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Nutex Health, Inc.

For the period ended Sep 30, 2025. Filed Nov 19, 2025.

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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, 2025 · Filed Nov 19, 2025

NUTX$180.56-6.8%Stored close · as of Nov 6, 2026

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Notes to Condensed Consolidated Financial Statements (unaudited)

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(UNAUDITED)

Note 1 –Organization and Operations

Nutex Health Inc. (“Nutex Health” or the “Company”), is a physician-led, healthcare services and operations company with 24 hospital facilities in 11 states (hospital division), and a primary care-centric, risk-bearing population health management division. The Company's hospital division implements and operates different innovative health care models, including micro-hospitals, specialty hospitals and hospital outpatient departments. The population health management division owns and operates provider networks such as independent physician associations (“IPAs”).

The Company employs approximately 880 full-time employees, contracts 255 doctors at our facilities and partners with over 2,100 physicians within our networks as of September 30, 2025. The Company's corporate headquarters is based in Houston, Texas and 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 into on November 23, 2021 between Clinigence, Nutex Acquisition LLC (a Delaware limited liability company and wholly-owned subsidiary of Clinigence), Nutex Health, 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 including Dr. Vo, our Chairman and CEO (“Nutex Owners”), of subsidiaries and affiliates (the “Nutex Subsidiaries”), including Nutex Subsidiaries categorized as Under Construction Hospitals, 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.

Refer to Note 11 – Stock-based Compensationfor discussion of additional issuances of stock for Under Construction Hospitals, an obligation within the Contribution Agreements.

Pursuant to the Merger Agreement, and based on a valuation of $2.80 per share, each unit representing an equity interest in Nutex Health Holdco LLC that was issued and outstanding immediately prior to the effective time of the Merger (but following the Contribution Transaction) was converted into the right to receive 3.571428575 shares of Clinigence common stock, resulting in an aggregate issuance of 592,791,712 shares (3,951,944 after the 2024 Reverse Stock Splits) of Clinigence common stock.

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

2024 Reverse Stock Splits.

1:10 Reverse stock split. The Company’s Board of Directors (the “Board”) 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 effective as of 11:59 pm Eastern time on April 9, 2024 (together, the “2024 Reverse Stock Splits”). The Company’s common stock began trading on The Nasdaq Stock Market (the “NASDAQ”) 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 2024 Reverse Stock Splits were 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.

As a result of the 2024 Reverse Stock Splits, the Company had 5,511,452 shares of common stock outstanding as of December 31, 2024, inclusive of whole shares issued for fractional shares, and the number of authorized shares of common stock remained at 950,000,000. The Company had 6,905,262 shares of common stock outstanding as of September 30, 2025.

Unless otherwise indicated, all authorized, issued and outstanding stock and per share amounts contained in the accompanying unaudited 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.

Note 2 -Summary of Significant Accounting Policies

Basis of presentation. These unaudited condensed 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 the Company is the primary beneficiary.

The hospital division includes the Company’s healthcare billing and collections organization and hospital entities. In addition, the Company has financial and operating relationships with multiple professional entities (the “Physician LLCs”) and real estate entities (the “Real Estate Entities”). The Physician LLCs employ the physicians who provide services at the Company’s hospitals. These Physician LLCs are consolidated by the Company as VIEs because they do not have sufficient equity at risk to finance their activities independently. The Company is considered the primary beneficiary of these entities because (i) it has the power to direct the activities that most significantly affect their economic performance through its contractual and operational oversight, and (ii) it has the obligation to absorb losses and the right to receive benefits that could be significant, as evidenced by the Company’s historical practice of providing financial support during periods of cash shortfall and receiving the benefit of services.

The Real Estate Entities own the land and buildings used by the Company’s hospital entities and lease these facilities to the Company. These entities have mortgage loans payable to third parties which are collateralized by the land and buildings. The Company consolidates certain Real Estate Entities as VIEs when the Company’s hospital entities are guarantors or co-borrowers under the related mortgage loans. In such cases, the Company is considered the primary beneficiary because it has the power to direct the entities’ most significant activities and has the obligation to absorb losses and the right to receive benefits that could be significant to the Real Estate Entities.

While the Company does not hold any direct equity ownership in the consolidated Physician LLCs or certain Real Estate Entities, it is deemed to have an indirect economic interest through its contractual relationships with intermediary entities such as ER LLCs, which provide operational and functional support to the VIEs. As a result,100% of the equity in these VIEs is reflected as noncontrolling interest in the Company’s unaudited condensed consolidated balance sheets and statements of operations. Certain of the Physician LLCs and Real Estate Entities are owned in part and, in some cases, controlled by related parties, including members of the Company’s executive management team.

The population health management division includes our management services organization. Additionally, Associated Hispanic Physicians of So. California (“AHISP”), an independent physician association (“IPA”) entity not owned by the Company, is consolidated as a VIE of the Company’s wholly-owned subsidiary AHP Health Management Services (“AHP”). AHP is deemed the primary beneficiary of AHISP because it has the power to direct the significant activities of AHISP through a comprehensive management services agreement and has the right to receive substantially all of the economic benefits from its operations.

