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Zynex Reports Second Quarter 2025 Financial Results

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Zynex (NASDAQ: ZYXI) reported challenging Q2 2025 financial results, with net revenue declining to $22.3 million from $49.9 million year-over-year. The company posted a net loss of ($20.0 million), or ($0.66) per share, compared to net income of $1.2 million in Q2 2024.

Two significant developments marked the quarter: the appointment of Steven Dyson as new CEO, bringing 25 years of medical technology experience, and the FDA submission of their NiCO laser pulse oximeter. The company implemented efficiency improvements targeting $40 million in annualized savings, primarily effective in Q3 and Q4. Due to leadership changes, Zynex has temporarily suspended revenue and profitability guidance.

Cash and cash equivalents stood at $17.5 million, with quarterly cash collections of $26.1 million. The company's gross profit margin decreased to 68% from 80% year-over-year, affected by the Tricare payment suspension and ongoing operational restructuring.

Zynex (NASDAQ: ZYXI) ha riportato risultati finanziari difficili nel secondo trimestre del 2025, con un fatturato netto in calo a 22,3 milioni di dollari rispetto ai 49,9 milioni di dollari dell'anno precedente. L'azienda ha registrato una perdita netta di (20,0 milioni di dollari), ovvero (0,66 dollari) per azione, rispetto a un utile netto di 1,2 milioni di dollari nel secondo trimestre del 2024.

Due eventi significativi hanno caratterizzato il trimestre: la nomina di Steven Dyson come nuovo CEO, con 25 anni di esperienza nel settore delle tecnologie mediche, e la presentazione alla FDA del loro ossimetro a impulsi laser NiCO. L'azienda ha implementato miglioramenti di efficienza con l'obiettivo di 40 milioni di dollari di risparmi annualizzati, principalmente previsti per il terzo e quarto trimestre. A causa dei cambiamenti nella leadership, Zynex ha temporaneamente sospeso le previsioni su ricavi e profitti.

La liquidità e le equivalenti ammontavano a 17,5 milioni di dollari, con incassi trimestrali pari a 26,1 milioni di dollari. Il margine lordo è sceso al 68% dal 80% dell'anno precedente, influenzato dalla sospensione dei pagamenti Tricare e dalla ristrutturazione operativa in corso.

Zynex (NASDAQ: ZYXI) reportó resultados financieros desafiantes en el segundo trimestre de 2025, con ingresos netos que cayeron a 22,3 millones de dólares desde 49,9 millones de dólares interanual. La compañía registró una pérdida neta de (20,0 millones de dólares), o (0,66 dólares) por acción, en comparación con una ganancia neta de 1,2 millones de dólares en el segundo trimestre de 2024.

Dos acontecimientos importantes marcaron el trimestre: el nombramiento de Steven Dyson como nuevo CEO, con 25 años de experiencia en tecnología médica, y la presentación ante la FDA de su oxímetro de pulso láser NiCO. La empresa implementó mejoras de eficiencia con el objetivo de 40 millones de dólares en ahorros anualizados, principalmente efectivos en el tercer y cuarto trimestre. Debido a cambios en la dirección, Zynex ha suspendido temporalmente sus previsiones de ingresos y rentabilidad.

El efectivo y equivalentes se situaron en 17,5 millones de dólares, con cobros trimestrales de 26,1 millones de dólares. El margen bruto disminuyó al 68% desde el 80% interanual, afectado por la suspensión de pagos de Tricare y la reestructuración operativa en curso.

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ì´ë²ˆ 분기ì—는 ë‘� 가지 중요í•� 사건ì� 있었습니ë‹�: 25ë…� ì˜ë£Œê¸°ìˆ  경력ì� ê°€ì§� Steven Dyson ì‹ ìž„ CEO 임명ê³� FDAì—� NiCO ë ˆì´ì € 펄스 산소측정ê¸�ë¥� 제출í•� 것입니다. 회사ëŠ� 주로 3분기와 4분기ì—� ì ìš©ë� ì—°ê°„ 4,000ë§� 달러 ì ˆê° ëª©í‘œì� 효율ì„� 개선ì� 시행했습니다. 리ë”ì‹� 변화로 ì¸í•´ ZynexëŠ� ì¼ì‹œì ìœ¼ë¡� 매출 ë°� 수ìµì„� ê°€ì´ë˜ìŠ¤ë¥¼ 중단했습니다.

