Press Release: Lumexa Imaging Announces Second Quarter 2026 Results

Dow Jones
Aug 13

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

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

"With a large and growing addressable market and durable demand tailwinds, we believe Lumexa Imaging is well positioned to deliver sustained, profitable growth while expanding access to high-quality, lower-cost imaging for patients, providers, and payors."

Second Quarter 2026 Highlights:

All comparisons are to the quarter ended June 30, 2025, unless otherwise noted

   -- Consolidated revenues of $264.2 million, an increase of 5.1% from $251.4 
      million 
 
   -- System-wide revenue growth of 6.0% 
 
   -- Consolidated advanced outpatient volume growth of 6.8% and 6.3% 
      system-wide 
 
   -- Same-center advanced outpatient volume growth of 5.2% consolidated and 
      4.9% system-wide 
 
   -- Net income of $2.7 million as compared to net loss of $7.2 million 
 
   -- Adjusted EBITDA of $56.4 million as compared to $56.3 million; and a 
      21.4% Adjusted EBITDA margin as compared to 22.4% 
 
   -- GAAP EPS of $0.03 per share and Adjusted EPS of $0.20 per share 

2026 Full Year Outlook:

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

   -- Reiterating full-year 2026 consolidated revenue guidance of $1.045 
      billion to $1.097 billion. 
 
   -- Narrowing its full-year 2026 Adjusted EBITDA guidance range to $235 
      million to $241 million, from its prior range of $234 million to $242 
      million. The midpoint of $238 million is unchanged. This includes 
      approximately $7 million of public company costs that were not incurred 
      in 2025. (At the midpoint of guidance, the addition of these costs lowers 
      Adjusted EBITDA growth for 2026 versus 2025 from 7% to 4%) 
 
   -- Reiterating guidance for Adjusted EPS of $0.71 to $0.77 per share. 

Lumexa Imaging Earnings Conference Call and Webcast

Lumexa Imaging will host a conference call to discuss its second quarter 2026 results, as well as its 2026 outlook, on August 12, 2026 at 5:00 p.m. ET. The call can be accessed via live audio webcast online at ir.lumexaimaging.com. A replay of the webcast will be available at the same link shortly after the completion of the call and will remain available for approximately one year.

Statement Regarding Use of Non-GAAP Financial Measures

This press release uses Adjusted EBITDA and Adjusted EPS, financial measures that are not calculated in accordance with GAAP. We use Adjusted EBITDA and Adjusted EPS, in conjunction with GAAP financial measures, as an integral part of managing our business and to, among other things: (i) monitor and evaluate the performance of our business operations and financial performance; (ii) facilitate internal comparisons of the historical operating performance of our business operations; (iii) review and assess the operating performance of our management team; and (iv) analyze and evaluate financial and strategic planning decisions regarding future operations and annual operating budgets. For a reconciliation of Adjusted EBITDA and Adjusted EPS to the most directly comparable measure calculated in accordance with GAAP, please see below.

We have not reconciled our Adjusted EBITDA or Adjusted EPS guidance to their most directly comparable GAAP measures because we do not and are not able to provide guidance for those GAAP measures due to the uncertainty and potential variability of certain reconciling items, including transaction costs, severance and executive recruiting. Because such items cannot be provided without unreasonable efforts, we are unable to provide the corresponding reconciliations. However, such reconciling items could have a significant impact on our future results.

