NUTEX HEALTH REPORTS FIRST QUARTER 2026 FINANCIAL RESULTS

By PR Newswire | April 30, 2026, 5:15 PM

HOUSTON, April 30, 2026 /PRNewswire/ -- Nutex Health Inc. ("Nutex Health" or the "Company") (NASDAQ: NUTX), today announced financial results for the three months ended March 31, 2026. Nutex Health is a physician-led, healthcare services and operations company with 27 hospital facilities in 12 states (hospital division), and a primary care-centric, risk-bearing physician network.

Financial highlights for the three months ended March 31, 2026:

  • Total revenue increased 2.2% to $216.5 million compared to $211.8 million for the same period in 2025, driven by 1.8% growth in hospital division revenue to $207.6 million from $203.9 million, while revenue at same hospitals, which are hospitals that were opened by December 31, 2024, increased 0.2%.
  • Net income attributable to Nutex Health increased to $46.8 million, or diluted EPS of $6.52, compared to $21.2 million, or diluted EPS of $3.33, for the three months ended March 31, 2025.
  • EBITDA attributable to Nutex Health was $68.3 million and Adjusted EBITDA attributable to Nutex Health was $57.6 million, compared to $51.5 million and $72.8 million, respectively, for the months ended March 31, 2025.
  • Total visits at the Hospital Division increased 3.1% year over year to 49,742, while visits at same hospitals increased 0.6%.
  • Net cash provided by operating activities was $75.5 million for the three months ended March 31, 2026 as compared to $51.0 million for the same period in 2025; and as of March 31, 2026, the Company had long-term debt, net of $24.3 million, down from $29.2 million as of December 31, 2025.

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.

Within the hospital division, revenue from same hospitals increased 0.2% compared to the first quarter 2025, while a meaningful portion of total hospital revenue continued to be supported by higher acuity claims and favorable outcomes in the Independent Dispute Resolution ("IDR") process. The Company has submitted between 50–60% of its claims through IDR; when an award determination is made, Nutex Health currently prevails in over 85% of those determinations and collects, on average, over 80% of the award amounts, with arbitration costs approximating 35% of arbitration-related revenue. Total stock-based compensation expense for the three months ended March 31, 2026 was $(3.9) million, compared to $27.6 million for the same period in 2025. Net income attributable to Nutex Health increased 120.6% in the first quarter of 2026 as compared to the same period in 2025, underscoring strong operating cash generation and execution of its planned growth strategy.

"The 2026 year has started out strong producing solid revenue of $216.5 million, net income attributable to Nutex of $46.8 million, diluted EPS of $6.52 per share and $75.5 million of operating cash flow in the quarter. Our balance sheet remains very strong with a record high cash balance of $207.3 million. We are well positioned for our planned growth of three new hospital openings later this year," stated Jon Bates, Chief Financial Officer of Nutex Health.

"2026 is off to a solid start as we are pleased to share our first set of 2026 financial results. Operationally, we continue to make significant progress in strengthening internal processes and targeted investments designed to drive both patient volumes and inpatient admissions," stated Tom Vo, M.D., MBA, Chairman and Chief Executive Officer of Nutex Health.

Dr. Vo continues: "We remain on track to target a sustainable development pace of three to five hospitals annually. Importantly, our Board of Directors has approved Nutex Health to begin selective self-development of new facilities through our real estate division starting in 2026, evaluated on a case-by-case basis. This strategic investment underscores our confidence in the long‑term growth opportunities and ensures that our hospital development pipeline remains strong and durable."

For more details on the Company's financial results for the three months ended March 31, 2026, please refer to our Quarterly Report on Form 10-Q filed with the U.S. Securities & Exchange Commission and accessible at www.sec.gov.

Conference Call on First Quarter 2026 Results

The Company will host a conference call on Friday, May 1, 2026 at 9:30 a.m. CT to discuss its results for the first quarter of 2026.

