Lumexa Imaging Holdings, Inc.NASDAQ: LMRI

Lumexa Imaging Announces Second Quarter 2026 Results

· Issued by Lumexa Imaging Holdings, Inc. via GlobeNewswire

RALEIGH, N.C., Aug. 12, 2026 (GLOBE NEWSWIRE) -- Lumexa Imaging (Nasdaq: LMRI), one of the nation's largest providers of outpatient imaging services, today reported results for the second quarter ended June 30, 2026, and updated its full year 2026 outlook. 

"During the second quarter, we continued to build on our momentum, delivering strong same-center growth, expanding our mix of advanced imaging and ramping new centers," said Caitlin Zulla, Chief Executive Officer of Lumexa Imaging. "Some highlights include announcing four new imaging centers year to date and a joint venture with Hospital for Special Surgery (HSS), a globally recognized leader in musculoskeletal health, marking our ninth health system partnership and our second new joint venture in the past twelve months."

"With a large and growing addressable market and durable demand tailwinds, 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."

Second Quarter 2026 Highlights:
All comparisons are to the quarter ended June 30, 2025, unless otherwise noted

  • Consolidated revenues of $264.2 million, an increase of 5.1% from $251.4 million

  • System-wide revenue growth of 6.0%

  • Consolidated advanced outpatient volume growth of 6.8% and 6.3% system-wide

  • Same-center advanced outpatient volume growth of 5.2% consolidated and 4.9% system-wide

  • Net income of $2.7 million as compared to net loss of $7.2 million

  • Adjusted EBITDA of $56.4 million as compared to $56.3 million; and a 21.4% Adjusted EBITDA margin as compared to 22.4%

  • GAAP EPS of $0.03 per share and Adjusted EPS of $0.20 per share

2026 Full Year Outlook:

Lumexa Imaging provided an update on its guidance for the full year ended December 31, 2026.

  • Reiterating full-year 2026 consolidated revenue guidance of $1.045 billion to $1.097 billion.

  • Narrowing its full-year 2026 Adjusted EBITDA guidance range to $235 million to $241 million, from its prior range of $234 million to $242 million. The midpoint of $238 million is unchanged. 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%)

  • Reiterating guidance for 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 second quarter 2026 results, as well as its 2026 outlook, on August 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 and our later dated Quarterly Reports on Form 10-Q, each as filed with the Securities and Exchange Commission. 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 Q2 2026 Outpatient Volumes Highlights:

Consolidated

2Q26

2Q25

Increase YoY

Consolidated total procedures

617,722

602,366

2.5%

Consolidated advanced procedures

193,125

180,911

6.8%

% advanced procedures

31.3%

30.0%

123bps

Consolidated same-center advanced volume growth

------

------

5.2%

System-wide

System-wide total procedures

1,022,874

992,118

3.1%

System-wide advanced procedures

382,506

359,948

6.3%

% advanced procedures

37.4%

36.3%

111bps

System-wide same-center advanced volume growth

------

------

4.9%

Note: Advanced Procedures includes MRI and CT modalities. Center count at June 30, 2026 was 192 total, 88 JV and 104 consolidated.

LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(IN THOUSANDS, EXCEPT FOR COMMON SHARES)

(Unaudited)

June 30, 2026

December 31, 2025

ASSETS

Cash and cash equivalents

$

69,705

$

58,828

Accounts receivable

120,637

112,942

Accounts receivable, related party

20,024

18,893

Other receivables

31,552

19,015

Prepaid expenses

14,498

17,582

Total current assets

256,416

227,260

Property and equipment, net of accumulated depreciation

156,062

144,709

Operating lease right-of-use assets

77,033

76,555

Investments in unconsolidated affiliates

423,331

423,191

Intangible assets, net of accumulated amortization

39,722

41,335

Goodwill

807,554

807,554

Other assets

48,654

43,953

TOTAL ASSETS

$

1,808,772

$

1,764,557

LIABILITIES AND EQUITY

Accounts payable

$

27,062

$

44,857

Accrued expenses and other current liabilities

109,167

95,561

Accounts receivable pledging arrangement

1,267

1,599

Current portion of long-term debt

14,330

13,112

Current portion of finance lease liabilities

14,597

11,552

Current portion of operating lease liabilities

11,932

12,513

Total current liabilities

178,355

179,194

Long-term debt, less current maturities

819,753

819,029

Long-term finance lease liabilities, less current maturities

41,177

33,262

Long-term operating lease liabilities, less current maturities

72,296

71,437

Deferred income taxes

43,592

40,772

Other liabilities

38,538

34,740

Total liabilities

1,193,711

1,178,434

COMMITMENTS AND CONTINGENCIES

EQUITY:

Common stock, $0.001 par value, 1,000,000,000 shares authorized, 96,074,976 shares issued and outstanding at June 30, 2026 and 96,109,927 shares issued and outstanding at December 31, 2025

96

96

Additional paid-in-capital

1,241,563

1,217,087

Accumulated deficit

(626,598

)

(631,060

)

