Skip to main content

Nutex Health Inc

For the period ended Sep 30, 2024. Filed Nov 7, 2024.

View on SEC.gov

About this filing

A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.

Sep 30, 2024 · Filed Nov 7, 2024

NUTX$186.25-4.1%Stored close · as of Nov 10, 2026

Extracted filing text, with the paragraph anchors used by the comparison.

See the whole filing, with its images and exhibits

Item 1. Financial Statements

NUTEX HEALTH INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

​​​​​​​
​ · ​ · September 30, 2024 · ​ · December 31, 2023
Assets​​​​​​
Current assets:​​​​​​
Cash and cash equivalents​$46,909,281​$22,002,056
Accounts receivable​62,745,336​58,624,301
Accounts receivable - related parties​3,602,189​4,152,068
Inventories​2,259,168​3,390,584
Prepaid expenses and other current assets​​4,279,360​​2,679,394
Total current assets​​119,795,334​​90,848,403
Property and equipment, net​​78,246,467​​81,387,649
Operating right-of-use assets​​11,442,369​​11,853,082
Finance right-of-use assets​198,462,381​176,146,329
Intangible assets, net​​15,855,392​​20,512,636
Goodwill, net​13,918,719​17,066,263
Other assets​​767,942​​431,135
​​​​​​​
Total assets​$438,488,604​$398,245,497
​​​​​​​
Liabilities and Equity​​
Current liabilities:​​
Accounts payable​$10,320,933​$18,899,196
Accounts payable - related parties​6,342,883​6,382,197
Lines of credit​3,384,517​3,371,676
Current portion of long-term debt​10,499,532​10,808,721
Operating lease liabilities, current portion​​2,060,758​​1,579,987
Finance lease liabilities, current portion​​5,261,458​​4,315,979
Accrued expenses and other current liabilities​​29,688,665​12,955,296
Total current liabilities​67,558,746​58,313,052
Long-term debt, net​​26,801,811​​26,314,733
Warrant liability​​5,715,143​​-
Operating lease liabilities, net​​14,307,320​​15,479,639
Finance lease liabilities, net​​240,924,194​​213,886,213
Deferred tax liabilities​​3,402,965​​5,145,754
Total liabilities​358,710,179​319,139,391
​​​​​​​
Commitments and contingencies​​​​​​
​​​​​​​
Equity:​​​​​​
Common stock, $0.001 par value; 950,000,000 shares authorized; 5,215,709 and 4,511,199 shares issued and outstanding as of September 30, 2024 and December 31, 2023, respectively​​5,216​​4,511
Additional paid-in capital​​479,024,452​​470,521,218
Accumulated deficit​​(418,588,975)​​(409,072,539)
Nutex Health Inc. equity​​60,440,693​​61,453,190
Noncontrolling interests​19,337,732​​17,652,916
Total equity​​79,778,425​​79,106,106
​​​​​​​
Total liabilities and equity​$438,488,604​$398,245,497

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

​​​​​​​​​​​​​
​ · ​ · Three Months Ended September 30, · ​ · Nine Months Ended September 30,
​2024202320242023
Revenue:​​​​​​​​​​​​
Hospital division​$71,732,529​$54,585,263​$199,366,776​$155,485,230
Population health management division​​7,062,340​​8,137,709​​22,964,141​​22,491,613
Total revenue​​78,794,869​​62,722,972​​222,330,917​​177,976,843
​​​​​​​​​​​​​
Operating costs and expenses:​​​​​​​​​​
Payroll and benefits​​29,848,083​​28,873,144​​85,249,302​​79,570,519
Contract services​​11,657,010​​9,035,650​​32,481,686​​27,972,854
Medical supplies​​3,982,598​​3,460,130​​12,892,904​​10,748,214
Depreciation and amortization​4,972,478​4,745,941​13,691,484​12,908,848
Other​​6,417,886​​9,541,894​​23,380,318​​25,215,549
Total operating costs and expenses​​56,878,055​​55,656,759​​167,695,694​​156,415,984
​​​​​​​​​​​​​
Gross profit​​21,916,814​​7,066,213​​54,635,223​​21,560,859
​​​​​​​​​​​​​
Corporate and other costs:​​​​​​​​​​​​
Facilities closing costs​​-​​-​​-​​217,266
Acquisition costs​​-​​43,464​​-​​43,464
Stock-based compensation expense​​1,963,518​​49,167​​1,951,444​​2,198,812
Impairment of assets​​425,221​​-​​3,898,856​​-
Impairment of goodwill​​-​​-​​3,197,391​​-
General and administrative expenses​​9,865,330​​7,794,808​​29,176,130​​24,730,168
Total corporate and other costs​​12,254,069​​7,887,439​​38,223,821​​27,189,710
​​​​​​​​​​​​​
Operating income (loss)​9,662,745​​(821,226)​16,411,402​​(5,628,851)
​​​​​​​​​​​​​
Interest expense, net​​5,381,040​​4,098,179​​14,879,934​​12,081,316
Loss on warrant liability​​6,733,552​​-​​1,072,709​​-
Other (income) expense​128,645​(53,206)​(712,049)​70,721
Income (loss) before taxes​​(2,580,492)​​(4,866,199)​​1,170,808​​(17,780,888)
​​​​​​​​​​​​​
Income tax expense (benefit)​​4,584,518​​(342,259)​​5,868,075​​(2,068,530)
​​​​​​​​​​​​​
Net loss​​(7,165,010)​​(4,523,940)​​(4,697,267)​​(15,712,358)
​​​​​​​​​​​​​
Less: net income (loss) attributable to noncontrolling interests​​1,623,303​​1,018,451​​4,819,169​​(1,543,641)
​​​​​​​​​​​​​
Net loss attributable to Nutex Health Inc.​$(8,788,313)​$(5,542,391)​$(9,516,436)​$(14,168,717)
​​​​​​​​​​​​​
Loss per common share:​​​​​​​​​​​​
Basic​$(1.72)​$(1.25)​$(1.91)​$(3.23)
Diluted​$(1.72)​$(1.25)​$(1.91)​$(3.23)

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY

​​​​​​​​​​​​​​​​​​
​ · ​ · Common Stock · ​ · Additional Paid-in · ​ · Accumulated · ​ · Noncontrolling · ​ · Total
​ · Shares · Amount · Capital · Deficit · Interests · Equity
​​​​​​​​​​​​​​​​​​
Balance at December 31, 2022​4,334,826​$4,335​$459,144,291​$(363,285,925)​$24,464,699​$120,327,400
Deconsolidation of Real Estate Entity​—​​—​​—​​—​​(4,258,133)​​(4,258,133)
Common stock issued for exercise of warrants​4,682​​5​​(5)​​—​​—​​—
Common stock issued to Apollo Medical Holdings, Inc.​6,667​​7​​1,899,993​​—​​—​​1,900,000
Contributions​—​​—​​—​​—​​28,000​​28,000
Distributions​—​​—​​—​​—​​(1,537,141)​​(1,537,141)
Net loss​—​​—​​—​​(5,147,279)​​(1,774,693)​​(6,921,972)
Balance at March 31, 2023​4,346,175​$4,347​$461,044,279​$(368,433,204)​$16,922,732​$109,538,154
Common stock issued for exercise of warrants​3,774​​4​​(4)​​—​​—​​—
Debt conversion to common stock​53,571​​53​​3,232,386​​—​​—​​3,232,439
Restricted stock awards issued for compensation​1,431​​1​​249,644​​—​​—​​249,645
Contributions​—​​—​​—​​—​​621,550​​621,550
Distributions​—​​—​​—​​—​​(1,149,163)​​(1,149,163)
Net loss​—​​—​​—​​(3,479,047)​​(787,399)​​(4,266,446)
Balance at June 30, 2023​4,404,951​$4,405​$464,526,305​$(371,912,251)​$15,607,720​$108,226,179
Debt conversion to common stock​49,517​​50​​1,919,021​​—​​—​​1,919,071
Stock-based compensation​—​​—​​49,167​​—​​—​​49,167
Common stock issued for acquisition​16,943​​17​​749,983​​—​​—​​750,000
Warrants issued with convertible debt​—​​—​​133,484​​—​​—​​133,484
Distributions​—​​—​​—​​—​​(1,649,228)​​(1,649,228)
Net income (loss)​—​​—​​—​​(5,542,391)​​1,018,451​​(4,523,940)
Balance at September 30, 2023​4,471,411​$4,472​$467,377,960​$(377,454,642)​$14,976,943​$104,904,733

(Continued)

