Neupath Health Inc.

Neupath Health Inc.

0.58
CAD
+0.01
(+1.75%)
0.03EPS
26.43P/E
35.90MMarket Cap
Nov 12Next Earn

Q2 FY2026 · Earnings Call TranscriptAugust 13, 2026

Operator

Good morning everyone, and welcome to NuPath Health's Q2 2026 earnings call. Today is August the 13th, 2026.

Financial statements and MD&A have been filed and are available on the SEDAR+ website. Stephen Lemieux, Chief Executive Officer, and Jeff Zygouras, NuPath's Chief Financial Officer, will present the company's financial results and provide a business update, followed by a Q&A session.

Investors are encouraged to submit their questions via the Q&A box, and we will address them at the end of the session. Please make your questions clear and succinct.

Welcome gentlemen, and please begin your presentation.

Stephen Lemieux

Thank you everyone for joining us. We're just going to go through a brief presentation on the quarter, and then we'll open the floor up to questions.

Just a quick recap about NuPath, we are one of Canada's largest operators of community-based medical facilities, focusing on treating chronic and MSK pain. We have approximately 160 healthcare professionals in our network that see roughly 200,000 patients annually, and majority of our patients are referred to us from a network of over 5,000 referring physicians.

We operate 12 facilities in Canada, mostly in Ontario and Alberta, and we continue to have a high patient satisfaction rating. In our second quarter highlights, to note here in our Q2 of 2025, we had a material one-time payment.

It impacted revenue by $1.9 million and adjusted EBITDA by $0.6 million. We've revised the numbers you'll see in this presentation to reflect excluding that impact.

Excluding that impact, our revenue grew 7% to $23.2 million, and adjusted EBITDA grew 3% to $1.7 million. We continue to be underlevered, we're at 0.4 times, which gives us a lot of capacity to work on some of the business development transactions we're looking at.

Capacity utilization increased to 56% from 52%, and we had record patient visits in the quarter that grew 6%. I'll now turn it over to Jeff to walk through our financial numbers.

Jeff Zygouras

Thank you, Stephen. Good morning everybody, and thank you Martin for having us here today, to be with you.

Turning to our financial results for the quarter ended June 30th, 2026, and again just a reminder to the audience that we previously disclosed the one-time award that Stephen just mentioned, which had a positive impact of $1.9 million to revenue in Q2 of 2025, as well as a positive impact on adjusted EBITDA and gross margin. Removing that one-time event, revenue grew by 7% to $23.2 million for the three months ended June 30th, 2026, and adjusted EBITDA grew by 3% to $1.7 million for the same quarter.

During the quarter, adjusted EBITDA was lower than expected due to some professional fees that were incurred in order to recruit some additional physicians and healthcare professionals that we anticipate will drive revenue in future quarters and future years. We also had an operational issue with one of our fluoroscopy suites at one of our clinics, which led to some downtime during the second quarter and had a negative impact on revenue and adjusted EBITDA.

Next slide, please. On a year-to-date basis, we continue to see strong revenue growth and continued strength to the bottom line and adjusted EBITDA, with revenue growth of 9% to $44.7 million and adjusted EBITDA growth of approximately 8% to $3.2 million when adjusted for the one-time payment.

Back to you.

Stephen Lemieux

Great, thanks Jeff. As we talk through our growth strategy, I just want to highlight some of the success we've had to date, really as we focus on growing physician hours.

We mentioned our press release, we've onboarded six new physicians: three in Alberta, three in Ontario in late July, early August. This is good for the business because not only does it bring in new doctors in to see patients, but we've added an anesthesiologist and a neurologist that also brings new service lines to us to focus on migraines and some new areas that we are not currently treating.

We can use that to educate some of our physicians as well. We continue to utilize technology and have been piloting Heidi in some of our clinics and have seen great success in that.

We're starting to roll that out across our organization. One of the areas we worked on, too, is building out our academic affiliation, we're able to affiliate with an Ontario university.

We're going to start seeing upwards of 40 medical students are going to come through our facilities to train and everything from sports medicine, image guided, but it helps build that long-term pipeline of potential physicians as well that can join the company. We're very proud of the accomplishments our team has made from that perspective.