현금 ë°� 현금ì„� ìžì‚°ì€ 1,750ë§� 달러였으며, 분기 현금 ìˆ˜ê¸ˆì€ 2,610ë§� 달러였습니ë‹�. ì´ì´ìµë¥ ì€ Tricare ì§€ë¶� 중단ê³� ì§„í–‰ ì¤‘ì¸ ìš´ì˜ êµ¬ì¡°ì¡°ì •ì� ì˜í–¥ìœ¼ë¡œ ì „ë…„ 대ë¹� 80%ì—서 68%ë¡� 하ë½í–ˆìŠµë‹ˆë‹¤.

Zynex (NASDAQ : ZYXI) a annoncé des résultats financiers difficiles pour le deuxième trimestre 2025, avec un chiffre d'affaires net en baisse à 22,3 millions de dollars contre 49,9 millions de dollars en glissement annuel. La société a enregistré une perte nette de (20,0 millions de dollars), soit (0,66 dollar) par action, contre un bénéfice net de 1,2 million de dollars au deuxième trimestre 2024.

Deux événements majeurs ont marqué le trimestre : la nomination de Steven Dyson en tant que nouveau PDG, fort de 25 ans d'expérience dans la technologie médicale, et le dépôt auprès de la FDA de leur oxymètre de pouls laser NiCO. L'entreprise a mis en œuvre des améliorations d'efficacité visant à réaliser 40 millions de dollars d'économies annuelles, principalement effectives au troisième et quatrième trimestre. En raison des changements de direction, Zynex a temporairement suspendu ses prévisions de chiffre d'affaires et de rentabilité.

La trésorerie et les équivalents de trésorerie s'élevaient à 17,5 millions de dollars, avec des encaissements trimestriels de 26,1 millions de dollars. La marge brute a diminué à 68 % contre 80 % un an plus tôt, impactée par la suspension des paiements Tricare et la restructuration opérationnelle en cours.

Zynex (NASDAQ: ZYXI) meldete herausfordernde Finanzergebnisse für das zweite Quartal 2025, mit einem Nettoumsatzrückgang auf 22,3 Millionen US-Dollar gegenüber 49,9 Millionen US-Dollar im Vorjahreszeitraum. Das Unternehmen verzeichnete einen Nettoverlust von (20,0 Millionen US-Dollar) bzw. (0,66 US-Dollar) je Aktie, im Vergleich zu einem Nettogewinn von 1,2 Millionen US-Dollar im zweiten Quartal 2024.

Zwei bedeutende Entwicklungen prägten das Quartal: die Ernennung von Steven Dyson zum neuen CEO, der 25 Jahre Erfahrung im Bereich Medizintechnik mitbringt, sowie die FDA-Einreichung ihres NiCO Laser-Pulsoximeters. Das Unternehmen setzte Effizienzsteigerungen um, die auf 40 Millionen US-Dollar jährliche Einsparungen abzielen, hauptsächlich wirksam im dritten und vierten Quartal. Aufgrund von Führungswechseln hat Zynex seine Umsatz- und Gewinnprognosen vorübergehend ausgesetzt.

Barmittel und Zahlungsmitteläquivalente beliefen sich auf 17,5 Millionen US-Dollar, mit quartalsweisen Bareinnahmen von 26,1 Millionen US-Dollar. Die Bruttogewinnmarge sank von 80 % auf 68 %, beeinträchtigt durch die Aussetzung der Tricare-Zahlungen und die laufende operative Umstrukturierung.

Positive
  • Implemented efficiency improvements targeting $40 million in annualized savings
  • FDA submission of innovative NiCO laser pulse oximeter
  • Appointed experienced CEO Steven Dyson with 25 years of medical technology expertise
  • Reduced sales and marketing expenses by 45% year-over-year
  • Maintained strong gross profit margin of 68% despite challenges
Negative
  • Net revenue declined 55% to $22.3 million from $49.9 million year-over-year
  • Posted net loss of ($20.0 million) compared to $1.2 million profit in Q2 2024
  • Negative cash flow from operations of ($6.2 million) for the quarter
  • Suspended revenue and profitability guidance due to leadership changes
  • Tricare payment suspension continues to impact revenue and operations

Insights

Zynex reports significant quarterly loss with declining revenue, while implementing $40M cost-cutting measures and leadership changes to address challenges.

