NUTEX HEALTH REPORTS RESTATED FIRST QUARTER 2025 FINANCIAL RESULTS
HOUSTON, Nov. 18, 2025 /PRNewswire/ -- Nutex Health Inc. ("Nutex Health" or the "Company") (NASDAQ: NUTX), today announced restated first quarter financial results for the three months ended March 31, 2025. Nutex Health is 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.
First Quarter 2025 Restatement Background
As previously disclosed in Form 8-K filed on August 21, 2025, the Audit Committee of the Board of Directors of Nutex Health, after consultation with the Chief Financial Officer, concluded that the Company's previously issued condensed consolidated unaudited financial statements as of and for the three months ended March 31, 2025 contained in the originally filed Form 10-Q should be restated for the items described below. The major balance sheet accounts affected by these non-cash adjustments are as follows:
These adjustments as of March 31, 2025, when compared to the previously issued financial statements, result in an overall net increase to liabilities, a similar decrease to equity and an increase in net income. Total liabilities as of March 31, 2025 increased by $19.6 million (4.0%) while total equity correspondingly decreased by $19.6 million (7.1%). Net income for the period ended March 31, 2025 increased by $6.6 million (14.9%). As restated, earnings per share, diluted by unvested restricted stock and contingently issuable stock compensation increased by $0.77 to $3.33 from $2.56, while earnings per share, basic increased $1.09 to $3.74 from $2.65 for the three months ended March 31, 2025. These adjustments are non-cash in nature, had no material effect on key metrics including revenue, liquidity, short-term and long-term debt, operating cash flow, adjusted EBITDA or number of patient visits as of and for the periods presented therein.
Financial highlights for the three months ended March 31, 2025 (as restated):
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 $21.2 million in net income attributable to Nutex, a record high gross profit of 55.9%, a record high $51.0 million in net cash from operating activities and a record high cash balance of $84.7 million, all on a restated basis and materially the same as originally reported, highlighting the Company's continued financial strength and solid fundamentals as we execute on our growth plan for 2025," stated Jon Bates, Chief Financial 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 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 restated financial results for the three months ended March 31, 2025, please refer to our Amended Quarterly Report on Form 10-Q/A filed with the U.S. Securities & Exchange Commission and accessible at www.sec.gov.
NUTEX HEALTH INC.
CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED)
(In thousands, except share and per share amounts)
March 31, 2025
December 31, 2024
Assets
(As Restated)
Current assets:
Cash and cash equivalents
$ 84,729
$ 40,640
Restricted short-term investment
2,941
2,941
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
9,997
Total current assets
401,517
292,479
Property and equipment, net
76,431
77,933
Operating right-of-use assets
27,466
27,872
Financing 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
$ 655,320
Liabilities and Equity
Current liabilities:
Accounts payable
$ 19,836
$ 9,614
Accounts payable - related parties
2,141
806
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
Financing lease liabilities, current portion
8,027
7,705
Accrued arbitration expenses
51,803
47,742
Accrued income tax expense
46,130
26,533
Accrued stock-based compensation
20,739
16,356
Accrued expenses and other current liabilities
24,639
25,440
Total current liabilities
196,179
154,225
Long-term debt, net
21,733
22,466
Operating lease liabilities, net
30,350
30,617
Financing lease liabilities, net
258,387
259,479
Total liabilities
506,649
466,787
Commitments and contingencies (Note 9)
Equity:
Common stock, $0.001 par value; 950,000,000 shares authorized; 5,950,539 and 5,511,452
shares issued and outstanding as of March 31, 2025 and December 31, 2024, respectively
6
6
Additional paid-in capital
512,701
489,409
Accumulated deficit
(335,759)
(356,976)
Nutex Health Inc. equity
176,948
132,439
Noncontrolling interests
78,319
56,094
Total equity
255,267
188,533
Total liabilities and equity
$ 761,916
$ 655,320
NUTEX HEALTH INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)
Three Months Ended March 31,
(In thousands, except share and per share amounts)
2025
2024
(As Restated)
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
27,642
49
General and administrative expenses
10,035
8,658
Total corporate and other costs
37,677
8,707
Operating income (loss)
80,661
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
71,216
(152)
Income tax expense
20,410
390
Net income (loss)
50,806
(542)
Less: net income (loss) attributable to noncontrolling interests
29,589
(178)
Net income (loss) attributable to Nutex Health Inc.
$ 21,217
$ (364)
Earnings (loss) per common share
Basic
$ 3.74
$ (0.08)
Diluted
$ 3.33
$ (0.08)
NUTEX HEALTH INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
Three Months Ended March 31,
(In thousands)
2025
2024
Cash flows from operating activities:
(As Restated)
Net income (loss)
$ 50,806
$ (542)
Adjustment 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
27,642
49
Changes to deferred taxes
(2,500)
(95)
Debt accretion expense
253
365
Changes in operating assets and liabilities:
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
19,598
—
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)
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 and cash equivalents
44,089
8,004
Cash and cash equivalents - beginning of the period
40,640
22,002
Cash and cash equivalents - end of the period
$ 84,729
$ 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 (loss) 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. 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. Adjusted EBITDA follows (in thousands):
Three Months Ended March 31,
2025
2024
Reconciliation of net income (loss) attributable to Nutex
Health Inc. to Adjusted EBITDA:
(As restated,
updated)
(As restated,
prior)
(Updated)
(Prior)
Net income (loss) attributable to Nutex Health Inc.
$ 21,217
$ 21,217
$ (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
20,410
20,410
390
390
Allocation to noncontrolling interests
(1,297)
(1,297)
(1,544)
(1,544)
EBITDA
51,542
51,542
7,112
7,112
Gain on warrant liability
—
—
(2,601)
(2,601)
Finance lease payments (1)
(6,363)
—
(4,972)
—
Stock-based compensation
27,642
27,642
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/A 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.
SOURCE Nutex Health, Inc.