers  certain  privacy  rights.  The  CCPA  provides  for  civil
penalties for violations, as well as a private right of action for certain security breaches that may increase security breach litigation. The CPRA
imposes  additional  obligations  on  covered  businesses,  including  additional  consumer  rights  processes,  limitations  on  data  uses,  new  audit
requirements for higher risk data, and opt outs for certain uses and disclosure of sensitive personal information. The CPRA also creates a new
California  data  protection  agency  authorized  to  issue  substantive  regulations  and  could  result  in  increased  privacy,  cybersecurity  and  data
protection enforcement. The CCPA and CPRA have spurred similar legislation in many other states, and we expect this trend to continue.

In addition, customers may use our wireless services to transmit patient health information subject to HIPAA and other regulatory requirements.
While we offer encrypted pagers to our customers, many customers use wireless devices provided by us that do not encrypt text messages.
While we disclaim liability for customer non-compliance with HIPAA and other privacy requirements, there remains some risk we could be held
responsible for privacy violations by our customers.

There  can  be  no  assurance  that  the  security  and  testing  measures  we  take  relating  to  our  offerings  and  operations  will  prevent  all  security
breaches  and  data  loss  that  could  harm  our  business  or  the  businesses  of  our  customers  and  partners.  These  risks  may  increase  as  we
continue  to  grow  our  services  and  offerings  and  as  we  receive,  store  and  process  more  of  our  customers’  data.  Actual  or  perceived
vulnerabilities  may  lead  to  regulatory  investigations,  claims  against  us  by  customers,  partners  or  other  third  parties,  or  costs,  such  as  those
related to providing customer notifications and fraud monitoring. There can be no assurance that any provisions in our customer agreements
limiting  our  liability  will  be  enforceable  or  effective  under  applicable  law.  In  addition,  the  cost  and  operational  consequences  of  implementing
further data protection measures could be significant.

The data privacy and protection-related laws and regulations to which we are subject are evolving, with new or modified laws and regulations
proposed and implemented frequently, and existing laws and regulations subject to new or different interpretations. Any failure by us to comply
with  data  privacy-  and  protection-related  laws  and  regulations  could  result  in  enforcement  actions,  significant  penalties  or  other  legal  actions
against us or our customers or suppliers. An actual or alleged failure to comply, which could result in negative publicity, reduce demand for our
offerings, increase the cost of compliance, require changes in business practices that result in reduced revenue, restrict our ability to provide our
offerings in certain locations, result in our customers’ inability to use our offerings and prohibit data transfers or result in other claims, liabilities or
sanctions, including fines, and could have an adverse effect on our business, financial condition, operating results and cash flows.

Our wireless products are regulated by the FCC and, to a lesser extent, state and local regulatory authorities. Changes in regulation
could result in increased costs to us and our customers.

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We are subject to regulation by the FCC and, to a lesser extent, by state and local authorities. Changes in regulatory policy could increase the
fees  we  must  pay  to  the  government  or  to  third  parties,  and  could  subject  us  to  more  stringent  requirements  that  could  cause  us  to  incur
additional capital and/or operating costs. To the extent additional regulatory costs are passed along to customers, those increased costs could
adversely impact subscriber cancellations.

For  example,  the  FCC  issued  an  order  in  October  2007  that  mandated  paging  carriers  (including  the  Company)  along  with  all  other  CMRS
providers serving a defined minimum number of subscribers to maintain an emergency back-up power supply at all cell sites to enable operation
for a minimum of eight hours in the event of a loss of commercial power (the "Back-up Power Order"). Ultimately, after a hearing by the U.S.
Court  of  Appeals  for  the  DC  Circuit  and  disapproval  by  the  Office  of  Management  and  Budget  (the  "OMB")  of  the  information  collection
requirements of the Back-up Power Order, the FCC indicated that it would not seek to override the OMB’s disapproval. Rather the FCC indicated
that it would issue a Notice of Proposed Rulemaking with the goal of adopting revised back-up power rules. To date, there has been no Notice of
Proposed Rulemaking by the FCC and we are unable to predict what impact, if any, a revised back-up power rule could have on our business,
financial condition, operating results and ability to pay cash dividends to stockholders.

As  a  further  example,  the  FCC  continues  to  consider  changes  to  the  rules  governing  the  collection  of  universal  service  fees.  The  FCC  is
evaluating  a  flat  monthly  charge  per  assigned  telephone  number  as  opposed  to  assessing  universal  service  contributions  based  on
telecommunication  carriers’  interstate  and  international  revenue.  There  is  no  timetable  for  any  rulemaking  to  implement  this  numbers-based
methodology.  If  the  FCC  adopts  a  numbers-based  methodology,  our  attempt  to  recover  the  increased  contribution  costs  from  our  customers
could significantly diminish demand for our services, and our failure to recover such increased contribution costs could have a material adverse
impact on our business, financial condition and operating results.

Certain of our software products are regulated by the FDA. The application of or changes in regulations could impact our ability to
market new or revised software products to our customers.

Certain of our software products are regulated by the FDA as medical devices. The classification of our software products as medical devices
means that we are required to comply with certain registration and listing, labeling, medical device reporting, removal and correction, and good
manufacturing practice requirements. Updates to these products or the development of new products could require us to seek clearance from
the FDA before we are permitted to market or sell these software products.

In addition, changes to FDA regulations could impact existing software products or require updates to existing products. The impact of delays in
FDA clearance or changes to FDA regulations could impact our ability to market or sell our software products and could have a material adverse
effect on our business, financial condition, operating results and ability to pay cash dividends to stockholders.

ITEM 1B. UNRESOLVED STAFF COMMENTS

We had no unresolved SEC staff comments as of February 23, 2023.

ITEM 2. PROPERTIES

In March 2021, we relocated our corporate headquarters to a commercial property located in Alexandria, Virginia, consisting of approximately
26,000 square feet of space under a lease that will expire on September 30, 2026.

At December 31, 2022, we leased facility space, including our corporate headquarters, sales offices, technical facilities, warehouse and storage
facilities in 47 locations in 24 states in the United States and one facility in the Middle East. The total leased space is approximately 117,000
square feet. At December 31, 2022, we owned three small parcels of land in three states in the United States.

At December 31, 2022, we leased transmitter sites on commercial broadcast towers, buildings and other fixed structures, some of which are free
of charge, in approximately 2,738 locations throughout the United States. These leases are for our active transmitters and are for various terms
and provide for periodic lease payments at various rates.

At December 31, 2022, we had 3,325 active transmitters on leased sites which provide service to our customers.

ITEM 3. LEGAL PROCEEDINGS

Refer  to  Note  11,  "Commitments  and  Contingencies,"  in  the  Notes  to  Consolidated  Financial  Statements  for  information  regarding  legal
proceedings in which we are involved.

25

Table of Contents

PART II

ITEM 4. MINE SAFETY DISCLOSURES

Not applicable. 

ITEM 5. MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF EQUITY
SECURITIES

Market Information

Our sole class of common equity is our $0.0001 par value common stock, which is listed on the NASDAQ National Market  and is traded under
the symbol "SPOK."

®

Holders of Common Stock

As of February 17, 2023, there were 2,825 holders of record of our common stock.

Dividends

The Company declared dividends totaling $25.8 million and $10.2 million during 2022 and 2021, respectively. Cash dividends declared for the
years  ended  December  31,  2022  and  2021,  respectively,  include  dividends  related  to  unvested  restricted  stock  units  ("RSUs")  and  shares  of
unvested  restricted  common  stock  ("restricted  stock")  granted  under  the  Company's  Equity  Plans  (as  defined  below)  to  executives  and  non-
executive members of our Board of Directors. Cash distributions on RSUs and restricted stock are accrued and paid when the applicable vesting
conditions are met. Accrued cash distributions on forfeited RSUs and restricted stock are also forfeited.

The following table details information on our dividends declared and cash distributions since the formation of the Company in 2005 through the
year ended December 31, 2022:

(Dollars in Thousands)

Year

Prior to 2018
2018
2019
2020
2021
2022

Total

(1)

Dividends Declared Per Share
Amount

Total
Payment

(1)

$

$

18.775  $
0.500 
0.500 
0.500 
0.500 
1.250 
22.025  $

467,267 
10,064 
9,819 
9,771 
10,025 
25,011 
531,957 

The total payment reflects the cash distributions paid in relation to common stock, vested RSUs and vested shares of restricted stock.

On February 22, 2023, the Board of Directors declared a regular quarterly cash dividend of $0.3125 per share of common stock, with a record
date of March 16, 2023, and a payment date of March 30, 2023. This cash dividend of approximately $6.3 million is expected to be paid from
available cash on hand.

26

Table of Contents

Performance Graph

We began trading on the NASDAQ National Market  on November 17, 2004. The chart below compares the relative changes in the cumulative
total return of our common stock for the period of December 31, 2017, to December 31, 2022, against the cumulative total return of the NASDAQ
Composite Index , the NASDAQ Telecommunications Index  and the S&P Composite 1500 Health Care Technology Index for the same period.

®

®

®

The chart assumes that on December 31, 2017, $100 was invested in our common stock and in each of the indices. The comparisons assume
that all cash distributions were reinvested. The chart indicates the dollar value of each hypothetical $100 investment based on the closing price
as  of  the  last  trading  day  of  each  fiscal  year  from  December  31,  2017,  to  December  31,  2022. The  stock  performance  depicted  on  the  chart
represents historical stock performance and is not necessarily indicative of future stock price performance.

2017

2018

2019

2020

2021

2022

December 31,

Spok Holdings, Inc.
NASDAQ Composite
NASDAQ Telecommunications
S&P Composite 1500 Health Care Technology Index

$

0.10  $
0.10 
0.10 
0.10 

0.09  $
0.10 
0.08 
0.09 

0.08  $
0.13 
0.09 
0.12 

0.08  $
0.19 
0.10 
0.13 

0.07  $
0.24 
0.10 
0.16 

0.07 
0.16 
0.08 
0.14 

Purchases of Equity Securities by the Issuer and Affiliated Purchasers

No common stock was repurchased by the Company (excluding the purchase of common stock for tax withholdings) during the twelve months
ended December 31, 2022.

27

Table of Contents

Repurchased shares of our common stock are accounted for as a reduction to common stock and additional paid-in-capital in the period in which
the repurchase occurs. In February 2022, the Company’s Board of Directors authorized a share repurchase program of up to $10 million of the
Company’s common stock.

Transfer Restrictions on Common Stock

In order to reduce the possibility that certain changes in ownership could impose limitations on the use of our deferred income tax assets, our
Amended  and  Restated  Certificate  of  Incorporation  contains  provisions  that  generally  restrict  transfers  by  or  to  any  5%  stockholder  of  our
common  stock  or  any  transfer  that  would  cause  a  person  or  group  of  persons  to  become  a  5%  stockholder  of  our  common  stock.  After  a
cumulative indirect shift in ownership of more than 45% since our emergence from bankruptcy proceedings in May 2002 through a transfer of our
common stock, any transfer of our common stock by or to a 5% stockholder of our common stock or any transfer that would cause a person or
group of persons to become a 5% stockholder of such common stock, will be prohibited unless the transferee or transferor provides notice of the
transfer to us and our Board of Directors determines in good faith that the transfer would not result in a cumulative indirect shift in ownership of
more than 47%.

Prior to a cumulative indirect ownership change of more than 45%, transfers of our common stock will not be prohibited, except to the extent that
they result in a cumulative indirect shift in ownership of more than 47%, but any transfer by or to a 5% stockholder of our common stock or any
transfer  that  would  cause  a  person  or  group  of  persons  to  become  a  5%  stockholder  of  our  common  stock  requires  notice  to  us.  Similar
restrictions apply to the issuance or transfer of an option to purchase our common stock, if the exercise of the option would result in a transfer
that would be prohibited pursuant to the restrictions described above. These restrictions will remain in effect until the earliest of (1) the repeal of
IRC Section 382 (or any comparable successor provision) and (2) the date on which the limitation amount imposed by IRC Section 382 in the
event  of  an  ownership  change  would  not  be  less  than  the  tax  attributes  subject  to  these  limitations.  Transfers  by  or  to  us  and  any  transfer
pursuant  to  a  merger  approved  by  our  Board  of  Directors  or  any  tender  offer  to  acquire  all  of  our  outstanding  stock  where  a  majority  of  the
shares have been tendered will be exempt from these restrictions.

Based on publicly available information and after considering any direct knowledge we may have, our combined cumulative change in ownership
was an insignificant amount as of December 31, 2022 and 2021.

ITEM 6. [RESERVED]

ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

The  following  discussion  and  analysis  should  be  read  in  conjunction  with  our  consolidated  financial  statements  and  related  notes  and  the
discussion  under  "Organization  and  Significant Accounting  Policies”  (refer  to  Note  1  in  the  Notes  to  the  Consolidated  Financial  Statements),
which describes key estimates and assumptions we make in the preparation of our consolidated financial statements; the cautionary language
that appears under the title "Forward Looking Statements" immediately following the Table of Contents; "Item 1. Business," which describes our
operations; and "Item 1A. Risk Factors," which describes key risks associated with our operations and markets in which we operate. A reference
to a "Note" in this section refers to the accompanying Notes to Consolidated Financial Statements.

Overview and Highlights

We offer a focused suite of unified clinical communication and collaboration solutions that include call center applications, clinical alerting and
notifications, one-way and advanced two-way wireless messaging services, mobile communications and public safety solutions. Our customers
rely  on  Spok  for  workflow  improvement,  secure  texting,  paging  services,  contact  center  optimization  and  public  safety  response.  Our  product
offerings  are  capable  of  addressing  a  customer’s  clinical  communications  needs.  We  develop,  sell  and  support  enterprise-wide  systems  for
healthcare and other organizations needing to automate, centralize and standardize their approach to clinical communications. While our primary
market  has  been  the  healthcare  industry  with  a  focus  on  prominent  hospitals,  our  solutions  can  also  be  found  in  large  government  agencies;
leading public safety institutions; colleges and universities; large hotels, resorts and casinos; and well-known manufacturers.

28

Table of Contents

Revenue generated by wireless messaging services (including voice mail, personalized greetings, message storage and retrieval), equipment,
maintenance plans and/or equipment loss protection to both one-way and two-way messaging subscribers is presented as wireless revenue in
our statements of operations. Revenue generated by the sale of our software solutions, which includes software license, professional services
(installation, consulting and training), equipment procured by us from third parties (to be used in conjunction with our software) and post-contract
support (on-going maintenance), is presented as software revenue in our statements of operations. Our software is licensed to end users under
an industry standard software license agreement.

Strategic Business Plan

In February 2022, our Board of Directors announced a new strategic business plan that included a restructuring of our business to discontinue
Spok Go and eliminate all associated costs and optimize the Company’s existing structure to drive continued cost improvement. The strategic
business  plan  included  a  renewed  focus  on  our  existing  and  established  business,  including  the  Spok  Care  Connect  Suite  and  our  wireless
service offerings. These restructuring efforts were completed during the fourth quarter of 2022. As a result of the implementation of the plan, we
eliminated  176  positions,  primarily  in  research  and  development,  and  also  in  professional  services,  selling  and  marketing,  and  back-office
support functions. These actions allowed us to better align costs and, as a result, return capital to stockholders in the form of increased quarterly
dividends of $0.3125 per share in 2022 as compared to $0.1250 in 2021. We will continue to focus on optimizing costs to allow us to prioritize
cash flow generation and the return of capital to stockholders.

Further  details  related  to  costs  incurred  as  a  part  of  the  restructuring  can  be  found  in  Note  3  "Restructuring"  in  the  Notes  to  Consolidated
Financial Statements.

COVID-19

In March 2020, the World Health Organization declared COVID-19 a global pandemic, and the virus significantly impacted the global economy.
Although federal and state restrictions were not widely adopted until late in the first quarter of 2020, we began to experience a direct impact on
our sales cycle in late February 2020 as hospitals began to delay purchasing decisions and address staff reductions. These delays continued to
affect our software bookings, which directly impacted license and equipment revenues during 2020 and 2021. We also experienced delays in our
ability  to  deliver  on-site  implementation  services,  which  have  impacted  our  services  revenue  resulting  in  delays  in  the  timing  of  revenue
recognition  during  2020  and  2021,  as  associated  revenue  corresponds  to  our  backlog  of  performance  obligations  ready  for  delivery  at  some
point in the future.

During  2020  and  2021,  we  continued  to  prudently  manage  operating  expenses  and  liquidity,  with  the  goal  of  neutralizing  the  impact  of  the
pandemic  on  our  cash  flows.  We  maintained  a  Company-wide  plan  that  reduced  work  schedules,  resulting  in  a  temporary  reduction  in
compensation expenses during the second, third and fourth quarters of 2020 and continuing through the first half of 2021. We also enacted a
plan  for  the  first  three  quarters  of  2021  whereby  qualified  employees  received  a  portion  of  their  compensation  in  the  form  of  shares  of  the
Company's common stock in lieu of cash. Under this alternative payment plan, which was in effect from the third quarter of 2020 through the
third quarter of 2021, all non-employee directors voluntarily elected to receive either DSUs or restricted stock in lieu of the entire cash portion of
their compensation.

In  2022,  we  operated  at  pre-pandemic  levels  and  barring  the  emergence  of  a  severe  COVID-19  variant  in  the  near  future,  which  could  have
significant negative effects on the overall economy and our customer base specifically, we believe we will continue to operate at pre-pandemic
levels in 2023 and beyond.

2022 Highlights

Total  revenue  declined  by  $7.6  million  or  5.4%  during  2022  compared  to  2021,  primarily  as  a  result  of  lower  professional  services  revenue,
driven by fewer billable resources following our restructuring efforts, as well as the expected decline in wireless revenue.

The wireless revenue attrition rate declined in 2022 to 4.1%, from 5.7% in 2021. This decrease was primarily driven by a continued decline in
unit churn as well as price increases implemented in the latter part of 2022.

For the year ended December 31, 2022, total operating expenses decreased by $35.6 million, or 20.9%, compared to 2021, driven primarily by
the  restructuring  of  our  business  initiated  in  2022. The  decrease  in  total  operating  expenses  included  reductions  in  depreciation,  amortization
and  accretion,  research  and  development,  selling  and  marketing,  general  and  administrative,  cost  of  revenue  and  technology  operations
expenses, as well as the non-recurrence of the $15.7 million capitalized software development impairment charge we recorded in 2021, partially
offset by one-time, pre-tax

29

Table of Contents

restructuring charges of approximately $7.3 million recorded in 2022 as a result of the implementation of our strategic business plan.

Additionally, we recorded non-cash benefits to income taxes of $21.9 million with a corresponding increase to deferred tax assets which reflects
the reduction of our valuation allowance in alignment with our projections of future taxable income.

We returned approximately $25.0 million of capital to stockholders in the form of cash dividends.

Results of Operations

The following table is a summary of our Consolidated Statements of Operations for the years ended December 31, 2022, 2021 and 2020 and the
discussion that follows compares the year ended December 31, 2022 to the year ended December 31, 2021. For a discussion and analysis of
the year ended December 31, 2021, compared to the year ended December 31, 2020, please refer to Management's Discussion and Analysis of
Financial Condition and Results of Operations included in Part II, Item 7 of our Annual Report on Form 10-K for the year ended December 31,
2021, filed with the SEC on February 17, 2022:

2022

Change

2021

Change

2020

(Dollars in thousands)

Revenue:

Wireless revenue
Software revenue
Total revenue

Operating expenses:

Cost of revenue (exclusive of items shown
separately below)
Research and development
Technology operations
Selling and marketing
General and administrative
Severance and restructuring
Depreciation, amortization and accretion
Goodwill and capitalized software
development impairment

Total operating expenses

Operating income (loss)
Interest income
Other income
Income (loss) before income taxes

Benefit from (provision for) income taxes

Net income (loss)

$

Supplemental Information
FTEs
Active transmitters

(4.1)% $
(7.0)%
(5.4)%

78,826  $
63,327 
142,153 

(4,767)
(1,260)
(6,027)

(5.7)% $
(2.0)%
(4.1)%

83,593 
64,587 
148,180 

$

75,622 
58,912 
134,534 

28,267 
13,625 
27,412 
16,296 
37,796 
7,329 
3,571 

(3,204)
(4,415)
(7,619)

(4,203)
(3,889)
(1,432)
(4,787)
(5,735)
7,009 
(6,875)

(12.9)%
(22.2)%
(5.0)%
(22.7)%
(13.2)%
2,190.3 %
(65.8)%

32,470 
17,514 
28,844 
21,083 
43,531 
320 
10,446 

— 
134,296 
238 
592 
167 
997 
20,859 
21,856  $

(15,663)
(35,575)
27,956 
272 
101 
28,329 
15,707 
44,036 

(100.0)%
(20.9)%
(100.9)%
85.0 %
153.0 %
(103.6)%
304.9 %
(198.5)% $ (22,180) $

15,663 
169,871 
(27,718)
320 
66 
(27,332)
5,152 

1,523 
1,772 
(641)
767 
3,931 
(372)
1,390 

(9,344)
(974)
(5,053)
(367)
(142)
(5,562)
27,607 
22,045 

4.9 %
11.3 %
(2.2)%
3.8 %
9.9 %
(53.8)%
15.3 %

30,947 
15,742 
29,485 
20,316 
39,600 
692 
9,056 

(37.4)%
(0.6)%
22.3 %
(53.4)%
(68.3)%
25.5 %
(122.9)%

25,007 
170,845 
(22,665)
687 
208 
(21,770)
(22,455)
(49.8)% $ (44,225)

376 

3,325 

(187)

(143)

(33.2)%

(4.1)%

563 

3,468 

(39)

(178)

(6.5)%

(4.9)%

602 

3,646 

30

Table of Contents

Revenue

We offer a focused suite of unified clinical communications and collaboration solutions that include call center applications, clinical alerting and
notifications, one-way and advanced two-way wireless messaging services, mobile communications and public safety solutions.

We  develop,  sell  and  support  enterprise-wide  systems  for  healthcare,  government,  large  enterprise  and  other  organizations  needing  to
automate,  centralize  and  standardize  their  approach  to  clinical  communications  and  collaboration.  Our  solutions  can  be  found  in  prominent
hospitals,  large  government  agencies,  leading  public  safety  institutions,  colleges  and  universities,  large  hotels,  resorts  and  casinos,  and  well-
known  manufacturers.  Our  primary  market  is  the  healthcare  industry,  particularly  hospitals.  While  we  have  historically  identified  hospitals  with
200  or  more  beds  as  the  primary  targets  for  our  software  solutions,  as  well  as  our  paging  services,  we  have  recently  expanded  our  focus  to
include smaller hospitals with shorter sales cycles, including academic medical centers.

Revenue  generated  by  wireless  messaging  services  (including  voice  mail,  personalized  greeting,  message  storage  and  retrieval),  equipment,
maintenance plans and/or equipment loss protection for both one-way and two-way messaging subscribers is presented as wireless revenue in
our Statement of Operations. Revenue generated by the sale of our software solutions, which includes software license, professional services
(installation, consulting and training), equipment (to be used in conjunction with the software), and post-contract support (ongoing maintenance),
is  presented  as  software  revenue  in  our  Statement  of  Operations.  Our  software  is  licensed  to  end  users  under  an  industry  standard  software
license agreement.

Refer  to  Note  4,  "Revenue,  Deferred  Revenue  and  Prepaid  Commissions,"  in  the  Notes  to  Consolidated  Financial  Statements  for  additional
information on our wireless and software revenue streams.