Total equity

615,061

586,123

TOTAL LIABILITIES AND EQUITY

$

1,808,772

$

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 June 30,

2026

2025

REVENUES:

Net patient service revenue

$

203,735

$

198,185

Management fee and other revenue

60,427

53,217

Total revenues

264,162

251,402

OPERATING EXPENSES:

Cost of operations, excluding depreciation and amortization

225,285

212,265

General and administrative expenses

24,397

18,689

Depreciation and amortization

10,083

9,279

(Gain) loss on disposal of property and equipment

(24

)

16

Total operating expenses

259,741

240,249

Equity in earnings of unconsolidated affiliates

18,619

16,527

INCOME FROM OPERATIONS

23,040

27,680

OTHER EXPENSES:

Interest expense

16,222

30,097

Loss on extinguishment and modification of debt

1,053

-

Total other expenses

17,275

30,097

INCOME (LOSS) BEFORE INCOME TAXES

5,765

(2,417

)

Income tax provision

3,020

4,809

NET INCOME (LOSS) AND COMPREHENSIVE INCOME (LOSS)

$

2,745

$

(7,226

)

Weighted average shares outstanding:

Basic

95,983,246

69,526,574

Diluted

96,039,426

69,526,574

Net income (loss) per common share

Basic

$

0.03

$

(0.10

)

Diluted

$

0.03

$

(0.10

)

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)

Six Months Ended June 30,

2026

2025

REVENUES:

Net patient service revenue

$

401,053

$

390,483

Management fee and other revenue

115,646

105,920

Total revenues

516,699

496,403

OPERATING EXPENSES:

Cost of operations, excluding depreciation and amortization

443,040

420,662

General and administrative expenses

44,732

36,181

Depreciation and amortization

20,005

18,330

(Gain) loss on disposal of property and equipment

113

(146

)

Total operating expenses

507,890

475,027

Equity in earnings of unconsolidated affiliates

33,643

31,845

INCOME FROM OPERATIONS

42,452

53,221

OTHER EXPENSES:

Interest expense

32,553

59,946

Loss on extinguishment and modification of debt

1,053

-

Total other expenses

33,606

59,946

INCOME (LOSS) BEFORE INCOME TAXES

8,846

(6,725

)

Income tax provision

4,384

8,188

NET INCOME (LOSS) AND COMPREHENSIVE INCOME (LOSS)

$

4,462

$

(14,913

)

Weighted average shares outstanding:

Basic

95,983,240

69,524,980

Diluted

96,011,335

69,524,980

Net income (loss) per common share

Basic

$

0.05

$

(0.21

)

Diluted

$

0.05

$

(0.21

)

LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(IN THOUSANDS)

(Unaudited)

Six Months Ended June 30,

2026

2025

CASH FLOWS FROM OPERATING ACTIVITIES:

Net income (loss)

$

4,462

$

(14,913

)

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

Depreciation and amortization

20,005

18,330

Amortization of operating lease right-of-use assets

7,956

7,424

Amortization of debt issuance costs

1,437

2,871

Amortization of cloud computing implementation costs

760

184

Write-off of debt issuance costs related to extinguishment of debt

46

-

Equity in earnings of unconsolidated affiliates

(33,643

)

(31,845

)

Distributions from investments in unconsolidated affiliates

36,869

32,820

Loss on disposal of property and equipment

113

(146

)

Deferred income taxes

2,820

1,477

Stock-based compensation

25,011

14,720

Other

(535

)

-

Changes in operating assets and liabilities:

Accounts receivable

(7,695

)

(6,870

)

Accounts receivable, related party

(1,131

)

(2,035

)

Capitalized cloud computing implementation costs

(1,647

)

(1,421

)

Other receivables

(12,537

)

(5,410

)

Prepaid expenses

3,034

(7,028

)

Other assets

(4,723

)

(11,311

)

Accounts payable

(18,596

)

1,214

Accrued expenses and other current liabilities

18,085

(11,002

)

Other liabilities

3,798

7,018

Operating lease liabilities

(8,156

)

(5,966

)

Net cash provided by (used in) operating activities

35,733

(11,889

)

CASH FLOWS FROM INVESTING ACTIVITIES:

Proceeds from sale or disposal of property and equipment

40

713

Acquisition of intangible asset

(600

)

-

Purchases of property and equipment

(14,985

)

(5,602

)

Contributions to investments in unconsolidated affiliates

(3,366

)

-

Net cash used in investing activities

(18,911

)

(4,889

)

CASH FLOWS FROM FINANCING ACTIVITIES:

Payment of third-party debt issuance costs

(154

)

-

Proceeds from long-term debt

9,536

496

Payments of long-term debt

(8,393

)

(7,821

)

Proceeds from revolving line of credit

-

5,000

Payments of finance lease liabilities

(6,602

)

(2,998

)

Capital contributions

-

715

Repayments on accounts receivable pledging arrangement

(332

)

-

Net cash used in financing activities

(5,945

)

(4,608

)

NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS

10,877

(21,386

)

