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“As part of the strategic realignment that we outlined earlier this year, we closed the sale of certain of our narrowband spectrum licenses as we continue to find efficiencies within our organization and monetize our valuable asset base. After customary transaction fees, we added more than $7.5 million to our cash and cash equivalents balances, which now total more than $30 million. We are confident that actions such as this will continue to create significant value for stockholders, while supporting both our investment in our Care Connect® Suite and our quarterly dividend, which currently represents a yield in excess of 10% for our stockholders.

"Additionally, Spok is actively incorporating artificial intelligence to drive further operational efficiencies across the organization, with a particular focus on accelerating product development timelines, reducing time to market for new Care Connect Suite capabilities and other internal uses. Toward that end, last week we announced the addition of an executive vice president and general manager, Shiv Gopalkrishnan. At this very critical juncture for Spok, we are bringing engineering, product strategy, and sales together under one experienced leader, as we position ourselves to move faster, serve our customers better, pursue new growth opportunities and further leverage AI throughout our product offering.


	For the three months ended September 30,						For the nine months ended September 30,
(Dollars in thousands)	2026		2025		Change (%)		2026		2025		Change (%)
Revenue
Wireless revenue
Paging revenue	$	16,036	$	16,917	(5.2)	%	$	48,616	$	51,716	(6.0)	%
Product and other revenue	953		877		8.7	%	3,072		2,992		2.7	%
Total wireless revenue	$	16,989	$	17,794	(4.5)	%	$	51,688	$	54,708	(5.5)	%

Software revenue
License	$	1,393	$	1,076	29.5	%	$	6,387	$	6,101	4.7	%
Professional services - projects	2,970		3,649		(18.6)	%	9,066		11,951		(24.1)	%
Professional services - managed services	2,355		1,807		30.3	%	6,746		4,642		45.3	%
Hardware	236		393		(39.9)	%	550		1,090		(49.5)	%

Maintenance and subscription	9,056		9,148		(1.0)	%	26,799		27,355		(2.0)	%
Total software revenue	$	16,010	$	16,073	(0.4)	%	$	49,548	$	51,139	(3.1)	%
Total revenue	$	32,999	$	33,867	(2.6)	%	$	101,236	$	105,847	(4.4)	%


	For the three months ended September 30,						For the nine months ended September 30,
(Dollars in thousands)	2026		2025		Change (%)		2026		2025		Change (%)
GAAP
Operating expenses	$	27,362	$	29,508	(7.3)	%	$	87,730	$	90,078	(2.6)	%
Net income	$	9,717	$	3,203	203.4	%	$	15,824	$	12,951	22.2	%
Cash and cash equivalents (as of period end)	$	30,071	$	21,379	40.7	%	$	30,071	$	21,379	40.7	%
Capital returned to stockholders	$	6,534	$	6,437	1.5	%	$	21,028	$	20,861	0.8	%

Non-GAAP
Adjusted operating expenses	$	26,061	$	28,479	(8.5)	%	$	82,641	$	87,259	(5.3)	%
Adjusted EBITDA	$	8,568	$	6,610	29.6	%	$	22,968	$	22,303	3.0	%


	For the three months ended September 30,						For the nine months ended September 30,
(Dollars in thousands, excluding units in service and ARPU)	2026		2025		Change (%)		2026		2025		Change (%)
Key Statistics
Wireless units in service (000's) (as of period end)	634		684		(7.3)	%	634		684		(7.3)	%
Wireless average revenue per unit (ARPU)	$	8.36	$	8.19	2.1	%	$	8.25	$	8.19	0.7	%
Software operations bookings(1)	$	3,184	$	4,442	(28.3)	%	$	17,590	$	24,440	(28.0)	%
Software backlog (as of period end)(2)	$	51,987	$	60,897	(14.6)	%	$	51,987	$	60,897	(14.6)	%

Spok Holdings, Inc. (NASDAQ: SPOK), headquartered in Plano, Texas, 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 approximately 65 million messages each month through their Spok® solutions. Spok enables smarter, faster clinical communication. For more information, visit spok.com.

