Financial Data and Key Metrics Changes - Doximity reported revenue of $146 million for Q1 FY2026, representing a 15% year-on-year growth and a 4% beat from the high end of guidance [7] - Adjusted EBITDA margin was 55%, amounting to $80 million, which was 11% above the high end of guidance [7] - Free cash flow increased by 52% year-on-year, reaching $60.1 million [22] - Non-GAAP gross margin for Q1 was 91%, down from 92% in the prior year [21] Business Line Data and Key Metrics Changes - Unique active users across all metrics (quarterly, monthly, daily) reached record highs, with double-digit percentage growth year-on-year [9] - The number of unique active prescribers using workflow tools reached 630,000, marking significant engagement [9] - The AI tools experienced over 5x year-on-year growth [9] Market Data and Key Metrics Changes - Doximity's net revenue retention rate was 118% on a trailing twelve-month basis, with the top 20 customers showing a higher rate of 119% [20] - The company ended the quarter with 120 customers contributing at least $500,000 each in subscription-based revenue, a 17% increase from the previous year [21] Company Strategy and Development Direction - Doximity is focusing on AI integration, with the launch of the Doximity AI Scribe and the acquisition of Pathway, aiming to enhance physician productivity [19][23] - The company plans to integrate Scribe into telehealth tools, creating a seamless experience for physicians [13] - Doximity aims to build a comprehensive AI suite that addresses clinical questions and enhances workflow efficiency [19] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the business's strength despite ongoing policy uncertainty, noting no slowdown in customer budgets [27] - The outlook for FY2026 includes revenue guidance of $628 million to $636 million, reflecting an 11% growth at the midpoint [25] - Management highlighted the importance of AI investments for long-term growth and productivity improvements [56] Other Important Information - The Pathway acquisition was completed for $26 million in cash and up to $37 million in equity grants, with no expected revenue contribution this year [24] - The company repurchased $122.3 million worth of shares during the first quarter [23] Q&A Session Summary Question: How can you frame the opportunity for investors regarding Scribe, Pathways, and Doximity GPT? - Management sees these AI tools as a potential third act, enhancing physician engagement and addressing clinical questions in real-time [31] Question: Can you provide insights on customer budgets and the second half guidance? - Management noted strong Q1 performance but cautioned against extrapolating this into the second half due to policy uncertainties [36] Question: What are the qualitative differences in upsell cycles this year? - Management indicated broad-based strength across all customer segments, with significant growth in SMB customers [40] Question: How do you view the drivers of continued provider use of products? - Management highlighted the stickiness of workflow tools and the importance of AI in enhancing user engagement [48] Question: Will the new AI offerings become standalone revenue generators? - Management anticipates that AI products like Scribe could evolve into enterprise revenue streams similar to the Doximity Dialer [59] Question: What is the current state of the Provider Solutions business? - Management reported strong traction in the health system business, particularly in enterprise offerings [99] Question: How is the news feed performing and what developments are there? - Management noted record high engagement in the news feed, with video content becoming increasingly important [109]

Financial Data and Key Metrics Changes - Doximity reported revenue of $146 million for Q1 2026, representing a 15% year-on-year growth and a 4% beat from the high end of guidance [5][18] - Adjusted EBITDA margin was 55%, amounting to $80 million, which was 11% above the high end of guidance [5][6] - Free cash flow grew by 52% year-on-year, reaching $60.1 million [21] - Non-GAAP gross margin was 91%, slightly down from 92% in the prior year [20] Business Line Data and Key Metrics Changes - Unique active users across all engagement metrics hit record highs, with a significant increase in the use of workflow tools [7] - The Doximity AI Scribe launched, with over 10,000 healthcare professionals participating in beta testing, indicating strong initial adoption [8][9] - The Pathway acquisition is expected to enhance clinical reference tools, although no immediate revenue contribution is anticipated this fiscal year [22] Market Data and Key Metrics Changes - The company reported a net revenue retention rate of 118% on a trailing twelve-month basis, with the top 20 customers showing a higher retention rate of 119% [18] - The agency partners contributed to over 100% year-on-year