DocGo Announces Fourth Quarter and Full Year 2025 Results
Key Terms
adjusted EBITDA financial
GAAP gross margin financial
non-GAAP financial measures financial
restricted stock units financial
Company Raises 2026 Revenue and Adjusted EBITDA Guidance due to Customer Expansions, Improved EMS Hiring Rates and Efficiency Initiatives
Company Has Initiated a Formal Process to Explore Strategic Alternatives to Maximize Shareholder Value
Management to Host Conference Call and Webcast Today at 5:00 PM Eastern Time
Fourth Quarter 2025 Financial Highlights
-
Total revenue for the fourth quarter of 2025 was
, compared to$74.9 million in the fourth quarter of 2024. This decline was entirely due to the wind-down of migrant-related programs, which generated$120.8 million of revenue in the fourth quarter of 2025 and$7.4 million in the fourth quarter of 2024. Excluding revenue from migrant-related programs, revenue increased$60.2 million 11% to in the fourth quarter of 2025 from$67.5 million in the fourth quarter of 2024.$60.6 million -
GAAP gross margin (which includes depreciation and amortization expenses) for the fourth quarter of 2025 was
27.2% , compared to30.8% in the fourth quarter of 2024. -
Adjusted gross margin1 for the fourth quarter of 2025 was
32.5% , compared to33.5% in the fourth quarter of 2024. -
Net loss for the fourth quarter of 2025 was
, compared to a net loss of$142.3 million in the fourth quarter of 2024. Included in this quarter’s loss were several non-cash items totaling$7.6 million , which include impairments of$78 million in intangible assets,$23 million in goodwill and$50 million in an equity investment.$5 million -
Adjusted EBITDA1 loss was
for the fourth quarter of 2025, compared to adjusted EBITDA of$11.3 million for the fourth quarter of 2024.$1.1 million -
Medical Transportation Services revenue in the fourth quarter of 2025 was
, compared to$50.2 million for the fourth quarter of 2024.$49.1 million -
Mobile Health Services revenue for the fourth quarter of 2025 was
, compared to$24.8 million for the fourth quarter of 2024. This decline was entirely due to the wind-down of migrant-related programs. Excluding revenue from migrant-related programs, Mobile Health Services revenue increased$71.8 million 47% from the fourth quarter of 2024, aided by the inclusion of revenue from SteadyMD, which was acquired on October 20, 2025. -
As of December 31, 2025, the Company held total cash and cash equivalents, including restricted cash and investments, of approximately
, compared to$68.3 million as of September 30, 2025. This period included$95.2 million in cash for the acquisition of SteadyMD and additional transaction-related cash payments of approximately$12.5 million .$1.5 million
Full Year 2025 Financial Highlights
-
Total revenue for 2025 was
, compared to$322.2 million in 2024. This decline was entirely due to the wind-down of migrant-related programs, which generated$616.6 million in 2025 and$69.6 million in 2024.$373.5 million -
GAAP gross margin (which includes depreciation and amortization expenses) for 2025 was
25.8% , compared to32.1% in 2024. -
Adjusted gross margin1 for 2025 was
32.3% , compared to34.6% in 2024. -
Net loss for 2025 was
, compared to net income of$196.4 million in 2024. Included in this year’s loss were non-cash impairments of$13.4 million in intangible assets,$30.6 million in goodwill, and a$58.2 million equity investment.$5 million -
Adjusted EBITDA1 loss was
for 2025, compared to adjusted EBITDA of$28.6 million in 2024.$60.3 million -
Medical Transportation Services revenue for 2025 was
, compared to$200.8 million in 2024.$193.5 million -
Mobile Health Services revenue for 2025 was
, compared to$121.4 million in 2024. This decline was entirely due to the wind-down of migrant-related programs.$423.1 million
Select Corporate Highlights for the Fourth Quarter of 2025 and Recent Weeks
-
Combined revenues from the Company’s “healthcare at any address” business – which includes our care gap closure, transitions of care, remote patient monitoring, mobile phlebotomy and virtual care services – tripled to
in Q4 2025, compared to$12.8 million in Q4 2024.$4.3 million -
Company achieved record volumes across all major business lines, with US medical transportation increasing
11% , healthcare in the home increasing113% , mobile phlebotomy increasing16% , remote patient monitoring increasing16% , and virtual care & lab orders increasing50% when comparing fourth quarter 2025 to fourth quarter 2024. - DocGo’s SteadyMD announced an immediate expansion of its clinical workforce to meet rising virtual care demand for branded GLP-1 weight loss care, and achieved their highest monthly revenue on record in February 2026.
- Surpassed 1.45 million patients assigned by the Company’s payer and provider partners to engage for care gap closure services, up from 1.3 million last quarter.
-
Subsequent to quarter end, expanded our relationship with a major national insurance payer to facilitate annual preventive exams and close care gaps in
Kentucky for both children and adults. The program is slated to launch this month. - Company has initiated a formal process to explore strategic alternatives to maximize shareholder value.
Financial Guidance
-
Full-year 2026 revenue is expected to be
, which does not include any migrant-related revenue, an increase from our prior guidance of$290 -$310 million .$280 -$300 million -
Full-year 2026 adjusted EBITDA2 is expected to be a loss of
, the majority of which is expected to be realized in the first half of the year, compared to our prior guidance of a loss of$5 -$10 million .$15 -$25 million
Lee Bienstock, Chief Executive Officer of DocGo, commented “While 2025 was a year of transition and focus on our core business lines, the robust growth in our ‘healthcare at any address’ business – which includes care in the home, remote patient monitoring, mobile phlebotomy and virtual care services – supports our belief that DocGo’s offering is well positioned to meet the needs of the evolving healthcare landscape.” Bienstock continued “We are increasing guidance based on the record volumes we’ve seen thus far in 2026, and the anticipated full-year impact of our cost efficiency initiatives. We believe that our plan and resources are sufficient to enable the Company to achieve profitability in the second half of 2026.“
Norm Rosenberg, Chief Financial Officer of DocGo, commented “I am encouraged by the positive trend in medical transportation gross margins on both a quarterly sequential and year-over-year basis, and we anticipate additional margin improvements in both segments in 2026. During the fourth quarter, the company incurred material costs associated with the final wind-down of migrant-related programs, which will not recur in Q1. Cash collections during the fourth quarter of 2025 were lower than our expectations, driven by delayed payments from our outstanding migrant-related receivables. We have collected more than
- Adjusted gross margin and adjusted EBITDA are non-GAAP financial measures. See “Non-GAAP Financial Measures” below for additional information on these non-GAAP financial measures and reconciliations to the most comparable GAAP measures.
