NUTEX HEALTH REPORTS RESTATED 2024 FINANCIAL RESULTS

Rhea-AI Summary

NUTEX HEALTH (NASDAQ: NUTX) reported restated full-year and Q4 2024 results on Nov 18, 2025 reflecting non-cash reclassifications and immaterial net-income impact.

Key 2024 metrics: total revenue $479.9M (+93.8% vs 2023); net income attributable $52.1M vs loss $45.8M in 2023; diluted EPS $9.69; EBITDA $98.8M; Adjusted EBITDA $124.1M. Q4 revenue $257.6M (+269.8% YoY); Q4 net income $61.6M.

Restatement adjustments reclassified $16.4M of stock‑based compensation to liabilities, moved $3.5M related‑party payables to equity, shifted $2.9M to short‑term investments, and increased accrued tax by $0.5M; total liabilities rose $13.4M (2.9%).

Positive

• Total revenue $479.9M in 2024 (+93.8% YoY)
• Net income attributable $52.1M in 2024 (turnaround from loss)
• Adjusted EBITDA $124.1M in 2024 (large improvement)
• Q4 2024 revenue $257.6M (+269.8% YoY)

Negative

• One-time stock-based compensation obligations totaling $16.4M reclassified to liabilities
• Accrued arbitration expenses added as $47.7M current liability
• Total liabilities increased $13.4M as of Dec 31, 2024 (2.9%)

Insights

Healthcare Financial Analyst

Nutex Health restated 2024 with large revenue and adjusted EBITDA gains; restatement was limited, non-cash, and had minimal earnings impact.

The company reported $479.9 million in revenue for the year ended December 31, 2024, a 93.8% increase versus 2023, with Adjusted EBITDA of $124.1 million and net income attributable of $52.1 million. The restatement reclassified non-cash stock-based compensation of $16.4 million from equity to liabilities, moved $3.5 million of related-party payables to equity, shifted $2.9 million from cash to short-term investments, and increased accrued tax expense by $0.5 million. Management states these adjustments were non-cash, produced a $0.5 million reduction in net income, and lowered diluted EPS by $0.02 to $9.69.

The adjustments increased total liabilities by $13.4 million (about 2.9%) and decreased equity by 6.6%, while leaving key operational metrics largely unchanged: revenue, liquidity, debt levels, operating cash flow, adjusted EBITDA and visit volumes remained materially consistent with prior disclosures. Concrete items to monitor include the ongoing arbitration process integrated into revenue cycle management, execution of the announced share repurchase program, and progress against the company’s stated growth plan for 2025; near-term visibility will come from how the arbitration accruals and any arbitration outcomes affect cash collections and operating cash flow.

FULL YEAR 2024 HIGHLIGHTS:

• Total revenue of $479.9 million for the year 2024 versus $247.6 million for the year 2023, an increase of 93.8%
• Net income attributable to Nutex Health Inc. of $52.1 million for 2024 versus net loss of $45.8 million for 2023
• Diluted income per share of $9.69 for 2024 versus a loss per share of $10.39 for 2023
• EBITDA of $98.8 million for 2024 versus $(22.5) million for 2023
• Adjusted EBITDA of $124.1 million for 2024 versus $10.8 million for 2023, an increase of 1046.1%
• Net cash from operating activities of $23.2 million for the year 2024

HOUSTON, Nov. 18, 2025 /PRNewswire/ -- Nutex Health Inc. ("Nutex Health" or the "Company") (NASDAQ: NUTX), today announced restated fourth quarter 2024 and fiscal year 2024 financial results for the twelve months ended December 31, 2024. Nutex Health is a physician-led, integrated healthcare delivery system comprised of 24 state-of-the-art micro hospitals and hospital outpatient departments (HOPDs) in 11 states and primary care-centric, risk-bearing physician networks.

Year 2024 Restatement Background

As previously disclosed in Form 8-K filed on August 21, 2025, the Audit Committee of the Board of Directors of Nutex Health, after consultation with the Chief Financial Officer, concluded that the Company's previously issued consolidated financial statements as of and for the year ended December 31, 2024 contained in the originally filed Form 10-K should be restated for the items described below. The major balance sheet accounts affected by these non-cash adjustments are as follows:

• Corrected the classification of non-cash, stock-based compensation obligations totaling $16.4 million related to under construction and ramping hospitals from equity to liabilities.
• Reclassified related-party accounts payable balances of $3.5 million from liabilities to equity.
• Reclassified $2.9 million of restricted balances out of cash and cash equivalents and into short-term investments.
• Increased accrued income tax expense by $0.5 million.