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY

​​​​​​​​​​​​​​​​​​
​ · ​ · Common Stock · ​ · Additional Paid-in · ​ · Retained Earnings · ​ · Noncontrolling · ​ · Total
​ · ​ · Shares · Amount · Capital · (Accumulated Deficit) · Interests · Equity
​​​​​​​​​​​​​​​​​​
Balance at December 31, 2023​4,511,199​$4,511​$470,521,218​$(409,072,539)​$17,652,916​$79,106,106
Common stock issued for Employee Stock Purchase Plan​746​​2​​19,024​​—​​—​​19,026
Common stock issuance​444,444​​444​​1,540,499​​—​​—​​1,540,943
Debt conversion to common stock​11,824​​12​​320,676​​—​​—​​320,688
Stock-based compensation​—​​—​​49,167​​—​​—​​49,167
Vesting of Restricted Stock Units​1,298​​1​​(1)​​—​​—​​—
Reverse stock split adjustment​2,426​​2​​(2)​​—​​—​​—
Distributions​—​​—​​—​​—​​(481,293)​​(481,293)
Net loss​—​​—​​—​​(364,075)​​(178,412)​​(542,487)
Balance at March 31, 2024​4,971,937​$4,972​$472,450,581​$(409,436,614)​$16,993,211​$80,012,150
Common stock received in sale of business​(5,060)​​(5)​​(30,245)​​—​​—​​(30,250)
Common stock issued for Employee Stock Purchase Plan​2,061​​2​​14,407​​—​​—​​14,409
Common stock issued for acquisition​17,640​​18​​156,140​​—​​—​​156,158
Stock-based compensation​—​​—​​(61,241)​​—​​—​​(61,241)
Reverse stock split adjustment​690​​1​​(1)​​—​​—​​—
Contributions​—​​—​​—​​—​​300,850​​300,850
Distributions​—​​—​​—​​—​​(1,380,270)​​(1,380,270)
Net income (loss)​—​​—​​—​​(364,048)​​3,374,278​​3,010,230
Balance at June 30, 2024​4,987,268​​4,988​​472,529,641​​(409,800,662)​​19,288,069​​82,022,036
Common stock issued for Employee Stock Purchase Plan​4,300​​4​​25,366​​—​​—​​25,370
Common stock issued for acquisition​47,106​​47​​249,953​​—​​—​​250,000
Stock-based compensation​27,035​​27​​1,963,481​​—​​—​​1,963,508
Warrant exercises​150,000​​150​​3,819,973​​—​​—​​3,820,123
Contributions​—​​—​​436,038​​—​​224,025​​660,063
Distributions​—​​—​​—​​—​​(1,797,665)​​(1,797,665)
Net income (loss)​—​​—​​—​​(8,788,313)​​1,623,303​​(7,165,010)
Balance at September 30, 2024​5,215,709​$5,216​$479,024,452​$(418,588,975)​$19,337,732​$79,778,425

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

​​​​​​​
​ · ​ · Nine Months Ended September 30,
​20242023
Cash flows from operating activities:​​​​​​
Net income (loss)​$(4,697,267)​$(15,712,358)
Adjustments to reconcile net loss to net cash from operating activities:​​​​​
Depreciation and amortization​13,691,484​​12,908,848
Loss on warrant liability​​1,072,709​​-
Impairment of goodwill​​3,197,391​​-
Impairment of assets​​3,898,856​​-
Derecognition of goodwill​​453,017​​-
Stock-based compensation expense​​1,951,444​​2,198,812
Deferred tax benefit​(1,742,789)​​(2,068,530)
Debt accretion expense​804,760​​1,251,867
Loss on lease termination​​-​​58,210
Non-cash lease expense (income)​​(280,835)​​89,338
Changes in operating assets and liabilities, net of the effects of acquisitions:​​​​​​
Accounts receivable​​(4,253,034)​​4,444,706
Accounts receivable - related party​549,879​​(949,408)
Inventories​​1,131,416​​850,569
Prepaid expenses and other current assets​(1,360,721)​​(3,771,946)
Accounts payable​(7,975,067)​​(6,015,250)
Accounts payable - related party​​(39,314)​​2,228,527
Accrued expenses and other current liabilities​​16,698,416​​7,519,285
Net cash from operating activities​​23,100,345​​3,032,670
​​​​​​
Cash flows from investing activities:​​​​​
Acquisitions of property and equipment​(1,908,651)​​(10,322,487)
Cash related to sale of business​​(361,325)​​-
Payments for acquisitions of businesses, net of cash acquired​​-​​(743,837)
Cash related to deconsolidation of Real Estate Entities​​-​​(1,039,157)
Net cash from investing activities​​(2,269,976)​​(12,105,481)
​​​​​​​
Cash flows from financing activities:​​​​​​
Proceeds from lines of credit​​1,132,168​​2,340,911
Proceeds from notes payable​​7,014,999​​16,952,905
Proceeds from convertible notes​​-​​891,000
Repayments of lines of credit​​(1,119,327)​​(1,592,714)
Repayments of notes payable​​(8,332,482)​​(10,557,758)
Repayments of finance leases​(1,923,687)​​(2,704,082)
Proceeds from common stock issuance, net issuance costs​​9,202,500​​-
Proceeds from exercise of warrants​801,000​​-
Members' contributions​​960,913​​649,550
Members' distributions​​(3,659,228)​​(4,335,532)
Net cash from financing activities​​4,076,856​​1,644,280
Net change in cash and cash equivalents​​24,907,225​​(7,428,531)
Cash and cash equivalents - beginning of the period​​22,002,056​​34,255,264
Cash and cash equivalents - end of the period​$46,909,281​$26,826,733

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

Note 1– Organization and Operations

Nutex Health Inc. (“Nutex Health” or the “Company”), is a physician-led, healthcare services and operations company with 22 hospital facilities inten states (hospital division), and a primary care-centric, risk-bearing population health management division. Our hospital division implements and operates different innovative health care models, including micro-hospitals, specialty hospitals and hospital outpatient departments (“HOPDs”). The population health management division owns and operates provider networks such as independent physician associations (“IPAs”).

We employ approximately 800 full time employees, contract 230 doctors at our facilities and partner with over 1,700 physicians within our networks. Our corporate headquarters is based in Houston, Texas. We were incorporated on April 13, 2000 in the state of Delaware.

Merger of Nutex Health Holdco LLC and Clinigence Holdings, Inc. On April 1, 2022, the merger (the “Merger”) of Nutex Health Holdco LLC and Clinigence Holdings, Inc. (“Clinigence”) was completed pursuant to the Agreement and Plan of Merger (the “Merger Agreement”) entered on November 23, 2021 between Clinigence, Nutex Acquisition LLC, a Delaware limited liability company and wholly-owned subsidiary of Clinigence, Nutex, Micro Hospital Holding LLC (solely for the purposes of certain sections of the Merger Agreement), Nutex Health Holdco LLC and Thomas Vo, M.D., solely in his capacity as the representative of the equity holders of Nutex Health Holdco LLC.

In connection with the Merger Agreement, Nutex Health Holdco LLC entered into certain Contribution Agreements with holders of equity interests (“Nutex Owners”) of subsidiaries and affiliates (the “Nutex Subsidiaries”) pursuant to which such Nutex Owners agreed to contribute certain equity interests in the Nutex Subsidiaries to Nutex Health Holdco LLC in exchange for specified equity interests in Nutex Health Holdco LLC (collectively, the “Contribution Transaction”). Nutex owners having ownership interests representing approximately 84% of the agreed upon aggregate equity value of the Nutex Subsidiaries, agreed to contribute all or a portion of their equity interests, as applicable.

Pursuant to the Merger Agreement, each unit representing an equity interest in Nutex Health Holdco LLC issued and outstanding immediately prior to the effective time of the Merger but after the Contribution Transaction (collectively, the “Nutex Membership Interests”) was converted into the right to receive 3.571428575 shares of common stock of Clinigence, or an aggregate of 592,791,712 shares of common stock of Clinigence.

After completing the merger, Clinigence was renamed Nutex Health Inc.

2024 Reverse Stock Splits.

1:15 Reverse stock split. The Company’s Board of Directors determined to effect a reverse stock split of the common stock at a 1-for-15 ratio (the “1:15 Reverse Stock Split”) effective as of 11:59 pm Eastern time on April 9, 2024. The stockholders of the Company at its annual meeting on June 29, 2023 had approved a reverse stock split within a range of 1:2 and 1:15 to be effected within one year of approval at the discretion of the Board. The Company’s common stock began trading on The Nasdaq Capital Market on a post-1:15 Reverse Stock Split basis under the Company’s existing trading symbol “NUTX” at the open of the market on April 10, 2024. The 1:15 Reverse Stock Split was implemented for the purpose of regaining compliance with the minimum bid price requirement for continued listing of the Company’s common stock on The Nasdaq Capital Market.

1:10 Reverse stock split. In addition, the Company’s Board of Directors determined to effect a reverse stock split of the common stock at a 1-for-10 ratio (the “1:10 Reverse Stock Split”) effective as of 11:59 pm Eastern time on July 2, 2024. The Company’s stockholders, at the annual meeting on June 17, 2024, had approved a reverse stock split within a range of 1:2 and 1:16 to be effected within one year of approval at the discretion of the Board. This 1:10 Reverse Stock Split is in addition to the Company’s previous 1:15 Reverse Stock Split as discussed above. The Company’s common stock began trading on The Nasdaq Stock Market on a post-1:10 Reverse Stock Split basis under the Company’s existing

trading symbol “NUTX” at the open of the market on July 3, 2024. The 1:10 Reverse Stock Split was also implemented for the purpose of regaining compliance with the minimum bid price requirement for continued listing of the Company’s common stock on The Nasdaq Capital Market.

As a result of both the 1:15 Reverse Stock Split and 1:10 Reverse Stock Split (collectively, the “2024 Reverse Stock Splits”) the number of shares of common stock outstanding was reduced to 4,987,268 shares as of June 30, 2024, inclusive of whole shares issued for fractional shares, and the number of authorized shares of common stock remains at 950,000,000. The number of shares of common stock outstanding was 5,215,709 shares as of September 30, 2024.

Unless otherwise indicated, all authorized, issued, and outstanding stock and per share amounts contained in the accompanying condensed consolidated financial statements have been adjusted to reflect the 2024 Reverse Stock Splits for all prior periods presented. Proportionate adjustments for the 2024 Reverse Stock Splits were made to the exercise prices and number of shares issuable under the Company’s equity incentive plans, and the number of shares underlying outstanding equity awards, as applicable.

