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Lumexa Imaging Announces Fourth Quarter and Full Year 2025 Results, Reiterates Full Year 2026 Guidance 

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Lumexa Imaging (Nasdaq: LMRI) reported preliminary, unaudited fourth-quarter and full-year 2025 results and reiterated 2026 guidance on March 26, 2026. Q4 revenue was $267.7 million, up 7.9% year-over-year, with Adjusted EBITDA of $63.8 million (23.8% margin). Full-year 2025 revenue was $1.023 billion and Adjusted EBITDA was $230.2 million. The company cut leverage from 5.5x to 3.5x and added ten facilities in 2025. 2026 guidance: revenue $1.045–1.097 billion and Adjusted EBITDA $234–242 million; Adjusted EPS $0.71–0.77.

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Positive

  • Revenue +7.8% to $1.023 billion in 2025
  • Adjusted EBITDA +14.6% to $230.2 million in 2025
  • Leverage reduced by 2.0 turns from 5.5x to 3.5x
  • Opened 10 new facilities during 2025

Negative

  • Net loss of $47.1 million for full-year 2025
  • Q4 net loss of $28.7 million despite EBITDA growth
  • 2026 guidance includes ~$7 million incremental public company costs

News Market Reaction – LMRI

-29.84% 2.2x vol
48 alerts
-29.84% Session close to close
-19.7% Trough in 24 hr 1 min
$851.09M Market Cap
2.2x Rel. Volume

In the Mar 26 session, LMRI declined 29.84%, reflecting a significant negative market reaction. Argus tracked a trough of -19.7% from its starting point during tracking. Our momentum scanner triggered 48 alerts that day, indicating elevated trading interest and price volatility. Trading volume was elevated at 2.2x the daily average, suggesting increased selling activity.

Data tracked by StockTitan Argus on the day of publication.

Market Context

The stock dropped -29.8% in the session following this news. A negative reaction despite revenue and...
Analysis

The stock dropped -29.8% in the session following this news. A negative reaction despite revenue and Adjusted EBITDA growth would fit a market focused on profitability and valuation. Q4 2025 net loss of $28.7M and full-year loss of $47.1M, even if improved, may weigh on sentiment. Shares had traded 43.14% below the 52-week high and under the 200-day MA, so disappointment versus expectations or concern over the $234–$242M Adjusted EBITDA outlook could amplify downside moves.

Key Figures

Q4 2025 revenue: $267.7M Q4 2025 Adjusted EBITDA: $63.8M Q4 2025 net loss: $28.7M +5 more
8 metrics
Q4 2025 revenue $267.7M Consolidated revenues vs $248.0M in Q4 2024 (7.9% increase)
Q4 2025 Adjusted EBITDA $63.8M Up from $53.7M in Q4 2024; 23.8% margin
Q4 2025 net loss $28.7M Net loss vs $25.1M in Q4 2024
2025 revenue $1.023B Full-year consolidated revenues vs $948.9M in 2024 (7.8% increase)
2025 Adjusted EBITDA $230.2M Full-year Adjusted EBITDA vs $200.8M in 2024; 22.5% margin
2025 net loss $47.1M Full-year net loss vs $94.1M in 2024
Leverage reduction 5.5x to 3.5x Two-turn reduction in leverage; >$50M annual cash savings
2026 Adjusted EPS outlook $0.71–$0.77 Full-year 2026 Adjusted EPS guidance range

Historical Context

4 past events · Latest: Feb 17 (Positive)
Pattern 4 events
Date Event Sentiment 24h Move Catalyst
Feb 17 Investor conferences Positive +6.0% Announced CEO and CFO participation in three March 2026 investor conferences.
Jan 28 Leadership recognition Positive -2.8% Dr. Kemp elected to RSNA Board, highlighting quality and patient-centered care focus.
Jan 08 De novo expansion Positive +2.5% Reported record nine de novo centers in 2025, expanding to 185+ centers in 13 states.
Jan 05 JPM conference Positive +3.3% Announced CEO and CFO participation at the 44th Annual J.P. Morgan Healthcare Conference.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Recent news with generally positive tone has more often led to positive price reactions, with one notable divergence on a governance/recognition headline.

Recent Company History

Over the past few months, Lumexa has focused on visibility and growth execution. In January 2026, it highlighted record de novo expansion and participation in the J.P. Morgan Healthcare Conference, both followed by moderate gains. Subsequent conference participation news in February 2026 also saw a strong positive move. A governance-focused update on RSNA board election produced a small decline. Today’s Q4 and full-year 2025 earnings and 2026 guidance fit into this ongoing growth and outreach narrative.