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 year ended December 31, 2024.

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, (iii) impairment of long-lived assets and goodwill,(iv) estimate of valuation allowance against deferred taxes, (v) fair value of non-employee stock-based compensation and (vi) Black-Scholes option model to compute fair value of warrant liability. Actual results could differ from those estimates. During the year ended December 31, 2024, we effected a change in estimate for estimates of net revenue and accounts receivable.

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 Companyhas 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.

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. Refer to Note 16 – Segment Information for information on the Company’s segments.

Recent accounting pronouncements – issued, not yet adopted

In December 2023, the FASB issued Accounting Standards Update (“ASU”) 2023-09 – Income Taxes (Topic 740): Improvements to Income Tax Disclosures, which requires public entities, on an annual basis, to provide disclosure of specific categories in the rate reconciliation, as well as disclosure of income taxes paid disaggregated by jurisdiction. The update is effective for annual periods beginning after December 15, 2024. We will adopt ASU 2023-09 in our Annual Report on Form 10-K for the year ending December 31, 2025. Adoption will impact disclosures only and will not affect our consolidated financial statements. We expect to apply the guidance prospectively and will add the required annual disclosures beginning with our 2025 year-end financial statements.

In November 2024, the FASB issued ASU 2024-03 – Income Statement – Reporting Comprehensive Income-Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses, requiring public entities to disclose additional information about specific expense categories in the notes to the financial statements on an interim and annual basis. ASU 2024-03 is effective for fiscal years beginning after December 15, 2026, and for interim periods beginning after December 15, 2027. The Company is currently evaluating the impact of this update.

In May 2025, the FASB issued ASU 2025-03 -Business Combinations (Topic 805) and Consolidation (Topic 810) - Determining the Accounting Acquirer in the Acquisition of a Variable Interest Entity, which revises the current guidance for determining the accounting acquirer for a transaction effected primarily by exchanging equity interests in which the legal acquiree is a VIE that meets the definition of a business. The amendments require that an entity consider the same factors that are currently required for determining which entity is the accounting acquirer in other acquisition transactions. ASU 2025-03 is effective for annual reporting periods beginning after December 15, 2026, and interim reporting periods within those annual periods. The Company is currently evaluating the impact of this update.

Note 3 –Revenue

The Company disaggregates revenue from contracts with customers into types of services or products, consistent with the Company's reportable segments, as follows (in thousands):

Three Months Ended September 30,Nine Months Ended September 30,
2025202420252024
Hospital division revenue$260,239$71,733$700,488$199,367
Population health management division revenue7,5657,06223,09022,964
Total revenue$267,804$78,795$723,578$222,331

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 99% of our net patient service revenue is paid by insurers 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,
2025202420252024
Insurance97%95%97%93%
Self pay1%2%1%4%
Workers compensation1%2%1%2%
Medicare/Medicaid1%1%1%1%
Total100%100%100%100%

The No Surprises Act (“NSA”) is a federal law that took effect January 1, 2022, to protect consumers from most instances of “surprise” balance billing. With respect to the Company, the NSA limits the amount an insured patient will pay for emergency services furnished by an out-of-network provider. The NSA addresses the payment of these out-of-network providers by group health plans or health insurance issuers (collectively, “insurers”). In particular, the NSA requires insurers to reimburse out-of-network providers at a statutorily calculated “out-of-network rate.” In states without an all-payor model agreement or specified state law, the out-of-network rate is either the amount agreed to by the insurer and the out-of-network provider or an amount determined through an independent dispute resolution (“IDR”) process.

Under the NSA, insurers must issue an initial payment or notice of denial of payment to a provider within thirty days after the provider submits a bill for an out-of-network service. If the provider disagrees with the insurer’s determination, the provider may initiate a thirty-business day period of open negotiation with the insurer over the claim. If the parties cannot resolve the dispute through negotiation, the parties may then proceed to the IDR process.

On July 1, 2024, we engaged with a third-party IDR vendor, HaloMD, to further support all our out of network claims and determine which claims would be beneficial to arbitrate (see Management's Arbitration process discussion under Part I. Item 2). The IDR process can take up tothree tofive months to receive payments. To facilitate the dispute arbitration process, the Company incurred fees payable to the Centers for Medicare and Medicaid Services (“CMS”), the organizations that arbitrate the payment amount between the plan and providers known as independent dispute resolution entities (“IDRE”), and commission and fees to the third-party IDR vendor. IDRE fee payments represent refundable payments if arbitrations are successful. Therefore, these payments are reported as prepaid and other current assets in the consolidated balance sheets. The unsuccessful portion of the IDRE fee payments is written off to contract services expense in the consolidated statements of operations. Prepaid expenses related to IDRE fees was $11.8 million as of September 30, 2025. Accounts payable to the third-party IDR vendor was $34.7 million as of September 30, 2025. Total accrued arbitration expenses were $64.3 million as of September 30, 2025.

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 payment is received monthly for our services.