The table below details total revenue for the periods stated:

(Dollars in thousands)

2022

Change

2021

Change

2020

Wireless revenue:
Paging revenue
Product and other revenue

Wireless revenue

Software revenue:

License
Professional services
Hardware

Operations revenue
Maintenance
Software revenue
Total revenue

Wireless Revenue

$

73,323  $
2,299 
75,622 

(2,522)
(682)
(3,204)

(3.3)% $

(22.9)%
(4.1)%

75,845  $
2,981 
78,826 

(4,071)
(696)
(4,767)

(5.1)% $

(18.9)%
(5.7)%

79,916 
3,677 
83,593 

7,202 
12,565 
2,211 
21,978 
36,934 
58,912 
$ 134,534  $

1,285 
(4,596)
(56)
(3,367)
(1,048)
(4,415)
(7,619)

21.7 %
(26.8)%
(2.5)%
(13.3)%
(2.8)%
(7.0)%
(5.4)% $ 142,153  $

5,917 
17,161 
2,267 
25,345 
37,982 
63,327 

672 
(749)
(574)
(651)
(609)
(1,260)
(6,027)

5,245 
12.8 %
17,910 
(4.2)%
2,841 
(20.2)%
25,996 
(2.5)%
38,591 
(1.6)%
(2.0)%
64,587 
(4.1)% $ 148,180 

Wireless  revenue  consists  of  two  primary  components:  paging  revenue  and  product  and  other  revenue.  Paging  revenue  consists  primarily  of
recurring  fees  associated  with  the  provision  of  messaging  services  and  fees  for  paging  devices  and  is  net  of  a  provision  for  service  credits.
Product  and  other  revenue  reflects  system  sales,  sales  of  paging  devices  and  charges  for  devices  that  are  not  returned  and  are  net  of
anticipated credits. See Item 1. "Business" for more details.

We  offer  subscriptions  to  one-way  or  two-way  messaging  services  for  a  periodic  (monthly,  quarterly,  semiannual,  or  annual)  service  fee. The
level of service fees is generally based upon the type of service provided, the geographic area covered, the number of devices provided to the
customer and the period of commitment. We also sell devices to resellers who lease or resell such devices to their subscribers and then sell
messaging services utilizing our networks.

A subscriber to one-way messaging services may select coverage on a local, regional or nationwide basis to best meet their messaging needs,
while two-way messaging is generally offered on a nationwide basis. In addition, subscribers either contract to use a messaging device that we
own and provide for an additional fixed monthly fee or they own the device used, after either purchasing it either from us or from another vendor.

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Table of Contents

We  offer  exclusive  one-way  (T5)  and  two-way  (T52)  alphanumeric  pagers,  which  are  configurable  to  support  unencrypted  or  encrypted
operation.  When  configured  for  encryption,  they  utilize AES-128  bit  encryption,  screen  locking  and  remote  wipe  capabilities.  With  encryption
enabled, these new secure paging devices enhance our service offerings to the healthcare community by adding HIPAA security capabilities to
the  low  cost,  highly  reliable  and  availability  benefits  of  paging  .  We  also  offer  ancillary  services,  such  as  voicemail  and  equipment  loss  or
maintenance protection, which help increase the monthly recurring revenue we receive along with these traditional messaging services.

The decrease in wireless revenue during 2022 compared to 2021 reflects the secular decrease in demand for our wireless services. Wireless
revenue  is  generally  reflective  of  the  number  of  units  in  service  and  measured  monthly  as  Average  Revenue  Per  User  ("ARPU").  On  a
consolidated basis, ARPU is affected by several factors, including the mix of units in service and the pricing of the various components of our
services. The number of units in service changes based on subscribers added, referred to as gross placements, less subscriber cancellations, or
disconnects.

For the year ended December 31, 2022, ARPU was $7.34, as compared to $7.30 in 2021. Total units in service were 0.8 million for the years
ended December 31, 2022 and 2021. The increase in ARPU was primarily driven by the nominal increase in the standard rate, as a result of
price increases initiated in late third quarter.

While  demand  for  wireless  services  continues  to  decline,  it  has  done  so  at  a  slower  rate  for  each  of  the  periods  presented.  While  we  are
optimistic  that  this  trend  will  continue  in  future  periods,  we  believe  that  demand  will  continue  to  decline  for  the  foreseeable  future  in  line  with
recent  and  historical  trends.  As  our  wireless  products  and  services  are  replaced  with  other  competing  technologies,  such  as  the  shift  from
narrowband wireless service offerings to broadband technology services, our wireless revenue will continue to decrease.

The following reflects the impact of subscribers and ARPU on the change in wireless revenue:

(Units and Dollars in Thousands)

2022

2021

Change

2022

2021

Change

ARPU

Units

Paging revenue

817 

847 

(30) $

73,323  $

75,845  $

(2,522) $

475  $

(2,997)

Units in Service as of December 31,

Revenue for the Year Ended December 31,

Change Due To:

As demand for one-way and two-way messaging has declined, we have developed or added service offerings such as encrypted paging and
Spok Mobile with a pager number in order to increase our revenue potential and mitigate the decline in our wireless revenue. We will continue to
explore ways to innovate and provide customers the highest value possible.

In late 2021, we began offering our newest pager, GenA. This one-way alphanumeric pager features a high resolution ePaper display, intuitive
modern user interface, advanced encryption and security features, over-the-air remote programming, and an antimicrobial housing. Users can
select from various font sizes, and the large GenA display also leverages proportional fonts to maximize key information on a single screen. The
GenA pager is the only product available on the market with these capabilities, and we maintain an exclusive arrangement with the product's
manufacturer. Given the product differentiation of the GenA pager, its development is a key initiative in providing a competitive advantage and
we expect this new technology will be popular with our customers in clinical environments and may help slow our wireless revenue attrition.

Software Revenue

Software revenue consists of two components: operations revenue and maintenance revenue. Operations revenue consists primarily of license
and  subscription  revenues  for  our  healthcare  communications  solutions,  revenue  from  the  sale  of  equipment  that  facilitates  the  use  of  our
software solutions, and professional services revenue related to the implementation of our solutions. Maintenance revenue is generated from our
ongoing support of our software solutions or related equipment, typically for a period of one year after project completion.

To a large degree, software revenue corresponds to our backlog of performance obligations ready to deliver at some point in the future, and any
delays  in  implementation  may  affect  the  timing  of  revenue  recognition.  Our  software  projects  generally  originate  from  fixed-bid  contracts,
although many involve a protracted sales cycle and may result in unforeseen complexity and deviation from the original scope. The time needed
to  complete  projects,  therefore,  may  not  align  with  our  original  expectations,  which  affects  our  backlog.  As  a  result,  software  revenue  may
fluctuate on a short-term basis, and we generally evaluate longer-term trends when managing this business.

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Revenue  items  impacted  by  timing  generally  relate  to  specific  renewal  contracts  that  do  not  have  auto-renewal  terms  and  for  which  we  must
negotiate at the end of each term. We are generally precluded from recognizing revenue on these contracts until new terms have been agreed to
even  though  we  continue  to  provide  maintenance  service  for  these  customers  while  negotiations  are  ongoing.  While  certain  commercial
customers require this type of contract renewal, these contracts are generally limited to government organizations, including federal, state and
local entities. When a renewal of this nature has been contracted, it is often accompanied by several months of "catch-up" revenue from services
performed in past periods resulting in a one-time value that is greater than the normal monthly revenue expected over the life of the remaining
term.

While we have not seen a meaningful increase in our normal customer churn as it relates to maintenance revenue, our ability to replace this
churn  with  new  revenues  will  not  likely  replicate  what  we  have  accomplished  historically  nor  do  we  expect  to  fully  offset  this  with  annual
increases of our existing base. Given these dynamics, we believe annual maintenance revenue is likely to be relatively flat or slightly down as we
move forward, until such time that we are able to develop new licenses that can provide an avenue for additional maintenance revenue.

Operations Revenue

Software operations revenue decreased during 2022 when compared to 2021. Professional services revenue decreased primarily from having
fewer billable resources as a result of our restructuring efforts. These changes were made in conjunction with our efforts to better align staffing
levels  with  our  backlog,  as  well  as  to  drive  greater  profitability  through  more  efficient  services  delivery.  The  decline  in  professional  services
revenue was partially offset by an increase in license revenue. License revenue increased primarily due to our shift in priorities as a result of the
new strategic business plan, which now allows our sales team to focus exclusively on selling the Spok Care Connect Suite of products ("CCS"),
combined with an improving economy and selling environment when compared to 2021.

Maintenance Revenue

Software maintenance revenue decreased during 2022 when compared to 2021. Current trends in revenue churn rates remain relatively stable
and are in line with historical trends. However, the deterioration of maintenance revenue from new license bookings has created an environment
where churn is greater than the inflow of new revenue.

While we have not seen a meaningful increase in our normal customer churn, our ability to replace this churn with new revenues will not likely
replicate what we have accomplished historically nor do we expect to fully offset this with annual increases of our existing base. Given these
dynamics, we believe annual maintenance revenue is likely to be down slightly until such time that we are able to enhance our existing software
solutions, which would provide an avenue to reduce levels of gross churns and result in additional maintenance revenue.

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Operating Expenses

Our operating expenses are presented in functional categories. Certain of our functional categories are especially important to overall expense
control and management. These operating expenses are categorized as follows:

•

•

•

•

Cost  of  Revenue.  These  are  expenses  we  incur  for  the  delivery  of  products  and  services  to  our  customers  and  consist  primarily  of
hardware,  third-party  software,  outside  services  expenses  and  payroll  and  related  expenses  for  our  professional  services,  logistics,
customer support and maintenance staff.
Research  and  Development.  These  expenses  relate  primarily  to  the  development  of  new  software  products  and  the  ongoing
maintenance  and  enhancement  of  existing  products.  This  classification  consists  primarily  of  employee  payroll  and  related  expenses,
outside  services  related  to  the  design,  development,  testing  and  enhancement  of  our  solutions  and  to  a  lesser  extent  hardware
equipment. Research and development expenses exclude any development costs that qualify for capitalization.
Technology Operations. These are expenses associated with the operation of our paging networks. Expenses consist largely of site
rent  expenses  for  transmitter  locations,  telecommunication  expenses  to  deliver  messages  over  our  paging  networks,  and  payroll  and
related expenses for our engineering and pager repair functions. We actively pursue opportunities to consolidate transmitters and other
service, rental and maintenance expenses in order to maintain an efficient network while simultaneously ensuring adequate service for
our customers. We believe continued reductions in these expenses will occur for the foreseeable future as we continue to consolidate
our networks, although the benefits of such network rationalization efforts and resulting costs savings will continue to decline.
Selling and Marketing. The sales and marketing staff are involved in selling our communication solutions primarily in the United States.
These expenses support our efforts to maintain gross placements of units in service, which mitigated the impact of disconnects on our
wireless revenue base, and to identify business opportunities for additional or future software sales. We maintain a centralized marketing
function,  that  is  focused  on  supporting  our  products  and  vertical  sales  efforts  by  strengthening  our  brand,  generating  sales  leads  and
facilitating the sales process. These marketing functions are accomplished through targeted email campaigns, webinars, regional and
national user conferences, monthly newsletters and participation at industry trade shows. Expenses consist largely of payroll and related
expenses, commissions and other costs such as travel and advertising costs.

• General  and  Administrative.  These  are  expenses  associated  with  information  technology  and  administrative  functions,  including
finance  and  accounting,  human  resources  and  executive  management.  This  classification  consists  primarily  of  payroll  and  related
expenses, outside service expenses, taxes, licenses and permit expenses, and facility rent expenses.
Depreciation,  Amortization  and  Accretion.  These  are  expenses  that  may  be  associated  with  one  or  more  of  the  aforementioned
functional categories. This classification generally consists of depreciation from capital expenditures or other assets that are core to our
ongoing  operations,  amortization  of  intangible  assets,  amortization  of  capitalized  software  development  costs,  and  accretion  of  asset
retirement obligations.

•

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Table of Contents

The following is a review of our operating expense categories for the years ended December 31, 2022 and 2021.

Cost of Revenue

Cost of revenue consisted primarily of the following items:

(Dollars in thousands)

Payroll and related
Cost of sales
Recoverable taxes and fees
Stock-based compensation
Other

Total cost of revenue

FTEs

2022

Change

2021

Change

$

$

17,394  $
5,951 
3,205 
344 
1,373 
28,267  $

133 

(2,941)
(479)
(138)
(557)
(88)
(4,203)

(49)

(14.5)% $
(7.4)%
(4.1)%
(61.8)%
(6.0)%
(12.9)% $

20,335  $
6,430 
3,343 
901 
1,461 
32,470  $

(26.9)%

182 

658 
56 
531 
457 
(179)
1,523 

(7)

3.3 % $
0.9 %
18.9 %
102.9 %
(10.9)%

4.9 % $

(3.7)%

2020

19,677 
6,374 
2,812 
444 
1,640 
30,947 

189 

Cost of revenue decreased for the year ended December 31, 2022, compared to December 31, 2021, driven by decreases in payroll and related
expenses, stock-based compensation, and cost of sales.

The  decrease  in  payroll  and  related  and  stock-based  compensation  is  attributable  to  the  restructuring  activities  and  the  related  elimination  of
positions. Additionally, stock-based compensation decreased as we discontinued the cash saving measure to provide a portion of compensation
for certain employees in the form of shares of the Company's common stock in lieu of cash. Cost of sales expenses decreased primarily due to
reduced use of third-party professional services that we utilize to augment company resources when short-term capacity constraints exist.

Research and Development

Research and development consisted primarily of the following items:

(Dollars in thousands)

Payroll and related
Outside services
Capitalized software development
Stock-based compensation
Other

Total research and development

FTEs

2022

Change

2021

Change

$

$

8,469  $
4,442 
— 
216 
498 
13,625  $

(8,959)
(3,414)
10,842 
(1,233)
(1,125)
(3,889)

(51.4)% $
(43.5)%
(100.0)%
(85.1)%
(69.3)%
(22.2)% $

17,428  $
7,856 
(10,842)
1,449 
1,623 
17,514  $

35 

(67)

(65.7)%

102 

47 
(2)
410 
484 
833 
1,772 

(19)

0.3 % $
— %
(3.6)%
50.2 %
105.4 %

11.3 % $

(15.7)%

2020

17,381 
7,858 
(11,252)
965 
790 
15,742 

121 

Research and development expenses decreased for the year ended December 31, 2022, compared to 2021, driven largely by the decision to
discontinue Spok Go which resulted in the discontinuation of Spok Go software development cost capitalization and the elimination of positions
and associated outside services.

The decrease in other expenses was driven by a $0.9 million loss contingency we recorded in the fourth quarter of 2021 related to a license and
service contract from which we do not believe we will be able to realize any benefits. Due to a change in standards required for electronic heath
records, we no longer need the product enhancements that would be provided under this contract.

We  intend  to  continue  focusing  our  development  efforts  on  our  software  solutions,  however  these  efforts  will  be  targeted  to  specific
enhancements. For 2023, total research and development costs are expected to decrease from 2022 given that we incurred three to four months
of Spok Go related development costs in 2022.

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Table of Contents

Technology Operations

Technology operations consisted primarily of the following items:

(Dollars in thousands)

Payroll and related
Site rent
Telecommunications
Stock-based compensation
Other

Total technology operations

FTEs

2022

Change

2021

Change

$

$

9,675  $
11,977 
2,935 
219 
2,606 
27,412  $

74 

(284)
(588)
(381)
(240)
61 
(1,432)

(12)

(2.9)% $
(4.7)%
(11.5)%
(52.3)%
2.4 %
(5.0)% $

(14.0)%

9,959  $

12,565 
3,316 
459 
2,545 
28,844  $

86 

322 
(1,013)
(452)
269 
233 
(641)

(2)

3.3 % $
(7.5)%
(12.0)%
141.6 %
10.1 %
(2.2)% $

(2.3)%

2020

9,637 
13,578 
3,768 
190 
2,312 
29,485 

88 

Technology  operations  expenses  decreased  for  the  year  ended  December  31,  2022,  compared  to  2021,  driven  by  lower  site  rent,
telecommunications costs, payroll and related and stock-based compensation costs.

Site  rent  and  telecommunication  costs  decreased  as  a  result  of  a  reduction  in  the  number  of  active  transmitters,  resulting  from  our  network
rationalization  efforts.  The  number  of  active  transmitters,  which  directly  affects  our  telecommunication  and  site  rent  expenses,  declined  4.1%
from December 31, 2021 to December 31, 2022. As we reach certain minimum frequency commitments, as outlined by the FCC, we may be
unable to continue our efforts to rationalize and consolidate our networks.

The decrease in payroll and related expenses is attributable to the restructuring activities and the related elimination of positions. This decrease
was partially offset by an increase in costs resulting from the discontinuation of the cash saving measure of providing a portion of compensation
for certain employees in the form of shares of our common stock in lieu of cash, as well as the discontinuation of reduced work schedules as of
the third quarter of 2021. Stock-based compensation decreased as a result of discontinuing our plan to provide a portion of compensation for
certain employees in the form of shares of our common stock in lieu of cash.

Selling and Marketing

Selling and marketing consisted primarily of the following items:

(Dollars in thousands)

Payroll and related
Commissions
Advertising and events
Stock-based compensation
Other

Total selling and marketing

FTEs

2022

Change

2021

Change

$

$

10,298  $
4,033 
1,303 
344 
318 
16,296  $

(3,403)
(393)
(262)
(660)
(69)
(4,787)

(24.8)% $
(8.9)%
(16.7)%
(65.7)%
(17.8)%
(22.7)% $

13,701  $
4,426 
1,565 
1,004 
387 
21,083  $

65 

(28)

(30.1)%

93 

1,048 
125 
(69)
144 
(481)
767 

(12)

8.3 % $
2.9 %
(4.2)%
16.7 %
(55.4)%

3.8 % $

(11.4)%

2020

12,653 
4,301 
1,634 
860 
868 
20,316 

105 

Selling and marketing expense decreased for the year ended December 31, 2022, compared to 2021, driven by decreases in payroll and related
expenses and stock-based compensation.

Payroll and related expenses declined for the year ended December 31, 2022, largely due to restructuring activities and the related elimination of
positions, partially offset by increased payroll resulting from the discontinuation of reduced work schedules as of the third quarter of 2021.

Stock-based compensation for the year ended December 31, 2022 decreased due to the discontinuation of the cash saving measure to provide
a  portion  of  compensation  for  certain  employees  in  the  form  of  shares  of  our  common  stock  in  lieu  of  cash. Additionally,  there  was  a  general
decrease  in  employees  compensated  with  stock-based  compensation  in  2022,  attributable  to  the  restructuring  activities  and  the  related
elimination of positions.

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Table of Contents

General and Administrative

General and administrative consisted primarily of the following items:

(Dollars in thousands)

2022

Change

2021

Change

2020

Payroll and related
Stock-based compensation
Facility rent, office and technology costs
Outside services
Taxes, licenses and permits
Bad debt
Other

Total general and administrative

FTEs

$

$

14,563  $
2,704 
9,282 
6,414 
1,015 
751 
3,067 
37,796  $

69 

(770)
(722)
(953)
(3,100)
(32)
91 
(249)
(5,735)

(31)

(5.0)% $

(21.1)%
(9.3)%
(32.6)%
(3.1)%
13.8 %
(7.5)%
(13.2)% $

15,333  $
3,426 
10,235 
9,514 
1,047 
660 
3,316 
43,531  $

(31.0)%

100 

995 
377 
1,219 
1,703 
719 
(391)
(691)
3,931 

1 

6.9 % $

12.4 %
13.5 %
21.8 %
219.2 %
(37.2)%
(17.2)%

9.9 % $

1.0 %

14,338 
3,049 
9,016 
7,811 
328 
1,051 
4,007 
39,600 

99 

General  and  administrative  expenses  decreased  for  the  year  ended  December  31,  2022,  compared  to  2021,  driven  by  decreases  in  outside
services, facility rent, office and technology costs, payroll and related costs, and stock-based compensation.

Outside Services decreased as a result of lower legal and other professional services for the twelve months ended December 31, 2022.

The decrease in facility rent, office and technology costs was primarily due to the closing of the Minnesota office in February 2022.

Payroll  and  related  expenses  decreased  due  to  savings  from  the  reduction  of  headcount  due  to  restructuring  activities,  partially  offset  by  the
increase in costs resulting from the discontinuation of the cash saving measure of providing a portion of compensation for certain employees in
the form of shares of our common stock in lieu of cash, as well as the discontinuation of reduced work schedules as of the third quarter of 2021.

Stock-based compensation decreased as we discontinued the cash saving measure to provide a portion of compensation for certain employees
in  the  form  of  shares  of  our  common  stock  in  lieu  of  cash,  which  ended  as  of  the  fourth  quarter  of  2021. Additionally,  there  was  an  overall
decrease in the number of employees compensated with stock-based compensation in 2022, attributable to the restructuring activities.

Depreciation, Amortization and Accretion

For  the  year  ended  December  31,  2022,  compared  to  2021,  depreciation,  amortization  and  accretion  expenses  decreased  by  $6.9  million.
Amortization  expense  decreased  by  $5.8  million  for  the  year,  as  the  Spok  Go  related  capitalized  costs  and  the  resulting  amortization  were
eliminated.  Depreciation  expense  declined  by  $1.2  million  for  the  year,  largely  due  to  lower  depreciation  for  asset  retirement  costs  as  well  as
paging equipment, for which a large purchase of pagers became fully depreciated in 2022. Refer to Note 6, "Consolidated Financial Statement
Components," in the Notes to Consolidated Financial Statements for further discussion.

Severance and Restructuring

For  the  year  ended  December  31,  2022,  severance  and  restructuring  expenses  were  $7.3  million.  Expenses  increased  for  the  year  ended
December  31,  2022,  primarily  due  to  an  increase  in  severance  and  personnel  related  costs  and  costs  related  to  contractual  terminations,
resulting  from  the  implementation  of  the  new  strategic  business  plan.  Further  details  can  be  found  in  Note  3,  "Restructuring"  in  the  Notes  to
Consolidated Financial Statements.

Goodwill and Long-Lived Asset Impairment

We perform our annual goodwill impairment testing in the fourth quarter of each year. For the years ended December 31, 2022 and 2021, no
goodwill impairment was recognized.

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Table of Contents

We evaluate our long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of the asset
group  may  not  be  recoverable.  We  did  not  record  any  impairment  of  long-lived  assets  or  definite  lived  intangible  assets  for  the  year  ended
December 31, 2022. For the year ended December 31, 2021, we recognized a capitalized software development impairment charge of $15.7
million. With the discontinuation of Spok Go and related costs, there were no capitalized software development costs as of December 31, 2022.

Refer  to  Note  1,  "Organization  and  Significant Accounting  Policies,"  and  Note  7,  "Goodwill,  Capitalized  Software  Development  and  Intangible
Assets, Net" in the Notes to Consolidated Financial Statements for further discussion.

Interest Income, Other Income (Expense) and Income Tax (Benefit) Expense

Interest Income

Interest  income  increased  by  $0.3  million  for  the  year  ended  December  31,  2022,  compared  to  2021,  primarily  due  to  an  increase  in  interest
earned on the Company's cash balances and short-term investments, driven by higher interest rates from macro economic events.

Other Income

For the year ended December 31, 2022, compared to 2021, other income increased by $0.1 million.