The impacts of the 2024 Reverse Stock Splits were applied retroactively for all periods presented in accordance with applicable guidance. Therefore, prior period amounts are different than those previously reported. Certain amounts within the following tables may not foot due to rounding.

The following table illustrates changes in equity, as previously reported prior to, and as adjusted subsequent to, the impact of the 2024 Reverse Stock Splits retroactively adjusted for the periods presented:

​​​​​​​​​​
​ · ​ · September 30, 2023
​​​As Previously​​Impact of 2024 Reverse​​As
​​​Reported​​Stock Splits​​Revised
Common Stock - Shares​​670,711,741​​(666,240,330)​​4,471,411
Common Stock - Amount​$670,712​$(666,240)​$4,472
Additional Paid-in Capital​$466,711,720​$666,240​$467,377,960
​​​​​​​​​​
​ · ​ · December 31, 2023
​​​As Previously​​Impact of 2024 Reverse​​As
​​​Reported​​Stock Splits​​Revised
Common Stock - Shares​​676,679,911​​(672,168,712)​​4,511,199
Common Stock - Amount​$676,680​$(672,169)​$4,511
Additional Paid-in Capital​$469,849,049​$672,169​$470,521,218
​​​​​​​​​​
​ · ​ · December 31, 2022
​​​As Previously​​Impact of 2024 Reverse​​As
​​​Reported​​Stock Splits​​Revised
Common Stock - Shares​​650,223,840​​(645,889,014)​​4,334,826
Common Stock - Amount​$650,224​$(645,889)​$4,335
Additional Paid-in Capital​$458,498,402​$645,889​$459,144,291

The following table illustrates changes in loss per share and weighted average shares outstanding, as previously reported prior to, and as adjusted subsequent to, the impact of the 2024 Reverse Stock Splits retroactively adjusted for the periods presented:

​​​​​​​​​​
​ · ​ · Three months ended September 30, 2023
​​​As Previously​​Impact of 2024 Reverse​​As
​​​Reported​​Stock Splits​​Revised
Loss attributable to common stockholders​$(5,542,391)​$-​$(5,542,391)
Weighted average shares used to compute basic and diluted EPS​​665,055,603​​(660,621,899)​​4,433,704
Loss per share - basic and diluted​$(0.01)​$(1.23)​$(1.25)
​​​​​​​​​​
​ · ​ · Nine months ended September 30, 2023
​​​As Previously​​Impact of 2024 Reverse​​As
​​​Reported​​Stock Splits​​Revised
Loss attributable to common stockholders​$(14,168,717)​$-​$(14,168,717)
Weighted average shares used to compute basic and diluted EPS​​657,590,265​​(653,206,330)​​4,383,935
Loss per share - basic and diluted​$(0.01)​$(3.22)​$(3.23)

The following outstanding stock options and warrants exercisable or issuable into shares of common stock were not included in the computation of diluted shares outstanding because the effect would be anti-dilutive:

​​​​​​​​​​
​ · ​ · Three and nine months ended September 30, 2023
​​​As Previously​​Impact of 2024 Reverse​​As
​​​Reported​​Stock Splits​​Revised
Common stock options​​5,147,770​​(5,113,452)​​34,318
Common stock warrants​​10,811,062​​(10,738,988)​​72,074

Stock options were adjusted retroactively to give effect to the 2024 Reverse Stock Splits for the nine months ended September 30, 2023:

​​​​​​​​​​​​​​​​​​​
​ · ​ · As Previously Reported · ​ · Impact of the 2024 Reverse Stock Splits · ​ · Revised
​ · ​ · Options · ​ · Weighted Average · ​ · Options · ​ · Weighted Average · ​ · Options · ​ · Weighted Average
​ · ​ · Outstanding · ​ · Exercise Price · ​ · Outstanding · ​ · Exercise Price · ​ · Outstanding · ​ · Exercise Price
Options outstanding at December 31, 2022​​5,147,770​$2.30​​(5,113,452)​$342.70​​34,318​$345.00
Options exercised​​—​​—​​—​​—​​—​​—
Options cancelled​​—​​—​​—​​—​​—​​—
Options outstanding at September 30, 2023​​5,147,770​$2.30​​(5,113,452)​$342.70​​34,318​$345.00

Warrants were adjusted retroactively to give effect to the 2024 Reverse Stock Splits for the nine months ended September 30, 2023:

​​​​​​​​​​​​​​​​​​​
​ · ​ · As Previously Reported · ​ · Impact of the 2024 Reverse Stock Splits · ​ · Revised
​ · ​ · Warrants · ​ · Weighted Average · ​ · Warrants · ​ · Weighted Average · ​ · Warrants · ​ · Weighted Average
​ · ​ · Outstanding · ​ · Exercise Price · ​ · Outstanding · ​ · Exercise Price · ​ · Outstanding · ​ · Exercise Price
Warrants outstanding at December 31, 2022​​11,033,015​$1.96​​(10,959,462)​$292.20​​73,553​$294.16
Warrants issued​​1,237,500​​1.55​​(1,229,250)​​59.60​​8,250​​60.00
Warrants exercised​​(1,456,453)​​1.55​​1,446,743​​230.95​​(9,710)​​232.50
Warrants expired​​(3,000)​​25.00​​2,980​​3,725.00​​(20)​​3,750.00
Warrants outstanding at September 30, 2023​​10,811,062​$2.02​​(10,738,989)​$272.88​​72,073​$274.71

On July 24, 2024, Company received written notice (the “Compliance Notice”) from The Nasdaq Stock Market LLC (“Nasdaq”) informing the Company that it has regained compliance with Nasdaq Listing Rule 5550(a)(2), which requires that companies listed on the Nasdaq Stock Market maintain a minimum bid price of $1.00 per share. Nasdaq notified the Company in the Compliance Notice that, from July 3, 2024 to July 23, 2024, the closing bid price of the Company’s common stock had been $1.00 per share or greater and, accordingly, the Company had regained compliance with Nasdaq Listing Rule 5550(a)(2) and that the matter was now closed.

Note 2 - Summary of Significant Accounting Policies

Basis of presentation. These financial statements present the Company’s consolidated financial condition and results of operations including those of majority-owned subsidiaries and variable interest entities (“VIEs”) for which we are the primary beneficiary.

The hospital division includes our healthcare billing and collections organization and hospital entities. In addition, we have financial and operating relationships with multiple professional entities (the “Physician LLCs”) and real estate

entities (the “Real Estate Entities”). The Physician LLCs employ the doctors who work in our hospitals. These entities are consolidated by the Company as VIEs because they do not have significant equity at risk, and we have historically provided support to the Physician LLCs in the event of cash shortages.

The Real Estate Entities own the land and hospital buildings, which are leased to our hospital entities. The Real Estate Entities have mortgage loans payable to third parties which are collateralized by the land and buildings. We consolidate the Real Estate Entities as VIEs in instances where our hospital entities are guarantors or co-borrowers under their outstanding mortgage loans. Since the second quarter of 2022, we have deconsolidated 18 Real Estate Entities after the third-party lenders released our guarantees of associated mortgage loans.

The Company has no direct or indirect ownership interest in the consolidated Physician LLCs or Real Estate Entities, so 100% of the equity for these entities is shown as noncontrolling interests in the consolidated balance sheets and statements of operations. Many of the Physician LLCs and Real Estate Entities are owned in part and in some cases controlled by related parties including members of our executive management team.

The population health management division includes our management services organization. Additionally, the population health management division owns and operates provider networks such as independent physician associations (“IPAs”). IPAs not owned by us are consolidated as VIEs because we are the primary beneficiary of these IPAs operations and have 100% control of these IPAs operations through management services agreements with each applicable IPA.

All significant intercompany balances and transactions have been eliminated in consolidation.

Interim financial statements. These unaudited condensed consolidated financial statements have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”) regarding interim financial reporting. Accordingly, they do not include all disclosures required by accounting principles generally accepted in the United States of America (“GAAP”). The unaudited condensed consolidated financial statements include all material adjustments of a normal recurring nature that, in the opinion of management, are necessary for a fair presentation of the results of operations for the interim periods presented. These interim financial statements should be read together with the consolidated financial statements and notes thereto included in our audited financial statements for the years ended December 31, 2023 and 2022.

Use of estimates. The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amount of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Significant items subject to such estimates and assumptions include (i) estimates of net revenue and accounts receivable, (ii) fair value of acquired assets and liabilities in business combinations and (iii) impairment of long-lived assets and goodwill. Actual results could differ from those estimates.

*Cash and cash equivalents.*The Company considers all highly liquid investments with an original maturity of three months or less to be cash and cash equivalents. The Company has cash amounts, that were at times material, held in covered banking institutions in excess of the insured amounts, but does not deem the risk of loss to be likely. The Company has$2.9 million in restricted cash as of September 30, 2024. The amounts included in restricted cash represent those required to be set aside either by note payable agreement or compensating balance requirements.

Fair value measurements. Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. We classify fair value balances based on the classification of the inputs used to calculate the fair value of a transaction. The three levels related to fair value measurements are as follows:

Level 1 — Observable inputs such as quoted prices in active markets for identical assets or liabilities.

Level 2 — Observable inputs other than quoted prices included in Level 1, such as quoted prices for similar assets and liabilities in active markets; quoted prices for identical or similar assets and liabilities in markets that are not active or other inputs that are observable or can be corroborated by observable market data.

Level 3 — Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. This includes certain pricing models, discounted cash flow methodologies and similar techniques that use significant unobservable inputs.

