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ZYXI vs STIM
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Diagnostics & Research
ZYXI vs STIM — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||
|---|---|---|
| Industry | Medical - Distribution | Medical - Diagnostics & Research |
| Market Cap | $2M | $133M |
| Revenue (TTM) | $108M | $152M |
| Net Income (TTM) | $-74M | $-37M |
| Gross Margin | 71.6% | 48.0% |
| Operating Margin | -62.8% | -19.4% |
| Forward P/E | 0.6x | — |
| Total Debt | $74M | $90M |
| Cash & Equiv. | $40M | $34M |
ZYXI vs STIM — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | Mar 26 | Return |
|---|---|---|---|
| Zynex, Inc. (ZYXI) | 100 | 0.3 | -99.7% |
| Neuronetics, Inc. (STIM) | 100 | 114.2 | +14.2% |
Price return only. Dividends and distributions are not included.
Quick Verdict: ZYXI vs STIM
Each card shows where this stock fits in a portfolio — not just who wins on paper.
ZYXI is the clearest fit if your priority is long-term compounding and sleep-well-at-night.
- -29.4% 10Y total return vs STIM's -93.1%
- Lower volatility, beta 4.55, current ratio 4.46x
- 0.5% yield; 1-year raise streak; the other pay no meaningful dividend
STIM carries the broadest edge in this set and is the clearest fit for income & stability and growth exposure.
- beta 1.90
- Rev growth 99.2%, EPS growth 57.2%, 3Y rev CAGR 31.8%
- Beta 1.90, current ratio 2.02x
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 99.2% revenue growth vs ZYXI's 4.4% | |
| Quality / Margins | -24.5% margin vs ZYXI's -68.4% | |
| Stability / Safety | Beta 1.90 vs ZYXI's 4.55 | |
| Dividends | 0.5% yield; 1-year raise streak; the other pay no meaningful dividend | |
| Momentum (1Y) | -57.6% vs ZYXI's -97.3% | |
| Efficiency (ROA) | -27.1% ROA vs ZYXI's -82.4%, ROIC -26.6% vs 6.1% |
ZYXI vs STIM — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
ZYXI vs STIM — Financial Metrics
Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.
Income & Cash Flow (Last 12 Months)
STIM leads this category, winning 5 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
STIM and ZYXI operate at a comparable scale, with $152M and $108M in trailing revenue. STIM is the more profitable business, keeping -24.5% of every revenue dollar as net income compared to ZYXI's -68.4%. On growth, STIM holds the edge at +7.8% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||
|---|---|---|
| RevenueTrailing 12 months | $108M | $152M |
| EBITDAEarnings before interest/tax | -$64M | -$27M |
| Net IncomeAfter-tax profit | -$74M | -$37M |
| Free Cash FlowCash after capex | -$21M | -$4M |
| Gross MarginGross profit ÷ Revenue | +71.6% | +48.0% |
| Operating MarginEBIT ÷ Revenue | -62.8% | -19.4% |
| Net MarginNet income ÷ Revenue | -68.4% | -24.5% |
| FCF MarginFCF ÷ Revenue | -19.4% | -2.6% |
| Rev. Growth (YoY)Latest quarter vs prior year | -73.3% | +7.8% |
| EPS Growth (YoY)Latest quarter vs prior year | -20.1% | +23.8% |
Valuation Metrics
ZYXI leads this category, winning 2 of 3 comparable metrics.
Valuation Metrics
| Metric | ||
|---|---|---|
| Market CapShares × price | $2M | $133M |
| Enterprise ValueMkt cap + debt − cash | $36M | $189M |
| Trailing P/EPrice ÷ TTM EPS | 0.61x | -3.24x |
| Forward P/EPrice ÷ next-FY EPS est. | — | — |
| PEG RatioP/E ÷ EPS growth rate | — | — |
| EV / EBITDAEnterprise value multiple | 3.33x | — |
| Price / SalesMarket cap ÷ Revenue | 0.01x | 0.89x |
| Price / BookPrice ÷ Book value/share | 0.05x | 4.80x |
| Price / FCFMarket cap ÷ FCF | 0.14x | — |
Profitability & Efficiency
ZYXI leads this category, winning 6 of 9 comparable metrics.
Profitability & Efficiency
STIM delivers a -139.8% return on equity — every $100 of shareholder capital generates $-140 in annual profit, vs $-18 for ZYXI. ZYXI carries lower financial leverage with a 2.07x debt-to-equity ratio, signaling a more conservative balance sheet compared to STIM's 3.44x. On the Piotroski fundamental quality scale (0–9), ZYXI scores 6/9 vs STIM's 4/9, reflecting solid financial health.
| Metric | ||
|---|---|---|
| ROE (TTM)Return on equity | -18.1% | -139.8% |
| ROA (TTM)Return on assets | -82.4% | -27.1% |
| ROICReturn on invested capital | +6.1% | -26.6% |
| ROCEReturn on capital employed | +5.4% | -28.5% |
| Piotroski ScoreFundamental quality 0–9 | 6 | 4 |
| Debt / EquityFinancial leverage | 2.07x | 3.44x |
| Net DebtTotal debt minus cash | $34M | $56M |
| Cash & Equiv.Liquid assets | $40M | $34M |
| Total DebtShort + long-term debt | $74M | $90M |
| Interest CoverageEBIT ÷ Interest expense | -22.32x | -2.43x |
Total Returns (Dividends Reinvested)
STIM leads this category, winning 5 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in STIM five years ago would be worth $1,452 today (with dividends reinvested), compared to $113 for ZYXI. Over the past 12 months, STIM leads with a -57.6% total return vs ZYXI's -97.3%. The 3-year compound annual growth rate (CAGR) favors STIM at -4.6% vs ZYXI's -82.1% — a key indicator of consistent wealth creation.
