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DCGO Positive Sentiment Score: 70/100

DocGo Announces Fourth Quarter and Full-Year 2024 Results Company Surpasses 700,000 Total Patient Lives Assigned for Care Gap Closure Programs and Expands Contracts With Payer Partners on Both Coasts Management to Host C

Key Takeaway: DocGo Inc. (DCGO) reported its financial results for the fourth quarter and full year of 2024, highlighting a revenue decrease primarily attributed to the wind-down of migrant-related programs. The company surpassed 700,000 patient lives in its care gap closure initiatives and expanded its contracts with healthcare partners. Despite these achievements, DocGo faced a net loss in Q4 2024 and lower adjusted EBITDA than anticipated, signaling challenges in transitioning from migrant services to core mobile health revenue. Management is optimistic about future growth and believes ongoing investments will drive the company's success moving forward.

Market Sentiment Analysis

POSITIVE FACTORS

  • Increased patient lives to over 700,000 for care gap closure programs.
  • Positive financial trends, with net income rising to $13.4 million for 2024.
  • Strategic expansions and new contracts with major healthcare systems.

CONCERNS & RISKS

  • Revenue decline in Q4 2024 due to the wind-down of migrant programs.
  • Fourth quarter net loss of $7.6 million compared to net income in Q4 2023.
  • Adjusted EBITDA for Q4 2024 was significantly lower than expected, driven by increased costs.