This press release contains the following non-GAAP financial measures: adjusted operating expenses and adjusted EBITDA. Adjusted operating expenses excludes depreciation and accretion expense, impairment of intangible assets and severance and restructuring costs. Adjusted EBITDA represents net income/(loss) before interest income/expense, income tax benefit/expense, depreciation and accretion expense, stock-based compensation expense, impairment of intangible assets, legal costs unrelated to core business activities and non-recurring in nature, and severance and restructuring. With respect to our expectations under "Financial Outlook" above, reconciliation of adjusted EBITDA to net income is not available without unreasonable efforts on a forward-looking basis due to the high variability, complexity and uncertainty with respect to certain items included in net income that are excluded from adjusted EBITDA, in particular, income tax benefit/expense, stock-based compensation expenses, impairment of intangible assets, severance and restructuring and other non-recurring expenses. These items can have unpredictable fluctuations based on unforeseen activity that is out of our control and/or cannot be reasonably predicted.

We believe that these non-GAAP financial measures provide useful information to management and investors regarding certain financial and business trends relating to Spok's financial condition and results of operations. We use these non-GAAP measures for financial, operational, and budgetary decision-making purposes, to understand and evaluate our core operating performance and trends, and to generate future operating plans. We believe that these non-GAAP financial measures permit

us to more thoroughly analyze key financial metrics used to make operational decisions and allow us to assess our core operating results. We believe that the use of these non-GAAP financial measures provides an additional tool for investors to use in evaluating ongoing operating results and trends and in comparing our financial measures with other software companies that present similar non-GAAP financial measures. We adjust for certain items because we do not regard these costs as reflective of normal costs related to the ongoing operation of the business in the ordinary course. In general, these items possess one or more of the following characteristics: non-cash expenses, factors outside of our control, items that are non-operational in nature, and unusual items not expected to occur in the normal course of business. We believe it is important to exclude these costs, given that they do not represent future operational costs under this strategic business plan. This allows us to assess the underlying performance of our core business under this new strategic business plan.

We do not consider these non-GAAP measures in isolation or as an alternative to financial measures determined in accordance with GAAP. The principle of these non-GAAP financial measures is that they exclude significant amounts that are required by GAAP to be recorded in the Company's financial statements. In addition, they are subject to inherent limitations as they reflect the exercise of judgment by management about which items are excluded or included in determining these non-GAAP financial measures. In order to compensate for these limitations, management presents non-GAAP financial measures in connection with GAAP results. We urge investors to review the reconciliation of our non-GAAP financial measures to the comparable GAAP financial measures which are included in this press release, and not to rely on any single financial measure to evaluate our business.

Statements contained herein or in prior press releases which are not historical fact, such as statements regarding our future operating and financial performance, are forward-looking statements for purposes of the safe harbor provisions under the Private Securities Litigation Reform Act of 1995. These forward-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 forward-looking statements. Factors that could cause actual results to differ materially from those expectations include, but are not limited to, our ability to manage wireless network rationalization to lower our costs without causing disruption of service to our customers; our ability to retain key management personnel and to attract and retain talent within the organization; the productivity of our sales organization and our ability to deliver effective customer support; our ability to identify potential acquisitions, finance, consummate and successfully integrate such acquisitions, and achieve the expected benefits of such acquisitions; economic conditions, such as recessionary economic cycles, the impact of trade disputes, tariffs and other trade protection measures, 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 United States healthcare industry; long sales cycle of our software solutions and services; 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 material 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 computer systems, hardware, software and satellite networks and telecommunications systems infrastructure (collectively, "IT Systems") and technologies provided by third parties, and technology systems and electronic networks supplied and managed by third parties; cyberattacks, data breaches, system disruptions or other compromises to our or our critical third parties’ IT 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 forward-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 forward-looking statements.


