Sanara MedTech Inc. (SMTI) annual cash flow statement — 25-year operating, investing & financing history
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 | Dec'04 | Dec'01 | Dec'00 | Dec'99 |
|---|
| Cash from Operations | 6.32M | 6.79M | -23.78K | -3.25M | -5.55M | -4.81M | -4.03M | -2.17M | 277.14K | -139.86K | 409.25K | -1.2M | -1.69M | -1.82M | -1.23M | -343.6K | -1.49M | -1.3M | -1.06M | -380.9K | -398.97K | -624.45K | -548.46K | -723.86K | -569.36K | -627.86K |
| Operating CF Margin % | - | 6.58% | -0.03% | -4.99% | -12.12% | -19.94% | -25.88% | -18.42% | 4.75% | -2.22% | 7.43% | -35.67% | -64.07% | -105.54% | -104.49% | -15.55% | -163.98% | -449.8% | -364.75% | -60.41% | -210.26% | -295.71% | -645.1% | -3453.7% | -24.7% | -27.9% |
| Operating CF Growth % | 594.75% | 28634.43% | 99.27% | 41.57% | -15.38% | -19.33% | -86.15% | -882.05% | 298.15% | -134.18% | 134.02% | 28.68% | 7.43% | -48.59% | -256.86% | 76.98% | -15.23% | -22.4% | -177.88% | 4.53% | 36.11% | -13.86% | 24.23% | -27.14% | 9.32% | - |
| Net Income | -33.58M | -27.66M | -9.91M | -4.44M | -8.09M | -7.99M | -4.45M | -2.84M | -600.57K | 331.31K | -415.75K | -1.34M | -2.28M | -4.15M | -1.85M | -12.74M | -5.14M | -2.3M | -1.77M | -542.76K | -623.56K | -757.86K | -6.3M | -1.67M | -1.1M | 477.58K |
| Depreciation & Amortization | 28.02M | 28.56M | 4.92M | 3.68M | 2.37M | 596.98K | 291.37K | 119.95K | 83.89K | 80.65K | 60.88K | 60.03K | 56.45K | 51.66K | 61.17K | 470.62K | 471.76K | 124.76K | 14K | 20.08K | 21.79K | 16.22K | 24.27K | -61.12K | -57.99K | -65.41K |
| Stock-Based Compensation | 442.14K | 718.71K | 4.44M | 3.44M | 2.7M | 2.67M | 1.4M | 0 | 14.87K | 60.25K | 813.95K | 44.58K | 534.09K | 2.07M | 675.18K | 0 | 0 | 0 | 475.6K | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Deferred Taxes | 0 | 0 | 0 | 0 | -5.84M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -4.34M | 0 | 0 | 0 | -475.6K | 0 | 0 | 0 | 0 | 0 | 0 | -495.7K |
| Other Non-Cash Items | 8.5M | 9.02M | 1.44M | -2.64M | 2.79M | 1.1M | -106.08K | 407.33K | 87.71K | -197.62K | 1.01M | 383.39K | 701.5K | 2.74M | 3.49M | 11.72M | 3.28M | 358.57K | 475.6K | 0 | 0 | 1.92K | 5.83M | 770.63K | 329.44K | 130.82K |
| Working Capital Changes | -6.96M | -3.84M | -911.72K | -3.28M | 517.62K | -1.18M | -1.18M | 141.1K | 706.11K | -354.2K | -243.44K | -305.86K | -166.46K | -463.41K | 734.82K | 202.85K | -105.26K | 523.68K | 225.16K | 141.78K | 202.8K | 115.28K | -105.15K | 240.42K | 260.81K | 308.46K |
| Change in Receivables | 1.96M | 4.03M | -4.54M | -1.73M | -2.27M | -774.8K | -961.46K | -324.37K | 609.23K | -64.41K | -503.23K | 20.26K | -76.98K | -42.5K | 83.27K | 382.48K | -420.14K | -1.36K | -3.97K | 0 | 0 | 0 | 0 | -6.09K | 160.97K | 160.03K |
| Change in Inventory | 939.46K | -431.33K | 1.44M | -1.55M | -517.27K | -1.15M | -719.81K | -401.65K | 262.89K | -420.42K | -91.23K | -141K | -178.45K | -97.83K | -160.88K | 125.98K | -159.37K | -30.81K | 163.42K | -166.71K | -65.93K | 64.66K | -52.34K | 8.27K | 0 | 0 |
| Change in Payables | -781.12K | 1.24M | -471.21K | 575.15K | -423.75K | 99.13K | 88.67K | -84.64K | -168K | -6.71K | 15.88K | 33.18K | 18.1K | -67.97K | 200.4K | -309.85K | -46.96K | 119.64K | 66.43K | 0 | 0 | 0 | 0 | 137.69K | 211.69K | 90.94K |
| Cash from Investing | -9.84M | -8.36M | -6.61M | -10.21M | -3.51M | -5.28M | -2.74M | -1.2M | -8.48K | -85.88K | -3.03K | -5.33K | -8.45K | -29.89K | 371.84K | -1.34M | -211.1K | 240 | -476.77K | -81.65K | -16.43K | -11.99K | -122.73K | -71.01K | -15.05K | 393.94K |
| Capital Expenditures | -2.74M | -4.42M | -205.85K | -265.25K | -147.01K | -171.87K | -544.37K | -182.82K | -8.48K | -85.88K | -3.03K | -5.33K | -8.07K | -29.89K | 0 | 0 | 211.1K | 0 | 0 | -81.65K | -16.43K | -11.99K | -38.78K | -48.22K | 0 | -29.63K |
| CapEx % of Revenue | 2.55% | 4.29% | 0.24% | 0.41% | 0.32% | 0.71% | 3.49% | 1.55% | 0.15% | 1.36% | 0.06% | 0.16% | 0.31% | 1.73% | - | - | 23.19% | - | - | 12.95% | 8.66% | 5.68% | 45.61% | 230.08% | - | 1.32% |
