Revenue growth deceleration to 3.1% and flat Adjusted EBITDA are concerning relative to the prior quarter's 7.9% growth and 18.6% EBITDA expansion. The stock may trade down on the EPS miss and slowing momentum. Monitor the Q2 2026 print for confirmation of whether this is a temporary soft patch or a trend. The reiterated full-year guidance implies acceleration in the back half — if that does not materialize, the stock could re-rate lower.
Price Chart
Executive Summary
Lumexa Imaging reported Q1 2026 revenue of $252.5M (+3.1% YoY), slightly above consensus of $251.2M, and GAAP EPS of $0.02, below the Street consensus estimate of $0.12. The company reiterated its full-year 2026 guidance for revenue of $1.045B-$1.097B, Adjusted EBITDA of $234M-$242M, and Adjusted EPS of $0.71-$0.77. While the company flipped to GAAP net income of $1.7M from a net loss of $7.7M in the prior year, revenue growth decelerated sharply from 7.9% in Q4 2025 to 3.1% in Q1 2026, and Adjusted EBITDA was essentially flat at $51.2M vs $51.0M, signaling margin pressure.
Key Financial Metrics
Key Facts
- Q1 2026 consolidated revenues of $252.5M, up 3.1% YoY from $245.0M
- GAAP net income of $1.7M vs net loss of $7.7M in Q1 2025
- GAAP diluted EPS of $0.02 vs ($0.11) in prior year
- Adjusted EPS of $0.18 per share
- Adjusted EBITDA of $51.2M, essentially flat vs $51.0M in Q1 2025
- Same-center advanced volume growth of 5.6% for both consolidated and system-wide
- Full-year 2026 guidance reiterated: revenue $1.045B-$1.097B, Adjusted EBITDA $234M-$242M, Adjusted EPS $0.71-$0.77
- Announced four additional centers: two tuck-in acquisitions and two de novos
- Interest expense declined sharply to $16.3M from $29.8M in Q1 2025, driving the swing to net income
- Operating cash flow improved to $2.9M from ($14.0M) in Q1 2025
Financial Impact
Revenue growth decelerated to 3.1% from 7.9% in Q4 2025; Adjusted EBITDA flat YoY; GAAP EPS of $0.02 missed Street consensus of $0.12
Risk Factors
- Revenue growth deceleration from 7.9% to 3.1% sequentially
- Adjusted EBITDA essentially flat YoY despite revenue growth, indicating margin compression
- GAAP EPS of $0.02 missed Street consensus of $0.12
- Full-year guidance implies significant back-half acceleration to hit the midpoint; execution risk is elevated
- Operating cash flow remains thin at $2.9M; cash balance declined to $51.2M from $58.8M
Market Snapshot
Investment Themes
Documents Analyzed
This report is based on 6 SEC documents filed with EDGAR.
| Document | Accession Number |
|---|---|
| 8-K Filing (Primary) | 0001193125-26-219415 |
| Document: d145661d8k.htm | 0001193125-26-219415 |
| Document: 0001193125-26-219415-index-headers.html | 0001193125-26-219415 |
| Document: 0001193125-26-219415-index.html | 0001193125-26-219415 |
| Document: 0001193125-26-219415.txt | 0001193125-26-219415 |
| 8-K Data (Synthetic) | 0001193125-26-219415 |
Track record builds as more directional reports settle.
Filters
| Type | Now | ||||
|---|---|---|---|---|---|
Aug 12, 2026 10w ago | 8-K | $12.20 | awaiting T+60 | — | $11.67 (−4.34%) |
Jun 30, 2026 17w ago | 8-K | $11.59 $9.88 | ▼ −14.75% | ▼ −17.63% | $11.67 (+0.69%) |
May 12, 2026 24w ago | 8-K | $8.05 $11.58 | ▲ +43.85% | ▲ +39.41% | $11.67 (+44.97%) |
May 12, 2026 24w ago | Press Release | $8.05 $11.58 | ▼ −43.85% | ▼ −39.41% | $11.67 (−44.97%) |
US Market Status
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