- Adjusted EBITDA is a non-GAAP financial measure. We have not reconciled adjusted EBITDA outlook to the most comparable GAAP outlook because it is not possible to do so without unreasonable efforts due to the uncertainty and potential variability of reconciling items, which are dependent on future events and often outside of management’s control and which could be significant. Because such items cannot be reasonably predicted with the level of precision required, we are unable to provide outlooks for the comparable GAAP measure (net income). Forward-looking estimates of adjusted EBITDA are made in a manner consistent with the relevant definitions and assumptions noted herein.
Conference Call and Webcast Details
Monday, March 16th, 2026, at 5:00 PM ET
1-800-717-1738 - Investors Dial
1-646-307-1865 - Int’l Investors Dial
Conference ID: 74028
Webcast: https://viavid.webcasts.com/starthere.jsp?ei=1752136&tp_key=c6aecb5179
The webcast can also be accessed under Events on the Investors section of the Company’s website, https://ir.docgo.com/.
About DocGo
DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, remote patient monitoring, ambulance services and a 50-state virtual care network. DocGo is helping to reshape the traditional four-wall healthcare system by providing high quality, highly accessible care to patients where and when they need it. DocGo’s proprietary technology and relationships with a dedicated field staff of certified health professionals elevate the quality of patient care and drive business efficiencies for municipalities, hospital networks and health insurance providers. With Mobile Health, DocGo empowers the full promise and potential of telehealth by facilitating healthcare treatment, in tandem with a remote advanced practice provider, in the comfort of a patient’s home or workplace. Together with DocGo’s integrated Ambulnz medical transport services, DocGo is bridging the gap between physical and virtual care. For more information, please visit www.docgo.com. To get an inside look on how the proactive healthcare revolution is helping transform healthcare by reducing costs, increasing efficiency and improving outcomes, visit www.proactivecarenow.com.
Forward-Looking Statements
This earnings release includes forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, regarding, among other things, the plans, strategies, outcomes, and prospects, both business and financial, of the Company, including the Company’s expectations around projected revenues and adjusted EBITDA for fiscal year 2026; the performance and growth of its core business lines; the launch of new Mobile Health programs; the demand for and expansion of the Company’s services; cash flow and cash collections; the Company’s cash balances; margin improvements; and the Company’s return to profitability. These statements are based on the beliefs and assumptions of the Company’s management. Although the Company believes that its plans, intentions and expectations reflected in or suggested by these forward-looking statements are reasonable, the Company cannot assure you that it will achieve or realize these plans, intentions, outcomes, results or expectations. Accordingly, you should not place undue reliance on such statements. All statements other than statements of historical fact are forward-looking, including, but not limited, to statements regarding the Company’s future actions, business strategies or models, plans, goals, future events, future revenues, future margins, current and future revenue guidance, future growth or performance, financing needs, business trends, results of operations, objectives and intentions with respect to future operations, services and products, and new and existing contracts or partnerships. In some cases, these statements may be preceded by, followed by or include the words “believes,” “estimates,” “expects,” “projects,” “forecasts,” “may,” “might,” “will,” “should,” “could,” “can,” “would,” “design,” “potential,” “seeks,” “plans,” “scheduled,” “anticipates,” “intends” or the negative of these terms or similar expressions.
Forward-looking statements are inherently subject to substantial risks, uncertainties and assumptions, many of which are beyond the Company’s control, and which may cause its actual results or outcomes, or the timing of its results or outcomes, to differ materially from those contained in its forward-looking statements, including, but not limited to the following: impacts related to the recent wind down of migrant-related services; the Company’s ability to continue as a going concern; the Company’s ability to maintain its listing on Nasdaq; the Company’s ability to pursue strategic initiatives to deliver on shareholder value; the Company’s ability to expand its programs with insurance partners, hospital systems, municipalities and other strategic partners; the Company’s ability to successfully implement its business strategy, including delivering value to shareholders via buybacks and funding new strategic relationships; the Company’s ability to establish, maintain and grow customer relationships; the Company’s ability to execute projects to the satisfaction of its customers; the Company’s ability to grow demand for its care gap closure programs and other services; the Company’s ability to maintain or grow its cash balances; the Company’s reliance on and ability to maintain its contractual relationships with its healthcare provider partners and other strategic partners; the Company’s ability to compete effectively in a highly competitive industry, including conditions in the healthcare transportation and mobile health services markets; the Company’s ability to maintain existing contracts; the Company’s reliance on government contracts, including changes in government spending on healthcare and other social services; recent revenue growth derived from a small number of large customers; the Company’s ability to effectively manage its growth; the Company’s financial performance and future prospects; the Company’s ability to deliver on its business strategies or models, plans and goals; the Company’s ability to expand geographically; the Company’s M&A activity and success of its acquisition strategy; the Company’s ability to retain its workforce and management personnel and successfully manage leadership transitions; the availability of healthcare professionals and other personnel; changes in the cost of labor; the Company’s ability to collect on customer receivables; risks associated with the Company’s share repurchase program; overall macroeconomic and geopolitical conditions, including the interest rate environment, the inflationary environment, the potential recessionary environment, regional conflict and tensions, financial institution instability and the ongoing or any future shutdown of the
Moreover, the Company operates in a very competitive and rapidly changing environment. New risks and uncertainties emerge from time to time, and it is not possible for the Company to predict all risks and uncertainties that could have an impact on the forward-looking statements contained in this earnings release. The results, events, and circumstances reflected in the forward-looking statements may not be achieved or occur, and actual results or outcomes could differ materially from those described in the forward-looking statements.