Full Press Release Details

DocGo Announces Fourth Quarter and Full-Year 2024 Results
Company Surpasses 700,000 Total Patient Lives Assigned for Care Gap Closure Programs and Expands Contracts With Payer Partners on Both Coasts
Management to Host Conference Call and Webcast Today at 5 00 PM Eastern Time
NEW YORK, NY, February 27, 2025 - DocGo Inc. (Nasdaq DCGO) ("DocGo" or the "Company"), a leading provider of technology-enabled mobile health services, today announced financial and operating results for the quarter and full-year ended December 31, 2024.
Full-Year 2024 Financial Highlights
Full-year 2024 revenue was $616.6 million, compared to $624.2 million for the full-year 2023.
GAAP gross margin (which includes non-cash depreciation expenses) for the full-year 2024 was 32.1%, compared to 28.7% for the full-year 2023.
Adjusted gross margin1 for the full-year 2024 was 34.6%, compared to 31.3% for the full-year 2023.
Full-year net income for 2024 was $13.4 million, compared to 2023 full year net income of $10.0 million.
Full-year 2024 adjusted EBITDA1 was $60.3 million, compared to $54.0 million for the full-year 2023.
Full-year 2024 Mobile Health Services revenue was $423.1 million, compared to $442.8 million for the full-year 2023.
Full-year 2024 Transportation Services revenue was $193.5 million, compared to $181.5 million for the full-year 2023.
Fourth Quarter 2024 Financial Highlights
Total revenue for the fourth quarter of 2024 was $120.8 million, compared to $199.2 million in the fourth quarter of 2023. The decline was due primarily to the wind-down of migrant-related programs.
GAAP gross margin (which includes non-cash depreciation expenses) for the fourth quarter of 2024 was 30.8%, compared to 31.2% in the fourth quarter of 2023.
Adjusted gross margin1 for the fourth quarter of 2024 was 33.5%, compared to 33.5% in the fourth quarter of 2023.
Net loss for the fourth quarter of 2024 was $7.6 million, compared to net income of $8.0 million in the fourth quarter of 2023.
Adjusted EBITDA1 was $1.1 million for the fourth quarter of 2024, compared to $22.6 million for the fourth quarter of 2023.
Mobile Health Services revenue for the fourth quarter of 2024 was $71.8 million, compared to $150.4 million for the fourth quarter of 2023. The decline was due primarily to the wind-down of migrant-related programs.
Transportation Services revenue in the fourth quarter of 2024 was $49.1 million, compared to $48.8 million for the fourth quarter of 2023.
As of December 31, 2024, the Company held total cash and cash equivalents, including restricted cash, of approximately $107.3 million, compared to $108.5 million as of September 30, 2024.
Results Compared to the Company's Most Recent Guidance
Subsequent to the Company's November 7th earnings call, the Company was informed by New York City Health and Hospitals ("NYC HH") that they were now planning to accelerate the wind down of their migrant program, affecting both the scope and scale of those projects. In addition, subsequently, the HPD migrant sites in Upstate NY closed weeks earlier than had been anticipated. These two factors resulted in a negative impact of approximately $9.0 million on Q4 revenue and $5.3 million on Q4 adjusted EBITDA1.
The Company witnessed a significant increase in activity in its payer vertical. In anticipation of an expansion of these services, the Company increased levels of investment late in the fourth quarter in several areas, including personnel and related expenses. This increased investment reduced fourth quarter adjusted EBITDA1 by approximately $1.5 million.
At year-end, the Company increased loss reserves for both ongoing and as-yet-reported claims across several of its self-insured lines, including auto, worker's compensation and health. The aggregate increase in costs reduced fourth quarter adjusted EBITDA1 by approximately $3.2 million.
Based upon the above unanticipated items, actual adjusted EBITDA1 in Q4 of 2024 was approximately $10 million lower than the Company's implied guidance range from early November.
Full-year 2025 revenue is expected to be $410-$450 million, unchanged from the previous estimate.
Full-year 2025 adjusted EBITDA margin2 is now expected to be approximately 5%, down from the previous estimate of 8%-10%. The revision is largely due to increased investment to support the growth of the Company's care gap closure programs, add expanded mobile health offerings, and transitioning operations from migrant revenue to core mobile health revenue.
Select Corporate Highlights for the Fourth Quarter of 2024 and Recent Weeks
Surpassed 700,000 patients assigned by its insurance partners for care gap closure programs.
