−Removed: Management’s Discussion and Analysis of Financial Condition and Results of Operations
+Added: Management’s Discussion and
+Added: Analysis of Financial Condition and Results of Operations
+Added: The following discussion and analysis of our
+Added: financial condition and results of operations should be read in conjunction with our unaudited Condensed Consolidated Financial Statements
+Added: and the accompanying notes included elsewhere in this Quarterly Report on Form 10-Q.
+Added: The discussion and analysis below contain certain
+Added: forward-looking statements about our business and operations that are subject to the risks, uncertainties, and other factors described
+Added: in the sections entitled “Risk Factors,” included in Part I, Item 1A in our Annual Report on Form 10-K for the year ended
+Added: December 31, 2022, and as may be updated in this and other subsequent Quarterly Reports on Form 10-Q.
+Added: These risks, uncertainties, and
+Added: other factors could cause our actual results to differ materially from those expressed in, or implied by, the forward-looking statements.
+Added: Please refer to the section entitled “Cautionary Note Regarding Forward-Looking Statements.”
Unless the context requires otherwise, references
1 unchanged sentence
business and operations of DocGo Inc.
−Removed: The following discussion and analysis should be read in conjunction with DocGo’s Unaudited
−Removed: Condensed Consolidated Financial Statements and related notes thereto included in this Quarterly Report on Form 10-Q.
−Removed: In addition to historical
−Removed: information, this discussion contains forward-looking statements that involve risks, uncertainties, and assumptions that could cause DocGo’s
−Removed: actual results to differ materially from management’s expectations.
−Removed: Factors that could cause such differences are discussed herein
−Removed: and under the caption, “Cautionary Note Regarding Forward-Looking Statements.”
−Removed: Certain figures, such as interest rates and
−Removed: other percentages, included in this section have been rounded for ease of presentation.
−Removed: Percentage figures included in this section have
−Removed: not in all cases been calculated on the basis of such rounded figures but on the basis of such amounts prior to rounding.
−Removed: For this reason,
−Removed: percentage amounts in this section may vary slightly from those obtained by performing the same calculations using the figures in DocGo’s
−Removed: Unaudited Condensed Consolidated Financial Statements or in the associated notes.
−Removed: Certain other amounts that appear in this section may
−Removed: similarly not sum due to rounding.
−Removed: Note Regarding Forward-Looking Statements
−Removed: Quarterly Report on Form 10-Q includes forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as
−Removed: amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), regarding, among other
−Removed: things, the plans, strategies and prospects, both business and financial, of the Company.
−Removed: These statements are based on the beliefs and
−Removed: assumptions of our management.
−Removed: Although the Company believes that its plans, intentions and expectations reflected in or suggested by
−Removed: these forward-looking statements are reasonable, the Company cannot assure you that it will achieve or realize these plans, intentions
−Removed: or expectations.
−Removed: Generally, statements that are not historical facts, including statements concerning possible or assumed future actions,
−Removed: business strategies, events or results of operations, are forward-looking statements.
−Removed: These statements may be preceded by, followed by
−Removed: or include the words “believes,” “estimates,” “expects,” “projects,” “forecasts,”
−Removed: “may,” “will,” “should,” “seeks,” “plans,” “scheduled,” “anticipates,”
−Removed: “intends” or similar expressions.
−Removed: Forward-looking statements are inherently subject to risks, uncertainties and assumptions.
−Removed: Additional information regarding the risks and uncertainties and other important factors that could cause actual results to differ materially
−Removed: from those in the forward-looking statements is set forth under the heading “Risk Factors” in Part I, Item 1A.
−Removed: Annual Report on Form 10-K for the year ended December 31, 2021, as filed with the Securities and Exchange Commission (the “SEC”)
−Removed: on March 15, 2022 (the “2021 Form 10-K”), and may be updated in this and other subsequent Quarterly Reports on Form 10-Q.
−Removed: Forward-looking statements are not guarantees of future performance and speak only as of the date hereof.
−Removed: We undertake no obligation
−Removed: to update or revise publicly any forward-looking statements, whether because of new information, future events, or otherwise, except
−Removed: as required by law.
−Removed: DocGo incorporated in
−Removed: 2015, is a healthcare transportation and mobile services company that uses proprietary dispatch and communication technology to provide
−Removed: quality healthcare transportation and mobile, in-person medical treatment directly to patients in the comfort of their homes, workplaces
−Removed: and other non-traditional locations, in major metropolitan cities in the U.S.
−Removed: Company derives revenue primarily from its two operating segments:
+Added: and its consolidated subsidiaries, including those periods prior to the Business Combination.
+Added: figures, such as interest rates and other percentages, included in this section have been rounded for ease of presentation.
+Added: figures included in this section have, in some cases, been calculated on the basis of such rounded figures.
+Added: For this reason, percentage
+Added: amounts in this section may vary slightly from those obtained by performing the same calculations using the figures in DocGo’s unaudited
+Added: Condensed Consolidated Financial Statements or in the associated notes.
+Added: Certain other amounts that appear in this section may similarly
+Added: not sum due to rounding.
+Added: Cautionary Note Regarding
+Added: Forward-Looking Statements
+Added: This Quarterly Report on Form 10-Q includes
+Added: forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities
+Added: Exchange Act of 1934, as amended (the “Exchange Act”), regarding, among other things, the plans, strategies, outcomes, and
+Added: prospects, both business and financial, of the Company.
+Added: These statements are based on the beliefs and assumptions of our management.
+Added: the Company believes that its plans, intentions and expectations reflected in or suggested by these forward-looking statements are reasonable,
+Added: the Company cannot assure you that it will achieve or realize these plans, intentions, outcomes or expectations.
+Added: Forward-looking statements
+Added: are inherently subject to substantial risks, uncertainties and assumptions, many of which are beyond our control, and which may cause
+Added: actual results to differ materially from those contained in our forward-looking statements.
+Added: Accordingly, you should not place undue reliance
+Added: on such statements.
+Added: All statements other than statements of historical fact are forward-looking.
+Added: Forward-looking statements include, but
+Added: are not limited to, statements concerning possible or assumed future actions, business strategies, plans, goals, future events, future
+Added: revenues or performance, financing needs, business trends, results of operations, objectives and intentions with respect to future operations,
+Added: services and products, including our transition to non-COVID related services, geographic expansion, our normalization initiative, new
+Added: and existing contracts, M&A activity, workforce growth, leadership transition, cash position, share repurchase program, impacts of
+Added: financial institution instability, our competitive position and opportunities, including our ability to realize the benefits from our
+Added: operating model, and others.
+Added: In some cases, these statements may be preceded by, followed by or include the words “believes,”
+Added: “estimates,” “expects,” “projects,” “forecasts,” “may,” “might,”
+Added: “will,” “should,” “could,” “can,” “would,” “design,” “potential,”
+Added: “seeks,” “plans,” “scheduled,” “anticipates,” “intends” or the negative of
+Added: these terms or similar expressions.
+Added: Forward-looking statements are not guarantees
+Added: of performance and speak only as of the date the statements are made.
+Added: While DocGo believes that these forward-looking statements are reasonable,
+Added: there can be no assurance that DocGo will achieve or realize these plans, intentions, outcomes or expectations.
+Added: You should understand
+Added: that the following important factors, in addition to those discussed under the sections entitled “Risk Factors,” included
+Added: in Part I, Item 1A in our Annual Report on Form 10-K for the year ended December 31, 2022, and as may be updated in this and other subsequent
+Added: Quarterly Reports on Form 10-Q, could affect the future results and prospects of DocGo and could cause those results or other outcomes
+Added: to differ materially from those expressed or implied in the forward-looking statements in this Quarterly Report on Form 10-Q.
+Added: We undertake no intent or obligation to publicly
+Added: update or revise any forward-looking statements, whether because of new information, future events, or otherwise.
+Added: DocGo, which was originally formed in 2015, is
+Added: a healthcare transportation and mobile services company that uses proprietary dispatch and communication technology to help provide quality
+Added: healthcare transportation and mobile, in-person medical treatment directly to patients in the comfort of their homes, workplaces
+Added: and other non-traditional locations, in major metropolitan cities in the United States and the United Kingdom.
+Added: The Company derives revenue primarily from two
+Added: operating segments:
Transportation Services and Mobile Health Services.
Transportation Services:
−Removed: The services offered by this segment encompass both emergency response and non-emergency ambulance transport services.
−Removed: revenue from Transportation Services is derived from the transportation of patients based on billings to third-party payors and healthcare
+Added: The services offered by this segment
+Added: encompass both emergency response and non-emergency transport services.
+Added: Non-emergency transport services include ambulance
+Added: transports and wheelchair transports.
+Added: Net revenue from Transportation Services is derived from the transportation of patients based
+Added: on billings to third party payors and healthcare facilities.
Mobile Health Services:
−Removed: The services offered by this segment include services performed at home and offices, COVID-19 testing, and event services
−Removed: which include on-site healthcare support at sporting events and concerts.
−Removed: See Note 10, “Business
−Removed: Segment Information” to the Unaudited Condensed Consolidated Financial Statements for additional information regarding DocGo’s
−Removed: For the three months ended September 30, 2022, the Company recorded net
−Removed: income of $2.5 million, compared to net income of $0.8 million in the three months ended September 30, 2021.
−Removed: For the nine months ended September 30, 2022, the Company recorded net
−Removed: income of $23.6 million, compared to a net loss of $1.1 million in the nine months ended September 30, 2021.
−Removed: The spread of COVID-19 and the related shutdowns and restrictions
−Removed: had a mixed impact on our business.
−Removed: In the ambulance transportation business, which comprises primarily of non-emergency medical
−Removed: transport, the Company initially saw a decline in volumes from historical and expected levels, as elective surgeries and other non-emergency surgical
−Removed: procedures were postponed.
−Removed: In addition, the Company experienced lost revenue associated with sporting, concerts and other events, as those
−Removed: events were cancelled or had a significantly restricted (or entirely eliminated) number of permitted attendees.
−Removed: Ambulance transports and
−Removed: event-related revenues have both since recovered to pre-COVID levels or higher.
−Removed: are two areas where the Company experienced positive business impacts from COVID-19.
−Removed: In April and May 2020, the Company participated
−Removed: in an emergency project with Federal Emergency Management Agency in the New York City area.
−Removed: This engagement resulted in incremental
−Removed: transportation revenue that partially offset some of the lost non-emergency transport revenues.
−Removed: In addition, in response to the
−Removed: need for widespread COVID-19 testing and available EMTs and paramedics, the Company expanded its operations to include Rapid Reliable
−Removed: Testing (“RRT”), with the goal of performing COVID-19 tests at nursing homes, municipal sites, businesses, schools and
−Removed: other venues.
−Removed: RRT is part of the Mobile Health business segment.
−Removed: Mobile Health generated approximately $76.6 and $254.1 million
−Removed: in revenue in the three and nine months ended September 30, 2022, respectively, as compared to $67.9 and $131.7 million in the three
−Removed: and nine months ended September 30, 2021, respectively.
−Removed: 2020 and the early part of 2021, the Company continued to operate with several back-office employees working remotely.
−Removed: the Company has not witnessed any degradation in productivity from these employees, the large majority of whom have now returned to their
−Removed: respective offices, and our operations have proceeded without major interruption.
−Removed: By early 2021, nearly all remote employees had returned
−Removed: to work in their respective offices and other locations.
−Removed: DocGo also utilized several government programs in 2020 related to the pandemic,
−Removed: receiving approximately $1.0 million in payments through the Public Health and Social Services Emergency Fund authorized under the
−Removed: Coronavirus Aid, Relief and Economic Security Act and related legislation as well as various state and local programs, net of amounts
−Removed: that will be repaid.
−Removed: DocGo also received accelerated Medicare payments of approximately $2.4 million that were repaid in 2022.
−Removed: While it is very difficult
−Removed: to accurately predict the future direction of the effects of COVID-19 or other pandemics, and the related impact on medical transportation
−Removed: levels, the revenue from the Transportation Services segment during 2021 exceeded that of 2020 by approximately 33%.
−Removed: Since the beginning
−Removed: of 2021, trip volumes in most of our markets have returned to more normal historical levels, and this trend has continued throughout 2022.
−Removed: The Company generated, during 2021, COVID-19 testing revenue, included in its Mobile Health services segment, above the levels projected,
−Removed: and this persisted through the second quarter of 2022.
+Added: The services offered by this segment include services performed at home and offices, COVID-19 testing, and event services which include on-site healthcare support at sporting events and concerts.
+Added: There is also an emphasis on providing total care management solutions to large population groups, which include healthcare services as well as ancillary services, such as shelter.
+Added: In addition, beginning with the first
+Added: quarter of 2023, the Company is reporting in three operating segments, adding a Corporate segment to allow for analysis of shared
+Added: services and personnel that support both the Transportation Services and Mobile Health Services segments.
+Added: Previously, these costs
+Added: had been allocated almost entirely to the Transportation Services segment.
+Added: All of the Company’s revenues and costs of goods
+Added: sold continue to be reported within the Transportation Services and Mobile Health Services segments.
