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

Spok Holdings, Inc.

spok · NASDAQ Healthcare
Claim this profile
Ticker spok
Exchange NASDAQ
Sector Healthcare
Industry Medical - Healthcare Information Services
Employees 418
← All annual reports
FY2023 Annual Report · Spok Holdings, Inc.
Sign in to download
Loading PDF…
Smarter, faster, clinical  
communication 

2023

A NN U A L   R E P O R T

spok. co m

2

2

A Message from the President and Chief Executive Officer

Dear Fellow Stockholders, 

Any discussion of Spok’s performance in 2023 has to begin with how proud I am of our team of 384 associates 

and their ability to generate some very impressive results, while staying true to our mission to grow revenue, 

generate cash, and return capital to our stockholders over the long-term. I am very pleased with the momentum 

that we have created, and I am excited by our prospects going forward.

In 2023, our team achieved numerous operational and financial milestones. Significant accomplishments were 

made, regarding: 

•  Top-line revenue growth—a first in our history 

•  Record profitability levels 

•  Continued disciplined expense management 

•  Cash flow generation 

•  Progress on our product roadmap and development 

•  Augmenting our sales team 

•  Generating six-figure customer contracts and multi-year engagements 

•  GenA™ pager placements, our new alpha-numeric, encrypted messaging device 

•  Maintenance contract bookings and retention 

• 

Increased professional services revenue coupled with improvements in resource utilization, and 

•  Enhancing our industry reputation and higher customer satisfaction scores 

Investments in our Product and Sales teams resulted in an historic increase in consolidated total revenues, with 

7% growth in software revenue and modest growth in wireless revenue. In fact, overall software revenue growth 

was driven by growth in each of the four software revenue categories: license, professional services, hardware, 

and maintenance.

For 2023, it was Mission Accomplished! We returned $25.6 million of cash to our stockholders while more than 

covering that total by generating in excess of $30 million of adjusted EBITDA. We were also successful in our 

stated goal to grow revenue. I am proud to report that for the first time in Spok’s history, we were able to grow 

consolidated total revenue, with revenue growth for both Wireless and Software.

spok. co m

3

3

Net Income (1)

$15.7 
million

Adjusted Operating Expenses (2)

8.6%

Adjusted EBITDA (3) 

102.8%

Total Revenue 

3.3%

Software Operations Bookings

22.0%

We accomplished this by responsibly investing in our 

business to support growing revenue and closely managing 

our operating expenses and capital expenditures. While the 

dividend level we declared when we announced our pivot in 

February 2022 may have initially seemed high, we believe 

Spok has struck an excellent balance between making 

the necessary investments to fuel future growth, while 

continuing to generate cash flow and returning capital to our 

stockholders. We believe we are on a sustainable path to 

continue paying our quarterly dividend at these levels for the 

foreseeable future and are encouraged by our prospects. 

Our strategic business plan, which we began implementing 

on February 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 

software solutions. Moving forward, we plan to invest in 

a targeted and disciplined manner in these important and 

valuable franchises in order to continue building on our long-

standing relationships with the nation’s leading healthcare 

providers. Our customers include 20 of the top 22 adult 

hospitals and 7 of the 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.

Over the course of the two years since we announced our 

strategic pivot, Spok has returned just under $51 million, 

or $2.50 per share, to our stockholders in the form of our 

regular quarterly dividend. In fact, since we founded this 

company in 2004, Spok has returned nearly $675 million 

to our stockholders either through our regular quarterly 

dividend, special dividends, or share repurchases. When we 

paid the quarterly dividend in the first quarter of 2024, this 

represented the 76th consecutive quarterly dividend paid 

since becoming a public company and we expect to pay 

dividends totaling approximately $26.1 million in 2024. Spok 

remains committed to our dividend policy and returning 

capital to our stockholders.

spok. co m

4

4

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 customers, who provide world-class healthcare, and we value our place in their 

communications ecosystem. This is coupled with a financial strength that over 80% of our revenue is re-occurring in 

nature, and we are a company with no debt, which provides us significant flexibility.

In 2023, although we sharply reduced our research and development spend from the years preceding the strategic 

pivot, we still spent approximately $10.5 million to support development of our Spok Care Connect platform, as 

well as Wireless products. We expect to expand that investment to approximately $11 million this year, in line 

with spending levels prior to the introduction of Spok Go®. This investment is important, relative to our plans for 

continued growth of 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.

spok. co m

5

5

.

Corporate Highlights 

In 2023, we continued to make significant progress 

in our strategic pivot and saw strong improvement in 

many performance metrics, including adjusted EBITDA, 

wireless trends, software bookings and backlog levels, 

as well as expense management, as we further aligned 

our cost structure with our business plan. In 2023, 

Spok generated nearly $15.7 million of net income, or 

$0.77 per diluted share and returned $1.25 per share 

to stockholders through the quarterly dividend. And as 

you’ve seen from our 2024 guidance, we are on track 

to do it again this year. With a renewed focus on Spok 

Care Connect clients, full year 2023 software operations 

bookings totaled just over $30 million, a 22% year-over- 

year increase. We signed a record 67 six-figure customer 

contracts, including the largest customer contract in 

the Company's history and we saw a doubling of our 

average new contract size. Most importantly, last year's 

performance included 30 multi-year engagements, up 

approximately 60% from the level generated in 2022.

Lastly, we were able to generate this growth while 

increasing customer satisfaction scores and retention. 

This momentum continues in 2024, as we continue to 

see growth in our new customer sales pipeline, both in 

terms of size and quality. 

In 2023, we made significant progress in mitigating the 

revenue impact of wireless customer 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. Spok 

pagers help provide peace of mind and remain among 

the most reliable, survivable, and affordable technology 

for critical communications that many of our customers 

rely on. We are committed to continually enhancing 

communication solutions, like the GenA pager, that can 

help save lives and eliminate the barriers to effective 

communication facing healthcare systems and public 

safety organizations today.

Finally, subsequent to the end of the fourth quarter 

2023, we announced that for the seventh consecutive 

year Spok received the highest honors for customer 

satisfaction in Black Book Industry’s 2024 survey of 

healthcare industry clients using clinical communications 

solutions for acute care. The award demonstrates that 

our customers can continue to count on Spok for secure 

and reliable care team communications.

spok. co m

6

6

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

$25.0

$25.6

$16.4

$9.8

$10.0

2019

2020

2021

2022

2023

$30.0

$25.0

$20.0

$15.0

$10.0

$5.0

$0.0

2023 Financial Performance

For fiscal year 2023, we achieved our previously communicated full year financial guidance for revenue, adjusted 

operating expenses, and adjusted EBITDA. Total GAAP revenue for fiscal year 2023 was $139.0 million, consisting 

of wireless revenue of $76.0 million and software revenue of $63.1 million. With respect to wireless revenue, 

2023 performance was driven by a more than 4.5% annual increase in average revenue per unit, or ARPU. Our 

2023 adjusted operating expenses of $112.7 million were down significantly from $123.4 million in the prior year. 

Adjusted operating expenses were lower as we continue to implement efficiencies in our cost structure and 

further align our expense base with the market demand that we are seeing. Finally, our balance sheet remained 

strong with a cash and cash equivalents balance of $32.0 million as of December 31, 2023, and deferred tax 

assets totaling $46.3 million. Finally, we continue to operate as a debt-free company!

spok. co m

7

7

For 2023, it was Mission Accomplished! We returned $25.6 million
of cash to our stockholders while more than covering that total by 
generating in excess of $30 million of adjusted EBITDA. We were also 
successful in our stated goal to grow revenue. I am proud to report that 
for the first time in Spok’s history, we were able to grow consolidated 
total revenue, with revenue growth for both Wireless and Software.

2024 and Beyond

We are optimistic about our prospects for 2024 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, with over 

80% of our revenue re-occurring in nature, coming from either our legacy wireless offerings or software 

maintenance contracts. Additionally, our Spok Care Connect solutions provide products with potential 

for new licenses sales and a valuable ongoing 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.

Our overall goal is to generate cash to return to shareholders by producing sustainable, profitable business 

growth. The allocation of capital remains a primary area of focus that our board is constantly reviewing. Our 

multi-faceted capital allocation strategy currently includes dividends as well as key strategic investments 

that augment our product development, operating platform, and infrastructure.  Our strategy also includes 

the potential for acquisitions that are both strategic in nature and that are accretive to earnings. However, 

as I have previously outlined, our main focus is on the development and enhancement of our software 

solutions rather than acquiring additional functionality. 

For example, we believe that there is untapped potential to integrate artificial intelligence, or AI, into 

our product offering. While we are in the very early stages of exploring the future potential from these 

applications, we believe there could be tremendous opportunity for AI powered solutions to transform 

healthcare, with opportunities including disease diagnosis and monitoring, clinical workflow augmentation, 

and hospital optimization. We intend to enhance our solid industry-leading reputation by integrating 

these technologies into our product suite. And from an operational perspective, though in the very early 

stages, we intend to explore AI as a tool to further drive efficiencies in our financial platform to improve 

performance. 

spok. co m

8

8

We are also excited by the potential for our newest offering, Spok Care Connect® Hosted Solution. Hosted in 

Spok’s data center in Plano, Texas, this solution provides hospitals and healthcare systems with remote access 

to Spok Care Connect® solutions. Currently that product set includes Spok® Console, Spok® Web Directory, 

Spok® On-Call Scheduling and Spok Mobile®. While this is a relatively new offering and will take time to bear fruit, 

we believe that the hosted solution has future potential where mid-size and small hospitals can efficiently take 

advantage of the resources that are most often being used by the larger hospitals, which have the capital and 

human resources to use our premise-based software solutions.

In short, we remain committed to our mission to be a strategic partner of choice for enterprise-grade 

communications and patient care coordination across all sectors of the healthcare industry. This commitment 

has allowed Spok to create a significant market position with longstanding 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.

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 2024

spok. co m

9

9

(1) For the year ended December 31, 2022 net income, basic net income per common share, and diluted net income per common share
includes a non-cash benefit of $21.9 million related to the release of a previously established valuation allowance in alignment with our
projections of future taxable income. For year-over-year comparisons, 2022 net income excludes the non-cash benefit related to taxes.
There were no non-cash benefits for the year ended December 31, 2023.

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

(3) 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.

Statements contained herein or in prior press releases 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; 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; 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; our reliance on data centers and other systems and technologies 
provided by third parties, and technology systems and electronic networks supplied and managed by third parties; cyberattacks, data 
breaches or other compromises to our or our critical third parties' systems, data, products or services; our ability to realize the benefits 
associated with our deferred income tax assets; future impairments of our long-lived 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 periodic reports and other filings 
with the Securities and Exchange Commission. Although Spok believes the expectations reflected in the for ward-looking statements are 
based on reasonable assumptions, it can give no assurance that its expectations will be attained. Spok disclaims any intent or obligation 
to update any for ward-looking statements. 

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, 2023or☐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 forcomplying with any 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 accountingfirm that prepared or issued its audit report. ☒

If  securities  are  registered  pursuant  to  Section  12(b)  of  the  Act,  indicate  by  check  mark  whether  the  financial  statements  of  the  registrant
included in the filing reflect the correction of an error to previously issued financial statements. ☒

Indicate  by  check  mark  whether  any  of  those  error  corrections  are  restatements  that  required  a  recovery  analysis  of  incentive-based
compensation received by any of the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b). ☐    
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 $258 million based on the closing price of $13.29
per share on the NASDAQ National Market  on June 30, 2023.

®

The number of shares of registrant’s common stock outstanding on February 16, 2024, was 20,136,491.

DOCUMENTS INCORPORATED BY REFERENCE

Portions of the registrant’s Definitive Proxy Statement for the 2024 Annual Meeting of Stockholders of the registrant, which will be filed with the
Securities and Exchange Commission pursuant to Regulation 14A no later than April 29, 2024, are incorporated by reference into Part III of this
Report.