Provision for (Benefit from) Income Taxes

The  effects  of  foreign  taxes  are  immaterial  for  all  periods  presented.  The  following  provides  the  effective  tax  rate  reconciliation  for  the  years
ended December 31, 2022, 2021 and 2020, respectively (See Note 10, "Income Taxes" in the Notes to Consolidated Financial Statements for
further discussion on our income taxes):

(Dollars in thousands)

Income (loss) before income taxes

Income taxes computed at the federal statutory rate
State income taxes, net of federal benefit
Goodwill impairment
Change in valuation allowance
Research and development and other tax credits
Excess executive compensation
Other

(Benefit from) provision for income taxes

$

997 

$

209 
121 
— 
(21,850)
(88)
231 
518 
$ (20,859)

2022

2021

2020

$ (27,332)

$ (21,770)

21.0 % $
12.1 %
— %
(2,191.6)%
(8.8)%
23.1 %
52.0 %
(2,092.2)% $

(5,740)
(1,513)
— 
2,070 
(808)
272 
567 
(5,152)

21.0 % $
5.5 %
— %
(7.6)%
3.0 %
(1.0)%
(2.1)%
18.8 % $

(4,572)
(703)
6,341 
22,108 
(1,316)
266 
331 
22,455 

21.0 %
3.2 %
(29.1)%
(101.6)%
6.0 %
(1.2)%
(1.5)%
(103.1)%

Benefit  from  income  taxes  changed  by  $15.7  million  for  the  year  ended  December  31,  2022,  from  2021  primarily  due  to  a  reduction  of  the
valuation  allowance  in  2022,  offset  by  an  increase  in  both  federal  and  state  income  taxes  stemming  from  a  swing  from  a  loss  before  income
taxes in 2021 to income in 2022 as a result of our restructuring efforts. Our investment in research and development qualifies for the research
and development income tax credit under Section 41 of the Internal Revenue Code. Unused research and development tax credits have a 20-
year carryover and will provide future tax benefits once Spok’s net operating losses are fully utilized.

We assess the recoverability of our deferred income tax assets, which represent the tax benefits of future tax deductions, based on available
positive and negative evidence, and by considering the adequacy of future taxable income from all sources, including prudent and feasible tax
planning strategies. This assessment is required to determine whether, based on all available evidence, it is "more likely than not" (meaning a
probability of greater than 50%) that all or some portion of our deferred income tax assets will be realized in future periods.

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Table of Contents

Historically,  the  cumulative  loss  incurred  by  the  Company  over  the  prior  three-year  period  constituted  a  piece  of  objective  negative  evidence
which limited our ability to consider other subjective evidence. Given the completion of our recent restructuring efforts and our expected return to
profitability (as indicated by income generated before income taxes in 2022), we have eliminated costs that had resulted in our cumulative loss
over the prior three-year period, that are not present in our current operating posture or future forecasts. As a result, we determined the negative
evidence presented by a cumulative loss position to be weighted less in our assessment compared to positive evidence from our historical core
operating results and future projections. Additionally, we considered there to be lower forecast uncertainty as a result of our new strategy and
lessening  impacts  of  COVID-19,  such  that  we  believe  that  positive  evidence  from  our  projections  of  future  profitability  to  be  weighted  more
heavily in our assessment of the recoverability of our deferred income tax assets.

Based  on  the  assessment  completed,  utilizing  our  annual  long-range  planning  and  forecasting  updates  that  are  traditionally  completed  in  the
fourth quarter of each year, we reduced the valuation allowance by $21.9 million as of December 31, 2022, to increase net deferred income tax
assets,  as  their  realization  met  the  more-likely-than-not  criterion.  The  Company  maintained  a  valuation  allowance  of  $2.3  million  related  to
Federal  Foreign  Tax  Credits  and  certain  state  net  operating  losses  and  state  tax  credits,  as  we  do  not  believe  current  projections  of  future
taxable income will be sufficient to utilize those tax assets prior to expiration.

Refer  to  Note  1,  "Organization  and  Significant  Accounting  Policies,"  and  Note  10,  "Income  Taxes,"  in  the  Notes  to  Consolidated  Financial
Statements for further discussion.

Liquidity and Capital Resources

Cash and Cash Equivalents

At December 31, 2022, we held cash, cash equivalents and short-term investments of $35.8 million. The available cash and cash equivalents
consist of cash in our operating accounts and cash invested in interest-bearing funds managed by third-party financial institutions. These funds
invest  in  U.S. Treasury  securities  and  are  therefore  classified  as  held-to-maturity  and  reported  at  amortized  cost  in  our  Consolidated  Balance
Sheets.  To  date,  we  have  experienced  no  loss  or  lack  of  access  to  our  invested  cash  or  cash  equivalents;  however,  we  can  provide  no
assurance that access to our invested cash and cash equivalents will not be impacted by adverse market conditions. Our short-term investments
consist  entirely  of  U.S. Treasury  securities,  which  are  classified  as  held-to-maturity  and  are  measured  at  amortized  cost  on  our  Consolidated
Balance Sheets.

We maintain a level of liquidity sufficient to allow us to meet our cash needs in both the short term (next 12 months) and long term (beyond 12
months). At any point in time, we maintain approximately $5.0 to $10.0 million in our operating accounts at third-party financial institutions. While
we  monitor  daily  the  cash  balances  in  our  operating  accounts  and  adjust  the  cash  balances  as  appropriate,  these  cash  balances  could  be
impacted  if  the  underlying  financial  institutions  fail  or  are  subject  to  other  adverse  conditions  in  the  financial  markets.  To  date,  we  have
experienced no loss or lack of access to cash in our operating accounts.

We  intend  to  use  our  cash  on  hand  to  provide  working  capital,  to  support  operations,  to  invest  in  our  business,  and  to  return  value  to
stockholders through cash dividends and repurchases of our common stock. We may also consider using cash to fund or complete opportunistic
investments and acquisitions that we believe will provide a measure of growth or revenue stability while supporting our existing operations. As
part  of  the  restructuring  program  in  connection  with  our  new  strategic  business  plan,  we  recorded  one-time  pre-tax  restructuring  charges  of
approximately $7.3 million, comprised of $6.0 million in severance and personnel related costs and $1.3 million in contractual terminations. The
restructuring actions associated with these charges were completed in 2022. Future cash payments related to these charges incurred in 2022
are expected to be $2.2 million, with the majority paid out in the first quarter of 2023. Because of the cash payments related to the restructuring
program,  our  cash  on  hand  decreased  during  2022.  However,  these  efforts  were  meant  to  refocus  our  operational  efforts  towards  cash  flow
generation and the return of capital to our stockholders. With the successful completion of the restructuring and our ongoing efforts to stabilize
revenue and optimize costs, we anticipate future operating periods will return to positive cash flow generation.

On February 22, 2023, the Board of Directors declared a regular quarterly cash dividend of $0.3125 per share of common stock, with a record
date of March 16, 2023, and a payment date of March 30, 2023. This cash dividend of approximately $6.3 million is expected to be paid from
available cash on hand.

In  February  2022,  the  Board  of  Directors  authorized  a  share  repurchase  program  of  up  to  $10  million  of  the  Company's  common  stock. This
repurchase authority allows us, at management’s discretion, to selectively repurchase shares of our common stock from time to time in the open
market depending upon market price and other factors.

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Cash Flows Overview

In  the  event  that  net  cash  provided  by  operating  activities  and  cash  on  hand  are  not  sufficient  to  meet  future  cash  requirements,  we  may  be
required  to  reduce  planned  capital  expenses,  reduce  or  eliminate  our  cash  dividends  to  stockholders,  not  repurchase  shares  of  our  common
stock under the share repurchase program, sell assets or seek additional financing. We can provide no assurance that reductions in planned
capital  expenses  or  proceeds  from  asset  sales  would  be  sufficient  to  cover  shortfalls  in  available  cash  or  that  additional  financing  would  be
available on acceptable terms.

Based on current and anticipated levels of operations, we anticipate that net cash provided by operating activities, together with the available
cash on hand at December 31, 2022, should be adequate to meet anticipated cash requirements for the short term (next 12 months) and long
term (beyond 12 months).

The following table sets forth information on our net cash flows from operating, investing, and financing activities for the periods stated:

(Dollars in thousands)

Net cash provided by operating activities
Net cash provided by (used in) investing activities
Net cash used in financing activities

Operating Activities

For the Year Ended December 31,

2022

2021

2020

$

6,456  $
11,257 
(26,221)

7,968  $
(225)
(11,753)

26,163 
(14,571)
(10,373)

As  discussed  above,  we  are  dependent  on  cash  flows  from  operating  activities  to  meet  our  cash  requirements.  Cash  from  operations  varies
depending on changes in various working capital items, including deferred revenues, accounts payable, accounts receivable, prepaid expenses
and various accrued expenses.

For the year ended December 31, 2022, net cash provided by operating activities was $6.5 million, a decrease of $1.5 million compared to 2021.
This decline was driven by accounts payable, accrued liabilities and other of $2.3 million and accounts receivable of $1.8 million. These declines
were  partially  offset  by  non-cash  items  such  as  valuation  allowance  of  $21.9  million,  depreciation,  amortization  and  accretion  of  $3.6  million,
stock-based compensation of $3.8 million, the provision for credit losses, service provisions and other of $1.8 million, and deferred income tax
expense of $0.9 million.

For  the  year  ended  December  31,  2021,  net  cash  provided  by  operating  activities  was  $8.0  million,  a  decrease  of  $18.2  million  compared  to
2020. The  net  cash  provided  in  2021  includes  the  impact  of  reduced  work  schedules  and  equity  in  lieu  of  compensation,  which  ended  in  the
second  and  third  quarters  of  2021,  respectively.  This  decline  was  driven  by  the  net  loss  of  $22.2  million,  the  deferred  income  tax  benefit  of
$5.5 million, and changes in deferred revenue of $3.4 million and accounts payable, accrued liabilities and other of $0.7 million. These declines
were  partially  offset  by  non-cash  items  such  as  capitalized  software  development  impairment  of  $15.7  million,  depreciation,  amortization  and
accretion  of  $10.4  million,  stock-based  compensation  of  $7.2  million,  and  the  provision  for  credit  losses,  service  provisions  and  other  of
$1.2 million, as well as changes in prepaid expenses and other assets of $2.6 million, accounts receivable of $1.8 million, and lease liability of
$0.8 million.

Investing Activities

For the year ended December 31, 2022, net cash provided by investing activities was $11.3 million, primarily due to the sale and purchase of
U.S.  treasury  securities  offset  by  capital  expenditures.  For  the  year  ended  December  31,  2021,  net  cash  used  in  investing  activities  was
$0.2 million, primarily due to purchase and maturity of U.S. treasury securities, capital expenditures and capitalization of software development
costs. With the discontinuation of Spok Go, we did not incur capitalization of software development costs in 2022.

Financing Activities

For  the  years  ended  December  31,  2022  and  2021,  net  cash  used  in  financing  activities  was  $26.2  million  and  $11.8  million,  respectively,
primarily due to cash distributions to stockholders of $25.0 million and $10.0 million, respectively.

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Commitments and Contingencies

In  the  ordinary  course  of  our  operations,  we  enter  into  certain  contractual  obligations.  Such  obligations  include  data  processing  services,
operating leases for premises and equipment, agreements with respect to borrowed funds and deposit liabilities.

Purchase  obligations  are  defined  as  agreements  to  purchase  goods  or  services  that  are  enforceable,  legally  binding,  non-cancelable,  have  a
remaining  term  in  excess  of  one  year  and  that  specify  all  significant  terms,  including:  fixed  or  minimum  quantities  to  be  purchased;  fixed,
minimum  or  variable  pricing  provisions;  and  the  approximate  timing  of  transactions.  The  amounts  of  such  obligations  are  based  on  our
contractual commitments, however, it is possible that we may be able to negotiate lower payments if we choose to exit these contracts before
their expiration date.

Our contractual payment obligations for operating leases apply to leases for office space and transmitter locations. In March 2021, we relocated
our corporate headquarters to office space located in Alexandria, Virginia, consisting of approximately 26,000 square feet of space under a lease
that will expire on September 30, 2026. Over the life of this lease, cash payments are expected to total approximately $4.9 million.

The following table provides the Company's significant commitments and contractual obligations as of December 31, 2022:

(Dollars in thousands)

Operating lease obligations
Unconditional purchase obligations
Total contractual obligations

Payments Due by Period

Total

Less than 1
year

2 to 3 years

4 to 5 years

More than 5
years

$

$

18,262 
5,162 
23,424  $

5,777 $
3,195
8,972  $

8,915  $
1,965 
10,880  $

1,100  $
2 
1,102  $

2,470 
— 
2,470 

We do not have any relationships with unconsolidated entities or financial partnerships, such as entities often referred to as structured finance or
special purpose entities, which would have been established for the purpose of facilitating off-balance sheet arrangements or other contractually
narrow or limited purposes. As such, we are not exposed to any financing, liquidity, market or credit risk that could arise if we had engaged in
such relationships.

The Company evaluates contingencies on an ongoing basis and establishes loss provisions for matters in which losses are probable and the
amount of loss can be reasonably estimated. As part of this evaluation, for the year ended December 31, 2022, the Company did not identify any
probable losses.

Related Parties

Refer to Note 13, "Related Parties" in the Notes to Consolidated Financial Statements for further discussion on our related party transactions.

Inflation

Inflation has not had a material effect on our operations to date. System equipment and operating costs have not significantly increased in price,
and the price of wireless messaging devices has tended to decline in recent years. Our general operating expenses, such as salaries, site rent
for transmitter locations, employee benefits and occupancy costs, are subject to normal inflationary pressures.

Critical Accounting Estimates

The  Company’s  accounting  policies  are  described  more  fully  in  Note  1  of  the  Consolidated  Financial  Statements. As  disclosed  in  Note  1,  the
preparation  of  financial  statements  in  conformity  with  generally  accepted  accounting  principles  requires  management  to  make  estimates  and
assumptions about future events that affect the amounts reported in the financial statements and accompanying notes. Actual results could differ
significantly from those estimates. We believe that the following discussion addresses the Company’s most critical accounting estimates, which
are  those  that  involve  a  significant  level  of  estimation  uncertainty  and  have  had  or  are  reasonably  likely  to  have  a  material  impact  on  the
Company’s financial condition and results of operations.

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Revenue Recognition

We review each contract to determine whether to account for the various promises as one or more performance obligations. The assessment
and  determination  of  performance  obligations  for  a  given  contract  requires  significant  judgment.  Wireless  service  contracts  are  generally
considered to be a single promise and therefore accounted for as a single performance obligation. Contracts which include goods or services
related to our software solutions and subscriptions are generally sold with multiple promises and therefore will often include multiple performance
obligations.  Material  performance  obligations  related  to  the  sale  of  our  software  solutions  include  software  licenses,  professional  services,
hardware and maintenance.

If  a  contract  is  separated  into  more  than  one  performance  obligation,  we  allocate  the  total  transaction  price  to  each  performance  obligation
proportionately based on the estimated relative standalone selling price ("SSP") of the promised goods or services underlying each performance
obligation. We rarely sell goods or services as readily observable standalone sales, however, if we do, the observable standalone sales are used
to determine the SSP. In most cases, we must estimate the relative SSP which requires significant judgment and estimates. In instances where
SSP is not directly observable, we determine the SSP using information that may include contractually stated prices, market conditions, costs,
renewal contracts, list prices and other observable inputs. A discount is present if the total transaction price is less than the sum of the estimated
SSPs  of  the  goods  or  services  promised  in  the  contract.  Discounts  are  generally  allocated  proportionately  based  on  the  relative  SSP  of  the
identified performance obligations for a given contract.

Our wireless, professional, maintenance, and subscription services are generally recognized over time due to a customer's simultaneous receipt
and consumption of the benefit as we perform the work. As we transfer control over time, we recognize revenue based on the extent of progress
towards  completion  of  the  performance  obligation.  The  selection  of  the  method  to  measure  progress  towards  completion  requires  significant
judgment and is based on the nature of the products or services to be provided. Generally, we use the time-elapsed measure of progress for
performance  obligations  that  include  wireless,  maintenance,  or  subscription  services.  We  believe  this  method  best  depicts  the  simultaneous
transfer  and  consumption  of  the  benefit  based  on  our  performance  as  these  services  are  generally  considered  standby  services.  For
professional services, we leverage an input methodology based on the number of hours worked on a project versus the total expected hours
necessary  to  complete  the  project.  Revenues  are  recognized  proportionally  as  hours  are  incurred. This  is  a  significant  area  of  judgment  as  it
requires an estimate at completion ("EAC") for each contract. Our initial EAC is primarily based on prior experience also taking into consideration
any  specific  facts  and  circumstances  for  a  given  contract. As  projects  progress,  the  EAC  is  periodically  updated  and  reviewed  to  ensure  the
timing of revenue recognition is appropriate. The creation, maintenance and review of a project's EAC requires significant judgment to determine
an appropriate number of hours over which the remaining project is expected to be completed.

Our software licenses and hardware are generally recognized at a point in time when we have transferred control to the customer. For software
licenses, revenue is not recognized until the related license(s) has been made available to the customer and the customer can begin to benefit
from its right to use the license(s). Our software licenses represent a right to use Spok’s Intellectual Property ("IP") as it exists at a point in time
at  which  the  license  is  granted.  Many  of  our  software  licenses  have  significant  standalone  functionality  due  to  their  ability  to  process  a
transaction or perform a function or task, and we do not need to maintain those products, once provided to the customer, for value to exist. While
the functionality of IP that we license may substantively change during the license period, customers are not contractually or practically required
to update their license as a result of those changes. In most contracts transfer of control for software licenses occurs in a short period of time
after a contract has been executed and licenses are made electronically available.

Income Taxes

Deferred  income  tax  assets  and  liabilities  are  calculated  based  on  temporary  differences  between  the  financial  statement  values  and  the  tax
bases  of  assets  and  liabilities  including  net  operating  loss  and  tax  credit  carryforwards  at  the  enacted  tax  rates  expected  to  apply  to  taxable
income  when  taxes  are  actually  paid  or  recovered.  Changes  in  deferred  income  tax  assets  and  liabilities  are  included  as  a  component  of
deferred income tax expense. Deferred income tax assets represent amounts available to reduce future income taxes payable. We assess the
recoverability  of  our  deferred  income  tax  assets,  which  represent  the  tax  benefits  of  future  tax  deductions,  based  on  available  positive  and
negative  evidence  and  by  considering  the  adequacy  of  future  taxable  income  from  all  sources,  including  prudent  and  feasible  tax  planning
strategies. This assessment is required to determine whether, based on all available evidence, it is "more likely than not" (meaning a probability
of  greater  than  50%)  that  all  or  some  portion  of  our  deferred  income  tax  assets  will  be  realized  in  future  periods.  We  provide  a  valuation
allowance when we consider it "more likely than not" that a deferred income tax asset will not be fully recovered. The assessment of our deferred
income tax assets requires significant judgment, however, our methods, assumptions, and estimates used in assessing the need for a valuation
allowance remained materially unchanged in 2022. We reduced the valuation allowance by $21.9 million, as of December 31, 2022, based on

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the assessment completed utilizing our annual long-range planning and forecasting updates. The Company maintained a valuation allowance of
$2.3 million related to federal foreign tax credits and certain state net operating losses as we do not believe current projections of future taxable
income will be sufficient to utilize those tax assets prior to expiration.

Impairment of Goodwill, Long-Lived Assets and Intangible Assets Subject to Amortization

We are required to evaluate the carrying value of our goodwill, long-lived assets and intangible assets subject to amortization.

Goodwill is not amortized but is evaluated for impairment at least annually, or when events or circumstances suggest a potential impairment has
occurred. We generally perform this annual impairment test in the fourth quarter of the fiscal year. We evaluate goodwill for impairment between
annual  tests  if  indicators  of  impairment  exist.  Significant  judgment  is  required  in  the  determination  of  a  triggering  event  given  the  qualitative
nature of the assessment. The fair value of the reporting unit is estimated under a market-based approach using the fair value of the Company's
common stock. The estimated fair value requires significant judgments, including timing and appropriateness of the price of common stock used
(e.g. point-in-time application, simple moving average, exponential moving average), as well as application of an estimated control premium, if
necessary.  The  estimated  control  premium  is  based  on  a  review  of  current  and  past  market  information  published  by  a  third-party  resource,
assessment of the Company's future projected discounted cash flows and other relevant information if available. Our methods, assumptions, and
estimates used in assessing goodwill in a quantitative form remained materially unchanged in 2022. We recorded no impairment of goodwill for
the years ended December 31, 2022 and 2021, and impairment of $25.0 million for the year ended December 31, 2020.

Quarterly, we assess whether circumstances exist which suggest that the carrying value of long-lived and amortizable intangible assets (asset
groups)  may  not  be  recoverable.  Similar  to  our  quarterly  assessment  of  goodwill,  significant  judgment  is  required  in  the  determination  of  a
triggering event given the qualitative nature of the assessment. We did not identify any triggering event for long-lived and amortizable intangible
assets in 2022.

We did not record any impairment of long-lived assets or definite-lived intangible assets for the years ended December 31, 2022 and 2020. We
recorded an impairment charge of $15.7 million related to capitalized software development for the year ended December 31, 2021 based on a
triggering event identified in the fourth quarter of 2021.

Recent Accounting Pronouncements

Refer  to  Note  2,  "Recent  Accounting  Standards,"  in  the  Notes  to  Consolidated  Financial  Statements  for  a  summary  of  recent  and  pending
accounting standards.

ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Interest Rate Risk

At December 31, 2022, we had no outstanding borrowings or associated debt service requirements.

Foreign Currency Exchange Rate Risk

We conduct a limited amount of business outside the United States. The financial impact of transactions billed in foreign currencies is immaterial
to our financial results and, consequently, we do not have any material exposure to the risk of foreign currency exchange rate fluctuations.

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ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

The consolidated financial statements are included in this Report beginning on Page F-1.

Index to Consolidated Financial Statements
Reports of Independent Registered Public Accounting Firm (PCAOB ID Number 248)
Consolidated Balance Sheets as of December 31, 2022 and 2021
Consolidated Statements of Operations for the Years Ended December 31, 2022, 2021 and 2020
Consolidated Statements of Comprehensive Income (Loss) for the Years Ended December 31, 2022, 2021 and 2020
Consolidated Statements of Stockholders' Equity for the Years Ended December 31, 2022, 2021 and 2020
Consolidated Statements of Cash Flows for the Years Ended December 31, 2022, 2021 and 2020
Notes to Consolidated Financial Statements
Schedule II - Valuation and Qualifying Accounts

Page

F- 2
F- 5
F- 5
F- 6
F- 7
F- 8
F- 9
F- 29

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ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE

There are no reportable events.

ITEM 9A. CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

Our management carried out an evaluation, as required by Rule 13a-15(b) of the Securities Exchange Act of 1934, as amended (the "Exchange
Act"), with the participation of our principal executive officer and our principal financial officer, of the effectiveness of our disclosure controls and
procedures, as of the end of our last fiscal year. Disclosure controls and procedures are defined under Rule 13a-15(e) under the Exchange Act
as  controls  and  other  procedures  of  an  issuer  that  are  designed  to  ensure  that  the  information  required  to  be  disclosed  by  the  issuer  in  the
reports that it files or submits under the Exchange Act (i) is recorded, processed, summarized and reported within the time periods specified in
SEC  rules  and  forms,  and  (ii)  is  accumulated  and  communicated  to  the  issuer’s  management,  including  its  principal  executive  officer  and
principal financial officer, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure. Based
upon this evaluation, our principal executive officer and our principal financial officer have concluded that our disclosure controls and procedures
were effective as of December 31, 2022.