+Added: The Corporate segment contains
+Added: operating expenses such as information technology costs, certain insurance costs and the compensation costs of senior and executive
+Added: The segment reporting for the prior-year period has been adjusted to conform to the new methodology, for the purposes of
+Added: allowing a clearer analysis of year-over-year performance.
+Added: See Note 11, “Business Segment Information” to the unaudited
+Added: Condensed Consolidated Financial Statements for additional information regarding DocGo’s segments and “Operating
+Added: Expenses” below.
+Added: For the three months ended March 31, 2023, the
+Added: Company recorded a loss of $3.9 million, compared to net income of $9.4 million in the three months ended March 31, 2022.
+Added: The spread of COVID-19 and the related shutdowns
+Added: and restrictions had a mixed impact on our business.
+Added: In the Transportation Services segment, which comprises primarily of non-emergency
+Added: medical transport, in 2020, the Company saw a decline in volumes from historical and expected levels, as elective surgeries and other
+Added: non-emergency surgical procedures were postponed.
+Added: In addition, in the Mobile Health segment, in 2020, the Company experienced lost revenue
+Added: associated with sporting, concerts and other events, as those events were cancelled or had a significantly restricted (or entirely eliminated)
+Added: number of permitted attendees.
+Added: Ambulance transports and event-related revenues have both since recovered to pre-COVID levels or higher.
+Added: While COVID-19 testing has become a minor part
+Added: of this segment’s business, since the second half of 2022, the Mobile Health segment has continued to grow.
+Added: We have expanded our
+Added: service offerings in this segment to offer a wider range of testing, vaccination and other services to a broader customer group.
+Added: the first quarter of 2023, Mobile Health generated approximately $72.9 million in revenue, compared to $90.1 million in the first quarter
+Added: As the COVID-19 pandemic reaches endemic
+Added: stages, the future impacts of it or other pandemics on DocGo remain highly uncertain and subject to numerous factors, including the
+Added: severity of any new outbreaks, resurgences and variants, actions taken to contain resurgences or variants or to address their
+Added: impact, and other effects, and its related impact on medical transportation levels remain uncertain.
+Added: However, trip volumes in most
+Added: of our markets returned to more normal historical levels in 2021, and this trend continued throughout 2022.
+Added: The Company generated,
+Added: during 2021, COVID-19 testing revenue, included in its Mobile Health services segment, above the levels projected, and this
+Added: persisted through the second quarter of 2022.
However, as expected, COVID-19 testing revenues declined in the third quarter of 2022
−Removed: 2022 and are expected to remain at these lower levels for the foreseeable future.
−Removed: Given the nature of the Company’s contracts with
−Removed: most of its customers, which include multiple procedures for which the Company is paid per hours worked, per vehicles and related equipment
−Removed: utilized and on a per-procedure basis (such procedures including both testing and several other procedures), it is difficult to determine
−Removed: the revenues that are directly attributable to COVID-19 testing.
−Removed: However, the Company estimates that COVID-19 testing revenue will continue
−Removed: to account for a declining proportion of Mobile Health segment and overall consolidated revenues over the remainder of 2022 and into 2023.
−Removed: In a broader, strategic sense, the consumer focus on Mobile Health services and the formation of RRT, and its emergence as a significant
−Removed: contributor to overall revenues, have accelerated the diversification in the Company’s business by more rapid expansion of the Mobile
−Removed: Health segment, which has now become our larger operating segment, both in terms of revenues and personnel.
−Removed: Company’s current business plan assumes continued recovery of industry-wide transportation volumes to historical levels and beyond,
−Removed: plus an increased demand for mobile health services, a demand that was accelerated by the pandemic, but which is also being driven by
−Removed: longer-term secular factors, such as the increasing desire on the part of patients to receive treatments outside of traditional
−Removed: settings, such as doctor’s offices and hospitals.
−Removed: However, given the unpredictable, unprecedented, and fluid nature of the pandemic
−Removed: and its economic consequences, we are unable to predict the duration and extent to which the pandemic and its related positive and negative
−Removed: impacts will affect our business, financial condition, and results of operations in future periods.
−Removed: Affecting Our Results of Operations
+Added: and declined further in the fourth quarter of 2022 and the first quarter of 2023, to the point where, as of the date of the filing
+Added: of this Quarterly Report on Form 10-Q, they account for an insignificant proportion of total revenues.
+Added: Given the nature of the
+Added: Company’s contracts with most of its customers, which include multiple procedures for which the Company is paid per hours
+Added: worked, per vehicles and related equipment utilized and on a per-procedure basis (such procedures including both testing and several
+Added: other procedures), it is difficult to determine the revenues that are directly attributable to COVID-19 testing.
+Added: Company estimates that COVID-19 testing revenue will continue to account for an insignificant proportion of Mobile Health segment
+Added: and overall consolidated revenues in 2023 and beyond, as COVID-19 enters the endemic phase.
+Added: In a broader, strategic sense, the
+Added: consumer focus on Mobile Health services and the formation of RRT, and its emergence as a significant contributor to overall
+Added: revenues, have accelerated the diversification in the Company’s business by a more rapid expansion of the Mobile Health
+Added: segment, which has now become our larger operating segment, both in terms of revenues and personnel.
+Added: The Company’s current business plan assumes
+Added: an increased demand for Mobile Health services, a demand that was accelerated by the pandemic, but which we believe is also being driven
+Added: by longer-term secular factors, such as the increasing desire on the part of patients to receive treatments outside of traditional settings,
+Added: such as doctor’s offices and hospitals.
+Added: In the Transportation Services segment, volumes are expected to continue to rise, reflecting
+Added: an aging population in the U.S.
+Added: and U.K., which tends to drive demand for the non-emergent medical transportation services provided by
+Added: Factors Affecting
+Added: Our Results of Operations
Our operating results
−Removed: and financial performance are influenced by a variety of factors, including, among others, obtaining operating licenses, acquisitions,
−Removed: conditions in the healthcare transportation and mobile health services markets and economic conditions, availability of healthcare professionals,
−Removed: changes in the cost of labor, and production schedules of our suppliers.
−Removed: Some of the more important factors are briefly discussed below.
−Removed: Future revenue growth and improvement in operating results will be largely contingent on DocGo’s ability to penetrate new markets
−Removed: and further penetrate existing markets, which is subject to a number of uncertainties, many of which are beyond DocGo’s control.
−Removed: The COVID-19 pandemic has also significantly impacted DocGo’s business, as discussed above.
−Removed: While the direct impact of the
−Removed: pandemic itself is waning, other impacts, such as supply chain disruptions and the cost and availability of labor are expected to persist.
+Added: and financial performance are influenced by a variety of factors, including, among others, our ability to obtain or maintain operating
+Added: the success of our acquisition strategy;
+Added: conditions in the healthcare transportation and mobile health services markets;
+Added: competitive environment;
+Added: overall macroeconomic and geopolitical conditions, including rising interest rates, the inflationary environment,
+Added: the potential recessionary environment, regional conflict and tensions and financial institution instability;
+Added: availability of healthcare
+Added: professionals;
+Added: changes in the cost of labor;
+Added: and production schedules of our suppliers.
+Added: Some of these important factors are briefly discussed
+Added: Future revenue growth and improvement in operating results will be largely contingent on DocGo’s ability to penetrate new
+Added: markets and further penetrate existing markets, which is subject to a number of uncertainties, many of which are beyond DocGo’s
+Added: Operating Licenses
has historically pursued a strategy of applying for ambulance operating licenses in the states, counties and cities, identified for future
7 unchanged sentences
companies that may help drive revenue, profitability, cash flow and stockholder value.
−Removed: During the nine months ended September 30, 2022,
−Removed: DocGo completed three acquisitions, for an aggregate payment of $34.1 million, excluding $1.3 million held in escrow.
−Removed: During the 12 months ended December 31, 2021, DocGo completed one acquisition, for a purchase price of
−Removed: $2.3 million.
−Removed: On July 6, 2022, the Company acquired Government
−Removed: Medical Services, LLC (“GMS”) in exchange for $20.3 million in cash.
−Removed: GMS is in the business of providing licensed healthcare
−Removed: We believe this acquisition will allow us to increase our presence in that market, while giving us improved access to governmental
−Removed: and municipal contracts.
−Removed: We have completed our preliminary allocation of the purchase consideration to the asset acquired and liabilities
−Removed: assumed as of the end of the third quarter of 2022.
−Removed: On July 13, 2022, the Company acquired Exceptional
−Removed: Medical Transportation, LLC (“Exceptional”) in exchange for $6.4 million in cash paid at closing, plus $1.3 million held in
−Removed: Exceptional is in the business of providing medical transportation services in New Jersey.
−Removed: We believe this acquisition will allow
−Removed: us to increase our presence in that market.
−Removed: We have completed our preliminary allocation of the purchase consideration to the assets acquired
−Removed: and liabilities assumed as of the end of the third quarter of 2022.
−Removed: On August 9, 2022, the Company acquired Ryan Brothers
−Removed: Ambulance Inc.
−Removed: (“Ryan Brothers”), in exchange for $7.4 million of cash (and a total of $4 million in future contingent consideration).
−Removed: Ryan Brothers is in the business of providing medical transportation services in Wisconsin.
−Removed: We believe this acquisition will allow us
−Removed: to increase our presence in that market.
−Removed: We have completed our preliminary allocation of the purchase consideration to the assets acquired
−Removed: and liabilities assumed as of the end of the third quarter of 2022.
−Removed: Healthcare Services Market
−Removed: The transportation services market is highly dependent
−Removed: on patients requiring transportation after surgeries and other medical procedures and treatments.
−Removed: During the pandemic, DocGo experienced
−Removed: a decrease in transportation volumes as a result of fewer elective surgeries.
−Removed: However, the Company was able to reallocate assets to locations
−Removed: where demand increased as a result of the pandemic.
−Removed: Overall Economic Conditions
−Removed: in the Markets In Which We Operate
−Removed: Economic changes both nationally and locally in
−Removed: our markets may impact our financial performance.
−Removed: Unfavorable changes in demographics, health care coverage of transportation and mobile
−Removed: health services, interest rates, ambulance manufacturing, a weakening of the national economy or of any regional or local economy in which
−Removed: we operate and other factors beyond our control could adversely affect our business.
−Removed: Trip Volumes and Average
−Removed: A “trip” is defined as an instance
−Removed: where the Company completes the transportation of a patient to a specific destination, for which we are able to charge a fee.
−Removed: does not include instances where a trip is ordered and subsequently either canceled (by the customer) or declined (by the Company).
−Removed: trip volume represents the most basic unit of transportation service provided by the Company, it is the best measure of the level of demand
−Removed: for the Company’s Transportation Services and is used by management to monitor and manage the scale of the business.
−Removed: The average trip price is calculated by dividing
−Removed: the aggregate revenue from completed transports (“trips”) by the total number of transports and is an important indicator
−Removed: of the effective rate at which the Company is being compensated for its provision of Transportation Services.
−Removed: Revenues generated from programs under which DocGo
−Removed: is paid a fixed hourly or daily rate for the use of a fully staffed and equipped ambulance do not factor in the trip counts or average
−Removed: trip prices mentioned above.
+Added: During the three months ended March 31, 2023, the
+Added: Company completed one acquisition, for a purchase price of $25.8 million.
+Added: DocGo did not complete any acquisitions
+Added: during the three months ended March 31, 2022.
+Added: Healthcare Services
+Added: The transportation services
+Added: market is highly dependent on patients requiring transportation after surgeries and other medical procedures and treatments.
+Added: pandemic, DocGo experienced a decrease in transportation volumes as a result of fewer elective surgeries.
+Added: However, these volumes were
+Added: recovered in 2021since 2021, and since the first half of 2022, the Company has seen increased demand and trip volumes in nearly all of
+Added: its Transportation services markets, as the Company expanded its customer base.
+Added: Overall Economic
+Added: Conditions in the Markets in which we Operate
+Added: changes both nationally and locally in our markets may impact our financial performance.
+Added: Unfavorable changes in demographics, health
+Added: care coverage of transportation and mobile health services, interest rates, ambulance manufacturing, a weakening of the national economy
+Added: or of any regional or local economy in which we operate and other factors beyond our control could adversely affect our business.
+Added: Trip Volumes and
+Added: Average Trip Price
+Added: “trip” is defined as an instance where the Company completes the transportation of a patient to a specific destination, for
+Added: which we are able to charge a fee.
+Added: This metric does not include instances where a trip is ordered and subsequently either canceled (by
+Added: the customer) or declined (by the Company).
+Added: As trip volume represents the most basic unit of transportation service provided by the Company,
+Added: it is the best measure of the level of demand for the Company’s Transportation Services and is used by management to monitor and
+Added: manage the scale of the business.
+Added: average trip price is calculated by dividing the aggregate revenue from completed transports (“trips”) by the total number
+Added: of transports and is an important indicator of the effective rate at which the Company is being compensated for its provision of Transportation
+Added: generated from programs under which DocGo is paid a fixed rate for the use of a fully staffed and equipped ambulance do not factor in
+Added: the trip counts or average trip prices mentioned above.
+Added: We anticipate that these fixed rate, “leased hour” programs will
+Added: account for an increasing proportion of the Transportation segment’s revenues in the future.