    
Table of Contents

Business
Risk Factors
Unresolved Staff Comments
Cybersecurity
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 1C.
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

2

5
15
25
25
26
26
26

26
29
29
44
45
46
46
46
47

47
47
47
47
47

48
48
49

 
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;
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;

• Our use of open source software, third-party software and other intellectual property;
•
• Our  reliance  on  data  centers  and  other  systems  and  technologies  provided  by  third  parties,  and  technology  systems  and  electronic

The reliability of our networks and servers and our ability to prevent cyberattacks and other security issues and disruptions;

networks supplied and managed by third parties;
Cyberattacks, data breaches or other compromises to our or our critical third parties’ systems, data, products or services;

•
• Our ability to realize the benefits associated with our deferred income tax assets;
•
•
• Our ability to manage changes related to regulation, including laws and regulations affecting hospitals and the healthcare industry

Future impairments of our long-lived 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

3

Table of Contents

10-Q and current reports on Form 8-K that it will file with the United States Securities and Exchange Commission ("SEC"). 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.

4

Table of Contents

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 Annual Report on Form 10-K for the year ended December 31, 2023 (the "2023 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, in 2022, we discontinued Spok
Go and successfully eliminated all associated costs. Since 2022, our focus has been and will continue to be on prioritizing generation of cash
flow and maximizing revenue in our Spok Care Connect and Wireless products and service lines.

Industry Overview

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.

5

Table of Contents

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 six 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  region.  We  expect  to  continue  to  build  our  alliance  partner
relationships to expand and broaden our distribution efforts in 2024.

Within our target market, our efforts continue to remain focused on addressing the following dynamics:

•
•
•
•
•
•

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;
•
•
•

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.

•

6

Table of Contents

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.

7

Table of Contents

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 2024.

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 55%, 56% and 55% of total consolidated revenue for the years ended December 31, 2023,
2022 and 2021, 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.

8

Table of Contents

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

•

•

•

•

•

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.

9

Table of Contents

•

•

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

•

•

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

•

•

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.

Hosted Solution

•

Spok  Care  Connect®  Hosted  Solution:  Provides  hospitals  and  healthcare  systems  with  remote  access  to  Spok  Care  Connect®
solutions  (currently  Spok®  Healthcare  Console,  Spok®  Web-Based  Directory,  Spok®  Web-Based  On-Call  Scheduling  and  Spok
Mobile®) and reduces the burden on information technology resources while providing immediate access to Spok solutions.

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 11%, 9% and 12% of total consolidated revenue for the years ended
December 31, 2023, December 31, 2022 and 2021, respectively. Professional services revenue increased in 2023 primarily as a result
of improvements in resource utilization.

10

Table of Contents

•

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 each of the years ended December 31, 2023, 2022 and 2021.

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.

Intellectual Property

As of December 31, 2023, we held 87 trademarks and three patents, as well as three pending trademarks and no pending patents, 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 2024 to 2034 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 2023, 2022 or 2021.

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.

11

Table of Contents

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  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:

•
•
•

•

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;

•
•
•
•
•
•
•
•
•
•
•
• OptimizeRx Corporation. - Healthcare solutions;
•
•
• 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

12

Table of Contents

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, 2023 and 2022, we had 384 and 376 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,  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.

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.

13

Table of Contents

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  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 2024 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.

14

Table of Contents

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 three to six years or
after any changes that may affect interoperability. The interoperability certification process consists of the following steps:

•
•
•
•

Identify requirements, such as general availability of the software;
Develop certification approach and submit for government sponsorship;
Perform interoperability testing, including setup, cybersecurity and mitigation strategies; and
Publish approved certifications and report 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,  public  safety  answering  point  and  call
recording  products  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 2023 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.

15

Table of Contents

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 especially as a result of higher inflation. 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 for talent 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 for technology roles 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 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 to 12 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.

16

Table of Contents

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.

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. Adverse economic conditions 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

17

Table of Contents

the loss of software revenue or bookings, which impacts license, professional services, hardware 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.  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 to 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.

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.

18

Table of Contents

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, vulnerabilities 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, vulnerabilities or bugs, or have reliability, quality
or compatibility problems, we may not be able to successfully design workarounds or resolve these issues. Any defects or vulnerabilities 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.  In  addition,  we  do  not  control  the  quality,  security  or  testing  of  various  third-party
software,  hardware  or  infrastructure  products  that  are  utilized  in  our  business.  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 or a critical third party's products or otherwise
exploit any security vulnerabilities of such 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,  pandemics  or  other  public  health  emergencies,
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,  pandemics  or  other  public  health  emergencies,  or  legislative  or
regulatory changes could significantly affect the type and amount of services and products they order from us.

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 six 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 that are 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.

19

Table of Contents

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.

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.

20

Table of Contents

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 computer systems, hardware, software and satellite networks and telecommunications systems infrastructure
(collectively, “IT Systems”) is critical to our operations. We own and manage certain IT Systems but rely heavily on critical IT Systems that are
owned  and/or  managed  by  third  parties.  These  IT  Systems  may  be  vulnerable  to  damage  or  interruption  from  natural  disasters,  power  loss,
telecommunication  failures,  terrorist  attacks,  software  errors  and  other  events.  Any  IT  System  (such  as  a  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
wireless services depend on connectivity provided by third-party satellite network services 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.

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' IT 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 IT Systems and infrastructure failures or cyberattacks, or to cover all contingencies.
We may be required to expend significant resources to protect against the threat of these IT 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.

We  rely  on  data  centers  and  other  systems  and  technologies  provided  by  third  parties,  and  technology  systems  and  electronic
networks supplied and managed by third parties, to operate our business. Any major interruption or performance problems with these
systems, technologies and networks may adversely affect our business and operating results.

We rely on data centers and other systems and technologies provided by third parties. If key third parties are unable to perform services for us
because of service interruptions or extended outages, or because those services are no longer available on commercially reasonable terms, our
expenses  could  increase.  Switching  our  technology  to  another  service  provider,  if  available,  could  result  in  significant  disruption,  data  loss  or
corruption, or unsuccessful data transfers could cause data to be incomplete or contain inaccuracies.

We do not control, or in some cases have limited control over, the data center facilities we use. These facilities are vulnerable to damage from
earthquakes, floods, fires, power loss, telecommunications failures and similar events. These facilities may also be subject to theft, vandalism or
other security related events. Despite precautions taken at these facilities, adverse events could result in lengthy interruptions in our services
and the loss or corruption of, or unauthorized access to or acquisition of, customer data. In addition, the owners of our data center facilities have
no obligation to renew their agreements with us on commercially reasonable terms. If we are required to relocate to another data center facility,
we may not be able to rapidly identify and obtain new facilities, and we may incur significant costs or interruptions to our services, as a result.

21

Table of Contents

Our ability to provide services to our customers depends on our ability to communicate with customers through the public internet and electronic
networks  owned  and  operated  by  third  parties. A  major  failure  or  disruption  of  the  internet  or  third-party  networks  could  impede  our  ability  to
provide  services  to  our  customers,  result  in  a  loss  of  customers,  subject  us  to  potential  liabilities,  result  in  contract  terminations  or  adversely
affect our renewal rates.

Cyberattacks, data breaches or other compromises to our or our critical third parties' systems, data, products or services could have
a material adverse effect on our business.

We rely heavily on a range of IT Systems for critical business operations. In addition, we and various third parties collect, process and store our
customers’,  suppliers’  and  employees’  confidential  information,  as  well  as  our  own  proprietary  business  information  (collectively,  "Confidential
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.

We  face  numerous  and  evolving  cybersecurity  risks  that  threaten  the  confidentiality,  integrity  and  availability  of  IT  Systems  and  Confidential
Information. 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  or  disrupt  access  to  our
facilities, our systems or the systems of our third-party providers, and the information maintained in such systems. In addition, computer viruses,
malware  (for  example,  ransomware)  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.

The frequency and scope of cyberattacks has been steadily increasing, and attackers are increasingly sophisticated, using tools and techniques,
including artificial intelligence, 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  are  routinely  subjected  to  cyberattacks  such  as  denial  of  service,  attempted  unauthorized  network  intrusions,
malware, viruses, social engineering (phishing), ransomware attacks or other persistent cyber threats. In addition, remote working arrangements
at  our  Company  and  many  third-party  providers,  increase  cybersecurity  risks  due  to  the  IT  challenges  associated  with  managing  remote
computing assets and vulnerabilities inherent in many non-corporate and home networks. In sum, there can also be no assurance that our or our
third-party  providers’  cybersecurity  risk  management  programs,  including  relevant  policies,  processes  and  controls,  will  be  fully  implemented,
complied with or effective in protecting IT Systems or Confidential Information that are critical to our business.

Any cyberattack or incident that compromises the confidentiality, integrity or availability of IT Systems or Confidential Information, for example,
the theft, misuse of, or unauthorized access to Confidential Information, 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.

22

Table of Contents

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 at December 31, 2023 and 2022 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

23

Table of Contents

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 ("CCPA"), which
came into effect in January 2020, and the California Privacy Rights Act (“CPRA”), which came into effect in January 2023, expanding upon the
CCPA. The CCPA and CPRA 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.

24

Table of Contents

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.

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 22, 2024.

ITEM 1C. CYBERSECURITY

Spok's enterprise risk management program includes our cybersecurity risk management program ("Cybersecurity Program"), which is designed
to  protect  the  confidentiality,  integrity  and  availability  of  our  critical  systems  and  information.  Our  Cybersecurity  Program  is  designed  utilizing
guidance  from  the  National  Institute  of  Standards  and  Technology  Cybersecurity  Framework  (NIST  CSF)  and  includes  security  policies  and
procedures, security appliances and software, third-party vulnerability testing, business continuity plans, and other administrative, physical and
technical  measures.  Executive  management,  including  Chief  Information  Officer  (CIO)/Chief  Information  Security  Officer  (CISO)  and  VP
Technology  Operations,  has  overall  responsibility  for  assessing  and  managing  key  cybersecurity  risks;  implementation  of  the  Cybersecurity
Program  is  led  by  key  information  technology  and  security  management  members,  including  the  CIO/CISO  who  have  over  a  combined  four
decades  of  experience,  specialized  training,  and  various  certifications  in  information  technology  and  cybersecurity  strategy,  tools  and
governance. As part of the enterprise risk management program, our Cybersecurity Program shares similar methodologies, reporting channels
and governance processes to other areas across the Company.

The Cybersecurity Program includes, but is not limited to, the following processes that collectively help management to stay informed about and
monitor the prevention, detection, mitigation and remediation of risks and incidents:

25

Table of Contents

•

•

•

•

•

Risk assessment program to assess, track and address security risks.

Incident Response Plan to identify, evaluate, remediate and report incidents, as appropriate.

Security testing by external third-party providers to identify potential threats and vulnerabilities.

Reviews of critical third-party connections, including a security assessment and restrictions based on the third-party's risk profile.

Security training for employees and contractors, including alerts for new security developments, as warranted.

Cybersecurity  is  part  of  our  Board  of  Directors'  oversight  function.  Our  Board  of  Directors  has  delegated  oversight  of  cybersecurity  and  other
information technology to its Audit Committee. Our Audit Committee receives regular reporting from executive management on our cybersecurity
risks and, as necessary, updates on cybersecurity incidents. Our Audit Committee and executive management report to our Board of Directors
regarding its activities, including the Cybersecurity Program. Our Board of Directors also receives continuing education on the cybersecurity risks
that impact public companies.

We have not identified risks from known cybersecurity threats, including as a result of any prior cybersecurity incidents, which have materially
affected  us,  including  our  operations,  business  strategy,  results  of  operations,  or  financial  condition.  We  face  certain  ongoing  risks  from
cybersecurity  threats  that,  if  realized,  are  reasonably  likely  to  materially  affect  us,  including  our  operations,  business  strategy,  results  of
operations,  or  financial  condition.  See  Item  1A.  “Risk  Factors  –Cyberattacks,  data  breaches  or  other  compromises  to  our  or  our  critical  third
parties' systems, data, products or services could have a material adverse effect on our business.

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. In September 2023, we exercised an early termination option for the lease and reduced the lease
term by two years, with a revised end date of September 30, 2024.

At December 31, 2023, we leased facility space, including our corporate headquarters, sales offices, technical facilities, warehouse and storage
facilities  in  42  locations  in  24  states  in  the  United  States  and  one  facility  in  the  Middle  East. The  total  leased  space  is  approximately  89,000
square feet. At December 31, 2023, we owned three small parcels of land in three states in the United States.