About Lumexa Imaging

Lumexa Imaging is a nationwide provider of outpatient medical imaging. With over 5,000 team members and greater than 190 outpatient imaging centers, our team conducted approximately 4 million outpatient procedures system-wide in 2025. We are a partner of choice for health systems and radiologists, delivering best-in-class clinical excellence, operations, and state-of-the-art technology across our platform.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995. All statements other than statements of historical facts contained in this press release may be forward-looking statements. Forward-looking statements generally relate to future events or our future financial or operating performance. In some cases, you can identify forward-looking statements because they contain words such as "anticipate," "believe," "contemplate, " "continue," "could," "estimate," "expect," "intend," "may," "plan," "potential," "predict," "project," "should," "target," or "will," or the negative of these words or other similar terms or expressions that concern our expectations, strategy, plans or intentions. Forward-looking statements in this release include, but are not limited to, statements regarding our expectations regarding our financial position and operating performance, including our guidance for full year 2026 and our assumptions underlying such guidance; our ability to drive future growth and execute on our goals and strategies; and our expectations regarding our product innovation. Our expectations and beliefs regarding these matters may not materialize, and actual results in future periods are subject to risks and uncertainties that could cause actual results to differ materially from those projected, including but not limited to those risk factors identified in the "Risk Factors" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" sections of our Annual Report on Form 10-K for the year ended December 31, 2025 and our later dated Quarterly Reports on Form 10-Q, each as filed with the Securities and Exchange Commission. The forward-looking statements in this press release are based on information available to us as of the date hereof, and we disclaim any obligations to update any forward-looking statements, except as required by law.

Investor Contact

Sue Dooley

Lumexa Imaging

Sue.Dooley@LumexaImaging.com

Media Contact

Melissa Weston

Lumexa Imaging

Melissa.Weston@LumexaImaging.com

Lumexa Imaging Q2 2026 Outpatient Volumes Highlights:

 
   Consolidated                             2Q26      2Q25    Increase YoY 
      Consolidated total procedures         617,722  602,366          2.5% 
      Consolidated advanced procedures      193,125  180,911          6.8% 
      % advanced procedures                   31.3%    30.0%        123bps 
      Consolidated same-center advanced 
       volume growth                         ------   ------          5.2% 
   System-wide 
      System-wide total procedures        1,022,874  992,118          3.1% 
      System-wide advanced procedures       382,506  359,948          6.3% 
      % advanced procedures                   37.4%    36.3%        111bps 
      System-wide same-center advanced 
       volume growth                         ------   ------          4.9% 
Note: Advanced Procedures includes MRI and CT modalities. 
 Center count at June 30, 2026 was 192 total, 88 JV 
 and 104 consolidated. 
 
 
              LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES 
                  CONDENSED CONSOLIDATED BALANCE SHEETS 
                 (IN THOUSANDS, EXCEPT FOR COMMON SHARES) 
                               (Unaudited) 
                                     June 30, 2026     December 31, 2025 
                                    ---------------  --------------------- 
 
ASSETS 
   Cash and cash equivalents         $      69,705    $          58,828 
   Accounts receivable                     120,637              112,942 
   Accounts receivable, related 
    party                                   20,024               18,893 
   Other receivables                        31,552               19,015 
   Prepaid expenses                         14,498               17,582 
                                        ----------       -------------- 
      Total current assets                 256,416              227,260 
                                        ----------       -------------- 
Property and equipment, net of 
 accumulated depreciation                  156,062              144,709 
Operating lease right-of-use 
 assets                                     77,033               76,555 
Investments in unconsolidated 
 affiliates                                423,331              423,191 
Intangible assets, net of 
 accumulated amortization                   39,722               41,335 
Goodwill                                   807,554              807,554 
Other assets                                48,654               43,953 
                                        ----------       -------------- 
TOTAL ASSETS                         $   1,808,772    $       1,764,557 
                                        ==========       ============== 
LIABILITIES AND EQUITY 
   Accounts payable                  $      27,062    $          44,857 
   Accrued expenses and other 
    current liabilities                    109,167               95,561 
   Accounts receivable pledging 
    arrangement                              1,267                1,599 
   Current portion of long-term 
    debt                                    14,330               13,112 
   Current portion of finance 
    lease liabilities                       14,597               11,552 
   Current portion of operating 
    lease liabilities                       11,932               12,513 
                                        ----------       -------------- 
      Total current liabilities            178,355              179,194 
   Long-term debt, less current 
    maturities                             819,753              819,029 
   Long-term finance lease 
    liabilities, less current 
    maturities                              41,177               33,262 
   Long-term operating lease 
    liabilities, less current 
    maturities                              72,296               71,437 
   Deferred income taxes                    43,592               40,772 
   Other liabilities                        38,538               34,740 
                                        ----------       -------------- 
      Total liabilities                  1,193,711            1,178,434 
                                        ----------       -------------- 
COMMITMENTS AND CONTINGENCIES 
EQUITY: 
Common stock, $0.001 par value, 
 1,000,000,000 shares authorized, 
 96,074,976 shares issued and 
 outstanding at June 30, 2026 and 
 96,109,927 shares issued and 
 outstanding at December 31, 2025               96                   96 
   Additional paid-in-capital            1,241,563            1,217,087 
   Accumulated deficit                    (626,598)            (631,060) 
                                        ----------       -------------- 
      Total equity                         615,061              586,123 
                                        ----------       -------------- 
TOTAL LIABILITIES AND EQUITY         $   1,808,772    $       1,764,557 
                                        ==========       ============== 
 
