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UPLOAD Filing

ZYNEX INC
Date: May 21, 2025 · CIK: 0000846475 · Accession: 0000000000-25-005440

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File numbers found in text: 001-38804

Date
May 21, 2025
Author
Services
Form
UPLOAD
Company
ZYNEX INC

Letter

Re: ZYNEX INC Form 10-K filed March 11, 2025 File No. 001-38804 Dear Daniel Moorhead:

May 21, 2025

Daniel Moorhead Chief Financial Officer ZYNEX INC 9655 Maroon Circle Englewood, CO 80112

We have reviewed your filing and have the following comments. Please respond to this letter within ten business days by providing the requested information or advise us as soon as possible when you will respond. If you do not believe a comment applies to your facts and circumstances, please tell us why in your response. After reviewing your response to this letter, we may have additional comments.

Form 10-K for Fiscal Year Ended December 31, 2024 We face periodic reviews and billing audits..., page 13

1. We note your disclosure that you are subject to reviews and audits from various parties; however, your risk factor does not indicate whether you have historically experienced a corresponding material adverse effect on your business, financial condition, results of operations, or cash flows. Also, the disclosure does not indicate whether you have historically lost your right to participate in the Medicare program, state programs, or one or more private payer networks. Please expand your disclosure to clarify the extent to which you have experienced any material adverse effects on your business or lost your right to participate in any government programs or private payor networks, so that investors may better assess the magnitude of these risks. In addition, please expand the succeeding risk factor about third-party payer reimbursements to disclose the extent to which you have been materially impacted. For example, we note your disclosure elsewhere that you were recently notified that TriCare, one of your government payers, was temporarily suspending payment as they review prior claims. May 21, 2025 Page 2

Critical Accounting Estimates, page 41

2. Your risk factor on page 14 states that inaccurate accounting estimates could have a material adverse impact on your operating results. Please expand your critical accounting policy disclosures to include quantified information about how changes to critical estimates underlying revenue recognition and collection of receivables have impacted reported revenue and operating results. Refer to Item 303(b)(3) of Regulation S-K

Form 10-Q filed April 29, 2025 Recent Events, page 7

3. We note TriCare is suspending payments as they review prior claims. Please discuss the nature of the TriCare matter including known material facts and circumstances, such as the magnitude of claims potentially being reviewed by TriCare, the potential impact to your financial statements if you have to reimburse TriCare, and the underlying reasons for the dispute. Tell us your consideration of providing disclosure responsive to ASC 450-20-50 in your footnotes. Results of Operations Net Revenue, page 22

4. We note sales of devices and supplies during the quarter ending March 31, 2025, decreased 15% and 55% over the comparable interim period ending March 31, 2024, and 20% and 53% over the prior quarter ending December 31, 2024. Please separately quantify the amount of the decrease from changes in volumes sold during the periods, constrained revenue from fulfilling new orders related to current period sales to TriCare patients, and adjustments to prior period revenue from changes in estimates relating to the TriCare investigation. 5. Please clarify how the TriCare matter impacted the accounting for 2025 first quarter sales where TriCare is a payer. Clarify whether revenue was recognized on those sale transactions and, if so, whether there was a material change in the estimated net sales prices. Liquidity, page 23

6. Please expand your disclosure to identify the expected sources of cash that you intend to use in order to redeem the Senior Notes, which mature on May 15, 2026. See Item 303(a) of Regulation S-K. We remind you that the company and its management are responsible for the accuracy and adequacy of their disclosures, notwithstanding any review, comments, action or absence of action by the staff. Please contact Al Pavot at 202-551-3738 or Terence O'Brien at 202- 551-3355 if you have questions regarding comments on the financial statements and related matters. Please contact Juan Grana at 202-551-6034 or Katherine Bagley at 202-551-2545 with any other questions. May 21, 2025 Page 3

Sincerely,
Division of Corporation Finance
Office of Industrial Applications and
Services

Show Raw Text
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<TEXT>
 May 21, 2025

Daniel Moorhead
Chief Financial Officer
ZYNEX INC
9655 Maroon Circle
Englewood, CO 80112

 Re: ZYNEX INC
 Form 10-K filed March 11, 2025
 File No. 001-38804
Dear Daniel Moorhead:

 We have reviewed your filing and have the following comments. Please
respond to
this letter within ten business days by providing the requested information or
advise us as
soon as possible when you will respond. If you do not believe a comment applies
to your
facts and circumstances, please tell us why in your response. After reviewing
your response
to this letter, we may have additional comments.