At December 31, 2023, we leased transmitter sites on commercial broadcast towers, buildings and other fixed structures, some of which are free
of charge, in approximately 2,646 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, 2023, we had 3,215 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.

ITEM 4. MINE SAFETY DISCLOSURES

Not applicable. 

PART II

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."

®

26

Table of Contents

Holders of Common Stock

As of February 16, 2024, there were 2,712 holders of record of our common stock.

Dividends

The Company declared dividends totaling $26.2 million, $25.8 million, and $10.2 million during the years ended December 31, 2023, 2022, and
2021,  respectively.  Cash  dividends  declared  include  dividends  related  to  unvested  restricted  stock  units  ("RSUs")  and  shares  of  unvested
restricted  common  stock  ("restricted  stock")  granted  under  the  Company's  Equity  Plan  (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, 2023:

(Dollars in Thousands)

Year

Prior to 2019
2019
2020
2021
2022
2023

Dividends Declared Per Share
Amount

Total
Payment

(1)

$

$

19.275  $
0.500 
0.500 
0.500 
1.250 
1.250 
23.275  $

477,331 
9,819 
9,771 
10,025 
25,011 
25,642 
557,599 

(1)

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

On February 21, 2024, the Board of Directors declared a regular quarterly cash dividend of $0.3125 per share of common stock, with a record
date of March 15, 2024, and a payment date of March 29, 2024. This cash dividend of approximately $6.3 million is expected to be paid from
available cash on hand.

27

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, 2018 to December 31, 2023, against the cumulative total return of the NASDAQ
Composite Index  and the S&P Composite 1500 Health Care Technology Index for the same period.

®

®

The chart assumes that on December 31, 2018 $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,  2018  to  December  31,  2023.  The  stock  performance  depicted  on  the  chart
represents historical stock performance and is not necessarily indicative of future stock price performance.

*$100 invested on 12/31/18 in stock or index, including reinvestment of dividends. Fiscal year ending December 31.

2018

2019

2020

2021

2022

2023

December 31,

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

$

100.00  $
100.00 
100.00 

95.83  $

91.66  $

80.88  $

83.40  $

136.69 
131.54 

198.10 
151.00 

242.03 
177.70 

163.28 
151.48 

174.01 
236.17 
110.22 

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 three months
ended December 31, 2023.

28

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, 2023 and 2022.

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.

We  have  revised  the  Consolidated  Balance  Sheet  as  of  December  31,  2022,  Consolidated  Statement  of  Stockholders'  Equity  for  the  years
ended December 31, 2022 and 2021, as well as the relevant footnotes, and other financial information as applicable, included herein to reflect
the reduction in opening retained earnings and a corresponding increase to deferred revenue, as described in Note 1, to correct an immaterial
error related to the understatement of deferred revenue of approximately $1.0 million. There were no changes to previously issued total cash
flows for any of the impacted periods.

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

29

Table of Contents

large  government  agencies;  leading  public  safety  institutions;  colleges  and  universities;  large  hotels,  resorts  and  casinos;  and  well-known
manufacturers.

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,  continued  to  return  capital  to  stockholders  in  the  form  of
quarterly dividends of $0.3125 per share in 2023. 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.

2023 Highlights

Total  revenue  grew  for  the  first  time  in  the  Company's  history,  increasing  by  $4.5  million,  or  3.3%,  compared  to  2022,  as  a  result  of  renewed
focus on our existing and established businesses, including the Spok Care Connect Suite and our wireless services offerings.

Total  operating  expenses  continued  to  decline,  as  the  benefits  from  the  restructuring  of  our  business  initiated  in  2022  extended  into  2023,
decreasing by $16.5 million, or 12.3%, compared to 2022.

Launched  the  Spok  Care  Connect  Hosted  Solution  in  early  2024,  which  is  geared  towards  hospitals  under  200  beds,  alongside  significant
progress made in the continued enhancement of the Spok Care Connect Suite.

Returned approximately $25.6 million of capital to stockholders in the form of cash dividends.

30

Table of Contents

Results of Operations

The following table is a summary of our Consolidated Statements of Operations for the years ended December 31, 2023, 2022 and 2021, and
the discussion that follows compares the year ended December 31, 2023 to the year ended December 31, 2022. For a discussion and analysis
of the year ended December 31, 2022, compared to the year ended December 31, 2021, 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,
2022, filed with the SEC on February 23, 2023:

(Dollars in thousands)

Revenue:

Wireless revenue
Software revenue
Total revenue

Operating expenses:

2023

Change

2022

Change

2021

$

75,968  $
63,057 
139,025 

346 
4,145 
4,491 

0.5 % $
7.0 %
3.3 %

75,622  $
58,912 
134,534 

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

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

78,826 
63,327 
142,153 

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
Capitalized software development
impairment

Total operating expenses

Operating income (loss)
Interest income
Other (expense) income

Income (loss) before income taxes

(Provision for) benefit from income taxes

Net income (loss)

$

Supplemental Information
FTEs
Active transmitters

26,818 
10,549 
25,843 
16,350 
33,168 
573 

(1,449)
(3,076)
(1,569)
54 
(4,628)
(6,756)

(5.1)%
(22.6)%
(5.7)%
0.3 %
(12.2)%
(92.2)%

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

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

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

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

4,496 

925 

25.9 %

3,571 

(6,875)

(65.8)%

10,446 

— 
117,797 
21,228 
1,099 
(2)
22,325 
(6,659)
15,666  $

— 
(16,499)
20,990 
507 
(169)
21,328 
(27,518)
(6,190)

— %
(12.3)%
8,819.3 %
85.6 %
(101.2)%
2,139.2 %
(131.9)%

(28.3)% $

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

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

15,663 
(100.0)%
169,871 
(20.9)%
(27,718)
(100.9)%
320 
85.0 %
66 
153.0 %
(27,332)
(103.6)%
304.9 %
5,152 
(198.5)% $ (22,180)

384 

3,215 

8 

(110)

2.1 %

(3.3)%

376 

3,325 

(187)

(143)

(33.2)%

(4.1)%

563 

3,468 

31

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)

2023

Change

2022

Change

2021

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

$

$

73,135  $
2,833 
75,968 

8,721 
14,694 
2,675 
26,090 
36,967 
63,057 
139,025  $

(188)
534 
346 

1,519 
2,129 
464 
4,112 
33 
4,145 
4,491 

(0.3)% $
23.2 %
0.5 %

73,323  $
2,299 
75,622 

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

(3.3)% $

(22.9)%
(4.1)%

75,845 
2,981 
78,826 

21.1 %
16.9 %
21.0 %
18.7 %
0.1 %
7.0 %
3.3 % $

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)% $

5,917 
17,161 
2,267 
25,345 
37,982 
63,327 
142,153 

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.

32

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.

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.

The  increase  in  wireless  revenue  for  the  year  ended  December  31,  2023,  as  compared  to  the  same  period  in  2022,  reflects  an  increase  in
product  revenue,  primarily  driven  by  the  secular  decrease  in  our  wireless  units  in  service,  from  approximately  817  thousand  units  as  of
December 31, 2022 to approximately 765 thousand units as of December 31, 2023. Product revenue includes one-time fees when customers
cancel our services and is highly variable as the fees are charged to customers when pagers are disconnected and the customer is unable to
return the units. The increase in product revenue was partially offset by a marginal decrease in paging revenue primarily due to the decrease in
the units in service noted above, offset by continued increase in ARPU resulting from price increases initiated in the third quarter of 2023 and
general increases in Universal Service Fund ("USF") fees, which are effectively pass-through items that have corresponding costs associated
with them. ARPU was $7.71 in 2023, as compared to $7.34 in 2022. Excluding pass-through items, ARPU increased by $0.29, as compared to
the same period in 2022, as a result of the price increases.

We  believe  that  demand  for  wireless  services  will  continue  to  decline  for  the  foreseeable  future  in  line  with  recent  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.

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

(Units and Dollars in Thousands)

2023

2022

Change

2023

2022

Change

ARPU

Units

Units in Service as of December 31,

Revenue for the Year Ended December 31,

Change Due To:

Paging revenue

765 

817 

(52) $

73,135  $

73,323  $

(188) $

3,449  $

(3,637)

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  hardware  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 hardware, typically for a period of one year after project completion.

33

 
Table of Contents

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.

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.

Operations Revenue

Software operations revenue increased during 2023 when compared to 2022, primarily as a result of higher license, professional services and
hardware  revenue.  License  and  hardware  revenue  increases  were  driven  by  higher  operations  bookings  as  compared  to  2022.  Professional
services revenue increased primarily as a result of improved resource utilization.

Maintenance Revenue

We  have  seen  modest  improvement  in  our  gross  maintenance  revenue  churn  alongside  increasing  operational  bookings  which  drive  new
maintenance  revenue.  Given  these  dynamics,  we  believe  annual  maintenance  revenue  is  likely  to  remain  flat  or  increase  marginally,  as  we
continue to enhance our existing software solutions. Further enhancements are expected to provide additional avenues for license sales which
generate new maintenance revenue and help to reduce levels of gross churn.

34

Table of Contents

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.

35

Table of Contents

The following is a review of our operating expense categories for the years ended December 31, 2023 and 2022.

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

2023

Change

2022

Change

$

$

16,029  $
5,449 
3,737 
258 
1,345 
26,818  $

142 

(1,365)
(502)
532 
(86)
(28)
(1,449)

9 

(7.8)% $
(8.4)%
16.6 %
(25.0)%
(2.0)%
(5.1)% $

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

6.8 %

133 

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

(49)

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

(26.9)%

2021

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

182 

Cost  of  revenue  decreased  for  the  year  ended  December  31,  2023,  compared  to  2022,  primarily  driven  by  decreases  in  payroll  and  related
expenses and, cost of sales, partially offset by an increase in recoverable taxes and fees.

The  decrease  in  payroll  and  related  expenses  reflects  the  cost  savings  resulting  from  positions  eliminated  throughout  2022  stemming  from
execution of the strategic business plan announced in February 2022, partially offset by a higher average cost per employee as well as increase
in headcount in 2023. Cost of sales expenses decreased primarily due to reduced use of third-party professional services utilized to augment
company resources when short-term capacity constraints exist. Recoverable taxes and fees increased due to the rate change for USF fees, as
established by the Federal Communications Commission on a quarterly basis. These fees are passed through to our wireless customer base
and have a corresponding revenue impact.

Research and Development

Research and development consisted primarily of the following items:

(Dollars in thousands)

2023

Change

2022

Change

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

Total research and development

FTEs

$

$

6,262  $
4,151 
— 
45 
91 
10,549  $

38 

(2,207)
(291)
— 
(171)
(407)
(3,076)

3 

(26.1)% $
(6.6)%
— %
(79.2)%
(81.7)%
(22.6)% $

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)% $

8.6 %

35 

(67)

(65.7)%

2021

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

102 

Research and development expenses decreased for the year ended December 31, 2023, compared to 2022, primarily driven by decreases in
payroll and related, other and outside services expenses.

The  decrease  in  payroll  and  related  expenses  reflects  the  cost  savings  resulting  from  positions  eliminated  throughout  2022  stemming  from
execution of the strategic business plan announced in February 2022, partially offset by a higher average cost per employee as well as increase
in headcount in 2023,

The decrease in other expenses was primarily driven by the favorable settlement of a loss contingency.

36

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

2023

Change

2022

Change

$

$

9,012  $
11,468 
2,823 
187 
2,353 
25,843  $

(663)
(509)
(112)
(32)
(253)
(1,569)

(6.9)% $
(4.2)%
(3.8)%
(14.6)%
(9.7)%
(5.7)% $

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

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

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

69 

(5)

(6.8)%

74 

(12)

(14.0)%

2021

9,959 
12,565 
3,316 
459 
2,545 
28,844 

86 

Technology operations expenses decreased for the year ended December 31, 2023, compared to 2022, primarily driven by lower payroll and
related expenses and site rent costs.

