Nutex Health (NUTX)
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NUTEX HEALTH REPORTS FIRST QUARTER 2024 FINANCIAL RESULTS
Prnewswire· 2024-05-08 23:13
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 2024 CONTINUED FOCUS ON INCREASED CASH FLOW THROUGH REDUCTION IN OPERATING EXPENSES AND PORTFOLIO OPTIMIZATION ...
Nutex Health (NUTX) - 2024 Q1 - Quarterly Results
2024-05-08 22:27
Financial Performance - Total revenue for Q1 2024 was $67.5 million, an increase of 20% compared to $56.3 million in Q1 2023[8] - Hospital division operating income reached $10.5 million, a 119% increase from $4.8 million in the same period last year[8] - Adjusted EBITDA for Q1 2024 was $4.6 million, up 92% from $2.4 million in Q1 2023[8] - Net cash from operating activities was $3.1 million for Q1 2024, compared to $1.1 million in Q1 2023[8] - Net loss attributable to Nutex Health Inc. was $0.4 million, significantly improved from a net loss of $5.1 million in Q1 2023[8] - Net loss attributable to Nutex Health Inc. for Q1 2024 was $364,075, a significant improvement from a net loss of $5,147,279 in Q1 2023[18] - Adjusted EBITDA for Q1 2024 was $4,560,401, compared to $2,437,854 in Q1 2023, reflecting a year-over-year increase of approximately 87%[18] - EBITDA for Q1 2024 was reported at $7,111,981, a substantial increase from $320,588 in the same quarter of the previous year[18] Operational Highlights - Total hospital division visits increased to 40,068 in Q1 2024, a 21.1% rise from 33,085 visits in Q1 2023[8] - Mature hospitals contributed to a 6.7% revenue increase in 2024 compared to 2023[8] - The company opened five new micro hospitals and expanded its population health division over the past 18 months[6] - The Hospital Division operates 21 facilities across nine states, focusing on innovative healthcare models including micro-hospitals and specialty hospitals[19] - The Population Health Management division utilizes a cloud-based proprietary technology platform to aggregate clinical and claims data, enhancing care quality and efficiency[20] Financial Position - The company had $30.0 million in cash and $26.3 million in long-term debt as of March 31, 2024[6] - The balance sheet remains strong with total assets of $404.3 million as of March 31, 2024[8] Expenses and Costs - The company reported interest expense of $4,444,362 for Q1 2024, up from $3,140,089 in Q1 2023, indicating increased borrowing costs[18] - Depreciation and amortization expenses increased to $4,186,202 in Q1 2024 from $3,993,747 in Q1 2023, reflecting ongoing investments in facilities[18] - Stock-based compensation expense decreased to $49,167 in Q1 2024 from $1,900,000 in Q1 2023, indicating a reduction in equity compensation costs[18] Strategic Outlook - The company faces risks related to its growth strategy, regulatory changes, and competition, which could impact future financial performance[22] - Nutex Health Inc. is committed to expanding its provider networks and enhancing management services through its Management Services Organization (MSO)[20]
Nutex Health (NUTX) - 2024 Q1 - Quarterly Report
2024-05-08 22:26
Part I — Financial Information [Financial Statements](index=4&type=section&id=Item%201.%20Financial%20Statements) For the three months ended March 31, 2024, Nutex Health Inc. reported total revenues of $67.5 million, a 19.8% increase year-over-year, driven primarily by its Hospital division. The company shifted from an operating loss of $4.4 million in Q1 2023 to an operating income of $1.4 million in Q1 2024. Net loss attributable to the company significantly decreased to $0.4 million from $5.1 million in the prior-year period. Total assets grew to $404.3 million, and cash and cash equivalents increased to $30.0 million, supported by $9.2 million in net proceeds from a common stock issuance [Condensed Consolidated Balance Sheets](index=4&type=section&id=Condensed%20Consolidated%20Balance%20Sheets) The balance sheet reflects an increase in total assets to **$404.3 million**, driven by higher cash, and the recognition of a **$5.1 million** warrant liability Condensed Consolidated Balance Sheet Highlights (Unaudited) | Account | March 31, 2024 ($) | December 31, 2023 ($) | | :--- | :--- | :--- | | **Assets** | | | | Cash and cash equivalents | 30,006,419 | 22,002,056 | | Total current assets | 100,358,343 | 90,848,403 | | Total assets | 404,283,854 | 398,245,497 | | **Liabilities & Equity** | | | | Total current liabilities | 59,888,184 | 58,313,052 | | Total liabilities | 324,271,704 | 319,139,391 | | Total equity | 80,012,150 | 79,106,106 | | Total liabilities and equity | 404,283,854 | 398,245,497 | - Total assets increased to **$404.3 million** as of March 31, 2024, from **$398.2 million** at year-end 2023, primarily due to an increase in cash and cash equivalents[12](index=12&type=chunk) - A new warrant liability of **$5.1 million** was recorded