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SMTI logoSanara MedTech Inc.(SMTI)Earnings, Financials & Key Ratios

SMTI•NASDAQ
$19.08
$170M mkt cap·Price updated May 7, 2026
SectorHealthcareIndustryMedical InstrumentsSub-IndustryWound care and infection prevention
AboutSanara MedTech Inc. develops, markets, and distributes wound and skin care products to physicians, hospitals, clinics, and post-acute care settings in the United States. It offers CellerateRX Surgical Activated Collagen powder and gel that are used in a range of surgical specialties to help promote patient healing; Biako's Antimicrobial Skin and Wound Cleanser, a patented product that disrupts extracellular polymeric substances to eradicate mature biofilm microbes; Biako's Antimicrobial Wound Gel, an antimicrobial hydrogel wound dressing helps against planktonic microbes, as well as immature and mature biofilms; and Biako's Antimicrobial Skin and Wound Irrigation Solution. The company also provides HYCOL Hydrolyzed Collagen Powder and Gel, a medical hydrolysate of Type I bovine collagen for the management of full and partial thickness wounds, including pressure ulcers, venous and arterial leg ulcers, and diabetic foot ulcers. In addition, it develops FORTIFY TRG, a freeze-dried, multi-layer small intestinal submucosa extracellular matrix sheet; FORTIFY FLOWABLE extracellular matrix, an advanced wound care device; and VIM Amnion Matrix, a single layer sheet of amnion tissue. The company was formerly known as WNDM Medical Inc. and changed its name to Sanara MedTech Inc. in May 2019. Sanara MedTech Inc. was incorporated in 2001 and is based in Fort Worth, Texas.Show more
  • Revenue$103M+19.0%
  • EBITDA$10M+656.1%
  • Net Income-$38M-288.7%
  • EPS (Diluted)-4.36-282.5%
  • Gross Margin92.71%+2.3%
  • EBITDA Margin9.67%+567.4%
  • Operating Margin7.08%+191.4%
  • Net Margin-36.43%-226.7%
  • ROE-167.53%-623.7%
  • ROIC11.8%+224.8%
  • Debt/Equity8.13+879.5%
Technical→

SMTI Key Insights

Sanara MedTech Inc. (SMTI) fundamental analysis — strengths, weaknesses & financial health based on data analysis

✓Strengths

  • ✓Strong 5Y sales CAGR of 45.9%
  • ✓Efficient asset utilization: 2.6x turnover

✗Weaknesses

  • ✗High debt to equity ratio of 8.1x
  • ✗Weak momentum: RS Rating 19 (bottom 19%)
  • ✗Trading more than 30% below 52-week high
  • ✗Expensive at 27.7x book value

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

SMTI Price & Volume

Sanara MedTech Inc. (SMTI) stock price & volume — 10-year historical chart

Loading chart...