Zynex's Q2 2025 results reveal substantial financial challenges, with revenue plummeting 55.3% to $22.3 million from $49.9 million in Q2 2024. This dramatic decline stems from the ongoing Tricare payment suspension and sales force restructuring. The company reported a net loss of $20 million ($0.66 per share), compared to a $1.2 million profit in the same period last year. This includes a $10.3 million non-cash adjustment related to deferred tax assets.

Gross margin deteriorated significantly to 68% from 80% year-over-year, largely due to the company continuing to support Tricare patients without receiving corresponding revenue. Adjusted EBITDA swung to a loss of $8.9 million from positive $3.5 million in Q2 2024.

The cash position looks concerning, with operations consuming $16.7 million in the first half of 2025, leaving $17.5 million in cash and equivalents. If this burn rate continues, liquidity could become a serious issue within the next few quarters.

Management is implementing aggressive cost-cutting measures expected to save $40 million annually, including sales force reductions and operational restructuring. These changes should be fully implemented by Q4. The company has also appointed Steven Dyson as CEO, bringing 25 years of medical technology experience to lead the turnaround effort.

A positive development is the FDA submission of their NiCO laser pulse oximeter, which could diversify revenue streams. However, the suspension of forward guidance amid leadership transitions creates additional uncertainty for investors trying to gauge the timeline and likelihood of a successful turnaround.

ENGLEWOOD, Colo., July 31, 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, rehabilitation, and patient monitoring,Ìýtoday reported its financial and operational results for the second quarter ended June 30, 2025.

Management CommentaryÌý

"In the second quarter of 2025, we completed two transformational events. First, we appointed Steven Dyson as our new CEO. Steven brings over 25 years of experience in the medical technology sector, primarily through his leadership at Apax, a global private equity firm.ÌýSteven brings deep expertise and a proven track record in the medical sector. His leadership will be instrumental as we refocus our business strategy toward a more optimized payer mix and work to return Zynex to a strong growth trajectory," said Thomas Sandgaard, Founder and CEO of Zynex. "Second, we submitted our NiCO laser pulse oximeter to the FDA. This submission marks a historic milestone in the evolution of pulse oximetry and a major breakthrough in our mission to improve the quality of care and patient outcomes through our patient monitoring products."

"During the quarter we continued our efforts to refocus our sales force and operations to reflect the current landscape of insurance coverage and have made significant strides towards our goal of returning to positive cash-flow. We have implemented several efficiency improvements to internal operations, reallocating staff to more profitable business lines, reducing our cost of goods sold, and updating our organizational structure while driving the sales force to become more efficient and productive. These improvements will result in annualized savings of approximately $40 million, most of which will take full effect in the third and fourth quarters of this year."

"We strongly believe in our commitment to help patients with the best products for pain relief without the side effects that are associated with opioids. We are confident that our efforts to reduce costs and redirecting our sales force will be pivotal to improved cash flow and create a foundation for continuing to grow into the huge demand for our products."

Second Quarter 2025 Financial Results

Net revenue was $22.3 million for the three months ended June 30, 2025, compared to $49.9 million in the prior year quarter. Net revenue was negatively affected by the Tricare payment suspension, continued changes to our shipment and billing procedures to improve patient experience, and the impact of restructuring and reductions in our sales force required for cost savings.

Gross profit in the quarter ended June 30, 2025, was $15.2 million, or 68% of revenue, as compared to $39.9 million or 80% of revenue, in the second quarter of 2024. Gross profit was lower due to lower revenue and continuing to support new and existing Tricare patients which yields cost of goods sold with no related revenue.

Sales and marketing expense for the three months ended June 30, 2025, decreased 45% to $12.8 million from $23.2 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 June 30, 2025, were $12.7 million, versus $14.5 million in the prior year period.

Net loss for the three months ended June 30, 2025, totaled ($20.0) million, or ($0.66) per basic and diluted share, including a non-cash adjustment of $10.3 million or ($0.34) per share related to placing an allowance on our deferred tax assets. For the quarter ended June 30, 2024, net income was $1.2 million, or $0.04 per basic and diluted share.

Adjusted EBITDA loss for the three months ended June 30, 2025, was ($8.9) million, as compared to Adjusted EBITDA of $3.5 million in the quarter ended June 30, 2024.

