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BACK logoIMAC Holdings, Inc.(BACK)Earnings, Financials & Key Ratios

BACK•NASDAQ
$0.04
$77135 mkt cap·Price updated May 6, 2026
SectorHealthcareIndustryHealthcare FacilitiesSub-IndustryOutpatient clinics and surgery centers
AboutIMAC Holdings, Inc. owns, manages, and subleases a chain of innovative medical advancements and care regeneration centers in the United States. The company's outpatient medical clinics provide regenerative, orthopedic, and minimally invasive procedures and therapies to patients with sports injuries, ligament and tendon damage, and other related soft tissue conditions, as well as back, knee, and joint pains. It also provides physical therapy and spinal decompression, and chiropractic manipulation. The company owns or manages 15 outpatient medical clinics in Kentucky, Missouri, Tennessee, Illinois, Louisiana, and Florida. IMAC Holdings, Inc. was founded in 2000 and is headquartered in Brentwood, Tennessee.Show more
  • Revenue$72K-98.6%
  • EBITDA-$5M-116.1%
  • Net Income-$9M+4.0%
  • EPS (Diluted)-7.76-5.4%
  • Gross Margin-323.66%-537.1%
  • EBITDA Margin-7611.5%-15485.7%
  • Operating Margin-7804.67%-13688.6%
  • Net Margin-12554.93%-6827.6%
  • Interest Coverage-8.29+64.8%
Technical→

BACK Key Insights

IMAC Holdings, Inc. (BACK) fundamental analysis — strengths, weaknesses & financial health based on data analysis

✓Strengths

No significant strengths identified

✗Weaknesses

  • ✗Weak Piotroski F-Score: 1/9
  • ✗Negative free cash flow
  • ✗Weak momentum: RS Rating 7 (bottom 7%)
  • ✗Low quality earnings: Net income not backed by cash flow
  • ✗Sales declining 65.7% over 5 years
  • ✗Shares diluted 41.2% in last year

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

BACK Price & Volume

IMAC Holdings, Inc. (BACK) stock price & volume — 10-year historical chart

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BACK Growth Metrics

IMAC Holdings, Inc. (BACK) revenue, earnings & EPS growth — 3, 5 & 10-year CAGR

Revenue CAGR

10 Years-
5 Years-65.68%
3 Years-82.89%
TTM100.46%

Profit CAGR

10 Years-
5 Years-
3 Years-
TTM-77.89%

EPS CAGR

10 Years-
5 Years-
3 Years-
TTM-42.31%

Return on Capital

10 Years-97.59%
5 Years-76.71%
3 Years-102.63%
Last Year-

BACK Peer Comparison

IMAC Holdings, Inc. (BACK) competitors in Outpatient clinics and surgery centers — business model, growth, and fundamentals comparison

Select Columns
Stock Universe
Valuation
Growth
Profitability
Financial Health
Dividends & Buybacks
Price Performance
Technical
Fundamentals ($)
Sector-Specific
CompanyMarket CapStock PriceP/E Ratio (TTM)Revenue Growth 1YNet MarginReturn on Equity (ROE)FCF YieldDebt / Equity
ATXI logoATXIAvenue Therapeutics, Inc.Direct Competitor1.75M0.55-0.61-266.67%-160.63%
XTLB logoXTLBXTL Biopharmaceuticals Ltd.Direct Competitor357.58K3.25-0.34-227.72%-25.53%0.03
USPH logoUSPHU.S. Physical Therapy, Inc.Product Competitor1.12B73.6151.8416.33%1.52%1.36%0.55
ENSG logoENSGThe Ensign Group, Inc.Product Competitor10.28B175.9330.1318.72%6.89%16.61%1.86
PTCT logoPTCTPTC Therapeutics, Inc.Product Competitor5.52B66.618.56114.51%39.44%
ACHC logoACHCAcadia Healthcare Company, Inc.Product Competitor2.33B25.30-2.085.04%-32.84%-40.92%1.24
SGRY logoSGRYSurgery Partners, Inc.Product Competitor1.89B14.59-23.926.24%-2.28%-2.39%1.14
UNH logoUNHUnitedHealth Group IncorporatedSupply Chain333.37B367.2827.7611.81%2.68%11.54%0.77

Compare BACK vs Peers

IMAC Holdings, Inc. (BACK) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs ATXI

Most directly comparable listed peer for BACK.

Scale Benchmark

vs UNH

Larger-name benchmark to compare BACK against a more recognizable public peer.