Key Terms

adjusted ebitda, adjusted eps, gaap, non-gaap
4 terms
adjusted ebitda financial
"“Strong Adjusted EBITDA growth was driven by advanced imaging volumes..."
Adjusted EBITDA is a way companies measure how much money they make from their core operations, like running a business, by removing certain costs or income that aren’t part of regular business activities. It helps investors see how well a company is doing without distractions from unusual expenses or gains, making it easier to compare companies or track performance over time.
adjusted eps financial
"The company is also providing guidance for Adjusted EPS of $0.71 to $0.77 per share"
Adjusted earnings per share (adjusted eps) is a measure of a company's profit per share that has been modified to exclude certain one-time or unusual items, such as costs from restructuring or asset sales. It provides a clearer picture of the company’s core performance by removing events that may distort the usual earnings. Investors use adjusted eps to better understand a company's ongoing profitability and compare it more accurately over time.
gaap financial
"prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”)"
GAAP, or Generally Accepted Accounting Principles, are a set of standardized rules and guidelines that companies follow when preparing their financial statements. They ensure consistency, transparency, and comparability across different companies, making it easier for investors to understand and compare financial information accurately. This helps investors make informed decisions based on trustworthy and uniform financial reports.
View in glossary
non-gaap financial
"This press release uses Adjusted EBITDA and Adjusted EPS, financial measures that are not calculated in accordance with GAAP."
Non-GAAP refers to financial measures that companies use to show their earnings or performance without including certain expenses or income that are often added back to give a different picture. It matters because it can make a company's results look better or more favorable, but it may also hide important costs, so investors need to look at both GAAP (official rules) and non-GAAP numbers to get a full understanding.
View in glossary

AI-generated analysis. How Rhea-AI works. Not financial advice.

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RALEIGH, N.C., March 26, 2026 (GLOBE NEWSWIRE) -- Lumexa Imaging (Nasdaq: LMRI), one of the nation’s largest providers of outpatient imaging services, today announced certain financial results for the fourth quarter ended December 31, 2025, and reiterated full year 2026 guidance. The financial results included in this release pertaining to the fourth quarter and full year 2025 are preliminary, unaudited, and subject to final review and adjustment.

“The fourth quarter of 2025 marked a strong close to an important year for Lumexa Imaging, with continued momentum across the business,” said Caitlin Zulla, Chief Executive Officer of Lumexa Imaging. “Strong Adjusted EBITDA growth was driven by advanced imaging volumes, ramping new de novo centers, and our return in-network with a large payer in New Jersey. We strengthened our balance sheet, reducing leverage by two turns, and opened a record number of de novo centers during the year, setting the stage for future growth.”

Ms. Zulla continued, “Looking ahead, our 2026 outlook reflects continued growth and margin expansion, supported by durable demand tailwinds and the ongoing shift to outpatient care. With a focused strategy centered on same-center growth, geographic expansion, and advanced imaging, we believe Lumexa Imaging is well positioned to deliver sustained, profitable growth while expanding access to high-quality, lower-cost imaging for patients, providers, and payors.”

Fourth Quarter 2025 Highlights:
All comparisons are to the quarter ended December 31, 2024, unless otherwise noted

  • Consolidated revenues of $267.7 million, an increase of 7.9% from $248.0 million
  • System-wide revenue growth of 10.6%
  • Same center advanced volume growth: 12.7% for consolidated and 9.2% for system-wide
  • Net loss of $28.7 million compared to $25.1 million
  • Adjusted EBITDA of $63.8 million, an increase of 18.6% from $53.7 million; and a 23.8% Adjusted EBITDA margin
  • Achieved a two-turn reduction in leverage from 5.5 times to 3.5 times, resulting in more than $50 million in annual cash savings

2025 Full Year Highlights:
All comparisons are to the year ended December 31, 2024, unless otherwise noted

  • Added ten new imaging facilities: Nine de novo centers (six wholly owned and three through joint ventures) and one acquired site
  • Consolidated revenues of $1.023 billion, an increase of 7.8% from $948.9 million
  • System-wide revenue growth of 8.2%
  • Same center advanced volume growth: 8.0% for consolidated and 7.1% for system-wide
  • Net loss of $47.1 million compared to $94.1 million
  • Adjusted EBITDA of $230.2 million, an increase of 14.6% from $200.8 million; and a 22.5% Adjusted EBITDA margin