The  decrease  in  payroll  and  related  expenses  reflects  the  cost  savings  resulting  from  positions  eliminated  throughout  2022  stemming  from
execution of the strategic business plan announced in February 2022, partially offset by a higher average cost per employee in 2023.

Site rent 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 3.3% from December 31, 2022 to
December 31, 2023. 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.

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

2023

Change

2022

Change

$

$

9,766  $
4,517 
1,127 
424 
516 
16,350  $

64 

(532)
484 
(176)
80 
198 
54 

(1)

(5.2)% $
12.0 %
(13.5)%
23.3 %
62.3 %

0.3 % $

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

(1.5)%

65 

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

(28)

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

(30.1)%

2021

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

93 

Selling and marketing expenses increased marginally for the year ended December 31, 2023, compared to 2022, primarily driven by an increase
in commissions related to higher operations bookings, partially offset by decreases in payroll and related expenses.

The  decrease  in  payroll  and  related  expenses  reflects  the  cost  savings  resulting  from  positions  eliminated  throughout  2022  stemming  from
execution of the strategic business plan announced in February 2022, partially offset by a higher average cost per employee in 2023.

37

Table of Contents

General and Administrative

General and administrative consisted primarily of the following items:

(Dollars in thousands)

2023

Change

2022

Change

2021

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

$

$

13,911  $
3,131 
7,292 
4,528 
1,026 
327 
2,953 
33,168  $

(652)
427 
(1,990)
(1,886)
11 
(424)
(114)
(4,628)

(4.5)% $
15.8 %
(21.4)%
(29.4)%
1.1 %
(56.5)%
(3.7)%
(12.2)% $

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

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

(5.0)% $

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

71 

2 

2.9 %

69 

(31)

(31.0)%

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

100 

General  and  administrative  expenses  decreased  for  the  year  ended  December  31,  2023,  compared  to  2022,  driven  by  decreases  in  outside
services, facility rent, office and technology costs, payroll and related expenses and bad debt.

The decrease in facility rent, office and technology costs was primarily due to reduction of office space in 2023.

Outside services expense decreased as a result of lower legal and other professional services in 2023.

The  decrease  in  payroll  and  related  expenses  reflects  the  cost  savings  resulting  from  positions  eliminated  throughout  2022  stemming  from
execution of the strategic business plan announced in February 2022, partially offset by a higher average cost per employee as well as increase
in headcount in 2023.

The decreases in bad debt were driven by improvements in collections on aging receivables for the year ended December 31, 2023.

Depreciation, Amortization and Accretion

For  the  year  ended  December  31,  2023,  compared  to  2022,  depreciation,  amortization  and  accretion  expenses  increased  by  $0.9  million,
primarily due to increases in asset retirement cost and pager depreciation.

Severance and Restructuring

For the years ended December 31, 2023 and 2022, severance and restructuring expenses were $0.6 million and $7.3 million, respectively, The
expenses  incurred  in  2022  were  related  to  the  restructuring  program  announced  in  February  2022.  No  similar  severance  and  restructuring
expenses were incurred for the year ended December 31, 2023 as the restructuring program reached its conclusion in the fourth quarter of 2022.
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, 2023 and 2022, no
goodwill impairment was recognized.

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 for the years ended December 31, 2023 and 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.

38

Table of Contents

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

Interest Income

Interest  income  increased  by  $0.5  million  for  the  year  ended  December  31,  2023,  compared  to  2022,  primarily  due  to  an  increase  in  interest
earned on the Company's cash balances and short-term investments, driven by higher interest rates from macroeconomic events.

Other Income

For the year ended December 31, 2022, other income was $0.2 million as compared to no other income for the year ended December 31, 2023.

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, 2023, 2022 and 2021, 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
Change in valuation allowance
Research and development and other tax credits
Excess executive compensation
Other

Provision for (benefit from) income taxes

$

$

$

22,325 

4,688 
1,343 
— 
— 
405 
223 
6,659 

2023

2022

2021

$

997 

$ (27,332)

21.0 % $
6.0 %
— %
— %
1.8 %
0.9 %

209 
121 
(21,850)
(88)
231 
518 
29.8 % $ (20,859)

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 %

The provision for income taxes changed by $27.5 million for the year ended December 31, 2023, compared to 2022 primarily due to a reduction
of the valuation allowance in 2022, as well as an increase in both federal and state income taxes stemming from higher income in 2023. Our
investment  in  research  and  development  in  prior  years  qualified  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 did not qualify for the research and development tax credits in 2023.

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 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

39

Table of Contents

Cash and Cash Equivalents

At December 31, 2023, we held cash, cash equivalents and short-term investments of $32.0 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. We maintain
the  majority  of  our  cash  and  cash  equivalents  in  accounts  with  major  U.S.  and  multi-national  financial  institutions,  and  the  majority  of  our
deposits at these institutions exceed insured limits. Market conditions can impact the viability of these institutions. In the event of failure of any of
the  financial  institutions  where  we  maintain  our  cash  and  cash  equivalents,  there  can  be  no  assurance  that  we  would  be  able  to  access
uninsured  funds  in  a  timely  manner  or  at  all. Any  inability  to  access  or  delay  in  accessing  these  funds  could  adversely  affect  our  business,
financial condition and results of operations.

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.

With the successful completion of the restructuring plan and our ongoing efforts to stabilize revenue and optimize costs, we anticipate positive
cash flow generation will continue in future operating periods.

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.

In September 2023, we exercised an early termination option for the lease of our corporate headquarters in Alexandria, Virginia. Upon exercising
the option, the lease term was reduced by two years, with a revised end date of September 30, 2024. As a result of the early termination, the
Company paid a one-time termination fee of $0.7 million, reflected in our cash balances as of December 31, 2023. A reduction of $1.3 million
was  made  to  operating  lease  right-of-use  assets,  and  a  corresponding  reduction  of  $2.0  million  was  made  to  non-current  operating  lease
liabilities. The termination fee and remaining lease costs, totaling approximately $1.3 million, will be amortized to Severance and Restructuring
over  the  remaining  lease  term  between  October  1,  2023  and  September  30,  2024.  Thereafter,  we  expect  to  save  approximately  $1.0  million
annually as a result of this lease termination.

We anticipate relocation of our headquarters to the existing corporate location in Plano, Texas and do not expect material costs to be incurred as
a result of this change. Approximately 30 employees will be impacted as a result of this decision. While these employees will formally transition
to a remote work environment, this is largely consistent with how we have been operating since the onset of the COVID-19 pandemic in early
2020. While this decision was not made lightly, the Company expects to benefit greatly from the significant cash savings, greater flexibility for our
employees and higher levels of productivity we have seen from the pre-existing work-from-home posture.

On February 21, 2024, the Board of Directors declared a regular quarterly cash dividend of $0.3125 per share of common stock, with a record
date of March 15, 2024 and a payment date of March 29, 2024. This cash dividend of approximately $6.3 million is expected to be paid from
available cash on hand.

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, 2023, should be adequate to meet anticipated cash requirements for the short term (next 12 months) and long
term (beyond 12 months).

40

Table of Contents

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

(Dollars in thousands)

2023

2022

2021

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

$

26,184  $
(3,417)
(26,677)

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

7,968 
(225)
(11,753)

For the Year Ended December 31,

Operating Activities

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, 2023, net cash provided by operating activities was $26.2 million, an increase of $19.7 million compared to
2022.  This  increase  was  primarily  driven  by  net  income  of  $15.7  million,  accounts  receivable  of  $2.6  million  and  non-cash  items  such  as
depreciation,  amortization  and  accretion  of  $4.5  million,  deferred  income  tax  expense  of  $6.4  million  and  stock-based  compensation  of
$4.1 million. These increases were partially offset by accounts payable of $5.2 million.

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.

Investing Activities

For the year ended December 31, 2023, net cash used in investing activities was $3.4 million, primarily due to capital expenditures. 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.

Financing Activities

For  the  years  ended  December  31,  2023  and  2022,  net  cash  used  in  financing  activities  was  $26.7  million  and  $26.2  million,  respectively,
primarily due to cash distributions to stockholders of $25.6 million and $25.0 million, respectively.

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 was to expire on September 30, 2026. In September 2023, we exercised an early termination option that
reduced the lease term by two years, with a revised end date of September 30, 2024.

41

 
Table of Contents

The following table provides the Company's significant commitments and contractual obligations as of December 31, 2023:

(Dollars in thousands)

Operating lease obligations
Unconditional purchase obligations
Total contractual obligations

Payments Due by Period

Total

Less than 1
year

1 to 3 years

3 to 5 years

More than 5
years

$

$

13,237  $
3,700 
16,937  $

4,822  $
2,288
7,110  $

4,325  $
1,412 
5,737  $

2,602  $
— 
2,602  $

1,488 
— 
1,488 

In January 2024, we entered into a three year contract to renew a subscription for a total value of $3.6 million for future subscription services.
This contract was an early renewal of our existing subscription which is included at $0.8 million within less than 1 year payments due by period
within the table above.

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, 2023, 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.

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

42

 
Table of Contents

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 2023. We 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.

43

Table of Contents

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 2023. We recorded no impairment of goodwill for
the years ended December 31, 2023, 2022 and 2021.

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 events for long-lived assets in 2023.

We did not record any impairment of long-lived assets or definite-lived intangible assets for the years ended December 31, 2023 and 2022. 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, 2023, 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.

44

Table of Contents

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, 2023 and 2022
Consolidated Statements of Operations for the Years Ended December 31, 2023, 2022 and 2021
Consolidated Statements of Comprehensive Income (Loss) for the Years Ended December 31, 2023, 2022 and 2021
Consolidated Statements of Stockholders' Equity for the Years Ended December 31, 2023, 2022 and 2021
Consolidated Statements of Cash Flows for the Years Ended December 31, 2023, 2022 and 2021
Notes to Consolidated Financial Statements
Schedule II - Valuation and Qualifying Accounts

Page

F- 2
F- 4
F- 4
F- 5
F- 6
F- 7
F- 8
F- 28

45

Table of Contents

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, 2023.

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, 2023.

The  effectiveness  of  our  internal  control  over  financial  reporting  as  of  December  31,  2023  has  been  audited  by  Grant  Thornton  LLP,  an
independent registered public accounting firm, as stated in its report which appears in this 2023 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, 2023, that have
materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.

ITEM 9B. OTHER INFORMATION

Securities Trading Plans of Directors and Executive Officers

46

Table of Contents

During  the  three  months  ended  December  31,  2023,  no  director  or  officer  of  the  Company  adopted  or  terminated  a  “Rule  10b5-1  trading
arrangement” or “non-Rule 10b5-1 trading arrangement,” as each term is defined in Item 408(a) of Regulation S-K.

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 2024 Annual
Meeting of Stockholders, which will be filed with the SEC no later than April 29, 2024.

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 2024 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  2024 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  2024 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 2024 Annual Meeting of Stockholders entitled "Related Party 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 2024 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  2024 Annual
Meeting of Stockholders entitled "Independent Registered Public Accounting Firm Fees."

47

Table of Contents

PART IV

ITEM 15. EXHIBIT AND FINANCIAL STATEMENT SCHEDULES

The following documents are filed as part of this 2023 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.

48

Table of Contents

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 its behalf by the undersigned, thereunto duly authorized. 

By:

Spok Holdings, Inc.

/s/ Vincent D. Kelly
Vincent D. Kelly
President and Chief Executive Officer
February 22, 2024

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 22, 2024

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

February 22, 2024

Chairman of the Board

February 22, 2024

February 22, 2024

February 22, 2024

February 22, 2024

February 22, 2024

Director

Director

Director

Director

49

Table of Contents

Index to Consolidated Financial Statements
Reports of Independent Registered Public Accounting Firm (PCAOB ID Number 248)
Consolidated Balance Sheets as of December 31, 2023 and 2022
Consolidated Statements of Operations for the Years Ended December 31, 2023, 2022 and 2021
Consolidated Statements of Comprehensive Income (Loss) for the Years Ended December 31, 2023, 2022 and 2021
Consolidated Statements of Stockholders' Equity for the Years Ended December 31, 2023, 2022 and 2021
Consolidated Statements of Cash Flows for the Years Ended December 31, 2023, 2022 and 2021
Notes to Consolidated Financial Statements
Schedule II - Valuation and Qualifying Accounts

Page

F- 2
F- 4
F- 4
F- 5
F- 6
F- 7
F- 8
F- 28

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, 2023 and 2022, 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,  2023,  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, 2023 and 2022, and the results of its operations and its cash
flows  for  each  of  the  three  years  in  the  period  ended  December  31,  2023,  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,  2023,  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 22, 2024 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 matters
Critical  audit  matters  are  matters  arising  from  the  current  period  audit  of  the  financial  statements  that  were  communicated  or  required  to  be
communicated to the audit committee and that: (1) relate to accounts or disclosures that are material to the financial statements and (2) involved
our especially challenging, subjective, or complex judgments. We determined that there are no critical audit matters.