Note 4 -Acquisitions

May 2025 Acquisition of controlling interest and consolidation

On May 2, 2025, the Company acquired a 51% membership interest in an Indiana-based limited liability company (“May 2025 Acquiree”) for $2.3 million in cash. The Company determined that the May 2025 Acquiree does not meet the definition of a business under ASC 805-10-55-5A. Accordingly, the transaction was accounted for as an asset acquisition under ASC 805-50. The identifiable assets acquired and liabilities assumed were recognized based on their relative fair values.

The Company concluded that the May 2025 Acquiree is a voting interest entity and that it has a controlling financial interest based on its majority voting rights and operational control. As such, the Company consolidated the May 2025 Acquiree under the voting interest model in accordance with ASC 810-10 as of the acquisition date.

As part of the transaction, a noncontrolling interest representing 49% ownership in May 2025 Acquiree was recognized and is accounted for at cost. The noncontrolling interest does not have substantive participating rights.

The following table summarizes the allocation of the purchase consideration: is the net amount of May 2025 Acquiree's identifiable assets acquired and liabilities assumed as of the acquisition date (in thousands):

Cash and cash equivalents$309
Building and improvements8,734
Land2,127
Note payable assumed(8,078)
Net identifiable assets acquired$3,092

The following is a summary of the total consideration paid and the noncontrolling interest at cost (in thousands):

Cash consideration transferred2,303
Fair value of noncontrolling interest (49%)789
Total consideration transferred$3,092

Prior to the acquisition, a wholly owned subsidiary of the Company was the lessee under a financing lease with May 2025 Acquiree. Upon acquisition, the lease arrangement became an intercompany transaction within the consolidated group. Accordingly, the right-of-use asset and corresponding lease liability previously recognized under ASC 842 were eliminated in consolidation. For purposes of consolidation and in accordance with ASC 842, the effect of elimination is adjusted against the acquired asset's carrying amount determined as follows (in thousands):

Building and improvements8,734
Lease derecognition upon consolidation(2,679)
Adjusted carrying value of building and improvements$6,055

No goodwill was recognized in connection with the acquisition, consistent with the guidance in ASC 805. The operating results of May 2025 Acquiree have been included in the Company’s consolidated financial statements beginning on the acquisition date.

September 2025 Asset Acquisition

On September 19, 2025, the Company, through its consolidated subsidiary acquired certain assets and assumed specific liabilities of a non-operational hospital facility located in St. Louis, Missouri ("September 2025 Acquiree") pursuant to an asset purchase agreement.

The Company determined September 2025 Acquiree does not meet the definition of a business under ASC 805-10-55-5A. Accordingly, the transaction was accounted for as an asset acquisition under ASC 805-50. The identifiable assets acquired and liabilities assumed were recognized based on their relative fair values.

In exchange for the assets acquired, the Company agreed to: (i) $5.8 million of seller note, (ii) real property and equipment lease obligations, (iii) make a deferred payment of $1.0 million over 10 years, and (iv) issue a 15% membership interest in the consolidated subsidiary over atwo-year period. The equity interest vests based on operational milestones, and is accounted for as purchase consideration rather than compensation, as no continuing services are required of the seller.

The following table summarizes the preliminary allocation of the purchase consideration to the identifiable assets acquired and liabilities assumed (in thousands):

Furniture and fixtures$1,000
Intangible asset - Certificate of Need7,000
Total identifiable assets acquired$8,000

The following table summarizes the total consideration for the acquisition (in thousands):

Seller note5,800
Deferred payment obligation1,000
Equity interest in September 2025 Acquiree issued to seller1,200
Total purchase consideration$8,000

As a result of the transaction, the consolidated subsidiary was determined to be a VIE under ASC 810 due to insufficient equity at risk and its reliance on guarantees and financial support from the Company. The Company is the primary beneficiary of the consolidated subsidiary and consolidates its financial results. See Note 18 -Variable interest entities for additional information.

No goodwill was recognized in connection with the acquisition, consistent with ASC 805-50. The consolidated subsidiary remains in development stage, and no revenue or operating expenses have been included in the Company's consolidated results as of the acquisition date.

Note 5 -Property and Equipment, net

The principal categories of property and equipment, net are summarized as follows (in thousands):

UsefulLife (years)September 30,December 31,
2025 · 2024
Buildings and improvements39$25,613$19,650
Land—6,5374,410
Leasehold improvements10-3928,37528,126
Construction in progress—1,7641,892
Medical equipment1035,29735,395
Office furniture and equipment75,3003,985
Computer hardware and software57,7507,579
Vehicles59495
Signage102,1212,072
Total cost112,851103,204
Less: accumulated depreciation(30,030)(25,271)
Total property and equipment, net$82,821$77,933

We consolidatetwo Real Estate Entities in the Company. We acquired one Real Estate Entity in the second quarter of 2025. Two of the three Real Estate Entities are VIEs. Refer to Note 18 – Variable Interest Entities.

Depreciation and amortization of property and equipment for the three months ended September 30, 2025 and 2024 totaled $1.7 million and $1.8 million, respectively, and for the nine months ended September 30, 2025 and 2024 totaled $5.1 million and $5.0 million, respectively.