Management’s Report on Internal Control Over Financial Reporting

Our management is responsible for establishing and maintaining adequate internal control over financial reporting, as defined in the Exchange
Act Rule 13a-15(f) and 15d-15(f). Management conducted an evaluation of the effectiveness of our internal control over financial reporting based
on  the  2013  Internal  Control  —  Integrated  Framework  issued  by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway  Commission
("COSO").

Such internal controls include those policies and procedures that:

•

•

•

Pertain  to  the  maintenance  of  records  that  in  reasonable  detail  accurately  and  fairly  reflect  the  transactions  and  dispositions  of  the
assets of the Company;
Provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance
with GAAP, and that receipts and expenditures are being made only in accordance with authorizations of management and members of
the Board of Directors of the Company; and
Provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of our assets that
could have a material effect on the financial statements.

Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect  misstatements.  Projections  of  any
evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or
that the degree of compliance with the policies or procedures may deteriorate.

Based  on  our  evaluation  under  the  2013  Internal  Control  —  Integrated  Framework,  our  management  concluded  that  our  internal  control  over
financial reporting was effective as of December 31, 2022.

The  effectiveness  of  our  internal  control  over  financial  reporting  as  of  December  31,  2022,  has  been  audited  by  Grant  Thornton  LLP,  an
independent registered public accounting firm, as stated in its report which appears in this 2022 Form 10-K.

Changes in Internal Control Over Financial Reporting

There were no changes made in the Company’s internal control over financial reporting during the quarter ended December 31, 2022, that have
materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.

ITEM 9B. OTHER INFORMATION

None.

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ITEM 9C. DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS

Not applicable.

PART III

Certain information called for by Items 10 through 14 is incorporated by reference from Spok’s definitive Proxy Statement for our 2023 Annual
Meeting of Stockholders, which will be filed with the SEC no later than May 1, 2023.

ITEM 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

The following information required by this item is incorporated by reference from Spok’s definitive Proxy Statement for our 2023 Annual Meeting
of Stockholders:

•
•
•

•

Information regarding directors is set forth under the caption "Election of Directors";
Information regarding executive officers is set forth under the caption "Executive Officers";
Information regarding our audit committee and designated "audit committee financial expert" is set forth under the caption "Committees
of the Board of Directors"; and
If applicable, information regarding compliance with Section 16(a) of the Exchange Act is set forth under the caption "Delinquent Section
16(a) Reports."

We also make available on our website, and in print, if any stockholder or other person so requests, our code of business conduct and ethics
entitled  "Code  of  Ethics"  which  is  applicable  to  all  employees  and  directors,  our  "Corporate  Governance  Guidelines,"  and  the  charters  for  all
committees of our Board of Directors, including Audit, Compensation and Nominating and Governance. Any changes to our Code of Ethics or
waiver, if any, of our Code of Ethics for executive officers or directors will be posted on our website.

ITEM 11. EXECUTIVE COMPENSATION

The  information  required  by  this  item  is  incorporated  by  reference  from  the  section  of  Spok’s  definitive  Proxy  Statement  for  our  2023 Annual
Meeting of Stockholders entitled "Compensation Discussion and Analysis."

ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS

The  information  required  by  this  item  is  incorporated  by  reference  from  the  section  of  Spok’s  definitive  Proxy  Statement  for  our  2023 Annual
Meeting of Stockholders entitled "Security Ownership of Certain Beneficial Owners and Management."

ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE

The information required by this item with respect to certain relationships and related transactions is incorporated by reference from the section
of Spok’s definitive Proxy Statement for our 2023 Annual Meeting of Stockholders entitled "Related Person Transactions and Code of Conduct."
The  information  required  by  this  item  with  respect  to  director  independence  is  incorporated  by  reference  from  the  section  of  Spok’s  definitive
Proxy Statement for our 2023 Annual Meeting of Stockholders entitled "Board of Directors and Governance Matters."

ITEM 14. PRINCIPAL ACCOUNTANT FEES AND SERVICES

The  information  required  by  this  item  is  incorporated  by  reference  from  the  section  of  Spok’s  definitive  Proxy  Statement  for  our  2023 Annual
Meeting of Stockholders entitled "Independent Registered Public Accounting Firm Fees."

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PART IV

ITEM 15. EXHIBIT AND FINANCIAL STATEMENT SCHEDULES

The following documents are filed as part of this Form 10-K:

1.    Financial Statements. As listed in the index to financial information on page F-1

2.     Exhibits. As listed in the index to exhibits on page F-1

ITEM 16. FORM 10-K SUMMARY

None.

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SIGNATURES

Pursuant  to  the  requirements  of  Section  13  or  15(d)  of  the  Securities  Exchange Act  of  1934,  the  registrant  has  duly  caused  this  report  to  be
signed on our behalf by the undersigned, thereunto duly authorized. 

By:

Spok Holdings, Inc.

/s/ Vincent D. Kelly
Vincent D. Kelly
President and Chief Executive Officer
February 23, 2023

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of
the registrant and in the capacities and on the dates indicated. 

/s/ Vincent D. Kelly
Vincent D. Kelly

/s/ Calvin C. Rice
Calvin C. Rice

/s/ Christine M. Cournoyer
Christine M. Cournoyer

/s/ Dr. Bobbie Byrne
Dr. Bobbie Byrne

/s/ Randy Hyun
Randy Hyun

/s/ Brett Shockley
Brett Shockley

/s/ Todd Stein
Todd Stein

Signature

Title

Director, President and Chief Executive Officer
(principal executive officer)

Date

February 23, 2023

Chief Financial Officer (principal financial officer
and principal accounting officer)

February 23, 2023

Chairman of the Board

February 23, 2023

February 23, 2023

February 23, 2023

February 23, 2023

February 23, 2023

Director

Director

Director

Director

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Index to Consolidated Financial Statements
Reports of Independent Registered Public Accounting Firm (PCAOB ID Number 248)
Consolidated Balance Sheets as of December 31, 2022 and 2021
Consolidated Statements of Operations for the Years Ended December 31, 2022, 2021 and 2020
Consolidated Statements of Comprehensive Income (Loss) for the Years Ended December 31, 2022, 2021 and 2020
Consolidated Statements of Stockholders' Equity for the Years Ended December 31, 2022, 2021 and 2020
Consolidated Statements of Cash Flows for the Years Ended December 31, 2022, 2021 and 2020
Notes to Consolidated Financial Statements
Schedule II - Valuation and Qualifying Accounts

Page

F- 2
F- 5
F- 5
F- 6
F- 7
F- 8
F- 9
F- 29

F-1

Table of Contents

Board of Directors and Shareholders
Spok Holdings, Inc.

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We  have  audited  the  accompanying  consolidated  balance  sheets  of  Spok  Holdings,  Inc.  (a  Delaware  corporation)  and  subsidiaries  (the
“Company”) as of December 31, 2022 and 2021, the related consolidated statements of operations, comprehensive income (loss), stockholders’
equity,  and  cash  flows  for  each  of  the  three  years  in  the  period  ended  December  31,  2022,  and  the  related  notes  and  financial  statement
schedule included under Item 15(a) (collectively referred to as the “financial statements”). In our opinion, the financial statements present fairly,
in all material respects, the financial position of the Company as of December 31, 2022 and 2021, and the results of its operations and its cash
flows  for  each  of  the  three  years  in  the  period  ended  December  31,  2022,  in  conformity  with  accounting  principles  generally  accepted  in  the
United States of America.

We  also  have  audited,  in  accordance  with  the  standards  of  the  Public  Company Accounting  Oversight  Board  (United  States)  (“PCAOB”),  the
Company’s  internal  control  over  financial  reporting  as  of  December  31,  2022,  based  on  criteria  established  in  the  2013  Internal  Control—
Integrated  Framework  issued  by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway  Commission  (“COSO”),  and  our  report  dated
February 23, 2023 expressed an unqualified opinion.

Basis for opinion

These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s
financial statements based on our audits. We are a public accounting firm registered with the PCAOB and are required to be independent with
respect  to  the  Company  in  accordance  with  the  U.S.  federal  securities  laws  and  the  applicable  rules  and  regulations  of  the  Securities  and
Exchange Commission and the PCAOB.

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain
reasonable  assurance  about  whether  the  financial  statements  are  free  of  material  misstatement,  whether  due  to  error  or  fraud.  Our  audits
included  performing  procedures  to  assess  the  risks  of  material  misstatement  of  the  financial  statements,  whether  due  to  error  or  fraud,  and
performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and
disclosures  in  the  financial  statements.  Our  audits  also  included  evaluating  the  accounting  principles  used  and  significant  estimates  made  by
management, as well as evaluating the overall presentation of the financial statements. We believe that our audits provide a reasonable basis for
our opinion.

Critical audit matter
The critical audit matter communicated below is a matter arising from the current period audit of the financial statements that was communicated
or  required  to  be  communicated  to  the  audit  committee  and  that:  (1)  relates  to  accounts  or  disclosures  that  are  material  to  the  financial
statements and (2) involved our especially challenging, subjective, or complex judgments. The communication of critical audit matters does not
alter in any way our opinion on the financial statements, taken as a whole, and we are not, by communicating the critical audit matter below,
providing a separate opinion on the critical audit matter or on the accounts or disclosures to which it relates.

Realizability of Deferred Tax Assets and Valuation Allowance Assessment
As described further in Note 10 to the consolidated financial statements, the Company assesses the realizability of deferred income tax assets,
which  represent  the  tax  benefits  of  future  tax  deductions,  based  on  available  positive  and  negative  evidence.  Based  on  the  assessment
completed,  the  Company  reduced  the  valuation  allowance  by  $21.9  million  as  of  December  31,  2022,  to  increase  net  deferred  income  tax
assets,  as  management  concluded  their  realization  met  the  more-likely-than-not  criterion.  We  identified  the  realizability  of  deferred  tax  assets
and the assessment of the need for a valuation allowance as a critical audit matter.

The  principal  consideration  for  our  determination  that  the  realizability  of  deferred  tax  assets  is  a  critical  audit  matter  is  that  evaluating  the
available positive and negative evidence of realizability is an area of significant judgment by management, including determining the impact of
recent events on the reliability and relevance of both negative evidence in the form of cumulative losses and positive evidence in the form of
results of restructuring efforts and projections of future taxable income. There is inherent uncertainty and subjectivity related to management’s
judgments and assumptions regarding the positive and negative evidence, which are complex in nature and require significant auditor judgment.

Our audit procedures related to the realizability of deferred tax assets and valuation allowance assessment included the following, among others.

F-2

Table of Contents

• We tested the effectiveness of controls over management’s estimates of the realization of the deferred tax assets, and the determination

of whether it is more likely than not that the deferred tax assets will be realized prior to expiration.

• With  the  assistance  of  individuals  with  specialized  skills  and  knowledge  in  income  taxes,  we  evaluated  the  reasonableness  of  the
methods, assumptions, and judgments used by management to assess available positive and negative evidence and determine whether
a valuation allowance was necessary.

• With the assistance of individuals with specialized skills and knowledge in income taxes, we evaluated the nature of each of the deferred

tax assets, including their expiration dates and their projected utilization when compared to projections of future taxable income.

• We  obtained  the  Company's  future  taxable  income  estimate  used  to  support  realization  of  the  deferred  tax  asset.  We  assessed  the
reasonableness of the projection by considering historical pre-tax income, adjusted for significant permanent and non-recurring items, as
an  estimate  for  future  periods  and  published  industry  sector  growth  rate  projections.  We  also  performed  a  sensitivity  analysis  of  the
estimate  of  the  Company's  future  taxable  income,  to  determine  if  the  Company's  net  operating  losses  could  be  realized  prior  to
expiration based on pre- tax income that was less than the future pre-tax income used in the Company's estimate.

/s/ GRANT THORNTON LLP

We have served as the Company's auditor since 2006.

Arlington, Virginia
February 23, 2023

F-3

Table of Contents

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

Board of Directors and Shareholders
Spok Holdings, Inc.

Opinion on internal control over financial reporting

We have audited the internal control over financial reporting of Spok Holdings, Inc. (a Delaware corporation) and subsidiaries (the “Company”)
as  of  December  31,  2022,  based  on  criteria  established  in  the  2013  Internal  Control-Integrated  Framework  issued  by  the  Committee  of
Sponsoring  Organizations  of  the Treadway  Commission  (“COSO”).  In  our  opinion,  the  Company  maintained,  in  all  material  respects,  effective
internal  control  over  financial  reporting  as  of  December  31,  2022,  based  on  criteria  established  in  the  2013  Internal  Control‑Integrated
Framework issued by COSO.

We  also  have  audited,  in  accordance  with  the  standards  of  the  Public  Company Accounting  Oversight  Board  (United  States)  (“PCAOB”),  the
consolidated financial statements of the Company as of and for the year ended December 31, 2022, and our report dated February 23, 2023
expressed an unqualified opinion on those financial statements.

Basis for opinion

The  Company’s  management  is  responsible  for  maintaining  effective  internal  control  over  financial  reporting  and  for  its  assessment  of  the
effectiveness of internal control over financial reporting, included in the accompanying Management’s Report on Internal Control Over Financial
Reporting. Our responsibility is to express an opinion on the Company’s internal control over financial reporting based on our audit. We are a
public accounting firm registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S.
federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit included
obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating
the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered
necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.

Definition and limitations of internal control over financial reporting

A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial
reporting  and  the  preparation  of  financial  statements  for  external  purposes  in  accordance  with  generally  accepted  accounting  principles.  A
company’s internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in
reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance
that  transactions  are  recorded  as  necessary  to  permit  preparation  of  financial  statements  in  accordance  with  generally  accepted  accounting
principles,  and  that  receipts  and  expenditures  of  the  company  are  being  made  only  in  accordance  with  authorizations  of  management  and
directors  of  the  company;  and  (3)  provide  reasonable  assurance  regarding  prevention  or  timely  detection  of  unauthorized  acquisition,  use,  or
disposition of the company’s assets that could have a material effect on the financial statements.

Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect  misstatements. Also,  projections  of  any
evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or
that the degree of compliance with the policies or procedures may deteriorate.

/s/ GRANT THORNTON LLP

Arlington, Virginia
February 23, 2023

F-4

SPOK HOLDINGS, INC.
CONSOLIDATED BALANCE SHEETS 

December 31,

2022

2021

Table of Contents

 (Dollars in thousands, except share and per share amounts)

ASSETS

Current assets:

Cash and cash equivalents
Short-term investments
Accounts receivable, net
Prepaid expenses
Other current assets

Total current assets

Non-current assets:

Property and equipment, net
Operating lease right-of-use assets
Goodwill
Deferred income tax assets, net
Other non-current assets

Total non-current assets
TOTAL ASSETS

LIABILITIES AND STOCKHOLDERS’ EQUITY

Current liabilities:

Accounts payable
Accrued compensation and benefits
Deferred revenue
Operating lease liabilities
Other current liabilities

Total current liabilities

Non-current liabilities:

Asset retirement obligations
Operating lease liabilities
Other non-current liabilities

Total non-current liabilities
TOTAL LIABILITIES

COMMITMENTS AND CONTINGENCIES (Note 11)
STOCKHOLDERS’ EQUITY:
Preferred stock—$0.0001 par value; 25,000,000 shares authorized; no shares issued or
outstanding
Common stock—$0.0001 par value; 75,000,000 shares authorized; 20,076,578 and
19,828,033 shares issued and outstanding as of December 31, 2022 and December 31,
2021, respectively.
Additional paid-in capital
Accumulated other comprehensive loss
Retained earnings

TOTAL STOCKHOLDERS’ EQUITY
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY

$

$

$

$

$

35,754  $
— 
26,861 
6,849 
587 
70,051 

8,223 
13,876 
99,175 
52,398 
754 
174,426 
244,477  $

5,880  $
11,628 
26,274 
5,096 
4,573 
53,451 

7,237 
10,604 
1,107 
18,948 
72,399 

44,583 
14,999 
26,908 
6,641 
922 
94,053 

6,746 
15,821 
99,175 
31,653 
706 
154,101 
248,154 

5,292 
13,948 
25,608 
5,405 
4,745 
54,998 

6,355 
11,883 
1,227 
19,465 
74,463 

—  $

— 

2 
99,908 
(1,909)
74,077 
172,078 
244,477  $

2 
97,291 
(1,588)
77,986 
173,691 
248,154 

The accompanying notes are an integral part of these consolidated financial statements.

SPOK HOLDINGS, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS 

 (Dollars in thousands, except share and per share amounts)

Revenue:

Wireless revenue
Software revenue
Total revenue

For the Year Ended December 31,

2022

2021

2020

$

75,622  $
58,912 
134,534 

78,826  $
63,327 
142,153 

83,593 
64,587 
148,180 

 
 
Operating expenses:

Cost of revenue (exclusive of items shown separately below)
Research and development
Technology operations
Selling and marketing
General and administrative
Severance and restructuring
Depreciation, amortization and accretion
Goodwill and capitalized software development impairment

Total operating expenses

Operating income (loss)
Interest income
Other income
Income (loss) before income taxes

Benefit from (provision for) income taxes

Net income (loss)

Basic net income (loss) per common share
Diluted net income (loss) per common share
Basic weighted average common shares outstanding

Diluted weighted average common shares outstanding
Cash dividends declared per common share

28,267 
13,625 
27,412 
16,296 
37,796 
7,329 
3,571 
— 
134,296 
238 
592 
167 
997 
20,859 
21,856  $

1.11  $
1.09  $

32,470 
17,514 
28,844 
21,083 
43,531 
320 
10,446 
15,663 
169,871 
(27,718)
320 
66 
(27,332)
5,152 
(22,180) $

(1.14) $
(1.14) $

30,947 
15,742 
29,485 
20,316 
39,600 
692 
9,056 
25,007 
170,845 
(22,665)
687 
208 
(21,770)
(22,455)
(44,225)

(2.32)
(2.32)

19,672,423 
19,991,202 

19,404,477 
19,404,477 

19,028,918 
19,028,918 

1.250  $

0.500  $

0.500 

$

$
$

$

The accompanying notes are an integral part of these consolidated financial statements.

F-5

Table of Contents

SPOK HOLDINGS, INC.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)

(Dollars in thousands)

2022

2021

2020

Net income (loss)
Other comprehensive (loss) income, net of tax:
Foreign currency translation adjustments

Other comprehensive (loss) income
Comprehensive income (loss)

$

$

21,856  $

(22,180) $

(321)
(321)
21,535  $

(136)
(136)
(22,316) $

(44,225)

149 
149 
(44,076)

For the Year Ended December 31,

The accompanying notes are an integral part of these consolidated financial statements.

F-6

 
Additional
Paid-In
Capital and
Accumulated Other
Comprehensive
Loss

Retained
Earnings

Total
Stockholders’
Equity

2  $
— 
— 

85,273  $
— 
— 

164,819  $
(44,225)
(365)

Table of Contents

SPOK HOLDINGS, INC.
CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

(Dollars in thousands, except share amounts)

Balance, January 1, 2020

Net loss
Adoption of current expected credit loss ("CECL")
Issuance of common stock under the Employee
Stock Purchase Plan
Issuance of common stock for vested restricted
stock units under the 2012 Equity Plan
Purchase of common stock for tax withholding
Amortization of stock-based compensation

Cash dividends declared
Issuance of restricted stock under the Equity
Plans
Cumulative translation adjustment

Balance, December 31, 2020

Net loss
Issuance of common stock under the Employee
Stock Purchase Plan
Issuance of restricted stock under the Equity
Plans
Purchase of common stock for tax withholding
Amortization of stock-based compensation
Cash dividends declared
Issuance of common stock in lieu of cash
compensation
Cumulative translation adjustment

Balance, December 31, 2021

Net income
Issuance of restricted stock under the Equity
Plans
Purchase of common stock for tax withholding
Amortization of stock-based compensation
Cash dividends declared
Cumulative translation adjustment

Outstanding
Common
Shares

19,071,614  $

Common
Stock

— 
— 

35,661 

282,871 
(79,981)
— 
— 

74,027 
— 

19,384,192  $

— 

16,015 

430,476 
(172,594)
— 
— 

169,944 
— 

19,828,033  $

— 

381,571 
(133,026)
— 
— 
— 

Balance, December 31, 2022

20,076,578  $

— 

— 
— 
— 
— 

— 
— 
2  $
— 

— 

— 
— 
— 
— 

— 
— 
2  $
— 

— 
— 
— 
— 
— 
2  $

300 

— 
(902)
5,508 
— 

— 
149 
90,328  $
— 

132 

— 
(1,860)
7,239 
— 

— 
(136)
95,703  $
— 

— 
(1,210)
3,827 
— 
(321)
97,999  $

The accompanying notes are an integral part of these consolidated financial statements.

F-7

250,094 
(44,225)
(365)

300 

— 
(902)
5,508 
(9,946)

— 
149 
200,613 
(22,180)

— 

— 
— 
— 
(9,946)

— 
— 

110,283  $
(22,180)

— 

132 

— 
— 
— 
(10,117)

— 
— 
77,986  $
21,856 

— 
— 
— 
(25,765)
— 
74,077  $

— 
(1,860)
7,239 
(10,117)

— 
(136)
173,691 
21,856 

— 
(1,210)
3,827 
(25,765)
(321)
172,078 

Table of Contents

SPOK HOLDINGS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS 

 (Dollars in thousands)

Operating activities:
Net income (loss)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:

For the Year Ended December 31,

2022

2021

2020

$

21,856  $

(22,180) $

(44,225)

Depreciation, amortization and accretion
Goodwill and capitalized software development impairment
Valuation allowance
Deferred income tax expense (benefit)
Stock-based compensation
Provisions for credit losses, service credits and other
Changes in assets and liabilities:

Accounts receivable
Prepaid expenses and other assets
Net operating lease liabilities
Accounts payable, accrued liabilities and other
Deferred revenue

Net cash provided by operating activities

Investing activities:

Purchases of property and equipment
Capitalized software development
Purchase of short-term investments
Maturity of short-term investments

Net cash provided by (used in) investing activities

Financing activities:

Cash distributions to stockholders
Proceeds from issuance of common stock under the Employee Stock Purchase Plan
Purchase of common stock for tax withholding on vested equity awards

Net cash used in financing activities

Effect of exchange rate on cash and cash equivalents

Net (decrease) increase in cash and cash equivalents

Cash and cash equivalents, beginning of period
Cash and cash equivalents, end of period

Supplemental disclosure:

Income taxes paid/(refunded)

$

$

3,571 
— 
(21,850)
903 
3,827 
1,777 

(1,757)
(88)
357 
(2,258)
118 
6,456 

(3,776)
— 
(14,967)
30,000 
11,257 

10,446 
15,663 
— 
(5,483)
7,239 
1,162 

1,833 
2,594 
763 
(679)
(3,390)
7,968 

(4,393)
(10,842)
(44,990)
60,000 
(225)

(25,011)
— 
(1,210)
(26,221)
(321)
(8,829)
44,583 
35,754  $

(10,025)
132 
(1,860)
(11,753)
(136)
(4,146)
48,729 
44,583  $

9,056 
25,007 
22,108 
438 
5,508 
1,212 

(1,588)
1,445 
10 
4,017 
3,175 
26,163 

(3,455)
(11,252)
(59,864)
60,000 
(14,571)

(9,771)
301 
(903)
(10,373)
149 
1,368 
47,361 
48,729 

223  $

(126) $

1 

The accompanying notes are an integral part of these consolidated financial statements.