CASH AND CASH EQUIVALENTS, beginning of period

58,828

26,131

CASH AND CASH EQUIVALENTS, end of period

$

69,705

$

4,745

LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES

RECONCILIATION OF GAAP NET INCOME (LOSS) TO ADJUSTED EBITDA

(IN THOUSANDS)

(Unaudited)

Three Months Ended June 30,

2026

2025

Net income (loss)

$

2,745

$

(7,226

)

Depreciation and amortization

10,083

9,279

Income tax provision

3,020

4,809

Amortization of basis difference

573

500

Interest expense

16,222

30,097

Stock-based compensation

12,737

8,346

Loss on extinguishment and modification of debt

1,053

-

Loss (gain) on disposal of property and equipment

(24

)

16

Severance and executive recruiting(1)

686

803

Strategic initiatives and implementation(2)

2,659

1,018

Transaction costs(3)

707

3,875

Litigation and settlements(4)

1,173

-

Other(5)

87

142

Adjustments for equity in earnings

of unconsolidated affiliates(6)

4,724

4,615

Adjusted EBITDA

$

56,445

$

56,274

(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

RECONCILIATION OF GAAP NET INCOME (LOSS) TO ADJUSTED EBITDA

(IN THOUSANDS)

(Unaudited)

Six Months Ended June 30,

2026

2025

Net income (loss)

$

4,462

$

(14,913

)

Depreciation and amortization

20,005

18,330

Income tax provision

4,384

8,188

Amortization of basis difference

1,105

1,000

Interest expense

32,553

59,946

Stock-based compensation

25,011

14,720

Loss on extinguishment and modification of debt

1,053

-

Loss (gain) on disposal of property and equipment

113

(146

)

Severance and executive recruiting(1)

1,631

2,173

Strategic initiatives and implementation(2)

3,484

1,886

Transaction costs(3)

3,289

7,464

Litigation and settlements(4)

1,202

(128

)

Other(5)

82

158

Adjustments for equity in earnings

of unconsolidated affiliates(6)

9,270

8,596

Adjusted EBITDA

$

107,644

$

107,274

(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 June 30,

2026

2025

Net income (loss)

$

2,745

$

(7,226

)

Stock-based compensation

12,737

8,346

Loss (gain) on disposal of property and equipment

(24

)

16

Loss on extinguishment and modification of debt

1,053

-

Severance and executive recruiting(1)

686

803

Strategic initiatives and implementation(2)

2,659

1,018

Transaction costs(3)

707

3,875

Litigation and settlements(4)

1,173

-

Other(5)

87

142

Adjustments for equity in earnings

of unconsolidated affiliates(6)

199

81

Total adjustments

19,277

14,281

Tax impact of adjustments(7)

(2,493

)

(1,484

)

Adjusted net income

$

19,529

$

5,571

Weighted average shares outstanding

Basic

95,983,246

69,526,574

Diluted

96,039,426

69,526,574

Adjusted basic net income per share

$

0.20

$

0.08

Adjusted diluted net income per share

$

0.20

$

0.08

(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

SCHEDULE OF ADJUSTED EARNINGS AND EARNINGS PER SHARE

(IN THOUSANDS, EXCEPT PER SHARE DATA)

(Unaudited)

Six Months Ended June 30,

2026

2025

Net income (loss)

$

4,462

$

(14,913

)

Stock-based compensation

25,011

14,720

Loss (gain) on disposal of property and equipment

113

(146

)

Loss on extinguishment and modification of debt

1,053

-

Severance and executive recruiting(1)

1,631

2,173

Strategic initiatives and implementation(2)

3,484

1,886

Transaction costs(3)

3,289

7,464

Litigation and settlements(4)

1,202

(128

)

Other(5)

82

158

Adjustments for equity in earnings

of unconsolidated affiliates(6)

595

54

Total adjustments

36,460

26,181

Tax impact of adjustments(7)

(4,461

)

(2,865

)

Adjusted net income

$

36,461

$

8,403

Weighted average shares outstanding

Basic

95,983,240

69,524,980

Diluted

96,011,335

69,524,980

Adjusted basic net income per share

$

0.38

$

0.12

Adjusted diluted net income per share

$

0.38

$

0.12

(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 June 30,

2026

2025

Components of "management fee and other revenues:"

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

$

26,103

$

20,578

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

34,324

32,639

Total revenues

$

60,427

$

53,217

Six Months Ended June 30,

2026

2025

Components of "management fee and other revenues:"

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

$

47,601

$

40,654

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

68,045

65,266

Total revenues

$

115,646

$

105,920

LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES

SEGMENT REVENUES

(IN THOUSANDS)

(Unaudited)

THREE MONTHS ENDED JUNE 30, 2026

OUTPATIENT

PROFESSIONAL

INTERSEGMENT
ELIMINATIONS

TOTAL OF
REPORTABLE
SEGMENTS

Revenue

Net patient service revenue

$

143,747

$

64,280

$

(4,292

)

$

203,735

Management fee and other revenue

52,462

7,965

-

60,427

Total revenues

$

196,209

$

72,245

$

(4,292

)

$

264,162

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