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Doximity (DOCS) investor relations material

Doximity Q4 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q4 2026 earnings summary13 May, 2026

Executive summary

  • Fiscal year 2026 revenue grew 13% year-over-year to $645 million, with Q4 revenue at $145 million, up 5% year-over-year, both exceeding guidance.

  • Adjusted EBITDA margin was 45% in Q4 and 55% for the full year; free cash flow hit a record $107 million in Q4 and $317 million for the year, up 19% year-over-year.

  • AI engagement accelerated, with over 800,000 unique quarterly active prescribers, up 30% year-over-year; nearly half used AI tools and prompts per user nearly doubled from January to April.

  • New partnerships with Aledade and Photon expand Clinical AI Suite to thousands of independent practices.

  • Announced new CFO Matt Sonefeldt and President Dr. Steve Zatz, both bringing significant industry experience.

Financial highlights

  • Q4 non-GAAP gross margin was 89% (down from 91% prior year), impacted by higher AI compute costs.

  • Q4 adjusted EBITDA was $66 million (45% margin), down from $70 million (50% margin) prior year due to increased AI investment.

  • Full-year adjusted EBITDA was $358 million (55% margin), up from $314 million last year.

  • Free cash flow for the year was $317 million, representing 49% of revenue.

  • Ended the year with $749 million in cash equivalents and marketable securities.

Outlook and guidance

  • FY27 revenue guidance: $664–$676 million (4% growth at midpoint); adjusted EBITDA: $323–$335 million (49% margin).

  • Q1 FY27 revenue expected at $151–$152 million (4% growth); adjusted EBITDA margin at 46%.

  • Stock-based compensation expected to rise to low 20s % of revenue in FY27, then trend down.

  • Minimal AI revenue contribution expected in FY27; more notable ramp anticipated in the fiscal back half.

Reason for FY2027 EBITDA guidance contraction
Impact of clinical AI on user prompt volume
Significance of Aledade and Photon partnerships
AI Search impact on pharma paid search TAM
Drivers of shorter-term pharma spend commitments
Hospital AI adoption and security requirements
Impact of shorter-term pharma spend commitments
AI compute costs and fiscal 2027 margin outlook
Regulatory review impact on AI revenue timing
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