The company's capital structure remains sensitive to leverage, with a debt-to-equity ratio that fluctuated from 14.19 in 2025Q4 to 3.91 in 2026Q1, while goodwill continues to represent 20% of total assets.
| 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 |
|---|
| Total Current Assets | 23.96M | 24.63M | 18.4M | 9.78M | 6.62M | 4.4M | 7.93M | 2.5M | 1.08M | 1.2M | 914.15K | 636.28K | 4.03M | 643.08K | 579.31K | 4.58M | 1.14M | 2.68M | 3.23K | 5.15K | 30.22K |
| Cash & Short-Term Investments | 10.78M | 11.96M | 10.24M | 1.8M | 1.15M | 619K | 2.44M | 1.76M | 364.55K | 730.18K | 133.57K | 152.93K | 3.55M | 182.31K | 70.33K | 3.91M | 417.46K | 1.79M | 3.23K | 5.15K | 30.22K |
| Cash Only | 10.78M | 11.96M | 10.24M | 1.8M | 1.15M | 619K | 2.44M | 1.76M | 364.55K | 730.18K | 133.57K | 152.93K | 3.55M | 182.31K | 70.33K | 3.91M | 417.46K | 1.79M | 3.23K | 5.15K | 30.22K |
| Short-Term Investments | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Accounts Receivable | 6M | 5.42M | 3.33M | 3.31M | 4.03M | 2.42M | 2.36M | 75.54K | 236K | 152.52K | 460.8K | 74.45K | 86.4K | 139.74K | 87.83K | 109.4K | 140.94K | 175.84K | 52.41K | 0 | 0 |
| Days Sales Outstanding | 40.94 | 44.93 | 37.23 | 59.3 | 87.84 | 67.75 | 211.96 | 26.8 | 46.56 | 75.38 | 122.23 | 28.15 | 37.22 | 63.75 | 41.67 | 49.75 | 70.62 | 97.14 | - | - | - |
| Inventory | 5.9M | 5.93M | 4.15M | 2.95M | 868K | 1.04M | 2.96M | 542.96K | 357.82K | 231.53K | 231.95K | 284.91K | 271.87K | 246.01K | 292.67K | 396.28K | 463.64K | 592.59K | 0 | 0 | 0 |
| Days Inventory Outstanding | 207.91 | 214.83 | 187.33 | 178.48 | 73.15 | 76.13 | 928.52 | 367.73 | 188.28 | 349.25 | 149.81 | 364.93 | 451.11 | 473.11 | 484.99 | 552.31 | 676.04 | 957.95 | - | - | - |
| Other Current Assets | 1.27M | 1.31M | 682K | 1.72M | 570K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 128.5K | 0 | 0 | 0 | 1.29M | 0 | 0 |
| Total Non-Current Assets | 13.14M | 12.72M | 11.72M | 12.63M | 13.25M | 14.22M | 15.1M | 877.63K | 94.25K | 74.29K | 90.72K | 322.08K | 632.46K | 944.98K | 1.27M | 1.59M | 1.89M | 3.19M | 0 | 0 | 0 |
| Property, Plant & Equipment | 2.9M | 2.36M | 732K | 938K | 856K | 1.01M | 1.27M | 835.7K | 77.75K | 60.37K | 76.94K | 4.23K | 7.84K | 13.27K | 32.84K | 51.21K | 13.39K | 88.71K | 0 | 0 | 0 |
| Fixed Asset Turnover | 17.85x | 18.65x | 44.58x | 21.75x | 19.56x | 12.86x | 3.20x | 1.23x | 23.79x | 12.23x | 17.89x | 228.36x | 108.08x | 60.30x | 23.42x | 15.67x | 54.42x | 7.45x | - | - | - |
| Goodwill | 7.26M | 7.26M | 7.26M | 7.26M | 7.26M | 7.26M | 7.26M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Intangible Assets | 2.92M | 3.03M | 3.73M | 4.43M | 5.14M | 5.84M | 6.54M | 0 | 0 | 0 | 0 | 306.76K | 613.51K | 920.27K | 1.23M | 1.53M | 1.84M | 2.15M | 0 | 0 | 0 |
| Long-Term Investments | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 922.96K | 0 | 0 | 0 |
| Other Non-Current Assets | 58K | 68K | 0 | 0 | 0 | 106K | 28K | 41.93K | 16.49K | 13.92K | 13.79K | 11.1K | 11.11K | 11.44K | 11.36K | 3.19K | 32.25K | 32.17K | 0 | 0 | 0 |
| Total Assets | 37.1M | 37.34M | 30.12M | 22.42M | 19.87M | 18.62M | 23.03M | 3.38M | 1.18M | 1.28M | 1M | 958.36K | 4.67M | 1.59M | 1.85M | 6.17M | 3.03M | 5.87M | 3.23K | 5.15K | 30.22K |