bookings growth in the SMB customer segment [25] Company Strategy and Development Direction - Doximity is focusing on integrating AI tools into its offerings, with the Scribe and Pathway acquisition seen as pivotal for long-term growth [26][17] - The company aims to enhance physician productivity through its AI suite, which includes tools for note-taking and clinical question answering [17][26] - The strategy includes making clinical reference tools free to users, thereby increasing engagement and adoption [22][82] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the business's strength despite ongoing policy uncertainties, noting that client budgets remain robust [35][112] - The outlook for the full fiscal year is revenue guidance of $628 million to $636 million, reflecting an 11% growth at the midpoint [24] - Management remains cautious about the second half of the year, taking a measured approach to unbooked revenue due to policy uncertainties [35][112] Other Important Information - The company ended the quarter with $841 million in cash and equivalents, and repurchased $122.3 million worth of shares [21][22] - The Pathway acquisition cost $26 million in cash and up to $37 million in equity grants, with minimal impact on expenses expected this fiscal year [22][23] Q&A Session Summary Question: How can investors frame the opportunity with Scribe and Pathway? - Management highlighted that AI tools could represent a significant growth opportunity, potentially as large as previous product launches [28][32] Question: What insights are there regarding customer budgets for the second half of the year? - Management noted that while Q1 was strong, it is the smallest bookings quarter, and they are taking a cautious approach due to policy uncertainties [33][35] Question: Can you elaborate on the upsell cycle and the role of the client portal? - Management indicated that all business segments are performing well, with the client portal providing valuable insights that have driven significant growth in SMB customers [40][42] Question: What are the drivers of increased utilization of Doximity's products? - Management pointed to strong growth in workflow tools and telehealth products, with AI enhancing the newsfeed's relevance and engagement [46][50] Question: How does the Pathway acquisition fit into Doximity's overall strategy? - Management confirmed that Pathway's integration is progressing well, with plans to offer its tools for free to enhance user engagement [82][84]

Core Insights - Doximity (DOCS) and iRhythm Technologies (IRTC) are prominent players in AI-powered healthcare, with Doximity focusing on clinician engagement and workflow, while iRhythm specializes in AI-driven cardiac monitoring [2][4] - Doximity reported fiscal 2025 revenues of $570.4 million, a 20% increase year-over-year, and a 48% rise in operating cash flow [2] - iRhythm Technologies achieved full-year 2024 revenues of $591.8 million, reflecting a 20.1% year-over-year growth [3] Company Overview - Doximity serves over 80% of U.S. physicians with a platform that includes telehealth and workflow tools [5] - iRhythm Technologies focuses on AI-driven cardiac monitoring through its Zio platform, which provides clinically validated diagnostics [5] Financial Performance - Doximity's fourth quarter of fiscal 2025 saw revenues of $138.3 million and net income of $62.5 million, with a 56% increase in free cash flow [7] - iRhythm's first-quarter 2025 revenues reached $158.7 million, a 20.3% year-over-year increase, despite a net loss of $30.7 million [10] Stock Performance - Year-to-date, Doximity's share price increased by 6.9%, while iRhythm's surged by 61.4% [6][9] - Doximity's stock performance is impacted by risks related to drug-pricing reforms and changes in pharmaceutical advertising budgets [6] AI Integration - Doximity has integrated AI into clinical workflows, notably with Doximity GPT, which automates documentation [11] - iRhythm employs AI for diagnostics through its Zio platform, supported by the ZEUS AI system for interpreting cardiac data [13] Growth Outlook - Doximity anticipates fiscal 2026 revenues between $619 million and $631 million, with adjusted EBITDA of $333-$345 million [14] - iRhythm raised its revenue outlook for the full year to $690-$700 million, with EBITDA margins projected at 7.5-8.5% [14] Investment Appeal - Doximity is viewed as a stable investment with profitability and a large user base, appealing to risk-averse investors [19] - iRhythm presents a higher-risk, higher-reward opportunity driven by innovative diagnostics and expanding clinical applications [19]