Note 6 –Intangible Assets and Goodwill

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

As of September 30, 2025Weighted Average Useful Life (in years)Gross Carrying AmountAccumulated AmortizationNet CarryingAmount
Amortizing intangible assets:
Member relationships15$18,491$(4,173)$14,318
Trademarks7474(237)237
Total amortizing intangible assets$18,965$(4,410)$14,555
Indefinite-lived intangible asset - Certificate of Need7,000—7,000
Total intangible assets$25,965$(4,410)$21,555
Amortizing intangible assets:
Member relationships15$18,491$(3,248)$15,243
Trademarks7474(187)287
Total$18,965$(3,435)$15,530

Member relationships and trademarks are associated with existing entities in the population health management division.

During the three months ended September 30, 2025, the Company acquired an indefinite-lived intangible asset consisting of a state-issued Certificate of Need ("CON") associated with the operation of one of its hospital facilities. The Company determined that the CON has an indefinite useful life because it is renewable at minimal cost and is expected to contribute to cash flows indefinitely. Accordingly, the asset is not amortized, but is tested for impairment annually, or more frequently if events or changes in circumstances indicate that it is more likely than not that the asset is impaired. As of September 30, 2025, the carrying amount of the indefinite-lived intangible asset was $7.0 million.

Amortization of intangible assets for the three months ended September 30, 2025 and 2024 totaled $0.3 million and $0.3 million, respectively, and for the nine months ended September 30, 2025 and 2024 totaled $1.0 million and $1.1 million, respectively.

As of September 30, 2025, expected amortization of intangible assets for each of the five succeeding fiscal years and thereafter is as follows (in thousands):

Year ended December 31,Amount
Remainder of 2025$325
20261,300
20271,300
20281,300
20291,300
Thereafter9,030
Total Intangible Assets$14,555

Goodwill. The carrying amount of goodwill by operating segment is as follows (in thousands):

Hospital DivisionPopulation Health Management DivisionTotal
Goodwill1,139415,251416,390
Accumulated impairment losses(1,139)(401,332)(402,471)
$—$13,919$13,919

Note 7 –Accrued Expenses and Other Current Liabilities

Accrued expenses and other current liabilities consisted of the following (in thousands):

September 30,December 31,
20252024
Accrued wages and benefits$16,849$14,123
Accrued supplier expenses4,0494,205
Accrued medical claims3,8993,564
Accrued other taxes2,5021,130
Accrued other5662,418
Total accrued expenses and other current liabilities$27,865$25,440

Note 8 –Debt

The Company’s outstanding debt is shown in the following table (dollars in thousands):

MaturityDatesInterestRatesSeptember 30,December 31,
2025 · 2024
Term loans secured by all assets04/2026 - 09/20353.60 - 12.00%$13,924$9,665
Term loans secured by property and equipment11/2025 - 1/20303.41 - 7.82%7,2959,028
Term loan secured by deposits04/20257.36%—1,989
Line of credit secured by all assets10/2025 - 01/20263.25 - 8.50%5,3043,521
Term loans of consolidated Real Estate Entities05/2028 - 03/20373.50 - 3.59%10,87911,811
Seller note09/20358.00%5,800—
Deferred payment09/203510.00%1,000—
Unsecured convertible term notes10/20258.00 - 10.00%4,9085,385
Total49,11041,399
Less: unamortized issuance costs and discount228984
Less: short-term lines of credit5,3043,554
Less: current portion of long-term debt18,00414,395
Total long-term debt$25,574$22,466

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 wholly-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.

At September 30, 2025, the Company was not subject to any financial covenants under its outstanding debt arrangements and we had remaining availability of $5.9 million under outstanding lines of credit.

In connection with the September 2025 asset acquisition, the Company, through its consolidated subsidiary, issued a seller note with a fair value of approximately$5.8 million. The note bears interest at 8% per annum and is payable over 10 years, with the first principal and interest payment deferred for 12 months following the closing date. The seller note was issued as consideration for the acquired assets, which primarily included a certificate of need with a fair value of$7.0 million. The note represents long-term financing associated with the acquisition and is classified within long-term debt on the consolidated balance sheet.

As part of the same transaction, the Company also agreed to make a deferred cash payment of $1.0 million, which was recognized at its present value at a 10% discount rate. The deferred payment is payable in installments over 10 years, with the first payment due 19 months after the closing date of September 19, 2025. This obligation was included as part of the total purchase consideration and is reflected within long-term debt in the accompanying consolidated financial statements.

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. For the three and nine months ended September 30, 2025, no warrants were exercised. For the nine months ended September 30, 2025, $0.5 million of the Unsecured Convertible Term Notes converted to 17,874 shares based on the terms noted above.

The net carrying amount of the Unsecured Convertible Term Notes was $4.8 million and $4.5 million as of September 30, 2025 and December 31, 2024, respectively, and the weighted average effective interest rate on the convertible debt was 21.5% for both periods.