| Asset Turnover | 1.24x | 1.18x | 1.08x | 0.91x | 0.84x | 0.70x | 0.18x | 0.30x | 1.57x | 0.58x | 1.37x | 1.01x | 0.18x | 0.50x | 0.42x | 0.13x | 0.24x | 0.11x | - | - | - |
| Asset Growth % | 164.45% | 23.98% | 34.36% | 12.8% | 6.74% | -19.14% | 580.87% | 187.16% | -7.9% | 27.26% | 4.85% | -79.46% | 193.84% | -14.18% | -69.99% | 103.55% | -48.37% | 181768.72% | -37.35% | -82.96% | - |
| Total Current Liabilities | 18.3M | 17.85M | 42.34M | 64.75M | 60.22M | 56.26M | 36.17M | 12.42M | 16.49M | 11.16M | 7.92M | 1.49M | 6.22M | 2.34M | 2.99M | 2.32M | 8.17M | 2.86M | 76.2K | 51.57K | 37.41K |
| Accounts Payable | 3.32M | 3.25M | 3.73M | 5.71M | 4.4M | 7.64M | 4.45M | 1.44M | 1.59M | 1.5M | 712.96K | 509.27K | 231.84K | 935.03K | 555.9K | 756.66K | 1.83M | 1.07M | 975.81K | 48.37K | 6.63K |
| Days Payables Outstanding | 123.29 | 117.7 | 168.32 | 345.04 | 370.82 | 559.58 | 1.4K | 974.88 | 838.03 | 2.26K | 460.48 | 652.3 | 384.69 | 1.8K | 921.21 | 1.05K | 2.67K | 1.73K | - | - | - |
| Short-Term Debt | 5.88M | 5.79M | 25.3M | 29.96M | 38.54M | 27.12M | 16.59M | 6.17M | 10.79M | 6.05M | 5.41M | 0 | 5.37M | 236.81K | 0 | 0 | 4.25M | 0 | 40K | 0 | 3K |
| Deferred Revenue (Current) | 473K | 0 | 193K | 92K | 60K | 48K | 32K | 66.58K | 131.8K | 13.32K | 18.81K | 0 | 453.55K | -3.95K | 1.34M | 904.78K | 1.44M | 0 | -40K | 0 | 0 |
| Other Current Liabilities | 9.1M | 8.8M | 10.67M | 19.18M | 8.45M | 13.97M | 11.42M | 1.61M | 3.63M | 2M | 1.71M | 737.28K | 610.95K | 0 | 1.36M | 927.51K | 994.24K | 1.28M | -1.76M | 0 | -13.17K |
| Current Ratio | 1.31x | 1.38x | 0.43x | 0.15x | 0.11x | 0.08x | 0.22x | 0.20x | 0.07x | 0.11x | 0.12x | 0.43x | 0.65x | 0.27x | 0.19x | 1.97x | 0.14x | 0.93x | 0.04x | 0.10x | 0.81x |
| Quick Ratio | 0.99x | 1.05x | 0.34x | 0.11x | 0.10x | 0.06x | 0.14x | 0.16x | 0.04x | 0.09x | 0.09x | 0.24x | 0.61x | 0.17x | 0.10x | 1.80x | 0.08x | 0.73x | 0.04x | 0.10x | 0.81x |
| Cash Conversion Cycle | 125.57 | 142.06 | 56.24 | -107.26 | -209.83 | -415.69 | -258.58 | -580.35 | -603.19 | -1.83K | -188.44 | -259.23 | 103.64 | -1.26K | -394.54 | -452.5 | -1.92K | -673.68 | - | - | - |
| Total Non-Current Liabilities | 16.95M | 17.88M | 491K | 839K | 668K | 1.31M | 571K | 1.03M | 46.74K | 0 | 0 | 5.35M | 0 | 5.37M | 5.38M | 5.38M | 5.37M | 8.89M | 0 | 0 | 0 |
| Long-Term Debt | 1.29M | 16.32M | 0 | 0 | 0 | 875K | 143K | 0 | 0 | 0 | 0 | 5.35M | 0 | 5.37M | 5.37M | 0 | 5.37M | 8.89M | 0 | 0 | 0 |
| Capital Lease Obligations | 2.74M | 854K | 191K | 492K | 438K | 118K | 391K | 457.02K | 0 | 0 | 0 | 0 | 0 | 0 | 3.95K | 8.88K | 0 | 0 | 0 | 0 | 0 |
| Deferred Tax Liabilities | 0 | 0 | 0 | 0 | 28K | 28K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Non-Current Liabilities | 15.66M | 0 | 0 | 0 | -28K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5.37M | 0 | 0 | 0 | 0 | 0 |
| Total Liabilities | 35.26M | 35.72M | 42.84M | 65.59M | 60.88M | 57.58M | 36.74M | 13.45M | 16.53M | 11.16M | 7.92M | 6.84M | 6.22M | 7.72M | 8.37M | 7.7M | 13.55M | 11.75M | 76.2K | 51.57K | 40.95K |
| Total Debt | 7.18M | 22.97M | 25.5M | 30.45M | 38.98M | 28.39M | 17.58M | 6.92M | 10.79M | 6.05M | 5.52M | 5.35M | 5.37M | 240.76K | 447.4K | 13.46K | 9.62M | 8.89M | 40K | 0 | 3K |
| Net Debt | -3.6M | 11.01M | 15.26M | 28.66M | 37.82M | 27.77M | 15.14M | 5.16M | 10.43M | 5.32M | 5.39M | 5.2M | 1.83M | 58.45K | 377.07K | -3.9M | 9.2M | 7.1M | 36.77K | -5.15K | -27.22K |