SMTI Growth Metrics

Sanara MedTech Inc. (SMTI) revenue, earnings & EPS growth — 3, 5 & 10-year CAGR

Revenue CAGR

10 Years40.78%
5 Years45.92%
3 Years31.03%
TTM18.97%

Profit CAGR

10 Years-
5 Years-
3 Years-
TTM-288.66%

EPS CAGR

10 Years-
5 Years-
3 Years-
TTM-221.05%

Return on Capital

10 Years-27.78%
5 Years-14.87%
3 Years-0.76%
Last Year15.61%

SMTI Recent Earnings

Sanara MedTech Inc. (SMTI) EPS & revenue vs analyst estimates — last 4 quarters

Full history →
●Beat EPS 6/12 qtrs (50%)●Beat Revenue 5/12 qtrs (42%)
Q2 2026Latest
Mar 24, 2026
EPS
$0.04
Est $0.11
-63.6%
Revenue
$28M
Est $27M
+0.5%
Q4 2025
Nov 12, 2025
EPS
$0.09
Est $0.24
+137.5%
Revenue
$26M
Est $27M
-3.2%
Q3 2025
Aug 13, 2025
EPS
$0.23
Est $0.33
+30.3%
Revenue
$26M
Est $27M
-2.9%
Q2 2025
May 14, 2025
EPS
$0.41
Est $0.31
-32.3%
Revenue
$23M
Est $25M
-5.9%
QuarterDateEPS (Act vs Est)Revenue (Act vs Est)
Q2 2026LatestMar 24, 2026
$0.04vs $0.11-63.6%
$28Mvs $27M+0.5%
Q4 2025Nov 12, 2025
$0.09vs $0.24+137.5%
$26Mvs $27M-3.2%
Q3 2025Aug 13, 2025
$0.23vs $0.33+30.3%
$26Mvs $27M-2.9%
Q2 2025May 14, 2025
$0.41vs $0.31-32.3%
$23Mvs $25M-5.9%
Based on last 12 quarters of dataView full earnings history →

SMTI Peer Comparison

Sanara MedTech Inc. (SMTI) competitors in Wound care and infection prevention — business model, growth, and fundamentals comparison

Select Columns
Stock Universe
Valuation
Growth
Profitability
Financial Health
Dividends & Buybacks
Price Performance
Technical
Fundamentals ($)
Sector-Specific
CompanyMarket CapStock PriceP/E Ratio (TTM)Revenue Growth 1YNet MarginReturn on Equity (ROE)FCF YieldDebt / Equity
NVCR logoNVCRNovoCure LimitedDirect Competitor1.92B16.83-13.808.28%-25.66%-50.82%0.85
XTNT logoXTNTXtant Medical Holdings, Inc.Direct Competitor79.8M0.57-4.7528.44%1.32%3.77%0.82
MDXG logoMDXGMiMedx Group, Inc.Direct Competitor548.21M3.6911.5319.99%7.88%12.86%0.09
KROS logoKROSKeros Therapeutics, Inc.Product Competitor433.26M11.645.0667.75%35.65%14.25%0.06
BLCO logoBLCOBausch + Lomb CorporationProduct Competitor5.67B15.90-15.596.47%-4.21%-3.37%0.82
CWST logoCWSTCasella Waste Systems, Inc.Product Competitor5.35B85.45712.0817.95%0.38%0.46%0.79
HROW logoHROWHarrow Health, Inc.Product Competitor1.45B39.05-278.9336.41%-1.89%-10.07%4.84
SRDX logoSRDXSurmodics, Inc.Product Competitor614.51M42.98-52.41-4.91%-14.59%-15.59%0.28

Compare SMTI vs Peers

Sanara MedTech Inc. (SMTI) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs NVCR

Most directly comparable listed peer for SMTI.

Scale Benchmark

vs BDX

Larger-name benchmark to compare SMTI against a more recognizable public peer.

Peer Set

Compare Top 5

vs NVCR, XTNT, MDXG, KROS

SMTI Income Statement

Sanara MedTech Inc. (SMTI) annual income statement — 10-year revenue, gross profit & net income history

