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Lumexa Imaging (NASDAQ: LMRI) returns to Q1 profit and keeps 2026 guidance

Filing Impact
(High)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Lumexa Imaging Holdings, Inc. reported a first-quarter 2026 profit and reiterated its full-year 2026 guidance. Total revenues rose to $252.5M from $245.0M, driven by higher outpatient imaging volumes and a greater mix of advanced procedures.

Net income improved to $1.7M, or $0.02 per diluted share, compared with a net loss of $7.7M, or $(0.11) per share, a year earlier. Adjusted EBITDA was stable at $51.2M, while adjusted diluted earnings per share increased to $0.18 from $0.04. System-wide total procedures grew, with advanced procedures expanding faster than overall volumes, supporting management’s view of sustained, profitable growth.

Positive

  • Return to profitability and strong adjusted earnings growth: Net income improved to $1.7M from a $7.7M loss, while adjusted net income rose to $16.9M and adjusted diluted EPS increased to $0.18 from $0.04, indicating materially better underlying performance.
  • Volume and mix tailwinds in advanced imaging: System-wide advanced procedures grew to 357,592, outpacing total procedure growth, and advanced procedures reached 37.0% of system-wide volume, supporting the strategy focused on higher-value imaging services.

Negative

  • None.

Insights

Lumexa returned to profitability with stable EBITDA and stronger mix of advanced imaging.

Lumexa Imaging posted Q1 2026 revenue of $252.5M, modestly above the prior year, as both consolidated and system-wide procedure counts increased. Advanced procedures grew faster than total volumes, lifting the advanced mix on both a consolidated and system-wide basis.

Profitability improved meaningfully. Net income swung to $1.7M from a $7.7M loss, while adjusted EBITDA held essentially flat at $51.2M. Adjusted diluted EPS rose to $0.18 from $0.04, reflecting operating leverage and non-GAAP addbacks such as stock-based compensation and transaction costs.

Cash from operations was $2.9M versus a use of cash in the prior-year quarter, and cash ended at $51.2M. Management reiterated full-year 2026 guidance and highlighted continued de novo center openings and tuck-in acquisitions, framing these as drivers of same-center growth and geographic expansion.

Item 2.02 Results of Operations and Financial Condition Financial
Disclosure of earnings results, typically an earnings press release or preliminary financials.
Item 7.01 Regulation FD Disclosure Disclosure
Material non-public information disclosed under Regulation Fair Disclosure, often investor presentations or guidance.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
Total revenues $252.5M Three months ended March 31, 2026
Net income $1.7M Q1 2026 vs $(7.7)M in Q1 2025
Adjusted EBITDA $51.2M Q1 2026, compared with $51.0M in Q1 2025
Adjusted diluted EPS $0.18 Q1 2026, vs $0.04 in Q1 2025
System-wide total procedures 966,934 Q1 2026 system-wide procedures
System-wide advanced procedures 357,592 Q1 2026 advanced procedures; 37.0% of system-wide volume
Cash from operations $2.9M Net cash provided by operating activities in Q1 2026
Cash and cash equivalents $51.2M Balance at March 31, 2026
Adjusted EBITDA financial
"For a reconciliation of Adjusted EBITDA and Adjusted EPS to the most directly comparable measure calculated in accordance with GAAP, please see below."
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
"For a reconciliation of Adjusted EBITDA and Adjusted EPS to the most directly comparable measure calculated in accordance with GAAP, please see below."
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.
same-center advanced volume growth financial
"Consolidated same-center advanced volume growth | | | — | | | | — | | | | 5.6 | %"
operating lease right-of-use assets financial
"Operating lease right-of-use assets | | | 76,175 | | | | 76,555 |"
An operating lease right-of-use (ROU) asset is an accounting entry that shows the value of a leased item you have the legal right to use—like a building, vehicle, or equipment—recorded on a company’s balance sheet along with the corresponding lease obligation. Investors care because it adds to reported assets and liabilities, changing measures like leverage and return on assets much like bringing a long-term rental onto the company’s financial snapshot, which can affect credit terms and valuation.
accounts receivable pledging arrangement financial
"Accounts receivable pledging arrangement | | | 1,693 | | | | 1,599 |"
Total revenues $252.5M
Net income $1.7M
Adjusted EBITDA $51.2M
Adjusted diluted EPS $0.18
Guidance

Company reiterated full year 2026 guidance.

false 0002071288 0002071288 2026-05-12 2026-05-12
 
 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

PURSUANT TO SECTION 13 OR 15(d)

OF THE SECURITIES EXCHANGE ACT OF 1934

Date of report (Date of earliest event reported): May 12, 2026

 

 

Lumexa Imaging Holdings, Inc.