on the balance sheet as of March 31, 2024, which was not present at the end of 2023[12](index=12&type=chunk) [Condensed Consolidated Statements of Operations](index=5&type=section&id=Condensed%20Consolidated%20Statements%20of%20Operations) Operations show **19.8%** revenue growth to **$67.5 million**, a shift to **$1.4 million** operating income, and a reduced net loss of **$0.4 million**, aided by a warrant liability gain Condensed Consolidated Statements of Operations (Unaudited) | Metric | Three Months Ended Mar 31, 2024 ($) | Three Months Ended Mar 31, 2023 ($) | | :--- | :--- | :--- | | Total revenue | 67,453,787 | 56,329,417 | | Gross profit | 10,157,178 | 4,847,723 | | Operating income (loss) | 1,449,601 | (4,445,087) | | Net loss | (542,487) | (6,921,972) | | Net loss attributable to Nutex Health Inc. | (364,075) | (5,147,279) | | Basic and Diluted Loss per share | (0.01) | (0.12) | - Total revenue increased by **19.8%** year-over-year, from **$56.3 million** in Q1 2023 to **$67.5 million** in Q1 2024, primarily driven by a **21.8%** increase in the Hospital division's revenue[15](index=15&type=chunk) - The company reported a significant improvement in profitability, with operating income of **$1.4 million** in Q1 2024 compared to an operating loss of **$4.4 million** in Q1 2023. Net loss attributable to the company narrowed to **$0.4 million** from **$5.1 million**[15](index=15&type=chunk) - A gain on warrant liability of **$2.6 million** was recognized in Q1 2024, contributing to the reduced net loss[15](index=15&type=chunk) [Condensed Consolidated Statements of Cash Flows](index=7&type=section&id=Condensed%20Consolidated%20Statements%20of%20Cash%20Flows) Cash flow from operations improved to **$3.1 million**, with financing activities providing **$5.7 million** primarily from stock issuance, while investing activities significantly decreased cash usage Condensed Consolidated Statements of Cash Flows (Unaudited) | Cash Flow Activity | Three Months Ended Mar 31, 2024 ($) | Three Months Ended Mar 31, 2023 ($) | | :--- | :--- | :--- | | Net cash from operating activities | 3,050,859 | 1,052,013 | | Net cash from investing activities | (733,323) | (5,416,140) | | 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 - end of period | 30,006,419 | 32,836,535 | - Cash from operating activities improved to **$3.1 million** in Q1 2024 from **$1.1 million** in Q1 2023[21](index=21&type=chunk) - Financing activities provided **$5.7 million** in cash, primarily from **$9.2 million** in proceeds from a common stock issuance, offset by repayments of debt and finance leases[21](index=21&type=chunk) - Investing activities used significantly less cash (**$0.7 million**) compared to the prior year (**$5.4 million**), mainly due to lower acquisitions of property and equipment[21](index=21&type=chunk) [Notes to Condensed Consolidated Financial Statements](index=8&type=section&id=Notes%20to%20Condensed%20Consolidated%20Financial%20Statements) The notes detail the company's divisional structure, the **1-for-15** reverse stock split, and the **$9.2 million** capital raise in January 2024, which led to a **$7.7 million** warrant liability - The company operates through two main divisions: a hospital division with 21 facilities and a population health management division. It consolidates several Variable Interest Entities (VIEs), including Physician LLCs and Real Estate Entities[24](index=24&type=chunk)[37](index=37&type=chunk) - On April 9, 2024, the company effected a **1-for-15** reverse stock split to regain compliance with Nasdaq's minimum bid price requirement. All share and per-share amounts in the financial statements have been retroactively adjusted[31](index=31&type=chunk)[32](index=32&type=chunk)[33](index=33&type=chunk) - In January 2024, the company raised **$9.2 million** in gross proceeds through a securities purchase agreement, issuing **4.4 million** shares of common stock and warrants to purchase an equal number of shares. This resulted in the recognition of a **$7.7 million** warrant liability[93](index=93&type=chunk)[95](index=95&type=chunk)[96](index=96&type=chunk) [Management's Discussion and Analysis of Financial Condition and Results of Operations](index=27&type=section&id=Item%202.