/s/ GRANT THORNTON LLP

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

Arlington, Virginia
February 22, 2024

F-2

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,  2023,  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,  2023,  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, 2023, and our report dated February 22, 2024
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 22, 2024

F-3

SPOK HOLDINGS, INC.
CONSOLIDATED BALANCE SHEETS 

December 31,

2023

2022

Table of Contents

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

ASSETS

Current assets:

Cash and cash equivalents
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; 19,992,102 and
19,703,800 shares issued and outstanding as of December 31, 2023 and December 31,
2022, respectively.
Additional paid-in capital
Accumulated other comprehensive loss
Retained earnings

TOTAL STOCKHOLDERS’ EQUITY

TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY

$

$

$

$

$

31,989  $
23,314 
7,885 
704 
63,892 

7,321 
10,526 
99,175 
46,260 
510 
163,792 
227,684  $

5,969  $
7,284 
26,298 
4,184 
4,273 
48,008 

7,191 
6,902 
1,812 
15,905 
63,913 

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 
27,255 
5,096 
4,573 
54,432 

7,237 
10,604 
1,107 
18,948 
73,380 

—  $

— 

2 
102,936 
(1,764)
62,597 
163,771 
227,684  $

2 
99,908 
(1,909)
73,096 
171,097 
244,477 

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
Operating expenses:

For the Year Ended December 31,

2023

2022

2021

$

75,968  $
63,057 
139,025 

75,622  $
58,912 
134,534 

78,826 
63,327 
142,153 

 
 
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
Capitalized software development impairment

Total operating expenses

Operating income (loss)
Interest income
Other (expense) income

Income (loss) before income taxes

(Provision for) benefit from 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

26,818 
10,549 
25,843 
16,350 
33,168 
573 
4,496 
— 
117,797 
21,228 
1,099 
(2)
22,325 
(6,659)
15,666  $

0.79  $
0.77  $

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)

19,953,747 
20,343,912 

19,672,423 
19,991,202 

19,404,477 
19,404,477 

1.250  $

1.250  $

0.500 

$

$
$

$

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

F-4

Table of Contents

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

(Dollars in thousands)

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

Other comprehensive income (loss)
Comprehensive income (loss)

$

$

For the Year Ended December 31,

2023

2022

2021

15,666  $

21,856  $

145 
145 
15,811  $

(321)
(321)
21,535  $

(22,180)

(136)
(136)
(22,316)

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

F-5

 
Table of Contents

SPOK HOLDINGS, INC.
CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

Outstanding
Common
Shares

Common
Stock

Additional
Paid-In
Capital and
Accumulated Other
Comprehensive
Income (Loss)

Retained
Earnings

Total
Stockholders’
Equity

19,094,452  $

— 

2  $
— 

90,328  $
— 

109,302  $
(22,180)

199,632 
(22,180)

(Dollars in thousands, except share amounts)

Balance, January 1, 2021

Net loss
Issuance of common stock under the Employee
Stock Purchase Plan
Issuance of restricted stock under the Equity Plan
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

16,015 
373,612 
(172,594)
— 
— 

169,944 
— 

Balance, December 31, 2021

19,481,429  $

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

Balance, December 31, 2022

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

— 
355,397 
(133,026)
— 
— 
— 

19,703,800  $

— 

23,422 
409,396 
(144,516)
— 
— 
— 

Balance, December 31, 2023

19,992,102  $

— 
— 
— 
— 
— 

— 
— 
2  $
— 
— 
— 
— 
— 
— 
2  $
— 

— 
— 
— 
— 
— 
— 
2  $

132 
— 
(1,860)
7,239 
— 

— 
(136)
95,703  $
— 
— 
(1,210)
3,827 
— 
(321)
97,999  $
— 

210 
— 
(1,245)
4,063 
— 
145 
101,172  $

— 
— 
— 
— 
(10,117)

— 
— 
77,005  $
21,856 
— 
— 
— 
(25,765)
— 
73,096  $
15,666 

— 
— 
— 
— 
(26,165)
— 
62,597  $

132 
— 
(1,860)
7,239 
(10,117)

— 
(136)
172,710 
21,856 
— 
(1,210)
3,827 
(25,765)
(321)
171,097 
15,666 

210 
— 
(1,245)
4,063 
(26,165)
145 
163,771 

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

F-6

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,

2023

2022

2021

$

15,666  $

21,856  $

(22,180)

Depreciation, amortization and accretion
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 (used in) provided by 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 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)

4,496 
— 
— 
6,378 
4,063 
950 

2,580 
(909)
(1,264)
(5,217)
(559)
26,184 

(3,417)
— 
— 
— 
(3,417)

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 

(25,642)
210 
(1,245)
(26,677)
145 
(3,765)
35,754 
31,989  $

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

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)

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

179  $

223  $

(126)

$

$

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

F-7

 
Table of Contents

NOTE 1 - ORGANIZATION AND SIGNIFICANT ACCOUNTING POLICIES

SPOK HOLDINGS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

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.

Revision of Previously Issued Financial Statements

During  the  three  months  ended  June  30,  2023,  the  Company  identified  certain  adjustments  to  correct  an  immaterial  error  related  to  the
understatement of deferred revenue of approximately $1.0 million. These adjustments corrected an overstatement of the Company's software
revenue  in  2018  stemming  from  non-recurring  activity  associated  with  the  implementation  of  a  new  financial  system  in  2017.  Based  on  the
Company's quantitative and qualitative analysis, the Company concluded that the adjustments were not material to any prior annual or interim
periods.

To correct the immaterial error, the Company has revised the Consolidated Balance Sheet as of December 31, 2022, Consolidated Statement of
Stockholders'  Equity  for  the  years  ended  December  31,  2022  and  2021,  as  well  as  the  relevant  footnotes,  and  other  financial  information  as
applicable, included herein to reflect the reduction in opening retained earnings and a corresponding increase to deferred revenue. There were
no changes to previously issued total cash flows for any of the impacted periods.

F-8

Table of Contents

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.

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

F-9

Table of Contents

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.

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 $4.5 million, $4.0 million and $4.4 million for the years
ended December 31, 2023, 2022 and 2021, respectively. Commission expense is classified within the selling and marketing operating expenses
category.

F-10

Table of Contents

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 at lease inception 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 non-lease components, we have elected to make use of the practical expedient to
account  for  each  separate  lease  component  and  associated  non-lease  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, 2023, 2022 and 2021.

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.

We  did  not  record  any  impairment  of  long-lived  assets  for  the  years  ended  December  31,  2023  and  2022,  We  recorded  an  impairment  of
$15.7 million related to capitalized software development for the year ended December 31, 2021.

F-11

Table of Contents

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. 

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 3.0% 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.

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.

F-12

Table of Contents

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  and  credits  as  the  Company  does  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,
2023 and 2022 (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.  With  the  discontinuation  of  Spok  Go  in  2022,  no
software development costs were capitalized in 2023.

®

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.

F-13

Table of Contents

Advertising Expenses

Advertising  costs  are  charged  to  operations  when  incurred.  Advertising  costs  are  classified  as  selling  and  marketing  expenses.  Advertising
expenses were $0.7 million, $1.0 million and $1.4 million for the years ended December 31, 2023, 2022 and 2021, 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."

Concentrations 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, 2023, 2022 and 2021, our bad debt expenses were $0.3 million,
$1.2 million and $0.7 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, 2023, 2022 and 2021.

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.

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.

F-14

Table of Contents

Financial instruments including cash and cash equivalents, accounts receivable and accounts payable all have fair values that approximate their
carrying values at December 31, 2023 and 2022 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, 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 

As of December 31, 2023, there were no outstanding restructuring-related liabilities. A summary of activities for the years ended December 31,
2023 and 2022 for restructuring-related liabilities associated with the strategic business plan, which is included within accrued compensation and
benefits and other current liabilities within the Consolidated Balance Sheet, is as follows:

(Dollars in thousands)

Balance at December 31, 2021
Restructuring and other charges
Payments
Non-cash adjustment
Balance at December 31, 2022
Payments
Non-cash adjustment
Balance at December 31, 2023

F-15

$

$

$

Total

— 
6,649 
(4,286)
(155)
2,208 
(2,199)
(9)
— 

Table of Contents

NOTE 4 - REVENUE, DEFERRED REVENUE AND PREPAID COMMISSIONS

Revenue Recognition

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,

2023

2022

2021

$

$

$

$
$

73,135  $
2,833 
75,968  $

8,721  $

14,694 
2,675 
26,090 
36,967 
63,057  $
139,025  $

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 

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, 2023, 2022 and
2021. 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

Deferred Revenues

For the Year Ended December 31,

2023

2022

2021

$

$

135,804  $
3,221 
139,025  $

130,380  $
4,154 
134,534  $

138,265 
3,888 
142,153 

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 year ended December 31, 2023, are as follows:

(Dollars in thousands)

Deferred Revenue

December 31, 2022

Additions

Revenue Recognized

December 31, 2023

$

27,505  $

61,378  $

(61,937) $

26,946 

During the year ended December 31, 2023, the Company recognized $23.8 million of revenue related to amounts deferred as of December 31,
2022.

F-16

 
Table of Contents

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, 2023, are as follows:

(Dollars in thousands)

December 31, 2022

Additions

Commissions Recognized

December 31, 2023

Prepaid Commissions

$

1,745  $

5,057  $

(4,517) $

2,285 

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, 2023 was $56.2 million. We expect to recognize
approximately  $38.4  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.

In September 2023, we exercised an early termination option for the lease of our corporate headquarters in Alexandria, Virginia. Upon exercising
the option, the lease term was reduced by two years, with a revised end date of September 30, 2024. As a result of the early termination, the
Company paid a one-time termination fee of $0.7 million, reflected in our cash balance as of December 31, 2023. A reduction of $1.3 million was
made  to  right-of-use  assets,  and  a  corresponding  reduction  of  $2.0  million  was  made  to  non-current  operating  lease  liabilities.  For  additional
details, please refer to our discussion on this topic under "Liquidity and Capital Resources" within the Management's Discussion and Analysis of
Financial Condition and Results of Operations.

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

Total lease cost

For the Year Ended December 31,

2023

2022

2021

$

$

4,572
9,267
13,839

$

$

6,063
9,916
15,979

$

$

6,221
10,529
16,750

F-17

Table of Contents

The following table presents supplemental cash flow information:

(Dollars in thousands)

2023

2022

2021

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

$

5,995

$

5,708

$

5,625

For the Year Ended December 31,

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

(Dollars in thousands)

2023

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

December 31,

2022

4.20
5.84%

5.00
4.39%

2021

4.73
4.44%

Maturities of lease liabilities as of December 31, 2023, were as follows:

(Dollars in thousands)

2024
2025
2026
2027
2028
Thereafter

Total future lease payments

Imputed interest

Total

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

For the Year Ended December 31,

2023

2022

2021

$

87  $

64  $

(261)
3,792 
222 
3,840 

— 
— 
— 
656 
4,496  $

(702)
3,289 
240 
2,891 

— 
— 
— 
680 
3,571  $

Total depreciation, amortization and accretion expense

$

F-18

For the Year Ended December
31,

$

$

4,184 
2,404 
1,921 
1,460 
1,142 
1,488 
12,599 
(1,513)
11,086 

88 
(87)
3,797 
258 
4,056 

417 
5,357 
5,774 
616 
10,446 

Table of Contents

Accounts Receivable, net

Accounts  receivable  was  recorded  net  of  an  allowance  of  $1.6  million  and  $1.8  million  for  the  years  ended  December  31,  2023  and  2022,
respectively. Accounts receivable, net, included $6.0 million and $5.9 million of unbilled receivables for the years ended December 31, 2023 and
2022,  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,

2023

2022

$

$

2,202  $
3,722 
86,332 
3,129 
95,385 
(88,064)

7,321  $

2,497 
3,848 
88,427 
3,289 
98,061 
(89,838)
8,223 

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 2023 (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  2027  to  2028.  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 2024. 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.

