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Side-by-side financial comparison of Spok Holdings, Inc (SPOK) and X4 Pharmaceuticals, Inc (XFOR). Click either name above to swap in a different company.

Spok Holdings, Inc is the larger business by last-quarter revenue ($33.9M vs $28.8M, roughly 1.2× X4 Pharmaceuticals, Inc). Spok Holdings, Inc runs the higher net margin — 8.7% vs 1.0%, a 7.7% gap on every dollar of revenue.

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.

X4 Pharmaceuticals, Inc. is a clinical-stage biotechnology company focused on developing novel targeted therapies for rare immunological diseases and oncology indications with high unmet medical needs. It operates primarily across the U.S. and European markets, with a lead pipeline candidate for WHIM syndrome and multiple other preclinical and clinical assets for immune disorders and cancer.

SPOK vs XFOR — Head-to-Head

Bigger by revenue
SPOK
SPOK
1.2× larger
SPOK
$33.9M
$28.8M
XFOR
Higher net margin
SPOK
SPOK
7.7% more per $
SPOK
8.7%
1.0%
XFOR

Income Statement — Q4 FY2025 vs Q1 FY2025

Metric
SPOK
SPOK
XFOR
XFOR
Revenue
$33.9M
$28.8M
Net Profit
$2.9M
$282.0K
Gross Margin
76.7%
83.6%
Operating Margin
11.6%
-32.8%
Net Margin
8.7%
1.0%
Revenue YoY
-0.1%
Net Profit YoY
-19.6%
100.5%
EPS (diluted)
$0.13
$0.04

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
XFOR
XFOR
Q4 25
$33.9M
Q3 25
$33.9M
Q2 25
$35.7M
Q1 25
$36.3M
$28.8M
Q4 24
$33.9M
Q3 24
$34.9M
Q2 24
$34.0M
Q1 24
$34.9M
$0
Net Profit
SPOK
SPOK
XFOR
XFOR
Q4 25
$2.9M
Q3 25
$3.2M
Q2 25
$4.6M
Q1 25
$5.2M
$282.0K
Q4 24
$3.6M
Q3 24
$3.7M
Q2 24
$3.4M
Q1 24
$4.2M
$-51.8M
Gross Margin
SPOK
SPOK
XFOR
XFOR
Q4 25
76.7%
Q3 25
78.3%
Q2 25
79.5%
Q1 25
80.1%
83.6%
Q4 24
78.5%
Q3 24
79.5%
Q2 24
78.9%
Q1 24
79.5%
Operating Margin
SPOK
SPOK
XFOR
XFOR
Q4 25
11.6%
Q3 25
12.9%
Q2 25
15.1%
Q1 25
16.6%
-32.8%
Q4 24
13.7%
Q3 24
14.2%
Q2 24
13.2%
Q1 24
14.0%
Net Margin
SPOK
SPOK
XFOR
XFOR
Q4 25
8.7%
Q3 25
9.5%
Q2 25
12.8%
Q1 25
14.3%
1.0%
Q4 24
10.8%
Q3 24
10.5%
Q2 24
10.1%
Q1 24
12.1%
EPS (diluted)
SPOK
SPOK
XFOR
XFOR
Q4 25
$0.13
Q3 25
$0.15
Q2 25
$0.22
Q1 25
$0.25
$0.04
Q4 24
$0.17
Q3 24
$0.18
Q2 24
$0.17
Q1 24
$0.21
$-7.77

Balance Sheet & Financial Strength

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

Metric
SPOK
SPOK
XFOR
XFOR
Cash + ST InvestmentsLiquidity on hand
$25.3M
$40.3M
Total DebtLower is stronger
$75.0M
Stockholders' EquityBook value
$146.4M
$22.9M
Total Assets
$206.1M
$130.0M
Debt / EquityLower = less leverage
3.27×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
SPOK
SPOK
XFOR
XFOR
Q4 25
$25.3M
Q3 25
$21.4M
Q2 25
$20.2M
Q1 25
$19.9M
$40.3M
Q4 24
$29.1M
Q3 24
$27.8M
Q2 24
$23.9M
Q1 24
$23.3M
$60.5M
Total Debt
SPOK
SPOK
XFOR
XFOR
Q4 25
Q3 25
Q2 25
Q1 25
$75.0M
Q4 24
Q3 24
Q2 24
Q1 24
$55.0M
Stockholders' Equity
SPOK
SPOK
XFOR
XFOR
Q4 25
$146.4M
Q3 25
$148.7M
Q2 25
$150.9M
Q1 25
$151.7M
$22.9M
Q4 24
$154.7M
Q3 24
$156.3M
Q2 24
$158.2M
Q1 24
$160.2M
$1.0M
Total Assets
SPOK
SPOK
XFOR
XFOR
Q4 25
$206.1M
Q3 25
$209.7M
Q2 25
$208.7M
Q1 25
$204.5M
$130.0M
Q4 24
$217.1M
Q3 24
$216.8M
Q2 24
$216.4M
Q1 24
$215.0M
$112.2M
Debt / Equity
SPOK
SPOK
XFOR
XFOR
Q4 25
Q3 25
Q2 25
Q1 25
3.27×
Q4 24
Q3 24
Q2 24
Q1 24
53.09×

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
XFOR
XFOR
Operating Cash FlowLast quarter
$11.5M
$-12.4M
Free Cash FlowOCF − Capex
$10.1M
FCF MarginFCF / Revenue
29.9%
Capex IntensityCapex / Revenue
4.1%
0.0%
Cash ConversionOCF / Net Profit
3.93×
-43.86×
TTM Free Cash FlowTrailing 4 quarters
$25.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
SPOK
SPOK
XFOR
XFOR
Q4 25
$11.5M
Q3 25
$8.1M
Q2 25
$7.0M
Q1 25
$2.3M
$-12.4M
Q4 24
$8.4M
Q3 24
$11.1M
Q2 24
$7.4M
Q1 24
$2.0M
$-33.6M
Free Cash Flow
SPOK
SPOK
XFOR
XFOR
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
$-33.7M
FCF Margin
SPOK
SPOK
XFOR
XFOR
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
XFOR
XFOR
Q4 25
4.1%
Q3 25
1.6%
Q2 25
2.9%
Q1 25
2.1%
0.0%
Q4 24
2.5%
Q3 24
2.4%
Q2 24
1.9%
Q1 24
2.5%
Cash Conversion
SPOK
SPOK
XFOR
XFOR
Q4 25
3.93×
Q3 25
2.54×
Q2 25
1.55×
Q1 25
0.43×
-43.86×
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%

XFOR
XFOR

Segment breakdown not available.

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