Our Ability to Control
−Removed: We pay close attention to the management of our
−Removed: working capital and operating expenses.
−Removed: Some of our most significant operating expenses are labor costs, medical supplies and vehicle-related costs,
−Removed: such as fuel, maintenance, repair and insurance.
−Removed: Insurance costs include premiums paid for coverage as well as reserves for estimated
−Removed: losses within the Company’s insurance policy deductibles.
−Removed: We employ our proprietary technology to drive improvements in productivity
−Removed: per transport.
−Removed: We regularly analyze our workforce productivity to achieve the optimum, cost-efficient labor mix for our locations.
−Removed: Beginning in April 2021, the inflation rate in
−Removed: the US, as measured by the Consumer Price Index (CPI) has steadily increased.
−Removed: In 2019, the inflation rate was approximately 1.8%, while
−Removed: it dropped to approximately 1.2% in 2020.
−Removed: This data is reported monthly, showing year-over-year changes in prices across a basket of goods
−Removed: and services.
−Removed: For 2021, inflation increased from the 1.4%-2.6% range in the first quarter, to 4.2% in April, and was in the 5.0%-6.0%
−Removed: range through the end of the third quarter of 2021, before increasing to the 6.0%-7.0% range in the fourth quarter.
−Removed: For the full year,
−Removed: the inflation rate was 4.7% in 2021, the highest annual rate since the 5.4% rate recorded in 1990.
−Removed: The inflation rate continued to increase
−Removed: throughout the first nine months of 2022, reaching approximately 9.1% in June 2022 and amounting to 8.2% in September 2022.
−Removed: The increased
−Removed: inflation rate has had an impact on the Company’s expenses in several areas, including wages, fuel and medical and other supplies.
−Removed: This has had the impact of compressing gross profit margins, as the Company is generally unable to pass these higher costs on to its customers,
−Removed: particularly in the short term.
+Added: We pay close attention
+Added: to the management of our working capital and operating expenses.
+Added: Some of our most significant operating expenses are labor costs, medical
+Added: supplies and vehicle-related costs, such as fuel, maintenance, repair and insurance.
+Added: Insurance costs include premiums paid for coverage
+Added: as well as reserves for estimated losses within the Company’s insurance policy deductibles.
+Added: We employ our proprietary technology
+Added: to drive improvements in productivity per transport.
+Added: We regularly analyze our workforce productivity with a goal of balancing the optimum,
+Added: cost-efficient labor mix for our locations.
+Added: This involves managing the mix of company-employed labor and subcontracted labor as well
+Added: as full-time and part-time employees.
+Added: Beginning in 2021, the inflation rate in the US, as measured by the
+Added: Consumer Price Index (“CPI”) has generally trended higher.
+Added: This data is reported monthly, showing year-over-year changes in
+Added: prices across a basket of goods and services.
+Added: Though the inflation rate has seemingly moderated in the first quarter of 2023, it remains
+Added: well above historical averages.
+Added: The increased inflation rate has had an impact on the Company’s expenses in several areas, including
+Added: wages, fuel and medical and other supplies.
+Added: This has had the impact of compressing gross profit margins, as the Company is generally unable
+Added: to pass these higher costs on to its customers, particularly in the short term.
In an attempt to dampen inflation, the U.S.
−Removed: Federal Reserve has already implemented six interest rate
−Removed: increases in 2022, raising its benchmark rate (the “federal funds rate”) from near 0.00% at the beginning of the year to the
−Removed: current level of 3.75%-4.00%.
−Removed: The federal funds rate was raised in March, May, June, July, September and November, with the last four
−Removed: rate increases at 0.75% each.
−Removed: Looking to the fourth quarter of 2022 and into 2023, we anticipate a moderation of the inflation rate when
−Removed: compared to the first half of the year, as a result of these recent rate increases but expect that inflation will remain well above the
−Removed: levels seen in the previous 10 years, when the annual inflation rate ranged from 0.1% to 2.4%, and above the Federal Reserve’s “target”
−Removed: inflation rate of 2.0%.
−Removed: If inflation is above the levels that the Company anticipates, gross margins could be below plan and our business,
−Removed: operating results and cash flows may be adversely affected.
+Added: Federal Reserve
+Added: implemented two interest rate hikes to date in 2023, raising its benchmark rate (the “federal funds rate”) to the current
+Added: level of 4.75%-5.00% as of the date of the filing of this Quarterly Report on Form 10-Q.
+Added: Looking to the remainder of 2023, we anticipate
+Added: a continued moderation of the inflation rate when compared to the levels seen in 2022, as a result of these recent interest rate hikes,
+Added: but expect that inflation will remain well above the levels seen in the previous 10 years.
+Added: If inflation is above the levels that the Company
+Added: anticipates, gross margins could be below plan and our business, operating results and cash flows may be adversely affected.
Investing in R&D
and Enhancing Our Customer Experience
−Removed: Our performance is dependent on the investments
−Removed: we make in research and development, including our ability to attract and retain highly skilled research and development personnel.
−Removed: intend to continually develop and introduce innovative new software services, integrate with third-party products and services, mobile
−Removed: applications and other new offerings.
−Removed: If we fail to innovate and enhance our brand and our products, our market position and revenue will
−Removed: likely be adversely affected.
+Added: performance is dependent on the investments we make in research and development, including our ability to attract and retain highly skilled
+Added: research and development personnel.
+Added: We intend to continually develop and introduce innovative new software services, integrate with third-party products
+Added: and services, mobile applications and other new offerings.
+Added: If we fail to innovate and enhance our brand and our products, our market
+Added: position and revenue will likely be adversely affected.
Regulatory Environment
−Removed: DocGo is subject to federal, state and local regulations
−Removed: including healthcare and emergency medical services laws and regulations and tax laws and regulations.
−Removed: The Company’s current business
−Removed: plan assumes no material change in these laws and regulations.
−Removed: In the event that any such change occurs, compliance with new laws and
−Removed: regulations may significantly affect the Company’s operations and cost of doing business.
+Added: is subject to federal, state and local regulations including healthcare and emergency medical services laws and regulations and tax laws
+Added: and regulations.
+Added: The Company’s current business plan assumes no material change in these laws and regulations.
+Added: In the event that
+Added: any such change occurs, compliance with new laws and regulations may significantly affect the Company’s operations and cost of
+Added: doing business.
Components of Results
of Operations
−Removed: Our business consists of two reportable segments — Transportation
−Removed: Services and Mobile Health services.
−Removed: The Company evaluates the performance of both segments based primarily on results of its operations.
−Removed: Accordingly, other income and expenses not included in results from operations are only included in the discussion of consolidated results
−Removed: of operations.
−Removed: The Company’s revenue consists of services
−Removed: provided by its ambulance Transportation Services segment and its Mobile Health segment.
+Added: Our business consists
+Added: of three reportable segments — Transportation Services, Mobile Health Services and Corporate.
+Added: All revenue and cost of
+Added: goods sold are contained within the Transportation Services and Mobile Health Services segments.
+Added: Accordingly, revenues and cost of goods
+Added: sold are discussed below on a consolidated level and are also broken down between Transportation Services and Mobile Health Services.
+Added: Operating expenses are discussed on a consolidated level and broken down among all three segments.
+Added: The Company evaluates the performance
+Added: of each of its segments based primarily on results of its operations.
+Added: Accordingly, other income and expenses not included in results from
+Added: operations are only included in the discussion of consolidated results of operations.
+Added: The Company’s revenue consists of services provided by its Transportation
+Added: Services segment and its Mobile Health segment.
Cost of Revenues
−Removed: Cost of revenues consists primarily of revenue
−Removed: generating wages paid to employees, vehicle insurance costs (including insurance premiums and costs incurred under the insurance deductibles),
−Removed: maintenance, and fuel related to Transportation Services, and laboratory fees, facility rent, medical supplies and subcontractors.
−Removed: expect cost of revenue to continue to rise in proportion to the expected increase in revenue.
+Added: Cost of revenues consists primarily of revenue generating wages paid
+Added: to employees, vehicle insurance costs (including insurance premiums and costs incurred under the insurance deductibles), maintenance,
+Added: fuel related to Transportation Services, laboratory fees, facility rent, medical supplies and subcontractors.
+Added: We expect cost of revenue
+Added: to continue to rise along with the expected increase in revenue.
Operating Expenses
General and administrative
−Removed: General and administrative expense consists primarily
−Removed: of salaries, bad debt expense, insurance expense, consultant fees, and professional fees for accounting and legal services.
−Removed: our general and administrative expense to increase as we continue to scale up headcount with the growth of our business, and as a result
−Removed: of operating as a public company, including compliance with SEC rules and regulations, audit, additional insurance expenses (such as Directors
−Removed: and Officers insurance), investor relations activities, and other administrative and professional services.
−Removed: Depreciation and Amortization
−Removed: DocGo depreciates its
−Removed: assets using the straight-line method over the estimated useful lives of the respective assets.
−Removed: Amortization of intangibles consists
−Removed: of amortization of definite-lived intangible assets over their respective useful lives.
−Removed: Legal and Regulatory
−Removed: Legal and regulatory
−Removed: expenses include legal fees, consulting fees related to healthcare compliance, claims processing fees and legal settlements.
−Removed: Technology and Development
−Removed: Technology and development
−Removed: expense, net of capitalization, consists primarily of cost incurred in the design and development of DocGo’s proprietary technology,
−Removed: third-party software and technologies.
−Removed: We expect technology and development expense to increase in future periods to support our
−Removed: growth, including our intent to continue investing in the optimization, accuracy and reliability of our platform and drive efficiency
−Removed: in our operations.
−Removed: These expenses may vary from period to period as a percentage of revenue, depending primarily upon when we may choose
−Removed: to make more significant investments, particularly when entering new business lines or customer sales channels.
+Added: General and administrative expense consists primarily of salaries,
+Added: bad debt expense, insurance expense, consultant fees, and professional fees for accounting services.
+Added: We expect our general and administrative
+Added: expense to increase as we scale up headcount with the growth of our business, and as a result of operating as a public company, including
+Added: our compliance with SEC rules and regulations, audit, additional insurance expenses, investor relations activities, and other administrative
+Added: and professional services.
+Added: Depreciation and
+Added: depreciates its assets using the straight-line method over the estimated useful lives of the respective assets.
+Added: Amortization of
+Added: intangibles consists of amortization of definite-lived intangible assets over their respective useful lives.
+Added: Regulatory Expenses
+Added: and regulatory expenses include legal fees, consulting fees related to healthcare compliance, claims processing fees and legal settlements.
+Added: Technology and
+Added: Development Expenses
+Added: Technology and development expenses, net of capitalization, consists
+Added: primarily of costs incurred in the design and development of DocGo’s proprietary technology, third-party software and technologies.
+Added: We expect technology and development expenses to increase in future periods to support our growth, including as we invest in the optimization,
+Added: accuracy and reliability of our platform to help drive efficiency in our operations.
+Added: These expenses may vary from period to period as
+Added: a percentage of revenue, depending primarily upon when we choose to make more significant investments, which is in turn, dependent on
+Added: numerous factors, including when we plan to enter into new business lines or customer sales channels.
Sales, Advertising
−Removed: and Marketing Expenses
−Removed: Our sales and marketing
−Removed: expenses consist of costs directly associated with our sales and marketing activities, which primarily include sales commissions, marketing
−Removed: programs, trade shows, and promotional materials.
−Removed: We expect that our sales and marketing expenses will continue to increase over time
−Removed: as we increase our marketing activities, grow our domestic and international operations, and continue to build brand awareness.
−Removed: Company expands its sales efforts to include the direct-to-consumer channel, marketing expenses are likely to increase as a percentage
−Removed: of revenues, given the marketing-intensive nature of that sales channel.
+Added: and Marketing
+Added: Our sales, advertising and marketing expenses consist of costs directly
+Added: associated with our sales, advertising and marketing activities, which primarily include sales commissions, marketing programs, trade
+Added: shows, and promotional materials.
+Added: We expect that our sales, advertising and marketing expenses will continue to increase over time as
+Added: we increase our marketing activities, grow our domestic and international operations, and continue to build brand awareness.
+Added: As the Company
+Added: expands its sales efforts to include the direct-to-consumer channel, marketing expenses are likely to increase as a percentage of revenues,
+Added: given the marketing-intensive nature of that sales channel.
Interest Expense
−Removed: Interest expense consists
−Removed: primarily of interest on our outstanding borrowings under our outstanding notes payable, lines of credit and financing obligations.
+Added: expense consists primarily of interest on our outstanding borrowings under our outstanding notes payable and financing obligations.