Peer Set

Compare Top 5

vs ATXI, XTLB, USPH, ENSG

BACK Income Statement

IMAC Holdings, Inc. (BACK) annual income statement — 10-year revenue, gross profit & net income history

10Y historyFree accessUpdated daily
Line itemDec'16Dec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24TTM
Sales/Revenue15K786.02K6.7M15.13M12.84M14.39M16.19M5.2M72.05K22.72K
Revenue Growth %-5140.17%752.53%125.73%-15.14%12.08%12.51%-67.89%-98.61%100.46%
Cost of Goods Sold4.27K63.22K933.91K2.54M1.62M1.63M1.51M1.35M305.25K440.56K
COGS % of Revenue28.44%8.04%13.94%16.79%12.65%11.32%9.32%25.95%423.66%-
Gross Profit
10.73K▲ 0%
722.81K▲ 6633.8%
5.77M▲ 697.9%
12.59M▲ 118.2%
11.21M▼ 10.9%
12.76M▲ 13.8%
14.68M▲ 15.0%
3.85M▼ 73.8%
-233.2K▼ 106.1%
-417.84K▲ 0%
Gross Margin %71.56%91.96%86.06%83.21%87.35%88.68%90.68%74.05%-323.66%-1838.83%
Gross Profit Growth %-6633.83%697.88%118.23%-10.92%13.79%15.05%-73.78%-106.06%-
Operating Expenses229.78K1.64M9.32M18.77M17.68M22.71M24.53M2.54M5.39M8.04M
OpEx % of Revenue1531.87%208.37%139.06%124.1%137.78%157.84%151.53%48.84%7481.01%-
Selling, General & Admin229.78K1.57M8.67M17.22M16.38M21.06M22.9M1.47M2.82M7.41M
SG&A % of Revenue1531.87%199.99%129.34%113.83%127.6%146.38%141.48%28.23%3914.7%-
Research & Development0000000000
R&D % of Revenue----------
Other Operating Expenses065.89K18.36K1.55M1.31M1.65M1.63M1.07M2.57M624.22K
Operating Income
-219.05K▲ 0%
-915.07K▼ 317.7%
-3.55M▼ 288.1%
-6.19M▼ 74.2%
-6.54M▼ 5.7%
-9.95M▼ 52.2%
-7.32M▲ 26.4%
-2.94M▲ 59.8%
-5.62M▼ 91.2%
-9.05M▲ 0%
Operating Margin %-1460.31%-116.42%-53%-40.89%-50.92%-69.16%-45.25%-56.6%-7804.67%-39808.89%
Operating Income Growth %--317.75%-288.1%-74.17%-5.67%-52.21%26.38%59.84%-91.16%-
EBITDA0-849.17K-2.9M-4.63M-4.81M-8.3M-5.7M-2.54M-5.48M-8.89M
EBITDA Margin %--108.03%-43.28%-30.63%-37.5%-57.69%-35.2%-48.84%-7611.5%-39119.81%