Core Insights - Doximity, Inc. has developed a client engagement and retention strategy centered on integrated, physician-first tools across its Marketing, Hiring, and Workflow Solutions, resulting in over 620,000 unique providers using its clinical tools in Q4 of fiscal 2025 [1] Group 1: Marketing Solutions - Doximity's Marketing Solutions utilize AI and machine learning to deliver personalized campaigns, enabling pharmaceutical and health system clients to effectively reach specific clinician segments with relevant content [2] - This targeted approach has led to measurable engagement, prompting clients to broaden their usage across various brands or service lines [2] Group 2: Customer Retention Strategies - The company invests in a robust customer success team that collaborates with clients to optimize campaigns and provide ongoing analytics, which has fostered upsell opportunities and long-term relationships [3] - Clients benefit from a self-serve portal that offers real-time insights, enhancing the overall customer experience [3] Group 3: Workflow Solutions - Doximity's Workflow Solutions, such as Dialer Enterprise and AMiON, have gained significant traction and are now integrated into hospital operations, reducing the likelihood of clients transitioning away from the platform [4] - Recent innovations like Doximity GPT, an AI-powered writing assistant, further alleviate administrative burdens for clients [4] Group 4: Competitive Landscape - GoodRx Holdings, Inc. has launched Community Link to enhance pharmacy engagement through cost-plus pricing, while also introducing a new erectile dysfunction subscription service to streamline consumer access [5] - Veeva Systems Inc. is enhancing client engagement through its Vault CRM Suite, which integrates medical, sales, and service teams, and has reported momentum in products that provide real-time insights [6] Group 5: Financial Performance - Doximity's shares have increased by 9.6% year-to-date, contrasting with the industry's decline of 0.9% [7] - The Zacks Consensus Estimate indicates a 3.5% improvement in Doximity's earnings per share for fiscal 2026 compared to fiscal 2025 [9] - The company's forward 12-month P/E ratio stands at 39.4X, higher than the industry average of 14.6X but lower than its three-year median of 48.9X [12]

Core Insights - Doximity's shares have decreased by approximately 4.4% over the past month despite solid fiscal Q4 2025 results, which included revenues of $138.3 million and a 50% adjusted EBITDA margin [1][3] - For fiscal 2025, total revenues reached $570.4 million, reflecting a 20% year-over-year increase, with adjusted EBITDA rising 36% to $313.8 million and margin expanding to 55% [1][4] Financial Performance - In Q4 2025, Doximity's revenues increased by 17% to $138.3 million, with an adjusted EBITDA margin of 50% [8] - The company reported a free cash flow of $97 million in Q4, contributing to a total cash position of $916 million by the end of the quarter [3][4] - Doximity raised its fiscal 2025 revenue guidance by $55-65 million to a range of $619-$631 million, indicating a 10% growth at the midpoint [5] Client Engagement and Retention - Net revenue retention reached 119% on a trailing 12-month basis, with the top 20 clients achieving a retention rate of 123% [9] - The number of customers generating over $500,000 in annual subscription revenues grew by 17% to 116, accounting for 84% of total revenues [9] Growth Drivers - Continued revenue and margin expansion were evident, with Q4 2025 top line exceeding guidance by 4% and adjusted EBITDA surpassing guidance by 10% [4] - Doximity's integrated multi-module programs and AI tools have accelerated client upsells and engagement [8] Challenges and Competition - The company faces macro and policy uncertainties, with management conservatively projecting a 5-7% growth in the pharmaceutical HCP digital market for fiscal 2026 [13] - Doximity competes with established players like Veeva Systems, Teladoc Health, and IQVIA Holdings for clinician engagement and marketing budgets [14][15] - Monetization of AI products remains low, with management acknowledging uncertainties regarding payback periods and long-term margin contributions [16] Valuation and Investment Outlook - Doximity's shares are considered overvalued, trading at a forward P/E of 36.05X compared to the sector's 14.26X [10] - The company demonstrates a profitable, high-growth business model, but challenges include macro uncertainties and competition for physician attention [20]

