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Astria Therapeutics
Astria Therapeutics

Zynex Reports Third Quarter 2023 Financial Results

October 26, 2023 | Last Trade: US$8.25 0.15 -1.79
  • Q3 2023 Revenue Increased 20% to $49.9 Million; EPS $0.10

ENGLEWOOD, Colo., Oct. 26, 2023 /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, has reported its financial and operational results for the third quarter ended September 30, 2023.

Key Third Quarter and 2023 Highlights and Business Update

  • Q3 2023 revenue increased 20% year-over-year to $49.9 million.
  • Net income of $3.6 million; Diluted EPS $0.10.
  • Orders increased 39% year-over-year; highest number of orders in Company history for the 6th consecutive quarter.
  • Cash from operations of $8.9 million in the third quarter; highest in Company history.
  • Added three new therapy products centered around pain management: Zynex Pro Thoracic Lumbar Sacral Orthosis ("TLSO"), Zynex Pro Wrist, and Zynex Cryoheat.

Management Commentary

"The third quarter was highlighted by increasing revenue and cash flow momentum driven by our sixth straight quarter of record-high order numbers," said Thomas Sandgaard, President and CEO of Zynex. "As we continue to develop the next generation of patient monitoring equipment, our pain management division delivered a 39% improvement in orders year-over-year and celebrated our 1 millionth patient treated since founding the company. Our continued profitability and record positive cash flow allowed us to announce an additional $10 million share repurchase plan.

"The pain management division also introduced three new therapy products in the third quarter, building on our holistic, non-invasive approach to pain management. The new products include Zynex Pro Thoracic Lumbar Sacral Orthosis ("TLSO"), a dual-purpose back brace for the mid and lower spine; Zynex Pro Wrist, a wrist brace for a broad spectrum of wrist-related pain management including carpal tunnel syndrome; and Zynex Cryoheat, a localized cold or hot fluid therapy system for home or hospital use. We continue to focus on profitable growth by adding products to our suite in complementary ways that combine with our industry-leading prescription strength pain management device, the NexWave.

"For our pre-revenue hospital monitoring products division, we have three additional products in the pipeline including a laser-based pulse oximeter, NiCO™; a monitor for early detection of sepsis; and a non-invasive, laser-based monitor of total hemoglobin levels, HemeOx™.

"We continue to expand our direct salesforce and continue to improve sales rep productivity which delivers accelerating and recurring revenue. In tandem we focused on ramping our hospital monitoring division which represents a large and growing market opportunity. We look forward to additional updates in the months to come as we work to build long term value for our shareholders," concluded Sandgaard.

Third Quarter 2023 Financial Results

Net revenue was $49.9 million for the three months ended September 30, 2023, an increase of 20% from $41.5 million in the prior year quarter. The growth in net revenue is primarily related to a 39% growth in device orders, which resulted from an increased customer base.

Gross profit in the quarter ended September 30, 2023, increased to $40.4 million, or 81% of revenue, as compared to $33.1 million or 80% of revenue, in 2022.

Sales and marketing expenses were $22.1 million for the three months ended September 30, 2023, compared to $17.2 million in the prior year period.

General and administrative expenses for the three months ended September 30, 2023 were $12.7 million, versus $9.4 million in the prior year period.

Net income for the three months ended September 30, 2023, totaled $3.6 million, or $0.10 per basic and diluted share, as compared to net income of $4.9 million, or $0.13 per basic and diluted share, in the quarter ended September 30, 2022.

Adjusted EBITDA for the three months ended September 30, 2023 was $7.3 million, as compared to $8.1 million in the quarter ended September 30, 2022.

As of September 30, 2023, the Company had working capital of $83.1 million. Cash and cash equivalents and short-term investments were $52.4 million at the end of the third quarter. Cash provided by operations for the three months ended September 30, 2023 was a record high $8.9 million. Cash provided by operations for the nine months ended September 30, 2023 was $11.6 million compared to $9.0 million in the nine months ended September 30, 2022.

The Company continued its latest stock buyback by repurchasing $14.9 million of its common stock during the third quarter and has repurchased $51.0 million during the last eighteen months.

Fourth Quarter and Full Year 2023 Guidance

Fourth quarter 2023 revenue is estimated to be $52.5-$57.5 million, an increase of approximately 13% from Q4 2022. Fourth quarter Diluted EPS is estimated to be $0.17-$0.22.