The estimated fair value of accounts receivable, accounts payable, accrued expenses and notes payable approximate the carrying amount due to the relatively short maturity or time to maturity of these instruments. Accounts receivable and payable with related parties may not be arms-length transactions and therefore, may not reflect fair value.

There were no assets or liabilities that were re-measured at fair value on a non-recurring basis during the periods presented.

Segment reporting. A public company is required to report descriptive information about its reportable operating segments. Operating segments, as defined, are components of an enterprise about which separate financial information is available that is evaluated regularly by the chief operating decision maker in deciding how to allocate resources and in assessing performance. Aggregation of similar operating segments into a single reportable operating segment is permitted if the businesses have similar economic characteristics and meet established criteria. The Company operates three reportable segments – the hospital division, the population health management division and the real estate division. The real estate division is comprised of the Real Estate Entities.

Reclassifications. Financial statements presented for prior periods include reclassifications that were made to conform to the current year presentation.

Recent accounting pronouncements.

In November 2023, the FASB issued Accounting Standards Update 2023-07, “Improvements to Reportable Segment Disclosures” (“ASU 2023-07”), which requires disclosures of significant expenses by segment and interim disclosure of items that were previously required only on an annual basis. ASU 2023-07 is to be applied on a retrospective basis and is effective for our 2024 annual Consolidated Financial Statements and interim periods beginning in 2025.

In December 2023, the FASB issued Accounting Standards Update 2023-09, “Improvements to Income Tax Disclosures” (“ASU 2023-09”), which provides for additional income tax rate reconciliation and income taxes paid disclosures. ASU 2023-09 may be adopted on a prospective or retrospective basis and is effective for fiscal years beginning after December 15, 2024, with early adoption permitted.

We are evaluating the impacts ASUs 2023-07 and 2023-09 will have on disclosures in our financial statements.

Note 3 – Divestitures

Sale of Procare Health, Inc. On May 30, 2024, the Company completed the sale of Procare Health, Inc. (“Procare”), a wholly-owned subsidiary of Nutex, to an individual buyer. As consideration for the transaction, the buyer will pay the Company $0.6 million ($0.1 million paid monthly from June 2024 through October 2024), has assumed liabilities of $0.2 million and remitted Company stock of $0.1 million, recognized as a debit to common stock and additional paid-in capital in the second quarter of 2024. During the second quarter of 2024, the Company recognized an intangible impairment of $2.1 million and a $3.2 million goodwill impairment loss. Upon completion of the sale, the Company recognized an insignificant loss on sale of business. The calculation of the loss on sale of business includes the derecognition of goodwill of $0.5 million, which was offset by consideration and other assets transferred. As of September 30, 2024, the Company has received $0.5 million from the buyer. Subsequent to September 30, 2024, the Company received the remaining $0.1 million from the buyer. Total revenue for Procare for the nine months ended September 30, 2024 was $0.4 million. No revenue was reported for the three months ended September 30, 2024. Net loss (before impairment) for Procare for the nine months ended September 30, 2024 was $0.6 million. No net loss (before

impairment) for Procare was recorded for the three months ended September 30, 2024. The Company does not deem this transaction to be significant.

Sale of Clinigence Health, Inc. On August 31, 2024, the Company completed the sale of Clinigence Health, Inc. (“Clinigence Health”), a wholly-owned subsidiary of Nutex to a third-party limited liability company. As consideration for the transaction, the buyer will pay the Company $1.4 million ((i) $0.5 million paid at Closing subject to Adjustments as set forth in the Equity Purchase Agreement (EPA), (ii) $0.2 million to be paid on October 31, 2024; (iii) $0.2 million to be paid on December 31, 2024; (iv) $0.3 million to be paid in 2025 intwo equal payments of $125 thousand each at the end of the first and second calendar quarters; and (v) the balance of $0.2 million to be paid within thirty (30) days after the end of the Holdback Period as defined in the EPA, minus any Holdback Adjustment chargeable against the Holdback Amount as defined in the EPA.). During the second quarter of 2024, the Company reclassified all assets of Clinigence Health to assets held-for-sale, within “Prepaid expenses and other current assets” in the condensed consolidated balance sheets. The value of the assets held-for-sale of $1.4 million were based on the EPA with the buyer. This resulted in an impairment loss of $1.4 million. Upon completion of the sale, the Company recognized additional impairment losses of $0.4 million and recognized an insignificant loss. The company has received $0.2 million, which is $0.5 million to be paid less working capital adjustments of $0.3 million. Total revenue for Clinigence Health for the three and nine months ended September 30, 2024 is $0.2 million and $0.9 million, respectively. Net loss (before impairment) for Clinigence Health for the three and nine months ended September 30, 2024 is $0.2 million and $0.8 million, respectively. The Company does not deem this transaction to be significant.

Note 4 – Revenue

We disaggregate revenue from contracts with customers into types of services or products, consistent with our reportable segments, as follows:

​​​​​​​​​​​​​
​ · ​ · Three Months Ended September 30, · ​ · Nine Months Ended September 30,
​ · 2024 · 2023 · 2024 · 2023
Hospital division revenue​​71,732,529​​54,585,263​​199,366,776​​155,485,230
Population health management division revenue​​7,062,340​​8,137,709​​22,964,141​​22,491,613
Total revenue​$78,794,869​$62,722,972​$222,330,917​$177,976,843

Hospital division revenue. We receive payment for facility services rendered by us from federal agencies, private insurance carriers, and patients. The Physician LLCs receive payment for doctor services from these same sources. On average, greater than 90% of our net patient service revenue is paid by insurers, federal agencies, and other non-patient third parties. The remaining revenue is paid by our patients in the form of copays, deductibles, and self-payment. We generally operate as an out-of-‎network provider and, as such, do not have negotiated reimbursement rates with insurance ‎companies.

The following tables present the allocation of the estimated transaction price with the patient among the primary patient classification of insurance coverage:

​​​​​​​​​​​​​
​ · ​ · Three Months Ended September 30, · ​ · Nine Months Ended September 30,
​​20242023​20242023
​​​​​​​​​​​​​
Insurance​​95%​​92%​​93%​​93%
Self pay​​2%​​5%​​4%​​4%
Workers compensation​2%​​2%​2%​​2%
Medicare/Medicaid​​1%​​1%​​1%​​1%
Total​​100%​​100%​​100%​​100%

Population health management division revenue. We recognize revenue for capitation and management fees for services to IPAs and physician groups. Capitation revenue consists primarily of capitated fees for medical services provided by physician-owned entities we consolidate as VIEs. Capitated arrangements are made directly with various managed care providers including HMOs. Capitation revenues are typically prepaid monthly to us based on the number of enrollees

selecting us as their healthcare provider. Capitation is a fixed payment amount per patient per unit of time paid in advance for the delivery of health care services, whereby the service providers are generally liable for excess medical costs. We receive management fees that are based on gross capitation revenues of the IPAs or physician groups we manage. Revenue is recognized and received monthly for our services.

Note 5 - Property and Equipment

The principal categories of property and equipment, net are summarized as follows:

​​​​​​​​​
​ · Useful · ​ · September 30, · ​ · December 31,
​Life (years)​20242023
​​​​​​​​​
Buildings and improvements​39​$19,649,964​$18,947,818
Land​-​4,410,749​4,401,888
Leasehold improvements​10-39​28,047,662​27,606,383
Construction in progress​-​1,777,318​3,776,138
Medical equipment​10​34,824,092​33,519,026
Office furniture and equipment​7​3,973,548​3,698,874
Computer hardware and software​5​​7,013,106​​6,066,520
Vehicles​5​94,433​135,590
Signage​10​2,060,535​1,576,475
Total cost​​​101,851,407​99,728,712
Less: accumulated depreciation​​​(23,604,940)​​(18,341,063)
Total property and equipment, net​​​$78,246,467​$81,387,649

We consolidatetwo Real Estate Entities in the Company. Refer toNote 18.

Depreciation and amortization of property and equipment for the three months ended September 30, 2024 and 2023 totaled $1.8 million and $1.6 million, respectively, and for the nine months ended September 30, 2024 and 2023 totaled $5.0 million and $4.0 million, respectively.

Note 6 – Intangible Assets and Goodwill

Intangible Assets. The following tables provide detail of the Company’s intangible assets:

​​​​​​​​​​​​​
​ · ​ · Gross · ​ · Accumulated · ​ · Net Carrying · ​ · Weighted Average
September 30, 2024 · ​ · Carrying Amount · ​ · Amortization · ​ · Amount · ​ · Useful Life (in years)
Amortizing intangible assets:​​​​​​​​​​​​
Member relationships​$18,491,000​$2,940,318​$15,550,682​​15
Trademarks​​474,000​​169,290​​304,710​​7
Total​$18,965,000​$3,109,608​$15,855,392​​​
​​​​​​​​​​​​​
December 31, 2023​​​​​​​​​​​​
Amortizing intangible assets:​​​​​​​​​​​​
Member relationships​$18,491,000​$2,015,772​$16,475,228​​15
Management contracts​​2,021,000​​221,047​​1,799,953​​16
Customer contracts​​914,000​​106,633​​807,367​​15
Trademarks​​1,426,795​​262,557​​1,164,238​​7-12
PHP technology​​409,000​​143,150​​265,850​​5
Total​$23,261,795​$2,749,159​$20,512,636​​​

Amortization of intangible assets for the three months ended September 30, 2024 and 2023 totaled $0.3 million and $0.4 million, respectively, and for the nine months ended September 30, 2024 and 2023 totaled $1.1 million and $1.2 million, respectively.