%20Management%27s%20Discussion%20and%20Analysis%20of%20Financial%20Condition%20and%20Results%20of%20Operations) Management attributes the improved performance in Q1 2024 to a 21.1% increase in patient visits, driven by the opening of four new facilities in 2023, and higher revenue per visit. The Hospital division's revenue grew 21.7% to $60.0 million, with operating income more than doubling to $10.5 million. The company is actively managing the financial impact of the No Surprises Act through various strategies, including maximizing coding efficiency and pursuing the Independent Dispute Resolution (IDR) process. Cash and equivalents increased to $30.0 million, bolstered by a $9.2 million stock issuance, which management believes is sufficient to fund operations and growth for the next twelve months. Adjusted EBITDA for the quarter rose to $4.6 million from $2.4 million in the prior-year period [Overview of Legislative Developments](index=29&type=section&id=Overview%20of%20Legislative%20Developments) Legislative developments, particularly the No Surprises Act, have reduced reimbursement rates by **30%**, prompting the company to implement mitigation strategies, with recent court rulings offering potential improvements - The No Surprises Act (NSA), effective January 1, 2022, aims to protect patients from surprise medical bills for out-of-network emergency services. This has significantly impacted the company's reimbursement rates[140](index=140&type=chunk) - Following the NSA's implementation, the company's average payment from insurers for emergency services declined by approximately **30%** by the end of 2022. While there was a slight improvement in 2023, the process requires extensive administrative effort through the Independent Dispute Resolution (IDR) process[148](index=148&type=chunk) - The company has implemented several strategies to mitigate the NSA's impact, including maximizing claims coding, increasing collection efforts, dedicating a team to the IDR process, and focusing on the less-affected value-based IPA business[151](index=151&type=chunk) - Recent court rulings, such as TMA III, have been favorable to providers by vacating regulations that unfairly favored the insurer's Qualifying Payment Amount (QPA), potentially improving future reimbursement rates[147](index=147&type=chunk)[154](index=154&type=chunk) [Results of Operations](index=32&type=section&id=Results%20of%20Operations) Operating results show a **19.8%** revenue increase to **$67.5 million**, a **92.9%** reduction in net loss to **$0.4 million**, and an **87.1%** rise in Adjusted EBITDA to **$4.6 million** Financial Performance Summary | Metric | Q1 2024 ($) | Q1 2023 ($) | Change (%) | | :--- | :--- | :--- | :--- | | Total Revenue | 67,453,787 | 56,329,417 | +19.8% | | Hospital Division Revenue | 60,029,369 | 49,288,164 | +21.7% | | Population Health Mgt. Revenue | 7,424,418 | 7,041,253 | +5.4% | | Total Segment Operating Income | 10,157,178 | 4,847,723 | +109.5% | | Net Loss Attributable to Nutex | (364,075) | (5,147,279) | -92.9% | | Adjusted EBITDA | 4,560,401 | 2,437,854 | +87.1% | - The decrease in net loss was primarily driven by higher revenue from a **21.1%** increase in patient visits, largely due to four new facilities opened in 2023, and an increase in revenue per visit[164](index=164&type=chunk)[167](index=167&type=chunk) - The Hospital division's operating income increased by **119%** to **$10.5 million** in Q1 2024 from **$4.8 million** in Q1 2023[169](index=169&type=chunk) - The company recorded **$0.7 million** of net revenue from cash collections for previously provided services that had been reserved as uncollectible[168](index=168&type=chunk) [Liquidity and Capital Resources](index=34&type=section&id=Liquidity%20and%20Capital%20Resources) The company's cash and equivalents increased to **$30.0 million**, supported by **$3.0 million** from operations and **$9.2 million** from stock issuance, which management deems sufficient for future needs - As of March 31, 2024, the company had **$30.0 million** in cash and cash equivalents, an increase from **$22.0 million** at December 31, 2023[181](index=181&type=chunk) - Key sources of cash during Q1 2024 were **$3.0 million** from operating activities and **$9.2 million** net proceeds from a common stock issuance[184](index=184&type=chunk) - Key uses of cash included **$2.1 million** in net debt repayments, **$0.7 million** for capital expenditures, and **$1.0 million** for finance lease repayments[184](index=184&type=chunk) - Management believes existing cash and available borrowing capacity will be sufficient to meet anticipated cash needs for operations and growth for at least the next twelve months[185](index=185&type=chunk) [Quantitative and Qualitative Disclosures About Market Risk](index=36&type=section&id=Item%203.%20Quantitative%20and%20Qualitative%20Disclosures%20About%20Market%20Risk) The company reported no material changes in its primary market risk exposures or the management of those exposures during the three months ended March 31, 2024, compared to the disclosures in its 2023 Form 10-K - There have been no material changes in the company's primary market risk exposures or how those exposures are managed since the 2023 Form 10-K[192](index=192&type=chunk) [Controls and Procedures](index=36&type=section&id=Item%204.