EBITDA Growth %---241.55%-59.73%-3.91%-72.41%31.36%55.45%-116.08%-172.69%
D&A (Non-Cash Add-back)219.05K65.89K651.07K1.55M1.72M1.65M1.63M403.59K139.18K156.58K
EBIT-397.44K-889.38K-3.63M-6.05M-4.98M-10.04M-11.83M-6.35M-5.62M-5.98M
Net Interest Income4-12.33K-146.28K-889.9K-556.99K-501.22K6.69K-97.81K-674.51K-677.33K
Interest Income414.82K7.54K7.79K6.07K2.88K9.84K27.16K3.47K1.25K
Interest Expense027.15K153.82K897.69K563.07K504.1K3.15K124.97K677.98K211.94K
Other Income/Expense-178.39K-1.47K-233.48K-765.96K993.86K-443.89K-4.51M-3.53M-674.51K-677.33K
Pretax Income
-397.44K▲ 0%
-916.53K▼ 130.6%
-3.78M▼ 313.0%
-6.95M▼ 83.7%
-5.54M▲ 20.3%
-10.54M▼ 90.2%
-11.83M▼ 12.2%
-6.48M▲ 45.3%
-6.3M▲ 2.7%
-9.72M▲ 0%
Pretax Margin %-2649.6%-116.6%-56.48%-45.96%-43.18%-73.28%-73.1%-124.6%-8740.84%-42789.71%
Income Tax000000000-93K
Effective Tax Rate %0%0%0%0%0%0%0%0%0%0.96%
Net Income
-380.8K▲ 0%
-57.18K▲ 85.0%
-3.05M▼ 5240.5%
-6.95M▼ 127.6%
-5.57M▲ 19.9%
-10.54M▼ 89.4%
-18.31M▼ 73.7%
-9.42M▲ 48.6%
-9.05M▲ 4.0%
-9.7M▲ 0%
Net Margin %-2538.65%-7.27%-45.57%-45.96%-43.37%-73.28%-113.14%-181.23%-12554.93%-42693.19%
Net Income Growth %-84.98%-5240.49%-127.64%19.92%-89.38%-73.71%48.57%3.96%-77.89%
Net Income (Continuing)-397.44K-916.53K-3.78M-6.95M-5.54M-10.54M-11.83M-6.48M-6.3M-6.55M
Discontinued Operations000000-6.48M-1.71M-2.75M-71.07K
Minority Interest283.36K-575.99K-1.63M-2.08M-2.62M00000
EPS (Diluted)
-2.56▲ 0%
-0.38▲ 85.2%
-12.65▼ 3228.9%
-28.55▼ 125.7%
-15.11▲ 47.1%
-14.02▲ 7.2%
-19.43▼ 38.6%
-7.36▲ 62.1%
-7.76▼ 5.4%
-2.56▲ 0%
EPS Growth %-85.16%-3228.95%-125.69%47.08%7.21%-38.59%62.12%-5.43%-42.31%
EPS (Basic)-2.56-0.38-12.65-28.55-15.11-14.02-19.43-5.82-7.76-
Diluted Shares Outstanding149.02K150.4K241.43K258.45K368.34K751.72K942.46K1.11M1.57M3.78M
Basic Shares Outstanding149.02K150.4K241.43K258.45K368.34K751.72K942.46K1.62M1.57M3.78M
Dividend Payout Ratio----------