As we turn to our capitalization, we continue to have strong institutional ownership and good inbound [unclear] our stock through the NCIB program, and we're just under 1.4 million shares have bought and canceled in the past 18 months, and board and management continue to actively buy when we have available windows open to us. Overall, we continue to have several pathways to growth, the growth we're seeing lately and in the quarters, that's from Q2 growth was no new doctors, that was just the doctors that we onboarded historically building their practices up to scale and some of our doctors that joined us in the past adding new days to see more patients.

Chronic pain is a growing market, and it is fragmented across the country, we are building out our network and starting relationships with more clinics in more markets. We continue to see this as a low valuation versus our peers, and we continue to build out.

Overall, we're very excited with what we saw in the quarter, the growth that we're seeing, and then the continued interest from new doctors that want to come and join our team and help treat all the patients, provide great patient experiences for all our patients. With that, Martin, I'll turn it back to you for questions.

Operator

Thank you very much, gentlemen. The first question is: Can you provide an update on the new Guelph facility?

Is it on track to open in late Q3 2026?

Stephen Lemieux

Sure. The Guelph facility, we had a couple week delay on some of the construction build-out, it's slated to open the first week of October, very early in Q4.

Operator

You added six doctors subsequent to quarter end. Does this include the three physicians for the new Guelph facility?

Stephen Lemieux

It does not. No.

It's three physicians in Ontario. When Guelph opens, we will have three physicians joining that facility as well, and then a few more.

In addition to the six, we should be able to onboard another probably two to five throughout Q3 and Q4.

Operator

How many doctors are currently in the network compared to this time last year?

Stephen Lemieux

We're probably around 105 or six physicians in our roster now, and we would have been high 90s at this time last year.

Operator

How large was the impact from the operational downtime? Is that now fully resolved?

Stephen Lemieux

It is fully resolved. It happened earlier in Q2, our June numbers were good and kind of showed the consistent growth rate.

If you backed out the impact on gross margin, it would have had gross margin more in line, a little bit above where we were last year, once you adjusted out the noise, and a few percentage points on adjusted EBITDA.

Operator

Excluding the $1.9 million prior year reimbursement rate adjustment, clinic revenue grew approximately 7% year-over-year in Q2. What proportion of this organic expansion was driven by patient volume versus higher revenue per patient or procedure mix change?

Stephen Lemieux

The majority was driven by patient volumes. I think our patient volumes were up 7% or 8% in the quarter, and I'd say a few percent is probably mix in different services that the patients are seeing.

Operator

Physical capacity utilization improved to 56% in the quarter from 52% last year, I believe. How are you managing the capacity utilization, and do you have a level at which you start to add evenings or weekend hours?

Your capacity utilization has been a bit of a moving target given when you open and how you operate. Can you add some color to that?

Stephen Lemieux

Sure. Different facilities will be at different ranges around our utilization, we use it as a tool.

For example, in our Brampton and Oshawa clinics, they're both working evenings and weekends. We renovated Brampton in 2025, renovated Oshawa this year, added more treatment rooms as well as fluoroscopy in our Oshawa clinic.

As we see the numbers approaching probably in that 80% range or 90, we'll look at either adding evenings or looking at expanding into adjacent space to create more treatment rooms, which would lower our capacity utilization as we bring more rooms on board. Where we've seen the growth is from two main things: it's our doctors that have joined in the past who are adding more days of service to expand into either new space or to see new patients, and as well as the doctors that we added in 2025 building their practices to scale and then some of them adding days with us as well.

Operator

You have now treated over 340 joints with Arthrosamid, including 137 in the first half of the year. What is the patient adoption ramp for this non-insured procedure, and how material could it become to top line growth and gross margins over the coming years?

Stephen Lemieux

That's a good question. We continue to see great interest in Arthrosamid, and we're getting great feedback from the patients that have treated it.

We're getting a lot of word-of-mouth referrals that are coming in as well as the marketing piece. We're probably at about a $1.5 million run rate on that product, for a service that we started about a year ago.

It can probably grow at the inquiries we're seeing somewhere north of $2 million in the next 6 to 12 months, probably. The growth rate on that, what we're doing is it's a combination of bringing new patients in.

We also continue to roll out, we've had more doctors starting to provide the service, and we continue to have doctors that are getting trained on the procedure, we have more people that can offer the service. It's a good product for us, great feedback, and we're very excited about the growth that it could generate.

As we approach 100 million, it could be 2% to 4% of our business in the future.

