Prepared remarks
Good afternoon, ladies and gentlemen, and welcome to DocGo's second quarter earnings call. At this time, all lines are in a listen-only mode. Following the presentation, we will conduct a question-and-answer session. If at any time during this call you require immediate assistance, please press star zero for the operator. This call is being recorded on Monday, August 17th, 2026. I would now like to turn the conference over to Mike Cole, Vice President of Investor Relations. Please go ahead.
Thank you, operator. Before turning the call over to management, I would like to make the following remarks concerning forward-looking statements. All statements made in this conference call, other than statements of historical fact, are forward-looking statements. The words may, will, plan, potential, could, goal, outlook, design, anticipate, aim, believe, estimate, expect, intend, guidance, confidence, target, project, and other similar expressions may be used to identify such forward-looking statements. These forward-looking statements are not guarantees of future performance, and we cannot assure you that we will achieve or realize our plans, intentions, outcomes, results, or expectations. Forward-looking statements are inherently subject to substantial risks, uncertainties, and assumptions, many of which are beyond our control and which may cause our actual results or outcomes or the timing of results or outcomes to differ materially from those contained in our forward-looking statements. These risks, uncertainties, and assumptions include, but are not limited to those discussed in risk factors and elsewhere in DocGo's annual report on Form 10-K, quarterly reports on Form 10-Q, our earnings release for this quarter, and other reports and statements filed by DocGo with the SEC to which your attention is directed. Actual outcomes and results, or the timing of results or outcomes, may differ materially from what is expressed or implied by these forward-looking statements. In addition, today's call contains references to non-GAAP financial measures. Reconciliations of these non-GAAP financial measures to the most directly comparable GAAP financial measures are included in our earnings release and the current report on Form 8-K that includes our earnings release, which is posted on our website as well as filed with the SEC. The information contained in this call is accurate as of only the date discussed. Investors should not assume that statements will remain relevant and operative at a later time. We undertake no obligation to update any information discussed in this call to reflect events or circumstances after the date of this call or to reflect new information or the occurrence of unanticipated events, except to the extent required by law. At this time, it is my pleasure to turn the call over to Mr. Lee Bienstock, Chief Executive Officer of DocGo. Lee, please go ahead.
Thank you, Mike, and thank you all for joining us today. The second quarter was a transformational period for our company, and the recent weeks marked a number of key milestones. Today, I'd like to share four significant updates with you. Number one, we signed a definitive agreement to make our largest acquisition to date. Number two, in connection with the acquisition, we received a commitment for a major new source of funding. Three, we achieved record volumes across our key business verticals. Four, we advanced our vision of integrating DocGo's technology and care delivery offerings to create one of the most innovative healthcare delivery platforms in the industry: a holistic, tech-powered offering that enables us to match the right clinician with the right patient at the right time in the right setting. A uniquely differentiated platform that improves patient access across the entire healthcare continuum, from the hospital to the home. I have never been more excited or more optimistic about the future of our expanded offering than I am today. Let's get into it. First and foremost, we formally announced in March that the company had undertaken an exploration of strategic alternatives to enhance shareholder value. Today, we're announcing that we've signed a definitive agreement to acquire virtual care provider Hicuity Health. This marks our second major acquisition in the virtual care space in the last nine months. While we plan to host a webinar in the coming weeks to share a deep dive on Hicuity Health and the powerful growth and cost synergies of this acquisition, I wanted to share an overview with you today. St. Louis-based Hicuity Health is a leading provider of acute and critical care telemedicine services, with an impressive roster of long-term relationships and a diverse portfolio of hospitals and health systems across the U.S. Hicuity's 400-plus clinical staff provide high-acuity virtual care services that include Tele-ICU, virtual nursing, and telemetry monitoring, which are all managed by Hicuity's proprietary clinical monitoring and patient management platform called The Hub. DocGo and Hicuity have shared DNA. Both companies have developed proprietary technology platforms that help optimize scarce clinical resources, whether it be an advanced