Certain intangible assets were impaired upon the sale of Procare and sale of Clinigence Health, totaling $0.4 million and $3.9 million for three and nine months ended September 30, 2024, respectively. SeeNote 3 for discussion over the sale of Procare and sale of Clinigence.

Goodwill. The carrying amount of goodwill, by operating segment is as follows:

​​​​​​​​​​
​ · ​ · Hospital Division · ​ · Population Health Management Division · ​ · Total
Balance as of December 31, 2023​​​​​​​​​
Goodwill​$1,139,297​$415,201,301​$416,340,598
Accumulated impairment losses​​(1,139,297)​​(398,135,038)​​(399,274,335)
​​​-​​17,066,263​​17,066,263
Purchase accounting adjustments​​-​​502,864​​502,864
Impairment of goodwill​​-​​(3,197,391)​​(3,197,391)
Derecognition of goodwill​​-​​(453,017)​​(453,017)
Balance as of September 30, 2024​​​​​​​​​
Goodwill​​1,139,297​​415,251,148​​416,390,445
Accumulated impairment losses​​(1,139,297)​​(401,332,429)​​(402,471,726)
​​$-​$13,918,719​$13,918,719

The purchase accounting adjustments of $0.5 million to the carrying amount of goodwill in the Population Health Management Division relates to the acquisition oftwo Florida based IPAs in the third quarter of 2023 for which the allocation of goodwill is subject to revision based on final allocation of the purchase price to the identifiable assets and liabilities acquired.

The impairment of goodwill of $3.2 million and the derecognition of goodwill of $0.5 million, both for the Population Health Management Division, relate to the sale of Procare Health, Inc., a wholly-owned subsidiary of Nutex. Procare was considered part of the Population Health Management Division. Prior to the sale of Procare, the Company recognized a goodwill impairment amount of $3.2 million. On the sale of Procare, the Company recognized the derecognition of goodwill of $0.5 million based on the remaining carrying amount of goodwill for the Procare business after impairment. SeeNote 3 for Procare sale.

Due to the sale of Procare, the Company tested for impairment the remaining goodwill in the Population Health Management Division of $13.9 million. On June 30, 2024, we determined that the fair value of our Population Health Management Division was greater than its carrying value. Therefore, no goodwill impairment was recognized for the quarter ended June 30, 2024. No goodwill impairment recognized for the quarter ended and year ended September 30, 2024.

Note 7 – Accrued Expenses and Other Current Liabilities

Accrued expenses and other current liabilities consisted of the following:

​​​​​​​
​ · September 30, · ​ · December 31,
​​20242023
​​​​​​​
Accrued wages and benefits​$12,279,378​$6,590,710
Accrued supplier expenses​​1,528,692​​-
Accrued medical insurance claims​​4,023,293​​1,865,280
Accrued taxes​​7,580,859​​405,352
Accrued other​4,276,443​​4,093,954
Total accrued expenses and other current liabilities​$29,688,665​$12,955,296

Note 8 – Debt

The Company’s outstanding debt is shown in the following table:

​​​​​​​​​​
​ · Maturity · ​ · Interest · ​ · September 30, · ​ · December 31,
​ · Dates · ​ · Rates · ​ · 2024 · ​ · 2023
​​​​​​​​​​
Term loans secured by all assets09/2024 - 09/2029​4.00 - 12.00%​$9,450,020​$7,030,613
Term loans secured by property and equipment10/2024 - 01/2030​3.41 - 7.82%​​9,184,930​​10,562,207
Term loan secured by deposits04/2025​7.36%​​2,341,638​​-
Line of credit secured by all assets01/2025 - 01/2026​7.75 - 9.50%​​3,384,517​​3,371,675
Term loans of consolidated Real Estate Entities05/2028 - 03/2037​3.50 - 3.59%​​12,116,455​​13,005,019
Unsecured convertible term notes10/2025​8.00 - 10.00%​​5,384,990​​5,384,990
Pre-paid advance (convertible debt)03/2024​0.00%​​-​​3,078,302
Total​​​​​41,862,550​​42,432,806
Less: unamortized issuance costs and discount​​​​​1,176,690​​1,937,676
Less: short-term lines of credit​​​​​3,384,517​​3,371,676
Less: current portion of long-term debt​​​​​10,499,532​​10,808,721
Total long-term debt​​​​$26,801,811​$26,314,733

Term loans and lines of credit. We have entered into private debt arrangements with banking institutions for the purchase of equipment and to provide working capital and liquidity through cash and lines of credit. Unless otherwise delineated above, these debt arrangements are obligations of Nutex and/or its majority-owned subsidiaries. Consolidated Real Estate Entities have entered into private debt arrangements with banking institutions for purposes of purchasing land, constructing new emergency room facilities and building out leasehold improvements which are leased to our hospital entities. Nutex is a guarantor or, in limited cases, a co-borrower on the debt arrangements of the Real Estate Entities for the periods shown. Since the second quarter of 2022, we have deconsolidated 18 Real Estate Entities after the third-party lenders released our guarantees of associated mortgage loans.

Certain outstanding debt arrangements require minimum debt service coverage ratios and other financial covenants. At December 31, 2023, we were not in compliance with the debt service coverage ratio forone term loan with an outstanding balance of $0.3 million on December 31, 2023. As of September 30, 2024, weno longer had an outstanding balance on this loan. At September 30, 2024, we had remaining availability of $4.1 million under outstanding lines of credit.

Pre-Paid Advance Agreement (convertible debt).

On April 11, 2023, the Company entered into a Pre-Paid Advance Agreement (the “PPA”) with YA II PN, Ltd. (“Yorkville”) pursuant to which the Company requested an advance of $15.0 million from Yorkville a “Pre-Paid Advance”) purchased by Yorkville at 90% of the face amount. Interest accrued on the outstanding balance of the Pre-Paid Advance at an annual rate equal to 0% subject to an increase to 15% upon events of default described in the PPA. The Pre-Paid Advance has a maturity date of 12 months from the Pre-Paid Advance Date.

The Company, at its option, has the right, but not the obligation, to repay early in cash a portion or all amounts outstanding under any Pre-Paid Advance, provided that the VWAP of the Common Stock is less than the Fixed Price during a period often consecutive trading days immediately prior to the date on which the Company delivers a notice to Yorkville of its intent and such notice is delivered at least 10 trading days prior to the date on which the Company will make such payment (“Optional Prepayment”). If elected, the Optional Prepayment includes a 6% payment premium (“Payment Premium”).

On April 11, 2023, the Company requested a $15.0 million initial Pre-Paid Advance in accordance with the PPA. The net proceeds of $13.5 million received by the Company from Yorkville reflect a 10% discount of $1.5 million in accordance with the PPA. Additionally, in connection with the PPA, the Company incurred $0.9 million in placement and legal fees, which the Company classifies as debt issuance costs. The discount and the debt issuance costs are reported as a direct deduction from the face amount of the PPA and are amortized monthly based on the effective interest rate method. The amortization of the discount and debt issuance costs are reported as interest expense in the condensed consolidated statements of operations.

As a result of the Pre-Paid Advance, the Company (i) issued 0.2 million shares of common stock to Yorkville (23.1 million prior to the 2024 Reverse Stock Splits), reducing the principal of initial Pre-Paid Advance to $7.3 million, (ii) made Optional Prepayments of $8.2 million in accordance with the PPA, consisting of $7.7 million of principal and $1.0 million attributed to the Payment Premium and (iii) paid off in full the remaining outstanding balance of the PPA on January 30, 2024 and the parties terminated the Yorkville PPA on February 15, 2024.

September 2023 Convertible Debt Issuance.

From September 2023 to December 2023, the Company conducted a private offering of convertible notes (“Unsecured Convertible Term Notes”) andsix-year warrants (“Warrants”) to accredited investors (the “Holders”) as defined in Rule 501 under the 1933 Act and issued Unsecured Convertible Term Notes convertible into an aggregate of 89,751 shares (13,462,500 prior to the 2024 Reverse Stock Splits) of common stock at a conversion price of $60.00 per share ($0.40 prior to the 2024 Reverse Stock Splits) and Warrants to purchase an aggregate of 44,875 shares of common stock (6,731,250 prior to the 2024 Reverse Stock Splits) at an exercise price of $60.00 per share ($0.40 prior to the 2024 Reverse Stock Splits). We also issued Warrants for the purchase of 26,925 shares (4,038,750 prior to the 2024 Reverse Stock Splits) to the placement agent. The Unsecured Convertible Term Notes mature on October 31, 2025 and the Warrants expire on December 31, 2029.

On March 26, 2024, the Company and the Holders agreed to amend the conversion price of the Unsecured Convertible Term Notes and exercise price of the Warrants to $30.00 each ($0.20 prior to the 2024 Reverse Stock Splits), resulting in the Unsecured Convertible Term Notes being convertible into 179,500 shares of common stock (26,925,000 prior to the 2024 Reverse Stock Splits), the Warrants exercisable for 89,750 shares of common stock (13,462,500 prior to the 2024 Reverse Stock Splits) and the placement agent Warrants exercisable for 53,850 shares of common stock (8,077,500 prior to the 2024 Reverse Stock Splits).

The Unsecured Convertible Term Notes bear an annual interest rate of 8% if paid in cash or an annual interest rate of 10% if paid in the form of common stock. The payment of interest in the form of common stock is at the discretion of the Company. When paid in common stock, the number of shares is equal to the quotient of the total accrued interest due divided by the last reported sale price of the Company’s common stock on the last complete trading day of such quarter. The Holders have the option, at any time, to convert all or any portion of the unpaid principal and interest outstanding in

common stock at the conversion price of $30.00 per share. If the Company fails to pay the outstanding principal amount and all accrued interest within 30 days of the maturity date, the interest rate payable is adjusted to 12%.