BACK Balance Sheet

IMAC Holdings, Inc. (BACK) balance sheet — assets, liabilities & shareholders' equity

Line itemDec'16Dec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24TTM
Total Current Assets1.6M708.46K668.11K2.58M4.76M9.07M10.83M1.14M684.34K310.06K
Cash & Short-Term Investments876.21K127.79K194.32K373.69K2.62M7.12M763.21K221.51K504.19K45.05K
Cash Only876.21K127.79K194.32K373.69K2.62M7.12M763.21K221.51K504.19K45.05K
Short-Term Investments0000000000
Accounts Receivable301K139.99K303.63K1.26M1.51M1.21M2.88M731.07K28.03K0
Days Sales Outstanding7.32K6516.5430.3643.0530.6864.9751.34142112.56
Inventory000312.26K0191.66K196.12K000
Days Inventory Outstanding---44.87-42.9647.46---
Other Current Assets2.74K93.04K170.16K633.3K619.73K547.54K6.99M191.54K152.12K265K
Total Non-Current Assets0570.62K10.41M17.84M14.99M18.16M6.87M762K904.68K0
Property, Plant & Equipment0542.79K3.33M7.41M5.59M7.27M5.21M762K904.68K0
Fixed Asset Turnover-1.45x2.01x2.04x2.29x1.98x3.11x6.82x0.08x0.04x
Goodwill002.04M2.04M2.04M4.66M0000
Intangible Assets004.26M7.17M6.61M5.8M1.37M000
Long-Term Investments0000000000
Other Non-Current Assets027.83K773.48K1.22M743.31K430.87K300.43K000
Total Assets
1.6M▲ 0%
1.28M▼ 20.1%
11.07M▲ 765.8%
20.42M▲ 84.4%
19.75M▼ 3.3%
27.23M▲ 37.9%
11.08M▼ 59.3%
1.14M▼ 89.7%
1.59M▲ 38.9%
310.06K▲ 0%
Asset Turnover0.01x0.61x0.61x0.74x0.65x0.53x1.46x4.54x0.05x0.02x
Asset Growth %--20.13%765.84%84.37%-3.29%37.9%-59.3%-89.68%38.89%-66.36%
Total Current Liabilities51.09K473.82K13.83M6.07M5.95M4.93M6.43M1.9M7.98M13.29M
Accounts Payable2.99K56.66K1.26M2.91M1.69M2.52M568.64K584.05K2.71M0
Days Payables Outstanding255.91327.18493.07418.07380.35565.66137.6158.13.25K2.29K
Short-Term Debt0182.93K4.84M1.5M2.53M254.49K51.66K000
Deferred Revenue (Current)0130.91K454.38K189.69K295.07K320.92K241.67K000
Other Current Liabilities48.1K95.5K7.26M421.04K339.38K337.94K4.18M1.31M4.02M13.29M
Current Ratio31.35x1.50x0.05x0.42x0.80x1.84x1.68x0.60x0.09x0.09x
Quick Ratio31.35x1.50x0.05x0.37x0.80x1.80x1.65x0.60x0.09x0.09x
Cash Conversion Cycle----342.84--492.02-25.17---2.18K
Total Non-Current Liabilities500K633.83K1.18M6.42M5.98M4.34M2.72M000
Long-Term Debt500K456.15K317.29K2.11M1.96M104.7K53.04K000
Capital Lease Obligations052.49K84.04K3.73M3.55M4.05M2.66M000
Deferred Tax Liabilities0000000000
Other Non-Current Liabilities0125.18K774.45K578.87K468.76K189.38K0000
Total Liabilities551.09K1.11M15.01M12.48M11.93M9.28M6.43M1.9M7.98M0
Total Debt500K759.83K5.26M8.38M9.14M5.9M4.16M000
Net Debt-376.2K632.04K5.06M8.01M6.51M-1.21M3.39M-221.51K-504.19K-45.05K
Debt / Equity0.48x4.43x-1.06x1.17x0.33x0.89x---
Debt / EBITDA----------0.00x
Net Debt / EBITDA---------0.01x
Interest Coverage--33.70x-23.09x-6.89x-11.61x-19.74x-2323.58x-23.54x-8.29x-28.20x
Total Equity
1.05M▲ 0%
171.43K▼ 83.7%
-3.93M▼ 2393.7%
7.94M▲ 301.9%
7.81M▼ 1.6%
17.95M▲ 129.8%
4.65M▼ 74.1%
-752.65K▼ 116.2%
-6.39M▼ 749.5%
0▲ 0%
Equity Growth %--83.68%-2393.74%301.86%-1.56%129.78%-74.09%-116.18%-749.53%-1493.62%
Book Value per Share7.051.14-16.2930.7121.2123.884.94-0.68-4.07-4.07
Total Shareholders' Equity767.1K747.42K-2.31M10.02M10.43M17.95M4.65M-752.65K-6.39M0
Common Stock6.49K6.58K6.58K8.91K12.83K26.22K1.1K1.15K1.17K1.34K
Retained Earnings-433.9K-491.08K-3.54M-10.04M-15.05M-28.21M-46.52M-55.94M-64.98M-72.38M
Treasury Stock0000000000
Accumulated OCI0000000000
Minority Interest283.36K-575.99K-1.63M-2.08M-2.62M00000

BACK Cash Flow Statement

IMAC Holdings, Inc. (BACK) cash flow — operating, investing & free cash flow history