The forward-looking statements made in this earnings release are based on events or circumstances as of the date on which the statements are made. The Company undertakes no obligation to update any forward-looking statements made in this earnings release to reflect events or circumstances after the date of this earnings release or to reflect new information or the occurrence of unanticipated events, except as and to the extent required by law. The Company’s forward-looking statements do not reflect the potential impact of any future acquisitions, mergers, dispositions, joint ventures or investments.
DocGo Inc. and Subsidiaries |
|||||||
CONSOLIDATED BALANCE SHEETS |
|||||||
| December 31, | |||||||
2025 |
2024 |
||||||
| ASSETS | |||||||
| Current assets: | |||||||
| Cash and cash equivalents | $ |
51,018,657 |
|
$ |
89,241,695 |
|
|
| Accounts receivable, net of allowance for credit loss of |
|
92,893,216 |
|
|
210,899,926 |
|
|
| Prepaid expenses |
|
4,790,215 |
|
|
4,005,977 |
|
|
| Other current assets |
|
3,697,371 |
|
|
338,665 |
|
|
| Total current assets |
|
152,399,459 |
|
|
304,486,263 |
|
|
| Property and equipment, net |
|
14,558,427 |
|
|
14,881,411 |
|
|
| Intangibles, net |
|
— |
|
|
25,728,813 |
|
|
| Goodwill |
|
— |
|
|
47,432,550 |
|
|
| Restricted cash and cash equivalents |
|
1,466,121 |
|
|
18,095,612 |
|
|
| Restricted investments (amortized cost of |
|
15,845,875 |
|
|
— |
|
|
| Operating lease right-of-use assets |
|
11,520,781 |
|
|
11,958,698 |
|
|
| Finance lease right-of-use assets |
|
17,420,424 |
|
|
15,337,299 |
|
|
| Investments |
|
— |
|
|
5,547,979 |
|
|
| Deferred tax assets |
|
538,864 |
|
|
8,422,034 |
|
|
| Other assets |
|
3,353,061 |
|
|
3,730,473 |
|
|
| Total assets | $ |
217,103,012 |
|
$ |
455,621,132 |
|
|
| LIABILITIES AND STOCKHOLDERS’ EQUITY | |||||||
| Current liabilities: | |||||||
| Accounts payable | $ |
11,110,867 |
|
$ |
28,356,430 |
|
|
| Accrued liabilities |
|
42,789,440 |
|
|
49,896,796 |
|
|
| Line of credit |
|
— |
|
|
30,000,000 |
|
|
| Notes payable, current |
|
51,740 |
|
|
12,515 |
|
|
| Due to seller |
|
336,982 |
|
|
28,656 |
|
|
| Contingent consideration, current |
|
3,040,377 |
|
|
4,973,152 |
|
|
| Operating lease liability, current |
|
4,650,953 |
|
|
3,844,561 |
|
|
| Finance lease liability, current |
|
5,509,687 |
|
|
4,694,467 |
|
|
| Total current liabilities |
|
67,490,046 |
|
|
121,806,577 |
|
|
| Notes payable, non-current |
|
183,843 |
|
|
5,215 |
|
|
| Contingent consideration, non-current |
|
4,776,215 |
|
|
— |
|
|
| Operating lease liability, non-current |
|
7,563,664 |
|
|
8,599,072 |
|
|
| Finance lease liability, non-current |
|
11,217,907 |
|
|
10,031,138 |
|
|
| Total liabilities |
|
91,231,675 |
|
|
140,442,002 |
|
|
| Commitments and contingencies | |||||||
| Stockholders’ equity: | |||||||
| Common stock ( |
|
9,864 |
|
|
10,191 |
|
|
| Additional paid-in-capital |
|
325,416,366 |
|
|
321,087,583 |
|
|
| Accumulated deficit |
|
(183,801,795 |
) |
|
(1,402,167 |
) |
|
| Accumulated other comprehensive income |
|
2,387,404 |
|
|
1,221,869 |
|
|
| Total stockholders’ equity attributable to DocGo Inc. and Subsidiaries |
|
144,011,839 |
|
|
320,917,476 |
|
|
| Noncontrolling interests |
|
(18,140,502 |
) |
|
(5,738,346 |
) |
|
| Total stockholders’ equity |
|
125,871,337 |
|
|
315,179,130 |
|
|
| Total liabilities and stockholders’ equity | $ |
217,103,012 |
|
$ |
455,621,132 |
|
|
DocGo Inc. and Subsidiaries |
|||||||||||
CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE (LOSS) INCOME |
|||||||||||
| Year Ended December 31, |
|||||||||||
2025 |
2024 |
2023 |
|||||||||
| Revenues, net | $ |
322,196,000 |
|
$ |
616,555,132 |
|
$ |
624,288,642 |
|
||
| Expenses: | |||||||||||
| Cost of revenues (exclusive of depreciation and amortization, which is shown separately below) |
|
223,438,301 |
|
|
402,980,557 |
|
|
428,906,225 |
|
||
| Operating expenses: | |||||||||||
| General and administrative |
|
133,449,597 |
|
|
138,758,758 |
|
|
137,152,512 |
|
||
| Depreciation and amortization |
|
15,661,865 |
|
|
15,884,898 |
|
|
16,431,892 |
|
||
| Legal and regulatory |
|
23,819,898 |
|
|
17,146,891 |
|
|
13,082,569 |
|
||
| Technology and development |
|
13,563,070 |
|
|
11,589,402 |
|
|
10,858,724 |
|
||
| Sales, advertising and marketing |
|
1,420,428 |
|
|
1,505,900 |
|
|
2,801,740 |
|
||
| Intangible asset impairment |
|
30,648,245 |
|
|
— |
|
|
— |
|
||
| Goodwill impairment |
|
58,228,096 |
|
|
— |
|
|
— |
|
||
| Total expenses |