Financial Data and Key Metrics Changes - The company reported Q4 revenue of $138 million, which is 4% above the high end of guidance and represents a 17% year-over-year increase [7][17] - For the full fiscal year, revenue reached $570 million, growing 20% year-over-year [7][17] - Adjusted EBITDA for Q4 was $70 million, with a margin of 50%, exceeding guidance by 10% [8][19] - Free cash flow for Q4 was $97 million, up 56% year-over-year, and for the full year, it was $267 million, an increase of 50% year-over-year [8][20] Business Line Data and Key Metrics Changes - The top 20 clients grew revenue by 23% in fiscal 2025, indicating strong performance from the largest customers [7][18] - The company ended the quarter with 116 customers contributing at least $500,000 each in subscription-based revenue, a 17% increase from the previous year [18] - Non-GAAP gross margin for Q4 was 91%, flat year-over-year, while for the full year, it was 92% compared to 91% last year [19] Market Data and Key Metrics Changes - The company expects the Pharma HCP digital market to grow at approximately 5% to 7% in the upcoming year, with the company anticipating to grow at roughly twice the market rate [24] - The company has under 70% of its initial subscription-based revenue guidance under contract, reflecting a cautious approach to macroeconomic uncertainties [24][111] Company Strategy and Development Direction - The company is focusing on multi-module integrated offerings, which have led to larger deal sizes and more efficient launch timelines [17][23] - There is a strong emphasis on AI investments to enhance tools for members and clients, with expectations of significant long-term benefits [25] - The company aims to maintain its competitive position in the Pharma business, which is expected to remain the fastest-growing segment [24] Management's Comments on Operating Environment and Future Outlook - Management has not observed any signs of market slowdown but acknowledges the potential for macroeconomic uncertainties to impact client spending [27][41] - The mood among pharma clients is described as cautiously optimistic, with excitement around AI tools [31][41] - The company is preparing for a tougher year-over-year comparison due to the transition to earlier program launches [23] Other Important Information - The company repurchased $26.8 million worth of shares in Q4 and $116.2 million for the full fiscal year [20] - The company is excited about the potential of AI to improve efficiency and drive growth, viewing it as a critical component of future strategy [25][91] Q&A Session Summary Question: How are customer conversations regarding spending in the current macro environment? - Management has not seen signs of a market slowdown yet, but there is cautious optimism among clients regarding AI tools [27][28] Question: What is the expected payback period for AI investments? - The company is still in early stages of understanding AI's impact on efficiency and margins, but they are already seeing positive results from AI investments [32][34] Question: How does the company view the impact of potential drug pricing constraints? - There has been no direct feedback from clients regarding the No Handouts for Drug Advertisements Act, but the company is focused on transparency and accessibility [56] Question: What is the outlook for the point of care solutions? - The company sees point of care as a diversified channel with significant growth potential, and clients are increasingly leaning into this area [90] Question: How does the company view the revenue cadence throughout the year? - The company expects a more stable revenue growth cadence due to integrated programs and anticipates Q3 to be the highest quarter due to upselling [101][102]

Financial Data and Key Metrics Changes - The company reported Q4 revenue of $138 million, which is 4% above the high end of guidance and represents a 17% year-over-year increase [5][15] - For the full fiscal year, revenue reached $570 million, growing 20% year-over-year [6][15] - Adjusted EBITDA for Q4 was $70 million, with a margin of 50%, exceeding guidance by 10% [6][17] - Free cash flow for Q4 was $97 million, up 56% year-over-year, and for the full year, it was $267 million, an increase of 50% [6][18] - The adjusted EBITDA margin for the full fiscal year was 55%, up from 48% the previous year [6][18] Business Line Data and Key Metrics Changes - The top 20 clients grew revenue by 23% in fiscal 2025, indicating strong performance among the largest customers [6][16] - The company ended the quarter with 116 customers contributing at least $500,000 each in subscription-based revenue, a 17% increase from the previous year [16] - Unique active users across various engagement metrics reached record highs, particularly driven by the newsfeed product [7] Market Data and Key Metrics Changes - The company expects the Pharma HCP digital market to grow at approximately 5% to 7% in the upcoming year, with the company anticipating to grow at roughly twice the market rate [22] - The net revenue retention rate was 119% on a trailing twelve-month basis, with the top 20 customers at 123% [16] Company Strategy and Development Direction - The company is focusing on multi-module integrated offerings, which have led to larger deal sizes and more efficient launch timelines [15][21] - There is a strong emphasis on AI investments to enhance tools for members and clients, with expectations of significant long-term benefits [23] - The company aims to maintain a competitive