Persistent Net Losses And Margin PressureSustained negative margins and recurring losses signal structural profitability issues. Continued negative EBIT/EBITDA limits reinvestment capacity, undermines shareholder returns, and raises the bar for necessary revenue or efficiency improvements to reach sustainable profitability.
Rising Leverage And Debt RiskHigher leverage reduces financial flexibility and increases interest and refinancing risk. For a service business reliant on stable cash flows, rising debt amplifies vulnerability to revenue shortfalls and constrains capital available for clinic expansion or technology upgrades.
Negative And Worsening Free Cash FlowWorsening free cash flow erodes liquidity and forces dependence on external financing or asset sales. Persistent FCF deficits limit the company's ability to invest in growth initiatives, retain staff, and maintain equipment, threatening long-term operational resilience.