|
500,229,500 |
|
|
587,866,406 |
|
|
609,233,662 |
|
||
| (Loss) income from operations |
|
(178,033,500 |
) |
|
28,688,726 |
|
|
15,054,980 |
|
||
| Other (expense) income: | |||||||||||
| Interest (expense) income, net |
|
(1,242,161 |
) |
|
(1,929,207 |
) |
|
1,684,399 |
|
||
| (Loss) gain on change in fair value of contingent consideration |
|
(2,056,112 |
) |
|
9,392,133 |
|
|
1,437,525 |
|
||
| Finite-lived intangible asset impairment |
|
— |
|
|
(8,306,591 |
) |
|
— |
|
||
| Loss on equity method investments |
|
(552,763 |
) |
|
(316,044 |
) |
|
(343,336 |
) |
||
| Equity investment impairment |
|
(5,000,000 |
) |
|
— |
|
|
— |
|
||
| Loss on remeasurement of operating and finance leases |
|
(42,367 |
) |
|
(32,363 |
) |
|
(866 |
) |
||
| (Loss) gain on disposal of assets |
|
(39,668 |
) |
|
23,682 |
|
|
(852,544 |
) |
||
| Other (expense) income |
|
(532,418 |
) |
|
228,666 |
|
|
(686,865 |
) |
||
| Total other (expense) income |
|
(9,465,489 |
) |
|
(939,724 |
) |
|
1,238,313 |
|
||
| Net (loss) income before income tax expense |
|
(187,498,989 |
) |
|
27,749,002 |
|
|
16,293,293 |
|
||
| Provision for income taxes |
|
(8,868,166 |
) |
|
(14,388,422 |
) |
|
(6,244,965 |
) |
||
| Net (loss) income |
|
(196,367,155 |
) |
|
13,360,580 |
|
|
10,048,328 |
|
||
| Net (loss) income attributable to noncontrolling interests |
|
(13,967,527 |
) |
|
(6,631,563 |
) |
|
3,189,873 |
|
||
| Net (loss) income attributable to stockholders of DocGo Inc. and Subsidiaries |
|
(182,399,628 |
) |
|
19,992,143 |
|
|
6,858,455 |
|
||
| Other comprehensive income (loss) | |||||||||||
| Unrealized gain on investments, net of tax |
|
85,635 |
|
|
— |
|
|
— |
|
||
| Foreign currency translation adjustment |
|
1,079,900 |
|
|
(263,036 |
) |
|
743,699 |
|
||
| Total comprehensive (loss) income | $ |
(181,234,093 |
) |
$ |
19,729,107 |
|
$ |
7,602,154 |
|
||
| Net (loss) income per share attributable to DocGo Inc. and Subsidiaries - Basic | $ |
(1.84 |
) |
$ |
0.20 |
|
$ |
0.07 |
|
||
| Weighted-average shares outstanding - Basic |
|
99,068,651 |
|
|
102,395,141 |
|
|
103,511,299 |
|
||
| Net (loss) income per share attributable to DocGo Inc. and Subsidiaries - Diluted | $ |
(1.84 |
) |
$ |
0.18 |
|
$ |
0.06 |
|
||
| Weighted-average shares outstanding - Diluted |
|
99,068,651 |
|
|
109,422,840 |
|
|
105,617,817 |
|
||
DocGo Inc. and Subsidiaries |
|||||||||||
CONSOLIDATED STATEMENTS OF CASH FLOWS |
|||||||||||
| Year Ended December 31, |
|||||||||||
2025 |
2024 |
2023 |
|||||||||
| CASH FLOWS FROM OPERATING ACTIVITIES: | |||||||||||
| Net (loss) income | $ |
(196,367,155 |
) |
$ |
13,360,580 |
|
$ |
10,048,328 |
|
||
| Adjustments to reconcile net (loss) income to net cash provided by (used in) operating activities: |
|||||||||||
| Depreciation of property and equipment |
|
4,863,255 |
|
|
5,606,818 |
|
|
4,829,780 |
|
||
| Amortization of intangible assets |
|
5,582,601 |
|
|
5,660,818 |
|
|
5,249,358 |
|
||
| Amortization of finance lease right-of-use assets |
|
5,216,009 |
|
|
4,617,262 |
|
|
6,352,754 |
|
||
| Loss (gain) on disposal of assets |
|
39,668 |
|
|
(23,682 |
) |
|
852,544 |
|
||
| Deferred income tax |
|
7,745,066 |
|
|
3,466,505 |
|
|
(1,981,519 |
) |
||
| Accretion of discount related to restricted investments |
|
(309,842 |
) |
|
— |
|
|
— |
|
||
| Loss on equity method investments |
|
552,763 |
|
|
316,044 |
|
|
343,336 |
|
||
| Bad debt expense |
|
12,047,791 |
|
|
5,235,560 |
|
|
3,601,520 |
|
||
| Stock-based compensation |
|
17,442,018 |
|
|
13,634,086 |
|
|
20,969,174 |
|
||
| Loss on remeasurement of operating and finance leases |
|
42,367 |
|
|
32,363 |
|
|
866 |
|
||
| Loss on liquidation of business |
|
— |
|
|
— |
|
|
70,284 |
|
||
| Intangible asset impairment |
|
30,648,245 |
|
|
8,306,591 |
|
|
— |
|
||
| Goodwill impairment |
|
58,228,096 |
|
|
— |
|
|
— |
|
||
| Equity investment impairment |
|
5,000,000 |
|
|
— |
|
|
— |
|
||
| Loss (gain) on change in fair value of contingent consideration |
|
2,056,112 |
|
|
(9,392,133 |
) |
|
(1,437,525 |
) |
||
| Changes in operating assets and liabilities: | |||||||||||
| Accounts receivable |
|
112,497,747 |
|
|
41,272,218 |
|
|
(160,524,934 |
) |
||
| Prepaid expenses and other current assets |
|
(3,399,532 |
) |
|
13,007,231 |
|
|
(10,843,890 |
) |
||
| Other assets |
|
409,156 |
|
|
(1,384,824 |
) |
|
1,059,605 |
|
||
| Accounts payable |
|
(17,640,819 |
) |
|
8,307,533 |
|
|
(2,051,695 |
) |
||
| Accrued liabilities |
|
(10,402,113 |
) |
|
