Nutex Health (NUTX) - 2025 Q3 - Earnings Call Transcript

Financial Data and Key Metrics Changes - Nutex Health reported total revenue of $267.8 million for Q3 2025, a 240% increase from $78.8 million in Q3 2024 [59] - Adjusted EBITDA grew to $98.5 million from $9.7 million year-over-year [60] - Net income for Q3 2025 was $55.4 million, compared to a net loss of $8.8 million in Q3 2024 [59] - Cash and cash equivalents reached a record high of $166 million, up from $40.6 million at the end of 2024 [65] Business Line Data and Key Metrics Changes - The hospital division generated $260.2 million in revenue for Q3 2025, up 262.8% from $71.1 million in Q3 2024 [42] - Mature hospitals, which have been operational for over two years, saw a revenue increase of 208.9% in Q3 2025 compared to Q3 2024 [43] - The population health division's revenue increased to $7.6 million in Q3 2025 from $7.1 million in Q3 2024 [55] Market Data and Key Metrics Changes - Total patient visits in Q3 2025 reached 46,232, an 11% increase from 41,668 visits in Q3 2024 [54] - Hospital division visits increased by 4,564 visits, reflecting a growth of 11% year-over-year [54] - The population health division experienced a revenue decrease of 2% in the first six months of 2025 compared to the same period in 2024 [30] Company Strategy and Development Direction - Nutex Health plans to open three new hospitals in 2025, with a pipeline of three to four additional hospitals planned for 2026 [6] - The company aims to build an integrated healthcare delivery system combining hospitals and medical groups to enhance patient care and reduce costs [69] - The focus remains on increasing patient volume, expanding inpatient services, and optimizing cost management [5][73] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's operational model and financial discipline, positioning Nutex Health for future growth [74] - The company has adapted to a better reimbursement environment, which has positively impacted revenue generation [80] - Management highlighted the importance of the independent dispute resolution process in improving payment fairness for services provided [66] Other Important Information - Nutex Health completed the restatement of its 2024 and Q1 2025 financials, with minor adjustments that did not materially impact key metrics [4] - The company has maintained a strong track record of physician retention exceeding 95% [9] - The balance sheet remains solid, with total bank or equity-type debt increasing to $49.1 million as of September 30, 2025 [66] Q&A Session Questions and Answers Question: What happened at Red River Micro Hospital, and why was it closed? - Red River was closed due to a 35% revenue reduction from the No Surprises Act in 2020, leading to operating losses. It has since reopened due to improved reimbursement conditions and local economic growth [80] Question: How does the company contract with physicians at the reopened hospital? - The physician group contracted for Red River is new, with Nutex Health owning 70% and the physician group 30%. This structure is consistent with previous hospital contracts [84] Question: Is the physician contracting template consistent across other micro-hospitals? - The structure is generally similar across micro-hospitals, with no major differences based on state regulations. Variations may exist in relationships with specific physician groups [87]