2023 estimates are revenue of $189.5-$194.5 million and Diluted EPS of $0.40-$0.45 per share. The revenue range is based on best estimates of labor market conditions and sales rep productivity. Diluted EPS is impacted by increased operating expenses to support ZMS as the Laser-based Pulse Oximetry products are prepared for FDA submission and the fluid monitor is readied for the market.

Conference Call and Webcast Details

Thursday, October 26, 2023, at 4:15 PM Eastern Time (1:15 PM Pacific 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 2023 Webcast Link

US Participant Dial In (TOLL FREE): 1-844-825-9790
International Participant Dial In: 1-412-317-5170
Canada Participant Dial In (TOLL FREE): 1-855-669-9657

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 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.

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.

Safe Harbor Statement

This release contains forward-looking statements within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995.

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 and other risks 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, 2022 as well as our quarterly reports on Form 10-Q and current reports on Form 8-K.

Any forward-looking statement made by us in this release is based only on information currently available to us and speaks only as of the date on which it is made. We undertake no obligation to publicly update any forward-looking statement, whether written or oral, that may be made from time to time, whether as a result of new information, future developments or otherwise.

Investor Relations Contact:
Quinn Callanan, CFA or Brian Prenoveau, CFA
MZ Group – MZ North America
This email address is being protected from spambots. You need JavaScript enabled to view it.
+949 694 9594

ZYNEX, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(AMOUNTS IN THOUSANDS)

(unaudited)

 
 

September 30,

 

December 31,

 

2023

 

2022

ASSETS

   

Current assets:

   

Cash and cash equivalents

$               42,517

 

$              20,144

Short term investments, net

9,924

 

-

Accounts receivable, net

33,288

 

35,063

Inventory, net

14,186

 

13,484

Prepaid expenses and other

3,008

 

868

                                               Total current assets

102,923

 

69,559

    

Property and equipment, net

2,468

 

2,175

Operating lease asset

13,168

 

12,841

Finance lease asset

637

 

270

Deposits

409

 

591

Intangible assets, net of accumulated amortization

8,387

 

9,067

Goodwill

20,401

 

20,401

Deferred income taxes

3,036

 

1,562

                                               Total assets

$             151,429

 

$            116,466

    

LIABILITIES AND STOCKHOLDERS' EQUITY

   

Current liabilities:

   

Accounts payable and accrued expenses

8,050

 

5,617

Operating lease liability

3,072

 

2,476

Finance lease liability

210

 

128

Income taxes payable

1,996

 

1,995

Current portion of debt

-

 

5,333

Accrued payroll and related taxes

6,515

 

5,537

                                              Total current liabilities

19,843

 

21,086

Long-term liabilities:

   

Long-term portion of debt, less issuance costs

-

 

5,293

Convertible senior notes, less issuance costs

57,375

 

-

Contingent consideration

-

 

10,000

Operating lease liability

15,154

 

13,541

Finance lease liability

475

 

188

                                              Total liabilities

92,847

 

50,108

    

Stockholders' equity:

   

Common stock

34

 

39

Additional paid-in capital

90,543

 

82,431

    Treasury stock, at cost

(57,560)

 

(33,160)

Retained earnings

25,565

 

17,048

                                              Total stockholders' equity

58,582

 

66,358

                                              Total liabilities and stockholders' equity

$             151,429

 

$            116,466

ZYNEX, INC.

CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(AMOUNTS IN THOUSANDS, EXCEPT PER SHARE DATA)

(unaudited)

 
 

For the Three Months Ended
September 30,

 

For the Nine Months Ended
September 30,

 

2023

 

2022

 

2023

 

2022

NET REVENUE

       

    Devices

$          16,855

 

$       11,349

 

$      42,542

 

$        27,579

Supplies

33,060

 

30,171

 

94,495

 

81,783

Total net revenue

49,915

 

41,520

 

137,037

 

109,362

        

COSTS OF REVENUE AND OPERATING EXPENSES

       

Costs of revenue - devices and supplies

9,553

 

8,391

 

28,094

 

22,617

Sales and marketing

22,146

 

17,212

 

64,982

 

47,950

General and administrative

12,731

 

9,359

 

35,479

 

25,967

Total costs of revenue and operating expenses

44,430

 