Operator

Does it have higher or average gross margins associated with it?

Stephen Lemieux

It's a very expensive material product, it's a slightly lower gross margin, and it's roughly about a 10% EBITDA margin.

Operator

What additional non-insured or specialized clinical services are you evaluating to integrate into your facilities and operations?

Stephen Lemieux

Right now on the non-insured, prolotherapy, PRP, and some of the sports medicine are areas that we do offer in some clinics, and we are working with some sports med doctors to roll those services out to other clinics. We're seeing good interest in those programs.

Other services such as vitamin infusions, ketamine infusions, we started piloting at certain clinics, and we've had pretty good interest on those to date. Then we continue to work with a few partners and some psychologists on the mental health side, which is not a covered service.

Operator

You onboarded six new physicians post-quarter. How much revenue do these new physicians typically add, and how long does it take them to ramp up?

Do they start at a lower rate and then slowly add more hours and shifts? Can you describe what I guess a typical new physician would look like in the network?

Stephen Lemieux

A typical ramp-up to scale is probably about six months. When they first come in, they will work through our waitlist, see consults to try to start building their practice.

When they get to scale six months in, if a doctor gave us three to four days a week, it would probably generate roughly around $1 million of new revenue for the business.

Operator

With your new partnership with TMU, how long do you see for that to start making a meaningful impact in the revenues?

Stephen Lemieux

It's probably in the three to five-year horizon. If you think of this program at scale, like in our Edmonton facility, they see residents coming through, and those residents get hired every year.

This is a new program at TMU, and TMU is a new med school. As their students go through, we're seeing anyone from the postgraduate years one, two, this year's training, probably having an ability to recruit some probably in two to three years.

Operator

There was significant amount of tax restructuring going on in the quarter. Could you please elaborate and clarify the impact that made and what future impact that'll have?

Stephen Lemieux

Sure. Jeff, do you want to take that one?

Jeff Zygouras

Sure. Thank you.

The tax impact in the quarter really related to the amalgamation of a tax-paying legal entity and a legal entity that has tax loss carryforwards. The recognition of a deferred tax asset of $0.9 million was relating to the cash tax that we expect that business to realize over roughly a three-year period.

Operator

How does your current M&A pipeline look for the remainder of the year or in the following year?

Stephen Lemieux

It's looking good. We've got conversations that we continue to advance, we're still like would like to be able to announce like at least one transaction in the back half of this year.

Then we've got a range of everything from like looking at established clinic groups to partnering with doctors to offer pain services in and new markets in new areas that we're not in, such as like give you like the the Maritimes, different provinces, and so on. We're very happy with the number of conversations we're getting, and some of the we're starting to get some good inbound reach from some medical communities as well to help offer pain services in their region.

Operator

Thank you. You repurchased 308,000 shares at an average price of 51 cents during the first six months.

What is the current thought on your share buyback program versus other capital allocation strategies?

Stephen Lemieux

We still have the share buyback program ongoing. We're starting to, like you see in our numbers, more of the capital that we're allocating is a little bit less to the NCIB, but we're starting to put more into growth capital in the facilities.

I think we spent about $400,000 the first half of this year, and that was to expand Oshawa, some new fluoroscopy, and start Guelph. We're starting to put more towards the growth in BD pipeline.

Operator

How large were the elevated professional expenses this quarter? Are those expenses now back to normal?

Stephen Lemieux

Those expenses were some of the doctors that we're onboarding are from the US and Europe, it was costs related to the immigration paperwork and going through the immigration process with the Government of Canada. Those costs were incurred in the first half of the year, and it should be nominal to no costs in the back half of the year for that, and now start to get the return on the investments as those doctors build their practice.

Operator

That concludes all the questions from the audience this afternoon. Any final comments before we finish this quarter's conference call?

Stephen Lemieux

Sure, yeah. I'll just wrap up.

Thank everyone for joining. I think from our perspective, we're very happy with how the quarter went.

There was some noise in it, but when you back that out, you can see great organic growth, and with the new doctors coming in, and where we look at our growth pipeline, we're very excited about where NuPath's going to grow over the next couple years, and we're going to look forward to keeping you updated in future quarters.

Operator

Thank you very much, and this concludes NuPath's Q2 2026 conference call. You may now close your lines.

Thank you.