Press Release: NUTEX HEALTH REPORTS FIRST QUARTER 2025 FINANCIAL RESULTS

Dow Jones
14 May

NUTEX HEALTH REPORTS FIRST QUARTER 2025 FINANCIAL RESULTS

PR Newswire

HOUSTON, May 13, 2025

   -- TOTAL REVENUE OF $211.8 MILLION VERSUS $67.5 MILLION IN Q1 2024, AN 
      INCREASE OF 213.8% 
 
   -- NET INCOME ATTRIBUTABLE TO NUTEX HEALTH INC. OF $14.6 MILLION VERSUS NET 
      LOSS OF $0.4 MILLION IN Q1 2024 
 
   -- DILUTED EPS OF $2.56 PER SHARE VERSUS $(0.08) PER SHARE IN Q1 2024 
 
   -- EBITDA OF $43.1 MILLION VERSUS $7.1 MILLION IN EBITDA IN Q1 2024, AN 
      INCREASE OF 507.0% 
 
   -- ADJUSTED EBITDA OF $72.8 MILLION VERSUS $(0.4) MILLION IN Q1 2024 
 
   -- NET CASH FROM OPERATING ACTIVITIES OF $51.0 MILLION 
 
   -- COMPANY BELIEVES ITS ARBITRATION EFFORTS THROUGH THE INDEPENDENT DISPUTE 
      RESOLUTION $(IDR)$ PROCESS HAVE RESULTED IN MORE FAIR AND REASONABLE 
      PAYMENTS 

HOUSTON, May 13, 2025 /PRNewswire/ -- Nutex Health Inc. ("Nutex Health" or the "Company") (NASDAQ: NUTX), a physician-led, integrated healthcare delivery system comprised of 24 state-of-the-art micro hospitals and hospital outpatient departments (HOPDs) in 11 states and primary care-centric, risk-bearing physician networks, today announced first quarter 2025 financial results for the three months ended March 31, 2025.

Financial highlights for the three months ended March 31, 2025:

   -- Total revenue increased $144.3 million to $211.8 million for the three 
      months ended March 31, 2025 as compared to total revenue of $67.5 million 
      for the same period in 2024, an increase of 213.8%. Revenue from mature 
      hospitals, which are hospitals opened prior to December 31, 2022, 
      increased by 186.5% in 2025 compared to 2024. 
 
   -- The arbitration process resulted in approximately $105.0 million more in 
      revenue in the three months ended March 31, 2025 than the same period in 
      2024, which amounted to 73.1% of the $144.3 million revenue increase. Of 
      the $105.0 million in arbitration revenue, $60.0 million, $26.0 million 
      and $19.0 million related to dates of services for the first quarter 
      2025, fourth quarter 2024 and pre-fourth quarter 2024, respectively. 
 
   -- Total stock-based compensation expense for the three months ended March 
      31, 2025 was $36.1 million compared to less than $0.1 million for the 
      same period in 2024. Approximately 99% of total stock-based compensation 
      expense of $36.1 million is due to the one-time obligations for 
      under-construction and ramping hospitals. 
 
   -- Operating income for the three months ended March 31, 2025 was $72.2 
      million compared to $1.5 million for the same period in 2024, 
      representing a $70.7 million improvement year over year. 
 
   -- Net income attributable to Nutex Health for the three months ended March 
      31, 2025 of $14.6 million as compared to net loss attributable to Nutex 
      Health of $0.4 million for the same period in 2024. The $14.6 million in 
      net income includes non-cash stock-based compensation expense of $36.1 
      million, while the $0.4 million net loss includes no non-cash stock-based 
      compensation expense. 
 
   -- EBITDA attributable to Nutex Health of $43.1 million, as compared to 
      EBITDA attributable to Nutex Health of $7.1 million for the three months 
      ended March 31, 2024, an increase of 507.0%. 
 
   -- Adjusted EBITDA attributable to Nutex Health of $72.8 million, as 
      compared to Adjusted EBITDA attributable to Nutex Health of $(0.4) 
      million for the three months ended March 31, 2024. 
 
   -- Total visits at the Hospital Division were 48,269 for the three months 
      ended March 31, 2025, as compared to 40,068 for the same period in 2024, 
      an increase of 8,201 or 20.5%. Visits at mature hospitals increased by 
      5.3% in the three months ended March 31, 2025 as compared to the same 
      period in 2024. 
 
   -- Net cash from operating activities of $51.0 million for the three months 
      ended March 31, 2025. 
 
   -- As of March 31, 2025, the Company had total assets of $761.9 million, 
      including cash and cash equivalents of $87.7 million, and long-term debt 
      of $21.7 million. 

Note: EBITDA and Adjusted EBITDA are non-GAAP financial metrics. A reconciliation of non-GAAP to GAAP measures is included below in this earnings release.