(Exact Name of Registrant as Specified in its Charter)

 

 

 

Delaware   001-43010   41-2605845
(State or Other Jurisdiction
of Incorporation)
 

(Commission

File Number)

 

(IRS Employer

Identification No.)

 

4200 Six Forks Road  
Suite 1000  
Raleigh, North Carolina   27609
(Address of Principal Executive Offices)   (Zip Code)

(919) 763-1100

(Registrant’s telephone number, including area code)

Not applicable

(Former Name or Former Address, if Changed Since Last Report)

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

 

Trading
Symbol

 

Name of each exchange
on which registered

Common Stock, $0.001 par value per share   LMRI   The Nasdaq Stock Market LLC

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. 

 

 
 


Item 2.02.

Results of Operations and Financial Condition.

On May 12, 2026, Lumexa Imaging Holdings, Inc. (the “Company”) issued a press release announcing the Company’s financial results for the quarter ended March 31, 2026. A copy of the press release is furnished as Exhibit 99.1 hereto.

The information furnished pursuant to Item 2.02 of this report, including Exhibit 99.1, shall not be deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, unless the Company specifically states that the information is to be considered “filed” under the Exchange Act or incorporates it by reference into a filing under the Securities Act of 1933 or the Exchange Act.

 

Item 7.01.

Regulation FD Disclosure.

The information described under Item 2.02 above is incorporated by reference in this Item 7.01.

 

Item 9.01.

Financial Statements and Exhibits.

(d) Exhibits.

 

Exhibit
No.

  

Description

99.1    Press Release dated May 12, 2026
104    Cover Page Interactive Data File (embedded within the Inline XBRL document)

 


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

    LUMEXA IMAGING HOLDINGS, INC.
    By:  

/s/ J. Anthony Martin

Date: May 12, 2026     Name:   J. Anthony Martin
    Title:   Chief Financial Officer

Exhibit 99.1

 

LOGO

Lumexa Imaging Announces First Quarter 2026 Results

RALEIGH, NORTH CAROLINA, May 12, 2026—Lumexa Imaging (Nasdaq: LMRI), one of the nation’s largest providers of outpatient imaging services, today announced results for the first quarter ended March 31, 2026, and reiterated full year 2026 guidance.

“In Q1, we delivered several meaningful achievements to kick off a year of executing on our strategic priorities.” said Caitlin Zulla, Chief Executive Officer of Lumexa Imaging. “We continued to drive strong growth in same-center advanced imaging volumes and our de novo centers are ramping according to our plans.”

“We are also announcing tonight four additional Lumexa Imaging centers including two strategic tuck-in acquisitions plus two de novos. We are well on our way to achieving our stated goal of adding 8-10 de novos to our network of centers this year.” Ms. Zulla continued, “With a large addressable market, and strong demand tailwinds plus 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.”

First Quarter 2026 Highlights:

All comparisons are to the quarter ended March 31, 2025, unless otherwise noted

 

   

Consolidated revenues of $252.5 million, an increase of 3.1% from $245.0 million

 

   

System-wide revenue growth of 4.0%

 

   

Same center advanced volume growth: 5.6% for both consolidated and system-wide

 

   

Net income of $1.7 million as compared to net loss of $7.7 million

 

   

Adjusted EBITDA of $51.2 million as compared to $51.0 million; and a 20.3% Adjusted EBITDA margin

 

   

GAAP EPS of $0.02 per share and Adjusted EPS of $0.18 per share

Outpatient Volumes:

 

Consolidated    1Q26     1Q25     Increase
YoY
 

Consolidated total procedures

     586,337       579,084       1.3

Consolidated advanced procedures

     182,176       170,497       6.8

% advanced procedures

     31.1     29.4     170bps  

Consolidated same-center advanced volume growth

     —        —        5.6

System-wide

      

System-wide total procedures

     966,934       943,490       2.5

System-wide advanced procedures

     357,592       334,642       6.9

% advanced procedures

     37.0     35.5     150bps  

System-wide same-center advanced volume growth

     —        —        5.6

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%)

 

   

Adjusted EPS of $0.71 to $0.77 per share

Lumexa Imaging Earnings Conference Call and Webcast

Lumexa Imaging will host a conference call to discuss its first quarter 2026 results, as well as its 2026 outlook, on May 12, 2026 at 5:00 p.m. ET. The call can 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 and Adjusted EPS 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 the corresponding reconciliations. However, such reconciling 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 greater than 190 outpatient imaging centers, 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 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 our Annual Report on Form 10-K for the year ended December 31, 2025, 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.