Cash collections were $26.1 million during the quarter and $56.8 million year-to-date. Cash flow from operations for the three and six months ended June 30, 2025, was ($6.2) million and ($16.7) million, respectively. The sequential quarterly reduction in the deficit of cash from operations was due to the impact of expense reductions. As of June 30, 2025, the Company had cash and cash equivalents of $17.5 million.

Third Quarter 2025 Guidance

With the retirement of our current Chief Executive Officer and the announced departure of our Chief Financial Officer, the Company is temporarily suspending revenue and profitability guidance. Steven Dyson, the incoming Chief Executive Officer, will lead a review of the Company's forecasting procedures and will provide an update to investors on the potential resumption of guidance in the coming quarters.ÌýÌý

Conference Call and Webcast Details
Date: Thursday, July 31, 2025
Time: 4:15 PM Eastern Time (2:15 PM Mountain Time)
U.S. & Canada dial-in number: 800-836-8184
International number: 646-357-8785
Webcast:

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, receivables adjustment 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.

Safe Harbor Statement

This press release contains forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995, as amended. our results of operations and the plans, strategies and objectives for future operations; the timing and scope of any potential stock repurchase; 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-lookingÌýstatements 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. BecauseÌýforward-lookingÌýstatements 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; 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 endedÌýDecember 31, 2024,Ìýas well as our quarterly reports on Form 10-Q 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.

AboutÌýZynex, 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:Ìý.

Investor Relations Contact:
Dan Moorhead, CFO
[email protected]

Ìý

ZYNEX, INC.Ìý

CONDENSED CONSOLIDATED BALANCE SHEETSÌý

(AMOUNTS IN THOUSANDS)Ìý

(unaudited)

Ìý



JuneÌý30,Ìý


DecemberÌý31,



2025


2024

ASSETS







Current assets







Cash and cash equivalents


$

17,543


$

39,631

Accounts receivable, net



10,345



18,022

Inventory, net



12,211



13,919

Prepaid expenses and other



5,501



3,607

Total current assets



45,600



75,179








Property and equipment, net



2,862



3,084

Operating lease asset



8,873



9,820

Finance lease asset



994



1,141

Deposits



408



408

Intangible assets, net of accumulated amortization



6,797



7,247

Goodwill



20,401



20,401

Deferred income taxes



�



4,799

Total assets


$

85,935


$

122,079








LIABILITIES AND STOCKHOLDERS' EQUITY







Current liabilities







Accounts payable and accrued expenses



7,349



7,091

Operating lease liability



4,217



4,030

Finance lease liability



290



287

Current portion of convertible senior notes, less issuance costs



59,074



�

Accrued payroll and related taxes



2,929



5,456

Total current liabilities



73,859



16,864








Convertible senior notes, less issuance costs



�



58,567

Operating lease liability



8,171



10,151

Finance lease liability



708



789

Deferred tax liabilities, net



1,936



�

Total liabilities



84,674



86,371








Stockholders' equity







Common stock



30



32

Additional paid-in capital



94,009



93,088

Treasury stock, at cost



(92,123)



(87,186)

Retained earnings



(655)



29,774

Total stockholders' equity



1,261



35,708

Total liabilities and stockholders' equity


$

85,935


$

122,079

Ìý

ZYNEX, INC.

CONDENSED CONSOLIDATED STATEMENTS OF INCOME (LOSS)

(AMOUNTS IN THOUSANDS, EXCEPT PER SHARE DATA)

(unaudited)
















For the Three Months Ended JuneÌý30,Ìý


For the Six Months Ended JuneÌý30,Ìý



2025


2024


2025


2024

NET REVENUE













Devices


$

11,034


$

15,920


$

22,932


$

29,945

Supplies



11,256



33,963



25,936



66,469

Total net revenue



22,290



49,883



48,868



96,414














COSTS OF REVENUE AND OPERATING EXPENSES













Costs of revenue - devices and supplies



7,055



9,971



15,424



19,269

Sales and marketing



12,811



23,226



29,751



46,606

General and administrative



12,707



14,460



27,073



27,788

Total costs of revenue and operating expenses



32,573



47,657



72,248



93,663














Income (loss) from operations



(10,283)



2,226



(23,380)



2,751














Other income (expense)













Gain on disposal of assets



�



19



�



19

Interest expense, net



(834)



(630)



(1,537)



(1,142)

Other income (expense), net



(834)



(611)



(1,537)



(1,123)














Income (loss) from operations before income taxes



(11,117)



1,615



(24,917)