These adjustments as of December 31, 2024, when compared to the previously issued financial statements, result in an overall net increase to liabilities, a similar decrease to equity, and a nominal decrease in net income. Total liabilities as of December 31, 2024 increased by $13.4 million (2.9%), while total equity correspondingly decreased by $13.4 million (6.6%). Net income for the year decreased by approximately $0.5 million (0.5%). As restated, earnings per share, diluted by unvested restricted stock and contingent issuable stock compensation decreased by $0.02 to $9.69 from $9.71, while earnings per share, basic decreased by $0.02 to $10.23 from $10.25 for the year ended December 31, 2024. These adjustments are non-cash in nature, had no material effect on key metrics including revenue, liquidity, short-term and long-term debt, operating cash flow, adjusted EBITDA or number of patient visits as of and for the periods presented therein, and had an immaterial impact on net income.

Financial highlights for the three months ended December 31, 2024  (as restated):

• Total revenue increased $187.9 million to $257.6 million for the three months ended December 31, 2024 as compared to total revenue of $69.7 million for the same period in 2023, an increase of 269.8%. Revenue from mature hospitals, which are hospitals opened prior to December 31, 2021, increased by 175.6% in 2024 compared to 2023.
• Total stock-based compensation expense for the three months ended December 31, 2024 was $14.6 million, compared to less than $0.6 million for the same period in 2023. Approximately 99% of total stock-based compensation expense of $14.6 million was due to one-time obligations for under-construction and ramping hospitals.
• Operating income (including the negative impact of $14.6 million in non-cash stock-based compensation expense) for the three months ended December 31, 2024 was $114.3 million, compared to an operating loss of $26.1 million for the same period in 2023, representing a $140.4 million improvement year over year.
• Net income attributable to Nutex Health for the three months ended December 31, 2024 was $61.6 million as compared to net loss attributable to Nutex Health of $31.6 million for the same period in 2023. The $61.6 million in net income included non-cash stock-based compensation expense of $14.6 million, while the $31.6 million net loss included no non-cash stock-based compensation expense.
• EBITDA attributable to Nutex Health was $78.9 million, as compared to EBITDA attributable to Nutex Health of $(27.7) million for the three months ended December 31, 2023, an increase of $106.6 million.
• Adjusted EBITDA attributable to Nutex Health was $94.0 million, as compared to Adjusted EBITDA attributable to Nutex Health of $3.1 million for the three months ended December 31, 2023.
• Total visits at the Hospital Division were 45,444 for the three months ended December 31, 2024, as compared to 41,381 for the same period in 2023, an increase of 4,063 or 9.8%. Visits at mature hospitals increased by 3.1% in the three months ended December 31, 2024 as compared to the same period in 2023.
• Net cash from operating activities was $0.1 million for the three months ended December 31, 2024.
• As of December 31, 2024, the Company had total assets of $655.3 million, including cash and cash equivalents of $40.6 million, and long-term debt, net of $22.5 million.

Financial highlights for the year ended December 31, 2024  (as restated):

• Total revenue increased $232.3 million to $479.9 million for the year ended December 31, 2024, as compared to total revenue of $247.6 million for the same period in 2023, an increase of 93.8%. Revenue from mature hospitals, which are hospitals opened prior to December 31, 2021, increased by 56.6% in 2024 compared to 2023.
• Total stock-based compensation expense for the year ended December 31, 2024 was $16.6 million, compared to $2.8 million for the same period in 2023. Approximately 99% of total stock-based compensation expense of $16.6 million was due to one-time obligations for under-construction and ramping hospitals.
• Operating income for the year ended December 31, 2024 was $130.7 million, compared to an operating loss of $31.8 million for the same period in 2023, representing a $162.5 million improvement year over year.
• Net income attributable to Nutex Health for the year ended December 31, 2024 was $52.1 million, as compared to net loss attributable to Nutex Health of $45.8 million for the same period in 2023. The $52.1 million in net income included non-cash stock-based compensation expense of $16.6 million, while the $45.8 million net loss included no non-cash stock-based compensation expense.
• EBITDA attributable to Nutex Health was $98.8 million, as compared to EBITDA attributable to Nutex Health of $22.5 million for the year ended December 31, 2023, an increase of $121.3 million.
• Adjusted EBITDA attributable to Nutex Health was $124.1 million, as compared to Adjusted EBITDA attributable to Nutex Health of $10.8 million for the year ended December 31, 2023.
• Total visits at the Hospital Division were 168,388 for the year ended December 31, 2024, as compared to 144,058 for the same period in 2023, an increase of 24,330 or 16.9%. Visits at mature hospitals increased by 6.5% in the year ended December 31, 2024 as compared to the same period in 2023.
• Net cash from operating activities was $23.2 million for the year ended December 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 93.8% revenue growth, Adjusted EBITDA attributable to Nutex Health of $124.1 million, a 464.4% increase in gross profit and a record high cash balance of $40.6 million, all on a restated basis and materially the same as originally reported, highlighting the Company's continued financial strength and solid fundamentals as we execute on our growth plan for 2025," stated Jon Bates, Chief Financial Officer of Nutex Health.

