Le Lézard
Classified in: Health, Business
Subject: ERN

NUTEX HEALTH REPORTS FIRST QUARTER 2024 FINANCIAL RESULTS


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:

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.

SOURCE Nutex Health, Inc.


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