Zynex Reports Third Quarter 2024 Financial Results

ENGLEWOOD, Colo., Oct. 24, 2024 /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 third quarter ended September 30, 2024.

Key Third Quarter Highlights and Business Update

    --  Q3 2024 orders increased 13% year-over-year.
    --  Q3 2024 net revenue of $50.0 million.
    --  Q3 2024 net income of $2.4 million; Diluted EPS $0.07.
    --  Q3 2024 cash flow from operations of $7.1 million.
    --  Received FDA Clearance for new TensWave device.

Management Commentary

"In the third quarter of 2024 we continued our steady growth in orders as we positioned the company for long-term profitable growth," said Thomas Sandgaard, President and CEO of Zynex. "Positive cash flow remains strong and both revenue and earnings were within guidance for the third quarter.

"Our Pain Management division delivered a 13% improvement in orders year-over-year. We continue to see success evolving our pain management division to achieve our strategic goal of diversifying revenue streams through increased orders in orthopedic products. Revenue per sales rep increased 25% year-over-year to approximately $530,000 in the third quarter of 2024. We are working to expedite the onboarding of new sales reps while maintaining a high standard for productivity.

"Our focus on FDA approvals of next-generation devices and new therapy products delivered FDA clearance of our new TensWave device during the quarter. FDA clearance for the new TensWave device builds on our strong legacy of innovation in pain management, providing effective pain relief through TENS (Transcutaneous Electrical Nerve Stimulation) therapy, which has been clinically proven to reduce chronic and acute pain without opioids. We recognized a gap in the market for a high-quality TENS device that meets the specific criteria for insurance reimbursement, and TensWave is our answer to that demand. It complements our flagship multi-modality device, the NexWave, where Interferential current is the main modality and driver of obtaining prescriptions. This device broadens our product portfolio with the potential to become an essential tool for patients suffering from chronic pain conditions, offering them a safe, effective, and drug-free alternative to pain management.

"Looking ahead, we will continue to diversify our pain management revenue stream with the introduction of new therapy products. Aggressive promotion of products from our salesforce will ensure sustained profitable growth. In 2025, we should return to our normal top-line growth in our pain management division of approximately 20%. Taken together, we believe our strategy is positioning us to become the world's premier provider of holistic, non-invasive approaches to pain management," concluded Sandgaard.

Third Quarter 2024 Financial Results

Net revenue was $50.0 million for the three months ended September 30, 2024, compared to $49.9 million in the prior year quarter.

Gross profit in the quarter ended September 30, 2024, was $39.8 million, or 80% of revenue, as compared to $40.4 million or 81% of revenue, in 2023.

Sales and marketing expense for the three months ended September 30, 2024, decreased 6% to $20.7 million from $22.1 million for the same period in 2023, primarily due to decreased headcount in the sales force.

General and administrative expenses for the three months ended September 30, 2024, were $15.3 million, versus $12.7 million in the prior year period.

Net income for the three months ended September 30, 2024, totaled $2.4 million, or $0.07 per basic and diluted share, as compared to net income of $3.6 million, or $0.10 per basic and diluted share, in the quarter ended September 30, 2023.

Adjusted EBITDA for the three months ended September 30, 2024, was $5.1 million, as compared to $7.3 million in the quarter ended September 30, 2023.

Cash flows from operations for the three months ended September 30, 2024, was $7.1 million and $10.3 million for the nine months ended September 30, 2024.

As of September 30, 2024, the Company had working capital of $58.5 million. Cash and cash equivalents were $37.6 million at September 30, 2024, up 22% from June 30, 2024.

Fourth Quarter and Full Year 2024 Guidance

Fourth quarter 2024 revenue is estimated to be at least $53.6 million. Fourth quarter Diluted EPS is estimated to be at least $0.09.

The Company expects 2024 net revenue of at least $200 million, a 9% increase from 2023. Diluted EPS is expected to be at least $0.20 per share.