(41,940,373 |
) |
|
58,968,844 |
|
||
| Operating lease liabilities and right-of-use assets |
|
200,221 |
|
|
32,834 |
|
|
— |
|
||
| Net cash provided by (used in) operating activities |
|
34,451,654 |
|
|
70,115,431 |
|
|
(64,493,170 |
) |
||
| CASH FLOWS FROM INVESTING ACTIVITIES: | |||||||||||
| Purchase of property and equipment |
|
(4,544,118 |
) |
|
(3,612,507 |
) |
|
(7,313,269 |
) |
||
| Purchase of intangibles |
|
(2,890,716 |
) |
|
(2,002,103 |
) |
|
(2,541,661 |
) |
||
| Acquisition of businesses, net of cash acquired |
|
(16,394,978 |
) |
|
— |
|
|
(20,203,464 |
) |
||
| Purchase of restricted investments |
|
(28,613,676 |
) |
|
— |
|
|
— |
|
||
| Purchase of equity method investments |
|
(4,784 |
) |
|
(310,450 |
) |
|
(298,932 |
) |
||
| Purchase of equity securities |
|
— |
|
|
(5,000,000 |
) |
|
— |
|
||
| Proceeds from sale and maturity of restricted investments |
|
13,163,278 |
|
|
— |
|
|
— |
|
||
| Proceeds from disposal of property and equipment |
|
202,167 |
|
|
274,427 |
|
|
747,088 |
|
||
| Net cash used in investing activities |
|
(39,082,827 |
) |
|
(10,650,633 |
) |
|
(29,610,238 |
) |
||
| CASH FLOWS FROM FINANCING ACTIVITIES: | |||||||||||
| Proceeds from revolving credit line |
|
— |
|
|
45,000,000 |
|
|
25,000,000 |
|
||
| Repayments of revolving credit line |
|
(30,000,000 |
) |
|
(40,000,000 |
) |
|
— |
|
||
| Proceeds from notes payable |
|
258,700 |
|
|
— |
|
|
— |
|
||
| Repayments of notes payable |
|
(41,247 |
) |
|
(51,987 |
) |
|
(25,926 |
) |
||
| Due to seller |
|
(877,713 |
) |
|
(3,118,595 |
) |
|
(13,590,382 |
) |
||
| Acquisition of noncontrolling interest |
|
— |
|
|
(1,848,000 |
) |
|
— |
|
||
| Earnout payments on contingent liabilities |
|
(1,952,672 |
) |
|
(3,608,553 |
) |
|
(5,266,681 |
) |
||
| Distributions paid to noncontrolling interest |
|
(175,831 |
) |
|
(1,294,422 |
) |
|
— |
|
||
| Proceeds from exercise of stock options |
|
— |
|
|
26,330 |
|
|
1,581,183 |
|
||
| Payments for taxes related to shares withheld for employee taxes |
|
(1,813,909 |
) |
|
(1,168,877 |
) |
|
(2,308,954 |
) |
||
| Common stock repurchased |
|
(10,828,906 |
) |
|
(13,756,271 |
) |
|
— |
|
||
| Payments on obligations under finance lease |
|
(5,385,581 |
) |
|
(4,334,463 |
) |
|
(4,270,553 |
) |
||
| Net cash (used in) provided by financing activities |
|
(50,817,159 |
) |
|
(24,154,838 |
) |
|
1,118,687 |
|
||
| Effect of exchange rate changes on cash and cash equivalents |
|
595,803 |
|
|
(190,639 |
) |
|
1,093,633 |
|
||
| Net (decrease) increase in cash, cash equivalents, restricted cash and restricted cash equivalents |
|
(54,852,529 |
) |
|
35,119,321 |
|
|
(91,891,088 |
) |
||
| Cash, cash equivalents, restricted cash and restricted cash equivalents at beginning of period |
|
107,337,307 |
|
|
72,217,986 |
|
|
164,109,074 |
|
||
| Cash, cash equivalents, restricted cash and restricted cash equivalents at end of period | $ |
52,484,778 |
|
$ |
107,337,307 |
|
$ |
72,217,986 |
|
||
| Year Ended December 31, |
|||||||||||
2025 |
2024 |
2023 |
|||||||||
| Supplemental disclosure of cash and non-cash transactions: | |||||||||||
| Cash paid for interest | $ |
1,712,256 |
|
$ |
2,142,288 |
|
$ |
250,100 |
|
||
| Cash paid for interest on finance lease liabilities | $ |
958,553 |
|
$ |
769,041 |
|
$ |
600,239 |
|
||
| Cash paid for income taxes, net of refunds | $ |
6,482,618 |
|
$ |
5,880,864 |
|
$ |
10,276,110 |
|
||
| Right-of-use assets obtained in exchange for lease liabilities | $ |
11,718,452 |
|
$ |
13,973,620 |
|
$ |
7,621,538 |
|
||
| Remeasurement of finance lease right-of-use asset due to lease modification | $ |
— |
|
$ |
300,000 |
|
$ |
— |
|
||
| Supplemental non-cash investing and financing activities: | |||||||||||
| Property and equipment in accounts payable | $ |
52,866 |
|
$ |
221,639 |
|
$ |
271,292 |
|
||
| Acquisition of remaining FMC NA through due to seller and issuance of stock | $ |
— |
|
$ |
— |
|
$ |
7,000,000 |
|
||
| Acquisition of CRMS through issuance of stock | $ |
— |
|
$ |
— |
|
$ |
1,000,000 |
|
||
| CRMS True-up Payment through issuance of stock | $ |
— |
|
$ |
1,814,345 |
|
$ |
— |
|
||
| Receivables exchanged for trade credits | $ |
— |
|
$ |
— |
|
$ |
1,500,000 |
|
||
| Pre-acquisition receivables written off through due to seller | $ |
— |
|
$ |
4,675,758 |
|
$ |
— |
|
||
| Reconciliation of cash and restricted cash | |||||||||||
| Cash | $ |
51,018,657 |
|
$ |
89,241,695 |
|
$ |
59,286,147 |
|
||
| Restricted cash |
|
1,466,121 |
|
|