The Company appointed Emerson Equity LLC as placement agent for the September 2023 Private Offering. Per the Placement Agent Agreement, the Company agrees to pay (i) a cash commission equal to 10% of the gross proceeds and (ii) warrants to purchase a number of Common Stock equal to 20% of the total number of shares issuable upon conversion or exercise of the Unsecured Convertible Term Notes and Warrants, as applicable.

The net carrying amount of the Unsecured Convertible Term Notes was $4.3 million as of September 30, 2024 and the weighted average effective interest rate on the convertible debt is 21.5%. The Unsecured Convertible Term Notes interest expense was $0.3 million for the three months ending September 30, 2024, comprising of $0.2 million in amortization expense and $0.1 million in accrued interest expense. For the nine months ended September 30, 2024 interest expense was $1.0 million, comprising of $0.7 million in amortization expense and $0.3 million in accrued interest expense.

​​​​

Note 9 – Leases

We have entered into hospital property, office and equipment rental agreements with various lessors including related parties. The following tables disclose information about our leases of property and equipment:

​​​​​​​​​​​​​
​ · ​ · Three Months Ended September 30, · ​ · Nine Months Ended September 30,
​​20242023​20242023
​​​​​​​​​​​​​
Operating lease cost​$228,162​$789,877​$1,442,082​$2,676,894
​​​​​​​​​​​​​
Finance lease cost:​​​​​​​​​​​​
Amortization of right-of-use assets​$2,912,084​$2,858,223​$7,591,105​$7,889,533
Interest on lease liabilities​​4,516,634​​3,203,802​​12,033,035​​8,718,643
Total finance lease cost​$7,428,718​$6,062,025​$19,624,140​$16,608,176

Note 10 – Commitments and Contingencies

Litigation. From time to time, the Company, its consolidated subsidiaries or VIEs may be named in various claims and legal actions in the normal course of business. Based upon counsel and management’s opinion, the outcome of such matters is not expected to have a material adverse effect on the consolidated financial statements.

Note 11 – Stock-based Compensation

In 2023, the stockholders of the Company approved the Amended and Restated Nutex Health Inc. 2023 Equity Incentive Plan (the “2023 Plan”), providing a total of 73,426 shares of Common Stock (11,013,943 prior to the 2024 Reverse Stock Splits) for issuance. Awards granted under the 2023 Plan may be incentive stock options, non-statutory stock options, restricted stock, restricted stock units, stock appreciation rights, performance units or performance shares. The awards are granted at an exercise price equal to the fair market value on the date of grant. The 2023 Plan is subject to annual increases on January 1st of each calendar year through January 1, 2033 of up to 1% of the issued and outstanding shares of the Company’s Common Stock on the final day of the preceding calendar year, at the discretion of the Compensation Committee of our Board of Directors. During the second quarter of 2024, the number of shares to be issued under the 2023 Plan increased to 118,563 shares, most of which were issued as restricted stock units in June 2024, as discussed below.

*Obligations for under-construction and ramping hospitals.*Under the terms of the Contribution Agreements, contributing owners of the under-construction hospitals and ramping hospitals are eligible to receive a one-time additional issuance of Company common stock.

●With respect to ramping hospitals that were acquired before the Merger, 24 months after the opening date (the “Determination Date”) of the applicable ramping hospital, such owner is eligible to receive such owner’s pro rata share of a number of shares of Company Common Stock equal to (i) the trailing twelve months earnings before interest, taxes, depreciation and amortization on the respective Determination Date, multiplied by (ii) 10, (iii) minus the initial equity value received at the Closing of the Merger, and (iv) minus such owner’s pro rata share of the aggregate debt of the applicable ramping hospital outstanding as of the closing of the Merger. The number of additional shares to be issued will be determined based on the greater of (a) the price of the Company’s common stock at the time of determination or (b) $2.80 ($420.00 after the 2024 Reverse Stock Splits), as adjusted for any stock dividends, combinations, splits, recapitalizations and the like with respect to the Company’s common stock.
●With respect to under construction hospitals that were acquired before the Merger, contributing owners of under construction hospitals will be eligible to receive, on the Determination Date, such owner’s pro rata share of a number of shares of Company common stock equal to (a)(i) the trailing twelve months earnings before interest, taxes, depreciation and amortization as of the Determination Date multiplied by (ii) 10, minus (iii) the aggregate amount of such owner’s capital contribution to the under construction hospital, minus (iv) such owner’s pro rata share of the aggregate debt of the applicable under construction hospital outstanding as of the Closing of the Merger, divided by (b) the greater of (i) the price of the Company common stock at the time of determination or (ii) $2.80 ($420.00 after the 2024 Reverse Stock Splits), as adjusted for any stock dividends, combinations, splits, recapitalizations and the like with respect to the Company’s common stock.

We recognized stock-based compensation expense related to obligations for under-construction and ramping hospitals for three and nine months ended September 30, 2024 of $1.9 million and $1.7 million, respectively, based on our current estimates of future obligations to the contributing owners.

Options. The following table summarizes stock-based awards activity:

​​​​​​​​​​
​ · ​ · ​ · ​ · ​ · ​ · ​ · ​ · Weighted Average
​ · ​ · Options · ​ · Weighted Average · ​ · Remaining Contractual
​ · ​ · Outstanding · ​ · Exercise Price · ​ · Life (Years)
​​​​​​​​​​
Options outstanding at December 31, 2022​​34,318​$345.00​​7.60
Options exercised​​—​​—​​​
Options cancelled​​—​​—​​​
Options outstanding at September 30, 2023​​34,318​$345.00​​6.85
​​​​​​​​​​
Options outstanding at December 31, 2023​​27,590​$335.75​​6.94
Options exercised​​—​​—​​​
Options cancelled​​(3,334)​​367.51​​​
Options outstanding at September 30, 2024​​24,256​$335.75​​5.68

Options outstanding as of September 30, 2024 consisted of:

​​​​​​​​​​
Expiration · ​ · Number · ​ · Number · ​ · Exercise
Date · ​ · Outstanding · ​ · Exercisable · ​ · Price
​​​​​​​​​​
January 21, 2025​​686​​686​$225.00
January 21, 2025​​300​​300​​241.50
January 21, 2025​​1,214​​1,214​​412.50
January 27, 2027​​300​​300​​225.00
May 11, 2027​​1,401​​1,401​​225.00
June 9, 2027​​167​​167​​376.50
January 28, 2028​​300​​300​​241.50
August 4, 2029​​68​​68​​834.00
January 27, 2030​​1,157​​1,157​​225.00
June 30, 2030​​715​​715​​217.50
January 28, 2031​​6,667​​6,667​​241.50
September 9, 2031​​10,780​​10,780​​412.50
December 17, 2031​​501​​501​​525.00
Total​​24,256​​24,256​​​

Restricted Stock Units. On April 1, 2023, the Company issued 4,035 Restricted Stock Units (“RSUs”) (604,158 prior to the 2024 Reverse Stock Splits), valued at $0.6 million to certain employees. A total of 1,431 RSUs (214,720 prior to the 2024 Reverse Stock Splits) vested on April 1, 2023 and another 1,298 RSUs (194,720 prior to the 2024 Reverse Stock Splits) vested on March 1, 2024. The remaining 1,306 RSUs (194,720 prior to the 2024 Reverse Stock Splits) will vest on March 1, 2025.

On June 16, 2024, the Company issued 118,538 RSUs (1,184,946 prior to the 1:10 Reverse Stock Split) valued at $0.6 million to certain employees participating in the Company’s long-term incentive program.39,514 RSUs will vest on March 1, 2025,39,514 RSUs will vest on March 1, 2026, and 39,510 will vest on March 1, 2027.

For grants of restricted stock units, we recognize compensation expense over the applicable vesting period equal to the fair value of our common stock at grant date. Grants of restricted stock units generally vestone third per year on each of the first three anniversaries of the grant date. The following table summarizes the changes in restricted stock units during the nine months ended September 30, 2024 and 2023.

​​​​​​​
​​Shares(in thousands)Weighted Average Grant-Date Fair Value Per Share
​​​​​​​
Non-vested awards, December 31, 2022​​—​​—
Granted​​4​$151.50
Vested​(1)​​151.50
Non-vested awards, September 30, 2023​​3​$151.50
​​​​​​​
Non-vested awards, December 31, 2023​​3​$151.50
Granted​​118​​5.40
Forfeitures​​(3)​​92.48
Vested​​(1)​​151.50
Non-vested awards, September 30, 2024​​117​$37.23

As of September 30, 2024, we estimate $0.7 million of unrecognized compensation cost related to restricted stock units issued to our employees to be recognized over the weighted-average vesting period of 1.7 years.

Employee Stock Purchase Plan. In May 2023, the Board of Directors adopted the 2023 Employee Stock Purchase Plan (“2023 ESPP”), which was subsequently approved by the Company’s stockholders and became effective in June 2023. The 2023 ESPP authorizes the initial issuance of up to 33,333 shares (5,000,000 prior to the 2024 Reverse Stock Splits) of the Company’s common stock to eligible employees, who are entitled to purchase shares of common stock equal to 85% of the closing price on the purchase date with accumulated payroll deductions. During the three and nine months ended September 30, 2024, the Company issued 4,300 shares and 7,107 shares, respectively, under the ESPP. The expense incurred for the three and nine months ended September 30, 2024 was $0.1 million each.