Investors:

Sue Dooley

Lumexa Imaging

sue.dooley@Lumexaimaging.com

Media Contact

Melissa Weston

Lumexa Imaging

Melissa.Weston@LumexaImaging.com


LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(IN THOUSANDS, EXCEPT FOR COMMON SHARES)

(Unaudited)

 

     March 31, 2026     December 31, 2025  

ASSETS

    

Cash and cash equivalents

   $ 51,226     $ 58,828  

Accounts receivable

     118,141       112,942  

Accounts receivable, related party

     15,942       18,893  

Other receivables

     20,045       19,015  

Prepaid expenses

     16,534       17,582  
  

 

 

   

 

 

 

Total current assets

     221,888       227,260  
  

 

 

   

 

 

 

Property and equipment, net of accumulated depreciation

     150,127       144,709  

Operating lease right-of-use assets

     76,175       76,555  

Investments in unconsolidated affiliates

     420,519       423,191  

Intangible assets, net of accumulated amortization

     40,245       41,335  

Goodwill

     807,554       807,554  

Other assets

     46,845       43,953  
  

 

 

   

 

 

 

TOTAL ASSETS

   $ 1,763,353     $ 1,764,557  
  

 

 

   

 

 

 

LIABILITIES AND EQUITY

    

Accounts payable

   $ 37,168     $ 44,857  

Accrued expenses and other current liabilities

     80,174       95,561  

Accounts receivable pledging arrangement

     1,693       1,599  

Current portion of long-term debt

     13,437       13,112  

Current portion of finance lease liabilities

     13,408       11,552  

Current portion of operating lease liabilities

     12,053       12,513  
  

 

 

   

 

 

 

Total current liabilities

     157,933       179,194  

Long-term debt, less current maturities

     816,974       819,029  

Long-term finance lease liabilities, less current maturities

     38,483       33,262  

Long-term operating lease liabilities, less current maturities

     71,402       71,437  

Deferred income taxes

     41,498       40,772  

Other liabilities

     37,443       34,740  
  

 

 

   

 

 

 

Total liabilities

     1,163,733       1,178,434  
  

 

 

   

 

 

 

COMMITMENTS AND CONTINGENCIES

    

EQUITY:

    

Common stock, $0.001 par value, 1,000,000,000 shares authorized, 96,080,735 shares issued and outstanding at March 31, 2026 and 96,109,927 shares issued and outstanding at December 31, 2025

     96       96  

Additional paid-in-capital

     1,228,867       1,217,087  

Accumulated deficit

     (629,343     (631,060
  

 

 

   

 

 

 

Total equity

     599,620       586,123  
  

 

 

   

 

 

 

TOTAL LIABILITIES AND EQUITY

   $   1,763,353     $   1,764,557  
  

 

 

   

 

 

 


LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME (LOSS)

(IN THOUSANDS, EXCEPT FOR SHARE AND PER SHARE DATA)

(Unaudited)

 

     Three Months Ended March 31,  
     2026      2025  

REVENUES:

     

Net patient service revenue

   $ 197,318      $ 192,298  

Management fee and other revenue

     55,219        52,703  
  

 

 

    

 

 

 

Total revenues

     252,537        245,001  

OPERATING EXPENSES:

     

Cost of operations, excluding depreciation and amortization

     217,755        208,397  

General and administrative expenses

     20,335        17,492  

Depreciation and amortization

     9,922        9,051  

Loss on disposal of property and equipment

     137        (162
  

 

 

    

 

 

 

Total operating expenses

     248,149        234,778  
  

 

 

    

 

 

 

Equity in earnings of unconsolidated affiliates

     15,024        15,318  
  

 

 

    

 

 

 

INCOME FROM OPERATIONS

     19,412        25,541  

OTHER EXPENSES:

     

Interest expense

     16,331        29,849  
  

 

 

    

 

 

 

INCOME (LOSS) BEFORE INCOME TAXES

     3,081        (4,308

Income tax provision

     1,364        3,379  
  

 

