2022 Financial Guidance

Appendix 1: Net Income to Adjusted EBITDA Reconciliation AKUMIN Three months ended September 30, (Restated- Note 4) Three months ended September 30, Nine months ended (Restated- Note 4) Nine months ended September 30, September 30, 2021 2020 2021 2020 Net income (loss) $ 1,180 $ (6,376) $ (8,182) $ (16,175) Interest expense 16,932 8,961 34,221 24,437 Income tax expense (benefit) (22,070) (473) (21,999) 498 Depreciation and amortization 11,286 4,359 20,359 13,001 EBITDA 7,328 6,471 24,399 21,761 Adjustments: Stock-based compensation 785 568 1,997 1,726 Acquisition-related costs 8,784 174 14,412 474 Settlement and related costs (recoveries) (52) 1,611 (394) 2,491 Financial instruments revaluation and related losses (gains) (50) 2,895 (3,410) (1,178) Severance, restructuring and other charges 532 532 Other losses (gains) 20 63 320 283 Deferred rent expense 621 409 1,525 3,002 Adjusted EBITDA $ 17,968 $ 12,191 $ 39,381 $ 28,559 EBITDA means net income (loss) before interest expense (net), income tax expense (benefit) and depreciation and amortization. Adjusted EBITDA❞ means EBITDA, as further adjusted for stock-based compensation, asset impairments, settlement and related costs (recoveries), financial instrument revaluation and related losses (gains), acquisition-related costs, severance and related costs, restructuring charges, other losses (gains), deferred rent expense (credit), and one-time adjustments. "Adjusted EBITDA Margin" means Adjusted EBITDA divided by the total revenue in the 29 period.

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