"We are excited to provide yet another solid quarter with $14.6 million in net income, a record high gross profit of 56%, a record high $51.0 million in net cash from operating activities and a record high cash balance of $87.7 million, highlighting the company's continued financial strength as we execute on our growth plan for 2025," stated Jon Bates, Chief Financial Officer of Nutex Health.

"In 2024, Nutex Health achieved significant operational improvements across all key metrics. Total hospital division visits increased by 20.5%, driven by higher ER acuity and an enhanced service mix, with greater focus on observation patients and inpatients. In 2025, we will continue optimizing operations and maintaining a lean cost structure to support sustained growth," said Josh DeTillio, Chief Operating Officer of Nutex Health.

"The great momentum that we started in 2024 is continuing into the first quarter of 2025. We are now seeing more consistent financial results stemming from a combination of volume growth and operational efficiency, with more fair and reasonable payments from the arbitration process. We still have a lot of work ahead of us, but the positive trend is very encouraging. We would like to thank our team of physicians and team members nationwide for working in alignment to get us to where we are this quarter," stated Tom Vo, M.D., MBA, Chairman and Chief Executive Officer of Nutex Health.

For more details on the Company's first quarter 2025 financial results, please refer to our Quarterly Report on Form 10-Q filed with the U.S. Securities & Exchange Commission and accessible at www.sec.gov.

 
                            NUTEX HEALTH INC. 
                        CONSOLIDATED BALANCE SHEETS 
                                (Unaudited) 
 
(In thousands, except share and 
per share amounts)                    March 31, 2025    December 31, 2024 
----------------------------------   ----------------  ------------------- 
              Assets 
Current assets: 
 Cash and cash equivalents            $        87,670   $           43,581 
 Accounts receivable                          295,082              232,449 
 Accounts receivable - related 
  parties                                       4,258                3,602 
 Inventories                                    3,118                2,850 
 Prepaid expenses and other current 
  assets                                       11,389                9,998 
                                         ------------      --------------- 
 Total current assets                         401,517              292,480 
 Property and equipment, net                   76,431               77,933 
 Operating right-of-use assets                 27,466               27,872 
 Finance right-of-use assets                  216,193              218,889 
 Intangible assets, net                        15,205               15,530 
 Goodwill, net                                 13,919               13,919 
 Deferred tax assets                           10,487                7,987 
 Other assets                                     698                  711 
                                         ------------      --------------- 
 Total assets                         $       761,916   $          655,321 
                                         ============      =============== 
 
      Liabilities and Equity 
Current liabilities: 
 Accounts payable                     $        19,836   $            9,614 
 Accounts payable - related parties             5,679                4,345 
 Lines of credit                                7,126                3,554 
 Current portion of long-term debt             13,635               14,395 
 Operating lease liabilities, 
  current portion                               2,103                2,080 
 Finance lease liabilities, current 
  portion                                       8,027                7,705 
 Accrued arbitration expenses                  51,803               47,742 
 Accrued income tax expense                    43,718               25,989 
 Accrued expenses and other current 
  liabilities                                  24,639               25,442 
                                         ------------      --------------- 
 Total current liabilities                    176,566              140,866 
 Long-term debt, net                           21,733               22,466 
 Operating lease liabilities, net              30,350               30,617 
 Finance lease liabilities, net               258,387              259,479 
                                         ------------      --------------- 
 Total liabilities                            487,036              453,428 
                                         ------------      --------------- 
 
Commitments and contingencies 
(Note 9) 
 
Equity: 
 Common stock, $0.001 par value; 
  950,000,000 shares authorized; 
  5,528,448 and 5,511,452 shares 
  issued and outstanding as of 
  March 31, 2025 and 
  December 31, 2024, respectively                   6                    6 
 Additional paid-in capital                   539,361              503,233 
 Accumulated deficit                        (342,259)            (356,893) 
                                         ------------      --------------- 
 Nutex Health Inc. equity                     197,108              146,346 
 Noncontrolling interests                      77,772               55,547 
                                         ------------      --------------- 
 Total equity                                 274,880              201,893 
                                         ------------      --------------- 
 Total liabilities and equity         $       761,916   $          655,321 
                                         ============      =============== 
 
 
                           NUTEX HEALTH INC. 
                  CONSOLIDATED STATEMENTS OF OPERATIONS 
                               (Unaudited) 
 
                                          Three Months Ended March 31, 
                                        -------------------------------- 
(In thousands, except share and per 
share amounts)                                2025             2024 
-------------------------------------   -----------------  ------------- 
Revenue: 
 Hospital division                       $        203,947  $      60,029 
 Population health management division              7,842          7,424 
                                            -------------   ------------ 
 Total revenue                                    211,789         67,453 
                                            -------------   ------------ 
 
