S m a r t e r, fa s t e r c l in i c a l c o m m u n ic a t io n

I n v e s t o r P r e s e n t a t i o n | M a r c h 2 0 2 1 F i n a n c i a l s a s o f 1 2 / 3 1 / 2 0 2 0

Safe harbor statement

This presentation may include forward-looking statements that are subject to risks and uncertainties

relating to Spok’s future financial and business performance. Such statements may include estimates of

revenue, expenses, and income, as well as other predictive statements or plans which are dependent

upon future events or conditions. These statements represent the Company’s estimates only on the date

of this presentation and are not intended to give any assurance as to actual future results. Spok’s actual

results could differ materially from those anticipated in these forward-looking statements. Although

these statements are based upon assumptions that the Company believes to be reasonable, based upon

available information, they are subject to risks and uncertainties. Please review the risk factors section

relating to our operations and the business environment in which we compete, contained in our 2020

Form 10-K and related Company documents filed with the Securities and Exchange Commission, for a

description of these risks and uncertainties. Please note that Spok assumes no obligation to update any

forward-looking statements from past or present filings and conference calls.

3

Overview of Spok

A global leader in healthcare communication

4

⚫ Profitable and debt free ⚫ Resources to invest ⚫ Strong wireless base ⚫ Focus on software growth

⚫ Strategic investments and dividends ⚫ Highly leverageable customer base

50+ Years in business

2004Public company

600+Employees

#1 for secure communicationsby Black Book Market Research

2,200+Healthcare customers

$1 BillionReturned to investors since inception in 2004

82% Re-occurring revenue in 2020

Ranked

5

Cre at e b e au t i f u l so f t ware t h at d e l ig h t s o u r cu s t o me rs

Our mission and vision

Be the strategic partner of choice for enterprise-grade clinical communications and patient care coordination

Our strategy

6

01

02

03

Minimize planned customer attrition in our wireless product line by offering a comprehensive suite of wireless products and services

Support our Spok Care Connect® on-premise communication suite that was driven by the 2011 acquisition of Amcom Software

Develop new applications and capabilities, as we did in early 2020 with the introduction of Spok Go®, our new cloud-native, subscription-based, integrated communications platform

Our history

2004USA Mobility formed from merger of Arch Wireless, Inc. and Metrocall Holdings, Inc.

2008Amcom acquires Telident 911 and Commtech Wireless

2012Amcom acquires

CTRM from IMCO Technologies

2014USA Mobility and Amcom Software come together under single identity and new, exciting brand

20172.0 Platform

Development

2019Spok introduces its cloud-native platform

2009Amcom acquires

SDC Solutions

2007Merger of Amcomand Xtend Comms

2011USA Mobility acquires Amcom Software

7 7

2020Announce new

name & advanced

capabilities for cloud-native

platform, Spok Go®

Trusted partner

Value proposition

Deliver actionable clinical

information to expedite

communications

Scalable enterprise solution

Intelligent routing and escalation

Powerful directory and native on-call

Flexible and open

Ensure reliability and security while

connecting the entire care network

with AWS-backed cloud architecture

Reduce errors and wasted time with

one source of truth for all roles,

departments, and locations

Empower staff to use the best

devices for their roles, including

pagers

2,200+ hospitals, including the

Best Hospitals, rely on Spok

8

61%H e a l t h c a r e

Other

Large Enterprise

Government

2012

Market focus

9

84%H e a l t h c a r e

GovernmentLarge Enterprise

Other

2020

The best hospitals rely on Spok

F o r e i g h t c o n s e c u t i v e y e a r s , U . S . N e w s & W o r l d R e p o r t ’s B e s t H o s p i t a l s a r e S p o k c u s t o m e r s

• A l l 2 1 a d u l t h o s p i t a l s

• A l l 1 0 c h i l d r e n ’s h o s p i t a l s

Competitor landscape

11

Care coordination

Contact center solutions

Scheduling

Clinical alerting system

12

Our products

⚫ Largest wireless paging network in the United States

⚫ Wireless paging remains “mission critical” in the

hospital setting

⚫ Offer exclusive one-way (T5) and two-way (T52)

alphanumeric pagers, which are configurable to

support both encrypted and unencrypted operation

13

Wireless

Spok Care Connect® suite

⚫ Includes contact center, clinical alerting, and mobile

communication applications for the healthcare,

public safety, and large enterprise verticals

⚫ On-premise software solutions supported by our

internal professional services team that offers

consultation, implementation, and training services

⚫ Valuable recurring maintenance revenue stream

14

Spok Go® product timeline

15

2020

Communicationand efficiency

2021

IDN scale

2022

Patient centric care

• Clinical workflow automation• On-call scheduling• Directory• VOIP• Messaging• Insights analytics

• Integration with Spok consoles

• Global search• Clinical diagnostics

• Patient and family communication

• Patient activity feed• Clinical tasking

2020 2021 2022

16

Financial highlights

Software revenue

Technology Platform Transformation

As we move from a set of predominantly legacy products, our

cloud-based platform will allow us to target the strong demand

for workflow solutions in the marketplace

Business Model Transformation

With the transition to a cloud-based platform, Spok Go, we will

migrate to a SaaS, subscription-based contract structure

Sales Transformation

We will be transitioning to a technology and workflow-led sales

process

17

$70.6 $70.0 $70.0$75.2

$72.1

$64.6

$30

$35

$40

$45

$50

$55

$60

$65

$70

$75

$80

2015 2016 2017 2018 2019 2020

In m

illio

ns

Software Revenue

Investment in innovation

5.4%

7.5%

10.9%

14.4%

17.2%18.3%

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

2015 2016 2017 2018 2019 2020*

Research and Development spend as a % of revenue

18

R&D Spend ~3x increase as a percentage of revenue since 2015 primarily driven by Spok Go investment

*Adjusted to add back $11.3M of capitalized software development costs

1,173 1,111 1,049 992 938 885

$119

$110$101

$94$88

$84

0

500

1,000

1,500

2,000

2,500

3,000

$0

$20

$40

$60

$80

$100

$120

$140

2015 2016 2017 2018 2019 2020

Mill

ions

Number of units (000)

Wireless revenue trends continue to improve

19

10.1% 7.9% 7.7% 6.8% 6.5% 5.2%

11.4% 21.8% 2.6% 11.7% 4.4% 20.0%

$7.83 $7.67 $7.51 $7.39 $7.34 $7.30

Revenue attrition from prior year

Average revenue per user

YOY improvement in attrition percentages

Balance sheet strength

Cash, Cash Equivalents and Short-Term Investments $ 78.7

Accounts Receivable 29.9

Other Current Assets 10.2

Other Assets 158.5

Total Assets $ 277.3

Current Liabilities $ 57.5

Total Debt 0.0

Other Liabilities 19.2

Stockholders’ Equity 200.6

Total Liabilities and Stockholders’ Equity $277.3

20

• Cash and Short-Term

Investments totaling $78.7

million.

• Continue to operate as a debt-

free company.

(Dollars in millions as of December 31, 2020)

Capital allocation

21

S h a r e R e p u r c h a s e s / D i v i d e n d

Opportunistic capital deployment for shareholder value

Continued $0.125 quarterly dividend

A c q u i s i t i o n s

Subject matter/industry expertise

Technology / Customer / Geographic expansion

Customer base expansion

I n t e r n a l i n v e s t m e n t

Product innovation and technology expansion

Automation and efficiency initiatives

Sales & marketing and back office capability/capacity

Thank you

Sma r t e r, fa s t e r c l i n i c a l c o mmu n i c a t i o n

22