 
             LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES 
          CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND 
                       COMPREHENSIVE INCOME (LOSS) 
          (IN THOUSANDS, EXCEPT FOR SHARE AND PER SHARE DATA) 
                              (Unaudited) 
 
                                          Three Months Ended June 30, 
                                       --------------------------------- 
                                              2026           2025 
REVENUES: 
   Net patient service revenue          $      203,735   $    198,185 
   Management fee and other revenue             60,427         53,217 
                                           -----------    ----------- 
      Total revenues                           264,162        251,402 
OPERATING EXPENSES: 
   Cost of operations, excluding 
    depreciation and amortization              225,285        212,265 
   General and administrative 
    expenses                                    24,397         18,689 
   Depreciation and amortization                10,083          9,279 
   (Gain) loss on disposal of 
    property and equipment                         (24)            16 
                                           -----------    ----------- 
      Total operating expenses                 259,741        240,249 
                                           -----------    ----------- 
   Equity in earnings of 
    unconsolidated affiliates                   18,619         16,527 
                                           -----------    ----------- 
INCOME FROM OPERATIONS                          23,040         27,680 
OTHER EXPENSES: 
   Interest expense                             16,222         30,097 
   Loss on extinguishment and 
    modification of debt                         1,053              - 
                                           -----------    ----------- 
      Total other expenses                      17,275         30,097 
                                           -----------    ----------- 
INCOME (LOSS) BEFORE INCOME TAXES                5,765         (2,417) 
      Income tax provision                       3,020          4,809 
NET INCOME (LOSS) AND COMPREHENSIVE 
 INCOME (LOSS)                          $        2,745   $     (7,226) 
                                           ===========    =========== 
 
Weighted average shares outstanding: 
   Basic                                    95,983,246     69,526,574 
   Diluted                                  96,039,426     69,526,574 
Net income (loss) per common share 
   Basic                                $         0.03   $      (0.10) 
   Diluted                              $         0.03   $      (0.10) 
 
 
              LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES 
           CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND 
                        COMPREHENSIVE INCOME (LOSS) 
           (IN THOUSANDS, EXCEPT FOR SHARE AND PER SHARE DATA) 
                               (Unaudited) 
 
                                              Six Months Ended June 30, 
                                           ------------------------------- 
                                                2026             2025 
REVENUES: 
   Net patient service revenue              $      401,053  $   390,483 
   Management fee and other revenue                115,646      105,920 
                                               -----------   ---------- 
      Total revenues                               516,699      496,403 
OPERATING EXPENSES: 
   Cost of operations, excluding 
    depreciation and amortization                  443,040      420,662 
   General and administrative expenses              44,732       36,181 
   Depreciation and amortization                    20,005       18,330 
   (Gain) loss on disposal of property 
    and equipment                                      113         (146) 
                                               -----------   ---------- 
      Total operating expenses                     507,890      475,027 
                                               -----------   ---------- 
   Equity in earnings of unconsolidated 
    affiliates                                      33,643       31,845 
                                               -----------   ---------- 
INCOME FROM OPERATIONS                              42,452       53,221 
OTHER EXPENSES: 
   Interest expense                                 32,553       59,946 
   Loss on extinguishment and 
    modification of debt                             1,053            - 
                                               -----------   ---------- 
      Total other expenses                          33,606       59,946 
                                               -----------   ---------- 
INCOME (LOSS) BEFORE INCOME TAXES                    8,846       (6,725) 
      Income tax provision                           4,384        8,188 
NET INCOME (LOSS) AND COMPREHENSIVE 
 INCOME (LOSS)                              $        4,462  $   (14,913) 
                                               ===========   ========== 
 