Operating costs and expenses: 
 Payroll                                           34,860         27,003 
 Contract services                                 38,655         11,319 
 Medical supplies                                   3,801          5,322 
 Depreciation and amortization                      5,092          4,186 
 Other                                             11,043          9,466 
                                            -------------   ------------ 
 Total operating costs and expenses                93,451         57,296 
                                            -------------   ------------ 
 
 Gross profit                                     118,338         10,157 
                                            -------------   ------------ 
 
Corporate and other costs: 
 Stock-based compensation                          36,094             49 
 General and administrative expenses               10,035          8,658 
                                            -------------   ------------ 
 Total corporate and other costs                   46,129          8,707 
                                            -------------   ------------ 
 
 Operating income                                  72,209          1,450 
 
Interest expense, net                               6,120          4,444 
Gain on warrant liability                               -        (2,601) 
Other (income) expense                              3,325          (241) 
                                            -------------   ------------ 
 Income (loss) before taxes                        62,764          (152) 
 
 Income tax expense                                18,541            390 
                                            -------------   ------------ 
 
Net income (loss)                                  44,223          (542) 
 
 Less: net income (loss) attributable 
  to noncontrolling interests                      29,589          (178) 
                                            -------------   ------------ 
 
Net income (loss) attributable to 
 Nutex Health Inc.                       $         14,634  $       (364) 
                                            =============   ============ 
 
Income (loss) per common share: 
 Basic                                   $           2.65  $      (0.08) 
 Diluted                                 $           2.56  $      (0.08) 
 
 
                           NUTEX HEALTH INC. 
                  CONSOLIDATED STATEMENTS OF CASH FLOWS 
                               (Unaudited) 
 
                                          Three Months Ended March 31, 
                                        -------------------------------- 
(In thousands)                                 2025             2024 
-------------------------------------   ------------------  ------------ 
Cash flows from operating activities: 
 Net income (loss)                       $          44,223  $      (542) 
 Adjustments to reconcile net income 
 (loss) to net cash from operating 
 activities: 
 Depreciation and amortization                       5,092         4,186 
 Gain on warrant liability                               -       (2,601) 
 Stock-based compensation expense                   36,094            49 
 Deferred tax (benefit) expense                    (2,500)          (95) 
 Debt accretion expense                                253           365 
 Changes in operating assets and 
 liabilities, net of the effects of 
 acquisitions: 
 Accounts receivable                              (62,633)       (2,909) 
 Accounts receivable - related party                 (656)          (62) 
 Inventories                                         (268)           415 
 Prepaid expenses and other current 
  assets                                           (1,378)           796 
 Operating right-of-use assets                         406           273 
 Accounts payable                                   10,222       (1,681) 
 Accounts payable - related party                    1,334           475 
 Operating lease liabilities                         (245)         (376) 
 Accrued arbitration expenses                        4,061             - 
 Accrued income tax expense                         17,729             - 
 Accrued expenses and other current 
  liabilities                                        (769)         4,758 
                                            --------------   ----------- 
 Net cash from operating activities                 50,965         3,051 
                                            --------------   ----------- 
 
Cash flows from investing activities: 
 Acquisitions of property and 
  equipment                                           (64)         (733) 
                                            --------------   ----------- 
 Net cash from investing activities                   (64)         (733) 
                                            --------------   ----------- 
 
Cash flows from financing activities: 
 Proceeds from lines of credit                       3,864             - 
 Proceeds from long-term debt                          157         2,915 
 Repayments of lines of credit                       (292)         $(595.SI)$ 
 Repayments of long-term debt                      (1,810)       (4,388) 
 Repayments of finance leases                      (1,367)         (968) 
 Proceeds from common stock issuance, 
  net issuance costs                                     -         9,203 
 Members' distributions                            (7,364)         (481) 
                                            --------------   ----------- 
 Net cash from financing activities                (6,812)         5,686 
                                            --------------   ----------- 
Net change in cash, cash equivalents 
 and restricted cash                                44,089         8,004 
Cash, cash equivalents and restricted 
 cash - beginning of the period                     43,581        22,002 
                                            --------------   ----------- 
Cash, cash equivalents and restricted 
 cash - end of the period                $          87,670  $     30,006 
                                            ==============   =========== 
 

Non-GAAP Financial Measures (Unaudited)

EBITDA and Adjusted EBITDA. EBITDA and Adjusted EBITDA are used as a supplemental non-GAAP financial measure by management and external users of our financial statements, such as industry analysts, investors, lenders and rating agencies. We believe EBITDA and Adjusted EBITDA are useful because it allows us to more effectively evaluate our operating performance.

