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Zynex Inc

Zynex Reports First Quarter 2025 Financial Results

ENGLEWOOD, Colo. , April 29, 2025 /PRNewswire/ -- Zynex, Inc. (NASDAQ: ZYXI), an innovative medical technology company specializing in the manufacture and sale of non-invasive medical devices for pain management, rehabilitation, and patient monitoring, today reported its financial and operational results for the first quarter ended March 31, 2025.

Management Commentary 

"In the first quarter of 2025, we continued to see steady orders for our pain management and private-labeled rehabilitation products. Total orders decreased 3% year-over-year, but our sales force headcount was approximately 39% less as we continue to focus on sales rep productivity, so we were encouraged by the strong performance of the current sales reps. As we previously announced, we were notified of a temporary suspension of payments from our largest insurance customer, Tricare," said Thomas Sandgaard, President and CEO of Zynex. "We appealed the temporary suspension and had an appeals meeting in April where we presented our data and evidence. We expect a response from Tricare in June or possibly sooner. As directed by Tricare, we continue to support both existing patients and new patients as we receive their prescriptions.

"We made the difficult decision to decrease our overall staff by approximately 15% in the first quarter, which along with other expense reduction efforts should result in savings of approximately $35 million annually. We continue to monitor expenses and adjust as necessary."

Mr. Sandgaard concluded: "We expect to complete our FDA submission for our NiCO laser pulse oximeter in the next couple of weeks, which we believe can be a significant driver of new customers, revenue streams and will diversify our product offering.  Overall, we remain optimistic about the growth opportunities both in pain management and patient monitoring."

First Quarter 2025 Financial Results

Net revenue was $26.6 million for the three months ended March 31, 2025, compared to $46.5 million in the prior year quarter.

Gross profit in the quarter ended March 31, 2025, was $18.2 million, or 69% of revenue, as compared to $37.2 million or 80% of revenue, in the first quarter of 2024. Gross profit was affected by the Tricare payment suspension and continuing to support new and existing Tricare patients which yields cost of goods sold with no related revenue.

Sales and marketing expense for the three months ended March 31, 2025, decreased 28% to $16.9 million from $23.4 million for the same period in 2024, primarily due to decreased headcount in the sales force.

General and administrative expenses for the three months ended March 31, 2025, were $14.4 million, versus $13.3 million in the prior year period.

Net loss for the three months ended March 31, 2025, totaled ($10.4) million, or ($0.33) per basic and diluted share, as compared to net income of $10,000, or $0.00 per basic and diluted share, in the quarter ended March 31, 2024.

Adjusted EBITDA loss for the three months ended March 31, 2025, was ($11.8) million, as compared to Adjusted EBITDA of $1.7 million in the quarter ended March 31, 2024.

Cash flows from operations for the three months ended March 31, 2025, was ($10.5) million. As of March 31, 2025, the Company had working capital of $40.1 million. Cash and cash equivalents were $23.9 million at March 31, 2025.

Second Quarter 2025 Guidance

The Company expects Q2 2025 net revenue of at least $27 million. Loss per share is expected to be ($0.20) per share or better. The Company expects quarterly revenues to increase throughout the year with the usual seasonality typically experienced.

Conference Call and Webcast Details
Date: Tuesday, April 29, 2025
Time: 4:15 PM Eastern Time (2:15 PM Mountain Time)
U.S. & Canada dial-in number: 800-836-8184
International number: 646-357-8785
Webcast: 1Q25 Webcast Link

Non-GAAP Financial Measures

Zynex reports its financial results in accordance with accounting principles generally accepted in the U.S. (GAAP). In addition, the Company is providing in this news release financial information in the form of Adjusted EBITDA (earnings before interest, taxes, depreciation, amortization, other income/expense, stock compensation, restructuring, receivables adjustment and non-cash lease charges). Management believes these non-GAAP financial measures are useful to investors and lenders in evaluating the overall financial health of the Company in that they allow for greater transparency of additional financial data routinely used by management to evaluate performance. Adjusted EBITDA can be useful for investors or lenders as an indicator of available earnings. Non-GAAP financial measures should not be considered in isolation from, or as an alternative to, the financial information prepared in accordance with GAAP.

