Zynex Reports Third Quarter 2025 Financial Results

Rhea-AI Summary

Zynex (NASDAQ: ZYXI) reported third quarter 2025 results for the period ended September 30, 2025. Net revenue was $13.4 million versus $50.0 million year‑ago. The company reported a net loss of ($42.9) million, or ($1.42) per share, and an Adjusted EBITDA loss of ($12.3) million. Management recorded a $30.7 million non-cash impairment tied to goodwill, intangibles and fixed assets. Cash and cash equivalents were $13.3 million as of September 30, 2025.

To address liquidity and strategic options, Zynex engaged Province, LLC, formed a Special Committee chaired by Paul Aronzon, entered a 30‑day grace period and did not make a $1.5 million interest payment on $60 million convertible notes due May 2026, and is discussing restructuring with note holders.

Positive

• Engaged Province LLC to evaluate strategic alternatives
• Special Committee formed and chaired by Paul Aronzon
• Cash and cash equivalents of $13.3 million as of 9/30/2025

Negative

• Net revenue declined by 73% to $13.4M in Q3 2025 versus Q3 2024
• Reported $42.9M net loss in Q3 2025 (loss per share $1.42)
• Recorded a $30.7M non-cash impairment charge in Q3 2025
• Entered 30‑day grace period and skipped a $1.5M interest payment on $60M convertible notes

Insights

Distressed finance analyst

Zynex reports steep revenue decline, large quarterly loss, an impairment and a missed interest payment while pursuing restructuring options.

Zynex reported net revenue of $13.4 million for the quarter versus $50.0 million a year earlier, a gross profit of $8.1 million (60% of revenue), a net loss of ($42.9) million and an asset impairment of $30.7 million. The company holds $13.3 million in cash and has elected a contractual 30‑day grace period instead of making a $1.5 million interest payment on its $60 million Convertible Notes due in May 2026.

The business mechanism is straightforward: revenue fell sharply due to a payer suspension and operational headcount reductions, which reduced scale and raised unit costs; management has engaged Province, LLC and formed a Special Committee to evaluate capital‑raising, recapitalization and restructuring options. Key dependencies and risks are explicit: the outcome of Tricare reinstatement and payer behaviors, negotiations with Convertible Note holders, and the Company’s ability to conserve cash while executing strategic alternatives.

Watch three concrete near‑term items: whether the $1.5 million interest is cured within the 30‑day grace window, progress or agreements with the ad hoc Convertible Note holders, and any identified strategic transaction or capital‑raising milestone before the May 2026 maturity. Time horizon: immediate (30 days) for the interest grace, and through May 2026 for material recapitalization outcomes.

ENGLEWOOD, Colo., Nov. 17, 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, and rehabilitation, today reported its financial and operational results for the third quarter ended September 30, 2025.

Management Commentary and Recent Events

"Since joining the Company in August, the new management team has worked tirelessly to address the business and compliance challenges at Zynex while creating a new future for all our company," said Steven Dyson, Chief Executive Officer of Zynex.  "We have been focused on a three-part strategy: renewing our commitment to compliance and integrity, addressing the company's current liquidity challenges, and improving revenue and cash flow performance.  While the Third Quarter of 2025 was more of a continuation of first-half performance, we have seen progress with our strategy and we remain committed to rebuild and return the company to growth in the future."

Zynex has engaged Province, LLC, an internationally recognized financial advisory firm, to assist on evaluating a range of strategic alternatives, including potential capital raising opportunities and recapitalization and restructuring strategies. In addition, Paul Aronzon has joined our Board of Directors and has been appointed as Chair of a Special Committee of the Zynex Board of Directors to oversee the assessment of the above-referenced strategic alternatives.  This Committee will work closely with management, Province and counsel to assess and implement the strategic alternatives, as appropriate.

In order to preserve cash as the Company is evaluating strategic alternatives, Zynex has elected to enter the contractual thirty (30) day grace period and  will not make a $1.5 million interest payment, due November 17, 2025, on the Company's $60 million of Convertible Notes maturing in May 2026.  The Company is in discussions with Convertible Note holders regarding potential restructuring opportunities with an ad hoc group of holders of the Convertible Notes, represented by Brown Rudnick LLP. 

"We are taking decisive steps to ensure Zynex is well-positioned going forward," said Steven Dyson. "The engagement of Province and the formation of the Special Committee reflect our commitment to exploring all avenues to create a new future for Zynex."

The Company has not yet identified a strategic transaction and there can be no assurance any such transaction will result from the Special Committee's evaluation of strategic alternatives, or the timing, terms and conditions of any such transaction.

