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Doximity, Inc.: Q4 FY2026 earnings call

What management said about Q4 FY2026, from the documents filed with the SEC on 13 May 2026: press release. Guidance figures: 4 new. The quarter’s numbers.

Key takeaways

  • Fiscal 2026 revenue grew 13%: Fiscal 2026 revenue was $644.9 million, up from $570.4 million. Fourth quarter revenue was $145.4 million, up 5% from $138.3 million. Source
  • Fiscal 2026 adjusted EBITDA rose 14%: Fiscal 2026 adjusted EBITDA was $357.8 million at a 55.5% margin. Fourth quarter adjusted EBITDA was $65.8 million, down 6%, at a 45.3% margin. Source
  • Record workflow tool engagement: Management called the fourth-quarter count of providers using workflow tools a new engagement record. Source
  • Clinical AI use and prompts rising: Nearly half of the active providers used clinical AI in the prior quarter. Prompts per user nearly doubled from January to April, according to management. Source
  • Aledade and Photon partnerships: The partnerships bring the Clinical AI Suite to independent practices and enable in-workflow prescribing for the first time, according to management. Source
  • Free cash flow up 19% for year: Fiscal 2026 free cash flow was $317.5 million, up 19%, and operating cash flow was $326.5 million, up 19%. Fourth quarter free cash flow was $107.3 million, up 11%. Source
  • Fiscal 2027 revenue range set: Revenue for the fiscal year ending March 31, 2027 is guided to $664 million to $676 million. Source

“We’re thrilled to announce that we reached a new engagement record of over 800,000 active prescribers using our workflow tools in Q4.”

Jeff Tangney, co-founder and CEO of Doximity

Guidance

AreaPeriodFigureAgainst last quarter
Revenue SourceFiscal first quarter ending June 30, 2026$151 million to $152 millionNew
Adjusted EBITDA SourceFiscal first quarter ending June 30, 2026$68.5 million to $69.5 millionNew
Revenue SourceFiscal year ending March 31, 2027$664 million to $676 millionNew
Adjusted EBITDA SourceFiscal year ending March 31, 2027$323 million to $335 millionNew

What changed from last quarter

  • New guidance: Revenue and adjusted EBITDA ranges were given for the fiscal first quarter ending June 30, 2026. Source
  • New guidance: Revenue and adjusted EBITDA ranges were given for the fiscal year ending March 31, 2027. Source
  • New: Matt Sonefeldt named as new CFO and Dr. Steve Zatz named as new President. Source
  • New: Partnerships with Aledade and Photon announced, bringing the Clinical AI Suite to independent practices. Source

Fourth quarter and fiscal year results

  • Fiscal 2026 revenue grew 13%: Fiscal 2026 revenue was $644.9 million, up from $570.4 million. Fourth quarter revenue was $145.4 million, up 5% from $138.3 million. Source
  • Fourth quarter net income declined: Fourth quarter net income was $19.1 million, a 13.1% margin, versus $62.5 million and a 45.2% margin a year earlier. Non-GAAP net income was $49.8 million, versus $77.7 million. Source
  • Fiscal 2026 adjusted EBITDA rose 14%: Fiscal 2026 adjusted EBITDA was $357.8 million at a 55.5% margin. Fourth quarter adjusted EBITDA was $65.8 million, down 6%, at a 45.3% margin. Source
  • GAAP EPS fell while non-GAAP EPS rose: Fiscal 2026 GAAP diluted EPS was $0.98, versus $1.11. Non-GAAP diluted EPS was $1.52, versus $1.42. Fourth quarter diluted EPS was $0.10, versus $0.31. Source

Engagement and clinical AI use

  • Record workflow tool engagement: Management called the fourth-quarter count of providers using workflow tools a new engagement record. Source
  • Clinical AI use and prompts rising: Nearly half of the active providers used clinical AI in the prior quarter. Prompts per user nearly doubled from January to April, according to management. Source
  • Third-quarter user counts reported: The third-quarter release gave newsfeed, workflow and AI user counts, and called the workflow count a record quarter-on-quarter jump.