Safe Harbor Statement

This press release contains forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995, as amended. our results of operations and the plans, strategies and objectives for future operations; the timing and scope of any potential stock repurchase; and other similar statements.

Words such as "anticipate," "believe," "continue," "could," "designed," "endeavor," "estimate," "expect," "intend," "may," "might," "plan," "potential," "predict," "project," "seek," "should," "target," "preliminary," "will," "would" and similar expressions are intended to identify forward-looking statements. The express or implied forward-looking statements included in this press release are only predictions and are subject to a number of risks, uncertainties and assumptions. Forward-looking statements are neither historical facts nor assurances of future performance. Instead, they are based only on our current beliefs, expectations and assumptions regarding the future of our business, future plans and strategies, projections, anticipated events and trends, the economy and other future conditions. Because forward-looking statements relate to the future, they are subject to inherent uncertainties, risks and changes in circumstances that are difficult to predict and many of which are outside of our control. Our actual results and financial condition may differ materially from those indicated in the forward-looking statements. Therefore, you should not rely on any of these forward-looking statements. The Company makes no express or implied representation or warranty as to the completeness of forward-looking statements or, in the case of projections, as to their attainability or the accuracy and completeness of the assumptions from which they are derived. Factors that could cause actual results to materially differ from forward-looking statements include, but are not limited to, the need to obtain CE marking of new products; the acceptance of new products as well as existing products by doctors and hospitals, larger competitors with greater financial resources; the need to keep pace with technological changes; our dependence on the reimbursement for our products from health insurance companies; our dependence on first party manufacturers to produce our products on time and to our specifications' implementation of our sales strategy including a strong direct sales force, the impact of COVID-19 on the global economy; market conditions; the timing, scope and possibility that the repurchase program may be suspended or discontinued; economic factors, such as interest rate fluctuations; and other risks described in our filings with the Securities and Exchange Commission.

These and other risks are described in our filings with the Securities and Exchange Commission including but not limited to, our Annual Report on Form 10-K for the year ended December 31, 2024, as well as our quarterly reports on Form 10-Q and current reports on Form 8-K. Any forward-looking statements contained in this press release represent Zynex's views only as of today and should not be relied upon as representing its views as of any subsequent date. Zynex explicitly disclaims any obligation to update any forward-looking statements, except to the extent required by law.

About Zynex, Inc.

Zynex, founded in 1996, develops, manufactures, markets, and sells medical devices used for pain management and rehabilitation as well as non-invasive fluid, sepsis, and laser-based pulse oximetry monitoring systems for use in hospitals. For additional information, please visit: www.zynex.com.

Investor Relations Contact:
Brian M. Prenoveau, CFA
MZ Group – MZ North America
ZYXI@mzgroup.us
+561 489 5315

 

ZYNEX, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(AMOUNTS IN THOUSANDS)

(unaudited)

 


March 31,


December 31,



2025


2024

ASSETS







Current assets:







Cash and cash equivalents


$

23,852


$

39,631

Accounts receivable, net



14,053



18,022

Inventory, net



13,531



13,919

Prepaid expenses and other



4,978



3,607

Total current assets



56,414



75,179








Property and equipment, net



3,037



3,084

Operating lease asset



9,118



9,820

Finance lease asset



1,068



1,141

Deposits



408



408

Intangible assets, net of accumulated amortization



7,023



7,247

Goodwill



20,401



20,401

Deferred income taxes



8,290



4,799

Total assets


$

105,759


$

122,079








LIABILITIES AND STOCKHOLDERS' EQUITY







Current liabilities:







Accounts payable and accrued expenses


$

8,166


$

7,091

Operating lease liability



4,081



4,030

Finance lease liability



291



287

Accrued payroll and related taxes



3,779



5,456

Total current liabilities



16,317



16,864

Long-term liabilities:







Convertible senior notes, less issuance costs



58,818



58,567

Operating lease liability



9,103



10,151

Finance lease liability



747



789

Total liabilities



84,985



86,371








Stockholders' equity:







Common stock



30



32

Additional paid-in capital



93,489



93,088

Treasury stock, at cost



(92,123)



(87,186)

Retained earnings



19,378



29,774

Total stockholders' equity



20,774



35,708

Total liabilities and stockholders' equity


$

105,759


$

122,079

 

ZYNEX, INC.