Third Quarter 2025 Financial Results

Net revenue was $13.4 million for the three months ended September 30, 2025, compared to $50.0 million in the prior year quarter. The declines in net revenue for the three months ended September 30, 2025 compared to the prior year period are primarily related to the Company's Tricare payment suspension, along with a $2.8 million reduction in revenue related to payments received from Tricare during the suspension period. Through the third quarter of 2025, changes to certain payers' claim submission and review practices have resulted in denials and payment delays, which has negatively impacted revenue. Additionally, workforce reductions in the first and second quarters of 2025 have negatively impacted device orders and corresponding supplies, new patients onboarding and order completion, contributing to the overall decline in net revenue during the three months ended September 30, 2025.

Gross profit in the quarter ended September 30, 2025, was $8.1 million, or 60% of revenue, as compared to $39.8 million or 80% of revenue, in the third quarter of 2024. Gross profit was lower due to the decrease in revenue, decreased revenue related to the Tricare revenue adjustment which had no corresponding decrease to cost of revenue, and less volume in our production facility to absorb fixed costs.

Sales and marketing expense for the three months ended September 30, 2025, decreased 54% to $9.5 million from $20.7 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 September 30, 2025, were $11.8 million, versus $15.3 million in the prior year period.

Net loss for the three months ended September 30, 2025, totaled ($42.9) million, or ($1.42) per basic and diluted share. In addition to our decline in revenue net loss was also negatively impacted by a non-cash asset impairment charge of $30.7 million during the quarter ended September 30, 2025, primarily related to goodwill, definite-lived intangible assets and certain fixed assets associated with Zynex Monitoring Solutions, Inc.

For the quarter ended September 30, 2024, net income was $2.3 million, or $0.07 per basic and diluted share.

Adjusted EBITDA loss for the three months ended September 30, 2025, was ($12.3) million, as compared to Adjusted EBITDA of $5.1 million in the quarter ended September 30, 2024.

Cash flow from operations for the three and nine months ended September 30, 2025, was ($6.3) million and ($23.0) million, respectively. As of September 30, 2025, the Company had cash and cash equivalents of $13.3 million.

Earnings Call Details

Date: Tuesday, November 18, 2025
Time: 9:00 AM Eastern Time (7:00 AM Mountain Time)
U.S. & Canada dial-in number: 800-836-8184
International number: 646-357-8785
Webcast: Q3 2025 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, and impairment charges). Management believes this non-GAAP financial measure is 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. We intend such forward-looking statements to be covered by the safe harbor provisions for forward-looking statements contained in Section 27A of the Securities Act of 1933, as amended and Section 21E of the Securities Exchange Act of 1934, as amended. These statements relate to our results of operations and the plans, strategies and objectives for future operations; potential outcomes of the evaluation of the strategic alternatives; 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 results of our review of strategic alternatives, including the impact of any potential capital raise, recapitalization or restructuring; our ability to raise capital or otherwise improve our liquidity position and continue as a going concern; the outcome of the legal proceedings and regulatory investigations in which the Company is involved;  the need to obtain CE marking of new products; the acceptance of the Company's 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; the outcome of the Tricare payment suspension; 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, market conditions; 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 amendments 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:
Vikram Bajaj, CFO
ir@zynex.com

 

ZYNEX, INC.  CONDENSED CONSOLIDATED BALANCE SHEETS  (AMOUNTS IN THOUSANDS)  (unaudited)
		September 30,			December 31,
		2025			2024
ASSETS
Current assets
Cash and cash equivalents		$	13,259		$	39,631
Accounts receivable, net			6,695			18,022
Inventory, net			11,991			13,919
Prepaid expenses and other			5,071			3,607
Total current assets			37,016			75,179
Property and equipment, net			1,287			3,084
Operating lease asset			5,788			9,820
Finance lease asset			921			1,141
Deposits			310			408
Intangible assets, net of accumulated amortization			—			7,247
Goodwill			—			20,401
Deferred income taxes			—			4,799
Total assets		$	45,322		$	122,079
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities
Accounts payable and accrued expenses			12,523			7,091
Operating lease liability			4,153			4,030
Finance lease liability			283			287
Current portion of convertible senior notes, less issuance costs			59,334			—
Accrued payroll and related taxes			2,553			5,456
Total current liabilities			78,846			16,864
Convertible senior notes, less issuance costs			—			58,567
Operating lease liability			7,208			10,151
Finance lease liability			640			789
Total liabilities			86,694			86,371
Stockholders' equity
Common stock			30			32
Additional paid-in capital			94,290			93,088
Treasury stock, at cost			(92,123)			(87,186)
Retained earnings			(43,569)			29,774
Total stockholders' equity (deficit)			(41,372)			35,708
Total liabilities and stockholders' equity		$	45,322		$	122,079

 