1,628

Income tax expense



8,916



398



5,512



401

Net income (loss)


$

(20,033)


$

1,217


$

(30,429)


$

1,227














Net income (loss) per share:













Basic


$

(0.66)


$

0.04


$

(0.98)


$

0.04

Diluted


$

(0.66)


$

0.04


$

(0.98)


$

0.04














Weighted average basic shares outstanding



30,258



31,762



30,927



32,053

Weighted average diluted shares outstanding



30,258



32,204



30,927



32,516

Ìý

ZYNEX, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(AMOUNTS IN THOUSANDS)

(unaudited)










For the Six Months Ended JuneÌý30,Ìý



2025


2024

CASH FLOWS FROM OPERATING ACTIVITIES:







Net income (loss)


$

(30,429)


$

1,227

Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:







Depreciation



1,166



1,329

Amortization



963



928

Stock-based compensation



1,136



1,575

Non-cash lease expense



(586)



(467)

Provision (benefit) for deferred income taxes



6,735



(195)

Gain on disposal of assets



�



(19)

Change in operating assets and liabilities:







ÌýÌý Accounts receivable



7,677



3,244

ÌýÌý Prepaid and other assets



(1,493)



(805)

ÌýÌý Accounts payable and other accrued expenses



(2,989)



(288)

ÌýÌý Inventory



1,118



(3,327)

ÌýÌý Deposits



(1)



�

Net cash provided by (used in) operating activities



(16,703)



3,202








CASH FLOWS FROM INVESTING ACTIVITIES:







Purchase of property and equipment



(197)



(290)

Net cash (used in) investing activities



(197)



(290)








CASH FLOWS FROM FINANCING ACTIVITIES:







Payments on finance lease obligations



(79)



(148)

Cash dividends paid



�



(3)

Purchase of treasury stock



(4,939)



(15,625)

Excise tax payments on net treasury stock purchases



�



(473)

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



7



13

Taxes withheld and paid on equity awards



(177)



(359)

Net cash (used in) financing activities



(5,188)



(16,595)








Net decrease in cash



(22,088)



(13,683)

Cash and cash equivalents at beginning of period



39,631



44,579

Cash and cash equivalents at end of period


$

17,543


$

30,896

Ìý

ZYNEX, INC.

RECONCILIATION OF GAAP TO NON-GAAP MEASURES

(AMOUNTS IN THOUSANDS)

(unaudited)

















For the Three Months Ended JuneÌý30,Ìý


For the Six Months Ended JuneÌý30,Ìý




2025


2024


2025


2024


Adjusted EBITDA:














Net income


$

(20,033)


$

1,217


$

(30,429)


$

1,227


Depreciation and Amortization*



498



465



1,007



891


Stock-based compensation expense



559



841



1,136



1,575


Interest expense and other, net



834



611



1,537



1,123


Restructuring charges**



327



-



554



-


Income tax (benefit) expense



8,916



398



5,512



401


Adjusted EBITDA


$

(8,899)


$

3,532


$

(20,683)


$

5,217


% of Net Revenue



(40)

%


7

%


(42)

%


3

%


* 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 Q1 and Q2-2025.

Ìý

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FAQ

What were Zynex (ZYXI) Q2 2025 earnings results?

Zynex reported Q2 2025 net revenue of $22.3 million and a net loss of ($20.0 million), or ($0.66) per share, with gross profit margin at 68%.

Who is the new CEO of Zynex (ZYXI)?

Steven Dyson was appointed as the new CEO, bringing over 25 years of experience in the medical technology sector, primarily through his leadership at Apax, a global private equity firm.

What cost-saving measures has Zynex (ZYXI) implemented in Q2 2025?

Zynex implemented efficiency improvements targeting $40 million in annualized savings, including staff reallocation, reduced cost of goods sold, and organizational restructuring.

What is Zynex's (ZYXI) cash position as of Q2 2025?

As of June 30, 2025, Zynex had $17.5 million in cash and cash equivalents, with quarterly cash collections of $26.1 million.

What new product did Zynex (ZYXI) submit to the FDA in Q2 2025?

Zynex submitted its NiCO laser pulse oximeter to the FDA, marking a significant milestone in pulse oximetry development.
Zynex Inc

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75.29M
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45.64%
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13.86%
Medical Distribution
Electromedical & Electrotherapeutic Apparatus
United States
ENGLEWOOD