%20Controls%20and%20Procedures) As of March 31, 2024, management concluded that the company's disclosure controls and procedures were not effective. This conclusion is based on previously identified material weaknesses in internal control over financial reporting, including ineffective IT access and change management controls, inadequate business process controls, and lack of controls over key spreadsheets. The company is actively undertaking remediation efforts, such as implementing a new enterprise-wide system and engaging an external accounting firm, but these efforts are ongoing and have not yet been fully validated - Management concluded that disclosure controls and procedures were not effective as of March 31, 2024, due to previously identified material weaknesses[193](index=193&type=chunk) - Material weaknesses identified include ineffective controls over IT logical access and program changes, inadequate segregation of duties in business processes, and poor controls over the accuracy of key spreadsheets[196](index=196&type=chunk) - Remediation plans are in progress, including implementing a new enterprise-wide system, engaging an accounting firm for assistance, and hiring key senior management positions. These efforts are ongoing and require further validation[195](index=195&type=chunk)[197](index=197&type=chunk)[198](index=198&type=chunk) Part II — Other Information [Legal Proceedings](index=37&type=section&id=Item%201.%20Legal%20Proceedings) The company is not currently involved in any legal proceedings that it believes would have a material effect on its business or financial condition - The company reports that it is not involved in any legal proceedings expected to have a material effect on its business or financial condition[201](index=201&type=chunk) [Risk Factors](index=37&type=section&id=Item%201A.%20Risk%20Factors) The primary risk highlighted is the company's potential inability to maintain compliance with the Nasdaq Capital Market's continued listing requirements, specifically the $1.00 minimum bid price rule. Despite effecting a 1-for-15 reverse stock split in April 2024, the company had not regained compliance as of the report date. Failure to regain compliance by the May 20, 2024 deadline could result in a delisting notice, which would have significant adverse consequences, including reduced liquidity and limited market quotations for its securities - A significant risk is the potential failure to maintain compliance with Nasdaq's minimum bid price requirement of **$1.00** per share[203](index=203&type=chunk) - The company received a notice from Nasdaq in May 2023 and was granted an extension until May 20, 2024, to regain compliance[203](index=203&type=chunk)[204](index=204&type=chunk) - Despite a **1-for-15** reverse stock split on April 10, 2024, the company had not regained compliance as of the filing date. Failure to do so by the deadline will result in a delisting notice, which the company intends to appeal[204](index=204&type=chunk)[205](index=205&type=chunk) [Unregistered Sales of Equity Securities and Use of Proceeds](index=38&type=section&id=Item%202.%20Unregistered%20Sales%20of%20Equity%20Securities%20and%20Use%20of%20Proceeds) On March 26, 2024, the company amended the terms of its previously issued Unsecured Convertible Term Notes and related warrants. The conversion and exercise prices were reduced to $3.00 per share. This modification resulted in the notes being convertible into a total of 1,795,000 shares and the related warrants becoming exercisable for a total of 1,436,000 shares. These securities were issued in a private placement - On March 26, 2024, the company amended the conversion price of its Unsecured Convertible Term Notes and the exercise price of related warrants to **$3.00** per share[206](index=206&type=chunk) - This amendment increased the number of shares issuable upon conversion of the notes to **1.8 million** and upon exercise of the warrants to **1.4 million** (**0.9 million** for investors and **0.5 million** for the placement agent)[206](index=206&type=chunk) [Exhibits](index=39&type=section&id=Item%206.%20Exhibits) This section lists the exhibits filed with the Form 10-Q, which include certifications from the CEO and CFO as required by the Sarbanes-Oxley Act (Sections 302 and 906), and XBRL interactive data files - The exhibits filed with this report include CEO and CFO certifications pursuant to Sections 302 and 906 of the Sarbanes-Oxley Act of 2002[210](index=210&type=chunk) - Interactive Data Files (XBRL documents) are also included as exhibits[210](index=210&type=chunk)
NUTEX HEALTH SCHEDULES 2024 FIRST QUARTER FINANCIAL RESULTS RELEASE AND CONFERENCE CALL
Prnewswire· 2024-05-07 09:30
HOUSTON, May 7, 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 9 states and primary care-centric, risk-bearing physician networks, today announced that it will release financial results for the first quarter ended March 31, 2024 after the close of the stock market on Wednesday, May 8, 2024. The Company will discuss those results on a conferen ...