10Y historyFree accessUpdated daily
Line itemDec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25
Sales/Revenue6.3M5.84M11.77M15.59M24.14M45.84M64.99M86.67M103.12M
Revenue Growth %14.47%-7.41%101.56%32.47%54.9%89.87%41.77%33.36%18.97%
Cost of Goods Sold806.04K507.42K1.21M1.62M2.31M6.36M7.85M8.14M7.52M
COGS % of Revenue12.78%8.69%10.28%10.37%9.57%13.88%12.08%9.39%7.29%
Gross Profit
5.5M▲ 0%
5.33M▼ 3.1%
10.56M▲ 98.1%
13.97M▲ 32.3%
21.83M▲ 56.3%
39.48M▲ 80.8%
57.14M▲ 44.7%
78.53M▲ 37.4%
95.6M▲ 21.7%
Gross Margin %87.22%91.31%89.72%89.63%90.43%86.12%87.92%90.61%92.71%
Gross Profit Growth %20.47%-3.06%98.06%32.33%56.28%80.84%44.72%37.45%21.73%
Operating Expenses5.36M5.82M13.3M19M29.21M52M61.35M85.25M83.79M
OpEx % of Revenue84.95%99.69%113.01%121.93%120.98%113.43%94.4%98.36%81.26%
Selling, General & Admin5.28M5.74M13.07M18.67M28.05M45.98M56.99M76.56M78.72M
SG&A % of Revenue83.67%98.25%111.05%119.8%116.19%100.29%87.7%88.33%76.34%
Research & Development00040.19K558.7K3.37M4.13M5.7M5.07M
R&D % of Revenue---0.26%2.31%7.34%6.36%6.58%4.92%
Other Operating Expenses125-22.08K229.95K291.37K596.98K2.66M225.13K2.98M0
Operating Income
120.44K▲ 0%
-501.86K▼ 516.7%
-2.74M▼ 446.0%
-5.03M▼ 83.7%
-7.38M▼ 46.5%
-12.52M▼ 69.7%
-4.22M▲ 66.3%
-6.72M▼ 59.3%
7.3M▲ 208.8%
Operating Margin %1.91%-8.6%-23.29%-32.3%-30.55%-27.3%-6.49%-7.75%7.08%
Operating Income Growth %144.26%-516.68%-445.98%-83.74%-46.51%-69.7%66.33%-59.32%208.77%
EBITDA201.09K-444.92K-2.62M-4.74M-6.6M-10.15M-540.13K-1.79M9.97M
EBITDA Margin %3.19%-7.62%-22.27%-30.43%-27.35%-22.13%-0.83%-2.07%9.67%
EBITDA Growth %195.19%-321.25%-488.89%-81.03%-39.23%-53.63%94.68%-231.82%656.08%
D&A (Non-Cash Add-back)80.65K56.94K119.95K291.37K771.93K2.37M3.68M4.92M2.66M
EBIT458.13K-513.99K-2.73M-4.43M-7.99M-13.94M-3.96M-6.78M0
Net Interest Income-126.83K-86.59K-105.92K-11.53K-7110-475.78K-3.11M0
Interest Income00000284.75K021.98K3.67K
Interest Expense126.83K86.59K105.92K11.53K711284.75K475.78K3.13M-6.76M
Other Income/Expense210.87K-98.71K-95.72K589.47K-617.64K-1.42M-224.75K-3.2M-44.87M
Pretax Income
331.31K▲ 0%
-600.57K▼ 281.3%
-2.84M▼ 372.2%
-4.45M▼ 56.8%
-7.99M▼ 79.8%
-13.94M▼ 74.3%
-4.44M▲ 68.1%
-9.91M▼ 123.2%
-37.56M▼ 279.0%
Pretax Margin %5.25%-10.29%-24.1%-28.52%-33.11%-30.4%-6.83%-11.44%-36.43%
Income Tax00000-5.84M000
Effective Tax Rate %0%0%0%0%0%41.94%0%0%0%
Net Income
331.31K▲ 0%
-600.57K▼ 281.3%
-2.81M▼ 368.6%
-4.36M▼ 54.8%
-7.92M▼ 81.8%
-7.94M▼ 0.2%
-4.3M▲ 45.8%
-9.66M▼ 124.6%
-37.56M▼ 288.7%
Net Margin %5.25%-10.29%-23.92%-27.95%-32.81%-17.31%-6.62%-11.15%-36.43%
Net Income Growth %179.69%-281.27%-368.57%-54.81%-81.84%-0.2%45.79%-124.59%-288.66%
Net Income (Continuing)331.31K-600.57K-2.84M-4.45M-7.99M-8.09M-4.44M-9.91M-37.56M
Discontinued Operations000000000
Minority Interest00-221.69K-310.39K-488.4K-107.56K-244.26K-491.61K-8.67K
EPS (Diluted)
0.09▲ 0%
-0.28▼ 403.7%
-1.37▼ 389.3%
-0.76▲ 44.5%
-1.08▼ 42.1%
-1.00▲ 7.4%
-0.52▲ 48.0%
-1.14▼ 119.2%
-4.36▼ 282.5%
EPS Growth %124.26%-403.69%-389.29%44.53%-42.11%7.41%48%-119.23%-282.46%
EPS (Basic)0.17-0.28-1.37-0.76-1.08-1.00-0.52-1.14-4.36
Diluted Shares Outstanding2.09M2.17M2.13M5.73M7.34M7.91M8.28M8.48M8.62M
Basic Shares Outstanding1.11M2.17M2.13M5.73M7.34M7.91M8.28M8.48M8.62M
Dividend Payout Ratio---------