Weighted average shares outstanding: 
   Basic                                        95,983,240   69,524,980 
   Diluted                                      96,011,335   69,524,980 
Net income (loss) per common share 
   Basic                                    $         0.05  $     (0.21) 
   Diluted                                  $         0.05  $     (0.21) 
 
 
              LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES 
             CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS 
                              (IN THOUSANDS) 
                               (Unaudited) 
 
                                             Six Months Ended June 30, 
                                         --------------------------------- 
                                                2026            2025 
CASH FLOWS FROM OPERATING ACTIVITIES: 
  Net income (loss)                       $       4,462      $  (14,913) 
  Adjustments to reconcile net income 
  (loss) to net cash provided by 
  operating activities 
  Depreciation and amortization                  20,005          18,330 
  Amortization of operating lease 
   right-of-use assets                            7,956           7,424 
  Amortization of debt issuance costs             1,437           2,871 
  Amortization of cloud computing 
   implementation costs                             760             184 
  Write-off of debt issuance costs 
   related to extinguishment of debt                 46               - 
  Equity in earnings of unconsolidated 
   affiliates                                   (33,643)        (31,845) 
  Distributions from investments in 
   unconsolidated affiliates                     36,869          32,820 
  Loss on disposal of property and 
   equipment                                        113            (146) 
  Deferred income taxes                           2,820           1,477 
  Stock-based compensation                       25,011          14,720 
  Other                                            (535)              - 
  Changes in operating assets and 
  liabilities: 
    Accounts receivable                          (7,695)         (6,870) 
    Accounts receivable, related party           (1,131)         (2,035) 
    Capitalized cloud computing 
     implementation costs                        (1,647)         (1,421) 
    Other receivables                           (12,537)         (5,410) 
    Prepaid expenses                              3,034          (7,028) 
    Other assets                                 (4,723)        (11,311) 
    Accounts payable                            (18,596)          1,214 
    Accrued expenses and other current 
     liabilities                                 18,085         (11,002) 
    Other liabilities                             3,798           7,018 
    Operating lease liabilities                  (8,156)         (5,966) 
                                             ----------       --------- 
      Net cash provided by (used in) 
       operating activities                      35,733         (11,889) 
                                             ----------       --------- 
CASH FLOWS FROM INVESTING ACTIVITIES: 
  Proceeds from sale or disposal of 
   property and equipment                            40             713 
  Acquisition of intangible asset                  (600)              - 
  Purchases of property and equipment           (14,985)         (5,602) 
  Contributions to investments in 
   unconsolidated affiliates                     (3,366)              - 
      Net cash used in investing 
       activities                               (18,911)         (4,889) 
                                             ----------       --------- 
CASH FLOWS FROM FINANCING ACTIVITIES: 
  Payment of third-party debt issuance 
   costs                                           (154)              - 
  Proceeds from long-term debt                    9,536             496 
  Payments of long-term debt                     (8,393)         (7,821) 
  Proceeds from revolving line of 
   credit                                             -           5,000 
  Payments of finance lease liabilities          (6,602)         (2,998) 
  Capital contributions                               -             715 
  Repayments on accounts receivable 
   pledging arrangement                            (332)              - 
                                             ----------       --------- 
      Net cash used in financing 
       activities                                (5,945)         (4,608) 
                                             ----------       --------- 
NET INCREASE (DECREASE) IN CASH AND 
 CASH EQUIVALENTS                                10,877         (21,386) 
CASH AND CASH EQUIVALENTS, beginning of 
 period                                          58,828          26,131 
                                             ----------       --------- 
CASH AND CASH EQUIVALENTS, end of 
 period                                   $      69,705      $    4,745 
                                             ==========       ========= 
 