Results of Operations
−Removed: Comparison of the three months ended September 30, 2022 and 2021
+Added: Comparison of
+Added: the Three Months Ended March 31, 2023 and March 31, 2022
Three Months Ended
−Removed: September 30,
$ in Millions
7 unchanged sentences
Total expenses
−Removed: Income (loss) from operations
+Added: (Loss) Income from operations
Other income (expenses):
Interest income (expense), net
−Removed: Gain on remeasurement of warrant liabilities
−Removed: Gain (loss) on initial equity method investments
−Removed: Gain (loss) from Lease Accounting
+Added: Loss on remeasurement of warrant liabilities
+Added: Loss on equity method investments
Loss on disposal of fixed assets
−Removed: Other income (loss)
−Removed: Total other income (expense)
−Removed: Net income (loss) before income tax benefit (expense)
−Removed: Income tax expense
−Removed: Net income (loss)
+Added: Total other income (expenses)
+Added: Net (loss) income before income tax benefit (provision)
+Added: Income tax benefit (provision)
+Added: Net (loss) income
Net loss attributable to noncontrolling interests
−Removed: Net income (loss) attributable to stockholders of DocGo Inc.
+Added: Net (loss) income attributable to stockholders of DocGo Inc.
and Subsidiaries
−Removed: For the three months ended September 30, 2022,
−Removed: total revenues were $104.3 million, an increase of $18.5 million, or 22%, from the total revenues recorded in the three months ended September
−Removed: Transportation Services
−Removed: For the three months ended September 30, 2022,
−Removed: Transportation Services revenue totaled $27.7 million and increased by $9.8 million, or 55%, as compared with the three months ended September
−Removed: The increase in transportation services revenue reflected higher trip volumes and average trip prices.
−Removed: Volumes increased by
−Removed: approximately 29%, from 45,532 trips for the three months ended September 30, 2021, to 58,751 trips for the three months ended September
−Removed: The increase in trip volumes is due to a combination of growth in the customer base in certain core markets, entry into new
−Removed: markets in 2022 and acquisitions made during the third quarter of 2022.
−Removed: Our average trip price increased from $303 in the three months
−Removed: ended September 30, 2021, to $374 in the three months ended September 30, 2022.
−Removed: The increase in the average trip price in 2022 reflected
−Removed: a shift in mix toward higher-priced transports with existing customers, as well as the acquisition of licenses to provide higher acuity
−Removed: transports resulting in higher prices per trip.
−Removed: The average trip price also benefited from a 5.1% increase in the average Medicare reimbursement
−Removed: rate for ambulance transports.
−Removed: In October 2022, the Centers for Medicare and Medicaid Services (CMS) announced that the Medicare ambulance
−Removed: fee schedule would be increasing by a further 8.7%, effective January 1, 2023.
+Added: For the three months ended
+Added: March 31, 2023, total revenues were $113.0 million, a decline of $4.9 million, or 4.2%, from the total revenues recorded in the three
+Added: months ended March 31, 2022.
Mobile Health
−Removed: For the three months ended September 30, 2022, Mobile Health revenue
−Removed: totaled $76.6 million, an increase of $8.7 million, or 13%, as compared with the three months ended September 30, 2021.
+Added: For the three months
+Added: ended March 31, 2023, Mobile Health revenue totaled $72.9 million, a decline of $17.2 million, or 19.1%, as compared with the three months
+Added: ended March 31, 2022.
+Added: The decrease in revenues was due to a significant decline in COVID-19 related testing services when compared to
+Added: the prior year period.
+Added: The Company estimates that revenues from mass COVID-19 testing programs amounted to approximately $1.0 million
+Added: in the first quarter of 2023, compared to approximately $38.0 million in first quarter of 2022.
+Added: The decline in COVID-19 testing revenue
+Added: was partially offset by the expansion of the services offered by the Mobile Health segment.
+Added: This expansion has accelerated through 2022
+Added: and into 2023 as the Company increased its customer base and geographic reach, while extending several large customer contracts and introducing
+Added: a broader range of services.
+Added: Transportation Services
+Added: For the three months ended March 31, 2023, Transportation Services
+Added: revenue totaled $40.1 million and increased by $12.3 million, or 44%, as compared with the three months ended March 31, 2022.
This increase
−Removed: was mainly due to the expansion of the services offered by this segment.
−Removed: This expansion accelerated through 2021 and into 2022 as the
−Removed: Company increased its customer base, primarily in the municipal and cruise line customer segments, and its geographic reach, while extending
−Removed: several large customer contracts and introducing a broader range of services.
−Removed: Compared to the prior year period, the third quarter of
−Removed: 2022 featured significantly less COVID-19 testing revenue, which was outweighed by the substantial increase in other Mobile Health services.
+Added: was due to increases in both transportation trip volumes and the average price per trip.
+Added: Volumes increased by approximately 21%, from
+Added: 48,110 trips for the three months ended March 31, 2022, to 58,176 trips for the three months ended March 31, 2023.
+Added: The increase in trip
+Added: volumes is due to a combination of growth in the customer base in certain core markets, further penetration of markets that were entered
+Added: into in 2021 and the early part of 2022 and acquisitions made during the second half of 2022.
+Added: Our average trip price increased from $353
+Added: in the three months ended March 31, 2022, to $415 in the three months ended March 31, 2023.
+Added: The increase in the average trip price in
+Added: the 2023 period reflects a shift in mix toward higher-priced transports with existing customers, as well as the acquisition of licenses
+Added: to provide higher acuity transports, resulting in higher prices per trip.
+Added: The average trip price also benefited from an 8.7% increase
+Added: in the average Medicare reimbursement rate for ambulance transports.
Cost of Revenue
−Removed: For the three months ended September 30, 2022,
−Removed: total cost of revenue (exclusive of depreciation and amortization) increased by 19%, as compared to the three months ended September 30,
−Removed: 2021, while revenue increased by approximately 22%.
−Removed: Cost of revenue as a percentage of revenue decreased to 68.3% in the third quarter
−Removed: of 2022 from 69.9% in the third quarter of 2021.
−Removed: In absolute dollar terms, total cost of revenue
−Removed: in the three months ended September 30, 2022 increased by $11.3 million, compared to the same period in 2021.
+Added: For the three months ended March 31, 2023, total cost of revenue (exclusive
+Added: of depreciation and amortization) was $81.2 million an increase of by 4.1%, as compared to the three months ended March 31, 2022.
+Added: of revenue as a percentage of revenue increased to 71.9% in the first quarter of 2023 from 66.2% in the first quarter of 2022.
+Added: remainder of 2023, we expect cost of revenues to account for a smaller percentage of revenue than in the first quarter, as the Company’s
+Added: ongoing margin enhancement projects provide a larger impact.
+Added: Areas of focus include subcontracted labor, overtime hours for field staff
+Added: and vehicle costs, particularly in the area of rental vehicles.
+Added: In absolute dollar terms, total cost of revenue in the three months
+Added: ended March 31, 2023 increased by $3.2 million from the levels of the three months ended March 31, 2022.
This was primarily attributable
−Removed: to a $22.7 million increase in total compensation, due to higher headcount for both the Transportation Services and Mobile Health segments
−Removed: and higher average hourly wages;
−Removed: a $2.8 million increase in vehicle costs, driven by a continued increase in the Company’s vehicle
−Removed: fleet and higher fuel and maintenance costs, as well as costs incurred to rent vehicles to provide Mobile Health services;
−Removed: a $0.5 million
−Removed: increase in facilities and related costs;
−Removed: and approximately $0.4 million in increases across a variety of other cost of revenue categories
−Removed: relating to the Company’s increased scale and geographic presence.
−Removed: These items were partially offset by a $9.1 million decrease
−Removed: in lab fees related to COVID-19 testing activity, reflecting lower reduced testing activity, lower per-test lab fees and a shift toward
−Removed: a $5.3 million decrease in subcontracted labor, driven mostly by the Mobile Health segment, where the Company continues to
−Removed: transition away from external labor sources towards its own hired personnel;
−Removed: a $0.4 million decline in medical supplies, reflecting a
−Removed: decline in COVID-19 testing activity and improved sourcing of various supplies and a $0.3 million decline in travel costs, as there were
−Removed: fewer field personnel and other clinicians who traveled out of their home regions to provide Mobile Health services.
−Removed: For the Transportation Services segment, cost
−Removed: of revenues (exclusive of depreciation and amortization) in the three months ended September 30, 2022 amounted to $21.3 million, up $4.6
−Removed: million, or 28%, from the three months ended September 30, 2021.
−Removed: Cost of revenues as a percentage of revenues decreased to 76.8% from
−Removed: 92.9% in prior year quarter, due to increased volumes and higher average trip prices, as described above, combined with lower average
−Removed: hourly wages, as recent market wage pressures began to subside, and as the Company more effectively managed its staff to reduce overtime
−Removed: hours for field employees.
−Removed: These factors outweighed the effects of increased fuel costs.
−Removed: Gasoline prices moderated somewhat during the
−Removed: third quarter, as compared to the levels witnessed in the second quarter of 2022, but remained well above the levels of the second quarter
−Removed: We anticipate that fuel prices will remain at elevated levels for the remainder of 2022.
−Removed: For the Mobile Health segment, cost of revenues
−Removed: (exclusive of depreciation and amortization) in the three months ended September 30, 2022 amounted to $50.0 million up 15% from $43.4
−Removed: million in the three months ended September 30, 2021.
−Removed: Cost of revenues as a percentage of revenues increased to 65.2% from 63.9%, despite
−Removed: the increase in revenues and the continued shift away from higher-cost subcontracted labor toward Company personnel during 2022, reflecting
−Removed: higher compensation costs associated with some of the Company’s newer projects.
+Added: to an $15.7 million increase in total compensation, reflecting higher headcount for both the Transportation Services and Mobile Health
+Added: and a $0.6 million increase in vehicle costs, reflecting the expansion of the Company’s fleet over the past year;
+Added: $0.4 million in increases across a variety of cost of revenue categories.
+Added: These factors were largely offset by a $1.9 million decline
+Added: in subcontracted labor, as the Company more aggressively transitioned to internal employees toward the latter part of the first quarter;
+Added: an $8.2 million decrease in medical supplies and a $3.4 million decline in lab fees, both reflecting the significant decline in COVID-19
+Added: testing activity in the first quarter of 2023 compared to the first quarter of 2022.
+Added: For the Mobile Health segment, cost of revenues (exclusive of depreciation
+Added: and amortization) in the three months ended March 31, 2023 amounted to $52.7 million a decline of $3.8 million, or 6.7% from the three
+Added: months ended March 31, 2022.
+Added: Cost of revenues as a percentage of revenues increased to 72.3% in the first quarter of 2023 from 62.7% in
+Added: the first quarter of 2022, due to the decline in COVID-testing revenues and significantly higher compensation expenses, reflecting headcount
+Added: growth, which outweighed the impact of reduced lab fees and other medical supplies.
+Added: In absolute dollar terms, subcontracted labor costs
+Added: declined, but these costs were higher in the first quarter of 2023 as a percentage of Mobile Health revenues than in the first quarter
+Added: For the Transportation Services segment, cost of revenues (exclusive
+Added: of depreciation and amortization) in the three months ended March 31, 2023 amounted to $28.5 million, up $7.0 million, or 33%, from the
+Added: three months ended March 31, 2022.
+Added: Cost of revenues as a percentage of revenues declined to 71.1% in the first quarter of 2023, from 77.3%
+Added: in the first quarter of 2022, reflecting the impact of higher per-trip prices, increased number of standby contracts (for which we are
+Added: paid a daily or hourly rate) and the overall increase in revenue, as well as a decline in the average fuel price.
Operating Expenses
−Removed: For the three months ended September 30, 2022, the
−Removed: Company recorded $28.8 million of operating expenses compared to $24.4 million for the three months ended September 30, 2021, an increase
−Removed: As a percentage of revenue, operating expenses declined from 28.3% in the third quarter of 2021 to 27.7% in the third quarter
−Removed: of 2022, due primarily to the increase in overall revenues described above, coupled with the semi-fixed nature of the cost of corporate
−Removed: infrastructure.
−Removed: The increase of $4.4 million related primarily to a $2.0 million increase in legal, accounting and other professional
−Removed: fees related to increased revenue and related contract generation and SEC filing-related costs;
−Removed: a $1.2 million increase in insurance costs
−Removed: reflecting the growth and expansion of the Company, as well as the inclusion of directors and officers (D&O) insurance;
+Added: For the three months
+Added: ended March 31, 2023, the Company recorded $38.7 million of operating expenses, an increase of $8.9 million, or 30%, compared to the three
+Added: months ended March 31, 2022.
+Added: As a percentage of revenue, operating expenses increased from 25.3% in the first quarter of 2022 to 34.3%
+Added: in the first quarter of 2023.
+Added: The increase of $8.9 million related primarily to a $6.9 million increase in total compensation due to investments
+Added: in and expansion of corporate overhead to support revenue growth, largely driven by higher stock compensation expense;
a $1.4 million
−Removed: increase in depreciation and amortization due to an increase in assets to support revenue growth and capitalized software amortization,
−Removed: including from recently acquired companies;
−Removed: a $0.3 million increase in office-related expenses, due to the Company’s ongoing growth
−Removed: and geographic expansion;
+Added: increase in depreciation and amortization due to an increase in assets to support revenue growth, capitalized software amortization and
+Added: assets that were added as part of acquisitions that the Company completed in the second half of 2022;
+Added: a $2.3 million increase in legal,
+Added: accounting, regulatory and other professional fees related to increased revenue and related contract generation, audit fees, Sarbanes-Oxley
+Added: (SOX) compliance consulting fees and SEC filing-related costs;
+Added: a $1.2 million increase in insurance costs, reflecting higher headcount
+Added: and expanded operations;
a $1.0 million increase in IT infrastructure, driven by the Company’s business and headcount expansion
−Removed: These items were partially offset by a $0.8 million decline in total compensation, which includes salaries, benefits, bonuses and commissions
−Removed: for both direct and subcontracted labor, reflecting savings from the outsourcing of certain administrative functions.
