Nutex Health
NUTX on Nasdaq. Nutex Health sells hospital and doctor care to patients and insurers. Market value $1.5bn.
Price checks use the past 12 months to June 2026. Quality checks use five annual reports, the latest for the year to December 2025.
Capital spending looks too small to be complete, so we leave free cash flow out.
Should I look at this?
Look carefully before going further
Why it could be worth it
What to watch out for
Read the warning sign in its own filings
This is not advice. Check the numbers below.
For every $100 of what the whole company costs, it produced $18.33 of spare cash in the past 12 months. A savings account pays about $4.
You pay 4.4 years of operating profit for the business. The average large US company costs around 18.
Each dollar kept in the business earns 26 cents a year. Above 10 is good.
Quality score: 93 of 100. Price score: 100 of 100. Our list needs 70 on quality and 60 on price.
$218.40 a share, 160% above its 1-year low
Over the past year the price has ranged from $83.99 to $226.16.
Pays no dividend
Prices from Tuesday’s close (6 October).
Five years of cash, in billions
| Revenue | |||||
| Revenue | $332m | $219m | $248m | $480m | $875m |
| Operating margin | |||||
| Operating margin | 51.4% | -185.4% | -12.8% | 27.2% | 31.5% |
| Debt to equity | |||||
| Debt to equity | 1.36 | 2.54 | 4.15 | 2.30 | 0.97 |
| Shares outstanding | |||||
| Shares outstanding | 0.65bn | 0.67bn | 0.01bn | 0.01bn | 0.01bn |
Health checks
- Free cash flow positive2 of 3 years
- Accounting looks honest (Beneish)Not enough data
- Financial strength (Piotroski)6 of 8 checks we could run
- Profit backed by cash (accruals)No
- Debt0.97× equity
- Revenue growth, five yearsStrong, 26.1% a year
- Buying back its own sharesYes, 99% fewer since 2021
The quarter to June 2026
How the business did, compared with the same quarter a year earlier.
- Sales: $211 million last quarter, down 14% on a year ago.
- Profit: $66 million, after a loss of $18 million a year ago.
- It keeps 43 cents of each $1 of sales as operating profit, up from 30 cents a year earlier.
- 17% more shares than a year ago. Each share owns a bit less of the company.
- Debt is $111 million more than cash, down from $208 million a year ago.
- Sales grew on a year ago in 2 of the last 4 quarters.
| Quarter to | Amount |
|---|---|
| September 2024 | $79m |
| December 2024 | $258m |
| March 2025 | $212m |
| June 2025 | $244m |
| September 2025 | $268m |
| December 2025 | $152m |
| March 2026 | $216m |
| June 2026 | $211m |
| Quarter to | Amount |
|---|---|
| September 2024 | -$9m |
| December 2024 | $62m |
| March 2025 | $21m |
| June 2025 | -$18m |
| September 2025 | $55m |
| December 2025 | $12m |
| March 2026 | $47m |
| June 2026 | $66m |
From the company's quarterly reports to the SEC.
Dates
- Next results (estimated)
- n/a
- Last annual report (10-K)
- 5 March 2026
- Next quarterly (estimated, 10-Q)
- 5 November 2026
Who owns it
1 long-term investor we follow owns it, up from 0 last quarter. 154 funds in all.
| Fund | Value | Share of that fund | Change |
|---|---|---|---|
| Gotham Asset ManagementJoel Greenblatt | $556,760 | <0.1% | New |
Largest holders overall
- Pertento Partners LLP$77mAdded
- BlackRock$70mAdded
- American Century Companies$41mAdded
- Vanguard Capital Management$37m
- Geode Capital Management$23mAdded
- State Street$22mAdded
- D. E. Shaw$17mNew
- UBS Group AG$13mAdded
- Winmill$11m
- Focus Partners Wealth$10mNew
From 13F filings for the quarter ended 30 June 2026.
Big holders and activists
3 investors own more than 5%.
- Topline Capital Management, LLCPassive investorat least 9.9%+4.8 pts(filed with 2 related holders)Since 22 July 2025
- Pertento Partners LLPPassive investorat least 5.9%+0.7 pts(filed with 3 related holders)Since 1 May 2026
- BlackRock, Inc.Passive investor5.3%Since 31 March 2026
- Highbridge Capital Management, LLCPassive investorSold down below 5%Since 31 December 2024
| Holder | Stake | Since | |
|---|---|---|---|
Topline Capital Management, LLC Passive investor | at least 9.9%+4.8 pts (filed with 2 related holders) | 22 July 2025 | |
Pertento Partners LLP Passive investor | at least 5.9%+0.7 pts (filed with 3 related holders) | 1 May 2026 | |
BlackRock, Inc. Passive investor | 5.3% | 31 March 2026 | |
Highbridge Capital Management, LLC Passive investor | Sold down below 5% | 31 December 2024 |
From Schedule 13D and 13G filings: anyone owning more than 5% must file one.
What insiders did
In the last 12 months, 5 insiders bought $148,237 of shares on the open market. 1 sold $43,493.