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,  2023,  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, 2022.

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 years ended December 31,
2023 and 2022. For the year ended December 31, 2021, capitalized software development costs were $10.8 million with related amortization
expense of $5.4 million.

F-19

Table of Contents

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,  2023  and  2022.  Intangible  assets  related  primarily  to  customer
relationships 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 intangible assets during the years ended December 31, 2023,
2022 and 2021.

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 as of December 31, 2021

Accretion
Amounts paid
Additions
Reclassifications

Balance as of December 31, 2022

Accretion
Amounts paid
Additions
Reclassifications

Balance as of December 31, 2023

Short-Term Portion

Long-Term Portion

Total

$

$

130  $
138 
(288)
70 
193 
243 
(4)
(243)
(33)
243 
206  $

6,355  $
542 
— 
533 
(193)
7,237 
660 
— 
(463)
(243)
7,191  $

6,485 
680 
(288)
603 
— 
7,480 
656 
(243)
(496)
— 
7,397 

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 $8.9 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, 2023 and 2022, we had no stock options outstanding.

At December 31, 2023 and 2022, there were 19,992,102 and 19,703,800 shares of common stock outstanding, respectively, and no shares of
preferred stock were outstanding.

Dividends

For  the  years  ended  December  31,  2023  and  2022,  our  Board  of  Directors  declared  cash  dividends  of  $1.25  per  share  of  our  outstanding
common  stock,  compared  to  $0.50  per  share  for  the  year  ending  December  31,  2021.  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

F-20

Table of Contents

dividends paid as disclosed in the Consolidated Statements of Cash Flows for the years ended December 31, 2023, 2022 and 2021 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 21, 2024, the Board of Directors declared a regular quarterly cash dividend of $0.3125 per share of common stock, with a record
date of March 15, 2024 and a payment date of March 29, 2024. 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.

The Company did not repurchase any of its common stock during 2023, 2022 or 2021.

Net Income and Net Loss per Common Share

Basic net income and net loss per common share is computed on the basis of the weighted average common shares outstanding. Diluted net
income  and  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 income and net
loss per common share were as follows for the periods stated:

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

2023

2022

2021

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

$

$

$

15,666  $

21,856  $

(22,180)

19,953,747 

20,343,912 

0.79  $

0.77  $

19,672,423 

19,991,202 

1.11  $

1.09  $

19,404,477 

19,404,477 

(1.14)

(1.14)

For the years ended December 31, 2023, 2022 and 2021, 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,

2023

2022

2021

Restricted stock units

— 

— 

371,194 

Share-Based Compensation Plans

On  April  29,  2020,  our  Board  of  Directors  adopted  the  Spok  Holdings,  Inc.  2020  Equity  Incentive  Award  Plan  (the  “Equity  Plan”)  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 Plan.

On April 10, 2023, our Board of Directors adopted an amendment and restatement of the Equity Plan to increase the number of shares available
for issuance by 1,000,000 shares that our stockholders subsequently approved on July 25, 2023. At July 25, 2023, a total of 1,268,444 shares of
common stock had been reserved for issuance under the Equity Plan.

Awards under the 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.

F-21

Table of Contents

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.

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.

The following table summarizes the activities under the Equity Plan from January 1, 2021 through December 31, 2023:

Total equity securities available at January 1, 2021
Less: stock issued in lieu of cash compensation
Less: RSU and restricted stock awarded to eligible employees, net of forfeitures

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

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

Total equity securities available at December 31, 2023

Activity

1,699,314 
(169,944)
(539,241)
990,129 
(307,077)
683,052 
1,000,000 
(407,348)
1,275,704 

The  following  table  details  activities  with  respect  to  outstanding  RSUs,  DSUs,  and  restricted  stock  under  the  Equity  Plan  for  the  year  ended
December 31, 2023:

Unvested at January 1, 2023
Granted
Vested
Forfeited
Unvested at December 31, 2023

Shares

Weighted-Average Grant Date
Fair Value per Share

1,015,749  $
471,272 
(387,829)
(63,924)
1,035,268  $

10.25 
8.46 
11.09 
10.28 
9.12 

Of the 1,035,268 unvested RSUs, DSUs and restricted stock outstanding at December 31, 2023, 533,494 RSUs include contingent performance
requirements for vesting purposes. At December 31, 2023, there was $2.8 million of unrecognized net compensation cost related to RSUs and
restricted stock, which is expected to be recognized over a weighted average period of 1.5 years.

During the years ended December 31, 2022 and 2021, the Company granted 464,572 and 657,492 RSUs, respectively, with a weighted-average
grant  date  fair  value  of  $8.63  and  $11.02  per  share,  respectively.  The  fair  value  of  RSUs  that  vested  was  $3.4  million  for  the  year  ended
December  31,  2023  and  $3.8  million  for  the  years  ended  December  31,  2022  and  December  31,  2021,  based  on  the  closing  price  of  the
Company's common stock at the vesting date.

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.

F-22

 
Table of Contents

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.

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, 2023, 23,422 shares of the Company's stock were purchased for a total price of $210 thousand, as compared
to no shares purchased for the year ended December 31, 2022.

The following table summarizes the activities under the ESPP from January 1, 2021, through December 31, 2023:

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 January 1, 2023
Less: common stock purchased by eligible employees

Total ESPP equity securities available at December 31, 2023

Activity

149,199 
(16,015)
133,184 
— 
133,184 
(23,422)
109,762 

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,

2023

2022

2021

$

$

1,809  $
2,192 
— 
62 
4,063  $

1,559  $
2,260 
— 
8 
3,827  $

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

F-23

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

Provision for (benefit from) income taxes

For the Year Ended December 31,

2023

2022

2021

22,325  $

997  $

(27,332)

—  $

299 
(17)
282 

5,099 
1,010 
268 
6,377 
6,659  $

—  $
38 
50 
88 

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

— 
48 
283 
331 

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

$

$

$

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, 2023, 2022 and 2021:

(Dollars in thousands)

Income (loss) before income taxes

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

Provision for (benefit from) income taxes

$

$

$

2023

22,325 

2022

2021

$

997 

$ (27,332)

4,688 
1,343 
— 
— 
405 
223 
6,659 

21.0 % $
6.0 %
— %
— %
1.8 %
0.9 %

209 
121 
(21,850)
(88)
231 
518 
29.8 % $ (20,859)

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 %

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-24

 
Table of Contents

The components of deferred income tax assets at December 31, 2023 and 2022 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 and Tax Credits

December 31,

2023

2022

$

$

12,706  $
22,959 
3,445 
2,781 
6,430 
681 
1,733 
2,831 
167 
53,733 

(2,299)
(2,688)
(158)
(5,145)

48,588 
(2,328)
46,260  $

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 

As of December 31, 2023, we had approximately $99.4 million of federal net operating losses available to offset future taxable income, of which
approximately $54.4 million were with expiration dates through 2030 and $45.0 million that were indefinite lived.

As of December 31, 2023, we had approximately $40.0 million of state net operating losses available to offset future taxable income, of which
approximately $37.5 million were with expiration dates through 2043 and $2.5 million that were indefinite lived.

As  of  December  31,  2023,  we  had  approximately  $6.4  million  of  research  and  development  tax  credit  carryforwards  that  expire  in  varying
amounts with expiration dates between 2030 through 2042.

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.

Prior to 2022, 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.  In  2022,  the  completion  of  restructuring  efforts  and  our  expected  return  to
profitability (as indicated by income generated before income taxes in 2022), we 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  the  COVID-19  pandemic,  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,  traditionally  completed  in  the  fourth  quarter  of  each  year,  we  reduced  the  valuation
allowance by $21.9 million during the year ended December 31, 2022.

F-25

 
Table of Contents

The Company maintained a valuation allowance of $2.3 million as of December 31, 2023 and 2022 related to Federal Foreign Tax Credits and
certain state net operating losses and state tax credits, as the Company does not believe current projections of future taxable income will be
sufficient to utilize those tax assets prior to expiration.

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. The federal SOL generally expire three years following the filing of the return or in some cases
three years following the utilization or expiration of net operating loss carry forwards.

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 2020 through 2022, and for the four-year SOL states, the SOL is open for years ending from 2019 through 2022.

NOTE 11 - COMMITMENTS AND CONTINGENCIES

Contractual Obligations

We had no significant commitments and contractual obligations as of December 31, 2023.

In January 2024, we entered into a three year contract to renew a subscription for a total value of $3.6 million for future subscription services.

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 years ended December 31,
2023  and  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.

F-26

Table of Contents

Future minimum lease payments under non-cancelable operating leases at December 31, 2023, were as follows: 

(Dollars in thousands)

For the Year Ended December 31,

2024
2025
2026
2027
2028
Thereafter

Total

Operating Leases

4,822 
2,404 
1,921 
1,460 
1,142 
1,488 
13,237 

$

$

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,  2023,  2022  and  2021  was  approximately  $13.8  million,
$16.0 million and $16.8 million, respectively.

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 years ended December 31, 2023 and 2022 and
$1.6 million for year ended December 31, 2021.

NOTE 13 - RELATED PARTIES

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, 2023, 2022 and 2021, we recognized revenues of $0.7 million, $0.6 million and
$1.0 million, respectively, related to contracts from the entity at which the individual is employed.

F-27

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, 2023
Year ended December 31, 2022

Year ended December 31, 2021

Balance at the
Beginning of
the Period

Charged to
Operations

Write-offs

Balance at the
End of the
Period

$

$

$

1,808  $

1,442  $

1,669  $

481  $

1,268  $

573  $

(699) $

(902) $

(800) $

1,590 

1,808 

1,442 

F-28

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
21.1
23.1

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.
Form of Director’s Indemnification Agreement
NEO Severance and Change in Control Document
Form of Executive Severance and Change in Control
Agreement
Spok Holdings, Inc. Severance Pay Plan and Summary
Plan Description (For certain C-Level, not including
CEO) (amended and restated)
Spok Holdings, Inc. Amended and Restated 2020 Equity
Incentive Award Plan
Restricted Stock Unit Grant Notice for the Spok
Holdings, Inc. 2020 Equity Incentive Award Plan
Exhibits to Spok Holdings, Inc., 2021 Long-Term
Incentive Plan for the 2021-2023 performance period.
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
Spok Holdings, Inc. 2024 Short-Term Incentive Plan
Employment Agreement, between Spok Holdings, Inc.
and Vince D. Kelly, dated as of January 1, 2019
Employment Agreement Extension Letter, by and
between Spok Holdings, Inc. and Vincent D. Kelly, dated
as of February 16, 2022
Employment Agreement Extension Letter, by and
between Spok Holdings, Inc. and Vincent D. Kelly, dated
as of October 10, 2023
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
Subsidiaries of the Company
Consent of Grant Thornton LLP

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

8-K

001-32358

001-32358
001-32358
001-32358

001-32358

3.1

3.1

3.1

4.1

4.3

10.1
10.24
10.2

10.1

7/8/2014

10/28/2022

9/3/2021

10/6/2004

2/17/2022

10/25/2018
10/30/2008
4/27/2017

8/16/2023

10-K

001-32358

10.18

3/2/2017

DEF 14A

001-32358

A

4/28/2023

10-K

001-32358

10.21

2/18/2021

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

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

10.16
10.16
10.15
10.15

2/27/2020
2/18/2021
2/17/2022
2/23/2023

8-K

001-32358

10.1

1/4/2019

10-Q

001-32358

10.1

4/28/2022

8-K

001-32358

10.1

10/10/2023

8-K

10-K
10-K

001-32358

001-32358
001-32358

10.1

10.23
21

3/21/2022

2/18/2021
3/1/2018

Filed

Filed

Filed

Table of Contents

31.1

31.2

32.1

32.2

97.1

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

104

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
Spok Holdings, Inc. Policy for Recovery of Erroneously
Awarded Compensation

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)

* 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.