NUTEX HEALTH ANNOUNCES INTERNET AVAILABILITY OF PROXY MATERIALS FOR ITS 2024 ANNUAL MEETING
Prnewswire· 2024-05-06 22:35
HOUSTON, May 6, 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 9 states and primary care-centric, risk-bearing physician networks, today announced the availability of its definitive proxy materials for its 2024 Annual Meeting to be held on June 17, 2024 at 10:00 am Central Daylight Time via the internet as a virtual meeting only (and not in p ...
NUTEX HEALTH HOSTS SECOND ANNUAL INTERNAL LEADERSHIP CONFERENCE
Prnewswire· 2024-04-29 09:30
HOUSTON, April 29, 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 9 states and primary care-centric, risk-bearing physician networks, today announced its second annual private leadership conference from April 30 to May 2 in Houston, Texas. The conference serves as an opportunity for Nutex Health leaders from across the country to gather, s ...
Nutex Health (NUTX) - 2023 Q4 - Annual Report
2024-03-28 21:33
For the transition period from _________ to ___________ Commission file number 001-41346 NUTEX HEALTH INC. Delaware 11-3363609 (State or other jurisdiction of incorporation or organization) (I.R.S. Employer Identification No.) 6030 S. Rice Ave, Suite C, Houston, Texas 77081 Telephone Number (713) 660-0557 Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K ☑ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal yea ...
Nutex Health (NUTX) - 2023 Q4 - Annual Results
2024-03-28 21:27
Financial Performance - Total revenue for the year ended December 31, 2023, was $247.6 million, an increase of 13% compared to $219.3 million in 2022[6] - Total revenue for the fourth quarter of 2023 was $69.7 million, representing a 30% increase from $53.7 million in the same period of 2022[6] - Net loss attributable to Nutex Health Inc. for the year ended December 31, 2023, was $45.8 million, significantly improved from a net loss of $424.8 million in 2022[6] - The company reported a net loss attributable to Nutex Health Inc. of $31.6 million for the fourth quarter of 2023, compared to a net loss of $14.8 million in the fourth quarter of 2022[6] - Net income for 2023 was a loss of $43,423,715, compared to a loss of $432,739,618 in 2022, indicating a significant improvement[13] Operating Income and Expenses - Hospital division operating income increased by 142% to $36.3 million for the year ended December 31, 2023, compared to $15.0 million in 2022[6] - Adjusted EBITDA for the year ended December 31, 2023, was $10.8 million, down from $12.6 million in 2022[6] - Adjusted EBITDA for 2023 was $10,827,681, a decrease from $12,547,923 in 2022, reflecting ongoing operational challenges[16] - Cash flows from operating activities generated $1,256,452 in 2023, a substantial decline from $50,607,108 in 2022[13] - Net cash from operating activities for the year ended December 31, 2023, was $1.3 million[6] Assets and Cash Position - As of December 31, 2023, total assets were $398.2 million, down from $431.8 million in 2022[6] - Total cash and cash equivalents at the end of 2023 were $22,002,056, down from $34,255,264 at the end of 2022[13] - Net cash from investing activities was a negative $11,239,882 in 2023, compared to a negative $4,337,398 in 2022, indicating increased investment outflows[13] Strategic Initiatives - The management team initiated a strategic plan in January 2024 aimed at reducing annual cash operating expenses and optimizing resource allocation[6] - The company aims to deliver profitability on a net income basis to its investors in the medium and long term[7] - The company anticipates challenges in executing its growth strategy due to economic conditions and regulatory changes[20] Divisional Highlights - The Hospital Division operates 20 facilities across 8 states, focusing on innovative healthcare models[17] - The Population Health Management division utilizes a cloud-based technology platform to enhance patient care efficiency[18] Impairments and Financing - The company reported an impairment of assets totaling $29,082,203 in 2023, compared to no impairments in 2022[16] - Proceeds from notes payable in 2023 amounted to $16,952,905, a significant increase from $815,881 in 2022[13]
Nutex Health (NUTX) - 2023 Q3 - Quarterly Report
2023-11-09 21:04
Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended September 30, 2023 of incorporation or organization) Identification No.) or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission File Number: 001-41346 NUTEX HEALTH INC. (Exact name of registrant a ...
Nutex Health (NUTX) - 2023 Q2 - Quarterly Report
2023-08-09 19:03
Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2023 or ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission File Number: 001-41346 NUTEX HEALTH INC. (Exact name of registrant as specified in its charter) Delaware 11-3363609 (State or o ...