practice provider delivering critical care in an ICU or a mobile health clinician bringing preventative care to a patient in the home. Merging the Hicuity Hub into DocGo's existing proprietary health tech stack will enable us to better match the right provider with the right patient at the right time in the right setting. Combining Hicuity's strength in providing care in health system settings with DocGo's technology-enabled mobile model that delivers care in the home differentiates our offering far beyond a single-point solution on the patient journey and positions DocGo to support patients across the entire care continuum from the hospital to the home. The combination strengthens DocGo's technology-enabled care delivery model, expands our presence within health systems where we already have entrenched relationships, and creates additional opportunities to expand and cross-sell our robust suite of virtual services, care in the home, and remote monitoring. Much like we are experiencing with our SteadyMD acquisition, we expect to realize significant operational efficiencies while leveraging our expanded platform to support future revenue growth. A dedicated cross-functional integration team has already begun planning integration and cost-cutting initiatives across operations, technology, finance, legal, human resources, and clinical operations. Some specific areas we have identified include combining shared corporate functions and reducing duplicative administrative costs, leveraging a common technology infrastructure and operational platform, optimizing third-party vendor relationships and procurement, streamlining clinical operations across both organizations, and expanding cross-selling opportunities by offering a broader suite of virtual, mobile, and in-home healthcare services to customers. In sum, we expect our acquisition of Hicuity Health to create a scaled, unified mobile and virtual care delivery platform that powers health systems, health plans, and digital health companies and represents an important step in advancing our care-anywhere strategy. Second, I'd like to share the details around the Hicuity Health transaction and our new funding. Hicuity Health brings an established revenue base and proven operating platform. On a trailing 12-month basis, Hicuity Health generated approximately $65 million in revenue and $4.5 million in adjusted EBITDA. Under terms of the agreement, DocGo will acquire 100% of Hicuity Health on a cash-free basis while assuming the company's existing indebtedness held by Perceptive Advisors. At closing, the debt is estimated to be approximately $52 million and will now mature in December 2029. In addition to assuming the existing Hicuity Health debt, Perceptive Advisors has also committed to provide up to an additional $50 million of financing to DocGo in multiple tranches, the first $12.5 million of which will be funded with the execution of a services agreement through which we will provide management-related services to Hicuity Health during the pre-closing period. We expect to finalize this agreement in the near term. As part of the overall consideration, DocGo will issue new equity representing 2% of DocGo's fully diluted outstanding common stock at closing, all of which is going to Hicuity Health's preferred equity holder, who may receive an additional 3.5% equity interest if DocGo achieves a market capitalization of $250 million within three years of closing. Perceptive Advisors and Hicuity Health's preferred equity holder both have strong roots in healthcare and deep connections across the industry. We believe our strategic relationships with both of these partners have the potential to create additional value for DocGo in the months and years ahead. Third, our business performance remains strong. Across all business lines, we achieved record volumes during the quarter, with U.S. medical transportation increasing 15%, healthcare in the home increasing 26%, mobile phlebotomy increasing 20%, cardiac and remote patient monitoring increasing 13%, and virtual care and lab orders increasing 58% when comparing year-over-year results. On the business development front, we signed a new contract with one of the largest national health plans to offer services to their members in Pennsylvania. Additionally, we grew the total number of patients assigned for our care gap closure services to 1.7 million since inception, up 100,000 from last quarter. We continue to be extremely pleased with the performance of our virtual care provider, SteadyMD. Despite the summer months typically being the slowest for telehealth services of this nature, SteadyMD saw volumes similar to those of Q1. The large enterprise deal we completed with a leading online pharmacy in early Q2 is expected to be a key growth driver in the second half of the year as it scales. We continue to make progress with our efficiency initiatives. We saw a considerable sequential improvement in our adjusted EBITDA loss, which dropped nearly 40% quarter-over-quarter, declining from $10.3 million last quarter to $6.3 million in Q2. One factor that had a material impact on this improvement was a substantial corporate reduction in force during the