| Metric | ||
|---|---|---|
| YTD ReturnYear-to-date | -49.1% | +32.6% |
| 1-Year ReturnPast 12 months | -97.3% | -57.6% |
| 3-Year ReturnCumulative with dividends | -99.4% | -13.2% |
| 5-Year ReturnCumulative with dividends | -98.9% | -85.5% |
| 10-Year ReturnCumulative with dividends | -29.4% | -93.1% |
| CAGR (3Y)Annualised 3-year return | -82.1% | -4.6% |
Risk & Volatility
STIM leads this category, winning 2 of 2 comparable metrics.
Risk & Volatility
STIM is the less volatile stock with a 1.90 beta — it tends to amplify market swings less than ZYXI's 4.55 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. STIM currently trades 39.4% from its 52-week high vs ZYXI's 2.0% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||
|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 4.55x | 1.90x |
| 52-Week HighHighest price in past year | $2.82 | $4.85 |
| 52-Week LowLowest price in past year | $0.02 | $0.80 |
| % of 52W HighCurrent price vs 52-week peak | +2.0% | +39.4% |
| RSI (14)Momentum oscillator 0–100 | 59.5 | 74.3 |
| Avg Volume (50D)Average daily shares traded | 87K | 1.9M |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
ZYXI is the only dividend payer here at 0.51% yield — a key consideration for income-focused portfolios.
| Metric | ||
|---|---|---|
| Analyst RatingConsensus buy/hold/sell | — | Buy |
| Price TargetConsensus 12-month target | — | $8.00 |
| # AnalystsCovering analysts | — | 7 |
| Dividend YieldAnnual dividend ÷ price | +0.5% | — |
| Dividend StreakConsecutive years of raises | 1 | — |
| Dividend / ShareAnnual DPS | $0.00 | — |
| Buyback YieldShare repurchases ÷ mkt cap | +100.0% | 0.0% |
STIM leads in 3 of 6 categories (Income & Cash Flow, Total Returns). ZYXI leads in 2 (Valuation Metrics, Profitability & Efficiency).
ZYXI vs STIM: Frequently Asked Questions
8 questions · data-driven answers · updated daily
01Is ZYXI or STIM a better buy right now?
For growth investors, Neuronetics, Inc.
(STIM) is the stronger pick with 99. 2% revenue growth year-over-year, versus 4. 4% for Zynex, Inc. (ZYXI). Zynex, Inc. (ZYXI) offers the better valuation at 0. 6x trailing P/E, making it the more compelling value choice. Analysts rate Neuronetics, Inc. (STIM) a "Buy" — based on 7 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.
02Which is the better long-term investment — ZYXI or STIM?
Over the past 5 years, Neuronetics, Inc.
(STIM) delivered a total return of -85. 5%, compared to -98. 9% for Zynex, Inc. (ZYXI). Over 10 years, the gap is even starker: ZYXI returned -29. 4% versus STIM's -93. 1%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
03Which is safer — ZYXI or STIM?
By beta (market sensitivity over 5 years), Neuronetics, Inc.
(STIM) is the lower-risk stock at 1. 90β versus Zynex, Inc. 's 4. 55β — meaning ZYXI is approximately 139% more volatile than STIM relative to the S&P 500. On balance sheet safety, Zynex, Inc. (ZYXI) carries a lower debt/equity ratio of 2% versus 3% for Neuronetics, Inc. — giving it more financial flexibility in a downturn.
04Which is growing faster — ZYXI or STIM?
By revenue growth (latest reported year), Neuronetics, Inc.
(STIM) is pulling ahead at 99. 2% versus 4. 4% for Zynex, Inc. (ZYXI). On earnings-per-share growth, the picture is similar: Neuronetics, Inc. grew EPS 57. 2% year-over-year, compared to -66. 7% for Zynex, Inc.. Over a 3-year CAGR, STIM leads at 31. 8% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.
05Which has better profit margins — ZYXI or STIM?
Zynex, Inc.
(ZYXI) is the more profitable company, earning 1. 6% net margin versus -26. 1% for Neuronetics, Inc. — meaning it keeps 1. 6% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: ZYXI leads at 3. 1% versus -21. 1% for STIM. At the gross margin level — before operating expenses — ZYXI leads at 79. 5%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.
06Which pays a better dividend — ZYXI or STIM?
In this comparison, ZYXI (0.
5% yield) pays a dividend. STIM does not pay a meaningful dividend and should not be held primarily for income.
07Is ZYXI or STIM better for a retirement portfolio?
For long-horizon retirement investors, Zynex, Inc.
(ZYXI) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (0. 5% yield). Neuronetics, Inc. (STIM) carries a higher beta of 1. 90 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (ZYXI: -29. 4%, STIM: -93. 1%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.
08What are the main differences between ZYXI and STIM?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
In terms of investment character: ZYXI is a small-cap deep-value stock; STIM is a small-cap high-growth stock. ZYXI pays a dividend while STIM does not, making them suitable for different income and tax situations. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.
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