Filed

Filed

Furnished

Furnished

Filed

Filed
Filed
Filed
Filed
Filed
Filed

Filed

Exhibit 10.10

LONG TERM INCENTIVE PLAN
PERFORMANCE PERIOD 2021-2023

Exhibit 10.15

Spok Holdings, Inc.
2024 Short-Term Incenve Plan
(Effecve January 1, 2024)

1. Effecve Date. The 2024 Short-Term Incenve Plan (the “Plan”) for Spok Holdings, Inc., was adopted by the Compensaon Commiee
of  the  Board  of  Directors  (the  “Compensaon  Commiee”)  of  Spok  Holdings,  Inc.,  (the  “Parent”  or  the  “Company”),  a  Delaware
corporaon for the employees of Spok, Inc., a Delaware corporaon and an indirect wholly-owned subsidiary of the Parent (“Spok”) on
December  1,  2023.  The  Plan  is  effecve  as  of  January  1,  2024  and  supersedes  and  replaces  all  former  management  short-term
incenve plans, including the Spok Holdings, Inc., 2023 Short-Term Incenve Plan.

2. Purpose. The Plan is designed to aract, movate, retain and reward key employees for their performance during the calendar year,
from January 1 through December 31, 2024 (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  objecves  as  set  forth  by  the  Compensaon
Commiee  and,  as  may  be  adjusted  by  the  Compensaon  Commiee  in  the  event  of  a  Change  of  Control  or  other  corporate
reorganizaon, merger, similar transacon, to take into account extraordinary events or as the Compensaon Commiee determines is
in  the  best  interests  of  the  Company.  In  order  for  bonuses  to  be  earned,  the  Company  must  meet  the  quantave  Performance
Objecves  by  December  31,  2024.  Performance  Objecves  are  based  solely  on  the  consolidated  performance  of  the  Company.  For
clarity,  Performance  Objecves  and  the  aainment  thereof  does  not  include  revenue  or  expenses  related  to  acquisions  or  due
diligence expenses occurring aer the Effecve Date of this Plan except as directed by the Compensaon Commiee.

3. Eligibility. Parcipaon in the Plan is limited to those key employees who are selected for parcipaon in the Plan by the Compensaon
Commiee,  in  its  sole  discreon  (each  such  individual,  a  “Parcipant”).  Individuals  selected  by  the  Compensaon  Commiee  to
parcipate as of January 1, 2024 are listed on Exhibit B. Newly hired or promoted employees, or employees who otherwise become
eligible to parcipate, who are selected to parcipate in the Plan aer January 1, 2024 but before October 1, 2024 will parcipate in
the  Plan  on  a  prorated  basis  based  on  the  number  of  days  worked  during  the  performance  period  aer  becoming  bonus  eligible.
Employees who are newly hired or promoted on or aer October 1, 2024 will not be eligible to parcipate in the Plan.

4. Target  Bonus.  The  target  bonus  for  each  Parcipant  is  based  on  a  percentage  of  the  Parcipant’s  annual  (or  prorated,  if  applicable)
salary as of January 1, 2024 (or date of hire or promoon to an eligible posion, if later) or a flat amount as designated. The applicable
percentage or amount is determined by the Compensaon Commiee with respect to execuves earning $250,000 or more and by the
CEO  for  other  management  and  need  not  be  idencal  among  Parcipants.  The  earned  bonus  may  be  greater  than  or  less  than  the
target bonus depending on the level at which the Performance Objecves are aained.

5.

Exhibit 10.15

Payment of Earned Bonus.

a. Except as provided herein, each earned bonus under the Plan will be calculated based on the aainment of the Performance
Objecves and will be paid in a lump sum (subject to any required withholding for income and employment taxes) aer the
2024 annual audit of the Parent’s consolidated financial statement has been completed and the Parent’s 2024 Annual Report
on Form 10-K has been filed with the Securies and Exchange Commission but in no event later than December 31, 2024.

b.

If the Parcipant involuntarily Separates from Service without Cause or due to disability or dies prior to December 31, 2024, he
or she will be eligible to receive a prorated bonus provided that the Company is on track to aain the Performance Objecves
as  reasonably  determined  by  the  Compensaon  Commiee  and  provided  further  that,  in  the  event  Parcipant  involuntarily
Separates from Service without Cause, he or she has executed a release, any waing period in connecon 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 terminaon procedures, as determined by the Parent in its sole discreon. The bonus will be prorated to the date of
Parcipant’s  Separaon  from  Service  or  death,  calculated  as  follows:  one-hundred  percent  (100%)  of  a  Parcipant’s  target
bonus will be mulplied by a fracon, the numerator of which is the number of days the Parcipant was connuously providing
services to the Company from January 1, 2024 through the date immediately prior to the Parcipant’s Separaon from Service
or  death,  and  the  denominator  of  which  is  365  days.  Prorated  bonuses  will  be  paid  to  the  Parcipant,  or  in  the  event  of
Parcipant’s  death,  the  Parcipant’s  estate,  on  the  sixty-fih  (65th)  day  following  the  date  of  Parcipant’s  Separaon  from
Service or death.

i. For purposes of the Plan, “Separaon from Service” shall have the meaning provided in the Treasury Regulaons under
secon 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 Parcipant 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 Parcipants; (ii) criminal conduct (other than minor infracons and traffic
violaons)  that  relates  to  the  performance  of  services  for  the  Company  by  Parcipant;  (iii)  the  Parcipant’s  willfully
breaching or failing to perform his or her dues as an employee of the Company (other than any such failure resulng
from the Parcipant having a disability (as defined herein)), within a reasonable period of me aer a wrien demand
for substanal performance is delivered to the Parcipant by the Compensaon Commiee, which demand specifically
idenfies  the  manner  in  which  the  Compensaon  Commiee  believes  that  the  Parcipant  has  not  substanally
performed  his  dues;  or  (iv)  the  willful  engaging  by  the  Parcipant  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 Parcipant’s
part shall be deemed “willful” unless done, or omied to be done; by the Parcipant not in good faith and without
reasonable  belief  that  such  acon  or  omission  was  in  the  reasonable  best  interests  of  the  Parent,  Company  and
Affiliates. For this purpose, “disability” means a condion or circumstance such that the Parcipant has become totally
and  permanently  disabled  as  defined  or  described  in  the  Parent’s  long  term  disability  benefit  plan  applicable  to
execuve officers as in effect at the me the Parcipant incurs a disability.

c.

Exhibit 10.15

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  Incenve  Award  Plan)  prior  to  the  end  of  the  Performance  Period,  each  Parcipant  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 mulplied by a fracon, the numerator of which is the number of days elapsed from January 1, 2024 (or if later
the date of the Parcipant’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 Compensaon Commiee.

d. Notwithstanding anything to the contrary in this Plan, no payments contemplated by this Plan will be paid during the six-month
period  following  a  Parcipant’s  Separaon  from  Service  unless  the  Company  determines,  in  its  good  faith  judgment,  that
paying  such  amounts  at  the  me  indicated  in  paragraph  b  above  would  not  cause  the  Parcipant  to  incur  an  addional  tax
under  Code  secon  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 Parcipant’s Separaon from Service.

6. Forfeiture.  Any  Parcipant  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.

7. Clawback. The Compensaon Commiee of the Board may require forfeiture or a clawback of any incenve compensaon awarded or
paid under this Plan in excess of the compensaon actually earned based on a restatement of the Company’s financial statements as
filed with the Securies and Exchange Commission for the period covered by this Plan.

8. Administrator. The Compensaon Commiee shall administer the Plan in accordance with its terms, and shall have full discreonary
power  and  authority  to  construe  and  interpret  the  Plan;  to  prescribe,  amend  and  rescind  rules  and  regulaons,  terms,  and  noces
hereunder; and to make all other determinaons necessary or advisable in its discreon for the administraon of the Plan. Any acons
of the Compensaon Commiee with respect to the Plan shall be conclusive and binding upon all persons interested in the Plan. The
Compensaon  Commiee,  in  its  sole  discreon  and  on  such  terms  and  condions  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.

9. Amendment;  Terminaon.  The  Compensaon  Commiee,  in  its  sole  discreon,  without  prior  noce  to  Parcipants,  may  amend  or
terminate the Plan, or any part thereof, including the Performance Objecves as described in Secon II, at any me and for any reason,
to  the  extent  such  acon  will  not  cause  adverse  tax  consequences  to  a  parcipant  under  Code  secon  409A.  Any  amendment  or
terminaon  must  be  in  wring  and  shall  be  communicated  to  all  Parcipants.  No  award  may  be  granted  during  any  period  of
suspension or aer terminaon of the Plan.

10. Miscellaneous.

a. No Rights as Employee. Nothing contained in this Plan or any documents relang to this Plan shall (a) confer on a Parcipant
any right to connue in the employ of the Company; (b) constute any contract or agreement of employment; or (c) interfere
in any way with the Company’s right to terminate the Parcipant’s employment at any me, with or without Cause.

b. 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 Parcipant’s FICA and Social Security obligaons) from any bonus payment.

c. Transferability. A Parcipant may not sell, assign, transfer or encumber any of his or her rights under the Plan.

d. Unsecured General Creditor. Parcipants (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.

e. Successors. This Plan shall be binding upon and inure to the benefit of the Parent, Company and any successor to the Company

and the Parcipant’s heirs, executors, administrators and legal representaves.

Exhibit 10.15

f.

Code Secon 409A. The Plan is intended to be a nonqualified deferred compensaon plan within the meaning of Code secon
409A and shall be interpreted to meet the requirements of Code secon 409A. To  the extent that any provision of the Plan
would cause a conflict with the requirements of Code secon 409A, or would cause the administraon of the Plan to fail to
sasfy  Code  secon  409A,  such  provision  shall  be  deemed  null  and  void  to  the  extent  permied  by  applicable  law.  Nothing
herein shall be construed as a guarantee of any parcular tax treatment to a Parcipant.

g. Governing  Law.  All  quesons  pertaining  to  the  validity,  construcon  and  administraon  of  the  Plan  shall  be  determined  in

accordance with the laws of the State of Delaware, without regard to conflicts of law provisions.

h.

i.

Integraon. This document and each exhibit hereto represent the enre agreement and understanding between the Company
and the Parcipants and supersede any and all prior agreements or understandings, whether oral or wrien, with the Company
relang to the subject maer 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.

[Execuon page follows]

IN WITNESS WHEREOF, Spok Holdings, Inc., by its duly authorized officer acng in accordance with a resoluon duly adopted by

the Compensaon Commiee of the Board of Directors of Spok Holdings, Inc., has executed this Plan for the benefit of employees of Spok
Holdings, Inc. and subsidiaries, effecve as of January 1, 2024.

Exhibit 10.15

SPOK HOLDINGS, INC.

Vincent D. Kelly, President & CEO

    
Exhibit 10.15

Exhibit A
Performance Objecves

Exhibit 10.15

Employee Name
KELLY, VINCENT D.
Wallace, Michael W.
Woods Keisling, Sharon
Czop, Michael
Hall, Lisa R.
Ling, Michael J.
Rice, Calvin C.
Tindle, Timothy E.
Wax, Jonathan
Grandfield, Michele
Hodes, Matthew
Patel, Jinita
Smith, Jill
McNamee, David

Exhibit B
Parcipants

Job Title
CEO
President & COO
Corp Secretary &Treasurer
VP, Technology Ops
VP, HR & Admin
VP, Maintenance Revenue
Chief Financial Officer
Chief Information Officer
VP, Sales
VP, Customer Support
VP, PSG
Controller
VP, Marketing
VP, Software Engineering

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

Exhibit 23.1

We have issued our reports dated February 22, 2024, 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,  2023.  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 22, 2024

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 22, 2024

/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 22, 2024

/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 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, 2023 (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 22, 2024

/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, 2023 (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 22, 2024

/s/ Calvin C. Rice
Calvin C. Rice
Chief Financial Officer

SPOK HOLDINGS, INC.
POLICY FOR RECOVERY OF ERRONEOUSLY AWARDED COMPENSATION

Adopted October 25 2023

Spok  Holdings,  Inc.  (the  “Company”)  has  adopted  this  Policy  for  Recovery  of  Erroneously Awarded  Compensation  (the
“Policy”), effective as of October 2, 2023 (the “Effective Date”), which Policy is an amendment and restatement of the Company’s
Clawback  Policy,  dated  as  of  [October  29,  2014]   (the  “Prior  Policy”).  Capitalized  terms  used  in  this  Policy  but  not  otherwise
defined herein are defined in Section 11.

