NUTEX HEALTH REPORTS FIRST QUARTER 2024 FINANCIAL RESULTS

NUTEX HEALTH REPORTS FIRST QUARTER 2024 FINANCIAL RESULTS

TOTAL REVENUE OF $67.5 MILLION FOR FIRST QUARTER 2024 VS $56.3 MILLION IN 2023, AN INCREASE OF 20%HOSPITAL DIVISION VISITS OF 40,068 FOR THE FIRST QUARTER 2024 VS VISITS OF 33,085 IN 2023, AN INCREASE OF 21.1%HOSPITAL DIVISION OPERATING INCOME OF $10.5 MILLION FOR FIRST QUARTER 2024 VS $4.8 MILLION IN 2023, AN INCREASE OF 119%NET CASH FROM OPERATING ACTIVITIES OF $3.1 MILLION FOR FIRST QUARTER 2024CONTINUED FOCUS ON INCREASED CASH FLOW THROUGH REDUCTION IN OPERATING EXPENSES AND PORTFOLIO OPTIMIZATION

HOUSTON, May 8, 2024 /PRNewswire/ — Nutex Health Inc. (“Nutex Health” or the “Company”) (NASDAQ: NUTX), a physician-led, technology-enabled integrated healthcare delivery system comprised of 21 state-of-the-art micro hospitals in nine states and primary care-centric, risk-bearing physician networks, today announced first quarter 2024 financial results for the three months ended March 31, 2024.

Financial Highlights for the Three Months Ended March 31, 2024:

Total revenue of $67.5 million as compared to total revenue of $56.3 million for the three months ended March 31, 2023, an increase of approximately 20%. Of this revenue growth, mature hospitals, which are hospitals opened prior to December 31, 2021, increased by 6.7% in 2024 compared to 2023.Total visits from the Hospital Division were 40,068 for the first quarter 2024 as compared to 33,085 for the first quarter 2023, an increase of 6,983 or 21.1%. Of this visit growth, mature hospitals increased by 5.3% in 2024 compared to 2023.Net loss attributable to Nutex Health Inc. of $0.4 million as compared to net loss attributable to Nutex Health Inc. of $5.1 million for the three months ended March 31, 2023.EBITDA of $7.1 million as compared to EBITDA of $0.3 million for the three months ended March 31, 2023.Adjusted EBITDA of $4.6 million as compared to Adjusted EBITDA of $2.4 million for the three months ended March 31, 2023, an increase of 92%.Net cash from operating activities of $3.1 million.As of March 31, 2024, the Company had total assets of $404.3 million, including cash and cash equivalents of $30.0 million and long-term debt of $26.3 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 pleased to report 20% revenue growth, Adjusted EBITDA of $4.6 million and a 119% increase in hospital division operating income to $10.5 million in 2024, with overall Nutex operating income of $1.5 million as opposed to an operating loss of $4.5 million in the same period last year,” stated Jon Bates, Chief Financial Officer of Nutex Health.

“We had a solid First Quarter with strong year over year growth. Volume continues to increase at both our mature hospitals as well as the four hospitals that we opened in 2023. Our average payment by insurers of patient claims increased, a trend we are optimistic will persist as we continue to work the NSA claims through the Independent Dispute Resolution process,” stated Tom Vo, M.D., MBA, Chairman and Chief Executive Officer of Nutex Health.

“Nutex Health has generated net cash from operations and has had positive Adjusted EBITDA for multiple consecutive quarters while growing organically with the opening of five new micro hospitals and growing our population health division in the past 18 months. We believe our balance sheet is strong, with $30.0 million in cash and only $26.3 million in long-term debt,” stated Warren Hosseinion, M.D., President of Nutex Health.

For more details on the Company’s First Quarter 2024 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.

CONDENSED CONSOLIDATED BALANCE SHEETS

(Unaudited)

March 31, 2024

December 31, 2023

Assets

Current assets:

Cash and cash equivalents

$

30,006,419

$

22,002,056

Accounts receivable

61,533,245

58,624,301

Accounts receivable – related parties

4,213,847

4,152,068

Inventories

2,975,486

3,390,584

Prepaid expenses and other current assets

1,629,346

2,679,394

Total current assets

100,358,343

90,848,403

Property and equipment, net

80,570,705

81,387,649

Operating right-of-use assets

11,580,253

11,853,082

Finance right-of-use assets

173,920,659

176,146,329

Intangible assets, net

20,102,371

20,512,636

Goodwill, net

17,066,263

17,066,263

Other assets

685,260

431,135

Total assets

$

404,283,854

$

398,245,497

Liabilities and Equity

Current liabilities:

Accounts payable

$

17,217,905

$

18,899,196

Accounts payable – related parties

6,856,962

6,382,197

Lines of credit

2,777,128

3,371,676

Current portion of long-term debt

9,388,455

10,808,721

Operating lease liabilities, current portion

1,586,904

1,579,987

Finance lease liabilities, current portion

4,366,696

4,315,979

Accrued expenses and other current liabilities

17,694,134

12,955,296

Total current liabilities

59,888,184

58,313,052

Long-term debt, net

26,308,017

26,314,733

Warrant liability

5,060,810

Operating lease liabilities, net

15,097,284

15,479,639

Finance lease liabilities, net

212,867,062

213,886,213

Deferred tax liabilities

5,050,347

5,145,754

Total liabilities

324,271,704

319,139,391

Commitments and contingencies

Equity:

