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DocGo (DCGO) investor relations material
DocGo Q4 2025 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Executive summary
Q4 2025 revenue reached $74.9 million, exceeding expectations and surpassing guidance, despite an adjusted EBITDA loss of $11.6 million due to non-recurring migrant program wind-down costs.
Full-year 2025 revenue was $322.2 million, down from $616.6 million in 2024, reflecting the end of migrant-related projects, but core business lines showed year-over-year growth.
Net loss for 2025 was $196.4 million, driven by significant non-cash impairments in goodwill, intangibles, and equity investments.
SteadyMD, acquired in October, contributed $6.1 million to Q4 revenue and supported strong growth in mobile health, with gross margins improving from 30% to 37%.
Strategic alternatives are being explored to maximize shareholder value, with an investment bank engaged for the process.
Financial highlights
Q4 2025 adjusted EBITDA loss was $11.3 million, compared to a $1.1 million gain in Q4 2024; full-year adjusted EBITDA loss was $28.6 million versus a $60 million gain in 2024.
Adjusted gross margin for Q4 2025 was 32.5%, with medical transportation at 32.8% (up from 30.1% in Q4 2024) and mobile health at 31.8% (down from 35.9%).
Year-end cash and equivalents were $51.0 million, down from $89.2 million at year-end 2024, mainly due to the SteadyMD acquisition and delayed migrant receivables.
Non-cash write-downs included $49.5 million in goodwill, $22.6 million in intangible assets, and a $5 million equity investment impairment.
GAAP gross margin for 2025 was 25.8%, down from 32.1% in 2024; adjusted gross margin was 32.3%, down from 34.6%.
Outlook and guidance
2026 revenue guidance raised to $290 million-$310 million, excluding any migrant-related revenue.
Adjusted EBITDA loss for 2026 now expected at $5 million-$10 million, improved from prior guidance of $15 million-$25 million loss.
Profitability on an adjusted EBITDA basis anticipated in the second half of 2026, supported by cost efficiency initiatives and core business growth.
No migrant-related revenues included in 2026 guidance.
- Scaling tech-enabled mobile healthcare with record volumes and strong growth outlook.DCGO
TD Cowen 46th Annual Health Care Conference2 Mar 2026 - All proposals passed, with strong financials and strategic growth initiatives outlined.DCGO
AGM 20243 Feb 2026 - Q2 revenue up 31% to $164.9M, net income and margins rose, and cash flow guidance increased.DCGO
Q2 20242 Feb 2026 - Strong Q2 growth, cash gains, and a shift to sustainable health programs drive 2024 optimism.DCGO
Canaccord Genuity 44th Annual Growth Conference & Private Company Showcase 20242 Feb 2026 - Transitioning from migrant contracts, the company targets $400M in core business growth for 2025.DCGO
Stifel 2024 Cross Sector Insight Conference1 Feb 2026 - Core mobile health business is set for strong growth as migrant revenue phases out.DCGO
15th Annual Midwest IDEAS Investor Conference23 Jan 2026 - Rapidly growing mobile healthcare leverages tech and in-home care to cut costs and hospitalizations.DCGO
Morgan Stanley 22nd Annual Global Healthcare Conference21 Jan 2026 - Rapidly scaling in-home care business, targeting strong growth and improved margins.DCGO
2024 Cantor Global Healthcare Conference20 Jan 2026 - Q3 revenue fell 26%, but net income and cash flow surged, with guidance and contracts strengthened.DCGO
Q3 202415 Jan 2026
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