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Side-by-side financial comparison of InfuSystem Holdings, Inc (INFU) and Spok Holdings, Inc (SPOK). Click either name above to swap in a different company.

InfuSystem Holdings, Inc is the larger business by last-quarter revenue ($36.2M vs $33.9M, roughly 1.1× Spok Holdings, Inc). On growth, InfuSystem Holdings, Inc posted the faster year-over-year revenue change (7.0% vs -0.1%). Spok Holdings, Inc produced more free cash flow last quarter ($10.1M vs $7.0M). Over the past eight quarters, InfuSystem Holdings, Inc's revenue compounded faster (6.4% CAGR vs -1.5%).

InfuSystem Holdings, Inc. is a U.S.-headquartered healthcare provider specializing in infusion therapy solutions. It supplies programmable infusion pumps, matching disposable medical consumables, and professional clinical support services, serving oncology clinics, home healthcare providers, and acute care facilities across North America.

Spok Holdings, Inc. is a global provider of critical communication solutions primarily serving the healthcare industry. It offers unified clinical communication platforms, secure messaging tools, alerting systems, and on-call scheduling software that help care teams coordinate efficiently, cut response times, and boost patient safety across medical facilities.

INFU vs SPOK — Head-to-Head

Bigger by revenue
INFU
INFU
1.1× larger
INFU
$36.2M
$33.9M
SPOK
Growing faster (revenue YoY)
INFU
INFU
+7.1% gap
INFU
7.0%
-0.1%
SPOK
More free cash flow
SPOK
SPOK
$3.1M more FCF
SPOK
$10.1M
$7.0M
INFU
Faster 2-yr revenue CAGR
INFU
INFU
Annualised
INFU
6.4%
-1.5%
SPOK

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
INFU
INFU
SPOK
SPOK
Revenue
$36.2M
$33.9M
Net Profit
$2.9M
Gross Margin
56.4%
76.7%
Operating Margin
10.3%
11.6%
Net Margin
8.7%
Revenue YoY
7.0%
-0.1%
Net Profit YoY
-19.6%
EPS (diluted)
$0.09
$0.13

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
INFU
INFU
SPOK
SPOK
Q4 25
$36.2M
$33.9M
Q3 25
$36.5M
$33.9M
Q2 25
$36.0M
$35.7M
Q1 25
$34.7M
$36.3M
Q4 24
$33.8M
$33.9M
Q3 24
$35.3M
$34.9M
Q2 24
$33.7M
$34.0M
Q1 24
$32.0M
$34.9M
Net Profit
INFU
INFU
SPOK
SPOK
Q4 25
$2.9M
Q3 25
$2.3M
$3.2M
Q2 25
$2.6M
$4.6M
Q1 25
$-267.0K
$5.2M
Q4 24
$3.6M
Q3 24
$1.8M
$3.7M
Q2 24
$717.0K
$3.4M
Q1 24
$-1.1M
$4.2M
Gross Margin
INFU
INFU
SPOK
SPOK
Q4 25
56.4%
76.7%
Q3 25
57.1%
78.3%
Q2 25
55.2%
79.5%
Q1 25
55.2%
80.1%
Q4 24
53.8%
78.5%
Q3 24
53.9%
79.5%
Q2 24
49.5%
78.9%
Q1 24
51.5%
79.5%
Operating Margin
INFU
INFU
SPOK
SPOK
Q4 25
10.3%
11.6%
Q3 25
10.4%
12.9%
Q2 25
10.5%
15.1%
Q1 25
1.8%
16.6%
Q4 24
7.7%
13.7%
Q3 24
9.2%
14.2%
Q2 24
5.5%
13.2%
Q1 24
-2.6%
14.0%
Net Margin
INFU
INFU
SPOK
SPOK
Q4 25
8.7%
Q3 25
6.2%
9.5%
Q2 25
7.2%
12.8%
Q1 25
-0.8%
14.3%
Q4 24
10.8%
Q3 24
5.1%
10.5%
Q2 24
2.1%
10.1%
Q1 24
-3.5%
12.1%
EPS (diluted)
INFU
INFU
SPOK
SPOK
Q4 25
$0.09
$0.13
Q3 25
$0.11
$0.15
Q2 25
$0.12
$0.22
Q1 25
$-0.01
$0.25
Q4 24
$0.05
$0.17
Q3 24
$0.08
$0.18
Q2 24
$0.03
$0.17
Q1 24
$-0.05
$0.21