−Removed: The Company anticipates
−Removed: that operating expenses will continue to increase in line with the Company’s revenue growth remain in the range of 25%-30% of revenue
−Removed: in the coming quarters.
−Removed: For the Transportation Services segment, operating
−Removed: expenses in the three months ended September 30, 2022 were $10.6 million, down $2.2 million, or 17%, from the three months ended September
−Removed: Operating expenses as a percentage of revenues decreased to 38.6% from 71.3% for the three months ended September 30, 2021,
−Removed: reflecting the increase in revenues and overhead cost-cutting activities undertaken during the earlier part of 2022, as well as lower
−Removed: insurance costs, due to the establishment earlier this year of the Company’s captive insurance program.
−Removed: For the Mobile Health segment, operating expenses
−Removed: in the three months ended September 30, 2022 were $18.2 million, up 56% from operating expenses of $12.8 million in the three months ended
−Removed: September 30, 2021.
−Removed: Operating expenses as a percentage of revenues increased to 23.8% from 17.2% in the third quarter of 2021, despite
−Removed: the increase in Mobile Health revenues, reflecting significant expenditures that were made in the 2022 period in the expansion of services
−Removed: and geographic areas of operation, as well as the continued buildout of the Mobile Health management infrastructure and the costs of developing
−Removed: the Company’s “on-demand” direct-to-consumer offering.
−Removed: Interest Income/(Expense), Net
−Removed: For the three months ended September 30, 2022,
−Removed: the Company recorded $0.3 million of net interest income compared to $0.3 million of net interest expense in the three months ended September
−Removed: This was due to a significantly higher amount of interest earned in the third quarter of 2022, resulting from an increase in
−Removed: the Company’s cash balances in interest-bearing accounts, coupled with higher rates of interest earned on balances in these accounts.
−Removed: Gain from PPP Loan Forgiveness
−Removed: During the three months ended September 30, 2021,
−Removed: the Company recorded a gain of $142,667 due to the forgiveness of a loan that one of its subsidiaries had obtained via the government’s
−Removed: Paycheck Protection Program (PPP) in 2020.
−Removed: No gain from loan forgiveness was recorded during the three months ended September 30, 2022.
−Removed: Gain/(loss) on Remeasurement of Warrant Liabilities
−Removed: During the three months ended September 30, 2022,
−Removed: the Company recorded a loss of approximately $1.8 million from the remeasurement of warrant liabilities.
−Removed: The warrants are marked-to-market
−Removed: in each reporting period, and this loss reflected the increase in DocGo’s stock price relative to the beginning of the period.
−Removed: were no warrant liabilities in the same period in 2021.
−Removed: On August 15, 2022, the Company announced the redemption of all of its outstanding
−Removed: warrants under the Warrant Agreement, dated as of October 14, 2020, by and between Motion Acquisition Corp.
−Removed: (“Motion”) and
−Removed: Continental Stock Transfer & Trust Company, as warrant agent, as part of the units sold in Motion’s initial public offering,
−Removed: on the redemption date of September 16, 2022 (the “Redemption Date”).
−Removed: Warrants surrendered for exercise on a cashless basis
−Removed: resulted in the issuance of 1,406,371 shares.
−Removed: A total of 68,514 warrants were not surrendered on the Redemption Date and were redeemed
−Removed: for $0.10 per warrant.
−Removed: Gain/(Loss) on Equity Method Investment
−Removed: During the three months ended September 30, 2022,
−Removed: the Company recorded a gain of $93,371, representing its share of the losses incurred by an entity in which the Company has a minority
−Removed: interest, which is accounted for under the equity method.
−Removed: This investment was made in the fourth quarter of 2021, and as such, no gain
−Removed: or loss was recorded in relation to an equity method investment in the same period in 2021.
−Removed: Income Tax (Expense)/Benefit
−Removed: During the three months ended September 30, 2022,
−Removed: the Company recorded income tax expense of $0.4 million, compared to an income tax expense of $0.6 million in the three months ended September
−Removed: Noncontrolling Interest
−Removed: For the three months ended September 30, 2022,
−Removed: the Company had a net loss attributable to noncontrolling interest of approximately $0.7 million, compared to a net loss attributable
−Removed: to noncontrolling interest of $2.7 million for the three months ended September 30, 2021.
−Removed: The loss reflected ongoing investments in new
−Removed: markets that were entered into during 2021 and 2022, partially offset by income generated by other markets.
−Removed: Comparison of the
−Removed: nine months ended September 30, 2022 and 2021
−Removed: Nine Months Ended
−Removed: September 30,
−Removed: $ in Millions
−Removed: Cost of revenues
−Removed: Operating expenses:
−Removed: General and administrative
−Removed: Depreciation and amortization
−Removed: Legal and regulatory
−Removed: Technology and development
−Removed: Sales, advertising and marketing
−Removed: Total expenses
−Removed: Income (loss) from operations
−Removed: Other income (expenses):
−Removed: Interest income (expense), net
−Removed: Gain on remeasurement of warrant liabilities
−Removed: Gain (loss) on initial equity method investments
−Removed: Gain on remeasurement of finance leases
−Removed: Gain/(loss) on disposal of fixed assets
−Removed: Other income (loss)
−Removed: Total other income (expense)
−Removed: Net income (loss) before income tax benefit (expense)
−Removed: Income tax expense
−Removed: Net income (loss)
−Removed: Net loss attributable to noncontrolling interests
−Removed: Net income (loss) attributable to stockholders of DocGo Inc.
−Removed: and Subsidiaries
−Removed: For the nine months ended September 30, 2022,
−Removed: total revenues were $331.7 million, an increase of $134.3 million, or 68%, from the total revenues recorded in the nine months ended September
−Removed: Transportation Services
−Removed: For the nine months ended September 30, 2022,
−Removed: Transportation Services revenue totaled $77.6 million, an increase of $12.0 million, or 18%, as compared with the nine months ended September
−Removed: This increase was due to a rise in both transportation trip volumes and the average price per trip.
−Removed: Volumes increased by approximately
−Removed: 13%, from 137,136 trips for the nine months ended September 30, 2021, to 154,534 trips for the nine months ended September 30, 2022.
−Removed: increase in trip volumes is due to a combination of growth in the customer base in certain core markets and entry into new markets in
−Removed: 2022, as well as acquisitions made during the third quarter of 2022.
−Removed: Average trip price increased from $297 in the nine months ended September
−Removed: 30, 2021, to $362 the nine months ended September 30, 2022.
−Removed: The increase in the average trip price in the 2022 period was due to a shift
−Removed: in mix toward higher-priced transports with existing customers, as well as the acquisition of licenses to provide higher acuity transports,
−Removed: resulting in higher prices per trip.
−Removed: The average trip price also benefited from a 5.1% increase in the average Medicare reimbursement
−Removed: rate for ambulance transports.
−Removed: Mobile Health
−Removed: For the nine months ended September 30, 2022,
−Removed: Mobile Health revenue totaled $254.1 million, an increase of $122.3 million, or 93%, as compared with the nine months ended September
−Removed: This significant increase was mainly due to the expansion of the services offered by this segment, particularly with respect
−Removed: to COVID-19 related testing and vaccination and other healthcare services revenues included in the Mobile Health segment.
−Removed: This expansion
−Removed: accelerated through 2021 and into 2022 as the Company increased its customer base and geographic reach, while extending several large
−Removed: customer contracts and introducing a broader range of services.
−Removed: However, during the third quarter of 2022, COVID-19 testing revenue declined
−Removed: significantly, as expected, but these declines were outweighed by an expansion of the Company’s Mobile Health customer base and
−Removed: broadening of the range of services provided.
−Removed: Cost of Revenue
−Removed: For the nine months ended September 30, 2022,
−Removed: total cost of revenue (exclusive of depreciation and amortization) increased by 60% as compared to the nine months ended September 30,
−Removed: 2021, while revenue increased by approximately 68%.
−Removed: Cost of revenue as a percentage of revenue decreased to 66.1% in the first nine months
−Removed: of 2022 from 69.4% in the first nine months of 2021.
−Removed: In absolute dollar terms, total cost of revenue
−Removed: in the nine months ended September 30, 2022 increased by $82.3 million from the prior year period.
−Removed: This was primarily attributable to
−Removed: a $52.5 million increase in total compensation, reflecting higher headcount for both the Transportation Services and Mobile Health segments,
−Removed: coupled with higher average hourly wages;
−Removed: a $26.3 million increase in subcontracted labor, driven mostly by the Mobile Health segment,
−Removed: where revenue increases outpaced the Company’s ability to service such revenue solely with internal resources, temporarily causing
−Removed: the Company to rely increasingly on subcontracted labor, particularly in the first six months of 2022;
−Removed: an $8.0 million increase in medical
−Removed: supplies, due to the purchase of COVID-19 test kits and the need for increased PPE and related supplies, and the increased cost thereof
−Removed: as a result of increased demand during the pandemic;
−Removed: a $9.9 million increase in vehicle costs, driven by a continued increase in the Company’s
−Removed: vehicle fleet and higher fuel and maintenance costs;
−Removed: a $1.1 million increase in facilities and related expenses, due to the Company’s
−Removed: geographic expansion;
−Removed: a $2.1 million increase in travel expenses, relating to field personnel and other clinicians who traveled out of
−Removed: their home regions to provide Mobile Health services;
−Removed: and an increase of $0.9 million distributed among a variety of other cost of revenue
−Removed: These items were partially offset by an $18.5 million decrease in lab fees related to COVID-19 testing activity, reflecting lower
−Removed: per-test lab fees, and a shift toward rapid tests.
−Removed: For the Transportation Services segment, cost
−Removed: of revenues (exclusive of depreciation and amortization) in the nine months ended September 30, 2022 amounted to $ 60.4 million, up $11.8
−Removed: million, or 24.4%, from the nine months ended September 30, 2021.
−Removed: Cost of revenues as a percentage of revenues increased to 77.8% in the
−Removed: first nine months of 2022 from 74.1% in the prior year period, due to the decline in higher-margin, project-based standby revenue, combined
−Removed: with the impact of higher hourly wages in certain markets and increased overtime for field employees during the first half of 2022 and
−Removed: increased fuel costs, as described above.
−Removed: For the Mobile Health segment, cost of revenues
−Removed: (exclusive of depreciation and amortization) in the nine months ended September 30, 2022 amounted to $159.0 million, up 79.7%, from $
−Removed: 88.5 million in the nine months ended September 30, 2021.
−Removed: Cost of revenues as a percentage of revenues decreased to 62.6% from 67.1%,
−Removed: due to the increase in revenues, lower average per-test lab fees and the increased number of higher-margin, hourly-based programs in the
−Removed: first half of 2022, which outweighed the increased use of higher cost subcontracted labor and significant increases in medical and general
−Removed: supply costs, as described above.
−Removed: During the third quarter of 2022, subcontracted labor costs declined, reflecting the ongoing transition
−Removed: of the company’s human resources base to Company-employed staff, reducing the reliance on higher-cost subcontracted labor.
−Removed: Operating Expenses
−Removed: For the nine months ended September 30, 2022,
−Removed: the Company recorded $90.5 million of operating expenses compared to $60.5 million for the nine months ended September 30, 2021, an increase
−Removed: As a percentage of revenue, operating expenses decreased from 30.6% in the first nine months of 2021 to 27.3% in the first nine
−Removed: months 2022, due primarily to the significant increase in overall revenues described above, coupled with the semi-fixed nature of the
−Removed: cost of corporate infrastructure.
−Removed: The increase of $30.0 million related primarily to a $16.7 million increase in total compensation, which
−Removed: includes costs for both direct and subcontracted staff, due to investments in and expansion of corporate infrastructure to support the
−Removed: revenue growth;
−Removed: a $0.8 million increase in travel and entertainment expenses, reflecting both the growth of the overall employee base,
−Removed: as well as increased business development related activities for both the Transportation Services and Mobile Health segments;
−Removed: a $1.9 million
−Removed: increase in depreciation and amortization due to an increase in assets to support revenue growth and capitalized software amortization,
−Removed: as well as recently acquired companies;
−Removed: a $5.8 million increase in legal, accounting and other professional fees related to increased
−Removed: revenue and related contract generation and SEC filing-related costs;
−Removed: a $0.9 million increase in office-related expenses, owing to the
−Removed: Company’s ongoing growth and geographic expansion;
−Removed: a $1.5 million increase in IT infrastructure, driven by the Company’s business
−Removed: and headcount expansion;
−Removed: a $0.4 million increase in marketing expenses, primarily owing to the ongoing expansion of Mobile Health services;
−Removed: a $0.6 million increase in bad debt expense, in line with the increase in overall revenues during the period;
−Removed: and approximately $1.4 million
−Removed: in other increases spread across a variety of other operating expense lines.