Conference Call and Webcast Details
Thursday, October 24, 2024, at 4:15 PM Eastern Time (2:15 PM Mountain Time)
To register and participate in the webcast, interested parties should click on the following link or dial in approximately 10-15 minutes prior to the webcast: Q3 2024 Webcast Link
U.S. & Canada dial-in number: 800-836-8184
International number: 646-357-8785

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 third 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, 2023 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:
Quinn Callanan, CFA or Brian Prenoveau, CFA
MZ Group - MZ North America
ZYXI@mzgroup.us
+949 694 9594


                                                         
            
              ZYNEX, INC.
                                                
              CONDENSED CONSOLIDATED BALANCE SHEETS
                                                        
              (AMOUNTS IN THOUSANDS)
                                                             
              (unaudited)




                                                                                                           September 30,                December 31,


                                                                                                        2024                   2023


                                    
            
              ASSETS



     Current assets



     Cash and cash equivalents                                                                   $
        37,630            $
         44,579



     Accounts receivable, net                                                                          21,623                   26,838



     Inventory, net                                                                                    15,708                   13,106



     Prepaid expenses and other                                                                         3,389                    3,332



     Total current assets                                                                              78,350                   87,855





     Property and equipment, net                                                                        3,169                    3,114



     Operating lease asset                                                                             10,510                   12,515



     Finance lease asset                                                                                1,215                      587



     Deposits                                                                                             409                      409



     Intangible assets, net of accumulated amortization                                                 7,476                    8,158



     Goodwill                                                                                          20,401                   20,401



     Deferred income taxes                                                                              4,529                    3,865



     Total assets                                                                               $
        126,059           $
         136,904




                     
            
              LIABILITIES AND STOCKHOLDERS' EQUITY



     Current liabilities



     Accounts payable and accrued expenses                                                        $
        9,282             $
         8,433



     Operating lease liability                                                                          3,979                    3,729



     Finance lease liability                                                                              284                      196



     Income taxes payable                                                                                 390                      633



     Accrued payroll and related taxes                                                                  5,933                    5,541



     Total current liabilities                                                                         19,868                   18,532





     Convertible senior notes, less issuance costs                                                     58,320                   57,605



     Operating lease liability                                                                         11,175                   14,181



     Finance lease liability                                                                              923                      457



     Total liabilities                                                                                 90,286                   90,775





     Stockholders' equity



        Common stock                                                                                       32                       33



        Additional paid-in capital                                                                     92,538                   90,878



        Treasury stock                                                                               (87,186)                (71,562)



     Retained earnings                                                                                 30,389                   26,780



     Total stockholders' equity                                                                        35,773                   46,129



     Total liabilities and stockholders' equity                                                 $
        126,059           $
         136,904


                                                    
              
                ZYNEX, INC.
                                                  
       CONDENSED CONSOLIDATED STATEMENTS OF INCOME
                                                 
       (AMOUNTS IN THOUSANDS, EXCEPT PER SHARE DATA)
                                                         
                (unaudited)




                                                                             For the Three Months Ended September              For the Nine Months Ended September
                                                                                             30,                                          30,


                                                                        2024                              2023          2024                            2023



              
                NET REVENUE



              Devices                                      $
              14,858                  $
              16,855 $
           44,803                $
              42,542



              Supplies                                                 35,108                              33,060         101,577                            94,495



              Total net revenue                                        49,966                              49,915         146,380                           137,037





              
                COSTS OF REVENUE AND
    OPERATING EXPENSES



              Costs of revenue - devices                               10,177                               9,553          29,446                            28,094
    and supplies



              Sales and marketing                                      20,713                              22,146          67,319                            64,982



              General and administrative                               15,274                              12,731          43,062                            35,479



              Total costs of revenue and                               46,164                              44,430         139,827                           128,555
    operating expenses





              Income from operations                                    3,802                               5,485           6,553                             8,482





              Other income (expense)



              Gain on disposal of assets                                                                      37              19                                39



              Change in fair value of                                                                      (245)                                           2,855
    contingent consideration



              Interest expense, net                                     (625)                              (327)        (1,767)                            (728)



              Other income (expense), net                               (625)                              (535)        (1,748)                            2,166





              Income from operations before                             3,177                               4,950           4,805                            10,648
    income taxes



              Income tax expense                                          795                               1,356           1,196                             2,131



              Net income                                    $
              2,382                   $
              3,594  $
           3,609                 $
              8,517





              Net income per share:



              Basic                                          $
              0.07                    $
              0.10   $
           0.11                  $
              0.24