Outpatient Volumes:

Consolidated2025 2024 Increase YoY 4Q25 4Q24   Increase YoY
Consolidated total procedures2,418,096 2,312,645 4.6 % 627,293 569,734 10.1 %
Consolidated advanced procedures728,304 675,697 7.8 % 190,982 167,184 14.2 %
% advanced procedures 30.1 % 29.2 % 90bps 30.4 % 29.3 % 110bps
Consolidated same-center advanced volume growth------ ------ 8.0 % ------ ------ 12.7 %
System-wide           
System-wide total procedures3,972,228 3,840,624 3.4 % 1,027,590 962,520 6.8 %
System-wide advanced procedures1,444,618 1,340,951 7.7 % 379,527 341,859 11.0 %
% advanced procedures 36.4 % 34.9 % 145bps 36.9 % 35.5 % 142bps
System-wide same-center advanced volume growth------ ------ 7.1 % ------ ------ 9.2 %
Note: Advanced Procedures includes MRI and CT modalities.
            

2026 Full Year Outlook:
The company is reiterating its outlook for the year ending December 31, 2026. Lumexa Imaging continues to expect:

  • Consolidated revenues of $1.045 to $1.097 billion
  • Adjusted EBITDA of $234 to $242 million. This includes approximately $7 million of public company costs that were not incurred in 2025. (At the midpoint of guidance, the addition of these costs lowers Adjusted EBITDA growth for 2026 versus 2025 from 7% to 4%

The company is also providing guidance for Adjusted EPS of $0.71 to $0.77 per share

The financial information above is preliminary and subject to Lumexa Imaging’s normal quarter and year-end accounting procedures and external audit by Lumexa Imaging’s independent registered public accounting firm. In addition, these preliminary unaudited results are not a comprehensive statement of Lumexa Imaging’s financial results for the year ended December 31, 2025, should not be viewed as a substitute for full, audited consolidated financial statements prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”), and are not necessarily indicative of Lumexa Imaging’s results for any future period.

Lumexa Imaging Earnings Conference Call and Webcast
Lumexa Imaging will host a conference call to discuss its fourth quarter and full year 2025, as well as its 2026 outlook, on March 26, 2026 at 8:30 a.m. ET. Participants can register for the conference call at the following link: https://register-conf.media-server.com/register/BI5d8d23fe681d4694851e49a7f37188bd. The call can also be accessed via live audio webcast online at ir.lumexaimaging.com. A replay of the webcast will be available at the same link shortly after the completion of the call and will remain available for approximately one year.

Statement Regarding Use of Non-GAAP Financial Measures
This press release uses Adjusted EBITDA and Adjusted EPS, financial measures that are not calculated in accordance with GAAP. We use Adjusted EBITDA and Adjusted EPS, in conjunction with GAAP financial measures, as an integral part of managing our business and to, among other things: (i) monitor and evaluate the performance of our business operations and financial performance; (ii) facilitate internal comparisons of the historical operating performance of our business operations; (iii) review and assess the operating performance of our management team; and (iv) analyze and evaluate financial and strategic planning decisions regarding future operations and annual operating budgets. For a reconciliation of Adjusted EBITDA to the most directly comparable measure calculated in accordance with GAAP, please see below.

We have not reconciled our Adjusted EBITDA or Adjusted EPS guidance to their most directly comparable GAAP measures because we do not and are not able to provide guidance for those GAAP measures due to the uncertainty and potential variability of certain reconciling items, including transaction costs, severance and executive recruiting. Because such items cannot be provided without unreasonable efforts, we are unable to provide a reconciliation of our Adjusted EBITDA guidance to GAAP net loss. However, such items could have a significant impact on our future results.

About Lumexa Imaging
Lumexa Imaging is a nationwide provider of outpatient medical imaging. With over 5,000 team members and more than 188 outpatient imaging centers across 13 states, our team conducted approximately 4 million outpatient procedures system-wide in 2025. We are a partner of choice for health systems and radiologists, delivering best-in-class clinical excellence, operations, and state-of-the-art technology across our platform.