18,095,612 |
|
|
12,931,839 |
|
||
| Total cash and restricted cash shown in statement of cash flows | $ |
52,484,778 |
|
$ |
107,337,307 |
|
$ |
72,217,986 |
|
||
DocGo Inc. and Subsidiaries |
|||||||
CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS |
|||||||
| Three Months Ended December 31, |
|||||||
2025 |
2024 |
||||||
| Revenues, net | $ |
74,935,688 |
|
$ |
120,833,073 |
|
|
| Expenses: | |||||||
| Cost of revenues (exclusive of depreciation and amortization, which is shown separately below) |
|
50,571,192 |
|
|
80,334,624 |
|
|
| Operating expenses: | |||||||
| General and administrative |
|
39,214,798 |
|
|
35,041,780 |
|
|
| Depreciation and amortization |
|
3,948,234 |
|
|
3,322,925 |
|
|
| Legal and regulatory |
|
9,530,093 |
|
|
5,524,453 |
|
|
| Technology and development |
|
3,772,943 |
|
|
3,685,650 |
|
|
| Sales, advertising and marketing |
|
340,337 |
|
|
396,828 |
|
|
| Intangible asset impairment |
|
22,627,902 |
|
|
— |
|
|
| Goodwill impairment |
|
49,509,698 |
|
|
— |
|
|
| Total expenses |
|
179,515,197 |
|
|
128,306,260 |
|
|
| Loss from operations |
|
(104,579,509 |
) |
|
(7,473,187 |
) |
|
| Other (expense) income: | |||||||
| Interest expense, net |
|
(152,354 |
) |
|
(541,464 |
) |
|
| (Loss) gain on change in fair value of contingent consideration |
|
(1,003,718 |
) |
|
9,762,845 |
|
|
| Finite-lived intangible asset impairment |
|
— |
|
|
(8,306,591 |
) |
|
| Loss on equity method investments |
|
(446,213 |
) |
|
(86,121 |
) |
|
| Equity investment impairment |
|
(5,000,000 |
) |
|
— |
|
|
| (Loss) gain on remeasurement of operating and finance leases |
|
— |
|
|
(311 |
) |
|
| Gain (loss) on disposal of assets |
|
4,000 |
|
|
(13,035 |
) |
|
| Other (expense) income |
|
(432,779 |
) |
|
82,608 |
|
|
| Total other (expense) income |
|
(7,031,064 |
) |
|
897,931 |
|
|
| Net loss before income tax expense |
|
(111,610,573 |
) |
|
(6,575,256 |
) |
|
| (Provision for) benefit from income taxes |
|
(30,730,027 |
) |
|
(1,071,670 |
) |
|
| Net loss |
|
(142,340,600 |
) |
|
(7,646,926 |
) |
|
| Net loss attributable to noncontrolling interests |
|
(8,269,919 |
) |
|
(4,384,116 |
) |
|
| Net loss attributable to stockholders of DocGo Inc. and Subsidiaries |
|
(134,070,681 |
) |
|
(3,262,810 |
) |
|
| Other comprehensive loss | |||||||
| Unrealized (loss) gain on investments, net of tax |
|
(22,832 |
) |
|
— |
|
|
| Foreign currency translation adjustment |
|
(23,249 |
) |
|
(1,091,649 |
) |
|
| Total comprehensive loss | $ |
(134,116,762 |
) |
$ |
(4,354,459 |
) |
|
| Net loss per share attributable to DocGo Inc. and Subsidiaries - Basic | $ |
(1.37 |
) |
$ |
(0.03 |
) |
|
| Weighted-average shares outstanding - Basic |
|
97,992,839 |
|
|
101,863,456 |
|
|
| Net loss per share attributable to DocGo Inc. and Subsidiaries - Diluted | $ |
(1.37 |
) |
$ |
(0.03 |
) |
|
| Weighted-average shares outstanding - Diluted |
|
97,992,839 |
|
|
101,863,456 |
|
|
DocGo Inc. and Subsidiaries |
|||||||
CONSOLIDATED STATEMENTS OF CASH FLOWS |
|||||||
| Three Months Ended December 31, |
|||||||
2025 |
2024 |
||||||
| CASH FLOWS FROM OPERATING ACTIVITIES: | |||||||
| Net loss | $ |
(142,340,600 |
) |
$ |
(7,646,926 |
) |
|
| Adjustments to reconcile net loss to net cash (used in) provided by operating activities: |
|||||||
| Depreciation of property and equipment |
|
1,180,710 |
|
|
1,323,878 |
|
|
| Amortization of intangible assets |
|
1,382,612 |
|
|
776,481 |
|
|
| Amortization of finance lease right-of-use assets |
|
1,384,912 |
|
|
1,222,566 |
|
|
| (Gain) loss on disposal of assets |
|
(4,000 |
) |
|
13,035 |
|
|
| Deferred income tax |
|
30,061,721 |
|
|
8,709,292 |
|
|
| Accretion of discount related to restricted investments |
|
(94,953 |
) |
|
— |
|
|
| Loss on equity method investments |
|
446,213 |
|
|
86,121 |
|
|
| Bad debt expense |
|
8,341,116 |
|
|
1,378,086 |
|
|
| Stock-based compensation |
|
3,135,898 |
|
|
3,878,631 |
|
|
| Loss on remeasurement of operating and finance leases |
|
— |
|
|
311 |
|
|
| Intangible asset impairment |
|
22,627,902 |
|
|
8,306,591 |
|
|
| Goodwill impairment |
|
49,509,698 |
|
|
— |
|
|
| Equity investment impairment |
|
5,000,000 |
|
|
— |
|
|
| Loss (gain) on change in fair value of contingent consideration |
|
1,003,718 |
|
|
(9,762,845 |
) |
|
| Changes in operating assets and liabilities: | |||||||
| Accounts receivable |
|
11,775,279 |
|
|
21,434,711 |
|
|
| Prepaid expenses and other current assets |
|
2,003,275 |
|
|
674,104 |
|
|
| Other assets |
