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

STEM, INC. is the larger business by last-quarter revenue ($47.1M vs $33.9M, roughly 1.4× Spok Holdings, Inc). Spok Holdings, Inc runs the higher net margin — 8.7% vs -33.9%, a 42.5% gap on every dollar of revenue. On growth, Spok Holdings, Inc posted the faster year-over-year revenue change (-0.1% vs -15.6%). Over the past eight quarters, STEM, INC.'s revenue compounded faster (36.1% CAGR vs -1.5%).

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.

StemCells, Inc. is a public biopharmaceutical company headquartered in Newark, California, that is developing purified human neural stem cells (HuCNS-SCs) in the hopes of treating central nervous system disorders and paralysis. StemCells' HuCNS-SCs have the ability to differentiate into the three main types of cells found in the central nervous system: neurons, astrocytes and oligodendrocytes.

SPOK vs STEM — Head-to-Head

Bigger by revenue
STEM
STEM
1.4× larger
STEM
$47.1M
$33.9M
SPOK
Growing faster (revenue YoY)
SPOK
SPOK
+15.5% gap
SPOK
-0.1%
-15.6%
STEM
Higher net margin
SPOK
SPOK
42.5% more per $
SPOK
8.7%
-33.9%
STEM
Faster 2-yr revenue CAGR
STEM
STEM
Annualised
STEM
36.1%
-1.5%
SPOK

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
SPOK
SPOK
STEM
STEM
Revenue
$33.9M
$47.1M
Net Profit
$2.9M
$-16.0M
Gross Margin
76.7%
48.9%
Operating Margin
11.6%
-17.7%
Net Margin
8.7%
-33.9%
Revenue YoY
-0.1%
-15.6%
Net Profit YoY
-19.6%
68.8%
EPS (diluted)
$0.13
$-4.40

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
SPOK
SPOK
STEM
STEM
Q4 25
$33.9M
$47.1M
Q3 25
$33.9M
$38.2M
Q2 25
$35.7M
$38.4M
Q1 25
$36.3M
$32.5M
Q4 24
$33.9M
$55.8M
Q3 24
$34.9M
$29.3M
Q2 24
$34.0M
$34.0M
Q1 24
$34.9M
$25.5M
Net Profit
SPOK
SPOK
STEM
STEM
Q4 25
$2.9M
$-16.0M
Q3 25
$3.2M
$-23.8M
Q2 25
$4.6M
$202.5M
Q1 25
$5.2M
$-25.0M
Q4 24
$3.6M
$-51.1M
Q3 24
$3.7M
$-148.3M
Q2 24
$3.4M
$-582.3M
Q1 24
$4.2M
$-72.3M
Gross Margin
SPOK
SPOK
STEM
STEM
Q4 25
76.7%
48.9%
Q3 25
78.3%
35.5%
Q2 25
79.5%
33.4%
Q1 25
80.1%
32.4%
Q4 24
78.5%
-4.4%
Q3 24
79.5%
21.2%
Q2 24
78.9%
27.6%
Q1 24
79.5%
-95.0%
Operating Margin
SPOK
SPOK
STEM
STEM
Q4 25
11.6%
-17.7%
Q3 25
12.9%
-33.6%
Q2 25
15.1%
-34.8%
Q1 25
16.6%
-65.0%
Q4 24
13.7%
-84.4%
Q3 24
14.2%
-493.2%
Q2 24
13.2%
-1705.5%
Q1 24
14.0%
-267.0%
Net Margin
SPOK
SPOK
STEM
STEM
Q4 25
8.7%
-33.9%
Q3 25
9.5%
-62.2%
Q2 25
12.8%
527.8%
Q1 25
14.3%
-76.9%
Q4 24
10.8%
-91.6%
Q3 24
10.5%
-506.3%
Q2 24
10.1%
-1712.6%
Q1 24
12.1%
-283.9%
EPS (diluted)
SPOK
SPOK
STEM
STEM
Q4 25
$0.13
$-4.40
Q3 25
$0.15
$-2.84
Q2 25
$0.22
$-1.79
Q1 25
$0.25
$-0.15
Q4 24
$0.17
$-15.29
Q3 24
$0.18
$-18.24
Q2 24
$0.17
$-71.81
Q1 24
$0.21
$-0.46