 

    

 

 

 

NET INCOME (LOSS) AND COMPREHENSIVE INCOME (LOSS)

   $ 1,717      $ (7,687
  

 

 

    

 

 

 

Weighted average shares outstanding:

     

Basic

     95,983,233        69,523,369  

Diluted

     95,983,243        69,523,369  

Net income (loss) per common share

     

Basic

   $ 0.02      $ (0.11

Diluted

   $ 0.02      $ (0.11


LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(IN THOUSANDS)

(Unaudited)

 

     Three Months Ended March 31,  
     2026     2025  

CASH FLOWS FROM OPERATING ACTIVITIES:

    

Net income (loss)

   $ 1,717     $ (7,687

Adjustments to reconcile net income (loss) to net cash provided by operating activities

    

Depreciation and amortization

     9,922       9,051  

Amortization of operating lease right-of-use assets

     3,957       3,739  

Amortization of debt issuance costs

     717       1,433  

Amortization of cloud computing implementation costs

     161       113  

Equity in earnings of unconsolidated affiliates

     (15,024     (15,318

Distributions from investments in unconsolidated affiliates

     17,696       18,281  

Loss on disposal of property and equipment

     137       (162

Deferred income taxes

     726       1,499  

Stock-based compensation

     12,274       6,374  

Other

     (494     —   

Changes in operating assets and liabilities:

    

Accounts receivable

     (5,199     (8,470

Accounts receivable, related party

     2,951       85  

Capitalized cloud computing implementation costs

     (1,982     (1,356

Other receivables

     (1,030     (5,955

Prepaid expenses

     1,570       (1,994

Other assets

     (2,363     (9,083

Accounts payable

     (7,738     2,490  

Accrued expenses and other current liabilities

     (13,697     (11,322

Other liabilities

     2,703       7,555  

Operating lease liabilities

     (4,072     (3,235
  

 

 

   

 

 

 

Net cash provided by (used in) operating activities

     2,932       (13,962
  

 

 

   

 

 

 

CASH FLOWS FROM INVESTING ACTIVITIES:

    

Proceeds from sale or disposal of property and equipment

     40       281  

Purchases of property and equipment

     (5,314     (1,001
  

 

 

   

 

 

 

Net cash used in investing activities

     (5,274     (720
  

 

 

   

 

 

 

CASH FLOWS FROM FINANCING ACTIVITIES:

    

Payments of long-term debt

     (3,227     (3,893

Proceeds from long-term debt, net of issuance costs

     1,122       496  

Payments of finance lease liabilities

     (3,249     (1,409

Capital contributions

     —        660  

Proceeds from accounts receivable pledging arrangement

     94       —   
  

 

 

   

 

 

 

Net cash used in financing activities

     (5,260     (4,146
  

 

 

   

 

 

 

NET DECREASE IN CASH AND CASH EQUIVALENTS

     (7,602     (18,828

CASH AND CASH EQUIVALENTS, beginning of period

     58,828       26,131  
  

 

 

   

 

 

 

CASH AND CASH EQUIVALENTS, end of period

   $   51,226     $   7,303  
  

 

 

   

 

 

 


LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES

RECONCILIATION OF GAAP NET INCOME (LOSS) TO ADJUSTED EBITDA

(IN THOUSANDS)

(Unaudited)

 

     Three Months Ended March 31,  
       2026         2025    

Net income (loss)

   $ 1,717     $ (7,687

Depreciation and amortization

     9,922       9,051  

Income tax provision

     1,364       3,379  

Amortization of basis difference

     531       500  

Interest expense

     16,331       29,849  

Stock-based compensation

     12,274       6,374  

Loss on disposal of property and equipment

     137       (162

Severance and executive recruiting(1)

     945       1,370  

Strategic initiatives and implementation(2)

     825       868  

Transaction costs(3)

     2,582       3,588  

Litigation and settlements(4)

     29       (128

Other(5)

     (5     22  

Adjustments for equity in earnings of unconsolidated affiliates(6)

     4,547       3,975  
  

 

 

   

 

 

 

Adjusted EBITDA

   $   51,199     $   50,999  
  

 

 

   

 

 

 

 

(1)

Includes severance and recruiting expenses for executive leadership departures as part of strategic organizational changes.

(2)

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 system.

(3)

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.

(4) 

Consists of litigation and settlement costs for matters not related to core operations.

(5)

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.