CONDENSED CONSOLIDATED STATEMENTS OF INCOME (LOSS)

(AMOUNTS IN THOUSANDS, EXCEPT PER SHARE DATA)

(unaudited)

 


For the Three Months Ended March 31, 



2025


2024

NET REVENUE







Devices


$

11,898


$

14,025

Supplies



14,680



32,506

Total net revenue



26,578



46,531








COSTS OF REVENUE AND OPERATING EXPENSES







Costs of revenue - devices and supplies



8,369



9,298

Sales and marketing



16,940



23,380

General and administrative



14,366



13,328

Total costs of revenue and operating expenses



39,675



46,006








Income (loss) from operations



(13,097)



525








Other expense







Interest expense, net



(703)



(512)

Other expense, net



(703)



(512)








Income (loss) from operations before income taxes



(13,800)



13

Income tax expense (benefit)



(3,404)



3

Net income (loss)


$

(10,396)


$

10








Net income (loss) per share:







Basic


$

(0.33)


$

0.00

Diluted


$

(0.33)


$

0.00








Weighted average basic shares outstanding



31,604



32,344

Weighted average diluted shares outstanding



31,604



32,827

 

ZYNEX, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(AMOUNTS IN THOUSANDS)

(unaudited)










For the Three Months Ended March 31, 



2025


2024

CASH FLOWS FROM OPERATING ACTIVITIES:







Net income (loss)


$

(10,396)


$

10

Adjustments to reconcile net income (loss) to net cash (used in) provided by  operating activities:







Depreciation



618



638

Amortization



478



461

Stock-based compensation



577



734

Non-cash lease expense



(296)



(187)

Benefit for deferred income taxes



(3,491)



(1)

Change in operating assets and liabilities:







Accounts receivable



3,970



1,399

Prepaid and other assets



(510)



(813)

Accounts payable and other accrued expenses



(1,518)



2,709

Inventory



65



(2,882)

Net cash (used in) provided by  operating activities



(10,503)



2,068








CASH FLOWS FROM INVESTING ACTIVITIES:







Purchase of property and equipment



(168)



(153)

Net cash used in investing activities



(168)



(153)








CASH FLOWS FROM FINANCING ACTIVITIES:







Payments on finance lease obligations



(39)



(123)

Cash dividends paid



—



(3)

Purchase of treasury stock



(4,939)



(13,280)

Proceeds from the issuance of common stock on stock-based awards



7



13

Taxes withheld and paid on employees' equity awards



(137)



(240)

Net cash used in financing activities



(5,108)



(13,633)








Net decrease in cash



(15,779)



(11,718)

Cash and cash equivalents at beginning of period



39,631



44,579

Cash and cash equivalents at end of period


$

23,852


$

32,861

 

ZYNEX, INC.

RECONCILIATION OF GAAP TO NON-GAAP MEASURES

(AMOUNTS IN THOUSANDS)

(unaudited)

 


For the Three Months Ended March 31, 




2025


2024


Adjusted EBITDA:








Net income (loss)


$

(10,396)


$

10


Depreciation and Amortization*



509



426


Stock-based compensation expense



577



734


Interest expense and other, net



703



512


Income tax (benefit) expense



(3,404)



3


Restructuring charges**



227



—


Adjusted EBITDA


$

(11,783)


$

1,685


% of Net Revenue



(44)

%


4

%


* Depreciation does not include amounts related to units on lease to third parties which are depreciated and included in cost of goods sold.

** Severance of former corporate employees which were fully expensed in Q1-2025.

 

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SOURCE Zynex, Inc.