- Saunders Scott JDirectorSold
- Date
- 18 September 2026
- Shares
- 203
- Price
- $214.25
- Value
- $43,493
- Jaumot Frank EDirectorBought
- Date
- 20 March 2026
- Shares
- 150
- Price
- $93.56
- Value
- $14,034
- Hosseinion WarrenPresident, DirectorBought
- Date
- 19 March 2026
- Shares
- 252
- Price
- $94.07
- Value
- $23,706
- Spears KelvinDirectorBought
- Date
- 17 March 2026
- Shares
- 10
- Price
- $94.46
- Value
- $945
- Montgomery Pamela W.Chief Legal Officer-HealthcareBought
- Date
- 13 March 2026
- Shares
- 79
- Price
- $88.87
- Value
- $7,021
- Bates Jon ChristianChief Financial OfficerBought
- Date
- 25 November 2025
- Shares
- 750
- Price
- $136.71
- Value
- $102,533
| Date | Who | Did | Shares | Price | Value |
|---|---|---|---|---|---|
| 18 September 2026 | Saunders Scott J Director | Sold | 203 | $214.25 | $43,493 |
| 20 March 2026 | Jaumot Frank E Director | Bought | 150 | $93.56 | $14,034 |
| 19 March 2026 | Hosseinion Warren President, Director | Bought | 252 | $94.07 | $23,706 |
| 17 March 2026 | Spears Kelvin Director | Bought | 10 | $94.46 | $945 |
| 13 March 2026 | Montgomery Pamela W. Chief Legal Officer-Healthcare | Bought | 79 | $88.87 | $7,021 |
| 25 November 2025 | Bates Jon Christian Chief Financial Officer | Bought | 750 | $136.71 | $102,533 |
From Form 4 filings: insiders must report trades in their own company's shares within two days.
Warning signs in its filings
Problems the company itself reported to the SEC, in its own words.
1 serious warning sign in Nutex Health’s filings.
We look for five warning signs: doubt it can keep going, weak checks on its own accounts, a notice that its past accounts can't be relied on, a change of auditor, and one customer bringing in a big share of sales. We don't check lawsuits, investigations or debt yet.
We checked the auditor's report, internal controls, restatement notices, auditor changes and big customers in the 10-K filed 5 Mar 2026, plus the 10-Q filed 6 Aug 2026 and 8 later 8-Ks.
Its past accounts can't be relied on
SeriousIt told the SEC its earlier accounts should no longer be relied on, usually because they contained errors.
8-K Item 4.02 filed 21 Aug 2025: the company said its earlier financial statements should no longer be relied on.
From an 8-K filed 21 August 2025: Previously issued accounts should no longer be relied on. Open the filing
Changed auditor
Worth knowingThe company changed its auditor (the firm that checks its books) in the last two years.
“On May 15, 2025, the Committee notified CBIZ CPAs P.C. (“CBIZ”) of its dismissal as the Company’s independent registered public accounting firm, and CBIZ did not issue an audit report on the Company’s financial statements.”
From an 8-K filed 21 May 2025: Change of auditor. Read it in the filing
A 10-K is the yearly report every US company files with the SEC. An 8-K is a short notice of a big event.
What could go wrong
Cheap for a reason is the question the numbers cannot answer.
Whether the price already reflects the risks is what the deep dive is for.
What changed in the risks this year
Companies must list what could hurt them each year. These are the parts that changed since last year’s report.
Regulatory and litigation uncertainty under the No Surprises Act may reduce our cash collections and increase dispute costs.
Could happenFurther, the Fifth Circuit has held that the NSA explicitly bars judicial review of arbitration awards. The NSA does allow HHS to assess penalties against insurers for failure to comply with the NSA, including timely payment of CIDRE awards. As a result, we may be limited to HHS administrative recourse if a provider fails to pay arbitration awards, which could adversely impact our ability to collect payments due under successful award determinations.
Read moreOur third party provider in the federal and state arbitration process, HaloMD, has been, and may in the future be, subject to lawsuits filed by health insurance providers, which may have an adverse impact on our revenues, reputation, financial condition and the trading price of our common stock.
Could happenNutex has no contractual right to access or audit HaloMD’s proprietary benchmarking data or documents prepared and submitted by HaloMD to the IDREs on behalf of the Company, such as petitions, position statements, methodology formulas, payment demand letters and arbitration briefs.
Read moreShort sellers of our stock may be manipulative and may drive down the market price of our common stock.
Could happenShort selling is the practice of selling securities that the seller does not own but rather has borrowed or intends to borrow from a third party with the intention of buying identical securities at a later date to return to the lender. A short seller hopes to profit from a decline in the value of the securities between the sale of the borrowed securities and the purchase of the replacement shares, as the short seller expects to pay less in that purchase than it received in the sale. Since it is in the short seller’s interest for the price of the stock to decline, some short sellers publish, or arrange for the publication of, opinions or characterizations regarding the relevant issuer, its business prospects and similar matters calculated to or which may create negative market momentum, which may permit them to obtain profits for themselves as a result of selling the stock short. Issuers whose securities have historically had limited trading volumes or have been susceptible to relatively high volatility levels can be particularly vulnerable to such publications, sometimes known as “short seller attacks.”
Read moreOur operations and financial results are subject to various risks and uncertainties, including but not limited to those described below, which could harm our business, reputation, financial condition, and operating results.
Could happen• Our obligation to issue additional shares of our common stock to former doctor owners of under construction hospitals may cause significant dilution of the voting power of our current stockholders.
Our operations and financial results are subject to various risks and uncertainties, including but not limited to those described below, which could harm our business, reputation, financial condition, and operating results.
Could happen• Our third-party provider in the federal and state arbitration process, HaloMD, has been, and may in the future be, subject to lawsuits filed by health insurance providers, which may have an adverse impact on our reputation, financial condition and the trading price of our common stock.
Read more
The deep dive
Everything above is arithmetic on public filings. The deep dive reads the last ten years of annual reports, the proxy statements, and the earnings calls, then argues the case the way Buffett, Klarman, and Hohn would, and checks every claim against the source.
- What the business is worth, as a range, and the margin of safety at today’s price
- Prices to start buying, buy, and buy hard
- The three things that would make this a mistake
- Every number footnoted to the filing it came from
Your first deep dive is free.
Not advice. Numbers on this page come from SEC filings and are updated each night; prices are updated again after the US market closes. The five-year figures are rounded.