1

1.

Persons Subject to Policy

2
This Policy shall apply to current and former Officers.

2.

Compensation Subject to Policy

This Policy shall apply to Incentive-Based Compensation received on or after the Effective Date. For purposes of this Policy,
the  date  on  which  Incentive-Based  Compensation  is  “received”  shall  be  determined  under  the Applicable  Rules,  which  generally
provide  that  Incentive-Based  Compensation  is  “received”  in  the  Company’s  fiscal  period  during  which  the  relevant  Financial
Reporting  Measure  is  attained  or  satisfied,  without  regard  to  whether  the  grant,  vesting  or  payment  of  the  Incentive-Based
Compensation occurs after the end of that period.

3.

Recovery of Compensation

In the event that the Company is required to prepare a Restatement, the Company shall recover, reasonably promptly and in
accordance  with  Section  4  below,  the  portion  of  any  Incentive-Based  Compensation  that  is  Erroneously Awarded  Compensation,
unless the Committee has determined that recovery from the relevant current or former Officer would be Impracticable. Recovery
shall be required in accordance with the preceding sentence regardless of whether the applicable Officer engaged in misconduct or
otherwise  caused  or  contributed  to  the  requirement  for  the  Restatement  and  regardless  of  whether  or  when  restated  financial
statements are filed by the Company. For clarity, the recovery of Erroneously Awarded Compensation under this Policy will not give
rise  to  any  Officer’s  right  to  voluntarily  terminate  employment  for  “good  reason”  or  due  to  a  “constructive  termination”  (or  any
similar term of like effect) under any plan, program or policy of or agreement with the Company or any of its affiliates.

4.

Manner of Recovery; Limitation on Duplicative Recovery

The Committee shall, in its sole discretion, determine the manner of recovery of any Erroneously Awarded Compensation,
which may include, without limitation, reduction or cancellation by the Company or an affiliate of the Company of Incentive-Based
Compensation or Erroneously Awarded Compensation, reimbursement or repayment by any person subject to this Policy, and, to the
extent permitted by law, an offset of the Erroneously Awarded Compensation against other compensation payable by the Company
or an affiliate of the Company to such person. Notwithstanding the foregoing, unless otherwise prohibited by the Applicable Rules,
to

1

 Company to confirm date of prior policy.
2
 If additional flexibility is desired to cover other officers in other clawback scenarios, add the sentence second “In addition, the Committee and the Board may
apply this Policy to persons who are not Officers, and such application shall apply in the manner determined by the Committee and the Board in their sole
discretion.”

1

the extent this Policy provides for recovery of Erroneously Awarded Compensation already recovered by the Company pursuant to
Section  304  of  the  Sarbanes-Oxley  Act  of  2002  or  Other  Recovery  Arrangements,  the  amount  of  Erroneously  Awarded
Compensation already recovered by the Company from the recipient of such Erroneously Awarded Compensation may be credited to
the amount of Erroneously Awarded Compensation required to be recovered pursuant to this Policy from such person.

5.

Administration

This  Policy  shall  be  administered,  interpreted  and  construed  by  the  Committee,  which  is  authorized  to  make  all
determinations  necessary,  appropriate  or  advisable  for  such  purpose.  The  Board  may  re-vest  in  itself  the  authority  to  administer,
interpret and construe this Policy in accordance with applicable law, and in such event references herein to the “Committee” shall be
deemed to be references to the Board. Subject to any permitted review by the applicable national securities exchange or association
pursuant to the Applicable Rules, all determinations and decisions made by the Committee pursuant to the provisions of this Policy
shall  be  final,  conclusive  and  binding  on  all  persons,  including  the  Company  and  its  affiliates,  stockholders  and  employees.  The
Committee may delegate administrative duties with respect to this Policy to one or more directors or employees of the Company, as
permitted under applicable law, including any Applicable Rules.

6.

Interpretation

This Policy shall be interpreted and applied in a manner that is consistent with the requirements of the Applicable Rules, and
to the extent this Policy is inconsistent with such Applicable Rules, it shall be deemed amended to the minimum extent necessary to
ensure compliance therewith.

7.

No Indemnification; No Liability

The Company shall not indemnify or insure any person against the loss of any Erroneously Awarded Compensation pursuant
to this Policy, nor shall the Company directly or indirectly pay or reimburse any person for any premiums for third-party insurance
policies that such person may elect to purchase to fund such person’s potential obligations under this Policy. None of the Company,
an affiliate of the Company or any member of the Committee or the Board shall have any liability to any person as a result of actions
taken under this Policy.

8.

Application; Enforceability

Effective as of the Effective Date, this Policy will supersede the Prior Policy in all respects. Except as otherwise determined
by  the  Committee  or  the  Board,  the  adoption  of  this  Policy  does  not  limit,  and  is  intended  to  apply  in  addition  to,  any  Other
Recovery Arrangements. Subject to Section 4, the remedy specified in this Policy shall not be exclusive and shall be in addition to
every other right or remedy at law or in equity that may be available to the Company or an affiliate of the Company or is otherwise
required by applicable law and regulations.

9.

Severability

The provisions in this Policy are intended to be applied to the fullest extent of the law; provided, however, to the extent that
any provision of this Policy is found to be unenforceable or invalid under any applicable law, such provision will be applied to the
maximum  extent  permitted,  and  shall  automatically  be  deemed  amended  in  a  manner  consistent  with  its  objectives  to  the  extent
necessary to conform to any limitations required under applicable law.

2

10.

Amendment and Termination

The Board or the Committee may amend, modify or terminate this Policy in whole or in part at any time and from time to
time in its sole discretion. This Policy will terminate automatically when the Company does not have a class of securities listed on a
national securities exchange or association.

11.

Definitions

“Applicable  Rules”  means  Section  10D  of  the  Exchange Act,  Rule  10D-1  promulgated  thereunder,  the  listing  rules  of  the
national securities exchange or association on which the Company’s securities are listed, and any applicable rules, standards or other
guidance  adopted  by  the  Securities  and  Exchange  Commission  or  any  national  securities  exchange  or  association  on  which  the
Company’s securities are listed.

“Board” means the Board of Directors of the Company.

“Committee”  means  the  Compensation  Committee  of  the  Board  or,  in  the  absence  of  such  a  committee,  a  majority  of  the

independent directors serving on the Board.

“Erroneously Awarded Compensation” means the amount of Incentive-Based Compensation received by a current or former
Officer that exceeds the amount of Incentive-Based Compensation that would have been received by such current or former Officer
based on a restated Financial Reporting Measure, as determined on a pre-tax basis in accordance with the Applicable Rules.

“Exchange Act” means the Securities Exchange Act of 1934, as amended.

“Financial Reporting Measure” means any measure determined and presented in accordance with the accounting principles
used in preparing the Company’s financial statements, and any measures derived wholly or in part from such measures, including
GAAP, and non-GAAP financial measures, as well as stock price and total stockholder return.

“GAAP” means United States generally accepted accounting principles.

“Impracticable”  means  (a)  the  direct  expense  paid  to  third  parties  to  assist  in  enforcing  recovery  would  exceed  the
Erroneously Awarded  Compensation;  provided  that  the  Company  has  (i)  made  reasonable  attempt(s)  to  recover  the  Erroneously
Awarded  Compensation,  (ii)  documented  such  reasonable  attempt(s)  and  (iii)  provided  such  documentation  to  the  relevant  listing
exchange  or  association,  (b)  the  recovery  would  violate  the  Company’s  home  country  laws  adopted  prior  to  November  28,  2022
pursuant to an opinion of home country counsel; provided that the Company has (i) obtained an opinion of home country counsel,
acceptable  to  the  relevant  listing  exchange  or  association,  that  recovery  would  result  in  such  a  violation  and  (ii)  provided  such
opinion to the relevant listing exchange or association, or (c) recovery would likely cause an otherwise tax-qualified retirement plan,
under which benefits are broadly available to employees of the Company, to fail to meet the requirements of 26 U.S.C. 401(a)(13) or
26 U.S.C. 411(a) and the regulations thereunder.

“Incentive-Based Compensation” means, with respect to a Restatement, any compensation that is granted, earned, or vested
based wholly or in part upon the attainment of one or more Financial Reporting Measures and received by a person: (a) after such
person began service as an Officer; (b) who served as an Officer at any time during the performance period for that compensation;
(c) while the Company has a class of securities listed on a national securities exchange or association; and (d) during the applicable
Three-Year Period.

3

“Officer”  means  each  person  who  the  Company  determines  serves  as  a  Company  officer,  as  defined  in  Section  16  of  the

Exchange Act.

“Other  Recovery  Arrangements”  means  any  clawback,  recoupment,  forfeiture  or  similar  policies  or  provisions  of  the
Company or its affiliates, including any such policies or provisions of such effect contained in any employment agreement, bonus
plan, incentive plan, equity-based plan or award agreement thereunder or similar plan, program or agreement of the Company or an
affiliate or required under applicable law.

“Restatement”  means  an  accounting  restatement  to  correct  the  Company’s  material  noncompliance  with  any  financial
reporting requirement under securities laws, including restatements that correct an error in previously issued financial statements (a)
that  is  material  to  the  previously  issued  financial  statements  or  (b)  that  would  result  in  a  material  misstatement  if  the  error  were
corrected in the current period or left uncorrected in the current period.

“Three-Year Period” means, with respect to a Restatement, the three completed fiscal years immediately preceding the date
that the Board, a committee of the Board, or the officer or officers of the Company authorized to take such action if Board action is
not  required,  concludes,  or  reasonably  should  have  concluded,  that  the  Company  is  required  to  prepare  such  Restatement,  or,  if
earlier, the date on which a court, regulator or other legally authorized body directs the Company to prepare such Restatement. The
“Three-Year  Period”  also  includes  any  transition  period  (that  results  from  a  change  in  the  Company’s  fiscal  year)  within  or
immediately following the three completed fiscal years identified in the preceding sentence. However, a transition period between
the last day of the Company’s previous fiscal year end and the first day of its new fiscal year that comprises a period of nine to 12
months shall be deemed a completed fiscal year.

4

ACKNOWLEDGMENT AND CONSENT TO
POLICY FOR RECOVERY OF ERRONEOUSLY AWARDED COMPENSATION

The undersigned has received a copy of the Policy for Recovery of Erroneously Awarded Compensation (the “Policy”) adopted by
Spok Holdings, Inc. (the “Company”), and has read and understands the Policy. Capitalized terms used but not defined herein shall
have the meanings ascribed to such terms in the Policy.

As  a  condition  of  receiving  Incentive-Based  Compensation  from  the  Company,  the  undersigned  agrees  that  any  Incentive-Based
Compensation received on or after the Effective Date is subject to recovery pursuant to the terms of the Policy. To the extent the
Company’s recovery right conflicts with any other contractual rights the undersigned may have with the Company, the undersigned
understands that the terms of the Policy shall supersede any such contractual rights. The terms of the Policy shall apply in addition to
any right of recoupment against the undersigned under applicable law and regulations.

___________________
Date

________________________________________
Signature

________________________________________
Name

________________________________________
Title

5

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 and Executive Vice President, 
Advocate Aurora Health

Randy Hyun
Chief Executive Officer,
CarepathRx LLC

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 2023 Annual Report on Form 10-K are available 
at www.proxyvote.com.

This annual report contains the 2023 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 2023 
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 70 million messages each month through 
their Spok® solutions. Spok enables smarter, faster clinical communication.  

spok.com

© 2024 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: 4/24