(6)

To adjust for Lumexa Imaging’s proportional share of depreciation and amortization, interest expense and losses/gains on asset disposals, which are included in equity in earnings from unconsolidated affiliates.


LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES

SCHEDULE OF ADJUSTED EARNINGS AND EARNINGS PER SHARE

(IN THOUSANDS, EXCEPT PER SHARE DATA)

(Unaudited)

 

     Three Months Ended March 31,  
     2026     2025  

 

Net income (loss)

   $ 1,717     $ (7,687
  

 

 

   

 

 

 

Stock-based compensation

     12,274       6,374  

Loss (gain) on disposal of property and equipment

     137       (162

Severance and executive recruiting(1)

     945       1,370  

Strategic initiatives and implementation(2)

     825       868  

Transaction costs(3)

     2,582       3,588  

Litigation and settlements(4)

     29       (128

Other(5)

     (5     22  

Adjustments for equity in earnings of unconsolidated affiliates(6)

     396       (27
  

 

 

   

 

 

 

Total adjustments

     17,183       11,905  

Tax impact of adjustments(7)

     (1,968     (1,381
  

 

 

   

 

 

 

Adjusted net income

   $ 16,932     $ 2,837  
  

 

 

   

 

 

 

Weighted average shares outstanding

    

Basic

     95,983,233       69,523,369  

Diluted

     95,983,243       69,523,369  

Adjusted basic net income per share

   $ 0.18     $ 0.04  

Adjusted diluted net income per share

   $ 0.18     $ 0.04  

 

(1) 

Includes severance and recruiting expenses for executive leadership departures as part of strategic organizational changes.

(2) 

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 system.

(3) 

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.

(4) 

Consists of litigation and settlement costs for matters not related to core operations.

(5) 

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.

(6)

To adjust for Lumexa Imaging’s proportional share of losses/gains on asset disposals, which are included in equity in earnings from unconsolidated affiliates.

(7)

Tax effected adjustments using blended federal and state effective income tax rate.


LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES

DETAILS OF MANAGEMENT FEE AND OTHER REVENUES

(IN THOUSANDS)

(Unaudited)

 

     Three Months Ended March 31,  
     2026      2025  

Components of “management fee and other revenues:”

     

Fees for managing joint ventured outpatient sites and other third party services

   $ 21,498      $ 20,076  

Zero margin pass-throughs of employee, IT and other site level costs paid by Lumexa

     33,721        32,627  
  

 

 

    

 

 

 

Total revenues

   $   55,219      $   52,703  
  

 

 

    

 

 

 

FAQ

How did Lumexa Imaging (LMRI) perform financially in Q1 2026?

Lumexa Imaging reported Q1 2026 revenue of $252.5 million, up from $245.0 million a year earlier. Net income was $1.7 million, compared with a net loss of $7.7 million in Q1 2025, reflecting a return to profitability.

What were Lumexa Imaging’s earnings per share for Q1 2026?

For Q1 2026, Lumexa Imaging reported $0.02 in basic and diluted net income per share, versus a net loss of $(0.11) per share in Q1 2025. Adjusted diluted earnings per share increased to $0.18 from $0.04.

How did Lumexa Imaging’s outpatient procedure volumes change in Q1 2026?

System-wide total procedures reached 966,934 in Q1 2026 versus 943,490 in Q1 2025. System-wide advanced procedures increased to 357,592 from 334,642, and advanced procedures rose to 37.0% of system-wide volume, supported by 5.6% same-center advanced volume growth.

What was Lumexa Imaging’s Adjusted EBITDA in Q1 2026?

Adjusted EBITDA for Q1 2026 was $51.2 million, compared with $51.0 million in Q1 2025. This non-GAAP measure adds back items such as depreciation, interest, taxes, stock-based compensation, transaction costs, and adjustments related to unconsolidated affiliates.

Did Lumexa Imaging change its 2026 guidance with the Q1 results?

Lumexa Imaging reiterated its full-year 2026 guidance alongside the Q1 2026 results. While specific targets are not detailed here, management emphasized confidence in its strategy around same-center growth, geographic expansion, and advanced imaging volumes.

What is Lumexa Imaging’s cash and debt position after Q1 2026?

At March 31, 2026, Lumexa Imaging held $51.2 million in cash and cash equivalents. Long-term debt, excluding current maturities, totaled $817.0 million, with total liabilities of $1.16 billion and total equity of $599.6 million.

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