EX-99.1 2 tm2114550d1_ex99-1.htm EXHIBIT 99.1

Exhibit 99.1


Zynex Announces 2021 First Quarter Earnings


·2021 First Quarter


oRevenue increased 58% year over year to $24.1 million


oOrders increased 140%


oNet loss of $0.7 million; GAAP loss per share $0.02


oAdjusted EBITDA loss $0.4 million


ENGLEWOOD, CO – April 29, 2021 – Zynex, Inc. (NASDAQ: ZYXI), an innovative medical technology company specializing in the manufacture and sale of non-invasive medical devices for pain management, stroke rehabilitation, cardiac monitoring and neurological diagnostics, today reported financial results for its first quarter ended March 31, 2021.


First Quarter Financial Results Summary:


For the first quarter, the Company reported net revenue of $24.1 million, a 58% increase over the first quarter of 2020. Gross margins were 76% in the first quarter of 2021 and net loss was $0.7 million.


There was an Adjusted EBITDA loss of $0.4 million in the first quarter of 2021.


As of March 31, 2021, the company had working capital of $51.5 million. Cash on hand was $33.4 million at the end of the first quarter. Cash decreased during the quarter due to the company maintaining higher than normal inventory levels to protect against any supplier delays related to COVID-19. There have not been any issues with supplier deliveries to date.


President and CEO Commentary:


Thomas Sandgaard, CEO said: “I am excited about our order growth in the first quarter of 140% which will continue to drive increasing revenue throughout 2021 and 2022. In the first quarter, we posted revenue of $24.1 million. First quarter revenue is historically affected by health insurance deductibles not being met in the beginning of the year. The combination of seasonality of deductibles along with the sales force investments we made during 2020 produced a small loss in Q1 which was expected. Profitability is expected to ramp quickly beginning in second quarter with projected Adjusted EBITDA of over $3 million.


In the first quarter, we focused on productivity of our existing sales reps and trimmed our sales force slightly below 500. We still expect to have over 600 sales reps by the end of 2021 with most of those additions coming in the second half of the year.


We continue to advocate for pain patients, and for physicians to prescribe our NexWave technology as the first line of defense in treating chronic and acute pain without side effects. We are dedicated to promoting our technology in an effort to remove patient addiction and other side effects from prescription opioids.”


Second Quarter and Full Year 2021 Guidance:


The estimated range for second quarter revenue is between $31.0 and $32.5 million with Adjusted EBITDA between $3.0 and $4.0 million. The revenue estimate is approximately 61% to 69% above 2020 second quarter revenue of $19.3 million.


Full year 2021 revenue is estimated between $135.0 and $150.0 million with Adjusted EBITDA between $15.0 and $25.0 million. The full year revenue estimate is approximately 68% to 87% above 2020 revenue of $80.1 million. We expect profitability to continually ramp throughout the year to meet our Adjusted EBITDA forecast of $15 to $25 million for 2021.





Conference Call and Webcast Details:


Thursday, April 29, 2021 at 2:15 p.m. MT / 4:15 p.m. ET


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:




Canada 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 and stock compensation). 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, markets and sells its own design of electrotherapy medical devices used for pain management and rehabilitation; and the company's proprietary NeuroMove device designed to help recovery of stroke and spinal cord injury patients. Zynex also has a blood volume monitor for use in hospitals and surgery centers. 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 goods 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, 2020 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.


Contact: Zynex, Inc. (800) 495-6670


Investor Relations Contact:
Amato And Partners, LLC
Investor Relations Counsel










   March 31,   December 31, 
   2021   2020 
Current assets:          
Cash  $33,439   $39,173 
Accounts receivable, net   14,874    13,837 
Inventory, net   10,957    8,635 
Prepaid expenses and other   1,559    1,378 
                                               Total current assets   60,829    63,023 
Property and equipment, net   2,299    1,925 
Operating lease asset   5,380    5,993 
Finance lease asset   457    321 
Deposits   340    347 
Deferred income taxes   931    566 
                                               Total assets  $70,236   $72,175 
Current liabilities:          
Accounts payable and accrued expenses   3,338    4,717 
Operating lease liability   2,043    2,051 
Finance lease liability   104    77 
Income taxes payable   266    280 
Accrued payroll and related taxes   3,564    2,992 
                                              Total current liabilities   9,315    10,117 
Long-term liabilities:          
Operating lease liability   4,371    4,920 
Finance lease liability   397    283 
                                              Total liabilities   14,083    15,320 
Stockholders' equity:          
Preferred stock   -    - 
Common stock   37    36 
Additional paid-in capital   37,313    37,235 
Treasury stock   (3,921)   (3,846)
Retained earnings   22,724    23,430 
                                              Total stockholders' equity   56,153    56,855 
                                              Total liabilities and stockholders' equity  $70,236   $72,175 







(in thousands, except per share data)


   For the Three Months Ended March 31, 
   2021   2020 
NET REVENUE          
Devices  $6,365   $3,444 
Supplies   17,762    11,784 
Total net revenue   24,127    15,228 
Costs of revenue - devices and supplies   5,886    3,401 
Sales and marketing   13,827    5,584 
General and administrative   5,495    3,785 
Total costs of revenue and operating expenses   25,208    12,770 
Income/(loss) from operations   (1,081)   2,458 
Other expense          
   Interest expense   (9)   (4)
Other expense, net   (9)   (4)
Income/(loss) from operations before income taxes   (1,090)   2,454 
  Income tax benefit   (384)   (483)
Net income/(loss)  $(706)  $2,937 
Net income/(loss) per share:          
Basic  $(0.02)  $0.09 
Diluted  $(0.02)  $0.09 
Weighted average basic shares outstanding   34,837    32,913 
Weighted average diluted shares outstanding   34,837    34,204 






Reconciliation of GAAP to Non-GAAP Measures

(in thousands)



   For the Three Months Ended March 31, 
   2021   2020 
Adjusted EBITDA:          
Net income  $(706)  $2,937 
Depreciation and Amortization*   268    68 
Stock-based compensation expense   108    497 
Restructuring/severance**   318    - 
Interest expense and other, net   9    4 
Income tax expense   (384)   (483)
Adjusted EBITDA  $(387)  $3,023 
% of Net Revenue   (2%)   20%


* 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 COO Giuseppe Papandrea which was fully expensed in Q1-2021