quarter, which reduced annual SG&A by approximately $4.5 million. We are also starting to see a more material impact from a number of the AI efficiency initiatives that we discussed last quarter. One specific example is with our mobile phlebotomy business. Our engineers developed an AI communications tool that now handles 60% of inbound patient calls without the patient needing to speak to one of our live agents, and it also handles 100% of our outbound appointment scheduling calls. On a typical day, this AI agent handles over 1,000 calls without human intervention. Additionally, AI data entry integrations now account for 65% of orders received. We anticipate this will increase to 90% of orders by the end of the year, with our new system bringing the cost to process each order from $2 down to mere pennies. We currently have over 10 active efficiency-related programs of this nature across all business lines, supporting functions from eligibility determination to validation of patient care reports. Collectively, we estimate a potential annual savings of approximately $6 million when these are fully implemented over the coming quarters. In our push to infuse technology into all aspects of our business, there are another 20 efficiency-related programs that are set to kick off in late 2026 and early 2027, and we look forward to sharing more about those on future earnings calls. Earlier today, we updated guidance. While our revenue guidance is relatively unchanged, not taking into account any potential impact of Hicuity, our adjusted EBITDA loss is wider than our original expectations, as cost cuts took more time than anticipated to work their way through to the financials in the early part of 2026. That being said, we believe that the company will achieve a positive adjusted EBITDA run rate as we exit the year and be set up for a very strong 2027. Fourth, and finally, the realization of our vision. We have spent the last three years transforming DocGo into a fully vertically integrated, technology-backed healthcare provider that can support our health system and insurance payer partners with end-to-end longitudinal care across the entire patient journey. While a number of companies offer point solutions in healthcare, we are building a holistic platform that we believe is both superior and differentiated. As I shared at the start of our call, I have never been more excited about the company we are building that aims to deliver care wherever patients may be. At this time, I'll hand it over to Norm to review the financials.
Thank you, Lee, and good afternoon. Total revenue for the second quarter of 2026 was $73.4 million, compared to $80.4 million in the second quarter of 2025. The year-over-year revenue decline was due entirely to the wind-down of migrant-related projects. Removing migrant-related revenues, we saw a revenue increase of 19% year-over-year in Q2. This was partially due to the October 2025 acquisition of SteadyMD, which added $8.9 million in revenues in Q2 of this year. Removing the impact of both the migrant-related revenues in the 2025 period and the SteadyMD revenues in the 2026 period, revenues still increased by about 5% year-over-year. Medical transportation services revenue increased to $52 million in Q2 of 2026 from $49.6 million in the second quarter of 2025, slightly surpassing Q1's transport revenues as the highest quarterly number in DocGo's history. Revenues were driven higher by gains in both large and small U.S. markets, with some of the strongest growth in markets like New York, Texas, and Tennessee. We continue to see increasing demand across most of our markets. Mobile health revenue for the second quarter of 2026 was $21.4 million, down from $30.8 million in the second quarter of last year, again driven by the wind-down of migrant revenues. Non-migrant mobile health revenues surged by 78%, driven by increases in care gap closures, remote patient monitoring, and mobile phlebotomy, and by the inclusion of revenues from SteadyMD, which we acquired during the fourth quarter of 2025. Adjusted EBITDA for the second quarter of 2026 was negative $6.3 million, compared to an adjusted EBITDA of negative $6.1 million in the second quarter of 2025. The adjusted gross margin, which removes the impact of depreciation and amortization and is the measure of margins that we track most closely, was 30.5% in the second quarter of 2026, compared to 31.6% in the second quarter of 2025. During the second quarter of 2026, adjusted gross margins for the medical transportation segment were 32%, compared to 31.1% in Q2 of 2025, and up slightly from the first quarter of this year. Medical transportation gross margins are still being restrained by higher-than-planned effective hourly wages for field labor. However, we have taken solid strides toward increasing our field headcount in the first half of 2026, and we saw the overtime rate decline again in the second quarter of 2026 to approximately 8.1%, which is the lowest level that we've seen since the second quarter of 2024. Transport gross margins were also impacted by increased fuel costs, with our per-gallon price rising to $4.27 in Q2 of 2026, compared to $3.16 per gallon in