Note 12 – Equity

We are authorized to issue up to a total of 950,000,000 shares of common stock having a par value of $0.001 per share. Holders of our common stock are entitled toone vote for each share held of record on all matters submitted to a vote of stockholders and to receive ratably in proportion to the shares of common stock held by them any dividends declared from time to time by the board of directors. Our common stock has no preferences or rights of conversion, exchange, pre-exemption or other subscription rights.

Common Stock Issued. Following is a discussion of common stock issuances during the periods presented:

Securities Purchase Agreement.

On January 22, 2024, the Company entered into a Securities Purchase Agreement (the “Purchase Agreement”) with a single healthcare focused institutional investor for the sale by the Company of 444,445 shares (66,666,666 prior to the 2024 Reverse Stock Splits) of the Company’s common stock, par value $0.001 per share, and warrants (the “Warrants”) to purchase 444,445 shares (66,666,666 prior to the 2024 Reverse Stock Splits) of the Company’s common stock. The shares and the warrants were issued separately and issued on aone-to-one ratio at a public offering price of $22.50 per share and accompanying warrant ($0.15 prior to the 2024 Reverse Stock Splits).

The Warrants have an exercise price of $22.50 per share ($0.15 prior to the 2024 Reverse Stock Splits), are exercisable immediately upon issuance and expire five years from the Closing Date. The Warrants may only be exercised on a cashless basis if there is no registration statement registering, or the prospectus contained therein is not available for, the issuance or resale of shares of common stock underlying the Warrants to or by the holder. The holder of a Warrant is prohibited from exercising any such warrants to the extent that such exercise would result in the number of shares of common stock beneficially owned by such holder and its affiliates exceeding 4.99% (or, upon election by the holder prior to the issuance of any Warrants,9.99%) of the total number of shares of common stock outstanding immediately after giving effect to the exercise. In the event of certain fundamental transactions, the holder of the Warrants will have the right to receive the Black Scholes Value of its Warrants calculated pursuant to a formula set forth in the Form of Warrant, payable either in cash or in the same type or form of consideration that is being offered and being paid to the holders of common stock.

The gross proceeds to the Company from the offering were $9.2 million after deducting the placement agent’s fees and other offering expenses of $0.8 million. The allocation of the proceeds was $7.7 million to warrant liability and $1.5 million to additional paid-in capital.

The Company used the Black-Scholes option model to compute the fair value (level 3) of the Warrants, with inputs including volatility (approximately 120%) and risk-free rate based on US Treasury yield curve rates. The Company classified the Warrants as liabilities due to certain contractual provisions and recorded $7.7 million in warrant liability on January 25, 2024.150,000 Warrants were exercised in the third quarter of 2024 and the Company received $0.8 million in proceeds for Warrant exercises. For each exercise, the Company remeasured the Warrants based on the exercise date, recognized a gain or loss on warrant liability, and allocated the exercised portion of the warrant liability to additional paid-in capital. The Company remeasured the Warrants on September 30, 2024, recognizing the fair value of

the warrant liability of $5.7 million at September 30, 2024. For the three and nine months ended September 30, 2024, the Company recognized $6.7 million and $1.1 million loss on warrant liability, respectively.

Under the Purchase Agreement, if the Company, at any time while the Warrants are outstanding, combines (including by way of reverse share split) outstanding shares of common stock into a smaller number, then, on the tenth trading day following, the exercise price will be reduced, and only reduced, to the lesser of (i) the then exercise price and (ii)100% of the average of the volume weighted average prices for theten trading day period immediately following. On April 26, 2024, as required under the terms of the Purchase Agreement in response to the 1:15 Reverse Stock Split, the exercise price was reduced from $2.25 per share to $0.68 per share based on a calculation based on the Company’s trading price as set forth in the Purchase Agreement. On July 23, 2024, in response to the 1:10 Reverse Stock Split, the exercise price was reduced from $6.80 per share to $5.34 per share.

Warrants. During the three and nine months ended September 30, 2024, as part of the Securities Purchase Agreement, the Company issued warrants to purchase 444,445 shares (66,666,666 prior to 2024 Reverse Stock Splits) of Common Stock at a strike price of $22.50 ($0.15 prior to the 2024 Reverse Stock Splits) for a period offive years. These warrants were outstanding but not yet exercised as of September 30, 2024. Additionally, on March 26, 2024, the Company agreed to amend the conversion price of the Unsecured Convertible Term Notes and exercise price of the related warrants to $30.00 each, resulting in an increase in warrants of 71,801 shares (10,770,000 prior to the 2024 Reverse Stock Splits). Warrant activity follows:

​​​​​​​​​​
​ · ​ · ​ · ​ · ​ · ​ · ​ · Weighted Average
​ · ​ · Warrants · ​ · Weighted Average · ​ · Remaining Contractual
​ · ​ · Outstanding · ​ · Exercise Price · ​ · Life (years)
​​​​​​​​​​
Warrants outstanding at December 31, 2022​​73,553​$294.16​​3.80
Warrants issued​​8,250​​60.00​​​
Warrants exercised​​(9,710)​​232.50​​​
Warrants expired​​(20)​​3,750.00​​​
Warrants outstanding at September 30, 2023​​72,073​$274.71​​3.35
​​​​​​​​​​
Warrants outstanding at December 31, 2023​​135,537​$158.16​​4.42
Warrants issued​​444,445​​6.80​​​
Warrants amended​​71,801​​30.00​​​
Warrants exercised​​(150,000)​​5.34​​​
Warrants outstanding at September 30, 2024​​501,783​$50.15​​4.56

Warrants outstanding as of September 30, 2024 consisted of:

​​​​​​​​​​
Expiration · ​ · Number · ​ · Number · ​ · Exercise
Date · ​ · Outstanding · ​ · Exercisable · ​ · Price
​​​​​​​​​​
December 31, 2024​​3,701​​3,701​$1,000.50
October 31, 2025​​108​​108​​187.50
October 31, 2025​​10,444​​10,444​​232.50
February 26, 2026​​1,922​​1,922​​600.00
July 31, 2026​​16,888​​16,888​​232.50
May 31, 2027​​30,674​​30,674​​262.50
September 30, 2029​​294,445​​294,445​​5.34
October 31, 2029​​16,501​​16,501​​30.00
November 30, 2029​​57,250​​57,250​​30.00
December 31, 2029​​5,167​​5,167​​30.00
January 25, 2029​​64,683​​64,683​​30.00
Total​​501,783​​501,783​​​

Note 13 – Income Taxes

Income tax provisions for interim quarterly periods are generally based on an estimated annual effective income tax rate calculated separately from the effect of significant, infrequent or unusual items related specifically to interim periods. The income tax impact of discrete items is recognized in the period these occur.

Our effective tax rate for the three and nine months ended September 30, 2024 was (177.7)% and 501.2%, respectively. The primary difference from the federal statutory rate of 21% is related to state taxes, income of noncontrolling interests in flow-through entities and permanent differences for non-deductible expenses.

Note 14 – Earnings per Share

The following is the computation of loss per basic and diluted share:

​​​​​​​​​​​​​
​ · ​ · Three Months Ended September 30, · ​ · Nine Months Ended September 30,
​​20242023​20242023
Amounts attributable to Nutex Health Inc.:​​​​​​​​​​​​
Numerator:​​​​​​​​​​​​
Net loss attributable to common stockholders​$(8,788,313)​$(5,542,391)​$(9,516,436)​$(14,168,717)
​​​​​​​​​​​​​
Denominator:​​​​​​​​​​​​
Weighted average shares used to compute basic EPS​​5,100,030​​4,433,704​​4,973,463​​4,383,935
​​​​​​​​​​​​​
Loss per share:​​​​​​​​​​​​
Basic​$(1.72)​$(1.25)​$(1.91)​$(3.23)
Diluted​$(1.72)​$(1.25)​$(1.91)​$(3.23)

Due to antidilution, the computation of diluted earnings per common share excludes the 24,256 common stock options (3,638,355 prior to the 2024 Reverse Stock Splits),501,783 warrants (75,267,450 prior to the 2024 Reverse Stock Splits),1,298 restricted stock units (194,720 prior to the 2024 Reverse Stock Splits) and 179,500 common stock (26,925,000 prior to the 2024 Reverse Stock Splits) issuable upon conversion of outstanding convertible debt for the three and nine months ended September 30, 2024. Due to antidilution, the September 30, 2023 computation excludes the 34,318 common stock options (5,147,770 prior to the 2024 Reverse Stock Splits) and 72,074 warrants (10,811,062 prior to the 2024 Reverse Stock Splits). The dilutive effect of convertible debt was calculated using the if-converted method, whereas the dilutive effect of the assumed exercise of outstanding options and warrants was calculated using the treasury stock method.