The Unsecured Convertible Term Notes interest expense was $0.3 million for the three months ended September 30, 2025, comprising $0.2 million in amortization expense and $0.1 million in accrued interest expense. For the nine months ended September 30, 2025 interest expense was $1.0 million, comprising $0.7 million in amortization expense and $0.3 million in accrued interest expense. For the three months ended September 30, 2024, interest expense was $0.3 million, 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 (in thousands):

Three Months Ended September 30,Nine Months Ended September 30,
2025202420252024
Operating lease cost$1,100$228$3,291$1,442
Finance lease cost:
Amortization of right-of-use assets$3,195$2,912$9,855$7,591
Interest on lease liabilities5,0634,51615,50812,033
Total finance lease cost$8,258$7,428$25,363$19,624

Note 10 –Commitments and Contingencies

Litigation. 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, outside of the items listed below, the outcome of such matters is not expected to have a material adverse effect on the unaudited condensed consolidated financial statements.

Please read Part II - Item 1. Legal Proceedings.

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 the Board. 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. During the first quarter of 2025, the number of shares to be issued under the 2023 Plan increased to 55,115 shares, most of which were issued as restricted stock units in 2025, as discussed below. On July 14, 2025, stockholders of the Company approved an amendment to the 2023 Plan to increase the number of shares available for issuance under the Plan by 1,100,000 over the 10 year term of the Plan and to allow the number of shares available to automatically increase on January 1stof each calendar year through January 1, 2033 in an amount equal to 5% of the number of outstanding shares at December 31 of the previous fiscal year, provided that the Board may decide that there shall be no or lesser increase.

Total stock-based compensation expense for thethree months ended September 30, 2025 and 2024 was $13.2 million and $2.0 million, respectively, and for the nine months ended September 30, 2025 and 2024 was $119.6 million and $2.0 million, respectively. Stock-based compensation expense includes amounts recognized for awards granted to employees for services rendered and non-employee arrangements, specifically the obligations for under-construction and ramping hospitals (the “Additional Merger Shares”).

For thethree and nine months ended September 30, 2025, approximately 99.5% of total stock-based compensation expense of $13.2 million and $119.6 million, respectively, are due to the obligations for under-construction and ramping hospitals, noted below.

Obligations for under-construction and ramping hospitals. Under the terms of the Contribution Agreements, Nutex Owners of the Ramping and Under Construction Hospitals (as determined on April 1, 2022) 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.

Ramping Hospitals are hospitals that at the time of the Merger had less than two years of operating results and as such were not considered mature hospitals. Under Construction Hospitals are hospitals that at the time of the Merger had not started accepting patients and as such did not have any operating results to serve as a basis for a valuation. At the time of the Merger, the parties agreed to additional issuances of common stock once these Ramping and Under Construction Hospitals had operated for at least 24 months, with the valuation to be based on trailing twelve months operating results determined at the end of such 24-month period (“Measurement Period”).

Pursuant to the Merger Agreement, and based on a valuation of $2.80 per share ($420.00 per share after the 2024 Reverse Stock Splits) of Clinigence common stock, each member interest in Nutex Holdco issued and outstanding immediately prior to the effective time of the Merger was converted into the right to receive 3.571428575 shares of Clinigence common stock.

With respect to the Under Construction Hospitals, the aggregate number of shares of Clinigence common stock issued in the Merger to such Nutex Owners was equal to the aggregate capital contribution amounts received from the contributing Nutex Owners of the Under Construction Hospitals divided by (b) $2.80 ($420.00 per share after the 2024 Reverse Stock Splits). In addition, Nutex Health assumed all the debt of such Under Construction Hospitals outstanding at the closing of the Merger.

Under the Contribution Agreements, the Ramping and Under Construction Hospitals are entitled to additional shares of Company Common Stock. The number of additional shares depends on two main factors: the trailing twelve-month operating results of the particular hospital and the trading price of Nutex Health common stock, with both factors determined at the end of the applicable Measurement Period. There is no threshold of certain operating results to be achieved; however, there is a floor price of common stock to be applied to the calculation. The exact amount a Nutex Owner of a particular hospital will receive will accordingly depend on (i) the trailing twelve months of operating results of that particular hospital, minus the initial capital contribution and debt assumption, (ii) the current Nutex common stock trading price, and (iii) the ownership percentage in the hospital such Nutex Owner held prior to the Contribution Transaction and the Merger.

At the closing of the Merger, four hospitals were identified as Ramping Hospitals and 17 hospitals were identified as Under Construction Hospitals. Of the four Ramping Hospitals:

The Measurement Period of two Ramping Hospitals ended on June 30, 2022, with no additional issuances of common stock due to operating results.

The Measurement Period of one Ramping Hospital ended on June 30, 2023, with no additional issuances of common stock due to operating results.

The Measurement Period of one Ramping Hospital ended on November 30, 2023, with no additional issuances of common stock due to hospital closure in February 2023.

Of the 17 Under Construction Hospitals,

Seven hospitals with Measurement Periods ended on or before September 30, 2025.

Three hospitals with Measurement Periods that end after September 30, 2025.

Three hospitals with no defined Measurement Periods as these hospitals have not opened as of September 30, 2025.

Four hospitals with no Measurement Period as these hospitals' development plans have been abandoned.

In the tables below, we show the number of shares issuable, the number of shares issued to date, and compensation expense recognized with respect to hospital with Measurement Periods that ended prior to the end of September 30, 2025.