last year's second quarter. We estimate that fuel costs restrained transport gross margins by about 60 basis points versus last year, and the consolidated gross margin by about 40 basis points. Mobile health segment adjusted gross margin was 27%, versus 32.5% in the second quarter of 2025. SteadyMD gross margins were several points lower than normal, reflecting aggressive hiring in the first half to catch up to the increased demand from large customers and in anticipation of higher seasonal volumes in Q3 and Q4. This factor, which is expected to normalize later in 2026, was partially offset by greater relative contributions from higher-margin mobile health service lines, such as remote patient monitoring and mobile phlebotomy. In fact, if you look at the underlying gross margins of the mobile health segment, there's actually solid improvement that is taking place. In last year's second quarter, more than 60% of mobile health revenues were derived from migrant-related projects, which generated gross margins of 37.1%. Absent these revenues, the mobile health gross margins from continuing business lines improved by more than 500 basis points as we saw improved margins from the healthcare in the home business, and the high-margin mobile phlebotomy and remote patient monitoring business lines accounted for a greater proportion of mobile health revenues than in last year's second quarter. While gross margins came in a little below expectations, operating expenses declined as anticipated. This was due to our cost-cutting actions that have been undertaken so far this year in the areas of headcount and vendor spending. Offsetting this impact were increased recruiting costs due to the need to ramp up the hiring, onboarding, and training of EMTs and mobile health clinical staff to meet customer demand. During the second quarter, we spent approximately $300,000 on recruiting outreach, supplementing the efforts of our in-house recruiting team. With SteadyMD's hiring push mostly behind us, our continued cost-cutting efforts during the first half of 2026, and additional savings from our efficiency portfolio initiatives still to come, we expect continued sequential declines in SG&A as we go throughout the year. Looking to the rest of 2026, as Lee mentioned in his comments earlier, and as we pointed out in our press release, we are narrowing the range for our revenue guidance for 2026 based upon what we have already seen in the first half of the year. We now see full-year revenues in the range of $305 million to $310 million, which is within the range of $300 million to $315 million that we shared on our last call in May. It's also higher than the $290 million to $300 million that we shared in mid-March and our initial guidance for the year of $280 million to $300 million. This does not include any revenue assumption from Hicuity. As the timing of the closing of the Hicuity acquisition becomes more clear, we will update our revenue guidance accordingly. Our guidance for 2026 also does not include any revenues from migrant-related projects and would therefore represent 21% to 23% growth over 2025's base revenues. We now anticipate a full-year adjusted EBITDA loss in the range of $17 million to $22 million, compared to our previous guidance of a $5 million to $10 million adjusted EBITDA loss. As our EBITDA loss for the first half of 2026 was larger than anticipated, and as our current gross margin trajectory, albeit upward sloping, is still somewhat lower than what we had originally anticipated. Finally, turning to the balance sheet. At June 30th, 2026, our total cash and cash equivalents, including restricted cash and investments, was $48.1 million, down from $59.9 million at March 31st, 2026. Available cash was $25.2 million, down from $35.7 million at March 31st. On April 1st, we received approximately $8 million in migrant-related accounts receivable owed by New York City's Department of Housing Preservation and Development, HPD, which we had expected to see during the first quarter. We are working on collecting the remainder of these receivables, although the timing of these future collections remains unpredictable. However, the Hicuity transaction, specifically the term loan commitment from Perceptive, which will replace our existing asset-backed line of credit, represents a major step forward for DocGo. This transaction will immediately reshape our balance sheet, providing us with the flexibility we need to execute our growth plans. Over the longer term, we will continue to explore and execute steps necessary to reposition our business line portfolio and to strengthen our balance sheet, making the company leaner, more profitable, and more easily understood by investors and partners alike. At this point, I'd like to turn the call back to the operator for the Q&A. Operator, please proceed.
Questions and answers
Thank you. Ladies and gentlemen, we will now begin the question-and-answer session. To ask a question, you may press star followed by the number one on your cellphone keypad. To withdraw your question, please press star followed by the number two. Your first question comes from the line of Ryan MacDonald with Needham. Please go ahead.