Forward-Looking Statements
This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995. All statements other than statements of historical facts contained in this press release may be forward-looking statements. Forward-looking statements generally relate to future events or our future financial or operating performance. In some cases, you can identify forward-looking statements because they contain words such as "anticipate," "believe," "contemplate," "continue," "could," "estimate," "expect," "intend," "may," "plan," "potential," "predict," "project," "should," "target," or "will," or the negative of these words or other similar terms or expressions that concern our expectations, strategy, plans or intentions. Forward-looking statements in this release include, but are not limited to, statements regarding our expectations regarding our financial position and operating performance, including our performance for the fourth quarter and full year 2025 and guidance for full year 2026 and our assumptions underlying such guidance; our ability to drive future growth and execute on our goals and strategies; and our expectations regarding our product innovation. Our expectations and beliefs regarding these matters may not materialize, and actual results in future periods are subject to risks and uncertainties that could cause actual results to differ materially from those projected, including but not limited to those risk factors identified in the "Risk Factors" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" sections of the Form S-1 and related Prospectus pursuant to Rule 424(b)(4) of Lumexa Imaging, each as filed with the Securities and Exchange Commission (SEC). The forward-looking statements in this press release are based on information available to us as of the date hereof, and we disclaim any obligations to update any forward-looking statements, except as required by law.

Investor Contact
Sue Dooley
Lumexa Imaging
sue.dooley@Lumexaimaging.com

Media Contact
Melissa Weston
Lumexa Imaging
Melissa.Weston@LumexaImaging.com


LUMEXA IMAGING HOLDINGS, INC.
CONSOLIDATED BALANCE SHEETS
DECEMBER 31, 2025 AND 2024
(IN THOUSANDS, EXCEPT FOR COMMON SHARES)
(Preliminary and Unaudited)
     
  2025
 2024
ASSETS    
Cash and cash equivalents $58,828  $26,131 
Accounts receivable  112,942   107,046 
Accounts receivable, related party  18,893   23,308 
Other receivables  19,015   5,644 
Prepaid expenses  17,582   10,391 
Total current assets  227,260   172,520 
Property and equipment, net of accumulated depreciation  144,709   121,133 
Operating lease right-of-use assets  76,555   80,792 
Investments in unconsolidated affiliates  423,191   415,819 
Intangible assets, net of accumulated amortization  41,335   47,788 
Goodwill  807,554   807,554 
Other assets  43,953   24,958 
TOTAL ASSETS $1,764,557  $1,670,564 
LIABILITIES AND EQUITY    
Accounts payable $44,857  $29,889 
Accrued expenses and other current liabilities  95,561   108,454 
Accounts receivable pledging arrangement  1,599   - 
Current portion of long-term debt  13,112   16,001 
Current portion of finance lease liabilities  11,552   5,509 
Current portion of operating lease liabilities  12,513   13,807 
Total current liabilities  179,194   173,660 
Long-term debt, less current maturities  819,029   1,185,080 
Long-term finance lease liabilities, less current maturities  33,262   16,120 
Long-term operating lease liabilities, less current maturities  71,437   72,746 
Deferred income taxes  40,772   32,696 
Other liabilities  34,740   28,608 
Total liabilities  1,178,434   1,508,910 
COMMITMENTS AND CONTINGENCIES    
EQUITY:    
Common stock, $0.001 par value, 1,000,000,000 shares authorized, 96,109,927 shares issued and outstanding at December 31, 2025 and 69,523,830 shares issued and outstanding at December 31, 2024  96   70 
Additional paid-in-capital  1,217,087   745,540 
Accumulated deficit  (631,060)  (583,956)
Total equity  586,123   161,654 
TOTAL LIABILITIES AND EQUITY $1,764,557  $1,670,564 
     


LUMEXA IMAGING HOLDINGS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS
FOR THE YEARS AND QUARTER ENDED DECEMBER 31, 2025 AND 2024
(IN THOUSANDS, EXCEPT FOR SHARE AND PER SHARE DATA)
(Preliminary and Unaudited)
         