Measurement Periods ending on or prior to September 30, 2025 (dollars in thousands):

Number of Hospitals · End of Measurement Period · Number of Shares Issuable · Number of Shares Issued to Date · Inception-to-date Compensation Expense · Year-to-date 2025 Compensation Expense
1February 28, 2023——$—$—
2February 29, 202427,03527,035458—
1February 28, 2025422,091422,09123,17315,942
2June 30, 2025602,798602,79875,04268,962
1August 31, 2025307,700307,70025,92722,881
71,359,6241,359,624$124,600$107,785

In the table below, we show the estimated number of shares issuable to four hospitals with Measurement Periods that end after September 30, 2025 and are operating, but showing a pro forma calculation as if the respective Measurement Periods had ended on September 30, 2025. Since we cannot predict the future operating results of a particular hospital or the Nutex Health trading price at the end of such particular Measurement Period, the actual number of shares issuable to the Nutex Owners of such Hospital cannot be determined.

Measurement Periods ending after September 30, 2025 (dollars in thousands):

Number of Hospitals · End of Measurement Period · Estimated Number of Shares Issuable · Estimated Compensation Expense · Inception-to-date Compensation Expense · Year-to-date 2025 Compensation Expense
1March 31, 202621,1001,550$1,355$1,355
1November 30, 2026150,20010,0617,5417,541
1December 31, 202647,3003,1222,2982,298
3218,600$14,733$11,194$11,194

The Company measures these obligations as liability-classified stock-based compensation at fair value (level 3) on each reporting date until settlement, with changes in fair value recognized in the consolidated statement of operations. The fair value of these awards is determined using Monte Carlo simulation, which incorporates inputs such as expected term, volatility, risk-free interest rate, dividend yield and the probability of achieving performance conditions. At September 30, 2025, the aggregate liability recorded for these obligations was$11.2 million as compared to $16.4 million at December 31, 2024. The change in fair value recognized in the consolidated statements of operations forthree months ended September 30, 2025 and 2024 was $13.2 million and $1.8 million, respectively, and for thenine months ended September 30, 2025 and 2024 was$119.6 million and $1.7 million, respectively.

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

OptionsOutstandingWeighted AverageExercise PriceWeighted AverageRemaining ContractualLife (Years)
Options outstanding at December 31, 202327,590$335.756.94
Options exercised——
Options cancelled(3,334)367.51
Options outstanding at September 30, 202424,256$335.755.68
Options outstanding at December 31, 202421,965$331.345.45
Options exercised——
Options cancelled(2,200)330.72
Options outstanding at September 30, 202519,765$331.404.80

Options outstanding as of September 30, 2025 consisted of:

ExpirationDateNumberOutstandingNumberExercisableExercisePrice
December 31, 2025500500225.00
December 31, 2025300300241.50
December 31, 20251,2141,214412.50
December 31, 20256868834.00
May 11, 20271,0011,001225.00
June 9, 2027167167376.50
January 27, 20301,1151,115225.00
January 28, 20316,6676,667241.50
September 9, 20318,2328,232412.50
December 17, 2031501501525.00
Total19,76519,765

Restricted Stock Units. 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 vested on March 1, 2025,39,514 RSUs will vest on March 1, 2026, and 39,510 will vest on March 1, 2027.

On March 10, 2025, the Company issued 60,365 RSUs valued at $2.5 million to certain employees participating in the Company’s long-term incentive program.20,122 RSUs will vest on March 1, 2026,20,122 RSUs will vest on March 1, 2027, and 20,123 will vest on March 1, 2028.

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 vest one third per year on each of the first three anniversaries of the grant date. The following table summarizes activity in restricted stock units:

Shares(in thousands)Weighted Average Grant-Date Fair Value Per Share
Non-vested awards, December 31, 20233$151.50
Granted1185.40
Forfeitures(3)92.48
Vested(1)151.50
Non-vested awards, September 30, 2024117$37.23
Non-vested awards, December 31, 2024117$37.23
Granted6141.15
Forfeitures(7)5.40
Vested(37)72.76
Non-vested awards, September 30, 2025134$36.20

As of September 30, 2025 and 2024, we estimate $2.4 million and $0.7 million, respectively, of unrecognized compensation cost related to restricted stock units issued to our employees to be recognized over the weighted-average vesting period of 1.6 years and 1.7 years, respectively.

Employee Stock Purchase Plan. In May 2023, the Board 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 months ended September 30, 2025 and 2024, the Company issued 351 shares and 4,300 shares, respectively, and for the nine months ended September 30, 2025 and 2024, the Company issued 2,378 shares and 7,107 shares, respectively, under the ESPP.

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. Our common stock has no preferences or rights of conversion, exchange, pre-exemption or other subscription rights.