SPOK HOLDINGS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited and in thousands except share, per share amounts and ARPU)

	For the three months ended						For the nine months ended
	9/30/2026			9/30/2025			9/30/2026			9/30/2025
Revenue:
Wireless	$	16,989		$	17,794		$	51,688		$	54,708
Software	16,010			16,073			49,548			51,139
Total revenue	32,999			33,867			101,236			105,847
Operating expenses:
Cost of revenue (exclusive of items shown separately below)	6,711			7,433			21,276			22,119
Research and development	3,228			3,035			9,965			9,194
Technology operations	5,659			6,032			17,691			18,455
Selling and marketing	3,254			4,234			11,665			13,508
General and administrative	7,209			7,745			22,044			23,983
Depreciation and accretion	956			858			2,877			2,571
Severance and restructuring	345			171			2,212			248

Total operating expenses	27,362			29,508			87,730			90,078
% of total revenue	82.9		%	87.1		%	86.7		%	85.1		%
Operating income	5,637			4,359			13,506			15,769
% of total revenue	17.1		%	12.9		%	13.3		%	14.9		%
Interest income	171			193			567			668
Other income	7,539			28			7,533			784
Income before income taxes	13,347			4,580			21,606			17,221
Provision for income taxes	(3,630)			(1,377)			(5,782)			(4,270)
Net income	$	9,717		$	3,203		$	15,824		$	12,951
Basic net income per common share	$	0.46		$	0.16		$	0.76		$	0.63
Diluted net income per common share	$	0.46		$	0.15		$	0.75		$	0.62
Basic weighted average common shares outstanding	20,918,137			20,590,924			20,863,386			20,537,643
Diluted weighted average common shares outstanding	21,213,092			21,029,219			21,237,582			21,020,663
Cash dividends declared per common share	0.3125			0.3125			0.9375			0.9375


SPOK HOLDINGS, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands)

	9/30/2026		12/31/2025

ASSETS	(Unaudited)

Current assets:
Cash and cash equivalents	$	30,071	$	25,280

Accounts receivable, net	17,540		22,644
Prepaid expenses	8,998		8,909
Other current assets	620		1,051
Total current assets	57,229		57,884
Non-current assets:
Property and equipment, net	5,301		5,723
Operating lease right-of-use assets	4,932		6,477

Goodwill	99,175		99,175

Deferred income tax assets, net	31,534		36,530
Other non-current assets	154		322
Total non-current assets	141,096		148,227
Total assets	$	198,325	$	206,111

LIABILITIES AND STOCKHOLDERS’ EQUITY

Current liabilities:
Accounts payable	$	2,402	$	3,975
Accrued compensation and benefits	4,492		7,361
Deferred revenue	30,972		30,452
Operating lease liabilities	2,221		2,676
Other current liabilities	4,238		4,645
Total current liabilities	44,325		49,109
Non-current liabilities:
Asset retirement obligations	5,034		4,902
Operating lease liabilities	3,077		4,263
Other non-current liabilities	1,372		1,458
Total non-current liabilities	9,483		10,623
Total liabilities	53,808		59,732
Commitments and contingencies
Stockholders' equity:
Preferred stock	$	—	$	—
Common stock	2		2
Additional paid-in capital	111,008		108,212
Accumulated other comprehensive loss	(1,782)		(1,756)
Retained earnings	35,289		39,921
Total stockholders' equity	144,517		146,379
Total liabilities and stockholders' equity	$	198,325	$	206,111


SPOK HOLDINGS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited and in thousands)

	For the nine months ended
	9/30/2026		9/30/2025
Operating activities:
Net income	$	15,824	$	12,951
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and accretion	2,877		2,571


Deferred income tax expense	5,002		3,885
Stock-based compensation	4,682		3,741
Gain on sale of long-lived assets	(7,738)		(701)

Provisions for credit losses, service credits and other	946		755
Changes in assets and liabilities:
Accounts receivable	4,434		(4,498)
Prepaid expenses and other assets	233		(1,966)
Net operating lease liabilities	(95)		(62)
Accounts payable and other liabilities	(4,795)		(3,443)
Deferred revenue	534		4,192
Net cash provided by operating activities	21,904		17,425
Investing activities:
Purchases of property and equipment	(1,950)		(2,348)



Proceeds from sale of long-lived assets, net	7,777		701
Net cash provided by (used in) investing activities	5,827		(1,647)
Financing activities:
Cash distributions to stockholders	(21,028)		(20,861)

Proceeds from issuance of common stock under the Employee Stock Purchase Plan	184		142
Purchase of common stock for tax withholding on vested equity awards	(2,070)		(2,843)
Net cash used in financing activities	(22,914)		(23,562)
Effect of exchange rate on cash and cash equivalents	(26)		18
Net increase (decrease) in cash and cash equivalents	4,791		(7,766)
Cash and cash equivalents, beginning of period	25,280		29,145
Cash and cash equivalents, end of period	$	30,071	$	21,379
Supplemental disclosure:

Income taxes paid	$	366	$	299


SPOK HOLDINGS, INC.
UNITS IN SERVICE, MARKET SEGMENTS,
AND AVERAGE REVENUE PER UNIT (ARPU)
(Unaudited and in thousands)

	For the three months ended
	9/30/2026			6/30/2026			3/31/2026			12/31/2025			9/30/2025			6/30/2025			3/31/2025			12/31/2024
Account size ending units in service (000's)
1 to 100 units	33			34			35			36			37			38			39			40
101 to 1,000 units	108			107			110			112			113			116			121			120
>1,000 units	493			504			512			527			534			540			545			560
Total	634			645			657			675			684			694			705			720

Market segment as a percent of total ending units in service
Healthcare	82.7		%	83.2		%	83.6		%	83.6		%	84.1		%	85.7		%	85.5		%	85.6		%
Government	5.2		%	5.1		%	5.0		%	4.9		%	5.0		%	4.0		%	4.0		%	4.0		%
Large enterprise	3.8		%	3.7		%	3.7		%	3.8		%	3.7		%	3.8		%	3.8		%	3.9		%
Other(1)	8.3		%	8.0		%	7.7		%	7.7		%	7.2		%	6.5		%	6.7		%	6.5		%
Total	100.0		%	100.0		%	100.0		%	100.0		%	100.0		%	100.0		%	100.0		%	100.0		%

Account size ARPU
1 to 100 units	$	13.18		$	12.97		$	13.21		$	13.26		$	12.92		$	12.88		$	13.04		$	13.08
101 to 1,000 units	10.29			9.91			9.95			9.97			9.83			9.72			9.64			9.60
>1,000 units	7.62			7.51			7.61			7.56			7.51			7.54			7.59			7.50
Total	$	8.36		$	8.20		$	8.29		$	8.26		$	8.19		$	8.20		$	8.24		$	8.16

(1) Other includes hospitality, resort and indirect units


RECONCILIATION OF ADJUSTED OPERATING EXPENSES
(Unaudited and in thousands)

	For the three months ended				For the nine months ended
	9/30/2026		9/30/2025		9/30/2026		9/30/2025
Operating expenses	$	27,362	$	29,508	$	87,730	$	90,078
Add back:
Depreciation and accretion	(956)		(858)		(2,877)		(2,571)


Severance and restructuring	(345)		(171)		(2,212)		(248)
Adjusted operating expenses	$	26,061	$	28,479	$	82,641	$	87,259


RECONCILIATION OF ADJUSTED EBITDA
(Unaudited and in thousands)

	For the three months ended				For the nine months ended
	9/30/2026		9/30/2025		9/30/2026		9/30/2025
Net income	$	9,717	$	3,203	$	15,824	$	12,951
Add back:
Provision for income taxes	3,630		1,377		5,782		4,270
Other income	(7,539)		(28)		(7,533)		(784)
Interest income	(171)		(193)		(567)		(668)
Depreciation and accretion	956		858		2,877		2,571
EBITDA	$	6,593	$	5,217	$	16,383	$	18,340
Adjustments:

Stock-based compensation	1,630		1,222		4,303		3,715
Severance and restructuring	345		171		2,212		248
Legal costs unrelated to core business activities and non-recurring in nature	$	—	$	—	$	70	$	—
Adjusted EBITDA	$	8,568	$	6,610	$	22,968	$	22,303


(Unaudited and in millions)	Current Guidance Full Year 2026
	From		To
Revenue
Wireless	$	67.0	$	70.0
Software	$	65.5	$	69.5
Total Revenue	$	132.5	$	139.5

Adjusted EBITDA	$	28.0	$	32.0


Date/Time:			Wednesday, October 28, 2026, at 5:00 p.m. ET
Webcast:			https://www.webcast-eqs.com/registration/Spok_Q3_2026
U.S. Toll-Free Dial In:			877-407-0890
International Dial In:			1-201-389-0918


						Exhibit 99.1
NEWS RELEASE


Spok.com


						Exhibit 99.1
NEWS RELEASE


Spok.com