“Nearly half of those providers used our clinical AI last quarter, while our prompts per user nearly doubled from January to April alone,”

Jeff Tangney, co-founder and CEO of Doximity

Partnerships and leadership changes

  • Aledade and Photon partnerships: The partnerships bring the Clinical AI Suite to independent practices and enable in-workflow prescribing for the first time, according to management. Source
  • AI clinical reference and search: The company describes new AI-powered clinical reference and search capabilities that help doctors reach peer-reviewed information and medical literature. Source
  • New CFO and President named: Matt Sonefeldt is the new CFO and Dr. Steve Zatz is the new President, according to the release. Source
  • Leaders' experience cited for growth: Management said the two leaders' experience and relationships will be instrumental as the company continues to scale. Source

Costs, margins and stock compensation

  • Gross margin lower in both periods: Non-GAAP gross margin was 89.3% in the fourth quarter, versus 91.4%, and 91.1% for fiscal 2026, versus 92.1%. GAAP gross margin was 86.7%, versus 89.5%. Source
  • Research and development expense rose: GAAP research and development expense was $39.1 million in the fourth quarter, versus $24.8 million. Fiscal 2026 was $130.7 million, versus $93.0 million. Source
  • Sales and marketing expense rose: GAAP sales and marketing expense was $45.9 million in the fourth quarter, versus $37.6 million, and $163.6 million for fiscal 2026, versus $145.7 million. Source
  • Stock-based compensation rose: Stock-based compensation was $36.7 million in the fourth quarter, versus $18.1 million, and $121.6 million for fiscal 2026, versus $72.4 million. Source

“Our new partnerships with Aledade and Photon build on that momentum, bringing our Clinical AI Suite to thousands of independent practices and enabling seamless in-workflow prescribing for the first time.”

Jeff Tangney, co-founder and CEO of Doximity

Cash flow, buybacks and balance sheet

  • Free cash flow up 19% for year: Fiscal 2026 free cash flow was $317.5 million, up 19%, and operating cash flow was $326.5 million, up 19%. Fourth quarter free cash flow was $107.3 million, up 11%. Source
  • Share repurchases rose: Repurchases of common stock were $431.7 million in fiscal 2026, versus $120.3 million, and $90.5 million in the fourth quarter, versus $26.8 million. Source
  • Cash and securities lower at year end: At March 31, 2026, cash was $219.2 million and marketable securities were $529.4 million, versus $209.6 million and $706.1 million at March 31, 2025. Source
  • Current deferred revenue lower: Current deferred revenue was $106.1 million at March 31, 2026, versus $114.3 million a year earlier. Source
  • Cash paid for an acquisition: Fiscal 2026 included $26.5 million of cash paid for an acquisition and $62 thousand of intangible asset purchases. Goodwill rose to $85.0 million from $67.9 million. Source

Guidance for fiscal 2027

  • First-quarter revenue range set: Revenue for the quarter ending June 30, 2026 is guided to $151 million to $152 million. Source
  • First-quarter adjusted EBITDA range set: Adjusted EBITDA for the quarter ending June 30, 2026 is guided to $68.5 million to $69.5 million. Source
  • Fiscal 2027 revenue range set: Revenue for the fiscal year ending March 31, 2027 is guided to $664 million to $676 million. Source
  • Fiscal 2027 adjusted EBITDA range set: Adjusted EBITDA for the fiscal year ending March 31, 2027 is guided to $323 million to $335 million. Source

Coming up, as management said on 13 May 2026

  • Annual report on Form 10-K: Management said more information will be provided in the Annual Report on Form 10-K for the year ended March 31, 2026. Source

Figures management reported

FigureReported
Quarterly active providers using workflow tools SourceOver 800,000
U.S. physicians in network SourceMore than 85%
Newsfeed quarterly active prescribers (third quarter)More than 1 million
Workflow products users (third quarter)720,000
AI products users (third quarter)Over 300,000

Risks management discussed

  • Regulatory: Legal fees on non-ordinary course matters, including shareholder class action litigation, are excluded from non-GAAP results. Fiscal 2026 legal expenses were $4.9 million. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.