Common Stock Warrants. Warrant activity is as follows:

WarrantsOutstanding · Weighted AverageExercise Price · Weighted AverageRemaining ContractualLife (years)
Warrants outstanding at December 31, 2023135,537$158.164.42
Warrants issued444,4456.80
Warrants exercised71,80130.00
Warrants expired(150,000)5.34
Warrants outstanding at September 30, 2024501,783$50.154.56
Warrants outstanding at December 31, 2024207,338$113.783.68
Warrants issued——
Warrants exercised——
Warrants expired(3,701)1,000.50
Warrants outstanding at September 30, 2025203,637$97.683.26

Warrants outstanding as of September 30, 2025 consisted of:

ExpirationDateNumberOutstandingNumberExercisableExercisePrice
October 31, 202510,44410,444232.50
October 31, 2025108108187.50
February 26, 20261,9221,922600.00
July 31, 202616,88816,888232.50
May 31, 202730,67430,674262.50
September 30, 202916,50116,50130.00
October 31, 202957,25057,25030.00
November 30, 20295,1675,16730.00
December 31, 202964,68364,68330.00
Total203,637203,637

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 was 21.9% and (177.7)% for the three months ended September 30, 2025 and 2024, respectively, and for the nine months ended September 30, 2025 and 2024 was 25.2% 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 (Loss) per Share

The following is the computation of earnings per basic and diluted share (dollars in thousands):

Three Months Ended September 30, · Nine Months Ended September 30,
2025 · 2024 · 2025 · 2024
Basic and diluted earnings (loss) per share:
Numerator:
Net income (loss) attributable to common stockholders$55,435$(8,788)$58,955$(9,517)
Denominator:
Weighted average shares used to compute basic and diluted EPS6,701,2405,100,0306,124,8714,973,463
Basic earnings (loss) per share:$8.27$(1.72)$9.63$(1.91)
Diluted earnings (loss) per share:
Numerator:
Net loss attributable to common stockholders$(8,788)$(9,517)
Dilutive net income attributable to common stockholders55,70559,738
Denominator:
Weighted average shares used to compute basic EPS6,701,2405,100,0306,124,8714,973,463
Dilutive effect of convertible note161,667—161,667—
Dilutive effect of common stock warrants99,667—88,407—
Dilutive effect of unvested restricted stock110,152—108,492—
Dilutive effect of contingently issuable shares104,802—251,507—
Weighted average shares used to compute diluted EPS7,177,5285,100,0306,734,9444,973,463
Diluted earnings (loss) per share:$7.76$(1.72)$8.87$(1.91)

For the periods presented, potentially dilutive outstanding securities, which include stock options, restricted stock units, warrants and common stock issuable upon conversion of outstanding convertible debt, have been excluded from the computation of diluted net loss per share as their effect would be anti-dilutive for each period presented. As such the weighted average number of common shares outstanding used to calculate both basic and diluted net loss per share are the same for each period presented.

Note 15 -Supplemental Cash Flows Information

The below supplemental cash flows information is presented in thousands:

Nine Months Ended September 30,
20252024
Cash paid for interest on long-term debt$1,963$2,460
Cash paid for interest on finance leases15,508—
Cash paid for operating leases2,937—
Cash paid for income taxes70,0951,552
Non-cash investing and financing activities:
Financed capital expenditures1211,039
Acquisition of finance leases29,01415,629
Warrant liability related to common stock issuance—7,662
Common stock issued for Employee Stock Purchase Plan14759
Convertible debt converted to common stock477321
Payment for acquisition in common stock—406
Common stock received in sale of business—30
Net reversal of financing lease due to acquisition of lessor(15,008)—

Note 16 –Segment Information

We report the results of our operations asthree segments in our unaudited condensed consolidated financial statements: (i) the hospital division, (ii) the population health management division and (iii) the real estate division.

The Company’s chief operating decision maker (“CODM”) is our Chief Executive Officer (“CEO”). The determination of our reporting segments was made based on our strategic priorities, which corresponds to the way our CODM reviews and evaluates operating performance to make decisions about resources to be allocated. For our operating segments, the CODM uses segment gross profit and segment income before tax to allocate resources (including financial and capital resources) in the annual and forecasting processes. On a monthly basis, the CODM considers month-to-month and budget-to-actual variances for both measures when allocating resources to segments.

Other hospital division expenses include expenses such as facility-specific utilities, marketing and advertising, repairs and maintenance, and other tax expenses. 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 (in thousands):

September 30,December 31,
20252024
Assets:
Hospital division$900,924$607,590
Population health management division28,32228,338
Real estate division35,27219,392
Total Assets$964,518$655,320
Three Months Ended September 30,Nine Months Ended September 30,
2025202420252024
Revenue from external customers:
Hospital division$260,239$71,733$700,488$199,367
Population health management division7,5657,06223,09022,964
Total revenue$267,804$78,795$723,578$222,331
Segment expenses:
Hospital division
Payroll$38,431$29,196$108,914$82,398
Contract services47,8136,484133,60115,077
Medical supplies3,3073,98311,92012,893
Other hospital division expenses12,0266,25734,48621,487
Hospital division expenses101,57745,920288,921131,855
Population health management division expenses6,3415,98721,17122,150
Total segment expenses$107,918$51,907$310,092$154,005
Depreciation and amortization:
Hospital division$4,553$4,637$13,996$12,072
Population health management division3413611,0201,193
Real estate division109(26)327426
Total depreciation and amortization$5,003$4,972$15,343$13,691
Segment gross profit (loss):
Hospital division$154,107$21,438$397,571$54,700
Population health management division883479899(65)
Real estate division(109)—(327)—
Total segment gross profit$154,881$21,917$398,143$54,635
Consolidated operating income:
Total segment gross profit$154,881$21,917$398,143$54,635
Corporate and other costs(24,514)(12,254)(153,436)(38,223)
Consolidated operating income$130,367$9,663$244,707$16,412
Segment income:
Hospital division
Hospital division gross profit$154,107$21,438$397,571$54,700
Interest expense, net5,6515,38517,07414,890
Other expense (income)9903848,644(492)
Hospital division income before income taxes$147,466$15,669$371,853$40,302
Population health management division income before income taxes886868905295
Real estate division loss before income taxes(109)-(327)—
Non-segment loss before income taxes(24,304)(19,117)(153,544)(39,427)
Income (loss) before income taxes$123,939$(2,580)$218,887$1,170
Capital expenditures:
Hospital division$490$617$1,387$1,909
Total capital expenditures$490$617$1,387$1,909