F-8

 
Table of Contents

SPOK HOLDINGS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

NOTE 1 - ORGANIZATION AND SIGNIFICANT ACCOUNTING POLICIES

Spok, Inc., a wholly owned subsidiary of Spok Holdings, Inc. (NASDAQ: SPOK) ("Spok," the "Company," "we," "us" and "our") is proud to be the
global leader in healthcare communications. We deliver clinical information to care teams when and where it matters most to improve patient
outcomes. Top hospitals rely on Spok products and services to enhance workflows for clinicians, support administrative compliance, and provide
a better experience for patients.

We offer a focused suite of unified clinical communication and collaboration solutions that include call center applications, clinical alerting and
notifications, one-way and advanced two-way wireless messaging services, mobile communications and public safety solutions.

We provide one-way and advanced two-way wireless messaging services, including information services, throughout the United States. These
services  are  offered  on  a  local,  regional  and  nationwide  basis,  employing  digital  networks.  One-way  messaging  consists  of  numeric  and
alphanumeric  messaging  services.  Numeric  messaging  services  enable  subscribers  to  receive  messages  that  are  composed  entirely  of
numbers, such as a phone number, while alphanumeric messages may include numbers and letters, which enable subscribers to receive text
messages.  Two-way  messaging  services  enable  subscribers  to  send  and  receive  messages  to  and  from  other  wireless  messaging  devices,
including  pagers,  personal  digital  assistants  and  personal  computers.  We  also  offer  voice  mail,  personalized  greetings,  message  storage  and
retrieval,  and  equipment  loss  and/or  maintenance  protection  to  both  one-way  and  two-way  messaging  subscribers.  These  services  are
commonly referred to as wireless messaging and information services.

We  also  develop,  sell  and  support  enterprise-wide  systems  for  hospitals  and  other  organizations  needing  to  automate,  centralize  and
standardize clinical communications. These solutions are used for contact centers, clinical alerting and notification, mobile communications and
messaging and for public safety notifications. These areas of market focus compliment the market focus of our wireless services outlined above.

Basis of Presentation

The  accompanying  Consolidated  Financial  Statements  include  our  accounts  and  the  accounts  of  our  wholly  owned  direct  and  indirect
subsidiaries.  All  significant  intercompany  accounts  and  transactions  have  been  eliminated  in  consolidation.  Our  Consolidated  Financial
Statements have been prepared in accordance with accounting principles generally accepted in the United States ("GAAP") and the rules and
regulations  of  the  United  States  Securities  and  Exchange  Commission  (the  "SEC").  In  management's  opinion,  the  Consolidated  Financial
Statements include all adjustments and accruals that are necessary for the presentation of the results of all periods reported herein and all such
adjustments are of a normal, recurring nature.

Amounts  shown  on  the  consolidated  statements  of  operations  within  the  operating  expense  categories  of  cost  of  revenue;  research  and
development; technology operations; selling and marketing; and general and administrative are recorded exclusive of depreciation, amortization
and accretion. These items are shown separately on the Consolidated Statements of Operations within operating expenses to the extent that
they are considered material for the periods presented.

Certain prior period amounts in the Consolidated Financial Statements have been reclassified to conform to the current period's presentation.
These reclassifications had no effect on the reported results of operations or the Consolidated Balance Sheets.

Use of Estimates

The  preparation  of  these  consolidated  financial  statements  requires  management  to  make  estimates  and  judgments  that  affect  the  reported
amounts  of  assets,  liabilities,  revenues,  expenses  and  related  disclosures.  On  an  ongoing  basis,  we  evaluate  estimates  and  assumptions,
including but not limited to those related to the impairment of long-lived assets, intangible assets subject to amortization and goodwill, accounts
receivable allowances, revenue recognition, depreciation expense, asset retirement obligations, and income taxes. We base our estimates on
historical experience and various other assumptions that are believed to be reasonable under the circumstances, the results of which form the
basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may
differ from these estimates under different assumptions or conditions.

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Table of Contents

Revenue Recognition

The majority of our revenues are derived from short-term contracts related to the sale of wireless paging services and software solutions. Our
arrangements  exist  primarily  with  customers  in  the  healthcare  market  and  to  a  lesser  extent  state  and  federal  governments,  as  well  as  large
enterprise businesses.

Under the typical payment terms of our software contracts, customers will normally pay a material amount of the contract price immediately upon
execution  of  the  contract.  The  remaining  payments  are  required  when  the  product  is  delivered,  when  services  begin  and,  to  a  lesser  extent,
when services are completed. Wireless services are generally billed as incurred on a monthly basis. Our contracts will generally result in billings
in excess of revenue recognized, which we present as deferred revenues on the Consolidated Balance Sheets, primarily due to the receipt of
payment in advance of the product or services we provide. Amounts billed and due from our customers are classified as accounts receivable on
the Consolidated Balance Sheets. At times, we may have contracts which require us to perform work or provide products prior to billing which
will generally result in revenue recognized in excess of billings. This excess is presented as unbilled receivables in the Notes to the Consolidated
Financial  Statements.  We  generally  do  not  have  transactions  that  include  a  significant  financing  component  (whether  payments  are  made  in
advance or in arrears) as our contracts typically take less than 12 months to complete once started. We would not adjust the total consideration
for the effects of a significant financing component if we anticipate, at contract inception, that the period between when we transfer a promised
good or service to a customer and when the customer pays for that good or service will be one year or less.

We  account  for  a  contract  when:  (1)  both  parties  have  approved  the  contract  through  mutually  signed  agreements  or  through  other  methods
such as purchase orders or master agreements; (2) the rights of the parties have been identified; (3) payment terms have been identified; (4) the
contract has commercial substance; and (5) collectability of consideration is probable. We also evaluate whether two or more contracts should
be combined and accounted for as a single contract. In our evaluation, we consider criteria such as, but not limited to, whether: (1) the contracts
are negotiated as a package with a single commercial objective; (2) the amount of consideration to be paid in one contract is dependent on the
price  or  performance  of  another  contract;  and  (3)  some  or  all  of  the  goods  or  services  promised  in  the  contracts  are  a  single  performance
obligation. Should we consider contracts related, we would account for those contracts as if they were a single contract. Evaluating whether two
or  more  contracts  should  be  combined  and  accounted  for  as  a  single  contract  requires  significant  judgment.  In  the  aggregate,  a  decision  to
combine a group of contracts could significantly impact the amount of revenue and profit recorded in a given period.

We review each contract to determine whether to account for the various promises as one or more performance obligations. The assessment
and  determination  of  performance  obligations  for  a  given  contract  requires  significant  judgment.  Wireless  service  contracts  are  generally
considered to be a single promise and therefore accounted for as a single performance obligation. Contracts which include goods or services
related to our software solutions and subscriptions are generally sold with multiple promises and therefore will often include multiple performance
obligations.  Material  performance  obligations  related  to  the  sale  of  our  software  solutions  include  software  licenses,  professional  services,
hardware and maintenance.

More often than not, total consideration will equate to the stated value on the contract taking into consideration any period or term over which
services  are  to  be  provided,  if  applicable.  However,  we  could  have  contracts  in  which  variable  consideration  is  present.  It  is  common  for  our
contracts that include wireless services to contain customer penalties if rental pagers are not returned and fees for usage of services in excess
of the contractually allotted amount for a given period. It is also common for our contracts that include professional services to include travel-
related costs. These are costs which we incur in the normal course of delivering professional services and are generally billable to the customer
based on our incurred expenses. These elements of variable consideration are fully constrained when an agreement is initially executed and are
generally not considered estimable until the penalties, fees or costs have been incurred or are otherwise known. We include estimated amounts
in the transaction price to the extent it is probable that a significant reversal of cumulative revenue recognized will not occur when the uncertainty
associated  with  the  variable  consideration  is  resolved.  Estimating  variable  consideration  requires  significant  judgment  and  our  assessment
includes all relevant information that is reasonably available to us including historical, current and forecasted information. We have elected to
exclude  from  revenue  all  amounts  collected  on  behalf  of  third  parties,  and  therefore,  items  such  as  sales  and  use  tax  are  excluded  from  our
calculation of the total transaction price.

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If  a  contract  is  separated  into  more  than  one  performance  obligation  we  allocate  the  total  transaction  price  to  each  performance  obligation
proportionately based on the estimated relative standalone selling price ("SSP") of the promised goods or services underlying each performance
obligation. We rarely sell goods or services as readily observable standalone sales, however, if we do, the observable standalone sales are used
to determine the SSP. In most cases, we must estimate the relative SSP which requires significant judgment and estimates. In instances where
SSP is not directly observable, we determine the SSP using information that may include contractually stated prices, market conditions, costs,
renewal contracts, list prices and other observable inputs. A discount is present if the total transaction price is less than the sum of the estimated
SSPs  of  the  goods  or  services  promised  in  the  contract.  Discounts  are  generally  allocated  proportionately  based  on  the  relative  SSP  of  the
identified performance obligations for a given contract.

Our wireless, professional, maintenance, and subscription services are generally recognized over time due to a customer's simultaneous receipt
and consumption of the benefit as we perform the work. As we transfer control over time, we recognize revenue based on the extent of progress
towards  completion  of  the  performance  obligation.  The  selection  of  the  method  to  measure  progress  towards  completion  requires  significant
judgment and is based on the nature of the products or services to be provided. Generally, we use the time-elapsed measure of progress for
performance  obligations  that  include  wireless,  maintenance,  or  subscription  services.  We  believe  this  method  best  depicts  the  simultaneous
transfer  and  consumption  of  the  benefit  based  on  our  performance  as  these  services  are  generally  considered  standby  services.  For
professional services, we leverage an input methodology based on the number of hours worked on a project versus the total expected hours
necessary  to  complete  the  project.  Revenues  are  recognized  proportionally  as  hours  are  incurred. This  is  a  significant  area  of  judgment  as  it
requires an estimate at completion ("EAC") for each contract. Our initial EAC is primarily based on prior experience also taking into consideration
any  specific  facts  and  circumstances  for  a  given  contract. As  projects  progress,  the  EAC  is  periodically  updated  and  reviewed  to  ensure  the
timing of revenue recognition is appropriate. The creation, maintenance and review of a project's EAC requires significant judgment to determine
an appropriate number of hours over which the remaining project is expected to be completed.

Our software licenses and hardware are generally recognized at a point in time when we have transferred control to the customer. For software
licenses, revenue is not recognized until the related license(s) has been made available to the customer and the customer can begin to benefit
from its right to use the license(s). Our software licenses represent a right to use Spok’s Intellectual Property ("IP") as it exists at a point in time
at  which  the  license  is  granted.  Many  of  our  software  licenses  have  significant  standalone  functionality  due  to  their  ability  to  process  a
transaction or perform a function or task, and we do not need to maintain those products, once provided to the customer, for value to exist. While
the functionality of IP that we license may substantively change during the license period, customers are not contractually or practically required
to update their license as a result of those changes. In most contracts transfer of control for software licenses occurs in a short period of time
after a contract has been executed and licenses are made electronically available.

Contracts may be modified to account for changes in a project's scope or other customer requirements. Most of our contract modifications are
for goods or services that are distinct from the existing contract. In these instances, the contract modification would either be recognized as an
entirely new and separate contract or the modification would be treated as if it were a termination of the existing contract and the creation of a
new contract including all undelivered goods and services under the previous contract. Revenue would be recognized on a prospective basis
and a cumulative catch-up would not be recognized.

Incremental Costs of Obtaining a Contract and Costs to Fulfill a Contract

Our  incremental  costs  primarily  relate  to  sales  commissions.  We  capitalize  commissions  and  proportionally  recognize  the  related  expense  to
revenue as it is recognized on the underlying performance obligations. Some of these costs may relate to specific future anticipated contracts,
specifically  future  maintenance  renewals,  on  which  we  do  not  pay  commensurate  sales  commissions.  We  amortize  commission  costs
proportionally  with  revenue,  thus  it  is  necessary  for  us  to  estimate  future  revenues  when  there  are  future  anticipated  contracts.  We  estimate
future  revenues  based  on  anticipated  renewal  amounts  over  an  expected  useful  life  (e.g.  the  period  over  which  we  believe  the  initial  sales
commissions relate to future anticipated contracts). The expected useful life is based on a review of our product life cycles, customer upgrade
patterns and the rate at which customers renew maintenance. Commission expense was $4.0 million, $4.4 million and $4.3 million for the years
ended December 31, 2022, 2021 and 2020, respectively. Commission expense is classified within the selling and marketing operating expenses
category.

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Leases

Operating  lease  right-of-use  ("ROU")  assets  and  liabilities  are  recognized  at  the  commencement  date  based  on  the  present  value  of  lease
payments over the lease term. We have made an accounting policy election not to apply the recognition requirements of ASC 842, "Leases," to
short-term  leases.  Those  leases  which  have  a  term  of  less  than  12  months  will  have  lease  payments  recognized,  in  our  Consolidated
Statements of Operations, on a straight-line basis over the lease term. An optional renewal or termination is not recognized as part of the lease
term unless we determine that it is reasonably certain that we will exercise that option. The term reasonably certain is a high threshold for which
pervasive  evidence  generally  does  not  exist,  and  therefore,  optional  renewal  periods  are  generally  excluded  from  our  ROU  assets  and  lease
liabilities until they have been exercised. Lease expense is recognized on a straight-line basis over the lease term.

As most of our leases do not provide an implicit rate, we use an estimated incremental borrowing rate in determining the present value of lease
payments. The Company uses a portfolio approach when determining the discount rate applied to its leases. Significant judgment is necessary
when determining a discount rate because we must estimate the discount rate based on a number of factors and observable inputs including
current market conditions, market yields, government bond rates, credit risk, and other factors as necessary. The Company must also exercise
significant  judgment  when  determining  whether  an  option  to  renew  or  terminate  a  lease  should  be  included  in  the  lease  term. This  judgment
includes  an  assessment  of  all  relevant  economic  factors  such  as  costs  relating  to  the  termination  or  extension  of  a  lease,  importance  of  the
underlying asset to the Company’s operations, and the terms and conditions of the optional periods in relation to current market rates.

Where we have lease agreements which contain lease and nonlease components, we have elected to make use of the practical expedient to
account  for  each  separate  lease  component  and  associated  nonlease  component  as  a  single  lease  component.  This  practical  expedient  is
applied to our facility and site leases whereby maintenance and utilities charges are included with lease components in the measurement of our
lease liability.

Impairment of Goodwill, Long-Lived Assets, and Intangible Assets Subject to Amortization

Goodwill is not amortized but is evaluated for impairment at least annually, or when events or circumstances suggest a potential impairment has
occurred. We perform this annual impairment test in the fourth quarter of the fiscal year. We evaluate goodwill for impairment between annual
tests  if  indicators  of  impairment  exist.  The  impairment  test  involves  comparing  the  fair  value  of  the  reporting  unit  with  its  carrying  value. An
impairment  charge  is  recognized  for  the  amount  that  the  carrying  value  exceeds  the  reporting  unit's  fair  value.  For  purposes  of  the  goodwill
impairment evaluation, the Company as a whole is considered the reporting unit. The fair value of the reporting unit is estimated under a market-
based approach using the fair value of the Company's common stock. The estimated fair value requires significant judgments, including timing
and appropriateness of the price of common stock used (e.g. point-in-time application, simple moving average, exponential moving average), as
well as application of an estimated control premium. The estimated control premium is based on a review of current and past market information
published  by  a  third-party  resource,  assessment  of  the  Company's  future  projected  discounted  cash  flows  and  other  relevant  information  if
available.

We recorded no impairment of goodwill for the years ended December 31, 2022 and 2021, and an impairment of $25.0 million for the year ended
December 31, 2020.

We are required to evaluate the carrying value of our long-lived assets, amortizable intangible assets and goodwill. Amortizable intangible assets
include  customer-related  intangibles  that  resulted  from  previous  acquisitions.  Such  intangibles  are  amortized  over  periods  up  to  10  years.
Quarterly, we assess whether circumstances exist which suggest that the carrying value of long-lived and amortizable intangible assets (asset
groups) may not be recoverable. When applicable, we assess the recoverability of the carrying value of our long-lived assets (asset groups) and
certain amortizable intangible assets based on estimated undiscounted cash flows generated from such assets (asset groups). We determine
asset groups based on the lowest level for which identifiable cash flows are largely independent of the cash flows of other assets and liabilities.
In assessing the recoverability of these assets, we forecast cash flows based on various operating assumptions such as revenue forecasted by
product line, in-process research and development cost, and other direct costs. Significant judgment is required in determining the recoverability,
including the timing and appropriateness of the estimated undiscounted cash flows. If the forecast of undiscounted cash flows does not exceed
the carrying value of the long-lived and amortizable intangible assets, we record an impairment charge to the extent the carrying value exceeded
the fair value of such assets. Significant judgment may be required in estimating fair value dependent on the availability of objective, market-
based, evidence and the input level (e.g., Level 1, 2 or 3) of that evidence.

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We did not record any impairment of long-lived assets or definite lived intangible assets for the years ended December 31, 2022 and 2020, We
recorded an impairment of $15.7 million related to capitalized software development for the year ended December 31, 2021.

Accounts Receivable Allowances

Our  two  most  significant  allowance  accounts  are:  an  allowance  for  credit  losses  and  an  allowance  for  service  credits.  Provisions  for  these
allowances are recorded on a monthly basis and are included as a component of general and administrative expenses, respectively.

Estimates are used in determining the allowance for credit losses and are based on historical collection experience and current and forecasted
trends, as well as known specific collection risks. In determining these estimates, we review historical write-offs, including comparisons of write-
offs to provisions for credit losses. We compare the ratio of the allowance to gross receivables to historical levels, and monitor amounts collected
and related statistics. We write off receivables when they are deemed uncollectible. While write-offs of customer accounts have historically been
within our expectations and the provisions established, we cannot guarantee that the future write-off experience will be consistent with historical
experience, which could result in material differences when compared to the allowance for credit losses and related provisions.

From time to time, we grant service credits for customer retention purposes or when there is an adjustment in the scope of work. The allowance
for service credits related provisions are based on historical credit percentages, current credit and aging trends, historical actual payment trends
and actual credit experience. We analyze our past credit experience over several time frames. Using this analysis along with current operational
data, including existing experience of credits issued and the time frames in which credits are issued, we establish an appropriate allowance for
service credits. This allowance also reduces accounts receivable for lost and non-returned pagers to the expected realizable amounts and for
free wireless services. While credits issued have been within our expectations and the provisions established, we cannot guarantee that future
credit  experience  will  be  consistent  with  historical  experience,  which  could  result  in  material  differences  when  compared  to  the  allowance  for
service credits and maintenance-related provisions.

Property and Equipment

Property and equipment are reported at cost and are depreciated using the straight-line method based on estimated useful lives which range
from one to five years. 

Transmitter  assets  are  grouped  into  tranches  based  on  our  transmitter  decommissioning  forecast  and  are  depreciated  using  the  group  life
method  on  a  straight-line  basis.  Depreciation  expense  is  determined  by  the  expected  useful  life  of  each  tranche  of  the  underlying  transmitter
assets. The expected useful life is based on our forecasted usage of those assets and their retirement over time and aligns the useful lives of
these transmitter assets with their planned removal from service. Disposals are charged against accumulated depreciation with no gain or loss
recognized. This rational and systematic method matches the underlying usage of these assets to the underlying revenue that is generated from
these  assets.  Depreciation  expense  for  these  assets  is  subject  to  change  based  upon  revisions  in  the  timing  of  transmitter  deconstruction
resulting from our long-range planning and network rationalization process.

Asset Retirement Obligations

We  recognize  liabilities  and  corresponding  assets  for  future  obligations  associated  with  the  retirement  of  assets.  We  have  paging  equipment
assets, principally transmitters, which are located at leased locations. The underlying leases generally require the removal of equipment at the
end  of  the  lease  term;  therefore,  a  future  obligation  exists. Asset  retirement  costs  are  reflected  in  paging  equipment  assets  with  depreciation
expense  recognized  over  the  estimated  lives,  which  range  between  one  and  five  years.  The  asset  retirement  costs  and  the  corresponding
liabilities that have been recorded to date generally relate to either current plans to consolidate networks or to the removal of assets at a future
terminal date. When an asset retirement obligation arises, the liabilities and corresponding assets are recorded at their present value using a
discounted cash flow approach and the liabilities are accreted using the interest method.

The recognition of an asset retirement obligation requires that management make numerous assumptions regarding such factors as the cost and
timing  of  deconstruction;  the  credit-adjusted  risk-free  rate  to  be  used;  inflation  rates;  and  future  advances  in  technology.  The  fair  value  of
contractor fees to remove each asset, based on historical trend, is estimated to escalate by 3.1% each year through the terminal date. The total
estimated liability is based on the estimated future value of those costs and the timing of deconstruction.

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We  believe  these  estimates  are  reasonable  at  the  present  time,  but  we  can  give  no  assurance  that  changes  in  technology,  our  financial
condition, the economy or other factors would not result in higher or lower asset retirement obligations. Any variations from our estimates would
generally result in a change in the assets and liabilities in equal amounts, and operating results would differ in the future by any difference in
depreciation  expense  and  accretion  expense  (see  Note  6,  "Consolidated  Financial  Statements'  Components",  and  Note  8,  "Asset  Retirement
Obligations" for additional details).

Income Taxes

We file a consolidated U.S. federal income tax return and income tax returns in state, local and foreign jurisdictions as required. The provision for
current income taxes is calculated and accrued on income and expenses expected to be included in current year U.S. and foreign income tax
returns. The provision for current income taxes may also include interest, penalties and an estimated amount reflecting uncertain tax positions.

Deferred  income  tax  assets  and  liabilities  are  calculated  based  on  temporary  differences  between  the  financial  statement  values  and  the  tax
bases  of  assets  and  liabilities  including  net  operating  loss  and  tax  credit  carryforwards  at  the  enacted  tax  rates  expected  to  apply  to  taxable
income  when  taxes  are  actually  paid  or  recovered.  Changes  in  deferred  income  tax  assets  and  liabilities  are  included  as  a  component  of
deferred income tax expense. Deferred income tax assets represent amounts available to reduce future income taxes payable. We assess the
recoverability  of  our  deferred  income  tax  assets,  which  represent  the  tax  benefits  of  future  tax  deductions,  based  on  available  positive  and
negative  evidence  and  by  considering  the  adequacy  of  future  taxable  income  from  all  sources,  including  prudent  and  feasible  tax  planning
strategies. This assessment is required to determine whether, based on all available evidence, it is "more likely than not" (meaning a probability
of  greater  than  50%)  that  all  or  some  portion  of  our  deferred  income  tax  assets  will  be  realized  in  future  periods.  We  provide  a  valuation
allowance when we consider it "more likely than not" that a deferred income tax asset will not be fully recovered. The assessment of our deferred
income tax assets requires significant judgment. We reduced the valuation allowance by $21.9 million, as of December 31, 2022, based on the
assessment  completed,  utilizing  our  annual  long-range  planning  and  forecasting  updates. The  Company  maintained  a  valuation  allowance  of
$2.3 million related to federal foreign tax credits and certain state net operating losses as we do not believe current projections of future taxable
income will be sufficient to utilize those tax assets prior to expiration.