Hi, thanks for taking my questions. Maybe to start on the Hicuity Health acquisition, can you just talk about the customer overlap between you and Hicuity at the moment and what cross-sell opportunities it presents? You talked about $65 million of trailing revenue. How fast is the business growing generally? On the acquisition, what's the gating factors or inhibiting factors to getting that closed by the end of the year? Thanks.
Absolutely. Thanks, Ryan. Great to hear from you. Your line was a little broken up, but I think we got the gist of the question, so we'll do our best to answer, and of course, we can follow up with anything. On Hicuity Health, you mentioned the existing customer base. Hicuity Health works primarily with hospital systems and health systems. There is significant overlap, of course, with our hospital system partners where we work on the medical transportation side, and Hicuity Health works with hospital systems as well, providing Tele-ICU and virtual care services. We think there's some nice overlap there, and of course, we work with some hospitals they don't, and they work with hospitals that we don't. We think there's a nice opportunity there. In addition, a lot of their programs include some virtual care in the home, transitional care management of patients that are being discharged to the home. We think there is a nice opportunity for us to be able to provide additional in-person care services in the home, like mobile phlebotomy and other preventative care and transitional care services in the home. So in addition to the virtual care synergies that we have with them and SteadyMD and all of our virtual care work, we also think there is a nice opportunity for us to cross-sell and, beyond cross-sell, offer a full suite of services to patients in their home, both virtual and in-person. That is an absolutely crucial component. We know payers and hospital systems are all focused on that link between the hospital and the home. We have had great success in transitional care management programs where patients are being discharged. They are going to the home, and we are following up in the 30-day post-discharge window, and we have been able to reduce hospital readmissions with that cohort by about 50% to 60%. So this continues to deepen our link between the hospital and the home, which we think is incredibly valuable for both hospitals and insurance partners that we have. I think you also mentioned the question, it was cutting in and out, but we heard a portion of the question was relating to revenues. As I mentioned in the prepared remarks, Hicuity does have about $65 million of trailing 12-month revenues. Of course, we are going to do everything we can to support that growth. We are going to do everything we can to support them with the resources that they will need to grow with the current existing customers they have, as well as an opportunity for us to go to market together, which we are very excited about.
Appreciate the color there, Lee. Sorry for breaking up. Hopefully I am a little bit clearer now. Maybe on a separate note, wanted to ask you about the remote patient monitoring business. Obviously, CMS has got a proposed rule out there that might limit or eliminate Medicare reimbursement for RPM in 2027. Just curious what potential risks that creates to your RPM offering. Does Hicuity have any exposure there as well? Just how you are viewing that situation. Thanks.
Yeah. We can hear you loud and clear now, Ryan. Thank you. As you mentioned, there has been some discussion about RPM rates and the RPM program overall from CMS. I think the first piece that we are looking at is that it impacts RPM, but there is a big component of what we do that goes along with RPM, which is really chronic care management and transitional care management. Those pieces are incredibly valuable, helping manage chronic conditions and managing the transition of patients from hospital to home. There is really no discussion about those types of programs, which are all centered around not just monitoring a patient, but also managing a patient. We think that is a very big distinction. We think overall, over time, the industry is going to reward managing chronic conditions versus simply monitoring the data that is coming in. So there is telemetry monitoring that Hicuity is doing. We have our programs on the RPM side, but all are in service of not just monitoring the patient, but helping manage the patient, and that is where our clinical practice comes in. So we are not merely a monitoring company, but rather a clinical practice that helps manage chronic conditions. So that is a big component. We have about 2,000 patients that fit into that RPM program today. The vast majority of the around 55,000 patients that we monitor are cardiac patients. These are implantable cardiac electronic device patients that we are monitoring. Again, there is no discussion there. These are pacemakers and loop recorders; it's critically important that those transmissions get monitored on a regular basis, and our team does an incredible job day in and day out, partnering with cardiac clinics and so forth. So net-net, I think monitoring for monitoring's sake, especially patients that are not chronically ill, may come under some pressure. But managing patients and their chronic conditions, I think over time is going to get rewarded more and more, and that is exactly what we do.