−Removed: For the Transportation Services segment, operating
−Removed: expenses in the nine months ended September 30, 2022 were $50.2 million, up $16.9 million, or 50.8%, from the nine months ended September
−Removed: Operating expenses as a percentage of revenues increased to 64.6% from 50.8% for the nine months ended September 30, 2021, despite
−Removed: the increase in Transportation Services revenues, due to a significant increase in corporate infrastructure, the bulk of which is allocated
−Removed: to the Transportation Services segment.
−Removed: The increased operating expenses, in dollar terms, in the nine months ended September 30, 2022
−Removed: primarily reflected higher costs for payroll, travel and entertainment, professional fees and depreciation, as described above.
−Removed: For the Mobile Health segment, operating expenses
−Removed: in the nine months ended September 30, 2022 were $40.3 million, up 48.2%, from operating expenses of $27.2 million in the nine months
−Removed: ended September 30, 2021.
−Removed: Operating expenses as a percentage of revenues decreased to 15.9% from 20.6% in the first nine months of 2021,
−Removed: despite significant expenditures made in the expansion of services and geographic areas of operation, as well as the buildout of the Mobile
−Removed: Health management infrastructure throughout 2021 and the first nine months of 2022, due to the faster rate of increase in Mobile Health
−Removed: The increased operating expenses, in dollar terms, in 2022 were primarily driven by higher costs for payroll, subcontracted
−Removed: labor costs, travel and entertainment, marketing and IT infrastructure, and facilities costs, as described above.
+Added: and acquisitions;
+Added: and a $0.8 million increase in rent and utilities, relating to the Company’s ongoing geographic expansion.
+Added: increased expenses were partially offset by a $3.0 million decline in bad debt expense, as allowances for doubtful accounts were adjusted
+Added: to better reflect the aging and collection history of the Company’s accounts receivable;
+Added: a $0.5 million decline in commissions,
+Added: in the absence of certain per-test and per-vaccination commissions that were paid in relation to certain mass COVID-19 testing and vaccination
+Added: projects in the first half of 2022;
+Added: and a $0.5 million decline in marketing costs, reflecting the cessation of certain marketing programs
+Added: that were run in conjunction with Mobile Health projects that have since expired;
+Added: and a $0.7 million across various operating expense
+Added: categories, including travel and entertainment, general office expenses and dues and subscriptions.
+Added: We anticipate that operating costs
+Added: over the remainder of 2023, as a percentage of total revenue, will decline from the levels seen in the first quarter of 2023, primarily
+Added: due to lower total compensation costs as a percentage of total revenue.
+Added: For the Mobile Health
+Added: segment, operating expenses in the three months ended March 31, 2023 were $7.2 million, compared to operating expenses of $10.2 million
+Added: in the three months ended March 31, 2022.
+Added: Operating expenses as a percentage of Mobile Health revenues decreased to 9.8% from 11.3% in
+Added: the first quarter of 2022.
+Added: The decrease in operating expenses was a result of a reduction in non-field headcount in the Mobile Health
+Added: segment, driven in part by the movement of Mobile Health management personnel into centralized corporate functional areas.
+Added: For the Transportation
+Added: Services segment, operating expenses in the three months ended March 31, 2023 were $10.5 million, up $1.72.0 million, or 18.8%, from
+Added: the three months ended March 31, 2022.
+Added: Operating expenses as a percentage of revenues decreased to 26.1% from 31.9% in the prior year
+Added: period, reflecting the increased revenues in the current period.
+Added: For the Corporate segment,
+Added: which represents primarily shared services that are not contained within the entities which comprise either the Mobile Health Services
+Added: or Transportation Services segments, operating expenses in the three months ended March 31, 2023 were $21.12 million, compared to $10.8
+Added: million in the three months ended March 31, 2022.
+Added: The increase was driven by higher headcount, as the Company built out its corporate
+Added: infrastructure, including areas such as Business Development, Product Development and Corporate Development;
+Added: as well as significantly
+Added: higher stock compensation expenses.
+Added: As a percentage of total consolidated revenues, Corporate expenses amounted to approximately 18.7%
+Added: of revenues in the first quarter of 2023, compared to 9.2% in the three months ended March 31, 2022.
Interest Income/(Expense), Net
−Removed: For the nine months ended September 30, 2022,
−Removed: the Company recorded $0.3 million of net interest income compared to $0.5 million of net interest expense in the nine months ended September
−Removed: The shift from net interest expense in the prior year period to interest income in the current year period was due to a significantly
−Removed: higher amount of interest earned in the first nine months of 2022, resulting from an increase in the Company’s cash balances in
−Removed: interest-bearing accounts, coupled with higher rates of interest earned on balances in these accounts.
−Removed: This was partially offset by an
−Removed: increase in payments made for new leased vehicles, as the Company’s fleet expanded.
−Removed: Gain from PPP Loan Forgiveness
−Removed: During the nine months ended September 30, 2021,
−Removed: the Company recorded a gain of $142,667 due to the forgiveness of a loan that one of its subsidiaries had obtained via the government’s
−Removed: Paycheck Protection Program (PPP) in 2020.
−Removed: No gain from loan forgiveness was recorded during the three months ended September 30, 2022.
+Added: For the three months
+Added: ended March 31, 2023, the Company recorded $809,172 of net interest income compared to $135,606 of interest expense in the three months
+Added: ended March 31, 2022.
+Added: This was due to a significantly higher amount of interest earned in the three months ended March 31, 2023, due to
+Added: an increase in the Company’s cash balances in income-bearing accounts, coupled with higher rates of interest earned on balances
+Added: in these accounts, which reflected significantly higher market interest rates.
Gain/(loss) on Remeasurement of Warrant Liabilities
−Removed: During the nine months ended September 30, 2022,
−Removed: the Company recorded a gain of approximately $1.1 million from the remeasurement of warrant liabilities.
−Removed: The warrants are marked-to-market
−Removed: in each reporting period, and this gain was due to the decline in DocGo’s stock price relative to the beginning of the period.
−Removed: warrant liabilities were outstanding in the prior year period.
+Added: During the three months ended March 31, 2023,
+Added: there were no gains or losses recorded relating to remeasurement of warrant liabilities, as warrants were redeemed during the third quarter
+Added: During the three months ended March 31, 2022, the Company recorded a loss of $58,749 from the remeasurement of warrant liabilities.
+Added: The warrants were marked-to-market in each reporting period, and this loss reflected the decrease in DocGo’s stock price relative
+Added: to the beginning of the first quarter of 2022.
Gain/(Loss) on Equity Method Investment
−Removed: During the three months ended September 30, 2022,
−Removed: the Company recorded a gain of $99,840, representing its share of the losses incurred by an entity in which the Company has a minority
−Removed: interest, which is accounted for under the equity method.
−Removed: This investment was made in the fourth quarter of 2021, and as such, no gain
−Removed: or loss was recorded in relation to an equity method investment in the same period in 2021.
−Removed: Gain/(loss) from Remeasurement of Finance Leases
−Removed: During the nine months ended September 30, 2022,
−Removed: the Company recorded a gain of approximately $1.4 million, resulting from a change in estimated remaining liabilities under the terms
−Removed: of its leases.
−Removed: No such gain or loss was recorded in the prior year period.
+Added: During the three months ended March 31, 2023,
+Added: the Company recorded a loss on equity method investments of $115,286, which represented its share of the losses incurred by an entity
+Added: in which the Company had a minority interest, which was accounted for under the equity method.
+Added: During the three months ended March 31,
+Added: 2022, the Company recorded a loss on equity method investments of $83,341 related to the same entity.
Gain/(loss) on Disposal of Fixed Assets
−Removed: During the nine months ended September 30, 2021,
−Removed: the Company recorded a loss of $27,730 on the disposal of fixed assets.
−Removed: During the nine months ended September 30, 2022, the Company recorded
−Removed: a gain of $42,667 on the disposal of fixed assets.
−Removed: Income Tax (Expense)/Benefit
−Removed: During the nine months ended September 30, 2022,
−Removed: the Company recorded income tax expense of $1.2 million, compared to an income tax expense of $0.6 million in the nine months ended September
−Removed: The increase in income tax expense resulted from the higher level of pretax income as well as state income taxes in jurisdictions
−Removed: the Company entered during the past year.
−Removed: Noncontrolling Interest
−Removed: For the nine months ended September 30, 2022, the
−Removed: Company had net loss attributable to noncontrolling interest of approximately $ 2.9 million, compared to a net loss attributable to noncontrolling
−Removed: interest of $1.3 million for the nine months ended September 30, 2021.
−Removed: The increased loss in the first nine months of 2022 reflected ongoing
−Removed: investments in new markets that were entered into during 2021 and 2022.
+Added: During the three months
+Added: ended March 31, 2023, the Company recorded a loss on the disposal of fixed assets of $54,839.
+Added: No such gain or loss was recorded during
+Added: the three months ended March 31, 2022.
+Added: Income Tax Benefit/(Expense)
+Added: During the three months
+Added: ended March 31, 2023, the Company recorded income tax benefit of $2.1 million.
+Added: For the three months ended March 31, 2022, the Company
+Added: recorded an income tax expense of $0.4 million.
+Added: The income tax benefit reflects a pretax loss recorded during the three months ended March
+Added: 31, 2023, compared to pretax income in the prior year period.
+Added: The income tax benefit in the current year period includes income as well
+Added: as state income taxes in jurisdictions the Company entered during the past year and current period.
+Added: Net Loss Attributable to Noncontrolling Interest
+Added: For the three months
+Added: ended March 31, 2023, the Company had a net loss attributable to noncontrolling interest of approximately $0.5 million, compared to a
+Added: net loss attributable to noncontrolling interest of $1.3 million for the three months ended March 31, 2022.
+Added: The decreased loss reflected
+Added: improved performance in most of the Company’s joint venture ongoing investments in new markets in the three months ended March 31,
Liquidity and Capital Resources
−Removed: Since inception, DocGo has completed three equity
−Removed: financing transactions that served as the Company’s principal source of liquidity, with minimal debt incurred.
−Removed: Generally, the Company
−Removed: utilized equity raised to finance operations during its development phase, investments in assets, ambulance operating licenses and funding
−Removed: working capital.
−Removed: The Company has also funded these activities through operating cashflows.
−Removed: In November 2021, upon the completion of the
−Removed: merger between Motion Acquisition Corp.
−Removed: and Ambulnz, Inc., the Company received proceeds of approximately $158.1 million, net of transaction
−Removed: Although the Company generated positive net income in the three and nine months ended September 30, 2022, operating cash flows
−Removed: may not be sufficient to meet immediate obligations arising from current operations.
−Removed: For example, as the business has grown, the Company’s
−Removed: expenditures for human capital and supplies has expanded accordingly, and the timing of the payments for payroll and to associated vendors,
−Removed: compared to the timing of receipts of cash from customers frequently results in the Company using existing cash balances to fund these
−Removed: working capital needs.
−Removed: The Company’s working capital needs depend on many factors, including the overall growth of the company and
−Removed: the various payment terms that are negotiated with customers and vendors.
−Removed: As the Company’s customer base increasingly features large
−Removed: municipal entities, who tend to demand longer payment terms than do other customer segments, the Company’s working capital requirements
−Removed: are expected to increase.
−Removed: In addition, the Company might seek to take advantage of opportunities to secure favorable pricing for supplies
−Removed: and services from its vendors by agreeing to shorter payment terms, or prepaying.
−Removed: Future capital requirements depend on many factors,
−Removed: including potential acquisitions, our level of investment in technology, and rate of growth in existing and into new markets.
−Removed: of ongoing technology development is another factor that is considered.
−Removed: Capital requirements might also be affected by factors which the
−Removed: Company cannot control, such as interest rates, and other monetary and fiscal policy changes to the manner in which the Company currently
−Removed: Additionally, as the impact of the COVID-19 pandemic on the economy and operations evolves, the Company will continuously assess
−Removed: its liquidity needs.
−Removed: If the Company’s growth rate is higher than is currently anticipated, resulting in greater-than-anticipated
−Removed: capital requirements, the Company may need or choose to raise additional capital through debt or equity financings.
−Removed: On November 1, 2022, subsequent to the end of the third quarter of
−Removed: 2022, the Company entered into a revolving loan and security agreement with two banks, with one bank as the administrative agent (the
−Removed: “Lenders”), with a maximum revolving advance amount of $90,000,000.
−Removed: The revolving facility includes the ability for the Company
−Removed: to request an increase to the commitment by an additional up to $50,000,000, though no Lender (nor the Lenders collectively) are obligated
−Removed: to increase their respective commitments.
−Removed: Borrowings under the revolving facility bear interest at a per annum rate equal to, (i) at the
−Removed: Company’s option, the (x) the base rate or (y) the adjusted term SOFR rate, plus (ii) the applicable margin.
−Removed: The applicable margins
−Removed: are based on the Company’s consolidated net leverage ratio, adjusted on a quarterly basis.
