Record Free Cash Flow
Q4 free cash flow of $107 million (first-ever 9-digit FCF quarter) and full-year free cash flow of $317 million, up 19% year-over-year; free cash flow was 49% of revenue for fiscal 2026.
Revenue Growth
Q4 revenue $145 million, up 5% year-over-year; full fiscal year revenue $645 million, up 13% year-over-year.
Strong Adjusted EBITDA and Full-Year Profitability
Full-year adjusted EBITDA was $358 million (55% margin), up from $314 million last year (+14% year-over-year). Q4 adjusted EBITDA was $66 million with a 45% margin.
Healthy Customer Retention and Large Customer Cohort
Net revenue retention rate of 109% on a trailing 12-month basis; top 20 customers NRR of 114%. 125 customers contributed at least $500k in subscription revenue (up ~6% vs prior year) and accounted for 83% of total revenue.
Rapid Workflow & AI Engagement Growth
Benchmark workflow engagement exceeded 800,000 unique quarterly active prescribers in Q4, ~30% year-over-year acceleration from prior period; nearly half of active prescribers used Doximity AI tools in Q4.
Strong Early Traction for Acquired AI Product
Since acquiring Pathway, AI Search and Scribe active users tripled in 9 months; recent users averaged 31 queries per month (nearly double January); in a head-to-head clinical search evaluation, Doximity AI answers were preferred 2:1 by 4,700 physician residents.
Enterprise & Health System Adoption
140 health systems have purchased the clinical AI suite, including 7 of the top 20 hospitals; over 250,000 prescribers now have access to the clinical AI suite within hospital-approved, HIPAA-compliant workflows.
Strong Balance Sheet and Share Repurchase Activity
Ended year with $749 million in cash, cash equivalents and marketable securities. Repurchased $432 million of shares in fiscal 2026 (including $91 million in Q4) with $493 million remaining in the repurchase program.
Commercial Product Launches & Partnerships
Launched commercial AI Search product with early deals closed with top-20 pharma manufacturers; partnerships include Aledade for value-based care AI agents and Photon Health powering ePrescribing beta (1,000+ prescribers in beta).
Committed R&D & Talent Investments
380-person R&D team focused on physician-led features and agents; two senior hires announced (new CFO Matt Sonefeldt and President Dr. Steve Zatz) to bolster strategy and industry relationships.