|
(616,919 |
) |
|
(297,911 |
) |
|
| Accounts payable |
|
2,680,565 |
|
|
(6,953,524 |
) |
|
| Accrued liabilities |
|
(7,730,838 |
) |
|
(10,444,857 |
) |
|
| Operating lease liabilities and right-of-use assets |
|
(213,609 |
) |
|
20,871 |
|
|
| Net cash (used in) provided by operating activities |
|
(10,467,300 |
) |
|
12,718,615 |
|
|
| CASH FLOWS FROM INVESTING ACTIVITIES: | |||||||
| Purchase of property and equipment |
|
(1,497,058 |
) |
|
(724,803 |
) |
|
| Purchase of intangibles |
|
(631,147 |
) |
|
226,130 |
|
|
| Acquisition of businesses, net of cash acquired |
|
(12,748,660 |
) |
|
— |
|
|
| Purchase of restricted investments |
|
(3,874,540 |
) |
|
— |
|
|
| Purchase of equity securities |
|
— |
|
|
(5,000,000 |
) |
|
| Proceeds from sale and maturity of restricted investments |
|
5,675,359 |
|
|
— |
|
|
| Proceeds from disposal of property and equipment |
|
4,000 |
|
|
95,892 |
|
|
| Net cash used in investing activities |
|
(13,072,046 |
) |
|
(5,402,781 |
) |
|
| CASH FLOWS FROM FINANCING ACTIVITIES: | |||||||
| Repayments of notes payable |
|
(14,086 |
) |
|
(29,980 |
) |
|
| Due to seller |
|
(19,851 |
) |
|
(109,619 |
) |
|
| Earnout payments on contingent liabilities |
|
— |
|
|
(2,008,524 |
) |
|
| Distributions paid to noncontrolling interest |
|
— |
|
|
(1,044,422 |
) |
|
| Proceeds from exercise of stock options |
|
— |
|
|
25,646 |
|
|
| Payments for taxes related to shares withheld for employee taxes |
|
(410,810 |
) |
|
(794,566 |
) |
|
| Common stock repurchased |
|
— |
|
|
(2,678,073 |
) |
|
| Payments on obligations under finance lease |
|
(1,419,963 |
) |
|
(1,216,409 |
) |
|
| Net cash used in financing activities |
|
(1,864,710 |
) |
|
(7,855,947 |
) |
|
| Effect of exchange rate changes on cash and cash equivalents |
|
281,662 |
|
|
(701,078 |
) |
|
| Net decrease in cash, cash equivalents, restricted cash and restricted cash equivalents |
|
(25,122,394 |
) |
|
(1,241,191 |
) |
|
| Cash, cash equivalents, restricted cash and restricted cash equivalents at beginning of period |
|
77,607,172 |
|
|
108,578,498 |
|
|
| Cash, cash equivalents, restricted cash and restricted cash equivalents at end of period | $ |
52,484,778 |
|
$ |
107,337,307 |
|
|
| Three Months Ended December 31, |
|||||||
2025 |
2024 |
||||||
| Supplemental disclosure of cash and non-cash transactions: | |||||||
| Cash paid for interest | $ |
50,187 |
|
$ |
635,262 |
|
|
| Cash paid for interest on finance lease liabilities | $ |
258,511 |
|
$ |
208,115 |
|
|
| Cash paid for income taxes, net of refunds | $ |
(165,888 |
) |
$ |
(661,869 |
) |
|
| Right-of-use assets obtained in exchange for lease liabilities | $ |
2,457,190 |
|
$ |
2,993,279 |
|
|
| Supplemental non-cash investing and financing activities: | |||||||
| Property and equipment in accounts payable | $ |
35,140 |
|
$ |
168,500 |
|
|
| Reconciliation of cash and restricted cash | |||||||
| Cash | $ |
51,018,657 |
|
$ |
89,241,695 |
|
|
| Restricted cash |
|
1,466,121 |
|
|
18,095,612 |
|
|
| Total cash and restricted cash shown in statement of cash flows | $ |
52,484,778 |
|
$ |
107,337,307 |
|
|
Non-GAAP Financial Measures
The following information provides definitions and reconciliation of non-GAAP financial measures used by the Company to the most directly comparable financial measures calculated and presented in accordance with generally accepted accounting principles (“GAAP”). The Company has provided this non-GAAP financial information, which is not calculated or presented in accordance with GAAP, as information supplemental and in addition to the financial measures presented in this earnings release that are calculated and presented in accordance with GAAP. Such non-GAAP financial measures should not be considered superior to, as a substitute for or alternative to, and should be considered in conjunction with, the GAAP financial measures presented in this earnings release. The non-GAAP financial measures used by the Company may differ from similarly titled measures used by other companies.
Adjusted Gross Margin
Adjusted gross profit and adjusted gross margin are considered non-GAAP financial measures under SEC rules because they exclude certain amounts included in gross profit and gross margin calculated in accordance with GAAP. Adjusted gross profit is total revenue minus cost of revenue, excluding depreciation and amortization (which are shown separately), and adjusted gross margin is adjusted gross profit as a percentage of total revenue.