              Diluted                                        $
              0.07                    $
              0.10   $
           0.11                  $
              0.23





              Weighted average basic shares                            31,775                              35,531          31,960                            36,216
    outstanding



              Weighted average diluted                                 32,088                              36,103          32,340                            36,866
    shares outstanding


                                                                         
              
                ZYNEX, INC.
                                                             
                CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
                                                                         
                (AMOUNTS IN THOUSANDS)
                                                                               
                (unaudited)




                                                                                                                                     For the Nine Months Ended September
                                                                                                                                         30,


                                                                                                                                2024                            2023



              
                CASH FLOWS FROM OPERATING ACTIVITIES:



              Net income                                                                                                  $
        3,609                 $
              8,517



              Adjustments to reconcile net income to net cash provided
    by operating activities:



                Depreciation                                                                                                    1,967                             1,984



                Amortization                                                                                                    1,402                             1,078



                Non-cash reserve charges                                                                                                                          (91)



                Stock-based compensation                                                                                        2,345                             1,621



                Non-cash lease expense                                                                                          (750)                              568



                Benefit for deferred income taxes                                                                               (664)                          (1,473)



                Change in fair value of contingent consideration                                                                                               (2,855)



                Gain on disposal of assets                                                                                       (19)                             (39)



              Change in operating assets and liabilities:



                 Short-term investments                                                                                                                          (114)



                 Accounts receivable                                                                                            5,215                             1,775



                 Prepaid and other assets                                                                                         106                             (826)



                 Accounts payable and other accrued expenses                                                                    1,161                             3,312



                 Inventory                                                                                                    (4,096)                          (2,071)



                 Deposits                                                                                                                                          182



                          Net cash provided by operating activities                                                            10,276                            11,568





              
                CASH FLOWS FROM INVESTING ACTIVITIES:



              Purchase of property and equipment                                                                                (362)                            (630)



              Purchase of short-term investments                                                                                                               (9,810)



              Proceeds on sale of fixed assets                                                                                                                      50



                          Net cash used in investing activities                                                                 (362)                         (10,390)





              
                CASH FLOWS FROM FINANCING ACTIVITIES:



              Payments on finance lease obligations                                                                             (203)                             (95)



              Cash dividends paid                                                                                                 (9)                              (1)



              Purchase of treasury stock                                                                                     (15,625)                         (24,402)



              Excise tax payments on net treasury stock purchases                                                               (473)



              Proceeds from issuance of convertible senior notes, net of                                                                                        57,018
    issuance costs



              Proceeds from the issuance of common stock on stock-                                                                 13                                33
    based awards



              Principal payments on long-term debt                                                                                                            (10,667)



              Taxes withheld and paid on equity awards                                                                          (566)                            (691)



              Net cash (used in) provided by financing activities                                                            (16,863)                           21,195





              Net (decrease) increase in cash                                                                                 (6,949)                           22,373



              Cash and cash equivalents at beginning of period                                                                 44,579                            20,144



              Cash and cash equivalents at end of period                                                                 $
        37,630                $
              42,517


                                                  
             
                ZYNEX, INC.
                                         
              RECONCILIATION OF GAAP TO NON-GAAP MEASURES
                                                  
               (AMOUNTS IN THOUSANDS)
                                                       
                (unaudited)




                                                                                                         For the Three Months                             For the Nine Months
                                                                                       Ended September 30,                   Ended September 30,


                                                                                        2024                2023                 2024                2023



              
                Adjusted EBITDA:



              Net income                                                             $2,382              $3,594               $3,609              $8,517



              Depreciation and Amortization*                                            478                 401                1,369               1,237



              Stock-based compensation expense                                          770                 654                2,345               1,620



              Interest expense and other, net                                           625                 290                1,748                 689



              Change in fair value of contingent                                          -                245                                 (2,855)
    consideration



              Non-cash lease expense**                                                    -                751                                     978



              Income tax expense                                                        795               1,356                1,196               2,131



              
                Adjusted EBITDA                                           $5,050              $7,291              $10,267             $12,317



              
                % of Net Revenue                                            10 %               15 %                 7 %                9 %




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





     ** Amount expensed in excess of cash payments due to abated rent.

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SOURCE Zynex