Assets  and  liabilities  are  established  for  uncertain  tax  positions  taken  or  positions  expected  to  be  taken  in  income  tax  returns  when  such
positions  fail  to  meet  the  "more  likely  than  not"  threshold  based  on  the  technical  merits  of  the  positions.  We  assess  whether  previously
unrecognized tax benefits may be recognized when the tax position is (1) more likely than not of being sustained based on its technical merits,
(2)  effectively  settled  through  examination,  negotiation  or  litigation,  or  (3)  settled  through  actual  expiration  of  the  relevant  tax  statutes.  The
assessment of an uncertain tax position requires significant judgment. We had no uncertain tax positions for the periods ended December 31,
2022 and 2021 (see Note 10, "Income Taxes," for additional details).

Research and Development

In accordance with ASC 985-20, Software to be Sold, Leased, or Marketed, certain software development costs are charged to operations and
expensed as incurred until technological feasibility has been established. Material costs incurred after technological feasibility is established and
before the product is ready for general release are capitalized and amortized on a straight-line basis over the estimated remaining economic life
of the product or the ratio of current revenues to total projected product revenues, whichever is greater. To date, the time between technological
feasibility  and  general  release  to  the  public  has  been  extremely  short  and  consequently  expenses  available  for  capitalization  have  been
immaterial.  Accordingly,  all  research  and  developments  costs  incurred  to  date,  accounted  for  in  accordance  with  ASC  985-20,  have  been
expensed as incurred.

In  accordance  with  ASC  350-40,  Internal-Use  Software,  certain  software  development  costs  were  capitalized  while  in  the  application
development  stage  related  to  software  developed  for  internal  use  or  software  sold  in  a  Software  as  a  Service  ("SaaS")  arrangement.  This
included certain development costs for our integrated communications and collaboration platform, Spok Go , prior to our new strategic business
plan in February 2022 that discontinued Spok Go. These costs qualified for capitalization beginning in the first quarter of 2020. All other costs
incurred  during  the  preliminary  project  stage  or  the  post-implementation  stage  were  expensed  as  incurred.  Significant  judgment  was  required
when assessing costs and determining whether they fell within the preliminary project, application development, or post-implementation stage
that determined whether the associated costs were expensed as incurred or capitalized.

®

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Capitalized  software  development  was  amortized  on  a  straight-line  basis  over  the  estimated  useful  life  of  the  asset,  typically  three  years,
beginning  when  those  development  efforts  were  placed  into  service  (e.g.,  generally  once  made  commercially  available).  Determining  the
estimated  useful  life  required  significant  judgment  as  we  considered  factors  such  as  the  rapid  and  continuous  developments  in  software
technology,  obsolescence  and  anticipated  life  of  the  service  offering  before  enhancements  would  have  been  necessary.  We  recorded  an
impairment  of  $15.7  million  related  to  capitalized  software  development  for  the  year  ended  December  31,  2021,  based  on  the  impairment
analysis performed in the fourth quarter of 2021.

Shipping and Handling Costs

We  incur  shipping  and  handling  costs  to  send  and  receive  messaging  devices  and  other  equipment  to/from  our  customers. Amounts  billed  to
customers related to shipping and handling are classified as revenue and the Company's shipping and handling costs are classified as cost of
revenue. These costs are expensed as incurred.

Advertising Expenses

Advertising  costs  are  charged  to  operations  when  incurred.  Advertising  costs  are  classified  as  selling  and  marketing  expenses.  Advertising
expenses were $1.0 million, $1.4 million and $1.3 million for the years ended December 31, 2022, 2021 and 2020, respectively.

Stock-Based Compensation

We account for share-based payments to employees, including restricted stock units ("RSUs"), restricted common stock ("restricted stock") and
the option to purchase common stock under the Employee Stock Purchase Plan ("ESPP"), based on their fair value and the estimated number of
shares we expect will vest based on the performance metrics associated with the award, if applicable. Fair value for RSUs and restricted stock is
measured based on the closing fair market value of the Company's common stock on the date of grant. Fair value for ESPP is measured using
the Black-Scholes model for each offering period based on the offer date. Compensation expense is recognized on a straight-line basis over the
requisite service period. Forfeitures and withdrawals are accounted for on an as incurred basis.

Changes  in  our  estimates  of  the  expected  attainment  of  performance  targets  are  reflected  in  the  amount  of  compensation  expense  that  we
recognize for the related instruments during the interim reporting period when the change in estimate is determined and may cause the amount
of compensation expense that we record for each period to vary. Further information regarding stock-based compensation can be found in Note
9, "Stockholders' Equity."

Concentration of Credit Risk

Our  financial  instruments  that  are  potentially  subject  to  concentrations  of  credit  risk  consist  primarily  of  cash,  cash  equivalents,  short-term
receivables  and  accounts  receivable.  While  our  cash  and  cash  equivalents  are  managed  by  reputable  financial  institutions,  deposits  at  these
institutions  and  funds  may,  at  times,  exceed  federally  insured  limits.  Management  believes  that  these  financial  institutions  and  funds  are
financially sound and, accordingly, that minimal credit risk exists.

Accounts  receivable  are  typically  unsecured  and  are  derived  from  revenue  earned  from  customers  across  different  geographic  locations,
primarily  within  the  U.S.  We  perform  ongoing  credit  evaluations  of  our  customers,  and  generally  do  not  require  collateral.  We  maintain  an
allowance for estimated credit losses. During the years ended December 31, 2022, 2021 and 2020, our bad debt expenses were $1.2 million,
$0.7 million and $1.1 million, respectively. In the event that accounts receivable collection cycles deteriorate, our operating results and financial
position  could  be  adversely  affected.  No  customer  represented  10%  or  more  of  total  revenue  or  accounts  receivable  during  the  years  ended
December 31, 2022, 2021 and 2020.

Sales and Use Taxes

Sales  and  use  taxes  imposed  on  the  ultimate  consumer  are  excluded  from  revenue  where  we  are  required  by  law  or  regulation  to  act  as
collection agent for the taxing jurisdiction.

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Fair Value Measurements and Financial Instruments

We account for certain assets and liabilities at fair value. We categorize each of our fair value measurements in one of the following three levels
based on the lowest level input that is significant to the fair value measurement in its entirety. These levels are:

•
•

•

Level 1: Inputs are based upon unadjusted quoted prices for identical instruments in active markets.
Level 2: Inputs are based upon quoted prices for similar instruments in active markets, quoted prices for identical or similar instruments
in  markets  that  are  not  active,  inputs  other  than  quoted  prices  that  are  observable  for  the  asset  or  liability  and  inputs  that  are
corroborated by other observable market data.
Level 3: Unobservable inputs that cannot be corroborated by observable market data and typically reflect management's estimates of
assumptions that market participants would use in pricing the asset or liability.

We consider all highly liquid interest-earning investments with a maturity of three months or less at the date of purchase to be cash equivalents.
Those investments with an original maturity of greater than three months and less than one year are classified as short-term investments. Cash
and cash equivalents consist primarily of cash on deposit with banks and investments in money market funds.

Our short-term investments consist entirely of U.S. Treasury securities which are classified as held-to-maturity and are measured at amortized
cost on our Consolidated Balance Sheets. These investments are classified as Level 1 and mature within 12 months. The differences between
carrying value and fair value are not material to the Consolidated Financial Statements.

Financial instruments including cash and cash equivalents, accounts receivable and accounts payable all have fair values that approximate their
carrying values at December 31, 2022 and 2021 due to their short maturities.

Earnings Per Common Share

The calculation of earnings per common share is based on the weighted-average number of common shares outstanding during the applicable
period.  The  calculation  for  diluted  earnings  per  common  share  recognizes  the  effect  of  all  potentially  dilutive  common  shares  that  were
outstanding during the respective periods, unless the impact would be anti-dilutive. Further information regarding earnings per common share
can be found in Note 9, "Stockholders' Equity."

NOTE 2 - RECENT ACCOUNTING STANDARDS

The  Company  considers  the  applicability  and  impact  of  all  Accounting  Standards  Updates  ("ASUs")  issued  by  the  Financial  Accounting
Standards Board ("FASB"). The Company has determined that all recent ASUs issued by the FASB are either not applicable or are not expected
to have a material impact on the Company's Consolidated Financial Statements.

NOTE 3 - RESTRUCTURING

In February 2022, the Company announced a new strategic business plan that includes a restructuring of its business to discontinue Spok Go,
eliminate all associated costs and optimize the Company’s existing structure to drive continued cost improvement.

As  part  of  the  restructuring  program,  the  Company  eliminated  176  positions,  primarily  in  research  and  development,  and  also  in  professional
services, selling and marketing, and back-office support functions.

For the year ended December 31, 2022, the Company incurred total severance and restructuring costs of $7.3 million respectively, which are
included within the Consolidated Statement of Operations. These costs are as follows:

(Dollars in thousands)

Severance and personnel related costs
Contractual terminations

Total severance and restructuring costs

For the Year Ended December
31,
2022

$

$

6,006 
1,323 
7,329 

A summary of restructuring related liabilities associated with the strategic business plan and included within accrued compensation and benefits
and other current liabilities within the Consolidated Balance Sheet at December 31, 2022, is as follows:

(Dollars in thousands)

Balance at December 31, 2021
Restructuring and other charges
Payments
Non-cash adjustment
Balance at December 31, 2022

NOTE 4 - REVENUE, DEFERRED REVENUE AND PREPAID COMMISSIONS

Revenue Recognition

For the Year Ended December
31,
2022

$

$

— 
6,649 
(4,286)
(155)
2,208 

Revenues  are  recognized  when  control  of  the  promised  goods  or  services  is  transferred  to  our  customers,  in  an  amount  that  reflects  the
consideration we expect to be entitled to in exchange for those goods or services.

The following table presents our revenues disaggregated by revenue type:

(Dollars in thousands)

Revenue:

Paging revenue
Product and other revenue

Wireless revenue

License
Professional services
Hardware

Operations revenue
Maintenance
Software revenue
Total revenue

For the Year Ended December 31,

2022

2021

2020

$

$

$

$
$

73,323  $
2,299 
75,622  $

7,202  $

12,565 
2,211 
21,978 
36,934 
58,912  $
134,534  $

75,845  $
2,981 
78,826  $

5,917  $

17,161 
2,267 
25,345 
37,982 
63,327  $
142,153  $

79,916 
3,677 
83,593 

5,245 
17,910 
2,841 
25,996 
38,591 
64,587 
148,180 

The Company is currently structured as a single operating (and reportable) segment, a clinical communication and collaboration business. The
U.S. was the only country that accounted for more than 10% of the Company’s total revenue for the years ended December 31, 2022, 2021 and
2020. Revenue generated in the U.S. and internationally consisted of the following for the periods stated:

(Dollars in thousands)

Revenue:

United States
International
Total revenue

For the Year Ended December 31,

2022

2021

2020

$

$

130,380  $
4,154 
134,534  $

138,265  $
3,888 
142,153  $

145,349 
2,831 
148,180 

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Table of Contents

Deferred Revenues

Our deferred revenues represent payments made to, or due from, customers in advance of our performance. Changes in the balance of total
deferred revenue during the twelve months ended December 31, 2022, are as follows:

(Dollars in thousands)

Deferred Revenue

December 31, 2021

Additions

Revenue Recognized

December 31, 2022

$

26,406  $

58,536  $

(58,418) $

26,524 

During  the  twelve  months  ended  December  31,  2022,  the  Company  recognized  $22.8  million  of  revenue  related  to  amounts  deferred  as  of
December 31, 2021.

Prepaid Commissions

Our prepaid commissions represent payments made to employees in advance of our performance on the related underlying contracts. These
costs  have  been  incurred  directly  in  relation  to  obtaining  a  contract. As  such,  these  costs  are  amortized  over  the  estimated  period  of  benefit.
Changes in the balance of total prepaid commissions during the year ended December 31, 2022, are as follows:

(Dollars in thousands)

December 31, 2021

Additions

Commissions Recognized

December 31, 2022

Prepaid Commissions

$

1,821  $

3,957  $

(4,033) $

1,745 

Prepaid  commissions  are  included  within  prepaid  expenses  in  the  Consolidated  Balance  Sheets  and  commissions  expense  is  included  within
Selling and marketing on the Consolidated Statements of Operations.

Remaining Performance Obligations

The balance of consideration allocated to remaining performance obligations at December 31, 2022 was $44.0 million. We expect to recognize
approximately  $33.1  million  of  these  remaining  performance  obligations  over  the  next  12  months,  with  the  remaining  balance  recognized
thereafter.

NOTE 5 - LEASES

We have operating lease arrangements for corporate offices, cellular towers, storage units and small building spaces. The building space is used
to house infrastructure, such as transmitters, antennae and other various equipment for the Company’s wireless paging services. For leases with
a term of 12 months or less, renewal terms are generally of an evergreen nature (either month-to-month or year-to-year). For leases with a term
greater than 12 months, renewal terms are generally explicit and provide for one to five optional renewals consistent with the initial term. Many of
our leases, with the exception of those for our corporate offices, include options to terminate the lease within one year. Variable lease payments,
residual value guarantees or purchase options are not generally present in these leases.

In May 2022, we extended 23 site leases on a Master License Agreement which included a term of 10 years with an option to terminate within 45
days  of  notification  of  termination. At  that  time,  we  recorded  a  $2.9  million  right-of-use  asset  and  a  corresponding  operating  lease  liability  for
these leases.

In December 2022, we modified an office lease to reduce the leased space and optimize costs, which resulted in a reduction of $1.8 million in
right-of-use assets and corresponding operating lease liabilities.

Lease costs are included in Technology Operations and General and Administrative expenses on the Consolidated Statements of Operations.
The following table presents lease costs disaggregated by type:

(Dollars in thousands)

Operating lease cost
Short-term lease cost
Short-term lease cost - related party
Total lease cost

(1)

For the Year Ended December 31,

2022

2021

2020

$

$

6,063
9,916
—
15,979

$

$

6,221
10,529
—
16,750

$

$

5,797
7,991
3,518
17,306

(1) 

A former member of our Board of Directors, who departed the Board during the third quarter of 2020, concurrently served as a director for an entity that leases transmission tower
sites to the Company. Refer to Note 13, "Related Parties," for additional details.

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Table of Contents

The following table presents supplemental cash flow information:

(Dollars in thousands)

Cash paid for amounts included in the measurement of
lease liabilities - operating leases

$

For the Year Ended December 31,

2022

2021

2020

5,708

$

5,625

$

5,685

The following table presents the weighted average remaining lease term and discount rate:

(Dollars in thousands)

2022

Weighted-average remaining lease term - operating leases
(in years)
Weighted-average discount rate - operating leases

December 31,

2021

5.00
4.39%

4.73
4.44%

2020

5.06
5.17%

We  relocated  our  corporate  headquarters  in  March  of  2021  to  office  space  located  in Alexandria,  Virginia,  consisting  of  approximately  26,000
square feet of space under a lease that will expire on September 30, 2026. At that time, we recorded $4.4 million in a right-of-use asset and
corresponding operating lease liability for this lease.

Maturities of lease liabilities as of December 31, 2022, were as follows:

(Dollars in thousands)

2023
2024
2025
2026
2027
Thereafter
Total future lease payments
Imputed interest
Total

F-18

For the Year Ended December
31,

$

$

5,096 
3,843 
2,820 
2,252 
1,100 
2,470 
17,581 
(1,881)
15,700 

Table of Contents

NOTE 6 - CONSOLIDATED FINANCIAL STATEMENTS' COMPONENTS

Depreciation, Amortization and Accretion

Depreciation, amortization and accretion consisted of the following for the periods stated:

(Dollars in thousands)

Depreciation

Leasehold improvements
Asset retirement costs
Paging and computer equipment
Furniture, fixtures and vehicles

Total depreciation

Amortization

Intangible assets
Capitalized software development costs

Total amortization

Accretion

Total depreciation, amortization and accretion expense

$

Accounts Receivable, net

For the Year Ended December 31,

2022

2021

2020

$

64  $

(702)
3,289 
240 
2,891 

— 
— 
— 
680 
3,571  $

88  $
(87)
3,797 
258 
4,056 

417 
5,357 
5,774 
616 
10,446  $

57 
(643)
5,291 
307 
5,012 

2,500 
1,073 
3,573 
471 
9,056 

Accounts  receivable  was  recorded  net  of  an  allowance  of  $1.8  million  and  $1.4  million  for  the  years  ended  December  31,  2022  and  2021,
respectively. Accounts receivable, net included $5.9 million and $7.1 million of unbilled receivables for the years ended December 31, 2022 and
2021,  respectively.  Unbilled  receivables  are  defined  as  the  Company's  right  to  consideration  in  exchange  for  goods  or  services  that  we  have
transferred to the customer but have not yet billed for, generally as a result of contractual billing terms.

Property and Equipment, net

Property and equipment, net consisted of the following for the periods stated:

(Dollars in thousands)

Leasehold improvements
Asset retirement costs
Paging and computer equipment
Furniture, fixtures and vehicles

Total property and equipment

Accumulated depreciation

Total property and equipment, net

Useful Life
 (In Years)

lease term
1-5
1-5
3-5

For the Year Ended December 31,

2022

2021

$

$

2,497  $
3,848 
88,427 
3,289 
98,061 
(89,838)

8,223  $

3,307 
2,307 
89,844 
3,668 
99,126 
(92,380)
6,746 

For purposes of assessing our asset retirement costs, we completed a review of the estimated useful life of our transmitter assets during the
fourth quarter of 2022 (that are part of paging and computer equipment). This review was based on the results of our long-range planning and
network rationalization process and indicated that the expected useful life of the last tranche of the transmitter assets was no longer appropriate.
As  a  result  of  that  review,  the  expected  useful  life  of  the  final  tranche  of  transmitter  assets  was  extended  from  2026  to  2027.  This  change
resulted  in  a  revision  of  the  expected  future  depreciation  expense  for  the  transmitter  assets  and  an  immaterial  impact  on  the  consolidated
financial statements beginning in 2023. We believe these estimates remain reasonable at the present time, but we can give no assurance that
changes  in  technology,  customer  usage  patterns,  our  financial  condition,  the  economy  or  other  factors  would  not  result  in  changes  to  our
transmitter  decommissioning  plans.  Any  further  variations  from  our  estimates  could  result  in  a  change  in  the  expected  useful  lives  of  the
underlying  transmitter  assets  and  operating  results  could  differ  in  the  future  by  any  difference  in  depreciation  expense.  The  extension  of  the
depreciable life was accounted for as a change in accounting estimate.

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NOTE 7 - GOODWILL, CAPITALIZED SOFTWARE DEVELOPMENT AND INTANGIBLE ASSETS, NET

Goodwill

For purposes of the goodwill impairment assessment, the Company as a whole is considered the reporting unit. The fair value of the reporting
unit  is  estimated  under  a  market-based  approach  using  the  fair  value  of  the  Company's  common  stock.  The  estimated  fair  value  requires
significant judgments, including the timing and appropriateness of the price of common stock used (e.g., point-in-time application, simple moving
average, exponential moving average), as well as application of an estimated control premium. There are a number of judgmental factors that
are  incorporated  into  our  assessment  to  establish  an  estimated  control  premium,  including  the  review  of  current  and  past  market  information
published  by  a  third-party  resource,  assessment  of  the  Company's  future  projected  discounted  cash  flows  and  other  relevant  information  if
available. While a formal impairment assessment is performed annually, the Company monitors its business environment for potential triggering
events on a quarterly basis.

As  of  December  31,  2022  we  had  goodwill  of  $99.2  million,  which  includes  accumulated  impairment  losses  of  $33.9  million.  There  was  no
change in goodwill as compared to December 31, 2021.

Capitalized Software Development

Capitalized software development was amortized on a straight-line basis over the estimated useful life of the asset, typically three years. With
the discontinuation of Spok Go, we had no capitalized software development costs or resulting amortization for the year ended December 31,
2022. Capitalized software development costs were $10.8 million and $11.3 million for the years ended December 31, 2021 and December 31,
2020,  respectively. Amortization  expense  with  respect  to  software  development  costs  was  $5.4  million  and  $1.1  million  for  the  years  ended
December 31, 2021 and December 31, 2020, respectively.

During the fourth quarter of 2021, we determined that a triggering event had occurred based on a number of factors including a continuing trend
of  unsatisfactory  Spok  Go  sales  relative  to  our  expectations,  a  significant  accumulation  of  costs  combined  with  a  reduction  of  future  sales
projections which indicated continuing losses associated with Spok Go, and our expectation that Spok Go would not provide substantive future
service  potential.  As  such,  further  assessment  of  recoverability  was  necessary.  The  analysis  determined  that  the  remaining  balance  of
capitalized software development costs had no fair value, and as a result, we recorded an impairment charge of $15.7 million for the year ended
December 31, 2021.

Intangible Assets

There  were  no  remaining  amortizable  intangible  assets  at  December  31,  2022  and  intangible  assets  in  2021  related  primarily  to  customer
relationships. These intangible assets, with an original gross carrying amount of $25.0 million, were being amortized over a period of 10 years
and  became  fully  amortized  during  the  quarter  ended  March  31,  2021.  We  did  not  record  an  impairment  of  our  amortizable  intangible  assets
during the years ended December 31, 2022, 2021 and 2020.

The net consolidated balance of intangible assets consisted of the following at December 31, 2022 and 2021: 

(Dollars in thousands)

Gross Carrying
Amount

Accumulated
Amortization

Net Carrying
Amount

Gross Carrying
Amount

Accumulated
Amortization

Net Carrying
Amount

Customer relationships

$

25,002  $

(25,002) $

—  $

25,002  $

(25,002) $

— 

2022

2021

As of December 31,

F-20

 
 
Table of Contents

NOTE 8 - ASSET RETIREMENT OBLIGATIONS

The components of the changes in the asset retirement obligation liabilities for the periods stated were as follows:

(Dollars in thousands)

Balance at December 31, 2020

Accretion
Amounts paid
Additions
Reclassifications

Balance at December 31, 2021

Accretion
Amounts paid
Additions
Reclassifications

Balance at December 31, 2022

Short-Term Portion

Long-Term Portion

Total

$

$

335  $
(125)
(334)
(129)
383 
130 
138 
(288)
70 
193 
243  $

7,289  $
741 
— 
(1,292)
(383)
6,355 
542 
— 
533 
(193)
7,237  $

7,624 
616 
(334)
(1,421)
— 
6,485 
680 
(288)
603 
— 
7,480 

Increases  and  reductions  other  than  accretion,  reclassification  and  amounts  paid  primarily  relate  to  changes  in  estimates  of  the  underlying
liability, specifically related to updates in estimated costs to remove a transmitter and the estimated timing of removal. Estimated removal costs
and timing refinements due to ongoing network rationalization activities are expected to accrete to a total liability of $9.1 million.

Additional  information  regarding  asset  retirement  costs  and  accretion  expense  can  be  found  in  Note  6,  "Consolidated  Financial  Statements'
Components."

NOTE 9 - STOCKHOLDERS' EQUITY

General

Our  authorized  capital  stock  consists  of  75  million  shares  of  common  stock,  par  value  $0.0001  per  share,  and  25  million  shares  of  preferred
stock, par value $0.0001 per share.

At December 31, 2022 and 2021, we had no stock options outstanding.

At December 31, 2022 and 2021, there were 20,076,578 and 19,828,033 shares of common stock outstanding, respectively, and no shares of
preferred stock were outstanding.

Dividends

For the year ending December 31, 2022, our Board of Directors declared cash dividends per share of our outstanding common stock of $1.25,
compared  to  $0.50  per  share  for  each  of  the  years  ending  December  31,  2021  and  December  31,  2020.  dividends  declared  that  relate  to
unvested RSUs and unvested shares of restricted stock are accrued for and paid when the applicable vesting conditions are met. Accrued cash
dividends on forfeited RSUs and restricted stock are also forfeited. Cash dividends paid as disclosed in the Consolidated Statements of Cash
Flows for the years ended December 31, 2022, 2021 and 2020 included previously declared cash dividends on vested RSUs and on shares of
vested restricted stock issued to non-executive members of our Board of Directors.