−Removed: The initial applicable margins are 1.25%
−Removed: for an adjusted term SOFR loan and 0.25% for a base rate loan and will be updated based on the consolidated net leverage ratio reported
−Removed: in the compliance certificate.
−Removed: The revolving facility matures on the five-year anniversary of the closing date, November 1, 2027.
−Removed: revolving facility is secured by a first-priority lien on substantially all of the Company’s present and future personal assets
−Removed: and intangible assets.
−Removed: The revolving facility is subject to certain financial covenants such as a net leverage ratio and interest coverage
−Removed: ratio, as defined in the agreement.
−Removed: The Company has not made any draws under the facility and there is no amount outstanding.
−Removed: Considering the foregoing, DocGo anticipates that
−Removed: existing balances of cash and cash equivalents, future expected cash flows generated from our operations and an available line of credit
−Removed: (as discussed in Note 8, “Line of Credit” and Note 20 “Subsequent Events” to the Unaudited Condensed Consolidated
−Removed: Financial Statements) will be sufficient to satisfy operating requirements for at least the next twelve months.
+Added: Since inception, DocGo
+Added: has completed three equity financing transactions as its principal source of liquidity.
+Added: Generally, the Company has utilized equity raised
+Added: to finance operations, investments in assets, ambulance operating licenses and to fund accounts receivable.
+Added: The Company has also funded
+Added: these activities through operating cash flows.
+Added: In November 2021, upon the completion of the merger between Motion and Ambulnz, the Company
+Added: received proceeds of approximately $158.1 million, net of transaction expenses.
+Added: However, even when the Company generates positive net
+Added: income, operating cash flows are not always sufficient to meet immediate obligations arising from current operations.
+Added: For example, as
+Added: the business has grown, the Company’s expenditures for human capital and supplies has expanded accordingly, and the timing of the
+Added: payments for payroll and to associated vendors, compared to the timing of receipts of cash from customers, frequently results in the need
+Added: to use existing cash balances to fund these working capital needs.
+Added: The Company’s working capital needs depend on many factors, including
+Added: the overall growth of the Company and the various payment terms that are negotiated with customers and vendors.
+Added: Future capital requirements
+Added: depend on many factors, including potential acquisitions, DocGo’s level of investment in technology and ongoing technology development,
+Added: and rate of growth in existing markets and into new markets.
+Added: Capital requirements may also be affected by factors outside of the Company’s
+Added: control, such as interest rates, rising inflation, financial institution instability or failure and other monetary and fiscal policy changes
+Added: to the manner in which the Company currently operates.
+Added: Additionally, as the impact of the COVID-19 on the economy and on the Company’s
+Added: market environment and operations evolves, the Company routinely assesses its liquidity needs.
+Added: If the Company’s growth rate is higher
+Added: than is currently anticipated, resulting in greater-than-anticipated capital requirements, the Company might need to, or choose to, raise
+Added: additional capital through debt or equity financings.
+Added: On November 1, 2022, the
+Added: Company entered into a revolving loan and security agreement with two banks, with one bank acting as the administrative agent (the “Lenders”),
+Added: with an initial maximum commitment amount of $90,000,000.
+Added: The revolving facility includes the ability for the Company to request an increase
+Added: to the commitment by an additional amount of up to $50,000,000, though no Lender (nor the Lenders collectively) are obligated to increase
+Added: their respective commitments.
+Added: Borrowings under the revolving facility bear interest at a per annum rate equal to (i) at the Company’s
+Added: option, the (x) the base rate or (y) the adjusted term SOFR rate, plus (ii) the applicable margin.
+Added: The applicable margins are based on
+Added: the Company’s consolidated net leverage ratio, adjusted on a quarterly basis.
+Added: The initial applicable margins are 1.25% for an adjusted
+Added: term SOFR loan and 0.25% for a base rate loan and will be updated based on the Company’s consolidated net leverage ratio.
+Added: The revolving
+Added: facility matures on November 1, 2027.
+Added: The revolving facility is secured by a first-priority lien on substantially all of the Company’s
+Added: present and future personal assets and intangible assets.
+Added: The revolving facility is subject to certain financial covenants, such as a
+Added: net leverage ratio and interest coverage ratio, as defined in the agreement.
+Added: As of the date of the filing of this Quarterly Report on
+Added: Form 10-Q, the Company has not made any draws under the facility and there are no amounts outstanding.
+Added: Considering the foregoing,
+Added: DocGo anticipates that existing balances of cash and cash equivalents, future expected cash flows generated from our operations and an
+Added: available line of credit (as discussed in Note 9, “Line of Credit” to the unaudited Condensed Consolidated Financial Statements)
+Added: will be sufficient to satisfy operating requirements for at least the next twelve months.
Capital Resources
−Removed: Working Capital as of September 30, 2022 and 2021
−Removed: As of September 30,
+Added: Comparison as of March 31, 2023 and March
$ in Millions
3 unchanged sentences
Total working capital
−Removed: As of September 30, 2022, available cash totaled
−Removed: $169.6 million, which represented an increase of $130.0 million as compared to September 30, 2021, reflecting the receipt of the proceeds
−Removed: from the merger described above, as well as positive cash flow generated by operations, partially offset by cash used for acquisitions
−Removed: in the third quarter of 2022.
−Removed: As of September 30, 2022, working capital amounted to $180.9 million, which represented an increase of $151.1
−Removed: million as compared to September 30, 2021, primarily reflecting the increased cash balance.
−Removed: Increased accounts receivable, reflecting
−Removed: the growth of the business in the second half of 2021 and the first nine months of 2022, were partially offset by increases in current
−Removed: liabilities, which reflected the growth of the business and resulted from extended payment terms from vendors.
−Removed: Nine months ended September 30, 2022 and 2021
−Removed: As of September 30,
+Added: As of March 31, 2023, available cash totaled $120.1 million, which
+Added: represented a decrease of $68.3 million as compared to March 31, 2022, as acquisitions made during the second half of 2022 and in the
+Added: first quarter of 2023 outweighed cash flow from operations.
+Added: As of March 31, 2023, working capital amounted to $149.4 million, which represented
+Added: a decrease of $57.8 million as compared to March 31, 2022, primarily reflecting the reduced cash balance.
+Added: Increased accounts receivable
+Added: in the three months ended March 31, 2023, which reflected the growth of the business and a shift towards higher credit quality customers,
+Added: who have longer payment terms, outweighed the increase in current liabilities in the first quarter of 2023, which reflected the growth
+Added: of the business and amounts due to the seller and contingent consideration resulting from acquisitions.
+Added: Three months ended March 31, 2023 and 2022
+Added: Three Months Ended
$ in Millions
6 unchanged sentences
Operating Activities
−Removed: During the nine months ended September 30, 2022,
−Removed: operating activities provided $37.6 million of cash, aided by net income of $23.6 million.
−Removed: Non-cash charges amounted to $11.9 million
−Removed: and included $5.0 million in depreciation of property and equipment and right-of-use assets, $2.2 million from amortization of intangible
−Removed: assets, $2.7 million in bad debt expense primarily related to a provision for potential uncollectible accounts receivable and $4.6 million
−Removed: of stock compensation expense.
−Removed: These were partially offset by non-cash gains of $1.4 million relating to the remeasurement of finance
−Removed: lease liabilities, $1.1 million from the remeasurement of warrant liabilities and a gain of $0.1 from an investment that is accounted
−Removed: for under the equity method.
−Removed: Changes in assets and liabilities resulted in approximately $2.1 million in increase to operating cash flow,
−Removed: as a $2.9 million decrease in accounts receivable, a $0.9 million decrease in other assets and a $2.6 million increase in accrued liabilities
−Removed: outweighed the effect of a $0.3 million increase in prepaid expenses and a $4.0 million decline in accounts payable..
−Removed: During the nine months ended September 30, 2021,
−Removed: operating activities provided $6.9 million of cash, despite a net loss of $1.1 million.
−Removed: Non-cash charges amounted to $8.8 million and
−Removed: included $4.1 million resulting from the depreciation of property and equipment and right-of-use assets, $1.4 million from amortization
−Removed: of intangible assets, $1.2 million of stock compensation expense, $2.2 million of bad debt expense primarily related to a provision for
−Removed: potential uncollectible accounts receivable, partially offset by a non-cash gain of $0.1 million from the forgiveness of a PPP loan.
−Removed: in assets and liabilities resulted in approximately $0.8 million in negative operating cash flow and were primarily driven by a $28.8
−Removed: million increase in accounts receivable and a $4.5 million increase in prepaid expenses and other current assets, as well as a $1.8 million
−Removed: increase in other assets, which were partially offset by a $9.4 million increase in accounts payable and a $24.9 million increase in accrued
+Added: During the three months ended
+Added: March 31, 2023, operating activities used $23.1 million of cash, driven by a net loss of $3.9 million.
+Added: Non-cash charges amounted to $9.4
+Added: million and included $2.3 million in depreciation of property and equipment and right-of-use assets, $1.4 million from amortization of
+Added: intangible assets, $8.5 million of stock compensation expense, and a $0.1 million loss on an equity investment.
+Added: These were partially offset
+Added: by a $1.9 million reduction in bad debt expense related to an adjustment in the provision for potential uncollectible accounts receivable,
+Added: and a $1.0 gain from a deferred tax asset.
+Added: Changes in assets and liabilities resulted in approximately $28.6 million in negative cash
+Added: flow, as a $24.7 million increase in accounts receivable, a $2.6 million decrease in accounts payable, a $1.5 million decrease in accrued
+Added: liabilities and a $0.2 million increase in prepaid expenses outweighed a $0.3 million reduction in other assets.
+Added: During the three months
+Added: ended March 31, 2022, operating activities provided $18.2 million of cash, aided by net income of $9.4 million.
+Added: Non-cash charges amounted
+Added: to $4.8 million and included $1.6 million in depreciation of property and equipment and right-of-use assets, $0.6 million from amortization
+Added: of intangible assets, $1.2 million in bad debt expense primarily related to a provision for potential uncollectible accounts receivable
+Added: and $1.4 million of stock compensation expense.
+Added: Changes in assets and liabilities resulted in approximately $4.1 million in additional
+Added: operating cash flow, as a $1.1 million decrease in accounts receivable, a $2.2 million decrease in other assets and a $3.1 increase in
+Added: accrued liabilities outweighed the effect of a $1.5 million increase in prepaid expenses and a $0.7 million decline in accounts payable.
+Added: Operating cash flow in the first quarter of 2022 was aided by collections of large accounts receivable from invoices generated in the
+Added: fourth quarter of 2021.
Investing Activities
−Removed: During the nine months ended September 30, 2022,
−Removed: investing activities used $37.8 million of cash and consisted of the acquisition of property and equipment totaling approximately $2.0
−Removed: million, the acquisition of intangibles in the amount of $2.0 million and $33.8 million in the acquisition of businesses, primarily relating
−Removed: to acquisitions the Company completed in the third quarter of 2022.
−Removed: During the nine months ended September 30, 2021,
−Removed: investing activities used $4.4 million of cash and primarily consisted of the acquisition of property and equipment totaling $2.8 million
−Removed: and the acquisition of intangibles in the amount of $1.6 million to support growth of new transportation and mobile health markets.
+Added: During the three months
+Added: ended March 31, 2023, investing activities used $1.7 million of cash and consisted of the acquisition of property and equipment totaling
+Added: $2.0 million and the acquisition of intangibles in the amount of $1.4 million, partially offset by $1.6 million in cash added via an acquisition
+Added: and $0.1 million in proceeds from the disposal of property and equipment.
+Added: During the three months
+Added: ended March 31, 2022, investing activities used $1.1 million of cash and primarily consisted of the acquisition of property and equipment
+Added: totaling $0.5 million and the acquisition of intangibles in the amount of $0.6 million to support the ongoing growth of the business.
Financing Activities
−Removed: During the nine months ended September 30, 2022,
−Removed: financing provided $0.7 million, including $2.0 million in non-controlling interest contributions, $1.9 million in proceeds from the exercise
−Removed: of stock options and proceeds of $1.0 million from a revolving credit line.
−Removed: These factors were partially offset by a $1.0 million decrease
−Removed: in amounts due to seller, $0.6 million in repayments of notes payable, $0.5 million in common stock repurchased, and $2.1 in payments
−Removed: on obligations under the terms of finance leases.
−Removed: During the nine months ended September 30, 2021, financing
−Removed: activities provided $6.0 million of cash, primarily due to proceeds of $8.0 million from a revolving credit line, as well as $0.3 million
−Removed: in non-controlling interest contributions.
−Removed: These factors were partially offset by $1.8 million in payments on obligations under the terms
−Removed: of finance leases and $0.5 in repayments of notes payable.
−Removed: Future minimum annual maturities of notes payable as of the nine months
−Removed: ended September 30, 2022 are as follows:
+Added: During the three months ended March 31, 2023, financing activities
+Added: used $12.0 million of cash, due to a reduction of $11.5 million in amounts due to seller, as deferred payments were made under the terms
+Added: of previously-closed acquisitions, $0.8 million in payments under the terms of finance leases, and $0.1 million in repayments of notes
+Added: These items were partially offset by $0.4 million in proceeds from the exercise of stock options.