Ryan, I think you also asked about any hurdles to the close of the Hicuity transaction. So none that I think are particularly troubling. Obviously, you need to get state regulatory approvals, which we think should not be much of an issue other than timing, because that is always unpredictable. There are a couple of customers here and there that have to give their approval. But again, we have already been in touch with them, and we do not think that is going to pose a particular challenge for us.
Appreciate the follow-up there, Norm. Thanks for everything. I will hop back in the queue.
Thanks, Ryan.
Your next question comes from the line of Richard Close with Canaccord Genuity. Please go ahead.
Yeah. Thanks for the questions. Congratulations on the progress in the acquisition. Just maybe to clean up a little bit on Ryan's questions. Norm, if you could just follow up on the $65 million trailing 12-month revenue. How does that compare to the comparable 12 months? Has the business been growing? Let's just start there.
Yeah, sure. I'll take a look back and a look forward as well because, as part of our process here, we do have their projections, which are going to have to be borne out once we own it. I would say it's growing probably at a low double-digit rate. So maybe about 10%. When I look out, thinking about what they're looking at for 2027, you're probably looking at a low double digit, 10% to 12% growth rate, and that's what's been happening. That's been happening while certain business lines or service lines have been growing and others have been shrinking. They've been pivoting away from them. But on the overall level, that $65 million is something that's growing at, I would say, let's call it a 10% to 12% growth rate on an annual basis.
Okay. Very helpful there. Lee, maybe just cleaning up on the RPM response to Ryan. Are you saying that you have about 2,000 patients that essentially could be at risk from this CMS change, and you have a vast majority of 55,000 that are these cardiac patients that you would see no impact?
That's correct. Yeah. So you got the numbers exactly right. It's about 55,000 implantable device monitoring patients that we have today. Again, these are pacemakers and loop recorders; these transmissions must be monitored regularly. As I mentioned, we started enrolling patients in RPM and particularly in chronic care management—we call it total care management—around the end of last year and the beginning of this year. We don't only focus on RPM by itself. We focus on chronic care management and transitional care management, using data points like blood pressure, weight, pulse oximetry, and others to manage the condition. Those programs are not being targeted by CMS in the same way. So the patients and services that are tied to managing chronic conditions and transitional care are different from merely collecting monitoring data, and we expect them to be viewed differently over time. So yes, the exposure is limited to a smaller cohort of patients focused purely on monitoring, whereas the majority of our monitored patients—particularly the cardiac cohort—are not in scope for those potential reductions.
Okay. That's helpful. Then maybe just back on this cross-selling between the two businesses once the transactions close. I'm just curious, have you guys talked to any of your customers—DocGo health system customers—or on the Hicuity side, that they've already expressed interest maybe in the various programs of the two companies? I'm curious there. I understand the transportation business is quite different than Hicuity, so just curious what you've found so far.
Yeah. It's a great question. Partly we've been a little sensitive because this was an important transaction and needed to be confidential and discreet. But we have had conversations both with some customers that we have today on the medical transportation side, as well as customers of Hicuity from whom we need consent for the transaction. We have very strong, longstanding relationships with some major hospital systems where we've been providing medical transportation for years. I was meeting recently with one of the presidents of a very large hospital system that we're working with and there's certainly the need to help staff and to provide virtual services for some hospitals where they're having a hard time staffing in person. So I think the relationships are there. Perhaps medical transportation and, let's say, virtual Tele-ICU or telemetry monitoring are not as overlapping in service levels, but the relationships certainly are. We have an opportunity to work deeper with hospital systems that recognize that we deliver, execute, and innovate, and that our software is valued. Bringing them more solutions that execute, deliver value, and have software that works will be well received, and we've started to have some initial conversations around that. Richard, I just want to add one more point. We've seen with SteadyMD, and now with Hicuity, that a big differentiator for us is our ability not just to be with the patient virtually, but our ability at DocGo to add an in-home presence—both virtually and in-person. Today, some partners provide virtual care but then seek services for people to come into the home to perform mobile phlebotomy, take lab specimens, do wound care, or redress incision sites. All of those are things we can provide in the home. So that capability to combine virtual and in-home services is a significant differentiator.