On February 22, 2023, the Board of Directors declared a regular quarterly cash dividend of $0.3125 per share of common stock, with a record
date of March 16, 2023, and a payment date of March 30, 2023. This cash dividend of approximately $6.3 million is expected to be paid from
available cash on hand.

Common Stock Repurchase Program

In February 2022, our Board of Directors authorized the repurchase of up to $10.0 million of our common stock. This repurchase authority allows
us, at management’s discretion, to selectively repurchase shares of our common stock from time to time in the open market depending upon
market price and other factors.

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Table of Contents

The Company did not repurchase any of its common stock during 2022, 2021 or 2020.

Net Loss per Common Share

Basic net loss per common share is computed on the basis of the weighted average common shares outstanding. Diluted net loss per common
share is computed on the basis of the weighted average common shares outstanding plus the effect of all potentially dilutive common shares,
including  unvested  and  outstanding  equity  awards. The  components  of  basic  and  diluted  net  loss  per  common  share  were  as  follows  for  the
periods stated:

(In thousands, except for share and per share amounts)

2022

2021

2020

For the Year Ended December 31,

Numerator:

Net income (loss)

Denominator:

Basic weighted average common shares outstanding
Diluted weighted average common shares outstanding

Basic net income (loss) per common share

Diluted net income (loss) per common share

$

$

$

21,856  $

(22,180) $

(44,225)

19,672,423 

19,991,202 

1.11  $

1.09  $

19,404,477 

19,404,477 

(1.14) $

(1.14) $

19,028,918 

19,028,918 

(2.32)

(2.32)

For the years ended December 31, 2022, 2021 and 2020, the following securities were not included in the calculation of diluted shares
outstanding as the effect would have been anti-dilutive:

For the Year Ended December 31,

2022

2021

2020

Restricted stock units

— 

371,194 

297,757 

Share-Based Compensation Plans

On March 23, 2012, our Board of Directors adopted the Spok Holdings, Inc. 2012 Equity Incentive Award Plan (the "2012 Equity Plan") that our
stockholders subsequently approved on May 16, 2012. A total of 2,194,986 shares of common stock were reserved for issuance under this plan.

On  April  29,  2020,  our  Board  of  Directors  adopted  the  Spok  Holdings,  Inc.  2020  Equity  Incentive  Award  Plan  (the  "2020  Equity  Plan"  and
together with the 2012 Equity Plan, the "Equity Plans") that our stockholders subsequently approved on July 28, 2020. At July 28, 2020, a total of
1,699,950 shares of common stock had been reserved for issuance under the Equity Plans, including 1,600,000 shares available under the 2020
Equity  Plan  and  99,950  shares  which,  as  of  the  Stockholder Approval  Date,  remained  available  for  issuance  under  the  2012  Equity  Plan.  No
further  grants  were  to  be  made  under  the  2012  Equity  Plan,  although  the  2012  Equity  Plan  continues  to  govern  all  outstanding  awards
thereunder.

Awards  under  the  2020  Equity  Plan  may  be  in  the  form  of  stock  options,  restricted  common  stock,  RSUs,  performance  awards,  dividend
equivalents,  stock  payment  awards,  deferred  stock,  deferred  stock  units  ("DSUs"),  stock  appreciation  rights  or  other  stock  or  cash-based
awards.

Restricted stock awards generally vest one year from the date of grant. Related dividends accumulate during the vesting period and are paid at
the time of vesting.

Contingent  RSUs  generally  vest  over  a  three-year  performance  period  upon  successful  completion  of  the  performance  objectives.  Non-
contingent RSUs generally vest in thirds, annually, over a three-year period. Dividend equivalent rights generally accompany each RSU award
and those rights accumulate and vest along with the underlying RSU.

Dividend  equivalent  rights  generally  accompany  each  DSU  award  and  are  paid  to  participants  in  cash  on  the  Company's  applicable  dividend
payment  date  whether  the  DSU  is  vested  or  unvested.  The  dividend  equivalent  right  associated  with  a  DSU  continues  until  delivery  of  the
underlying shares of common stock is made.

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Table of Contents

Payment of the underlying shares of common stock occurs at the earliest of a participant's separation from service, disability, death, or a change
in control. Any shares subject to an award under the 2012 Equity Plan that are forfeited or expire will be available for the future grant of awards
under the 2020 Equity Plan. As of December 31, 2022, there were no unvested equity awards under the 2012 Equity Plan.

The following table summarizes the activities under the Equity Plans from January 1, 2019, through December 31, 2022:

Total equity securities available at January 1, 2020

Plus: Additional shares available for issuance under the 2020 Equity Plan
Less: RSU and restricted stock awarded to eligible employees, net of forfeitures

Total equity securities available at December 31, 2020

Less: RSU and restricted stock awarded to eligible employees, net of forfeitures

Less: stock issued in lieu of cash compensation
Total equity securities available at December 31, 2021

Less: RSU, DSU and restricted stock awarded to eligible employees, net of forfeitures

Total equity securities available at December 31, 2022

Activity

646,480 
1,600,000 
(547,166)
1,699,314 
(539,241)
(169,944)
990,129 
(307,077)
683,052 

The  following  table  details  activities  with  respect  to  outstanding  RSUs,  DSUs,  and  restricted  stock  under  the  Equity  Plans  for  the  year  ended
December 31, 2022:

Unvested at January 1, 2022
Granted
Vested
Forfeited
Unvested at December 31, 2022

Shares

Weighted-Average Grant Date
Fair Value per Share

771,171  $
464,572 
(463,939)
(157,495)
614,309  $

11.24 
8.63 
11.03 
10.66 
8.06 

Of the 614,309 unvested RSUs, DSUs and restricted stock outstanding at December 31, 2022, 356,896 RSUs include contingent performance
requirements for vesting purposes. At December 31, 2022, there was $2.6 million of unrecognized net compensation cost related to RSUs and
restricted stock, which is expected to be recognized over a weighted average period of 1.6 years.

During the years ended December 31, 2021 and 2020, the Company granted 657,492 and 603,171 RSUs, respectively, with a weighted-average
grant date fair value of $11.02 and $11.94 per share, respectively. The fair value of RSUs that vested was $3.8 million and $3.7 million for the
years ended December 31, 2021 and December 31, 2020, respectively, based on the closing price of the Company's common stock of $9.33
and $11.13 at December 31, 2021 and 2020, respectively.

Employee Stock Purchase Plan

In 2016, our Board of Directors adopted the ESPP that our stockholders subsequently approved on July 25, 2016. A total of 250,000 shares of
common stock were reserved for issuance under this plan.

The  ESPP  allows  employees  to  purchase  shares  of  common  stock  at  a  discounted  rate,  subject  to  plan  limitations.  Under  the  ESPP,  eligible
participants can voluntarily elect to have contributions withheld from their pay for the duration of an offering period, subject to the ESPP limits. At
the end of an offering period, contributions will be used to purchase the Company's common stock at a discount to the market price based on the
first or last day of the offering period, whichever is lower.

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Table of Contents

Participants are required to hold common stock for a minimum period of two years from the grant date. Participants will begin earning dividends
on  shares  after  the  purchase  date.  Each  offering  period  will  generally  last  for  no  longer  than  six  months.  Once  an  offering  period  begins,
participants cannot adjust their withholding amount. If a participant chooses to withdraw, any previously withheld funds will be returned to the
participant, with no stock purchased, and that participant will be eligible to participate in the ESPP at the next offering period. If the participant
terminates  employment  with  the  Company  during  the  offering  period,  all  contributions  will  be  returned  to  the  employee  and  no  stock  will  be
purchased.

The  Company  uses  the  Black-Scholes  model  to  calculate  the  fair  value  of  each  offering  period  on  the  offer  date.  The  Black-Scholes  model
requires the use of estimates for the expected term, the expected volatility of the underlying common stock over the expected term, the risk-free
interest rate and the expected dividend payment.

For the year ended December 31, 2022, no shares of the Company's stock were purchased, as compared to 16,015 shares purchased for a total
cost of $0.1 million for the year ended December 31, 2021.

The following table summarizes the activities under the ESPP from January 1, 2020, through December 31, 2022:

Total ESPP equity securities available at January 1, 2020
Less: common stock purchased by eligible employees
Total ESPP equity securities available at January 1, 2021
Less: common stock purchased by eligible employees
Total ESPP equity securities available at January 1, 2022
Less: common stock purchased by eligible employees

Total ESPP equity securities available at December 31, 2022

Activity

184,860 
(35,661)
149,199 
(16,015)
133,184 
— 
133,184 

Amounts withheld from participants are classified as a liability on the Consolidated Balance Sheets until funds are used to purchase shares. This
liability amount is immaterial to the consolidated financial statements.

Stock-Based Compensation Expense

Compensation  expense  associated  with  common  stock,  RSUs  and  restricted  stock  was  recognized  based  on  the  grant  date  fair  value  of  the
instruments, over the instruments’ vesting period. The following table reflects stock-based compensation expense for the periods stated:

(Dollars in thousands)

Performance-based RSUs
Time-based RSUs and restricted stock
Equity in lieu of salary
ESPP

Total stock-based compensation

For the Year Ended December 31,

2022

2021

2020

$

$

1,559  $
2,260 
— 
8 
3,827  $

1,608  $
3,754 
1,845 
32 
7,239  $

2,019 
3,389 
— 
100 
5,508 

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Table of Contents

NOTE 10 - INCOME TAXES

The  significant  components  of  our  (provision  for)  benefit  from  income  taxes  attributable  to  current  operations  for  the  periods  stated  were  as
follows:

(Dollars in thousands)

Income (loss) before income taxes

Current:

Federal tax
State tax
Foreign tax

Total current

Deferred:

Federal tax
State tax
Foreign tax

Total deferred

Benefit from (provision for) income taxes

For the Year Ended December 31,

2022

2021

2020

997  $

(27,332) $

(21,770)

—  $
38 
50 
88 

(20,642)
25 
(330)
(20,947)
(20,859) $

—  $
48 
283 
331 

(4,178)
(1,561)
256 
(5,483)
(5,152) $

— 
58 
(150)
(92)

20,594 
1,910 
43 
22,547 
22,455 

$

$

$

Foreign  income  before  income  tax  (benefit)  expense  is  immaterial  to  consolidated  income  before  income  tax  (benefit)  expense. The  following
table summarizes the principal elements of the difference between the United States federal statutory rate of 21% and our effective tax rate for
the years ended December 31, 2022, 2021 and 2020:

(Dollars in thousands)

Income (loss) before income taxes

Income taxes computed at the federal statutory rate
State income taxes, net of federal benefit
Goodwill impairment
Change in valuation allowance
Research and development and other tax credits
Excess executive compensation
Other

(Benefit from) provision for income taxes

$

997 

$

209 
121 
— 
(21,850)
(88)
231 
518 
$ (20,859)

2022

2021

2020

$ (27,332)

$ (21,770)

21.0 % $
12.1 %
— %
(2,191.6)%
(8.8)%
23.1 %
52.0 %
(2,092.2)% $

(5,740)
(1,513)
— 
2,070 
(808)
272 
567 
(5,152)

21.0 % $
5.5 %
— %
(7.6)%
3.0 %
(1.0)%
(2.1)%
18.8 % $

(4,572)
(703)
6,341 
22,108 
(1,316)
266 
331 
22,455 

21.0 %
3.2 %
(29.1)%
(101.6)%
6.0 %
(1.2)%
(1.5)%
(103.1)%

The anticipated effective income tax rate is expected to continue to differ from the federal statutory rate primarily due to the effect of state income
taxes  and  permanent  differences  between  book  and  taxable  income.  The  earnings  of  non-U.S.  subsidiaries  are  deemed  to  be  indefinitely
reinvested in non-U.S. operations.

F-25

 
Table of Contents

The components of deferred income tax assets at December 31, 2022 and 2021 were as follows: 

(Dollars in thousands)

Capitalized research and development costs
Net operating loss carryforward
Property and equipment
Accrued liabilities, reserves and other expenses
Research and development credits
Tax credits
Stock based compensation
Operating lease liabilities
Other

Gross deferred income tax assets

Deferred income tax liabilities:
Intangible assets
Right-of-use assets
Prepaid and other expenses

Gross deferred income tax liabilities

Net deferred income tax assets

Valuation allowance

Total deferred income tax assets

Net Operating Losses

December 31,

2022

2021

13,862  $
25,710 
4,142 
3,877 
6,430 
717 
1,834 
3,999 
120 
60,691 

(2,269)
(3,534)
(162)
(5,965)

54,726 
(2,328)
52,398  $

13,436 
25,284 
5,139 
4,350 
6,342 
495 
2,283 
4,427 
289 
62,045 

(2,128)
(4,051)
(35)
(6,214)

55,831 
(24,178)
31,653 

$

$

As  of  December  31,  2022,  we  had  approximately  $110.2  million  of  net  operating  losses  available  to  offset  future  taxable  income,  of  which
approximately $70.6 million were federal net operating losses with expiration dates that begin expiring in 2026 and will fully expire in 2030 and
$39.6 million that were indefinite lived.

Valuation Allowance

We assess the recoverability of our deferred income tax assets, which represent the tax benefits of future tax deductions, based on available
positive and negative evidence and by considering the adequacy of future taxable income from all sources, including prudent and feasible tax
planning strategies. This assessment is required to determine whether, based on all available evidence, it is "more likely than not" (meaning a
probability of greater than 50%) that all or some portion of the deferred income tax assets will be realized in future periods.

Historically,  the  cumulative  loss  incurred  by  the  Company  over  the  prior  three-year  period  constituted  a  piece  of  objective  negative  evidence
which limited our ability to consider other subjective evidence. Given the completion of our recent restructuring efforts and our expected return to
profitability (as indicated by income generated before income taxes in 2022), we have eliminated costs that had resulted in our cumulative loss
over the prior three-year period, that are not present in our current operating posture or future forecasts. As a result, we determined the negative
evidence presented by a cumulative loss position to be weighted less in our assessment compared to positive evidence from our historical core
operating results and future projections. Additionally, we considered there to be lower forecast uncertainty as a result of our new strategy and
lessening  impacts  of  COVID-19,  such  that  we  believe  that  positive  evidence  from  our  projections  of  future  profitability  to  be  weighted  more
heavily in our assessment of the recoverability of our deferred income tax assets.

Based  on  the  assessment  completed,  utilizing  our  annual  long-range  planning  and  forecasting  updates  that  are  traditionally  completed  in  the
fourth quarter of each year, we reduced the valuation allowance by $21.9 million as of December 31, 2022, to increase net deferred income tax
assets,  as  their  realization  met  the  more-likely-than-not  criterion.  The  Company  maintained  a  valuation  allowance  of  $2.3  million  related  to
Federal  Foreign  Tax  Credits  and  certain  state  net  operating  losses  and  state  tax  credits,  as  we  do  not  believe  current  projections  of  future
taxable income will be sufficient to utilize those tax assets prior to expiration.

F-26

 
Table of Contents

Income Tax Audits

The  2020,  2021  and  2022  federal  and  state  income  tax  returns  are  within  the  statute  of  limitations  (“SOL”)  and  are  currently  not  under
examination by any Federal or state tax authority.

We operate in all states and the District of Columbia and are subject to various state income and franchise tax audits. The states’ SOL varies
from three to four years from the later of the due date of the return or the date filed. We usually file our federal and all state and local income tax
returns on or before September 15 of the following year; therefore, the SOL for those states with a three-year SOL is open for calendar years
ending 2019 through 2022, and for the four-year SOL states, the SOL is open for years ending from 2018 through 2022.

NOTE 11 - COMMITMENTS AND CONTINGENCIES

Contractual Obligations

We had no significant commitments and contractual obligations as of December 31, 2022.

Other Commitments

We have various LOCs outstanding with multiple state agencies which are considered to be immaterial to the consolidated financial statements.
The LOCs typically have one to three-year contract requirements and contain automatic renewal terms.

Loss Contingencies

The Company evaluates contingencies on an ongoing basis and establishes loss provisions for matters in which losses are probable and the
amount of loss can be reasonably estimated. As part of this evaluation, no loss contingencies were identified for the year ended December 31,
2022.  For  the  year  ended  December  31,  2021,  we  recognized  a  loss  of  $0.9  million  in  the  fourth  quarter  of  2021  related  to  the  minimum
remaining contractual obligation for a license and service contract classified as a research and development cost on the Consolidated Statement
of Operations.

Legal Contingencies

We are involved, from time to time, in lawsuits arising in the normal course of business. We believe the potential outcomes from these lawsuits
will not have a material adverse impact on our financial position or statement of operations.

Operating Leases

We have operating leases for office and transmitter locations. Substantially all of these leases have lease terms ranging from one month to five
years. We continue to review our office and transmitter locations, and intend to replace, reduce or consolidate leases, where possible.

Future minimum lease payments under non-cancelable operating leases at December 31, 2022, were as follows: 

(Dollars in thousands)

For the Year Ended December 31,

2023
2024
2025
2026
2027
Thereafter

Total

Operating Leases

5,777 
3,843 
2,820 
2,252 
1,100 
2,470 
18,262 

$

$

These leases typically include renewal options and escalation clauses. Where material, we recognize rent expense on a straight-line basis over
the lease period.

Total  rent  expense  under  operating  leases  for  the  years  ended  December  31,  2022,  2021  and  2020,  was  approximately  $16.0  million,  $16.8
million and $17.3 million, respectively.

F-27

Table of Contents

NOTE 12 - EMPLOYEE BENEFIT PLANS

The Company has a savings plan in the U.S., the Spok Holdings, Inc. Savings and Retirement Plan, which qualifies under Section 401(k) of the
Internal  Revenue  Code.  Participating  U.S.  employees  may  elect  to  contribute  a  percentage  of  their  wages,  subject  to  certain
limitations.  Matching  contributions  under  the  savings  plan  were  approximately  $1.2  million  for  the  year  ended  December  31,  2022  and
$1.6 million for each of the years ended December 31, 2021 and 2020.

NOTE 13 - RELATED PARTIES

A former member of our Board of Directors, who departed the Board during the third quarter of 2020, concurrently served as a director for an
entity that leases transmission tower sites to the Company. For the years ended December 31, 2020, we recorded site rent expenses pertaining
to the leases of $3.5 million. This amount was included within technology operations expenses.

A member of our Board of Directors, who was appointed at the beginning of 2020, serves as Chief Information Officer for an entity that is also a
customer of the Company. For the years ended December 31, 2022, 2021 and 2020, we recognized revenues of $0.6 million, $1.0 million and
$0.7 million, respectively, related to contracts from the entity at which the individual is employed.

F-28

Table of Contents

SPOK HOLDINGS, INC.
VALUATION AND QUALIFYING ACCOUNTS

SCHEDULE II

Allowance for Credit Losses, Service Credits and Other

(Dollars in thousands)

Year ended December 31, 2022

Year ended December 31, 2021

Year ended December 31, 2020

Balance at the
Beginning of
the Period

Charged to
Operations

Write-offs

Balance at the
End of the
Period

$

$

$

1,442  $

1,669  $

1,293  $

1,268  $

573  $

1,382  $

(902) $

(800) $

(1,006) $

1,808 

1,442 

1,669 

F-29

Table of Contents

Exhibit
Number

Exhibit Description

Form

File No.

Exhibit

Filing Date

Filed/Furnished
Herewith

EXHIBIT INDEX

Incorporated by Reference

3.1

3.2

3.3

4.1*

4.2

10.1

10.2*
10.3*
10.4*

10.5†

10.6*

10.7

10.8†
10.9†

10.10†
10.11†
10.12†
10.13†
10.14†
10.15†

10.16*
10.17†
10.18†

10.19†

10.20

Amended and Restated Certificate of Incorporation
Fourth Amended and Restated Bylaws of Spok
Holdings, Inc dated October 26,2022.
Certificate of Designations of Series A Junior
Participating Preferred Stock of Spok Holdings, Inc.
Specimen of common stock certificate, par value
$0.0001 per share
Description of securities registered under Section 12 of
the Securities Exchange Act of 1934
Form of Indemnification Agreement for executive officers
of Spok, Holding Inc.
USA Mobility, Inc. Equity Incentive Plan Restricted Stock
Agreement (For Board of Directors) (amended)
Form of Director’s Indemnification Agreement
USA Mobility, Inc. 2012 Equity Incentive Award Plan
Employment Agreement, between Spok Holdings, Inc.
and Vince D. Kelly, dated as of January 1, 2019
Restricted Stock Unit Grant Notice for the USA Mobility,
Inc. 2012 Equity Incentive Award Plan
Restricted Stock Unit Grant Notice for the Spok
Holdings, Inc. 2015 Long-Term Incentive Plan
Spok Holdings, Inc. Severance Pay Plan and Summary
Plan Description (For certain C-Level, not including
CEO) (amended and restated)
Spok Holdings, Inc. 2018 Long-Term Incentive Plan
Exhibits to Spok Holdings, Inc., 2018 Long-Term
Incentive Plan for the 2020-2022 performance period.
Spok Holdings, Inc. 2019 Short-Term Incentive Plan
Spok Holdings, Inc. 2020 Short-Term Incentive Plan
Spok Holdings, Inc. 2021 Short-Term Incentive Plan
Spok Holdings, Inc. 2022 Short-Term Incentive Plan
Spok Holdings, Inc. 2023 Short-Term Incentive Plan
Amendment to the USA Mobility, Inc. 2012 Equity
Incentive Award Plan
NEO Severance and Change in Control Document
Spok Holdings, Inc. 2020 Equity Incentive Award Plan

8-K

8-K

8-K

001-32358

001-32358

001-32358

S-4/A

333-115769

10-K

10-Q

10-Q
10-Q
DEF 14A

8-K

10-K

10-K

10-K
10-K

10-K
10-K
10-K
10-K

001-32358

001-32358

001-32358
001-32358
001-32358

001-32358

001-32358

001-32358

001-32358
001-32358

001-32358
001-32358
001-32358
001-32358

DEF 14A
10-Q
DEF 14A

001-32358
001-32358
001-32358

Employment Agreement Extension Letter, by and
between Spok Holdings, Inc. and Vincent D. Kelly, dated
as of June 18, 2020
Restricted Stock Unit Grant Notice for the Spok
Holdings, Inc. 2020 Equity Incentive Award Plan

8-K

10-K

001-32358

001-32358

3.1

3.1

3.1

4.1

4.3

10.1

10.18
10.24
A

10.1

10.16

10.17

10.18
10.12

10.16
10.16
10.16
10.15

A
10.2
A

10.1

10.21

7/8/2014

10/28/2022

9/3/2021

10/6/2004

2/17/2022

10/25/2018

11/1/2007
10/30/2008
3/28/2012

1/4/2019

3/2/2017

3/2/2017

3/2/2017
2/18/2021

2/28/2019
2/27/2020
2/18/2021
2/17/2022

4/27/2017
4/27/2017
6/19/2020

6/18/2020

2/18/2021

Filed

Filed

    
Table of Contents

Voting and Standstill Agreement, dated March 20, 2022,
by and between Spok Holdings, Inc., Braeside
Investments, LLC, Braeside Capital, L.P. and Braeside
Capital II, L.P.
Spok Holdings, Inc. Deferred Compensation Plan For
Non-Employee Directors
Employment Agreement Extension Letter, by and between
Spok Holdings, Inc. and Vincent D. Kelly, dated as of
February 16, 2022
Subsidiaries of the Company
Consent of Grant Thornton LLP
Certification of President and Chief Executive Officer
pursuant to Rule 13a-14(a)/Rule 15d-14(a) of the
Securities Exchange Act of 1934, as amended
Certification of Chief Financial Officer pursuant to
Rule 13a-14(a)/Rule 15d-14(a) of the Securities Exchange
Act of 1934, as amended
Certification of President and Chief Executive Officer
pursuant to 18 U.S.C. Section 1350
Certification of Chief Financial Officer pursuant to 18
U.S.C. Section 1350
Inline XBRL Instance Document - the instance does not
appear in the Interactive Data File because its XBRL tags
are embedded within the Inline XBRL document**
Inline XBRL Taxonomy Extension Schema**
Inline XBRL Taxonomy Extension Calculation**
Inline XBRL Taxonomy Extension Definition**
Inline XBRL Taxonomy Extension Labels**
Inline XBRL Taxonomy Extension Presentation**
Cover Page Interactive Data File (the cover page XBRL
tags are embedded within the Inline XBRL document and
included in Exhibit 101)

10.21

10.22

10.23
21.1
23.1

31.1

31.2

32.1

32.2

101.INS
101.SCH
101.CAL
101.DEF
101.LAB
101.PRE

104

8-K

10-K

10-Q
10-K

001-32358

001-32358

001-32358
001-32358

10.1

10.23

10.1
21

3/21/2022

2/18/2021

4/28/2022
3/1/2018

Filed

Filed

Filed

Furnished

Furnished

Filed
Filed
Filed
Filed
Filed
Filed

Filed

* On July 8, 2014, the Company changed its name from USA Mobility, Inc. to Spok Holdings, Inc.
**    The financial information contained in these XBRL documents is unaudited.
†    Denotes a management contract or compensatory plan or arrangement.