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 been the primary beneficiary of their services.

The Physician LLCs had outstanding obligations to their member owners, who are also Company stockholders, totaling less than $0.8 million at both September 30, 2025 and December 31, 2024 reported within accounts payable – related party in our unaudited condensed 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 – Leases. For thethree months ended September 30, 2025 and 2024, we made cash payments totaling $5.7 million and $5.1 million, respectively, and for thenine months ended September 30, 2025 and 2024, we made cash payments totaling$16.6 million and $14.7 million for those lease obligations. In addition, the building that houses the Company's corporate headquarters is owned by our CEO and leased to the Company, and lease payments under this arrangement are included in the lease obligation totals.

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. Two of the three consolidated Real Estate Entities have mortgage loans payable to third parties which are collateralized by the land and buildings, and continue to be consolidated in our financial statements as of September 30, 2025. We have no direct ownership interest in two of the Real Estate Entities, but they are owned and, in some instances, controlled by related parties including our CEO.

Accounts receivable – related party included$7.3 million and$4.3 millionat September 30, 2025 and December 31, 2024, respectively, due from noncontrolling interest owners of consolidated ER Entities.

Accounts payable – related party in our unaudited condensed consolidated balance sheets included $2.0 million at September 30, 2025 andzero at December 31, 2024 for reimbursement of expenses incurred on our behalf.

In addition, we have outstanding obligations of contributions for facilities currently under construction totaling $2.2 million and $1.6 million at September 30, 2025 and December 31, 2024, respectively, reported within accounts payable-related party in our unaudited condensed consolidated balance sheets.

Note 18 –Variable Interest Entities

The following tables provide the balance sheet amounts for consolidated VIEs (in thousands):

September 30, 2025
Real Estate EntitiesPhysician LLCsFacility EntityIPAs
Current assets$1,344$103,929$—$10,791
Property and equipment, net18,92741,000103
Other long-term assets——20,274—
Total assets$20,271$103,933$21,274$10,894
Current liabilities—25,42513110,894
Long-term liabilities10,839—20,007—
Total liabilities10,83925,42520,13810,894
Equity9,43278,5081,136—
Total liabilities and equity$20,271$103,933$21,274$10,894
December 31, 2024
Real Estate EntitiesPhysician LLCsIPAs
Current assets$122$23,041$10,109
Property and equipment, net19,2764116
Total assets$19,398$23,045$10,225
Current liabilities——10,225
Long-term liabilities11,768——
Total liabilities11,768—10,225
Equity7,63023,045—
Total liabilities and equity$19,398$23,045$10,225

The assets of each of the hospital facilities 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 hospital facilities, other VIEs, or corporate entities. Additionally, the assets of corporate entities cannot be used to settle the liabilities of VIEs. The Company has aggregated all Physician LLCs and certain 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.

Two 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, 2025, two Real Estate Entities continue to be consolidated as VIEs in our financial statements.

In addition, during the third quarter of 2025, the Company, through its consolidated subsidiary, acquired certain assets and assumed specific liabilities of a non-operational hospital facility located in St. Louis, Missouri. The consolidated subsidiary was determined to be a VIE under ASC 810 due to insufficient equity investment at risk and its reliance on financial support and guarantees from the Company, including a $5.8 million seller note payable. The Company holds a 100% ownership interest in consolidated subsidiary which will decrease by 15% evenly over atwo-year period and has both (i) the power to direct the activities that most significantly affect the consolidated subsidiary's economic performance and (ii) the obligation to absorb potentially significant losses or the right to receive potentially significant benefits. Accordingly, the Company is the primary beneficiary and consolidates the entity as a VIE. As of September 30, 2025, the consolidated subsidiary remained non-operational and did not contribute revenues or expenses to the Company's consolidated results. See Note 4 -Acquisitions for more details around the acquisition.

Note 19 -Subsequent Events

The Company has evaluated subsequent events through the filing of this report. Management identified the following event that warrant disclosure:

From October 1, 2025 to October 31, 2025, the remaining note holders of unsecured convertible term notes converted $4.9 million of principal and $0.1 million of interest to 165,030 shares of the Company's common stock, valued at $30.00 per share.

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