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ZYXI

Zynex, Inc.

Zynex, Inc. Q1 FY2025 earnings call

April 29, 2025 · fiscal period ended 2025-03

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Summary

Generated 2025-04-29

Management highlights

  • Thomas Sandgaard discussed TriCare's temporary payment suspension, meeting with the Defense Health Agency on April 9th, and expecting a response by June 9th. The company is restructuring to run without TriCare in the worst case, refocusing the sales force, trimming unproductive sales reps, and promoting other products. - Anna Lucsok mentioned the 15% staff reduction in March, annual savings of ~$35 million, and a diversified product mix with product order percentage increasing to 34% in Q1 2025. - Don Gregg provided an update on the NiCO pulse oximeter, having completed third-party testing and finalizing FDA submission, expecting to file in May, and discussed the technology's superiority in providing accurate readings across all patients.
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Segment performance

Net revenue for the first quarter ended March 31, 2025 was $26.6 million, down from $46.5 million in Q1 2024. Device revenue was $11.9 million and supplies revenue was $14.7 million. Gross profit in Q1 2025 was $18.2 million (69% of revenue) compared to $37.2 million (80% of revenue) in Q1 2024. Sales and marketing expenses decreased 28% to $16.9 million. G&A expenses were $14.4 million in Q1 2025 vs $13.3 million last year. Net loss was $10.4 million and $0.33 per share in Q1 2025 vs net income in 2024. Adjusted EBITDA loss for Q1 2025 was $11.8 million vs adjusted EBITDA of $1.7 million in Q1 2024. The company maintained a strong balance sheet with $40 million in working capital and approximately $24 million in cash on hand.

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Guidance

  • Estimated Q2 revenue at $27 million and EPS loss of $0.20 per share as the company rightsizes to return to profitability. - Anticipates providing 2025 guidance around Q2 results in July.
View in transcript ↓

Risks

  • TriCare's temporary payment suspension and uncertainty around the outcome. - Audit firm acquisition causing stock price issues. - Regulatory uncertainties with the FDA submission for the NiCO pulse oximeter.
View in transcript ↓

Q&A highlights

Q: Could you give more color into the conversation with TriCare, why they denied coverage, evidence presented, and domino effect?

A: At this time, no additional info; presented compliance with guidelines, no other payer conversations on issues.

Q: What got worse in Q1 vs last month's guidance, and non-TriCare business?

A: Revenue miss due to TriCare and sales rep productivity; non-TriCare business operating normal, waiting for TriCare clarity to give full guidance.

Q: If outcome positive, will TriCare give lump sum payments for Q1 and Q2?

A: Don't know exact flow, but TriCare said would reimburse unpaid claims.

Q: If net outcome negative, stop servicing TriCare patients and plan to make up revenue?

A: Refocus sales force to grow in other areas to make up potential revenue loss.

Q: If NiCO approved before end 2025, when will it generate meaningful sales?

A: NiCO will launch immediately upon clearance, with 2026 as the year for revenue.

View in transcript ↓

Key numbers

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Transcript

April 29, 2025

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