SMTI Balance Sheet

Sanara MedTech Inc. (SMTI) balance sheet — assets, liabilities & shareholders' equity

Line itemDec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25
Total Current Assets2.04M978.48K8.86M4.48M24.61M20.62M19.01M33.31M33.54M
Cash & Short-Term Investments463.19K731.85K6.61M455.37K18.65M8.96M5.15M15.88M16.58M
Cash Only463.19K731.85K6.61M455.37K18.65M8.96M5.15M15.88M16.58M
Short-Term Investments000000000
Accounts Receivable836.5K164.46K1.34M2.27M2.99M7M8.53M13.55M12M
Days Sales Outstanding48.4310.2841.4253.0845.255.7747.9257.0742.47
Inventory711.4K465.31K746.52K1.15M2.05M3.55M4.72M2.75M3.95M
Days Inventory Outstanding322.14334.71225.32259.25323.46203.65219.28123.45191.64
Other Current Assets0-409.58K0001.1M608.41K1.12M1.02M
Total Non-Current Assets180.5K2.06M2.26M5.34M11.79M40.42M54.87M54.79M5.86M
Property, Plant & Equipment63.21K52.83K790.2K1.15M2.04M2.22M3.25M1.88M2.53M
Fixed Asset Turnover99.74x110.51x14.89x13.60x11.82x20.62x19.98x46.10x40.72x
Goodwill000003.6M3.6M3.6M3.6M
Intangible Assets117.29K52.27K1.47M3.1M4.73M31.51M44.93M41.01M18.64M
Long-Term Investments01.96M01.1M5.02M3.08M3.08M8.3M14.63M
Other Non-Current Assets0979.98K000000-33.54M
Total Assets
2.22M▲ 0%
3.04M▲ 37.2%
11.12M▲ 265.5%
9.83M▼ 11.6%
36.4M▲ 270.4%
61.04M▲ 67.7%
73.87M▲ 21.0%
88.09M▲ 19.3%
39.4M▼ 55.3%
Asset Turnover2.84x1.92x1.06x1.59x0.66x0.75x0.88x0.98x2.62x
Asset Growth %2.15%37.16%265.45%-11.61%270.4%67.7%21.03%19.25%-55.27%
Total Current Liabilities2.12M404K2.64M3.54M6.02M12.81M13.77M15.29M18.63M
Accounts Payable225.46K117.47K406.17K494.84K593.97K1.43M2M1.5M2.31M
Days Payables Outstanding102.184.5122.59111.7293.881.8793.0567.25112.29
Short-Term Debt1.2M00000580.36K0353.23K
Deferred Revenue (Current)13.92K000002.05M00
Other Current Liabilities13.92K44.69K0001.16M-947.68K018.27M
Current Ratio0.96x2.42x3.35x1.27x4.09x1.61x1.38x2.18x1.80x
Quick Ratio0.63x1.27x3.07x0.94x3.75x1.33x1.04x2.00x1.59x
Cash Conversion Cycle268.47260.5144.15200.61274.86177.55174.15113.26121.82
Total Non-Current Liabilities1.43M1.53M2.08M446.09K222.15K6.51M15.52M33.89M47.84M
Long-Term Debt01.5M1.5M0009.11M30.69M47.84M
Capital Lease Obligations00481.38K355.8K222.15K505.29K1.74M1.24M0
Deferred Tax Liabilities000000000
Other Non-Current Liabilities025.98K103.56K90.29K06M4.66M1.96M0
Total Liabilities2.12M1.93M4.72M3.99M6.24M19.32M29.28M49.18M48.39M
Total Debt1.2M1.5M2.1M481.38K425.44K819.22K11.79M32.29M48.19M
Net Debt736.81K768.15K-4.51M26.02K-18.23M-8.14M6.64M16.41M31.61M
Debt / Equity11.70x1.35x0.33x0.08x0.01x0.02x0.26x0.83x8.13x
Debt / EBITDA5.97x-------4.84x
Net Debt / EBITDA3.66x-------3.17x
Interest Coverage0.95x-5.80x-25.87x-436.73x-10374.34x-43.96x-8.86x-2.15x-
Total Equity
102.54K▲ 0%
1.11M▲ 984.5%
6.39M▲ 474.8%
5.84M▼ 8.6%
30.15M▲ 416.3%
41.72M▲ 38.4%
44.59M▲ 6.9%
38.91M▼ 12.7%
5.93M▼ 84.8%
Equity Growth %124.24%984.53%474.83%-8.64%416.28%38.37%6.87%-12.73%-84.76%
Book Value per Share0.050.513.001.024.115.285.394.590.69
Total Shareholders' Equity102.54K1.11M6.61M6.15M30.64M41.83M44.83M39.4M5.94M
Common Stock113.43K236.65K3.57K6.3K7.68K8.3K8.54K8.75K8.95K
Retained Earnings-46.87M-47.47M-2.68M-7.03M-15.24M-23.39M-28.04M-37.78M-75.3M
Treasury Stock-12.04K00000000
Accumulated OCI-56.95K-70.12K0000000
Minority Interest00-221.69K-310.39K-488.4K-107.56K-244.26K-491.61K-8.67K