 
LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES 
RECONCILIATION OF GAAP NET INCOME (LOSS) TO ADJUSTED 
 EBITDA 
(IN THOUSANDS) 
(Unaudited) 
 
                                           Three Months Ended June 30, 
                                              2026              2025 
 
Net income (loss)                       $        2,745      $    (7,226) 
   Depreciation and amortization                10,083            9,279 
   Income tax provision                          3,020            4,809 
   Amortization of basis difference                573              500 
   Interest expense                             16,222           30,097 
   Stock-based compensation                     12,737            8,346 
   Loss on extinguishment and 
    modification of debt                         1,053                - 
   Loss (gain) on disposal of 
    property and equipment                         (24)              16 
   Severance and executive 
    recruiting((1)                                 686              803 
   Strategic initiatives and 
    implementation((2)                           2,659            1,018 
   Transaction costs((3)                           707            3,875 
   Litigation and settlements((4)                1,173                - 
   Other((5)                                        87              142 
   Adjustments for equity in earnings 
      of unconsolidated 
       affiliates((6)                            4,724            4,615 
Adjusted EBITDA                         $       56,445      $    56,274 
                                           ===========       ========== 
 
 
((1) Includes severance and recruiting expenses for 
 executive leadership departures as part of strategic 
 organizational changes. 
((2) Includes third-party consulting, implementation, 
 and integration expenses incurred as part of our strategic 
 transformation and optimization initiatives, specifically 
 related to the deployment of a new technology system 
 and labor model, as well as the development, customization, 
 and integration of a new enterprise resource planning 
 system. 
((3) Includes costs for third party non-recurring 
 IPO costs, buy-side and sell-side due diligence activities 
 to evaluate and execute potential mergers and acquisitions, 
 integrate acquired businesses and one-time employee 
 retention bonuses related to potential mergers and 
 acquisitions. 
((4) Consists of litigation and settlement costs for 
 matters not related to core operations. 
(5) Consists of other costs related to debt financing, 
 certain de novo start-up costs related to outpatient 
 imaging centers and certain exit costs related to 
 closed outpatient imaging centers. 
(6) To adjust for Lumexa Imaging's proportional share 
 of depreciation and amortization, interest expense 
 and losses/gains on asset disposals, which are included 
 in equity in earnings from unconsolidated affiliates. 
 
 
LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES 
RECONCILIATION OF GAAP NET INCOME (LOSS) TO ADJUSTED 
 EBITDA 
(IN THOUSANDS) 
(Unaudited) 
 
                                              Six Months Ended June 30, 
                                                2026             2025 
 
Net income (loss)                           $        4,462  $   (14,913) 
   Depreciation and amortization                    20,005       18,330 
   Income tax provision                              4,384        8,188 
   Amortization of basis difference                  1,105        1,000 
   Interest expense                                 32,553       59,946 
   Stock-based compensation                         25,011       14,720 
   Loss on extinguishment and 
    modification of debt                             1,053            - 
   Loss (gain) on disposal of property 
    and equipment                                      113         (146) 
   Severance and executive recruiting((1)            1,631        2,173 
   Strategic initiatives and 
    implementation((2)                               3,484        1,886 
   Transaction costs((3)                             3,289        7,464 
   Litigation and settlements((4)                    1,202         (128) 
   Other((5)                                            82          158 
   Adjustments for equity in earnings 
      of unconsolidated affiliates((6)               9,270        8,596 
Adjusted EBITDA                             $      107,644  $   107,274 
                                               ===========   ========== 
 