Balance Sheet & Financial Strength

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

Metric
SPOK
SPOK
STEM
STEM
Cash + ST InvestmentsLiquidity on hand
$25.3M
$48.9M
Total DebtLower is stronger
Stockholders' EquityBook value
$146.4M
$-249.4M
Total Assets
$206.1M
$308.9M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
SPOK
SPOK
STEM
STEM
Q4 25
$25.3M
$48.9M
Q3 25
$21.4M
$43.1M
Q2 25
$20.2M
$40.8M
Q1 25
$19.9M
$58.6M
Q4 24
$29.1M
$56.3M
Q3 24
$27.8M
$75.4M
Q2 24
$23.9M
$89.6M
Q1 24
$23.3M
$112.8M
Stockholders' Equity
SPOK
SPOK
STEM
STEM
Q4 25
$146.4M
$-249.4M
Q3 25
$148.7M
$-235.7M
Q2 25
$150.9M
$-214.1M
Q1 25
$151.7M
$-417.5M
Q4 24
$154.7M
$-398.4M
Q3 24
$156.3M
$-344.1M
Q2 24
$158.2M
$-203.2M
Q1 24
$160.2M
$371.6M
Total Assets
SPOK
SPOK
STEM
STEM
Q4 25
$206.1M
$308.9M
Q3 25
$209.7M
$362.6M
Q2 25
$208.7M
$379.2M
Q1 25
$204.5M
$405.1M
Q4 24
$217.1M
$437.4M
Q3 24
$216.8M
$537.8M
Q2 24
$216.4M
$691.5M
Q1 24
$215.0M
$1.3B

Cash Flow & Capital Efficiency

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

Metric
SPOK
SPOK
STEM
STEM
Operating Cash FlowLast quarter
$11.5M
$8.2M
Free Cash FlowOCF − Capex
$10.1M
FCF MarginFCF / Revenue
29.9%
Capex IntensityCapex / Revenue
4.1%
Cash ConversionOCF / Net Profit
3.93×
TTM Free Cash FlowTrailing 4 quarters
$25.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
SPOK
SPOK
STEM
STEM
Q4 25
$11.5M
$8.2M
Q3 25
$8.1M
$11.4M
Q2 25
$7.0M
$-21.3M
Q1 25
$2.3M
$8.5M
Q4 24
$8.4M
$-14.7M
Q3 24
$11.1M
$-9.4M
Q2 24
$7.4M
$-11.9M
Q1 24
$2.0M
$-621.0K
Free Cash Flow
SPOK
SPOK
STEM
STEM
Q4 25
$10.1M
Q3 25
$7.6M
Q2 25
$6.0M
Q1 25
$1.5M
Q4 24
$7.5M
Q3 24
$10.3M
Q2 24
$6.8M
Q1 24
$1.1M
FCF Margin
SPOK
SPOK
STEM
STEM
Q4 25
29.9%
Q3 25
22.4%
Q2 25
16.8%
Q1 25
4.2%
Q4 24
22.3%
Q3 24
29.4%
Q2 24
20.0%
Q1 24
3.2%
Capex Intensity
SPOK
SPOK
STEM
STEM
Q4 25
4.1%
Q3 25
1.6%
Q2 25
2.9%
Q1 25
2.1%
Q4 24
2.5%
Q3 24
2.4%
Q2 24
1.9%
Q1 24
2.5%
Cash Conversion
SPOK
SPOK
STEM
STEM
Q4 25
3.93×
Q3 25
2.54×
Q2 25
1.55×
-0.11×
Q1 25
0.43×
Q4 24
2.31×
Q3 24
3.03×
Q2 24
2.17×
Q1 24
0.47×

Financial Flow Comparison

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

Revenue Breakdown by Segment

SPOK
SPOK

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

STEM
STEM

Segment breakdown not available.

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