SMTI Cash Flow Statement

Sanara MedTech Inc. (SMTI) cash flow — operating, investing & free cash flow history

Line itemDec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25
Cash from Operations-139.86K277.14K-2.17M-4.03M-4.81M-5.55M-3.25M-23.78K6.79M
Operating CF Margin %-2.22%4.75%-18.42%-25.88%-19.94%-12.12%-4.99%-0.03%6.58%
Operating CF Growth %-134.18%298.15%-882.05%-86.15%-19.33%-15.38%41.57%99.27%28634.43%
Net Income331.31K-600.57K-2.84M-4.45M-7.99M-8.09M-4.44M-9.91M-37.57M
Depreciation & Amortization80.65K83.89K119.95K291.37K596.98K2.37M3.68M4.92M3.95M
Stock-Based Compensation60.25K14.87K01.4M2.67M2.7M3.44M4.44M5.15M
Deferred Taxes00000-5.84M000
Other Non-Cash Items-197.62K87.71K407.33K-106.08K1.1M2.79M-2.64M1.44M35.25M
Working Capital Changes-354.2K706.11K141.1K-1.18M-1.18M517.62K-3.28M-911.72K0
Change in Receivables-64.41K609.23K-324.37K-961.46K-774.8K-2.27M-1.73M-4.54M-114.69K
Change in Inventory-420.42K262.89K-401.65K-719.81K-1.15M-517.27K-1.55M1.44M582.05K
Change in Payables-6.71K-168K-84.64K88.67K99.13K-423.75K575.15K-471.21K814K
Cash from Investing-85.88K-8.48K-1.2M-2.74M-5.28M-3.51M-10.21M-6.61M-14.97M
Capital Expenditures-85.88K-8.48K-182.82K-544.37K-171.87K-147.01K-265.25K-205.85K-4.63M
CapEx % of Revenue1.36%0.15%1.55%3.49%0.71%0.32%0.41%0.24%4.49%
Acquisitions00508.97K00-2.52M-9.94M00
Investments---------
Other Investing-41.98K0-1.52M-1.1M-578.59K-598.45K650-1.1M-10.35M
Cash from Financing-144.55K-208.1K9.8M622.33K28.3M-627.35K9.64M17.37M8.89M
Debt Issued (Net)-3.77K00583K009.69M19.59M0
Equity Issued (Net)50.05K00028.94M0911.37K-75K0
Dividends Paid-32.49K-223.11K0000000
Share Repurchases000000000
Other Financing-190.84K208.1K9.8M39.33K-642.52K-627.35K-958.59K-2.15M8.89M
Net Change in Cash
-370.29K▲ 0%
268.66K▲ 172.6%
6.44M▲ 2295.4%
-6.16M▼ 195.7%
18.2M▲ 395.6%
-9.69M▼ 153.3%
-3.81M▲ 60.7%
10.73M▲ 381.5%
700.56K▼ 93.5%
Free Cash Flow
-225.74K▲ 0%
268.66K▲ 219.0%
-3.87M▼ 1541.5%
-5.68M▼ 46.6%
-5.56M▲ 2.0%
-6.3M▼ 13.2%
-3.51M▲ 44.3%
-253.08K▲ 92.8%
2.16M▲ 953.9%
FCF Margin %-3.58%4.6%-32.91%-36.43%-23.05%-13.75%-5.4%-0.29%2.1%
FCF Growth %-155.57%219.01%-1541.49%-46.64%2.01%-13.24%44.29%92.79%953.86%
FCF per Share-0.110.12-1.82-0.99-0.76-0.80-0.42-0.030.25
FCF Conversion (FCF/Net Income)-0.42x-0.46x0.77x0.93x0.61x0.70x0.75x0.00x-0.18x
Interest Paid0043.98K0711206283.95K1.58M0
Taxes Paid000000000

