Lumexa Imaging Holdings, Inc.: Lumexa Imaging Announces First Quarter 2026 Results

RALEIGH, N.C., May 12, 2026 (GLOBE NEWSWIRE) -- 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
[e-mail]

Media Contact
Melissa Weston
Lumexa Imaging
[e-mail]

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 recruiting1)		945				1,370
Strategic initiatives and implementation2)		825				868
Transaction costs3)		2,582				3,588
Litigation and settlements4)		29				(128	-
Other5)		(5	-			22
Adjustments for equity in earnings of unconsolidated affiliates6)		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 recruiting1)		945				1,370
Strategic initiatives and implementation2)		825				868
Transaction costs3)		2,582				3,588
Litigation and settlements4)		29				(128	-
Other5)		(5	-			22
Adjustments for equity in earnings of unconsolidated affiliates6)		396				(27	-
Total adjustments		17,183				11,905
Tax impact of adjustments7)		(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