 
((1) Includes severance and recruiting expenses for 
 executive leadership departures as part of strategic 
 organizational changes. 
((2) Includes third-party consulting, implementation, 
 and integration expenses incurred as part of our strategic 
 transformation and optimization initiatives, specifically 
 related to the deployment of a new technology system 
 and labor model, as well as the development, customization, 
 and integration of a new enterprise resource planning 
 system. 
((3) Includes costs for third party non-recurring 
 IPO costs, buy-side and sell-side due diligence activities 
 to evaluate and execute potential mergers and acquisitions, 
 integrate acquired businesses and one-time employee 
 retention bonuses related to potential mergers and 
 acquisitions. 
((4) Consists of litigation and settlement costs for 
 matters not related to core operations. 
(5) Consists of other costs related to debt financing, 
 certain de novo start-up costs related to outpatient 
 imaging centers and certain exit costs related to 
 closed outpatient imaging centers. 
(6) To adjust for Lumexa Imaging's proportional share 
 of depreciation and amortization, interest expense 
 and losses/gains on asset disposals, which are included 
 in equity in earnings from unconsolidated affiliates. 
 
 
LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES 
SCHEDULE OF ADJUSTED EARNINGS AND EARNINGS PER SHARE 
(IN THOUSANDS, EXCEPT PER SHARE DATA) 
(Unaudited) 
 
                                          Three Months Ended June 30, 
                                              2026           2025 
 
Net income (loss)                       $        2,745   $     (7,226) 
 
   Stock-based compensation                     12,737          8,346 
   Loss (gain) on disposal of 
    property and equipment                         (24)            16 
   Loss on extinguishment and 
    modification of debt                         1,053              - 
   Severance and executive 
    recruiting((1)                                 686            803 
   Strategic initiatives and 
    implementation((2)                           2,659          1,018 
   Transaction costs((3)                           707          3,875 
   Litigation and settlements((4)                1,173              - 
   Other((5)                                        87            142 
   Adjustments for equity in earnings 
      of unconsolidated 
       affiliates((6)                              199             81 
Total adjustments                               19,277         14,281 
   Tax impact of adjustments((7)                (2,493)        (1,484) 
Adjusted net income                     $       19,529   $      5,571 
                                           ===========    =========== 
 
Weighted average shares outstanding 
   Basic                                    95,983,246     69,526,574 
   Diluted                                  96,039,426     69,526,574 
 
Adjusted basic net income per share     $         0.20   $       0.08 
Adjusted diluted net income per share   $         0.20   $       0.08 
 
 
((1) Includes severance and recruiting expenses for 
 executive leadership departures as part of strategic 
 organizational changes. 
 
((2) Includes third-party consulting, implementation, 
 and integration expenses incurred as part of our strategic 
 transformation and optimization initiatives, specifically 
 related to the deployment of a new technology system 
 and labor model, as well as the development, customization, 
 and integration of a new enterprise resource planning 
 system. 
((3) Includes costs for third party non-recurring 
 IPO costs, buy-side and sell-side due diligence activities 
 to evaluate and execute potential mergers and acquisitions, 
 integrate acquired businesses and one-time employee 
 retention bonuses related to potential mergers and 
 acquisitions. 
((4) Consists of litigation and settlement costs for 
 matters not related to core operations. 
(5) Consists of other costs related to debt financing, 
 certain de novo start-up costs related to outpatient 
 imaging centers and certain exit costs related to 
 closed outpatient imaging centers. 
(6) To adjust for Lumexa Imaging's proportional share 
 of losses/gains on asset disposals, which are included 
 in equity in earnings from unconsolidated affiliates. 
(7) Tax effected adjustments using blended federal 
 and state effective income tax rate. 
 
 
            LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES 
         SCHEDULE OF ADJUSTED EARNINGS AND EARNINGS PER SHARE 
                 (IN THOUSANDS, EXCEPT PER SHARE DATA) 
                              (Unaudited) 
 
                                          Six Months Ended June 30, 
                                       -------------------------------- 
                                              2026           2025 
 
Net income (loss)                       $       4,462    $   (14,913) 
                                           ----------     ---------- 
 