SMTI Key Ratios

Sanara MedTech Inc. (SMTI) financial ratios — P/E, ROE, debt and 30+ core market and balance-sheet ratios

Metric2016201720182019202020212022202320242025
Return on Equity (ROE)-323.11%-98.89%-75%-71.23%-44.02%-22.09%-9.97%-23.15%-167.53%
Return on Invested Capital (ROIC)-55.83%15.04%-27.68%-109.32%-97.5%-62.19%-41.26%-7.45%-9.45%11.8%
Gross Margin82.87%87.22%91.31%89.72%89.63%90.43%86.12%87.92%90.61%92.71%
Net Margin-7.55%5.25%-10.29%-23.92%-27.95%-32.81%-17.31%-6.62%-11.15%-36.43%
Debt / Equity-11.70x1.35x0.33x0.08x0.01x0.02x0.26x0.83x8.13x
Interest Coverage-1.56x0.95x-5.80x-25.87x-436.73x-10374.34x-43.96x-8.86x-2.15x-
FCF Conversion-0.98x-0.42x-0.46x0.77x0.93x0.61x0.70x0.75x0.00x-0.18x
Revenue Growth63.33%14.47%-7.41%101.56%32.47%54.9%89.87%41.77%33.36%18.97%

SMTI SEC Filings & Documents

Sanara MedTech Inc. (SMTI) SEC filings — annual & quarterly reports (10-K, 10-Q)

8-K Announcements

6
Material company update

Mar 24, 2026·SEC

Material company update

Mar 2, 2026·SEC

Material company update

Jan 23, 2026·SEC

10-K Annual Reports

3
FY 2026

Mar 24, 2026·SEC

FY 2025

Mar 25, 2025·SEC

FY 2024

Mar 25, 2024·SEC

10-Q Quarterly Reports

6
FY 2025

Nov 12, 2025·SEC

FY 2025

Aug 13, 2025·SEC

FY 2025

May 14, 2025·SEC

SMTI Frequently Asked Questions

Sanara MedTech Inc. (SMTI) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials

Sanara MedTech Inc. (SMTI) reported $103.1M in revenue for fiscal year 2025. This represents a 4482% increase from $2.3M in 1999.

Sanara MedTech Inc. (SMTI) grew revenue by 19.0% over the past year. This is strong growth.

Sanara MedTech Inc. (SMTI) reported a net loss of $37.6M for fiscal year 2025.

Dividend & Returns

Sanara MedTech Inc. (SMTI) has a return on equity (ROE) of -167.5%. Negative ROE indicates the company is unprofitable.

Sanara MedTech Inc. (SMTI) generated $2.2M in free cash flow for fiscal year 2025. Positive FCF indicates the company can fund dividends, buybacks, or reinvestment.

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Sanara MedTech Inc. (SMTI) financial analysis — history, returns, DCA and operating performance tools

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