+Added: During the three months
+Added: ended March 31, 2022, financing activities provided $2.5 million of cash, due to $1.0 million in proceeds from the Company’s revolving
+Added: credit line, $2.1 million in noncontrolling interest contributions and $0.4 million in proceeds from the exercise of stock options, which
+Added: were partly offset by $0.6 million in payments on obligations under the terms of finance leases, $0.1 million in repayments of notes payable,
+Added: a reduction of $0.2 million in amounts due to seller and $0.1 million of equity cost.
+Added: Future minimum annual maturities of notes payable as of March 31, 2023
+Added: were as follows:
2023, remaining
2 unchanged sentences
Long-term portion of notes payable
−Removed: Future minimum lease payments under finance leases
−Removed: as of the nine months ended September 30, 2022, and for the following five fiscal years and thereafter are as follows:
+Added: Future minimum lease
+Added: payments under operating leases as of March 31, 2023, and for the following four fiscal years and thereafter are as follows:
2023, remaining
3 unchanged sentences
Present value of future minimum lease payments
−Removed: Future minimum lease payments under operating
−Removed: leases as of the nine months ended September 30, 2022, and for the following five fiscal years and thereafter are as follows:
+Added: Future minimum lease
+Added: payments under finance leases as of March 31, 2023, and for the following four fiscal years and thereafter are as follows:
2023, remaining
3 unchanged sentences
Present value of future minimum lease payments
−Removed: Share Repurchases
−Removed: On May 24, 2022, the Board approved a share repurchase
−Removed: program to purchase up to $40 million of the Company’s common stock (the “Program”).
−Removed: The Program does not obligate the
−Removed: Company to acquire any specific number of shares and will expire on November 24, 2023, and the Program may be suspended, extended, modified
−Removed: or discontinued at any time.
−Removed: Under the Program, repurchases can be made using a variety of methods, which may include open market purchases,
−Removed: block trades, privately negotiated transactions and/or a non-discretionary trading plan, all in compliance with the rules of the SEC and
−Removed: other applicable legal requirements.
−Removed: The timing, manner, price and amount of any common stock repurchases under the Program are determined
−Removed: by the Company in its discretion and depend on a variety of factors, including legal requirements, price and economic and market conditions.
−Removed: As of September 30, 2022, $39.5 million remained available for share repurchases pursuant to the Program.
−Removed: No shares were repurchased by
−Removed: the Company during the three months ended September 30, 2022.
−Removed: Critical Accounting Estimates
−Removed: For a discussion of our
−Removed: critical accounting policies, refer to the section entitled “Critical Accounting Policies” in our Annual Report on Form 10-K
−Removed: for the year ended December 31, 2021.
−Removed: Quantitative and Qualitative Disclosures about Market Risk
−Removed: smaller reporting company, as defined by Rule 12b-2 under the Exchange Act and in Item 10(f)(1) of Regulation S-K, and are not required
−Removed: to provide the information under this item.
+Added: Critical Accounting
+Added: Basis of Presentation
+Added: The Company’s unaudited Condensed Consolidated Financial Statements
+Added: are presented in conformity with accounting principles generally accepted in the United States of America (“U (“U.S.
+Added: and pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”).
+Added: The unaudited Condensed Consolidated
+Added: Financial Statements include the accounts and operations of the Company and its wholly owned subsidiaries.
+Added: All intercompany accounts and
+Added: transactions are eliminated upon consolidation.
+Added: Noncontrolling interests (“NCI”) in the unaudited Condensed Consolidated Financial
+Added: Statements represent the portion of consolidated joint ventures and a variable interest entity (“VIE”) in which the Company
+Added: does not have direct equity ownership.
+Added: Accounts and transactions between consolidated entities have been eliminated.
+Added: Pursuant to the Business
+Added: Combination, the merger between Motion and Ambulnz, Inc.
+Added: was accounted for as a reverse recapitalization in accordance with U.S.
+Added: (the “Reverse Recapitalization”).
+Added: Under this method of accounting, Motion was treated as the “acquired” company
+Added: for financial reporting purposes.
+Added: Accordingly, for accounting purposes, the Reverse Recapitalization was treated as the equivalent of
+Added: Ambulnz, Inc.
+Added: stock for the net assets of Motion, accompanied by a recapitalization.
+Added: The net assets of Motion are stated at historical
+Added: cost, with no goodwill or other intangible assets recorded.
+Added: The consolidated assets, liabilities and results of operations prior to the
+Added: Reverse Recapitalization are those of Ambulnz, Inc.
+Added: The shares and corresponding capital amounts and earnings per share available for
+Added: common stockholders, prior to the Business Combination, have been retroactively restated as shares reflecting the exchange ratio (645.1452
+Added: to 1) established in the Business Combination.
+Added: Further, Ambulnz, Inc.
+Added: was determined to be the accounting acquirer in the transaction,
+Added: as such, the acquisition is considered a business combination under Accounting Standards Codification (“ASC”), Topic 805,
+Added: Business Combinations, (“ASC 805”) and was accounted for using the acquisition method of accounting.
+Added: Principles of Consolidation
+Added: The Company’s unaudited
+Added: Condensed Consolidated Financial Statements include the accounts of DocGo Inc and its subsidiaries.
+Added: All significant intercompany transactions
+Added: and balances have been eliminated in these unaudited Condensed Consolidated Financial Statements.
+Added: The Company holds a variable interest in MD1 Medical Care P.C.
+Added: which contracts with physicians and other health professionals in order to provide services to the Company.
+Added: MD1 is considered a VIE since
+Added: it does not have sufficient equity to finance its activities without additional subordinated financial support.
+Added: An enterprise having a
+Added: controlling financial interest in a VIE must consolidate the VIE if it has both power and benefits—that is, it has (1) the
+Added: power to direct the activities of a VIE that most significantly impacts the VIE’s economic performance (power) and (2) the
+Added: obligation to absorb losses of the VIE that potentially could be significant to the VIE or the right to receive benefits from the VIE
+Added: that potentially could be significant to the VIE (benefits).
+Added: The Company has the power and rights to control all activities of MD1 and
+Added: funds and absorbs all losses of the VIE and appropriately consolidates MD1.
+Added: Net loss for the VIE was $186,637 for the three months ended March
+Added: The VIE’s total assets, all of which were current, amounted to $635,620 as of March 31, 2023.
+Added: Total liabilities, all of
+Added: which were current for the VIE, was $532,127 as of March 31, 2023.
+Added: The VIE’s total stockholders’ deficit was $103,493 as of
+Added: March 31, 2023.
+Added: Business Combinations
+Added: The Company accounts for
+Added: its business combinations under the provisions of ASC 805-10, Business Combinations (“ASC 805-10”), which requires
+Added: that the acquisition method of accounting be used for all business combinations.
+Added: Assets acquired and liabilities assumed, including NCI,
+Added: are recorded at the date of acquisition at their respective fair values.
+Added: ASC 805-10 also specifies criteria that intangible assets acquired
+Added: in a business combination must meet to be recognized and reported apart from goodwill.
+Added: Goodwill represents the excess purchase price over the fair value of
+Added: the tangible net assets and intangible assets acquired in a business combination.
+Added: If the business combination provides for contingent
+Added: consideration, the Company records the contingent consideration at fair value at the acquisition date and any changes in fair value after
+Added: the acquisition date are accounted for as measurement-period adjustments.
+Added: Changes in fair value of contingent consideration resulting
+Added: from events after the acquisition date, such as earn-outs, are recognized as follows:
+Added: (1) if the contingent consideration is classified
+Added: as equity, the contingent consideration is not re-measured and its subsequent settlement is accounted for within equity, or (2) if the
+Added: contingent consideration is classified as a liability, the changes in fair value are recognized in earnings.
+Added: For transactions that are
+Added: business combinations, the Company evaluates the existence of goodwill or a gain from a bargain purchase.
+Added: The Company capitalizes acquisition-related
+Added: costs and fees associated with asset acquisitions and immediately expenses acquisition-related costs and fees associated with business
+Added: combinations.
+Added: The estimated fair value
+Added: of net assets to be acquired, including the allocation of the fair value to identifiable assets and liabilities, is determined using
+Added: established valuation techniques.
+Added: Management uses assumptions on the basis of historical knowledge of the business and projected financial
+Added: information of the target.
+Added: These assumptions may vary based on future events, perceptions of different market participants and other
+Added: factors outside the control of management, and such variations may be significant to estimated values.
+Added: Goodwill and Indefinite-Lived Intangible
+Added: Goodwill represents the excess
+Added: of the total purchase consideration over the fair value of the identifiable assets acquired and liabilities assumed in a business combination.
+Added: Goodwill is not amortized but is tested for impairment at the reporting unit level annually on December 31 or more frequently if events
+Added: or changes in circumstances indicate that it is more likely than not to be impaired.
+Added: These events include:
+Added: (i) severe adverse industry
+Added: or economic trends;
+Added: (ii) significant company-specific actions, including exiting an activity in conjunction with restructuring of operations;
+Added: (iii) current, historical or projected deterioration of our financial performance;
+Added: or (iv) a sustained decrease in our market capitalization,
+Added: as indicated by our publicly quoted share price, below our net book value.
+Added: On February 3, 2023, Ambulnz
+Added: Health, LLC (“Health”), commenced an assignment for the benefit of creditors (“ABC”) pursuant to California law.
+Added: An ABC is a liquidation process governed by state law (California law in this instance) that is an alternative to a bankruptcy case under
+Added: Prior to commencing the ABC, Health ceased business operations and all of its employees were terminated and treated in accordance
+Added: with California law.
+Added: In the ABC, all of Health’s assets were transferred to an assignee (the “Assignee”) who acts as
+Added: a fiduciary for creditors and in a capacity equivalent to that of a bankruptcy trustee.
+Added: The Assignee is responsible for liquidating the
+Added: Similar to a bankruptcy case, there is a claims process.
+Added: Creditors of Health will receive notice of the ABC and a proof of claim
+Added: form and are required to submit a proof of claim in order to participate in distribution of net liquidation proceeds by the Assignee.
+Added: Based on such filing for
+Added: Health, the Company impaired the goodwill assigned to that reporting unit as of December 31, 2022 by approximately $5.1 million.
+Added: Revenue Recognition
+Added: On January 1, 2019, the Company
+Added: adopted ASU 2014-09, Revenue from Contracts with Customers (“ASC 606”), as amended.
+Added: To determine revenue recognition
+Added: for contractual arrangements that the Company determines are within the scope of ASC 606, the Company performs the following five steps:
+Added: (1) identify each contract with a customer;
+Added: (2) identify the performance obligations in the contract;
+Added: (3) determine the transaction price;
+Added: (4) allocate the transaction price to performance obligations in the contract;
+Added: and (5) recognize revenue when (or as) the relevant performance
+Added: obligation is satisfied.
+Added: The Company only applies the five-step model to contracts when it is probable that the Company will collect
+Added: the consideration it is entitled to in exchange for the goods or services the Company provides to the customer.
+Added: The Company generates revenues from the provision of (1) Transportation
+Added: Services and (2) Mobile Health Services.
+Added: The customer simultaneously receives and consumes the benefits provided by the Company as the
+Added: performance obligations are fulfilled, therefore the Company satisfies performance obligations immediately.
+Added: The Company has utilized the
+Added: “right to invoice” expedient which allows an entity to recognize revenue in the amount of consideration to which the entity
+Added: has the right to invoice when the amount that the Company has the right to invoice corresponds directly to the value transferred to the
+Added: Revenues are recorded net of an estimated contractual allowances for claims subject to contracts with responsible paying entities.
+Added: The Company estimates contractual allowances at the time of billing based on contractual terms, historical collections, or other arrangements.
+Added: All transaction prices are fixed and determinable which includes a fixed base rate, fixed mileage rate and an evaluation of historical
+Added: collections by each payor.
+Added: Income taxes are recorded
+Added: in accordance with ASC 740, Income Taxes (“ASC 740”), which provides for deferred taxes using an asset and liability
+Added: The Company recognizes deferred tax assets and liabilities for the expected future tax consequences of events that have been
+Added: included in the financial statements or its tax returns.
+Added: Deferred tax assets and liabilities are determined based on the difference between
+Added: the financial statement and tax basis of assets and liabilities using enacted tax rates in effect for the year in which the differences
+Added: are expected to reverse.
+Added: Valuation allowances are provided, if based upon the weight of available evidence, it is more likely than not
+Added: that some or all of the deferred tax assets will not be realized.
+Added: The Company accounts for uncertain tax positions in accordance with
+Added: the provisions of ASC 740.
+Added: When uncertain tax positions exist, the Company recognizes the tax benefit of tax positions to the extent
+Added: that the benefit would more likely than not be realized assuming examination by the taxing authority.
+Added: The determination as to whether
+Added: the tax benefit will more likely than not be realized is based upon the technical merits of the tax position as well as consideration
+Added: of the available facts and circumstances.
+Added: The Company recognizes any interest and penalties accrued related to unrecognized tax benefits
+Added: as income tax expense.
+Added: see Note 2, “Summary of Significant Accounting Policies” to the unaudited Condensed Consolidated Financial Statements.
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.