Signed a two-year contract with a major hospital system in Fort Worth, TX to provide medical transportation services.
Signed a contract in Mississippi with a major hospital system to provide adult and pediatric remote cardiac monitoring services for approximately 3,000 patients.
Signed a two-year transportation contract renewal with a major Tennessee healthcare system and announced expansion of services to the Chattanooga region.
Acquired PTI Health to expand the Company's portfolio of clinical offerings with mobile phlebotomy services.
Signed deals with two Veterans Affairs (VA) contractors for the Company to facilitate medical screenings and additional services for Veterans.
Brought on Dr. David Shulkin - former Secretary of the VA - to help guide the Company's efforts and drive growth in the population health vertical.
Made significant investments in the Company's tech stack to streamline patient intake and reduce booking friction, resulting in a 9% reduction in average booking time compared to the previous quarter.
Lee Bienstock, Chief Executive Officer of DocGo, commented, "We continue to experience strong demand for our care gap closure programs in our payer and provider vertical, and are investing heavily to support this growth. We are expanding our training initiatives, broadening our scope of services and continuing to aggressively build out our footprint while maintaining the highest level of quality. Our number of patient lives assigned has increased to more than 700,000, up from just 2,000 a little over a year ago. Perhaps, most impressively, is that our Net Promoter Score (NPS) in the fourth quarter was 86 for our care gap closure programs. To put that in perspective, in healthcare, above 30 is deemed good, and above 70 is deemed world class. Our patients and customers are delighted with these programs, and we see a substantial opportunity to accelerate our growth in this market via both organic and inorganic means in the coming quarters." Bienstock continued, "Additionally, we have had a recent flurry of activity in our government population health pipeline which we are confident will translate into second half revenues. This includes both subcontracted, healthcare specific work with major government contractors and new direct opportunities with government entities. We believe the investments we made during the fourth quarter and continue to make will drive our transition from migrant-related revenues to core mobile health revenue."
Norm Rosenberg, Chief Financial Officer of DocGo, also commented, "While our adjusted EBITDA came in lower than our previous expectations, that was driven in part by higher SG A to support the growth and buildout of our payer and provider vertical, which included investments in our people, our tech stack and in quality initiatives to ensure we deliver a world-class product. We anticipate that these investments will continue into 2025. We continue to believe that beyond 2025, our business model can achieve double digit adjusted EBITDA margins, as we have demonstrated in the recent past." Rosenberg added, "We continued to make progress with our cash collections during the fourth quarter and subsequent to year end. As of year-end, we had approximately $150 million in
migrant-related project receivables which we expect to largely be collected by the end of the second quarter, supporting further substantial increases in our cash position."
1.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.
2.Adjusted EBITDA margin is a non-GAAP financial measure. We have not reconciled adjusted EBITDA margin 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 an outlook for the comparable GAAP measure (net margin). Forward-looking estimates of adjusted EBITDA margin are made in a manner consistent with the relevant definitions and assumptions noted herein.
Conference Call and Webcast Details
Thursday, February 27, 2025 at 5 00 PM ET
1-800-717-1738 - Investors Dial
1-646-307-1865 - Int'l Investors Dial
Webcast https viavid.webcasts.com starthere.jsp ei 1706503 tp_key ffa80ce9b1
The webcast can also be accessed under Events on the Investors section of the Company's website, https ir.docgo.com .
DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, remote patient monitoring and ambulance services. 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 our expectations around second half revenues and the growth and buildout of our payer and provider vertical new direct opportunities with government entities cash collections the provision of services under its existing contracts, including the winding down of migrant-related services the expansion of the Company's programs with insurance partners, hospital systems, municipalities and other strategic partners, including care gap closure programs and government population health programs, and investments related to such programs and the Company's cash balances. 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 the Company's actual results or outcomes, or the timing of results or outcomes, to differ materially from those contained in the Company's forward-looking statements, including, but not limited to the following impacts related to the wind down of migrant-related services and associated cash collections the Company's ability to expand its programs with insurance partners, hospital systems, municipalities, other government entities and other strategic partners the Company's ability to successfully implement its business strategy, including delivering value to shareholders via buybacks, funding new strategic relationships and potentially repaying its line of credit the Company's ability to grow demand for its care gap closure programs the Company's ability to maintain sufficient cash balances the Company's ability to maintain its contractual relationships with its healthcare provider partners and clients the Company's ability to compete effectively in a highly competitive industry the Company's reliance on government contracts 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 the Company's ability to retain its workforce and management personnel and successfully manage leadership transitions the Company's ability to collect on customer receivables risks associated with the Company's share repurchase program expected impacts of macroeconomic factors, including inflationary pressures, general economic slowdown or a recession, rising interest rates, foreign exchange rate volatility, changes in monetary pressure, financial institution instability or the prospect of a shutdown of the U.S. federal government potential changes in federal, state or local government policies regarding immigration and asylum seekers expected impacts of geopolitical instability the Company's competitive position and opportunities, including its ability to realize the benefits from its operating model the Company's ability to improve gross margins the Company's ability to implement and deliver on cost-containment measures and ongoing cost rationalization initiatives legislative and regulatory actions the impact of legal proceedings and compliance risk volatility of the Company's stock price the impact on the Company's business and reputation in the event of information technology system failures, network disruptions, cyber incidents or losses or unauthorized access to, or release of, confidential information and the ability of the Company to comply with laws and regulations regarding data privacy and protection and other risk factors included in the Company's filings with the Securities and Exchange Commission ("SEC").
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,
2024 2023
ASSETS
Current assets
Cash and cash equivalents $ 89,241,695 $ 59,286,147
Accounts receivable, net of allowance for credit loss of $5,873,942 and $6,276,454 as of December 31, 2024 and December 31, 2023, respectively 210,899,926 262,083,462
Prepaid expenses and other current assets 4,344,642 17,499,953
Total current assets 304,486,263 338,869,562
Property and equipment, net 14,881,411 16,835,484
Intangibles, net 25,728,813 37,682,928
Goodwill 47,432,550 47,539,929
Restricted cash 18,095,612 12,931,839
Operating lease right-of-use assets 11,958,698 9,580,535
Finance lease right-of-use assets 15,337,299 12,003,919
Investments 5,547,979 553,573
Deferred tax assets 8,422,034 11,888,539
Other assets 3,730,473 2,565,649
Total assets $ 455,621,132 $ 490,451,957
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities
Accounts payable $ 28,356,430 $ 19,827,258
Accrued liabilities 49,896,796 91,340,609
Line of credit 30,000,000 25,000,000
Notes payable, current 12,515 28,131
Due to seller 28,656 7,823,009
Contingent consideration 4,973,152 19,792,982
Operating lease liability, current 3,844,561 2,773,020
Finance lease liability, current 4,694,467 3,534,073
Total current liabilities 121,806,577 170,119,082
Notes payable, non-current 5,215 41,586
Operating lease liability, non-current 8,599,072 7,223,941
Finance lease liability, non-current 10,031,138 7,896,392
Total liabilities 140,442,002 185,281,001
Commitments and contingencies
Stockholders' equity
Common stock ($0.0001 par value 500,000,000 shares authorized as of December 31, 2024 and December 31, 2023 101,910,883 and 104,055,168 shares issued and outstanding as of December 31, 2024 and December 31, 2023, respectively) 10,191 10,406
Additional paid-in-capital 321,087,583 320,693,866