  Year Ended December 31, Quarter Ended December 31,
  2025
 2024
 2025
 2024
REVENUES:        
Net patient service revenue $802,707  $746,850  $210,529  $189,829 
Management fee and other revenue  220,374   202,019   57,205   58,199 
Total revenues  1,023,081   948,869   267,734   248,028 
OPERATING EXPENSES:        
Cost of operations, excluding depreciation and amortization  865,516   852,606   225,618   226,456 
General and administrative expenses  90,453   70,361   37,191   20,120 
Depreciation and amortization  40,379   42,164   12,395   9,816 
Loss on disposal of property and equipment  968   -   491   - 
Total operating expenses  997,316   965,131   275,695   256,392 
Equity in earnings of unconsolidated affiliates  72,135   71,505   22,300   23,615 
INCOME FROM OPERATIONS  97,900   55,243   14,339   15,251 
OTHER INCOME AND EXPENSES:        
Interest expense  118,539   136,027   28,016   31,387 
Loss on extinguishment of debt  13,453   703   13,453   - 
Other income  (1,873)  -   (1,873)  (110)
Gain on imaging center sold, related party     (2,294)      
Total other expenses  130,119   134,436   39,596   31,277 
LOSS BEFORE INCOME TAXES  (32,219)  (79,193)  (25,257)  (16,026)
Income tax provision  14,885   14,906   3,433   9,032 
NET LOSS AND COMPREHENSIVE LOSS $(47,104) $(94,099) $(28,690) $(25,058)
NET LOSS PER SHARE:        
Weighted average shares outstanding—Basic and diluted  70,978,092   69,469,401   75,346,628   69,491,962 
Basic and diluted loss per share $(0.66) $(1.35) $(0.38) $(0.36)
         


LUMEXA IMAGING HOLDINGS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
FOR THE YEARS ENDED DECEMBER 31, 2025 AND 2024
(IN THOUSANDS)
(Preliminary and Unaudited)
     
  2025 2024
CASH FLOWS FROM OPERATING ACTIVITIES:    
Net loss $(47,104) $(94,099)
Adjustments to reconcile net loss to net cash provided by operating activities    
Depreciation and amortization  40,379   42,164 
Amortization of operating lease right-of-use assets  15,010   14,961 
Amortization of debt issuance costs  5,739   6,185 
Amortization of cloud computing implementation costs  439   - 
Write-off of debt issuance costs due to extinguishment of debt  5,435   703 
Equity in earnings of unconsolidated affiliates  (72,135)  (71,505)
Distributions from investments in unconsolidated affiliates  64,885   79,531 
Loss on disposal of property and equipment  968   - 
Gain on insurance recovery for disposed property and equipment  (1,873)  - 
Gain on imaging center sold, related party  -   (2,294)
Non-cash change in fair value of interest rate caps  -   1,274 
Deferred income taxes  8,076   9,753 
Unit-based compensation  41,604   56,654 
Changes in operating assets and liabilities:    
Accounts receivable  (5,896)  2,354 
Accounts receivable, related party  4,554   (8,584)
Capitalized cloud computing implementation costs  (5,940)  - 
Other receivables  (12,669)  907 
Prepaid expenses  (6,277)  (911)
Other assets  (7,361)  (5,952)
Accounts payable  14,415   2,948 
Accrued expenses and other current liabilities  (17,932)  12,078 
Other liabilities  6,133   7,109 
Operating lease liabilities  (13,376)  (12,549)
  Net cash provided by operating activities  17,074   40,727 
CASH FLOWS FROM INVESTING ACTIVITIES:    
Proceeds from sale or disposal of property and equipment  2,643   361 
Purchases of property and equipment  (23,477)  (27,773)
Proceeds from sale of businesses  -   3,744 
Proceeds from sale of business, related party  -   1,385 
Contributions to investments in unconsolidated affiliates  (123)  - 
  Net cash used in investing activities  (20,957)  (22,283)
CASH FLOWS FROM FINANCING ACTIVITIES:    
Proceeds from initial public offering, net of underwriting discounts and commissions  434,750   - 
Transaction costs incurred in connection with initial public offering  (7,777)  - 
Payments of long-term debt  (1,204,056)  (11,845)
Proceeds from long-term debt, net of issuance costs  827,848   10,608 
Payment of third-party debt issuance costs  (9,304)  (506)
Proceeds from revolving line of credit  5,000   30,000 
Repayments of revolving line of credit  (5,000)  (30,000)
Payments of finance lease liabilities  (7,315)  (11,429)
Capital contributions  835   673 
Proceeds from accounts receivable pledging arrangement  1,599   - 
  Net cash provided by (used in) financing activities  36,580   (12,499)
NET INCREASE IN CASH AND CASH EQUIVALENTS  32,697   5,945 
CASH AND CASH EQUIVALENTS, beginning of year  26,131   20,186 
CASH AND CASH EQUIVALENTS, end of year $58,828  $26,131 
     


 LUMEXA IMAGING HOLDINGS, INC.
 RECONCILIATION OF GAAP TO NON-GAAP MEASURES
 FOR THE THREE MONTHS AND YEARS ENDED DECEMBER 31, 2025 AND 2024
 (IN THOUSANDS)
 (Preliminary and Unaudited)
          