We define EBITDA as net income (loss) attributable to Nutex Health Inc. plus interest expense, income taxes, depreciation and amortization.

We define Adjusted EBITDA as net income (loss) attributable to Nutex Health Inc. plus net interest expense, income taxes, depreciation and amortization, further adjusted for stock-based compensation, certain defined items of expense and any acquisition-related costs and impairments. Interest expense includes interest on lease liabilities, which is a component of total finance lease cost. A reconciliation of net income to Adjusted EBITDA is included below.

Beginning in the first quarter of 2025, we have updated our presentation of Adjusted EBITDA to separately disclose finance lease payments related to leases under ASC 842, which were previously included in interest expense, net and depreciation and amortization. We believe this change provides greater transparency into our operating performance.

Adjusted EBITDA is not intended to serve as an alternative to U.S. GAAP measures of performance and may not be comparable to similarly-titled measures presented by other companies.

 
                           Three Months Ended March 31, 
                   --------------------------------------------- 
                           2025                   2024 
                   --------------------  ----------------------- 
Reconciliation 
of net income 
(loss) 
attributable to 
Nutex Health        (Updated)   (Prior)   (Updated) 
Inc. to Adjusted 
EBITDA:                                                 (Prior) 
                   ----------  --------  ----------  ----------- 
 Net income 
  (loss) 
  attributable to 
  Nutex Health 
  Inc.             $   14,634  $ 14,634  $    (364)   $    (364) 
 Depreciation and 
  amortization          5,092     5,092       4,186        4,186 
 Interest 
  expense, net          6,120     6,120       4,444        4,444 
 Income tax 
  expense              18,541    18,541         390          390 
 Allocation to 
  noncontrolling 
  interests           (1,297)   (1,297)     (1,544)      (1,544) 
                    ---------   -------   ---------      ------- 
 EBITDA                43,090    43,090       7,112        7,112 
 Gain on warrant 
  liability                 -         -     (2,601)      (2,601) 
 Finance lease 
  payments(1)         (6,363)         -     (4,972)            - 
 Stock-based 
  compensation         36,094    36,094          49           49 
                    ---------   -------   ---------      ------- 
 Adjusted EBITDA   $   72,821  $ 79,184  $    (412)   $    4,560 
                    =========   =======   =========      ======= 
 
 
 
(1) Finance lease payments consist of cash payments for financing leases under 
ASC 842, which should be deducted from EBITDA. We believe this change is 
useful to investors to evaluate the ongoing operating performance of our 
business. 
 

About Nutex Health Inc.

Headquartered in Houston, Texas and founded in 2011, Nutex Health Inc. (NASDAQ: NUTX) is a healthcare management and operations company with two divisions: a Hospital Division and a Population Health Management Division.

The Hospital Division owns, develops and operates innovative health care models, including micro-hospitals, specialty hospitals, and hospital outpatient departments (HOPDs). This division owns and operates 24 facilities in 11 states.

The Population Health Management division owns and operates provider networks such as Independent Physician Associations (IPAs). Through our Management Services Organization (MSO), we provide management, administrative and other support services to our affiliated hospitals and physician groups.

Forward-Looking Statements

Certain statements and information included in this press release constitute "forward-looking statements" within the meaning of the Private Securities Litigation Act of 1995. When used in this press release, the words or phrases "will", "will likely result," "expected to, " "will continue," "anticipated," "estimate," "projected," "intend," "goal," or similar expressions are intended to identify "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. Such statements are subject to certain risks, known and unknown, and uncertainties, many of which are beyond the control of the Company. Such uncertainties and risks include, but are not limited to, our ability to successfully execute our growth strategy, changes in laws or regulations, including the interim final and final rules implemented under the No Surprises Act , economic conditions, dependence on management, dilution to stockholders, lack of capital, the effects of rapid growth upon the Company and the ability of management to effectively respond to the growth and demand for products and services of the Company, newly developing technologies, the Company's ability to compete, conflicts of interest in related party transactions, regulatory matters, protection of technology, lack of industry standards, the effects of competition and the ability of the Company to obtain future financing. An extensive list of factors that can affect future results are discussed in the Annual Report on Form 10-K for the year ended December 31, 2024, and subsequent Quarterly Report on Form 10-Q for the three months ended March 31, 2025 under the heading "Risk Factors" in Part II, Item IA thereof, and other documents filed from time to time with the Securities and Exchange Commission. Such factors could materially adversely affect the Company's financial performance and could cause the Company's actual results for future periods to differ materially from any opinions or statements expressed within this press release.

View original content:https://www.prnewswire.com/news-releases/nutex-health-reports-first-quarter-2025-financial-results-302454547.html

SOURCE Nutex Health, Inc.

 

(END) Dow Jones Newswires

May 13, 2025 17:43 ET (21:43 GMT)

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