Accumulated deficit (1,402,167) (21,394,310)
Accumulated other comprehensive income 1,221,869 1,484,905
Total stockholders' equity attributable to DocGo Inc. and Subsidiaries 320,917,476 300,794,867
Noncontrolling interests (5,738,346) 4,376,089
Total stockholders' equity 315,179,130 305,170,956
Total liabilities and stockholders' equity $ 455,621,132 $ 490,451,957
DocGo Inc. and Subsidiaries CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME
Year Ended December 31,
2024 2023 2022
Revenues, net $ 616,555,132 $ 624,288,642 $ 440,515,746
Expenses
Cost of revenues (exclusive of depreciation and amortization, which is shown separately below) 402,980,557 428,906,225 285,794,520
Operating expenses
General and administrative 138,758,758 137,152,512 103,403,416
Depreciation and amortization 15,884,898 16,431,892 10,565,578
Legal and regulatory 17,146,891 13,082,569 8,780,590
Technology and development 11,589,402 10,858,724 5,384,853
Sales, advertising and marketing 1,505,900 2,801,740 4,755,161
Total expenses 587,866,406 609,233,662 418,684,118
Income from operations 28,688,726 15,054,980 21,831,628
Other (expense) income
Interest (expense) income, net (1,929,207) 1,684,399 762,685
Gain on remeasurement of warrant liabilities - - 1,127,388
Change in fair value of contingent liability 9,392,133 1,437,525 -
Finite-lived intangible asset impairment (8,306,591) - -
Goodwill impairment - - (2,921,958)
(Loss) gain on equity method investments (316,044) (343,336) 8,919
(Loss) gain on remeasurement of operating and finance leases (32,363) (866) 1,388,273
Gain on bargain purchase - - 1,593,612
Gain (loss) on disposal of fixed assets 23,682 (852,544) (21,173)
Other income (expense) 228,666 (686,865) (987,482)
Total other (expense) income (939,724) 1,238,313 950,264
Net income before income tax expense 27,749,002 16,293,293 22,781,892
(Provision for) benefit from income taxes (14,388,422) (6,244,965) 7,961,321
Net income 13,360,580 10,048,328 30,743,213
Net (loss) income attributable to noncontrolling interests (6,631,563) 3,189,873 (3,841,285)
Net income attributable to stockholders of DocGo Inc. and Subsidiaries 19,992,143 6,858,455 34,584,498
Other comprehensive income
Foreign currency translation adjustment (263,036) 743,699 773,707
Total comprehensive income $ 19,729,107 $ 7,602,154 $ 35,358,205
Net income per share attributable to DocGo Inc. and Subsidiaries - Basic $ 0.20 $ 0.07 $ 0.34
Weighted-average shares outstanding - Basic 102,395,141 103,511,299 101,228,369
Net income per share attributable to DocGo Inc. and Subsidiaries - Diluted $ 0.18 $ 0.06 $ 0.34
Weighted-average shares outstanding - Diluted 109,422,840 105,617,817 102,975,831
DocGo Inc. and Subsidiaries CONSOLIDATED STATEMENTS OF CASH FLOWS
Year Ended December 31,
2024 2023 2022
CASH FLOWS FROM OPERATING ACTIVITIES
Net income $ 13,360,580 $ 10,048,328 $ 30,743,213
Adjustments to reconcile net income to net cash provided by (used in) operating activities
Depreciation of property and equipment 5,606,818 4,829,780 4,114,346
Amortization of intangible assets 5,660,818 5,249,358 3,214,814
Amortization of finance lease right-of-use assets 4,617,262 6,352,754 3,236,418
(Gain) loss on disposal of assets (23,682) 852,544 21,173
Deferred income tax 3,466,505 (1,981,519) (9,957,967)
Loss (gain) on equity method investments 316,044 343,336 (8,919)
Bad debt expense 5,235,560 3,601,520 3,815,187
Stock-based compensation 13,634,086 20,969,174 8,054,571
Loss (gain) on remeasurement of operating and finance leases 32,363 866 (1,388,273)
Loss on liquidation of business - 70,284 -
Gain on remeasurement of warrant liabilities - - (1,127,388)
Gain on bargain purchase - - (1,593,612)
Finite-lived intangible asset impairment 8,306,591 - -
Goodwill impairment - - 2,921,958
Change in fair value of contingent consideration (9,392,133) (1,437,525) -
Changes in operating assets and liabilities
Accounts receivable 41,272,218 (160,524,934) (8,415,793)
Asset held for sale - - 190,312
Prepaid expenses and other current assets 13,007,231 (10,843,890) (4,181,035)
Other assets (1,384,824) 1,059,605 1,557,655
Accounts payable 8,562,006 (1,780,403) 3,637,305
Accrued liabilities (41,940,373) 58,968,844 (5,964,064)
Net cash provided by (used in) operating activities 70,337,070 (64,221,878) 28,869,901
CASH FLOWS FROM INVESTING ACTIVITIES
Acquisition of property and equipment (3,834,146) (7,584,561) (3,198,234)
Acquisition of intangibles (2,002,103) (2,541,661) (2,299,558)
Acquisition of businesses - (20,203,464) (32,953,179)
Equity method investments (310,450) (298,932) -
Investment in equity securities (5,000,000) - -
Proceeds from disposal of property and equipment 274,427 747,088 3,000