| Acquisitions | 0 | 0 | 0 | -9.94M | -2.52M | 0 | 0 | 508.97K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -100K | 240 | 0 | 0 | 0 | 0 | 16.05K | 0 | 0 | 0 |
| Investments | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Other Investing | -17.14M | -10.47M | -1.1M | 650 | -598.45K | -578.59K | -1.1M | -1.52M | 0 | -41.98K | 0 | 0 | -375 | 0 | 371.84K | -1.34M | -211.1K | 240 | -476.77K | 0 | 0 | 0 | -100K | -22.79K | -15.05K | 423.57K |
| Cash from Financing | -3.58M | -8.48M | 17.37M | 9.64M | -627.35K | 28.3M | 622.33K | 9.8M | -208.1K | -144.55K | 244.93K | 867.12K | 2.17M | 1.85M | 896.6K | 1.63M | 1.76M | 1.29M | 1.54M | 227.03K | 648.87K | 631.38K | 678.69K | 757.42K | 588.24K | 56.02K |
| Debt Issued (Net) | -12.07M | 0 | 19.59M | 9.69M | 0 | 0 | 583K | 0 | 0 | -3.77K | -205.07K | 117.12K | -68.5K | 1.11M | 781.35K | 453.51K | 1.42M | 1.29M | 1.24M | 227.03K | 648.87K | 631.38K | 1M | 0 | 0 | 0 |
| Equity Issued (Net) | 0 | 0 | -75K | 911.37K | 0 | 28.94M | 0 | 0 | 0 | 50.05K | 0 | 0 | 2.24M | 740.03K | 100K | 959.7K | 338.9K | 0 | 300K | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Dividends Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -223.11K | -32.49K | -46.15K | 0 | 0 | 0 | 0 | 0 | 0 | -370.62K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Share Repurchases | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -9.99K | 0 | 0 | 0 | 0 | -92.1K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Financing | 8.49M | -8.48M | -2.15M | -958.59K | -627.35K | -642.52K | 39.33K | 9.8M | 208.1K | -190.84K | 496.15K | 750K | 0 | -3.44K | 15.25K | 219.4K | 0 | 370.62K | 0 | 0 | 0 | 0 | -321.92K | 757.42K | 588.24K | 56.02K |
| Net Change in Cash | -7.09M | -10.03M | 10.73M | -3.81M | -9.69M | 18.2M | -6.16M | 6.44M | 268.66K | -370.29K | 651.14K | -341.1K | 478.89K | -1.31K | 42.25K | -47.23K | 55.2K | -5.5K | 361 | -235.52K | 233.47K | -5.06K | 7.5K | -37.45K | 3.83K | -177.9K |
| Free Cash Flow | 3.37M | 2.16M | -253.08K | -3.51M | -6.3M | -5.56M | -5.68M | -3.87M | 268.66K | -225.74K | 406.22K | -1.21M | -1.69M | -1.85M | -1.23M | -343.6K | -1.28M | -1.3M | -1.06M | -462.55K | -415.4K | -636.44K | -587.24K | -772.08K | -569.36K | -657.48K |
| FCF Margin % | 3.14% | 2.1% | -0.29% | -5.4% | -13.75% | -23.05% | -36.43% | -32.91% | 4.6% | -3.58% | 7.38% | -35.83% | -64.37% | -107.27% | -104.49% | -15.55% | -140.79% | -449.8% | -364.75% | -73.36% | -218.91% | -301.39% | -690.71% | -3683.77% | -24.7% | -29.21% |
| FCF Growth % | 245.75% | 953.86% | 92.79% | 44.29% | -13.24% | 2.01% | -46.64% | -1541.49% | 219.01% | -155.57% | 133.62% | 28.71% | 8.48% | -51.03% | -256.86% | 73.19% | 1.06% | -22.4% | -128.83% | -11.35% | 34.73% | -8.38% | 23.94% | -35.61% | 13.4% | - |
| FCF per Share | 0.38 | 0.25 | -0.03 | -0.42 | -0.80 | -0.76 | -0.99 | -1.82 | 0.12 | -0.11 | 0.37 | -1.13 | -1.61 | -2.16 | -1.78 | -0.58 | -3.58 | -4.46 | -4.82 | -2.87 | -2.57 | -4.06 | -6.43 | -1.08 | -0.82 | -0.95 |
| FCF Conversion (FCF/Net Income) | -0.10x | -0.18x | 0.00x | 0.75x | 0.70x | 0.61x | 0.93x | 0.77x | -0.46x | -0.42x | -0.98x | 0.90x | 0.74x | 0.44x | 0.66x | 0.03x | 0.29x | 0.56x | 0.60x | 0.70x | 0.64x | 0.82x | 0.09x | 0.47x | 0.52x | -1.31x |
| Interest Paid | -626.78K | 0 | 1.58M | 283.95K | 206 | 711 | 0 | 43.98K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Taxes Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Quick answers to the most common questions about buying SMTI stock.
Sanara MedTech Inc. (SMTI) generated $6.8M in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.
Sanara MedTech Inc. (SMTI) generated $2.2M in free cash flow in 2025. Free cash flow is the cash left over after capital expenditures, which can be used to pay dividends, repurchase shares, or pay down debt.
Sanara MedTech Inc. (SMTI) spent $4.4M on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.