The Company’s management believes that adjusted gross margin is useful in evaluating DocGo’s operating performance, as the calculation of this measure excludes the impact of non-cash depreciation and amortization charges. The Company’s management believes that by using adjusted gross margin in conjunction with GAAP gross margin, investors will get a more complete view of what management considers to be the Company’s core operating performance and allow for comparison of this measure when compared to those of prior periods. While many companies use adjusted gross margin as a performance measure, not all companies use identical calculations for determining adjusted gross margin. As such, DocGo’s presentation of adjusted gross margin might not be comparable to similarly titled measures of other companies.
Adjusted EBITDA
Adjusted EBITDA is considered a non-GAAP financial measure under SEC rules because it excludes certain amounts included in net income (loss) calculated in accordance with GAAP. Specifically, adjusted EBITDA is arrived at by taking reported GAAP net income and adding back the following items: net interest expense (income), provision for (benefit from) income taxes, depreciation and amortization, other (income) expense, non-cash equity-based compensation and certain other non-recurring expenses consisting of certain one-time legal settlements and certain one-time expenses incurred in connection with acquisitions and other corporate activities, beyond those that are typically incurred.
The Company’s management believes that its adjusted EBITDA measure is useful in evaluating DocGo’s operating performance, as the calculation of this measure generally eliminates the effect of financing and income taxes and the accounting effects of capital spending and acquisitions, as well as other items of a non-recurring and/or non-cash nature. Adjusted EBITDA is not intended to be a measure of GAAP cash flow, as this measure does not consider certain cash-based expenses, such as payments for taxes or debt service.
Management believes that using adjusted EBITDA in conjunction with GAAP measures such as net income assists investors in getting a more complete picture of the Company’s financial results and operations, affording them with a more complete view of what management considers to be the Company’s core operating performance as well as offering the ability to assess such performance as compared with that of prior periods and management’s public guidance. While many companies use adjusted EBITDA as a performance measure, not all companies use identical calculations for determining adjusted EBITDA. As such, DocGo’s presentation of adjusted EBITDA might not be comparable to similarly titled measures of other companies.
Reconciliation of Non-GAAP Measures
The table below reflects the reconciliation of GAAP gross margin and adjusted gross margin for the three and twelve months ended December 31, 2025 compared to the same periods in 2024:
DocGo Inc. and Subsidiaries |
|||||||||||||||
Gross Margin Recon |
|||||||||||||||
| Three Months Ended December 31, |
Year Ended December 31, |
||||||||||||||
| DocGo Inc. Consolidated | 2025 |
2024 |
2025 |
2024 |
|||||||||||
| Revenue | $ |
74,935,688 |
|
$ |
120,833,073 |
|
$ |
322,196,000 |
|
$ |
616,555,132 |
|
|||
| Cost of revenue (exclusive of depreciation and amortization, which are shown separately below) |
|
(50,571,192 |
) |
|
(80,334,624 |
) |
|
(223,438,301 |
) |
|
(402,980,557 |
) |
|||
| Depreciation and amortization |
|
(3,948,234 |
) |
|
(3,322,925 |
) |
|
(15,661,865 |
) |
|
(15,884,898 |
) |
|||
| GAAP gross profit |
|
20,416,262 |
|
|
37,175,524 |
|
|
83,095,834 |
|
|
197,689,677 |
|
|||
| Depreciation and amortization |
|
3,948,234 |
|
|
3,322,925 |
|
|
15,661,865 |
|
|
15,884,898 |
|
|||
| Non-recurring items included in cost of revenue above |
|
— |
|
|
— |
|
|
5,269,129 |
|
|
— |
|
|||
| Adjusted gross profit | $ |
24,364,496 |
|
$ |
40,498,449 |
|
$ |
104,026,828 |
|
$ |
213,574,575 |
|
|||
| GAAP gross margin |
|
27.2 |
% |
|
30.8 |
% |
|
25.8 |
% |
|
32.1 |
% |
|||
| Adjusted gross margin |
|
32.5 |
% |
|
33.5 |
% |
|
32.3 |
% |
|
34.6 |
% |
|||
The table below reflects the reconciliation of net income (loss) to adjusted EBITDA for the three months and twelve months ended December 31, 2025 compared to the same periods in 2024 (in millions):
| DocGo Inc. and Subsidiaries Net Loss to Adjusted EBITDA |
|||||||||
| Three Months Ended December 31, |
Year Ended December 31, |
||||||||
2025 |
2024 |
2025 |
2024 |
||||||
| Net (loss) income (GAAP) |
|
|
|
|
|||||
| (+) Net interest expense | 0.2 |
0.5 |
1.2 |
1.9 |
|||||
| (+) Income tax expense (benefit) | 30.7 |
1.1 |
8.9 |
14.4 |
|||||
| (+) Depreciation and amortization | 3.9 |
3.3 |
15.7 |
15.9 |
|||||
| (+) Other expense (income) | 6.9 |
(1.4) |
8.2 |
(1.0) |
|||||
| EBITDA | (100.6) |
(4.1) |
(162.4) |
44.6 |
|||||
| (+) Non-cash stock compensation | 3.1 |
3.8 |
17.4 |
13.6 |
|||||
| (+) Non-recurring expense | 86.2 |
1.4 |
116.4 |
2.1 |
|||||
| Adjusted EBITDA |
|
|
|
|
|||||
| Total Revenue |
|
|
|
|
|||||
| Pretax income margin | (149.0)% |
(5.4)% |
(58.2)% |
|
|||||
| Net margin | (190.0)% |
(6.3)% |
(61.0)% |
|
|||||
| Adjusted EBITDA margin | (15.1)% |
|
(8.9)% |
|
|||||
View source version on businesswire.com: https://www.businesswire.com/news/home/20260316860170/en/
Investors:
Mike Cole
DocGo
949-444-1341
mike.cole@docgo.com
ir@docgo.com
Source: DocGo Inc.