"The arbitration process that we started in 2024 is now an ongoing part of our revenue cycle management process. In addition, the Company believes its shares are currently undervalued, and our previously announced stock repurchase program underscores our confidence in the long-term prospects of Nutex Health. We anticipate executing this program opportunistically with the goal of driving increased earnings per share and total shareholder return," stated Tom Vo, M.D., MBA, Chairman and Chief Executive Officer of Nutex Health.

For more details on the Company's restated financial results for the twelve months ended December 31, 2024, please refer to our Amended Annual Report on Form 10-K/A filed with the U.S. Securities & Exchange Commission and accessible at www.sec.gov.

NUTEX HEALTH INC.
CONSOLIDATED BALANCE SHEET
	December 31,
	2024		2023
Assets	(As restated)
Current assets:
Cash and cash equivalents	$      40,640,616		$      22,002,056
Restricted short-term investment	2,940,796		—
Accounts receivable	232,449,226		58,624,301
Accounts receivable - related parties	3,602,189		4,152,068
Inventories	2,849,814		3,390,584
Prepaid expenses and other current assets	9,996,244		2,679,394
Total current assets	292,478,885		90,848,403
Property and equipment, net	77,932,744		81,387,649
Operating right-of-use assets	27,871,830		11,853,082
Financing right-of-use assets	218,889,351		176,146,329
Intangible assets, net	15,530,281		20,512,636
Goodwill, net	13,918,719		17,066,263
Deferred tax assets	7,987,236		—
Other assets	711,347		431,135
Total assets	$    655,320,393		$    398,245,497
Liabilities and Equity
Current liabilities:
Accounts payable	$        9,613,821		$      18,899,196
Accounts payable - related parties	805,766		6,382,197
Lines of credit	3,554,029		3,371,676
Current portion of long-term debt	14,395,457		10,808,721
Operating lease liabilities, current portion	2,079,940		1,579,987
Financing lease liabilities, current portion	7,704,873		4,315,979
Accrued arbitration expenses	47,741,815		—
Accrued income tax expense	26,532,699		—
Accrued stock based compensation	16,356,000		—
Accrued expenses and other current liabilities	25,441,790		12,955,296
Total current liabilities	154,226,190		58,313,052
Long-term debt, net	22,465,896		26,314,733
Operating lease liabilities, net	30,617,399		15,479,639
Financing lease liabilities, net	259,479,096		213,886,213
Deferred tax liabilities	—		5,145,754
Total liabilities	466,788,581		319,139,391
Commitments and contingencies (Note 10)
Equity:
Common stock, $0.001 par value; 950,000,000 shares authorized; 5,511,452 and 4,511,199   shares issued and outstanding as of December 31, 2024 and December 31, 2023, respectively	5,511		4,511
Additional paid-in capital	489,408,981		470,521,218
Accumulated deficit	(356,976,499)		(409,072,539)
Nutex Health Inc. equity	132,437,993		61,453,190
Noncontrolling interests	56,093,819		17,652,916
Total equity	188,531,812		79,106,106
Total liabilities and equity	$    655,320,393		$    398,245,497

 