Participant Listening: 1-877-407-9208 or 1-201-493-6784

Participant Link: https://callme.viavid.com/viavid/?callme=true&passcode=13746493&h=true&info=company&r=true&B=6

To access the call, please dial in approximately five minutes before start time. Those who are unable to attend the live conference call may access the recording on the Company's website.

NUTEX HEALTH INC.

CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED)

 

(In thousands, except share and per share amounts)



March 31, 2026



December 31, 2025

Assets









Current assets:









Cash and cash equivalents



$            207,347



$            185,574

Restricted cash



3,292



297

Accounts receivable



339,560



319,440

Accounts receivable - related parties



6,339



5,978

Inventories



4,679



2,866

Prepaid expenses and other current assets



18,432



24,656

Total current assets



579,649



538,811

Property and equipment, net (accumulated depreciation of 33,598 and 31,696 as of

March 31, 2026 and December 31, 2025, respectively)



94,927



94,581

Operating lease right-of-use assets



26,554



26,955

Financing lease right-of-use assets



220,696



222,367

Intangible assets, net



20,905



21,230

Goodwill, net



13,919



13,919

Other assets



668



662

Total assets



$            957,318



$            918,525











Liabilities and Equity









Current liabilities:









Accounts payable



$              46,452



$              45,863

Accounts payable - related parties



3,920



3,104

Lines of credit



146



740

Current portion of long-term debt



16,728



13,336

Operating lease liabilities, current portion



2,176



2,152

Financing lease liabilities, current portion



7,364



7,077

Accrued arbitration expenses



56,833



49,743

Accrued income tax expense



15,594



867

Accrued stock-based compensation



2,723



8,256

Accrued expenses and other current liabilities



32,500



26,773

Total current liabilities



184,436



157,911

Long-term debt, net



24,261



29,174

Non-current operating lease liabilities, net



29,633



30,037

Non-current financing lease liabilities, net



268,778



268,877

Deferred tax liabilities



8,157



9,089

Total liabilities



515,265



495,088











Commitments and contingencies (Note 10)



















Equity:









Common stock, $0.001 par value; 950,000,000 shares authorized; 6,951,622 and 7,086,670

shares issued and outstanding as of March 31, 2026 and December 31, 2025, respectively



7



7

Additional paid-in capital



585,666



615,627

Accumulated deficit



(239,380)



(286,187)

Nutex Health Inc. equity



346,293



329,447

Noncontrolling interests



95,760



93,990

Total equity



442,053



423,437

Total liabilities and equity



$            957,318



$            918,525

 

NUTEX HEALTH INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)





Three months ended March 31,

(In thousands, except per share amounts)



2026



2025

Revenue:









Hospital division



$         207,570



$         203,947

Population health management division



8,915



7,842

Total revenue



216,485



211,789











Operating costs and expenses:









Payroll



41,439



34,860

Contract services



60,532



38,655

Medical supplies



4,009



3,801

Depreciation and amortization



5,492



5,092

Other



13,283



11,043

Total operating costs and expenses



124,755



93,451











Gross profit



91,730



118,338











Corporate and other costs:









Stock-based compensation



(3,915)



27,642

General and administrative expenses



14,380



10,035

Total corporate and other costs



10,465



37,677











Operating income



81,265



80,661











Interest expense, net



4,682



6,120

Other expense



23



3,325

Income before taxes



76,560



71,216











Income tax expense



13,797



20,410











Net income



62,763



50,806











Less: net income attributable to noncontrolling interests



15,956



29,589











Net income attributable to Nutex Health Inc.