Note 15 - Supplemental Cash Flows Information

​​​​​​​
​ · ​ · Nine Months Ended September 30,
​ · ​ · 2024 · 2023
Cash paid for interest​$2,459,932​$858,773
Cash paid for income taxes​​1,552,000​​737,000
Non-cash investing and financing activities:​​​​​​
Financed capital expenditures​​1,039,126​​5,521,759
Acquisition of finance leases​​15,628,963​​18,798,667
Exercise of warrants on cashless basis​​-​​1,268
Issuance of restricted stock units​​-​​298,812
Issuance of common stock to Apollo Medical Holdings, Inc.​​-​​1,900,000
Deconsolidation of Real Estate Entity​​-​​4,258,133
Warrant liability related to common stock issuance​​7,661,557​​-
Reverse stock split adjustment​​3​​-
Common stock issued for Employee Stock Purchase Plan​​58,805​​-
Convertible debt converted to common stock​​320,688​​5,151,509
Warrants issued with convertible debt​​-​​175,710
Payment for acquisition in common stock​​406,158​​750,000
Common stock received in sale of business​​30,250​​-

Note 16 – Segment Information

We report the results of our operations asthree segments in our consolidated financial statements: (i) the hospital division, (ii) the population health management division and (ii) the real estate division. The determination of our reporting segments was made on the basis of our strategic priorities, which corresponds to the manner in which our Chief Executive Officer, as our chief operating decision maker, reviews and evaluates operating performance to make decisions about resources to be allocated. We evaluate the performance of our reportable segments based on, among other measures, operating income, which is defined as income before interest expense, other income (expense), and taxes. Corporate costs primarily include expenses for support functions and salaries and benefits for corporate employees and are excluded from segment operating results.

Reportable segment information, including intercompany transactions, is presented below:

​​​​​​​
​ · ​ · September 30, · ​ · December 31,
​ · ​ · 2024 · ​ · 2023
Assets:​​​​​​
Hospital division​$387,114,599​$278,635,841
Population health management division​​31,958,362​​83,647,378
Real estate division​​19,415,643​​35,962,278
Total Assets​$438,488,604​$398,245,497
​​​​​​​​​​​​​
​ · ​ · Three Months Ended September 30, · ​ · Nine Months Ended September 30,
​​20242023​20242023
Revenue from external customers:​​​​​​​​​​​​
Hospital division​$71,732,529​$54,585,263​$199,366,776​$155,485,230
Population health management division​​7,062,340​​8,137,709​​22,964,141​​22,491,613
Total revenue​$78,794,869​$62,722,972​$222,330,917​$177,976,843
​​​​​​​​​​​​​
Segment operating income (loss):​​​​​​​​​​​​
Hospital division​​21,437,835​​7,238,738​​54,700,084​​21,122,489
Population health management division​​478,979​​(172,525)​​(64,861)​​438,370
Total segment operating income​$21,916,814​$7,066,213​$54,635,223​$21,560,859
​​​​​​​​​​​​​
Capital expenditures:​​​​​​​​​​​​
Hospital division​​617,159​​2,875,585​​1,908,651​​10,322,487
Real estate division​​-​​-​​-​​-
Total capital expenditures​$617,159​$2,875,585​$1,908,651​$10,322,487
​​​​​​​​​​​​​
Revenue from inter-segment activities:​​​​​​​​​​​​
Real estate division​$-​$13,192,549​$603,255​$13,708,579
​​​​​​​​​​​​​
Depreciation and amortization:​​​​​​​​​​​​
Hospital division​​4,514,723​​4,238,498​​11,949,282​​11,518,388
Population health management division​​360,395​​401,566​​1,192,695​​1,201,227
Real estate division​​97,360​​105,877​​549,507​​189,233
Total depreciation and amortization​$4,972,478​$4,745,941​$13,691,484​$12,908,848

Note 17 – Related Party Transactions ** **

Related party transactions included the following:

●The Physician LLCs employ the doctors who work in our hospitals. We have no direct ownership interest in these entities, but they are owned and, in some instances, controlled by related parties including our CEO, Dr. Thomas Vo. The Physician LLCs are consolidated by the Company as VIEs because they do not have significant equity at risk, and we have historically provided support to them in the event of cash shortages and received the benefit of their cash surpluses.

The Physician LLCs had outstanding obligations to their member owners, who are also Company stockholders. These outstanding obligations primarily represent contributions for facilities currently under construction totaling $3.5 million at September 30, 2024 and $2.9 million at December 31, 2023 reported within accounts payable – related party in our consolidated balance sheets.

●Most of our hospital division facilities are leased from real estate entities which are owned by related parties. These leases are typically on a triple net basis, where our hospital division is responsible for all operating costs, repairs and taxes on the facilities. Our obligations under these leases are presented in Note 9. During the three and nine months ended September 30, 2024, we made cash payments for these lease obligations totaling $5.1 million and $14.7 million, respectively. Cash payments for these lease obligations made in the three and nine months ended September 30, 2023 totaled $3.9 million and $11.1 million, respectively.
●We consolidate Real Estate Entities as VIEs when they do not have sufficient equity at risk and our hospital entities are guarantors or co-borrowers under their outstanding mortgage loans. The consolidated Real Estate Entities have mortgage loans payable to third parties which are collateralized by the land and buildings. We have no direct ownership interest in these entities, but they are owned and, in some instances, controlled by related parties

including our CEO. We deconsolidated 17 Real Estate Entities in the second quarter of 2022 and one Real Estate Entity in the first quarter of 2023. As of September 30, 2024, two Real Estate Entities continue to be consolidated in our financial statements.

●Accounts receivable – related party included $3.6 million at September 30, 2024 and $4.1 million at December 31, 2023 due from noncontrolling interest owners of consolidated ER Entities.
●Micro Hospital Holding LLC, an affiliate controlled by our CEO, and 2GT PLLC, an affiliate controlled by a physician partner, made advances to one of our hospital facilities, SE Texas ER. These advances totaled $1.4 million for Micro Hospital Holding LLC and $1.2 million for 2GT PLLC at September 30, 2024 and December 31, 2023 and are reported as accounts payable – related party in our consolidated balance sheets. The advances have no stated maturity and bear no interest.
●Accounts payable – related party in our consolidated balance sheets included $0.2 million at September 30, 2024 and $0.9 million at December 31, 2023 for reimbursement of expenses incurred on our behalf.
●We provided managerial services to emergency centers owned and, in some instances, controlled by related parties including an entity controlled by our CEO during 2023. In the three and nine months ended September 30, 2023, we recognized $0.1 million and $0.5 million, respectively, of revenue for these services.
●Two of our ER Entities were obligated under managerial services agreements with related parties commencing in 2022 and ending in 2023. Payments under these agreements totaled $0.1 million and $0.5 million for the three and nine months ended September 30, 2023.

Note 18 – Variable Interest Entities

The following tables provide the balance sheet amounts for consolidated VIEs:

​​​​​​​​​
​September 30, 2024
​ · Real Estate · ​ · Physician · ​ · AHISP
​ · Entities · ​ · LLCs · ​ · IPA
​​​​​​​​​
Current assets$37,348​$8,274,490​$13,446,657
Property and equipment, net​-​​3,668​​100,868
Long-term assets​33,181,530​​-​​-
​​​​​​​​​
Total assets$33,218,878​$8,278,158​$13,547,525
​​​​​​​​​
Current liabilities​-​​5,019,463​​13,547,525
Long-term liabilities​12,073,186​​-​​-
​​​​​​​​​
Total liabilities​12,073,186​​5,019,463​​13,547,525
​​​​​​​​​
Equity​21,145,692​​3,258,695​​-
​​​​​​​​​
Total liabilities and equity$33,218,878​$8,278,158​$13,547,525
​​​​​​​​​
​December 31, 2023
​ · Real Estate · ​ · Physician · ​ · AHISP
​ · Entities · ​ · LLCs · ​ · IPA
​​​​​​​​​
Current assets$138,342​$8,074,928​$8,473,486
Property and equipment, net​-​​3,668​​65,277
Long-term assets​33,089,636​​-​​36,452
​​​​​​​​​
Total assets$33,227,978​$8,078,596​$8,575,215
​​​​​​​​​
Current liabilities​38,510​​5,648,516​​8,575,215
Long-term liabilities​12,959,171​​-​​-
​​​​​​​​​
Total liabilities​12,997,681​​5,648,516​​8,575,215
​​​​​​​​​
Equity​20,230,297​​2,430,080​​-
​​​​​​​​​
Total liabilities and equity$33,227,978​$8,078,596​$8,575,215

The assets of each of the ER Entities may only be used to settle the liabilities of that entity or its consolidated VIEs and may not be required to be used to settle the liabilities of any of the other ER Entities, other VIEs, or corporate entity. Additionally, the assets of corporate entities cannot be used to settle the liabilities of VIEs. The Company has aggregated all of the Physician LLCs and Real Estate Entities into two categories above, because they have similar risk characteristics, and presenting distinct financial information for each VIE would not add more useful information.

Real Estate Entities are consolidated by the Company as VIEs because they do not have sufficient equity at risk and our hospital entities are guarantors of their outstanding mortgage loans. We have been working with the third-party lenders to remove our guarantees of their outstanding mortgage loans. As these guarantees are released, the associated Real Estate Entity no longer qualifies as a VIE and is deconsolidated. As of September 30, 2024, two Real Estate Entities continue to be consolidated in our financial statements.

The Real Estate Entity we deconsolidated in the first quarter of 2023 had $1.0 million of cash, $8.4 million of fixed assets (principally land and building), $0.2 million of other assets, $5.4 million of liabilities (principally mortgage indebtedness) and $4.3 million of equity reported as noncontrolling interests as of the date of deconsolidation.

Note 19 - Subsequent Events

The Company has evaluated subsequent events through the filing of this report and determined that there have been no events that have occurred that would require adjustments to our disclosures in the consolidated financial statements, except the following:

Common stock issued. Subsequent to September 30, 2024, the Company issued 219,996 common shares for gross proceeds totaling $1.2 million from the exercise of warrants, as of the date of this Report.

ContentsView on SEC.gov

The text of this filing, as the company filed it with the SEC, without its images or exhibits. This is not investment advice.