Net cash used in investing activities (10,872,272) (29,881,530) (38,447,971)
CASH FLOWS FROM FINANCING ACTIVITIES
Proceeds from revolving credit line 45,000,000 25,000,000 -
Repayments of revolving credit line (40,000,000) - (25,881)
Repayments of notes payable (51,987) (25,926) (925,151)
Due to seller (3,118,595) (13,590,382) (2,535,521)
Acquisition of noncontrolling interest (1,848,000) - -
Earnout payments on contingent liabilities (3,608,553) (5,266,681) -
Dividends paid to noncontrolling interest (1,294,422) - -
Noncontrolling interest contributions - - 2,063,000
Proceeds from exercise of stock options 26,330 1,581,183 1,980,585
Payments for taxes related to shares withheld for employee taxes (1,168,877) (2,308,954) -
Common stock repurchased (13,756,271) - (3,731,712)
Equity costs - - (19,570)
Payments on obligations under finance lease (4,334,463) (4,270,553) (2,985,568)
Net cash (used in) provided by financing activities (24,154,838) 1,118,687 (6,179,818)
Effect of exchange rate changes on cash and cash equivalents (190,639) 1,093,633 761,232
Net increase (decrease) in cash and restricted cash 35,119,321 (91,891,088) (14,996,656)
Cash and restricted cash at beginning of period 72,217,986 164,109,074 179,105,730
Cash and restricted cash at end of period $ 107,337,307 $ 72,217,986 $ 164,109,074
Year Ended December 31,
2024 2023 2022
Supplemental disclosure of cash and non-cash transactions
Cash paid for interest $ 2,142,288 $ 250,100 $ 197,005
Cash paid for interest on finance lease liabilities $ 769,041 $ 600,239 $ 559,596
Cash paid for income taxes $ 7,249,331 $ 4,251,658 $ 1,505,235
Right-of-use assets obtained in exchange for lease liabilities $ 13,973,620 $ 7,621,538 $ 5,035,201
Remeasurement of finance lease right-of-use asset due to lease modification $ 300,000 $- $ -
Fixed assets acquired in exchange for notes payable $ - $- $ 923,377
Supplemental non-cash investing and financing activities
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 $- $ -
Receivable 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 $ 89,241,695 $ 59,286,147 $ 157,335,323
Restricted cash 18,095,612 12,931,839 6,773,751
Total cash and restricted cash shown in statement of cash flows $ 107,337,307 $ 72,217,986 $ 164,109,074
DocGo Inc. and Subsidiaries CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE (LOSS) INCOME
Three Months Ended December 31,
2024 2023
Revenues, net $ 120,833,073 $ 199,246,269
Expenses
Cost of revenues (exclusive of depreciation and amortization, which is shown separately below) 80,334,624 132,559,805
Operating expenses
General and administrative 35,041,780 43,514,996
Depreciation and amortization 3,322,925 4,615,235
Legal and regulatory 5,524,453 3,493,572
Technology and development 3,685,650 3,185,455
Sales, advertising and marketing 396,828 203,548
Total expenses 128,306,260 187,572,611
(Loss) income from operations (7,473,187) 11,673,658
Other income
Interest (expense) income, net (541,464) 6,979
Change in fair value of contingent liability 9,762,845 1,277,551
Finite-lived intangible asset impairment (8,306,591) -
Loss on equity method investments (86,121) (41,974)
Loss on remeasurement of operating and finance leases (311) (5,700)
Loss on disposal of fixed assets (13,035) (689,092)
Other income (expense) 82,608 (25,040)
Total other income 897,931 522,724
Net (loss) income before income tax expense (6,575,256) 12,196,382
Provision for income taxes (1,071,670) (4,203,122)
Net (loss) income (7,646,926) 7,993,260
Net (loss) income attributable to noncontrolling interests (4,384,116) 422,789
Net (loss) income attributable to stockholders of DocGo Inc. and Subsidiaries (3,262,810) 7,570,471
Other comprehensive income
Foreign currency translation adjustment (1,091,649) 676,734
Total comprehensive (loss) income $ (4,354,459) $ 8,247,205
DocGo Inc. and Subsidiaries CONSOLIDATED STATEMENTS OF CASH FLOWS
Three Months Ended December 31,
2024 2023
CASH FLOWS FROM OPERATING ACTIVITIES
Net (loss) income $ (7,646,926) $ 7,993,260
Adjustments to reconcile net income to net cash provided by (used in) operating activities
Depreciation of property and equipment 1,323,878 132,063
Amortization of intangible assets 776,481 953,400
Amortization of finance lease right-of-use assets 1,222,566 3,529,772
Loss on disposal of assets 13,035 689,092
Deferred income tax 8,709,292 (3,030,755)
Loss on equity method investments 86,121 41,974
Bad debt expense 1,378,086 3,912,961
Stock-based compensation 3,878,631 5,807,327
Loss on remeasurement of operating and finance leases 311 5,700
Finite-lived intangible asset impairment 8,306,591 -
Change in fair value of contingent consideration (9,762,845) (1,277,551)
Changes in operating assets and liabilities