position in the Pharma sector, which is projected to be the fastest-growing business segment [22] Management's Comments on Operating Environment and Future Outlook - Management has not observed any signs of market slowdown but is cautious due to macroeconomic uncertainties [25][30] - The mood among pharma clients is described as cautiously optimistic, with excitement around AI tools [30] - The company is preparing for potential impacts from policy uncertainties while maintaining a positive outlook on growth [40][41] Other Important Information - The company repurchased $26.8 million worth of shares in Q4 and $116.2 million for the full fiscal year [18] - The company ended the year with $916 million in cash, cash equivalents, and marketable securities [18] Q&A Session Summary Question: How are customer conversations regarding spending in the current macro environment? - Management noted that there have been no signs of a market slowdown yet, but they are assuming some material policy uncertainty [25][30] Question: What is the expected payback period for AI investments? - Management indicated that it is still early to determine the exact impact of AI on long-term margins, but they are already seeing benefits from AI investments [31][33] Question: How does the company view the impact of potential drug pricing constraints? - Management acknowledged discussions around drug pricing but noted that clients typically have separate teams for direct-to-consumer marketing, making immediate impacts less likely [52][54] Question: What is the outlook for revenue growth and seasonality? - Management expects a more predictable revenue curve due to integrated programs and anticipates Q3 to be the highest quarter due to upselling [97][98] Question: How is the company addressing the allocation of budgets across digital channels? - Management reported that clients are leaning more into endemic channels, with no signs of slowing growth for their offerings [62][63]

Summary of Key Points from the Conference Call Industry Overview - The conference focused on the AI agent's impact on the software industry and its evolution, particularly in the context of the Chinese market and major players like Salesforce, Microsoft, and domestic companies such as Kingsoft and Hancloud [1][2][3][6][11]. Core Insights and Arguments - **AI Agent Capabilities**: AI agents have evolved from traditional language models to capable task executors, enabling them to autonomously manage workflows and replace some human roles [2][5]. - **Development Stage**: The current development level of AI agents is comparable to GPT-3 and ChatGPT, with expert model scores reaching 70%-72% [3][45]. - **Business Model Transformation**: Companies like Salesforce are shifting from service fee models to per-use charging, reflecting a broader trend in the industry as AI agents take over manual tasks [7][8][10]. - **Domestic Market Dynamics**: In China, the demand for customized software solutions has increased, leading to a decline in profit margins for software companies. However, standardized AI agents can meet these customization needs without extensive development [6][11]. - **Investment in AI Infrastructure**: Major companies, including Microsoft and Salesforce, are investing heavily in AI infrastructure and tools, indicating a strong commitment to AI innovation [9][10]. Notable Developments - **Microsoft's Initiatives**: Microsoft established the QAI platform and introduced a pay-per-use model for its 365 Cop Track tool, showcasing its ongoing innovation in AI [9]. - **Salesforce's Expansion**: Salesforce has expanded its AI capabilities across various sectors, including HR and finance, by launching native agents [10]. - **Domestic Companies' Performance**: Kingsoft reported strong performance in its B-end revenue, while companies like Fanwei Network and Hancloud are also making significant strides in AI solutions [11][12]. Additional Important Insights - **Telecom Sector's Role**: Domestic telecom operators are crucial in the AI industry chain, focusing on computing power and transitioning from traditional network operations to computing operations [14][17]. - **Cloud Computing Trends**: The cloud computing and IDC sectors are experiencing a resurgence driven by AI demand, with domestic companies like Alibaba and Tencent seeing significant growth in AI-related revenues [15][77]. - **Emerging AI Applications**: The conference highlighted the potential of AI in various sectors, including healthcare, finance, and education, emphasizing the need for continuous innovation and adaptation [62][63]. Conclusion - The AI agent's development is reshaping the software industry, with significant implications for business models, operational efficiency, and market dynamics. Companies that adapt to these changes and invest in AI capabilities are likely to gain a competitive edge in the evolving landscape.