NUTEX HEALTH INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
	Year ended December 31,
	2024		2023		2022
	(As restated)
Revenue:
Hospital division	$   449,063,683		$  218,070,397		$   198,508,245
Population health management division	30,884,950		29,575,919		20,786,061
Total revenue	479,948,633		247,646,316		219,294,306
Operating costs and expenses:
Payroll	117,527,022		108,377,938		111,785,110
Contract services	100,757,191		42,349,982		35,913,441
Medical supplies	15,285,481		14,151,140		12,118,893
Depreciation and amortization	18,971,972		17,591,572		13,131,374
Other	31,145,690		30,401,513		30,923,750
Total operating costs and expenses	283,687,356		212,872,145		203,872,568
Gross profit	196,261,277		34,774,171		15,421,738
Corporate and other costs:
Facilities closing costs	—		217,266		—
Acquisition costs	—		43,464		3,885,666
Stock-based compensation	16,554,898		2,835,971		189,581
Impairment of assets	3,887,216		29,082,203		—
Impairment of goodwill	3,197,391		1,139,297		398,135,038
General and administrative expenses	41,923,972		33,229,718		19,810,607
Total corporate and other costs	65,563,477		66,547,919		422,020,892
Operating income (loss)	130,697,800		(31,773,748)		(406,599,154)
Interest expense, net	19,932,015		16,317,869		12,490,260
Loss on warrant liability	1,608,973		—		—
Other (income) expense	(668,930)		399,182		559,299
Income (loss) before taxes	109,825,742		(48,490,799)		(419,648,713)
Income tax (benefit) expense	15,020,258		(5,067,084)		13,090,905
Net income (loss)	94,805,484		(43,423,715)		(432,739,618)
Less: net income (loss) attributable to noncontrolling interests	42,709,444		2,362,899		(7,959,172)
Net income (loss) attributable to Nutex Health Inc.	$     52,096,040		$   (45,786,614)		$  (424,780,446)
Earnings (loss) per common share
Basic	$              10.23		$            (10.39)		$           (100.36)
Diluted	$                9.69		$            (10.39)		$           (100.36)

 

NUTEX HEALTH INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
	Year ended December 31,
	2024		2023		2022
	(As restated)
Cash flows from operating activities:
Net income (loss)	$      94,805,484		$    (43,423,715)		$  (432,739,618)
Adjustment to reconcile net income (loss) to net cash from operating activities:
Depreciation and amortization	18,971,972		17,591,572		13,131,374
Impairment of assets	3,887,216		29,082,203		—
Impairment of goodwill	3,197,391		1,139,297		398,135,038
Derecognition of goodwill	453,017		—		—
Loss on warrant liability	1,608,973		—		—
Stock-based compensation expense	16,554,898		2,835,971		189,581
Rescission of warrant exercise expense	—		—		561,651
Deferred tax (benefit) expense	(13,132,990)		(5,707,323)		4,996,209
Debt accretion expense	1,042,663		1,209,981		1,952,829
Loss on lease termination	—		58,210		—
Non-cash lease expense	(381,035)		131,582		64,143
Changes in operating assets and liabilities:
Accounts receivable	(173,956,924)		(969,761)		56,622,133
Accounts receivable - related party	549,879		(3,613,885)		1,454,934
Inventories	540,770		142,701		(719,107)
Prepaid expenses and other current assets	(7,021,010)		(817,297)		(1,419,139)
Accounts payable	(8,682,179)		(4,715,101)		10,018,100
Accounts payable - related party	(2,037,059)		2,466,536		(329,155)
Accrued arbitration expenses	47,741,815		—		—
Accrued income tax expense	26,532,699		—		—
Accrued expenses and other current liabilities	12,478,227		5,845,481		(1,311,865)
Net cash from operating activities	23,153,807		1,256,452		50,607,108
Cash flows from investing activities:
Acquisitions of property and equipment	(2,303,897)		(9,496,832)		(14,632,414)
Purchase of restricted short-term investment	(2,940,796)		—		—
Acquired cash in reverse acquisition with Clinigence	—		—		12,716,228
Cash related to sale of business	(361,325)		—		—
Payments for acquisitions of businesses, net of cash acquired	—		(703,893)		—
Cash related to deconsolidation of Real Estate Entities	—		(1,039,157)		(2,421,212)
Net cash from investing activities	(5,606,018)		(11,239,882)		(4,337,398)
Cash flows from financing activities:
Proceeds from lines of credit	2,261,743		2,340,911		2,623,479
Proceeds from notes payable	7,014,999		16,952,905		815,881
Proceeds from convertible notes	—		4,909,864		—
Repayments of lines of credit	(2,079,390)		(1,592,714)		(72,055)
Repayments of notes payable	(9,969,391)		(16,479,512)		(7,237,094)
Repayments of finance leases	(4,628,083)		(3,484,683)		(1,721,224)
Proceeds from common stock issuance, net issuance costs	9,202,500		—		—
Rescission of warrant exercise	—		—		(588,042)
Proceeds from exercise of warrants	2,373,336		—		4,119,141
Proceeds from exercise of options	—		—		644,974
Members' contributions	3,353,023		298,032		4,513,867
Members' distributions	(6,437,966)		(5,214,581)		(51,231,657)
Net cash from financing activities	1,090,771		(2,269,778)		(48,132,730)
Net change in cash and cash equivalents and restricted cash	18,638,560		(12,253,208)		(1,863,020)
Cash and cash equivalents and restricted cash - beginning of the year	22,002,056		34,255,264		36,118,284
Cash and cash equivalents and restricted cash - end of the year	$      40,640,616		$      22,002,056		$      34,255,264