Okay. That's helpful. Then just once this deal closes, you mentioned some areas to be able to get some cost savings. You mentioned streamlined clinical functions. I am curious about what exactly you are talking about there on that front. It is not necessarily intuitive to me since these seem like two different businesses. How are you thinking about the clinical function streamlining?
It's a great question. With clinical operations, in many cases you need a multi-state clinical practice group. When we did the SteadyMD acquisition, DocGo had clinical practice groups in multiple states and SteadyMD had a 50-state clinical practice group. Instead of having overlapping clinical practice groups, we integrated them into one clinical practice group that was licensed across all 50 states. Hicuity provides services in 30 states across the country with various clinical practice groups and clinical infrastructure. We see an opportunity to bring them together, utilize the 400-plus clinicians that Hicuity has alongside our 500 to 600 clinicians, and integrate into one team that can scale. That's what we did with SteadyMD. There's also operational efficiencies: overlapping vendors can be consolidated, procurement benefits from scale, and overlapping IT and cybersecurity systems can be rationalized. There are many areas where we expect to benefit by bringing the organizations together and reducing duplicative costs.
Perfect. Thank you. Congrats.
Thanks.
Once again, if you would like to ask a question, please press star one on your telephone keypad. Your next question comes from the line of David Larsen with BTIG. Please go ahead.
Hi. Can you repeat what the pure organic revenue growth rate number was in the quarter? I think Norm said it was 5%.
I am sorry, David. Let's define organic. By organic, what we're doing is we're looking at business lines that existed both in Q2 of 2025 and Q2 of 2026. So that would mean removing the migrant revenue from Q2 of last year and removing the SteadyMD revenue from Q2 of this year, and that number was roughly 5% year-over-year.
Okay. EBITDA breakeven exiting 2026. Can you maybe just talk a little bit about how you're going to get there? It was a pretty significant loss in the quarter here. Are you assuming incremental revenue growth?
Yes. It's incremental revenue growth and improved margins. We had modeled out a little sequential growth rate, some transport growth, and a seasonal increase in SteadyMD, plus growth in our care gap closure business. Our other mobile health business lines continue to perform admirably and are growing sequentially. On margins, our trajectory is moving in the right direction but is lower than we had projected. For example, we felt we were restrained by roughly a point to a point-and-a-quarter from the impact of gas prices on transport and by temporarily lower SteadyMD margins in Q2. Removing those factors and looking at the general performance of the business could indicate improvement of perhaps 1.5 to 2 percentage points on gross margin. On roughly $75 million to $80 million of revenue, that would be nearly $2 million of improvement. Then continued sequential declines in SG&A as severance rolls off and vendor substitutions occur will further help. All of those factors together—incremental revenue, margin improvement, and SG&A declines—are what we expect to get us to a breakeven run rate by the end of the year.
Okay, and then just one more quick one. You say there is some pretty high growth rates quoted in your earnings release. Have you sized the amount of revenue coming from these areas like mobile phlebotomy, healthcare in the home, cardiac and remote patient monitoring, virtual care and lab orders? These revenue growth rates look strong. Can you put some parameters around it?
Sure. I'll give you a general idea of the quarter and run-rate numbers. Remote patient monitoring, the cardiac business, had revenues around $4.5 million in the quarter, which is roughly an $18 million annualized run rate. For full-year 2025, it ran near $15 million, so that's about a 20% growth rate. SteadyMD did about $8.9 million in the quarter; seasonally, summer is a little slower and Q1 was about $9.5 million, with a trajectory to recover in the second half. PTI, our mobile phlebotomy business, ran about $1.4 million to $1.5 million in the quarter, roughly a $6 million annualized run rate; that business was previously at roughly a $4 million run rate, so it's a meaningful increase and high-margin. The care gap closure business is running somewhere between $1 million and $2 million in the quarter. That gives you a sense of where the larger lines sit.
Okay. Very helpful. Thank you.
I am showing no further questions at this time. I would like to hand it back to our CEO, Lee Bienstock, for closing remarks.
Thank you so much, and thank you all for joining us. Speak to you soon. Be well.
Ladies and gentlemen, this concludes today's conference call. Thank you all for joining. You may now disconnect.