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
INFU
INFU
SPOK
SPOK
Cash + ST InvestmentsLiquidity on hand
$3.2M
$25.3M
Total DebtLower is stronger
$19.6M
Stockholders' EquityBook value
$57.3M
$146.4M
Total Assets
$100.6M
$206.1M
Debt / EquityLower = less leverage
0.34×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
INFU
INFU
SPOK
SPOK
Q4 25
$3.2M
$25.3M
Q3 25
$955.0K
$21.4M
Q2 25
$720.0K
$20.2M
Q1 25
$1.5M
$19.9M
Q4 24
$527.0K
$29.1M
Q3 24
$380.0K
$27.8M
Q2 24
$146.0K
$23.9M
Q1 24
$822.0K
$23.3M
Total Debt
INFU
INFU
SPOK
SPOK
Q4 25
$19.6M
Q3 25
$20.9M
Q2 25
$26.3M
Q1 25
$28.7M
Q4 24
$23.9M
Q3 24
$28.0M
Q2 24
$34.2M
Q1 24
$29.9M
Stockholders' Equity
INFU
INFU
SPOK
SPOK
Q4 25
$57.3M
$146.4M
Q3 25
$55.5M
$148.7M
Q2 25
$54.5M
$150.9M
Q1 25
$55.1M
$151.7M
Q4 24
$57.5M
$154.7M
Q3 24
$55.5M
$156.3M
Q2 24
$53.5M
$158.2M
Q1 24
$52.3M
$160.2M
Total Assets
INFU
INFU
SPOK
SPOK
Q4 25
$100.6M
$206.1M
Q3 25
$98.9M
$209.7M
Q2 25
$100.8M
$208.7M
Q1 25
$104.3M
$204.5M
Q4 24
$103.6M
$217.1M
Q3 24
$105.3M
$216.8M
Q2 24
$108.5M
$216.4M
Q1 24
$104.8M
$215.0M
Debt / Equity
INFU
INFU
SPOK
SPOK
Q4 25
0.34×
Q3 25
0.38×
Q2 25
0.48×
Q1 25
0.52×
Q4 24
0.41×
Q3 24
0.50×
Q2 24
0.64×
Q1 24
0.57×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
INFU
INFU
SPOK
SPOK
Operating Cash FlowLast quarter
$7.1M
$11.5M
Free Cash FlowOCF − Capex
$7.0M
$10.1M
FCF MarginFCF / Revenue
19.3%
29.9%
Capex IntensityCapex / Revenue
0.4%
4.1%
Cash ConversionOCF / Net Profit
3.93×
TTM Free Cash FlowTrailing 4 quarters
$23.8M
$25.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
INFU
INFU
SPOK
SPOK
Q4 25
$7.1M
$11.5M
Q3 25
$8.5M
$8.1M
Q2 25
$7.0M
$7.0M
Q1 25
$1.8M
$2.3M
Q4 24
$7.9M
$8.4M
Q3 24
$9.8M
$11.1M
Q2 24
$2.3M
$7.4M
Q1 24
$377.0K
$2.0M
Free Cash Flow
INFU
INFU
SPOK
SPOK
Q4 25
$7.0M
$10.1M
Q3 25
$8.4M
$7.6M
Q2 25
$6.8M
$6.0M
Q1 25
$1.6M
$1.5M
Q4 24
$7.4M
$7.5M
Q3 24
$9.8M
$10.3M
Q2 24
$2.0M
$6.8M
Q1 24
$195.0K
$1.1M
FCF Margin
INFU
INFU
SPOK
SPOK
Q4 25
19.3%
29.9%
Q3 25
23.1%
22.4%
Q2 25
18.9%
16.8%
Q1 25
4.7%
4.2%
Q4 24
21.9%
22.3%
Q3 24
27.7%
29.4%
Q2 24
5.9%
20.0%
Q1 24
0.6%
3.2%
Capex Intensity
INFU
INFU
SPOK
SPOK
Q4 25
0.4%
4.1%
Q3 25
0.2%
1.6%
Q2 25
0.6%
2.9%
Q1 25
0.4%
2.1%
Q4 24
1.6%
2.5%
Q3 24
0.1%
2.4%
Q2 24
1.0%
1.9%
Q1 24
0.6%
2.5%
Cash Conversion
INFU
INFU
SPOK
SPOK
Q4 25
3.93×
Q3 25
3.76×
2.54×
Q2 25
2.70×
1.55×
Q1 25
0.43×
Q4 24
2.31×
Q3 24
5.45×
3.03×
Q2 24
3.22×
2.17×
Q1 24
0.47×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

INFU
INFU

Patient Services$20.0M55%
Device Solutions$14.4M40%
Other$1.9M5%

SPOK
SPOK

Paging$16.8M50%
Software Operations$16.0M47%
License$1.2M4%

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