Exhibit 10.10

LONG TERM INCENTIVE PLAN
PERFORMANCE PERIOD 2020-2022

Exhibit 10.15

Spok Holdings, Inc.
2023 Short-Term Incentive Plan
(Effective January 1, 2023)

I. Effective Date. The 2023 Short-Term Incentive Plan (the “Plan”) for Spok Holdings, Inc., was adopted by the Compensation
Committee  of  the  Board  of  Directors  (the  “Compensation  Committee”)  of  Spok  Holdings,  Inc.,  (the  “Parent”  or  the
“Company”), a Delaware corporation for the employees of Spok, Inc., a Delaware corporation and an indirect wholly-owned
subsidiary of the Parent (“Spok”) on December 2, 2022. The Plan is effective as of January 1, 2023 and supersedes and
replaces  all  former  management  short-term  incentive  plans,  including  the  Spok  Holdings,  Inc.,  2022  Short-Term  Incentive
Plan.

II. Purpose.  The  Plan  is  designed  to  attract,  motivate,  retain  and  reward  key  employees  for  their  performance  during  the
calendar year, from January 1 through December 31, 2023 (the “Performance Period”). The Plan rewards key employees by
allowing them to receive cash bonuses based on how well the Company performs against the performance objectives as set
forth by the Compensation Committee and, as may be adjusted by the Compensation Committee in the event of a Change
of Control or other corporate reorganization, merger, similar transaction, to take into account extraordinary events or as the
Compensation  Committee  determines  is  in  the  best  interests  of  the  Company.  In  order  for  bonuses  to  be  earned,  the
Company must meet the quantitative Performance Objectives by December 31, 2023. Performance Objectives are based
solely  on  the  consolidated  performance  of  the  Company.  For  clarity,  Performance  Objectives  and  the  attainment  thereof
does not include revenue or expenses related to acquisitions or due diligence expenses occurring after the Effective Date of
this Plan except as directed by the Compensation Committee.

III. Eligibility.  Participation  in  the  Plan  is  limited  to  those  key  employees  who  are  selected  for  participation  in  the  Plan  by  the
Compensation  Committee,  in  its  sole  discretion  (each  such  individual,  a  “Participant”).  Individuals  selected  by  the
Compensation Committee to participate as of January 1, 2023 are listed on Exhibit B. Newly hired or promoted employees,
or employees who otherwise become eligible to participate, who are selected to participate in the Plan after January 1, 2023
but before October 1, 2023 will participate in the Plan on a prorated basis based on the number of days worked during the
performance period after becoming bonus eligible. Employees who are newly hired or promoted on or after October 1, 2023
will not be eligible to participate in the Plan.

IV. Target  Bonus.  The  target  bonus  for  each  Participant  is  based  on  a  percentage  of  the  Participant’s  annual  (or
prorated, if applicable) salary as of January 1, 2023 (or date of hire or promotion to an eligible position, if later) or
a  flat  amount  as  designated.  The  applicable  percentage  or  amount  is  determined  by  the  Compensation
Committee with respect to executives earning $250,000 or more and by the CEO for other management and need
not  be  identical  among  Participants.  The  earned  bonus  may  be  greater  than  or  less  than  the  target  bonus
depending on the level at which the Performance Objectives are attained.

Exhibit 10.15

I. Payment of Earned Bonus.

i.

ii.

Except  as  provided  herein,  each  earned  bonus  under  the  Plan  will  be  calculated  based  on  the  attainment  of  the
Performance  Objectives  and  will  be  paid  in  a  lump  sum  (subject  to  any  required  withholding  for  income  and
employment  taxes)  after  the  2023  annual  audit  of  the  Parent’s  consolidated  financial  statement  has  been
completed  and  the  Parent’s  2023  Annual  Report  on  Form  10-K  has  been  filed  with  the  Securities  and
Exchange Commission but in no event later than December 31, 2023.
If the Participant involuntarily Separates from Service without Cause or due to disability or dies prior to December
31, 2023, he or she will be eligible to receive a prorated bonus provided that the Company is on track to attain the
Performance Objectives as reasonably determined by the Compensation Committee and provided further that, in the
event Participant involuntarily Separates from Service without Cause, he or she has executed a release, any waiting
period in connection with such release has expired, he or she has not exercised any rights to revoke the release and
he or she has followed any other applicable and customary termination procedures, as determined by the Parent in
its  sole  discretion.  The  bonus  will  be  prorated  to  the  date  of  Participant’s  Separation  from  Service  or  death,
calculated as follows: one-hundred percent (100%) of a Participant’s target bonus will be multiplied by a fraction, the
numerator of which is the number of days the Participant was continuously providing services to the Company from
January 1, 2023 through the date immediately prior to the Participant’s Separation from Service or death, and the
denominator of which is 365 days. Prorated bonuses will be paid to the Participant, or in the event of Participant’s
death, the Participant’s estate, on the sixty-fifth (65th) day following the date of Participant’s Separation from Service
or death.

1. For  purposes  of  the  Plan,  “Separation  from  Service”  shall  have  the  meaning  provided  in  the  Treasury
Regulations  under  section  409A  of  the  Internal  Revenue  Code  of  1986,  as  amended  (the  “Code”),  and
“Separates  from  Service”  shall  have  a  consistent  meaning.  Unless  otherwise  defined  in  an  employment
agreement between the Participant and the Parent or the Company, for purposes of the Plan, “Cause” means
(i)  dishonesty  of  a  material  nature  that  relates  to  the  performance  of  services  for  the  Company  by
Participants;  (ii)  criminal  conduct  (other  than  minor  infractions  and  traffic  violations)  that  relates  to  the
performance of services for the Company by Participant; (iii) the Participant’s willfully breaching or failing to
perform  his  or  her  duties  as  an  employee  of  the  Company  (other  than  any  such  failure  resulting  from  the
Participant having a disability (as defined herein)), within a reasonable period of time after a written demand
for substantial performance is delivered to the Participant by the Compensation Committee, which demand
specifically identifies the manner in which the Compensation Committee believes that the Participant has not
substantially  performed  his  duties;  or  (iv)  the  willful  engaging  by  the  Participant  in  conduct  that  is
demonstrably and materially injurious to the Parent, Company or an Affiliate, monetarily or otherwise. No act
or failure to act on the Participant’s part shall be deemed “willful” unless done, or omitted to be done; by the
Participant not in good faith

Exhibit 10.15

and without reasonable belief that such action or omission was in the reasonable best interests of the Parent,
Company  and  Affiliates.  For  this  purpose,  “disability”  means  a  condition  or  circumstance  such  that  the
Participant  has  become  totally  and  permanently  disabled  as  defined  or  described  in  the  Parent’s  long  term
disability benefit plan applicable to executive officers as in effect at the time the Participant incurs a disability.

i.

ii.

Change in Control. Notwithstanding anything herein to the contrary, upon the occurrence of a Change in Control (as
defined  in  the  Company’s  2020  Equity  Incentive  Award  Plan)  prior  to  the  end  of  the  Performance  Period,  each
Participant who remains employed with the Company through the date of the Change in Control will receive a cash
payment equal to his or her target bonus amount multiplied by a fraction, the numerator of which is the number of
days elapsed from January 1, 2023 (or if later the date of the Participant’s commencement of employment) through
the date of the Change in Control and the denominator of which is 365. Following payment of such amount, this Plan
will terminate, and no further payments will be made hereunder, unless otherwise determined by the Compensation
Committee.
Notwithstanding anything to the contrary in this Plan, no payments contemplated by this Plan will be paid during the
six-month period following a Participant’s Separation from Service unless the Company determines, in its good faith
judgment, that paying such amounts at the time indicated in paragraph b above would not cause the Participant to
incur  an  additional  tax  under  Code  section  409A  (a)(2)(B)(i),  in  which  case  the  bonus  payment  shall  be  paid  in  a
lump sum on the first day of the seventh month following the Participant’s Separation from Service.

II. Forfeiture.  Any  Participant  whose  employment  is  terminated  for  Cause  or  who  voluntarily  Separates  from  Service  prior  to

the date bonuses are paid shall forfeit any right to receive a bonus award.

III. Clawback. The Compensation Committee of the Board may require forfeiture or a clawback of any incentive compensation
awarded or paid under this Plan in excess of the compensation actually earned based on a restatement of the Company’s
financial statements as filed with the Securities and Exchange Commission for the period covered by this Plan.

IV. Administrator.  The  Compensation  Committee  shall  administer  the  Plan  in  accordance  with  its  terms,  and  shall  have  full
discretionary power and authority to construe and interpret the Plan; to prescribe, amend and rescind rules and regulations,
terms,  and  notices  hereunder;  and  to  make  all  other  determinations  necessary  or  advisable  in  its  discretion  for  the
administration  of  the  Plan.  Any  actions  of  the  Compensation  Committee  with  respect  to  the  Plan  shall  be  conclusive  and
binding upon all persons interested in the Plan. The Compensation Committee, in its sole discretion and on such terms and
conditions as it may provide, may delegate all or part of its authority and powers under the Plan to one or more directors
and/or officers of the Parent or the Company.

V. Amendment;  Termination.  The  Compensation  Committee,  in  its  sole  discretion,  without  prior  notice  to  Participants,  may
amend or terminate the Plan, or any part thereof, including the Performance Objectives as described in Section II, at any
time and for any

Exhibit 10.15

reason, to the extent such action will not cause adverse tax consequences to a participant under Code section 409A. Any
amendment  or  termination  must  be  in  writing  and  shall  be  communicated  to  all  Participants.  No  award  may  be  granted
during any period of suspension or after termination of the Plan.

VI. Miscellaneous.

i.

ii.

iii.
iv.

v.

vi.

vii.

viii.

ix.

No Rights as Employee. Nothing contained in this Plan or any documents relating to this Plan shall (a) confer on a
Participant  any  right  to  continue  in  the  employ  of  the  Company;  (b)  constitute  any  contract  or  agreement  of
employment; or (c) interfere in any way with the Company’s right to terminate the Participant’s employment at any
time, with or without Cause.
Tax Withholding. To the extent required by applicable federal, state, local or foreign law, the Company shall withhold
all  applicable  taxes  (including,  but  not  limited  to,  the  Participant’s  FICA  and  Social  Security  obligations)  from  any
bonus payment.
Transferability. A Participant may not sell, assign, transfer or encumber any of his or her rights under the Plan.
Unsecured General Creditor. Participants (or their beneficiary) may seek to enforce any rights or claims for payment
under the Plan solely as an unsecured general creditor of the Parent or Spok.
Successors. This Plan shall be binding upon and inure to the benefit of the Parent, Company and any successor to
the Company and the Participant’s heirs, executors, administrators and legal representatives.
Code  Section  409A.  The  Plan  is  intended  to  be  a  nonqualified  deferred  compensation  plan  within  the  meaning  of
Code section 409A and shall be interpreted to meet the requirements of Code section 409A. To the extent that any
provision  of  the  Plan  would  cause  a  conflict  with  the  requirements  of  Code  section  409A,  or  would  cause  the
administration of the Plan to fail to satisfy Code section 409A, such provision shall be deemed null and void to the
extent permitted by applicable law. Nothing herein shall be construed as a guarantee of any particular tax treatment
to a Participant.
Governing  Law.  All  questions  pertaining  to  the  validity,  construction  and  administration  of  the  Plan  shall  be
determined in accordance with the laws of the State of Delaware, without regard to conflicts of law provisions.
Integration. This document and each exhibit hereto represent the entire agreement and understanding between the
Company  and  the  Participants  and  supersede  any  and  all  prior  agreements  or  understandings,  whether  oral  or
written, with the Company relating to the subject matter covered by this Plan.
Severability.  In  case  any  provision  of  this  Plan  shall  be  held  illegal  or  invalid,  such  illegality  or  invalidity  shall  be
construed and enforced as if said illegal or invalid provision had never been inserted herein and shall not affect the
remaining provisions of this Plan, but shall be fully severable, and the Plan shall be construed and enforced as if any
such illegal or invalid provision were not a part hereof.

[Execution page follows]

Exhibit 10.15

IN WITNESS WHEREOF, Spok Holdings, Inc., by its duly authorized officer acting in accordance with a resolution
duly  adopted  by  the  Compensation  Committee  of  the  Board  of  Directors  of  Spok  Holdings,  Inc.,  has  executed  this  Plan  for  the
benefit of employees of Spok Holdings, Inc. and subsidiaries, effective as of January 1, 2023.

SPOK HOLDINGS, INC.

/s/ Vincent D. Kelly
Vincent D. Kelly, President & CEO

Exhibit A
Performance Objectives

Exhibit 10.15

Employee Name
KELLY, VINCENT D.
Wallace, Michael W.
Woods Keisling, Sharon
Czop, Michael
Deboer, John
Hall, Lisa R.
Ling, Michael J.
Rice, Calvin C.
Tindle, Timothy E.
Wax, Jonathan
Grandfield, Michele
Hodes, Matthew
Patel, Jinita
Smith, Jill

Exhibit B
Participants

Job Title
CEO
President & COO
Corp Secretary &Treasurer
VP, Technology Ops
VP, Tech Engineering
VP, HR & Admin
VP, Maintenance Revenue
Chief Financial Officer
Chief Information Officer
VP, Sales
VP, Customer Support
VP, PSG
Controller
VP, Marketing

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

Exhibit 23

We have issued our reports dated February 23, 2023, with respect to the consolidated financial statements and internal control over financial
reporting  included  in  the  Annual  Report  of  Spok  Holdings,  Inc.  on  Form  10-K  for  the  year  ended  December  31,  2022.  We  consent  to  the
incorporation by reference of said reports in the Registration Statements of Spok Holdings, Inc. on Forms S-8 (File No. 333-182444, File No.
333-212724 and File No. 333-240213).

/s/ GRANT THORNTON LLP

Arlington, Virginia
February 23, 2023

CERTIFICATION PURSUANT TO RULE 13A-14(A) OR 15D-14(A)
OF THE SECURITIES EXCHANGE ACT OF 1934,
AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 31.1

I, Vincent D. Kelly, certify that:

1.

I have reviewed this Annual Report on Form 10-K of Spok Holdings, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to
make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the
period covered by this report;

3. Based  on  my  knowledge,  the  financial  statements,  and  other  financial  information  included  in  this  report,  fairly  present  in  all  material

respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as
defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules
13a-15(f) and 15d-15(f)) for the registrant and have:

a.

b.

c.

d.

Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under
our  supervision,  to  ensure  that  material  information  relating  to  the  registrant,  including  its  consolidated  subsidiaries,  is  made
known to us by others within those entities, particularly during the period in which this report is being prepared;

Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed
under  our  supervision,  to  provide  reasonable  assurance  regarding  the  reliability  of  financial  reporting  and  the  preparation  of
financial statements for external purposes in accordance with generally accepted accounting principles;

Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions
about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on
such evaluation; and

Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s
most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is
reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The  registrant’s  other  certifying  officer(s)  and  I  have  disclosed,  based  on  our  most  recent  evaluation  of  internal  control  over  financial
reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent
functions):

a.

b.

All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which
are  reasonably  likely  to  adversely  affect  the  registrant’s  ability  to  record,  process,  summarize  and  report  financial  information;
and

Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s
internal control over financial reporting.

Date: February 23, 2023

/s/ Vincent D. Kelly
Vincent D. Kelly
President and Chief Executive Officer

 
CERTIFICATION PURSUANT TO RULE 13A-14(A) OR 15D-14(A)
OF THE SECURITIES EXCHANGE ACT OF 1934,
AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 31.2

I, Calvin C. Rice, certify that:

1.

I have reviewed this Annual Report on Form 10-K of Spok Holdings, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to
make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the
period covered by this report;

3. Based  on  my  knowledge,  the  financial  statements,  and  other  financial  information  included  in  this  report,  fairly  present  in  all  material

respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as
defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules
13a-15(f) and 15d-15(f)) for the registrant and have:

a.

b.

c.

d.

Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under
our  supervision,  to  ensure  that  material  information  relating  to  the  registrant,  including  its  consolidated  subsidiaries,  is  made
known to us by others within those entities, particularly during the period in which this report is being prepared;

Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed
under  our  supervision,  to  provide  reasonable  assurance  regarding  the  reliability  of  financial  reporting  and  the  preparation  of
financial statements for external purposes in accordance with generally accepted accounting principles;

Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions
about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on
such evaluation; and

Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s
most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is
reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The  registrant’s  other  certifying  officer(s)  and  I  have  disclosed,  based  on  our  most  recent  evaluation  of  internal  control  over  financial
reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent
functions):

a.

b.

All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which
are  reasonably  likely  to  adversely  affect  the  registrant’s  ability  to  record,  process,  summarize  and  report  financial  information;
and

Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s
internal control over financial reporting.

Date: February 23, 2023

/s/ Calvin C. Rice
Calvin C. Rice
Chief Financial Officer

 
CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 32.1

Pursuant to 18 U.S.C. § 1350, as created by Section 906 of the Sarbanes-Oxley Act of 2002, the undersigned officer of Spōk Holdings, Inc.

(the “Company”) hereby certifies, to such officer’s knowledge, that:

(i)

(ii)

the accompanying Annual Report on Form 10-K of the Company for the year ended December 31, 2022 (the “Report”) fully complies with
the requirements of Section 13(a) or Section 15(d), as applicable, of the Securities Exchange Act of 1934, as amended; and

the  information  contained  in  the  Report  fairly  presents,  in  all  material  respects,  the  financial  condition  and  results  of  operations  of  the
Company.

Dated: February 23, 2023

/s/ Vincent D. Kelly
Vincent D. Kelly
President and Chief Executive Officer

CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 32.2

Pursuant to 18 U.S.C. § 1350, as created by Section 906 of the Sarbanes-Oxley Act of 2002, the undersigned officer of Spok Holdings, Inc.

(the “Company”) hereby certifies, to such officer’s knowledge, that:

(i)

(ii)

the accompanying Annual Report on Form 10-K of the Company for the year ended December 31, 2022 (the “Report”) fully complies with
the requirements of Section 13(a) or Section 15(d), as applicable, of the Securities Exchange Act of 1934, as amended; and

the  information  contained  in  the  Report  fairly  presents,  in  all  material  respects,  the  financial  condition  and  results  of  operations  of  the
Company.

Dated: February 23, 2023

/s/ Calvin C. Rice
Calvin C. Rice
Chief Financial Officer

THIS PAGE INTENTIONALLY LEFT BLANK

Board of Directors

Annual Meeting

Christine M. Cournoyer  
Chairperson of the Board, Spok
Former Chairperson and Chief Executive Officer, 
N-of-One, Inc. 

Dr. Bobbie Byrne
Chief Information Officer,  
Advocate Aurora Health

Randy Hyun
Chief Operations Officer of CarepathRx LLC,
Chief Executive Officer of CarepathRx Health, 
Systems Solutions

Vincent D. Kelly
President and Chief Executive Officer,
Spok Holdings, Inc.

Brett Shockley
Chief Executive Officer and Chairman,
Journey AI, Inc.

Todd Stein
Co-Investment Manager, 
Braeside Investments, LLC

Corporate Officers

Vincent D. Kelly
President and Chief Executive Officer

Michael W. Wallace
Chief Operating Officer, President of Spok, Inc.

Calvin C. Rice
Chief Financial Officer, Chief Accounting Officer

Sharon Woods Keisling
Corporate Secretary and Treasurer

A formal notice of the meeting is being mailed to 
each stockholder. The proxy statement, proxy card, 
and 2022 Annual Report on Form 10-K are available 
at www.proxyvote.com.

This annual report contains the 2022 Annual 
Report on Form 10-K filed with the Securities and 
Exchange Commission. Spok Holdings, Inc. will 
provide without charge to each stockholder of 
record additional copies of the Company’s 2022 
Annual Report on Form 10-K. Please send your 
request to:

Investor Relations
Spok Holdings, Inc.
5911 Kingstowne Village Parkway, 6th floor
Alexandria, VA 22315

Investor and Media Information
Inquiries from investors, the financial community, 
and news organizations should be directed to 
Investor Relations and Corporate Communications 
at the address noted above, by calling (800) 611-
8488, or by visiting our website at www.spok.com.

Securities Listing
The common stock of Spok Holdings, Inc., trading 
symbol “SPOK,” trades on the NASDAQ National 
Market®.

Transfer Agent and Registrar
Computershare
P.O. Box 505000
Louisville, KY 40233
Direct: (781) 575-2725
Toll Free: (877) 498-8865
Hearing Impaired: TDD (800) 952-9245
www.computershare.com/investor

Independent Public Accountants
Grant Thornton LLP
1000 Wilson Boulevard, Suite 1400
Arlington, VA 22209

Corporate Counsel
Latham & Watkins LLP
555 Eleventh Street, NW, Suite 1000
Washington, DC 20004-1304

SM

Spok, Inc.
5911 Kingstowne Village Parkway, 6th floor
Alexandria, VA 22315

Telephone (800) 611-8488
Fax (866) 382-1662
www.spok.com

ABOUT SPOK, INC.
Spok, Inc., a wholly owned subsidiary of Spok Holdings, Inc. (NASDAQ: SPOK), headquartered in Alexandria, Virginia, is 
proud to be a global leader in healthcare communications. We deliver clinical information to care teams when and where it 
matters most to improve patient outcomes. Top hospitals rely on the Spok Care Connect® platform to enhance workflows 
for clinicians and support administrative compliance. Our customers send over 100 million messages each month through 
their Spok® solutions. Spok enables smarter, faster clinical communication. 

spok.com

© 2023 Spok, Inc. Spok is a trademark of Spok Holdings, Inc. Spok Care Connect and Spok Mobile are trademarks of Spok, Inc.  
Other names and trademarks may be the property of their respective owners.

Rev: 4/23