Common stock, $0.001 par value; 950,000,000 shares authorized; 49,719,375 and
45,111,994 shares issued and outstanding as of March 31, 2024 and December 31, 2023,
respectively

49,719

45,112

Additional paid-in capital

472,405,834

470,480,617

Accumulated deficit

(409,436,614)

(409,072,539)

Nutex Health Inc. equity

63,018,939

61,453,190

Noncontrolling interests

16,993,211

17,652,916

Total equity

80,012,150

79,106,106

Total liabilities and equity

$

404,283,854

$

398,245,497

 

NUTEX HEALTH INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited)

Three Months Ended March 31, 

2024

2023

Revenue:

Hospital division

$

60,029,369

$

49,288,164

Population health management division

7,424,418

7,041,253

  Total revenue

67,453,787

56,329,417

Operating costs and expenses:

Payroll and benefits

27,003,144

25,836,673

Contract services

11,319,454

9,189,331

Medical supplies

5,321,842

4,023,882

Depreciation and amortization

4,186,202

3,993,747

Other

9,465,967

8,438,061

  Total operating costs and expenses

57,296,609

51,481,694

  Gross profit

10,157,178

4,847,723

Corporate and other costs:

Facilities closing costs

217,266

Stock-based compensation expense

49,167

1,900,000

General and administrative expenses

8,658,410

7,175,544

  Total corporate and other costs

8,707,577

9,292,810

  Operating income (loss)

1,449,601

(4,445,087)

Interest expense, net

4,444,362

3,140,089

Gain on warrant liability

(2,600,747)

Other (income) expense

(241,192)

247,455

Loss before taxes

(152,822)

(7,832,631)

Income tax expense (benefit)

389,665

(910,659)

Net loss

(542,487)

(6,921,972)

Less: net loss attributable to noncontrolling interests

(178,412)

(1,774,693)

Net loss attributable to Nutex Health Inc.

$

(364,075)

$

(5,147,279)

Loss per common share:

Basic

$

(0.01)

$

(0.12)

Diluted

$

(0.01)

$

(0.12)

 

NUTEX HEALTH INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

Three Months Ended March 31, 

2024

2023

Cash flows from operating activities:

Net loss

$

(542,487)

$

(6,921,972)

Adjustments to reconcile net loss to net cash from operating activities:

Depreciation and amortization

4,186,202

3,993,747

Gain on warrant liability

(2,600,747)

Amortization of debt issuance costs

6,738

Stock-based compensation expense

49,167

1,900,000

Deferred tax benefit

(95,407)

(910,659)

Debt accretion expense

365,104

Loss on lease termination

58,211

Non-cash lease expense (income)

(102,609)

40,545

Changes in operating assets and liabilities, net of the effects of acquisitions:

  Accounts receivable

(2,908,944)

6,620,249

  Accounts receivable – related party

(61,779)

(100)

  Inventories

415,098

47,840

  Prepaid expenses and other current assets

795,923

1,040,753

  Accounts payable

(1,681,291)

(8,565,577)

  Accounts payable – related party

474,765

9,636

  Accrued expenses and other current liabilities

4,757,864

3,732,602

  Net cash from operating activities

3,050,859

1,052,013

Cash flows from investing activities:

Acquisitions of property and equipment

(733,323)

(4,376,983)

Cash related to deconsolidation of Real Estate Entities

(1,039,157)

Net cash from investing activities

(733,323)

(5,416,140)

Cash flows from financing activities:

Proceeds from lines of credit

49,414

Proceeds from notes payable

2,915,000

7,551,506

Repayments of lines of credit

(594,548)

Repayments of notes payable

(4,386,398)

(2,209,678)

Repayments of finance leases

(968,434)

(936,703)

Proceeds from common stock issuance, net issuance costs

9,202,500

Members’ contributions

28,000

Members’ distributions

(481,293)

(1,537,141)

Net cash from financing activities

5,686,827

2,945,398

Net change in cash and cash equivalents

8,004,363

(1,418,729)

Cash and cash equivalents – beginning of the period

22,002,056

34,255,264

Cash and cash equivalents – end of the period

$

30,006,419

$

32,836,535

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, any acquisition-related costs and impairments. A reconciliation of net income to EBITDA and Adjusted EBITDA is included below. EBITDA and Adjusted EBITDA are 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, 

2024

2023

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

Net loss attributable to Nutex Health Inc.

$

(364,075)

$

(5,147,279)

Depreciation and amortization

4,186,202

3,993,747

Interest expense, net

4,444,362

3,140,089

Income tax expense (benefit)

389,665

(910,659)

Allocation to noncontrolling interests

(1,544,173)

(755,310)

  EBITDA

7,111,981

320,588

Facilities closing costs

217,266

Gain on warrant liability

(2,600,747)

Stock-based compensation expense

49,167

1,900,000

  Adjusted EBITDA

$

4,560,401

$

2,437,854

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 21 facilities in nine 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.  Our cloud-based proprietary technology platform aggregates clinical and claims data across multiple settings, information systems and sources to create a holistic view of patients and providers, allowing us to deliver greater quality care more efficiently. 

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, 2023 under the heading “Risk Factors” in Part I, 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.