   Stock-based compensation                    25,011         14,720 
   Loss (gain) on disposal of 
    property and equipment                        113           (146) 
   Loss on extinguishment and 
    modification of debt                        1,053              - 
   Severance and executive 
    recruiting((1)                              1,631          2,173 
   Strategic initiatives and 
    implementation((2)                          3,484          1,886 
   Transaction costs((3)                        3,289          7,464 
   Litigation and settlements((4)               1,202           (128) 
   Other((5)                                       82            158 
   Adjustments for equity in earnings 
      of unconsolidated 
       affiliates((6)                             595             54 
                                           ----------     ---------- 
Total adjustments                              36,460         26,181 
   Tax impact of adjustments((7)               (4,461)        (2,865) 
Adjusted net income                     $      36,461    $     8,403 
                                           ==========     ========== 
 
Weighted average shares outstanding 
   Basic                                   95,983,240     69,524,980 
   Diluted                                 96,011,335     69,524,980 
 
Adjusted basic net income per share     $        0.38    $      0.12 
Adjusted diluted net income per share   $        0.38    $      0.12 
 
 
((1) Includes severance and recruiting expenses for 
 executive leadership departures as part of strategic 
 organizational changes. 
((2) Includes third-party consulting, implementation, 
 and integration expenses incurred as part of our strategic 
 transformation and optimization initiatives, specifically 
 related to the deployment of a new technology system 
 and labor model, as well as the development, customization, 
 and integration of a new enterprise resource planning 
 system. 
((3) Includes costs for third party non-recurring 
 IPO costs, buy-side and sell-side due diligence activities 
 to evaluate and execute potential mergers and acquisitions, 
 integrate acquired businesses and one-time employee 
 retention bonuses related to potential mergers and 
 acquisitions. 
((4) Consists of litigation and settlement costs for 
 matters not related to core operations. 
(5) Consists of other costs related to debt financing, 
 certain de novo start-up costs related to outpatient 
 imaging centers and certain exit costs related to 
 closed outpatient imaging centers. 
(6) To adjust for Lumexa Imaging's proportional share 
 of losses/gains on asset disposals, which are included 
 in equity in earnings from unconsolidated affiliates. 
(7) Tax effected adjustments using blended federal 
 and state effective income tax rate. 
 
 
               LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES 
                DETAILS OF MANAGEMENT FEE AND OTHER REVENUES 
                               (IN THOUSANDS) 
                                (Unaudited) 
 
                                              Three Months Ended June 30, 
                                           --------------------------------- 
                                                 2026             2025 
                                           ----------------  --------------- 
Components of "management fee and other 
revenues:" 
   Fees for managing joint ventured 
    outpatient sites and other third 
    party services                          $        26,103   $       20,578 
   Zero margin pass-throughs of employee, 
    IT and other site level costs paid by 
    Lumexa                                           34,324           32,639 
                                               ------------      ----------- 
      Total revenues                        $        60,427   $       53,217 
                                               ============      =========== 
 
 
 
                                               Six Months Ended June 30, 
                                           --------------------------------- 
                                                 2026             2025 
                                           ----------------  --------------- 
Components of "management fee and other 
revenues:" 
   Fees for managing joint ventured 
    outpatient sites and other third 
    party services                          $        47,601   $       40,654 
   Zero margin pass-throughs of employee, 
    IT and other site level costs paid by 
    Lumexa                                           68,045           65,266 
                                               ------------      ----------- 
      Total revenues                        $       115,646   $      105,920 
                                               ============      =========== 
 
 
               LUMEXA IMAGING HOLDINGS, INC. AND SUBSIDIARIES 
                              SEGMENT REVENUES 
                               (IN THOUSANDS) 
                                (Unaudited) 
 
 
                              THREE MONTHS ENDED JUNE 30, 2026 
                ------------------------------------------------------------ 
                                                                 TOTAL OF 
                                               INTERSEGMENT      REPORTABLE 
                 OUTPATIENT    PROFESSIONAL     ELIMINATIONS      SEGMENTS 
                ------------  --------------  ---------------  ------------- 
Revenue 
Net patient 
 service 
 revenue         $   143,747   $      64,280   $      (4,292)   $    203,735 
Management fee 
 and other 
 revenue              52,462           7,965               -          60,427 
                                                  ---------- 
Total revenues   $   196,209   $      72,245   $      (4,292)   $    264,162 
                    ========      ==========      ==========       ========= 
 

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