Line itemDec'16Dec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24TTM
Cash from Operations-880.59K-436.98K-1.81M-4.07M-5.99M-7.59M-10.29M-2.79M-3.16M-3.16M
Operating CF Margin %-5870.59%-55.59%-26.99%-26.9%-46.69%-52.77%-63.6%-53.69%-4388.74%-
Operating CF Growth %-50.38%-313.82%-125%-47.3%-26.66%-35.61%72.9%-13.33%-1299.52%
Net Income-380.8K-57.18K-3.05M-6.5M-5.54M-10.54M-11.83M-6.48M-6.3M-9.7M
Depreciation & Amortization065.89K651.07K1.55M1.72M1.65M1.63M403.59K139.18K208.77K
Stock-Based Compensation0000000035.41K31.85K
Deferred Taxes0000000000
Other Non-Cash Items-195.04K-780.99K-703.44K577.02K-857.87K975.75K2.48M2.47M-2.11M-1.57M
Working Capital Changes-304.75K335.3K1.3M298.55K-1.32M326.35K-2.57M809.87K5.07M6.14M
Change in Receivables-305K208.42K-265.74K-412.81K-234.52K304.35K-1.75M1.45M-28.03K41.7K
Change in Inventory0000000000
Change in Payables2.99K53.67K1.2M1.36M-1.26M281.43K-820.59K-388.47K5.06M-710.37K
Cash from Investing-243.21K-486.12K-1.6M-1.05M-569.74K-2.46M-259.98K-1.78M-375K0
Capital Expenditures0-546.47K-1.58M-1.2M-369.74K-763.45K-331.38K000
CapEx % of Revenue-69.52%23.58%7.93%2.88%5.31%2.05%---
Acquisitions178.4K-13.61K-23.93K147.1K-200K-1.69M71.4K1M00
Investments----------
Other Investing0000000-2.78M-375K0
Cash from Financing2M174.68K3.48M5.3M8.81M14.54M4.2M4.02M3.82M4.75M
Debt Issued (Net)500K137.18K3.81M-207.29K3.63M-4.46M-273.54K-37.9K1.6M1.97M
Equity Issued (Net)1000K0-335.32K1000K1000K1000K1000K1000K1000K1.1M
Dividends Paid00000000-1.25M-211K
Share Repurchases0000000000
Other Financing150K37.5K0000001.25M1.65M
Net Change in Cash
876.21K▲ 0%
-748.42K▼ 185.4%
66.53K▲ 108.9%
179.37K▲ 169.6%
2.25M▲ 1154.5%
4.5M▲ 99.8%
-6.36M▼ 241.4%
-541.7K▲ 91.5%
282.68K▲ 152.2%
-150.46K▲ 0%
Free Cash Flow
-880.59K▲ 0%
-983.45K▼ 11.7%
-3.39M▼ 244.5%
-5.27M▼ 55.5%
-6.12M▼ 16.1%
-8.29M▼ 35.4%
-10.63M▼ 28.2%
-2.79M▲ 73.7%
-3.16M▼ 13.3%
-4.89M▲ 0%
FCF Margin %-5870.6%-125.12%-50.56%-34.83%-47.68%-57.59%-65.65%-53.69%-4388.74%-21514.22%
FCF Growth %--11.68%-244.52%-55.51%-16.14%-35.4%-28.25%73.74%-13.33%-163.08%
FCF per Share-5.91-6.54-14.03-20.39-16.61-11.02-11.27-2.51-2.01-2.01
FCF Conversion (FCF/Net Income)2.31x7.64x0.59x0.59x1.08x0.72x0.56x0.30x0.35x0.50x
Interest Paid00097.15K000000
Taxes Paid00018.53K000000

BACK Key Ratios

IMAC Holdings, Inc. (BACK) financial ratios — P/E, ROE, debt and 30+ core market and balance-sheet ratios

Metric20172018201920202021202220232024TTM
Return on Equity (ROE)-9.36%--347.13%-70.69%-81.83%-162.03%-483.18%-162.69%
Return on Invested Capital (ROIC)-92.89%-275.4%-54.34%-32.39%-48.04%-44.33%-62.41%-123.26%
Gross Margin91.96%86.06%83.21%87.35%88.68%90.68%74.05%-323.66%-1838.83%
Net Margin-7.27%-45.57%-45.96%-43.37%-73.28%-113.14%-181.23%-12554.93%-42693.19%
Debt / Equity4.43x-1.06x1.17x0.33x0.89x---
Interest Coverage-33.70x-23.09x-6.89x-11.61x-19.74x-2323.58x-23.54x-8.29x-28.20x
FCF Conversion7.64x0.59x0.59x1.08x0.72x0.56x0.30x0.35x0.50x
Revenue Growth5140.17%752.53%125.73%-15.14%12.08%12.51%-67.89%-98.61%100.46%

BACK Frequently Asked Questions

IMAC Holdings, Inc. (BACK) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials

IMAC Holdings, Inc. (BACK) reported $0.0M in revenue for fiscal year 2024. This represents a 51% increase from $0.0M in 2016.

IMAC Holdings, Inc. (BACK) saw revenue decline by 98.6% over the past year.

IMAC Holdings, Inc. (BACK) reported a net loss of $9.7M for fiscal year 2024.

Dividend & Returns

Yes, IMAC Holdings, Inc. (BACK) pays a dividend with a yield of 100.00%. This makes it attractive for income-focused investors.

IMAC Holdings, Inc. (BACK) had negative free cash flow of $4.9M in fiscal year 2024, likely due to heavy capital investments.

Explore More BACK

IMAC Holdings, Inc. (BACK) financial analysis — history, returns, DCA and operating performance tools

Total Return Calculator

Historical returns with dividends reinvested

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DCA Calculator

Dollar cost averaging vs lump sum

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Dividend History

Yield, growth, payout safety & DRIP

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Earnings History

EPS trends, net income & profitability

→

Price History

Long-term charts & historical price data

→

Revenue History

Sales growth patterns & revenue breakdown

→

Financial Ratios

30 years of market, efficiency and balance-sheet ratios

→

Valuation

DCF intrinsic value, peer multiples & estimates

→
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