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 and any acquisition-related costs and impairments. Interest expense includes interest on lease liabilities, which is a component of total finance lease cost. A reconciliation of net income to Adjusted EBITDA is included below.

Adjusted EBITDA is 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. Adjusted EBITDA follows:

	Year ended December 31,
	2024		2023		2022
Reconciliation of net income (loss) attributable to Nutex Health Inc. to Adjusted EBITDA:
Net income (loss) attributable to Nutex Health Inc.	$    52,096,040		$   (45,786,614)		$  (424,780,446)
Depreciation and amortization	18,971,972		17,591,572		13,131,374
Interest expense, net	19,932,015		16,317,869		12,490,260
Income tax expense (benefit)	15,020,258		(5,067,084)		13,090,905
Allocation to noncontrolling interests	(7,176,312)		(5,546,263)		(4,837,514)
EBITDA	98,843,973		(22,490,520)		(390,905,421)
Facility closing costs	—		217,266		—
Acquisition costs	—		43,464		3,885,666
Loss on warrant liability	1,608,973		—		—
Stock-based compensation	16,554,898		2,835,971		189,581
Rescission of warrant exercise	—		—		1,243,059
Impairment of assets	3,887,216		29,082,203		—
Impairment of goodwill	3,197,391		1,139,297		398,135,038
Adjusted EBITDA	$  124,092,451		$    10,827,681		$     12,547,923

 

	Three months ended December 31, 2024		Three months ended December 31, 2023
	Unaudited		Unaudited
Reconciliation of net income (loss) attributable to Nutex Health Inc. to Adjusted EBITDA:
Net income (loss) attributable to Nutex Health Inc.	$         61,612,476		$        (31,617,897)
Depreciation and amortization	5,280,488		4,682,724
Interest expense, net	5,052,081		4,236,553
Income tax expense (benefit)	9,152,183		(2,998,554)
Allocation to noncontrolling interests	(2,195,888)		(2,045,390)
EBITDA	78,901,340		(27,742,564)
Loss on warrant liability	536,264		—
Stock-based compensation	14,603,454		637,159
Impairment of assets	(11,640)		29,082,203
Impairment of goodwill	—		1,139,297
Adjusted EBITDA	$         94,029,418		$            3,116,095

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 24 facilities in 11 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.

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, 2024 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.

FAQ

What were Nutex Health (NUTX) restated 2024 total revenue and YoY change?

Nutex Health reported $479.9M total revenue for 2024, a +93.8% increase versus 2023.

How did Nutex Health (NUTX) profitability change in 2024 after the restatement?

Net income attributable to Nutex Health was $52.1M in 2024 versus a $45.8M loss in 2023; diluted EPS was $9.69.

What material balance sheet changes resulted from Nutex Health's 2024 restatement?

The restatement reclassified $16.4M of stock-based obligations to liabilities and raised total liabilities by $13.4M as of Dec 31, 2024.

What was Nutex Health's Adjusted EBITDA for 2024 and why does it matter?

Adjusted EBITDA attributable to Nutex Health was $124.1M for 2024, a key non-GAAP profitability metric showing operating improvement.

How did Nutex Health (NUTX) perform in Q4 2024 after restatement?

Q4 2024 revenue was $257.6M (+269.8% YoY) and net income attributable was $61.6M for the quarter.

Does Nutex Health's restatement change cash flow or liquidity reported for 2024?

The company stated the non-cash adjustments were immaterial to liquidity; cash and cash equivalents were $40.6M as of Dec 31, 2024.