Form 10-K for Fiscal Year Ended December 31, 2024
We face periodic reviews and billing audits..., page 13

1. We note your disclosure that you are subject to reviews and audits from
various
 parties; however, your risk factor does not indicate whether you have
historically
 experienced a corresponding material adverse effect on your business,
financial
 condition, results of operations, or cash flows. Also, the disclosure
does not indicate
 whether you have historically lost your right to participate in the
Medicare program,
 state programs, or one or more private payer networks. Please expand
your disclosure
 to clarify the extent to which you have experienced any material adverse
effects on
 your business or lost your right to participate in any government
programs or private
 payor networks, so that investors may better assess the magnitude of
these risks. In
 addition, please expand the succeeding risk factor about third-party
payer
 reimbursements to disclose the extent to which you have been materially
impacted.
 For example, we note your disclosure elsewhere that you were recently
notified that
 TriCare, one of your government payers, was temporarily suspending
payment as they
 review prior claims.
 May 21, 2025
Page 2

Critical Accounting Estimates, page 41

2. Your risk factor on page 14 states that inaccurate accounting estimates
could have a
 material adverse impact on your operating results. Please expand your
critical
 accounting policy disclosures to include quantified information about
how changes to
 critical estimates underlying revenue recognition and collection of
receivables have
 impacted reported revenue and operating results. Refer to Item 303(b)(3)
of
 Regulation S-K

Form 10-Q filed April 29, 2025
Recent Events, page 7

3. We note TriCare is suspending payments as they review prior claims.
Please discuss
 the nature of the TriCare matter including known material facts and
circumstances,
 such as the magnitude of claims potentially being reviewed by TriCare,
the potential
 impact to your financial statements if you have to reimburse TriCare,
and the
 underlying reasons for the dispute. Tell us your consideration of
providing disclosure
 responsive to ASC 450-20-50 in your footnotes.
Results of Operations
Net Revenue, page 22

4. We note sales of devices and supplies during the quarter ending March
31, 2025,
 decreased 15% and 55% over the comparable interim period ending March
31, 2024,
 and 20% and 53% over the prior quarter ending December 31, 2024. Please
separately
 quantify the amount of the decrease from changes in volumes sold during
the periods,
 constrained revenue from fulfilling new orders related to current period
sales to
 TriCare patients, and adjustments to prior period revenue from changes
in estimates
 relating to the TriCare investigation.
5. Please clarify how the TriCare matter impacted the accounting for 2025
first quarter
 sales where TriCare is a payer. Clarify whether revenue was recognized
on those sale
 transactions and, if so, whether there was a material change in the
estimated net sales
 prices.
Liquidity, page 23

6. Please expand your disclosure to identify the expected sources of cash
that you intend
 to use in order to redeem the Senior Notes, which mature on May 15,
2026. See Item
 303(a) of Regulation S-K.
 We remind you that the company and its management are responsible for
the accuracy
and adequacy of their disclosures, notwithstanding any review, comments, action
or absence
of action by the staff. Please contact Al Pavot at 202-551-3738 or Terence
O'Brien at 202-
551-3355 if you have questions regarding comments on the financial statements
and related
matters. Please contact Juan Grana at 202-551-6034 or Katherine Bagley at
202-551-2545
with any other questions.
 May 21, 2025
Page 3

 Sincerely,

 Division of Corporation Finance
 Office of Industrial Applications and
 Services
</TEXT>
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