34,962

 

128,555

 

96,534

        

Income from operations

5,485

 

6,558

 

8,482

 

12,828

        

Other income (expense)

       

   Gain on sale of fixed assets

37

 

-

 

39

 

-

   Gain (loss) on change in fair value of contingent consideration

(245)

 

(100)

 

2,855

 

-

   Interest expense, net

(327)

 

(106)

 

(728)

 

(345)

Other income (expense), net

(535)

 

(206)

 

2,166

 

(345)

        

Income from operations before income taxes

4,950

 

6,352

 

10,648

 

12,483

  Income tax expense

1,356

 

1,479

 

2,131

 

2,887

Net income

$            3,594

 

$         4,873

 

$       8,517

 

$          9,596

        

Net income per share:

       

Basic

$             0.10

 

$          0.13

 

$         0.24

 

$            0.25

Diluted

$             0.10

 

$          0.13

 

$         0.23

 

$            0.24

        

Weighted average basic shares outstanding

35,531

 

38,046

 

36,216

 

38,881

Weighted average diluted shares outstanding

36,103

 

38,865

 

36,866

 

39,729

ZYNEX, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(AMOUNTS IN THOUSANDS)

(unaudited)

 
 

For the Nine Months Ended September 30,

 

2023

 

2022

CASH FLOWS FROM OPERATING ACTIVITIES:

   

Net income

$              8,517

 

$                 9,596

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

   

Depreciation

1,984

 

1,590

Amortization

1,078

 

695

Non-cash reserve charges

(91)

 

65

Stock-based compensation

1,621

 

1,702

Non-cash lease expense

568

 

720

Benefit for deferred income taxes

(1,473)

 

(772)

Change in fair value of contingent consideration

(2,855)

 

-

Gain on sale of fixed assets

(39)

 

-

Change in operating assets and liabilities:

   

   Short-term investments

(114)

 

-

   Accounts receivable

1,775

 

282

   Prepaid and other assets

(826)

 

(446)

   Accounts payable and other accrued expenses

3,312

 

364

   Inventory

(2,071)

 

(4,801)

   Deposits

182

 

(6)

            Net cash provided by operating activities

11,568

 

8,989

    

CASH FLOWS FROM INVESTING ACTIVITIES:

   

Purchase of property and equipment

(630)

 

(332)

Purchase of short-term investments

(9,810)

 

-

Proceeds on sale of fixed assets

50

 

-

            Net cash used in investing activities

(10,390)

 

(332)

    

CASH FLOWS FROM FINANCING ACTIVITIES:

   

Payments on finance lease obligations

(95)

 

(87)

Cash dividends paid

(1)

 

(3,613)

Purchase of treasury stock

(24,402)

 

(19,811)

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

57,018

 

-

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

33

 

27

Principal payments on long-term debt

(10,667)

 

(4,000)

Taxes withheld and paid on employees' equity awards

(691)

 

(253)

            Net cash provided by (used in) financing activities

21,195

 

(27,737)

    

Net increase (decrease) in cash

22,373

 

(19,080)

Cash and cash equivalents at beginning of period

20,144

 

42,612

Cash and cash equivalents at end of period

$            42,517

 

$                23,532

ZYNEX, INC.

 RECONCILIATION OF GAAP TO NON-GAAP MEASURES

(AMOUNTS IN THOUSANDS)

(unaudited)

 
 

 For the Three Months Ended
September 30, 

 

 For the Nine Months Ended
September 30, 

 

2023

 

2022

 

2023

 

2022

 Adjusted EBITDA:

       

 Net income

$                3,594

 

$      4,873

 

$  8,517

 

$     9,596

 Depreciation and Amortization*

401

 

418

 

1,237

 

1,225

 Stock-based compensation expense

654

 

578

 

1,620

 

1,702

    Interest expense and other, net

290

 

106

 

689

 

345

    Change in value of contingent consideration

245

 

100

 

(2,855)

 

-

    Non-cash lease expense **

751

 

572

 

978

 

982

    Income tax expense 

1,356

 

1,479

 

2,131

 

2,887

 Adjusted EBITDA 

$7,291

 

$8,126

 

$12,317

 

$  16,737

 % of Net Revenue

15 %

 

20 %

 

9 %

 

15 %

 

 * 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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