   Year Ended December 31, Quarter Ended December 31,
   2025 2024 2025 2024
          
Net loss $(47,104) $(94,099) $(28,690) $(25,058)
 Depreciation and amortization  40,379   42,164   12,395   9,816 
 Income tax provision  14,885   14,906   3,433   9,032 
 Amortization of basis difference  2,000   2,000   500   500 
 Interest expense  118,539   136,027   28,016   31,387 
 Loss on extinguishment of debt  13,453   703   13,453   - 
 Stock-based compensation  41,604   56,654   18,572   14,038 
 Gain on imaging center sold, related party  -   (2,294)  -   (110)
 Loss on disposal of property and equipment  968   -   491   - 
 Other income(1)  (1,873)  -   (1,873)  - 
 Severance and executive recruiting(2)  3,523   3,436   985   3,032 
 Strategic initiatives and implementation(3)  3,459   5,362   375   1,946 
 Transaction costs(4)  21,325   18,167   10,962   4,185 
 Litigation and settlements(5)  (113)  588   29   401 
 Other(6)  942   1,904   56   469 
 Adjustments for equity in earnings        
 of unconsolidated affiliates(7)  18,167   15,321   5,046   4,106 
Adjusted EBITDA $230,154  $200,839  $63,750  $53,744 
          
          
(1)Represents receipt of casualty insurance proceeds related to a flood at one of our centers.
(2)Includes severance and recruiting expenses for executive leadership departures as part of strategic organizational changes.
(3)Includes third-party consulting, implementation, and integration expenses incurred as part of our strategic transformation and optimization initiatives, specifically related to the deployment of a new technology system and labor model, as well as the development, customization, and integration of a new enterprise resource planning (ERP) system.
(4)Includes costs for third party non-recurring IPO costs, buy-side and sell-side due diligence activities to evaluate and execute potential mergers and acquisitions, integrate acquired businesses and one-time employee retention bonuses related to potential mergers and acquisitions.
(5)Consists of litigation and settlement costs for matters not related to core operations.
(6)Consists of other costs related to debt financing, certain de novo start-up costs related to outpatient imaging centers and certain exit costs related to closed outpatient imaging centers.
(7)To adjust for Lumexa Imaging's proportional share of depreciation and amortization, interest expense and loss on asset disposals, which are included in equity in earnings from unconsolidated affiliates.
          


LUMEXA IMAGING HOLDINGS, INC. 
DETAILS OF MANAGEMENT FEE AND OTHER REVENUES 
FOR THE YEARS AND QUARTER ENDED DECEMBER 31, 2025 AND 2024 
(IN THOUSANDS) 
(Preliminary and Unaudited) 
             
  Year Ended December 31,
 Quarter Ended December 31,
  2025
 2024
 2025 2024
Components of "management fee and other revenues:"            
Fees for managing joint ventured outpatient sites and other third party services $86,610  $74,785  $22,113  $25,135 
Zero margin pass-throughs of employee, IT and other site level costs paid by Lumexa  133,764   127,234   35,092   33,064 
 Total revenues $220,374  $202,019  $57,205  $58,199 
             



FAQ

What were Lumexa Imaging (LMRI) fourth-quarter 2025 revenues and Adjusted EBITDA on March 26, 2026?

Q4 2025 revenue was $267.7 million and Adjusted EBITDA was $63.8 million. According to the company, Q4 results were preliminary and unaudited and show a 23.8% Adjusted EBITDA margin.

How did Lumexa Imaging (LMRI) perform for full-year 2025 and what were key operating metrics?

Full-year 2025 revenue was $1.023 billion with Adjusted EBITDA of $230.2 million. According to the company, same-center advanced volume rose 8.0% and system-wide advanced procedures increased 7.7% year-over-year.

What guidance did Lumexa Imaging (LMRI) reaffirm for 2026 on March 26, 2026?

The company reiterated 2026 guidance of $1.045–1.097 billion revenue and $234–242 million Adjusted EBITDA. According to the company, Adjusted EPS guidance is $0.71–0.77 per share.

How did Lumexa Imaging (LMRI) change its leverage and capital structure in 2025?

Lumexa reduced leverage from 5.5x to 3.5x, a two-turn reduction. According to the company, this deleveraging is expected to generate over $50 million in annual cash savings.

What volume and facility growth did Lumexa Imaging (LMRI) report for 2025?

The company opened 10 new facilities in 2025 and reported consolidated total procedures of 2.418 million. According to the company, consolidated advanced procedures rose 7.8% to 728,304 for the year.