ZYNEX, INC. CONDENSED CONSOLIDATED STATEMENTS OF INCOME (LOSS) (AMOUNTS IN THOUSANDS, EXCEPT PER SHARE DATA) (unaudited)
		For the Three Months Ended September 30,						For the Nine Months Ended September 30,
		2025			2024			2025			2024
NET REVENUE
Devices		$	7,057		$	14,858		$	29,989		$	44,803
Supplies			6,303			35,108			32,239			101,577
Total net revenue			13,360			49,966			62,228			146,380
COSTS OF REVENUE AND OPERATING EXPENSES
Costs of revenue - devices and supplies			5,281			10,177			20,705			29,446
Sales and marketing			9,479			20,713			39,230			67,319
General and administrative			11,822			15,274			38,895			43,062
Impairment charges			30,740			—			30,740			—
Total costs of revenue and operating expenses			57,322			46,164			129,570			139,827
Income (loss) from operations			(43,962)			3,802			(67,342)			6,553
Other income (expense)
Gain on disposal of assets			—			—			—			19
Interest expense, net			(890)			(625)			(2,427)			(1,767)
Other income (expense), net			(890)			(625)			(2,427)			(1,748)
Income (loss) from operations before income taxes			(44,852)			3,177			(69,769)			4,805
Income tax (benefit) expense			(1,938)			795			3,574			1,196
Net income (loss)		$	(42,914)		$	2,382		$	(73,343)		$	3,609
Net income (loss) per share:
Basic		$	(1.42)		$	0.07		$	(2.39)		$	0.11
Diluted		$	(1.42)		$	0.07		$	(2.39)		$	0.11
Weighted average basic shares outstanding			30,314			31,775			30,721			31,960
Weighted average diluted shares outstanding			30,314			32,088			30,721			32,340

 

ZYNEX, INC. CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (AMOUNTS IN THOUSANDS) (unaudited)
		For the Nine Months Ended September 30,
		2025			2024
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income (loss)		$	(73,343)		$	3,609
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Depreciation			1,697			1,967
Amortization			1,454			1,402
Impairment charges			30,740			—
Stock-based compensation			1,453			2,345
Non-cash lease expense			(873)			(750)
Provision (benefit) for deferred income taxes			4,799			(664)
Change in fair value of contingent consideration			—			—
Gain on disposal of assets			—			(19)
Change in operating assets and liabilities:
Accounts receivable			11,327			5,215
Prepaid and other assets			(1,495)			106
Accounts payable and other accrued expenses			57			1,161
Inventory			1,174			(4,096)
Deposits			(1)			—
Net cash provided by (used in) operating activities			(23,011)			10,276
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchase of property and equipment			(215)			(362)
Net cash used in investing activities			(215)			(362)
CASH FLOWS FROM FINANCING ACTIVITIES:
Payments on finance lease obligations			(153)			(203)
Cash dividends paid			—			(9)
Purchase of treasury stock			(4,939)			(15,625)
Excise tax payments on net treasury stock purchases			—			(473)
Net borrowings under accounts receivable financing			2,153			—
Proceeds from the issuance of common stock on stock-based awards			7			13
Taxes withheld and paid on equity awards			(214)			(566)
Net cash used in financing activities			(3,146)			(16,863)
Net decrease in cash			(26,372)			(6,949)
Cash and cash equivalents at beginning of period			39,631			44,579
Cash and cash equivalents at end of period		$	13,259		$	37,630

 

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,
		2025			2024			2025			2024
Adjusted EBITDA:
Net income		$	(42,914)		$	2,382		$	(73,343)		$	3,609
Depreciation and Amortization*			493			478			1,500			1,369
Stock-based compensation expense			317			770			1,453			2,345
Interest expense and other, net			890			625			2,427			1,748
Restructuring charges**			69			—			623			—
Impairment charges			30,740			—			30,740			—
Income tax (benefit) expense			(1,938)			795			3,574			1,196
Adjusted EBITDA		$	(12,343)		$	5,050		$	(33,026)		$	10,267
% of Net Revenue			(92)	%		10	%		(53)	%		7	%

* 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 2025.

 

View original content to download multimedia:https://www.prnewswire.com/news-releases/zynex-reports-third-quarter-2025-financial-results-302617662.html

SOURCE Zynex, Inc.

FAQ

What were ZYXI Q3 2025 revenue and net loss reported on November 17, 2025?

Revenue $13.4M and net loss $42.9M for the quarter ended September 30, 2025.

Why did Zynex (ZYXI) revenue fall sharply in Q3 2025?

Revenue declines were primarily due to a Tricare payment suspension, payer claim delays and reduced sales headcount.

What liquidity actions did Zynex (ZYXI) take on November 17, 2025?

Zynex engaged Province, formed a Special Committee, entered a 30‑day grace period and did not pay a $1.5M interest payment.

How large were the impairment and Adjusted EBITDA for ZYXI in Q3 2025?

A $30.7M non-cash impairment was recorded and Adjusted EBITDA was a $12.3M loss.

What is the status of Zynex convertible notes after the Q3 2025 release?

The company has $60M of convertible notes maturing May 2026 and is in discussions with holders about potential restructuring.