Accounts receivable 21,434,711 (57,040,937)
Prepaid expenses and other current assets 674,104 (10,507,797)
Other assets (297,911) 362,621
Accounts payable (6,764,153) 10,860,517
Accrued liabilities (10,444,857) 31,649,586
Net cash provided by (used in) operating activities 12,887,115 (5,918,767)
CASH FLOWS FROM INVESTING ACTIVITIES
Acquisition of property and equipment (893,303) (3,223,754)
Acquisition of intangibles 226,130 (62,853)
Equity method investments - (148,422)
Investment in equity securities (5,000,000) -
Proceeds from disposal of property and equipment 95,892 472,878
Net cash used in investing activities (5,571,281) (2,962,151)
CASH FLOWS FROM FINANCING ACTIVITIES
Proceeds from revolving credit line - 25,000,000
Repayments of revolving credit line - -
Repayments of notes payable (29,980) 503,657
Due to seller (109,619) (5,172,446)
Earnout payments on contingent liabilities (2,008,524) (5,266,681)
Dividends paid to noncontrolling interest (1,044,422) -
Proceeds from exercise of stock options 25,646 31,885
Payments for taxes related to shares withheld for employee taxes (794,566) (141,972)
Common stock repurchased (2,678,073) -
Payments on obligations under finance lease (1,216,409) (1,977,223)
Net cash (used in) provided by financing activities (7,855,947) 12,977,220
Effect of exchange rate changes on cash and cash equivalents (701,078) 865,746
Net (decrease) increase in cash and restricted cash (1,241,191) 4,962,048
Cash and restricted cash at beginning of period 108,578,498 67,255,938
Cash and restricted cash at end of period $ 107,337,307 $ 72,217,986
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 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.
Adjusted EBITDA Margin
Adjusted EBITDA margin is considered a non-GAAP measure under SEC rules. It is calculated by dividing adjusted EBITDA by revenues. Management believes using adjusted EBITDA margin in conjunction with GAAP measures, such as gross margin and or net margin, is useful to investors because it assists investors in getting a more complete view of what management considers the Company's core operating performance, as expressed in marginal terms. While many companies use adjusted EBITDA margin as a performance measure, not all companies use identical calculations for determining adjusted EBITDA margin. As such, DocGo's presentation of adjusted EBITDA margin 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, 2024 compared to the same periods in 2023
Three Months Ended Twelve Months Ended
December 31, December 31,
2024 2023 2024 2023
Revenue $ 120,833,073 $ 199,246,269 $ 616,555,132 $ 624,288,642
Cost of revenue (exclusive of depreciation and amortization, which are shown separately below) (80,334,624) (132,559,805) (402,980,557) (428,906,225)
Depreciation and amortization (3,322,925) (4,615,235) (15,884,898) (16,431,892)
GAAP gross profit $ 37,175,524 $ 62,071,229 $ 197,689,677 $ 178,950,525
Depreciation and amortization 3,322,925 4,615,235 15,884,898 16,431,892
Adjusted gross profit $ 40,498,449 $ 66,686,464 $ 213,574,575 $ 195,382,417
GAAP gross margin 30.8 % 31.2 % 32.1 % 28.7 %
Adjusted gross margin 33.5 % 33.5 % 34.6 % 31.3 %
The table below reflects the reconciliation of net income (loss) to adjusted EBITDA for the three and twelve months ended December 31, 2024 compared to the same periods in 2023 (in millions)
Three Months Ended December 31, Twelve Months Ended December 31,
2024 2023 2024 2023
Net income (GAAP) $ (7.6) $ 8.0 $ 13.4 $ 10.0
(+) Net interest expense (income) 0.5 - 1.9 (1.7)
(+) Income tax 1.1 4.2 14.4 6.2
(+) Depreciation amortization 3.3 4.6 15.9 16.4
(+) Other (income) expense (1.4) (0.5) (1.0) 0.5
EBITDA $ (4.1) $ 16.3 $ 44.6 $ 31.4
(+) Non-cash stock compensation 3.8 5.8 13.6 21.0
(+) Non-recurring expense 1.4 0.5 2.1 1.6
Adjusted EBITDA $ 1.1 $ 22.6 $ 60.3 $ 54.0
Total revenue $ 121.5 $ 199.2 $ 616.6 $ 624.3
Pretax income margin -5.3 % 6.1 % 4.5 % 2.6 %
Net margin -6.3 % 4.0 % 2.2 % 1.6 %
Adjusted EBITDA margin 0.9 % 11.3 % 9.8 % 8.6 %

Frequently Asked Questions

What were DocGo's total revenues for 2024?

DocGo reported total revenues of $616.6 million for 2024.

How much did DocGo's net income increase in 2024?

Net income for 2024 rose to $13.4 million from $10.0 million in 2023.

What was the adjusted EBITDA for DocGo in Q4 2024?

Adjusted EBITDA for Q4 2024 was $1.1 million, down from $22.6 million in 2023.

How many patients are enrolled in DocGo's programs?

DocGo has surpassed 700,000 patients in its care gap closure programs.

What was the primary reason for revenue decline in Q4 2024?

The revenue decline in Q4 2024 was mainly due to the wind-down of migrant programs.

Last updated: Feb 27, 2025