$           46,807



$           21,217











Earnings per common share:









Basic



$              6.70



$              3.74

Diluted



$              6.52



$              3.33

 

NUTEX HEALTH INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)





Three Months Ended March 31,

(In thousands)



2026



2025

Cash flows from operating activities:









Net income



$          62,763



$          50,806

Adjustment to reconcile net income to net cash from operating activities:









Depreciation and amortization



5,492



5,092

Stock-based compensation expense



(3,915)



27,642

Changes to deferred taxes



(932)



(2,500)

Debt accretion expense



33



253

Changes in operating assets and liabilities:









(Increase)/Decrease in Accounts receivable



(20,120)



(62,633)

(Increase)/Decrease in Accounts receivable - related party



(361)



(656)

(Increase)/Decrease in Inventories



(1,813)



(268)

(Increase)/Decrease in Prepaid expenses and other current assets



6,218



(1,378)

(Increase)/Decrease in Operating right-of-use assets



401



406

Increase/(Decrease) in Accounts payable



289



10,222

Increase/(Decrease) in Accounts payable - related party



816



1,334

Increase/(Decrease) in Operating lease liabilities



(380)



(245)

Increase/(Decrease) in Accrued arbitration expenses



7,090



4,061

Increase/(Decrease) in Accrued income tax expense



14,727



19,598

Increase/(Decrease) in Accrued expenses and other current liabilities



5,210



(769)

Net cash provided by operating activities



75,518



50,965











Cash flows from investing activities:









Acquisitions of property and equipment



(1,201)



(64)

Net cash used in investing activities



(1,201)



(64)











Cash flows from financing activities:









Proceeds from lines of credit





3,864

Proceeds from notes payable





157

Repayments of lines of credit



(594)



(292)

Repayments of notes payable



(1,554)



(1,810)

Repayments of finance leases



(1,553)



(1,367)

Cash related to stock repurchases and retirements



(31,730)



Members' contributions



1,239



Members' distributions



(15,357)



(7,364)

Net cash used in financing activities



(49,549)



(6,812)

Net change in cash, cash equivalents, and restricted cash



24,768



44,089











Cash and cash equivalents - beginning of the period



185,574



40,640

Restricted cash - beginning of period



297



Cash and cash equivalents and restricted cash - beginning of period



185,871



40,640











Cash and cash equivalents - end of period



207,347



84,729

Restricted cash - end of period



3,292



Cash and cash equivalents and restricted cash - end of period



$        210,639



$          84,729

Non-GAAP Financial Measures (Unaudited)

EBITDA and Adjusted EBITDA. EBITDA and Adjusted EBITDA are used as supplemental non-GAAP financial measures 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 these measures allow us to more effectively evaluate our operating performance.

We define EBITDA as net income attributable to Nutex Health Inc. plus interest expense, income taxes, depreciation and amortization. Interest expense includes interest on lease liabilities, which is a component of total finance lease cost.

We define Adjusted EBITDA as net income 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. A reconciliation of net income to EBITDA and 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 update provides greater transparency into our operating performance.

EBITDA and Adjusted EBITDA are not intended to serve as alternatives to U.S. GAAP measures of performance and may not be comparable to similarly-titled measures presented by other companies. EBITDA and Adjusted EBITDA follows (in thousands):



Three Months Ended March 31,



2026



2025

Reconciliation of net income attributable to Nutex Health Inc. to Adjusted EBITDA:







Net income attributable to Nutex Health Inc.

$          46,807



$          21,217

Depreciation and amortization

5,492



5,092

Interest expense, net

4,682



6,120

Income tax expense

13,797



20,410

Allocation to noncontrolling interests

(2,473)



(1,297)

EBITDA

68,305



51,542

Stock-based compensation

(3,915)



27,642

Finance lease payments

(6,826)



(6,363)

Adjusted EBITDA

$          57,564



$          72,821

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. This division owns and operates 27 hospital facilities in 12 states.

The Population Health Management division owns and operates provider networks such as Independent Physician Associations. Through our Management Services Organization, 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, regulatory and litigation uncertainty under the No Surprises Act, lawsuits filed by health insurance providers against our third party provider in the arbitration process, sales of a substantial amount of our Common Stock by our stockholders, our obligation to issue additional shares of our common stock to former doctor owners of under construction hospitals, manipulative short seller reports, the impact of litigation and disputes, our ability to successfully execute our growth strategy, economic conditions, dependence on management, 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, 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.

 

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SOURCE Nutex Health, Inc.

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