| Debt / Equity | 3.91x | 14.19x | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Debt / EBITDA | 1.62x | 3.69x | 3.89x | 62.41x | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Net Debt / EBITDA | -0.81x | 1.77x | 2.33x | 58.72x | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Interest Coverage | 4.22x | 2.91x | -1.30x | -0.65x | 0.27x | -2.84x | -11.18x | -4.68x | -1.59x | -3.86x | -3.88x | -11.35x | -12.55x | -3.71x | -18.30x | -18.66x | -12.10x | -11.42x | -6223.39x | -324227.86x | 99.28x |
| Total Equity | 1.84M | 1.62M | -12.72M | -43.18M | -41.01M | -38.96M | -13.72M | -10.06M | -15.36M | -9.88M | -6.91M | -5.88M | -1.55M | -6.13M | -6.52M | -1.54M | -10.52M | -5.88M | -72.97K | -46.42K | -10.73K |
| Equity Growth % | 381.19% | 112.73% | 70.55% | -5.29% | -5.27% | -183.99% | -36.31% | 34.47% | -55.41% | -42.96% | -17.59% | -278.87% | 74.68% | 6% | -324.28% | 85.39% | -78.72% | -7963.91% | -57.19% | -332.67% | - |
| Book Value per Share | 0.21 | 0.18 | -2.85 | -20.40 | -27.99 | -28.18 | -13.60 | -18.59 | -38.51 | -26.69 | -24.08 | -34.97 | -12.07 | -81.68 | -116.88 | -29.36 | -305.12 | -193.47 | -2.19 | -1.39 | -0.39 |
| Total Shareholders' Equity | 1.84M | 1.62M | -12.72M | -43.18M | -41.01M | -38.96M | -13.72M | -10.06M | -15.36M | -9.88M | -6.91M | -5.88M | -1.55M | -6.13M | -6.52M | -1.54M | -10.52M | -5.88M | -72.97K | -46.42K | -10.73K |
| Common Stock | 9K | 9K | 9K | 3K | 549K | 482K | 471K | 293.78K | 155.66K | 139.3K | 137.22K | 63.06K | 60.73K | 37.98K | 21.01K | 20.91K | 14.79K | 12.51K | 40.7K | 40.7K | 40.7K |
| Retained Earnings | -244.12M | -242.69M | -251.42M | -220.05M | -194.24M | -183.95M | -156.69M | -125.75M | -116.6M | -104.97M | -99.43M | -92.99M | -88.18M | -82.21M | -70.91M | -64.51M | -54.27M | -38.66M | 39.68K | 3.99K | 39.68K |
| Treasury Stock | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Accumulated OCI | 10K | 10K | 10K | -111K | -67K | -73K | -62K | -62.23K | -62.87K | -43.78K | -52.07K | -33.16K | -12.48K | 6.69K | 13.12K | 10.47K | 10.9K | 21.86K | -62.24K | 0 | 0 |
| Minority Interest | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Capital structure instability
According to recent quarterly filings, SNWV has transitioned from a deep negative equity position of $60.3M in 2024Q3 to a positive $1.8M by 2026Q1, yet this improvement appears largely driven by balance sheet restructuring rather than sustained, organic accumulation of retained earnings or operational cash flow.
The shift toward positive equity suggests a stabilization of the capital base, but the persistent negative retained earnings of $244.1M indicate that the company has historically struggled to generate value for shareholders. Investors should monitor whether this trajectory can be maintained without further dilutive financing or reliance on non-operating accounting adjustments.
Based on reported financial statements, the company's debt-to-equity ratio reached a volatile 14.19 in 2025Q4 before moderating to 3.91 in 2026Q1, reflecting a capital structure that remains highly sensitive to fluctuations in both debt levels and the underlying equity valuation of the firm.
The significant reduction in total debt from $28.0M in 2025Q2 to $7.2M in 2026Q1 suggests a concerted effort to deleverage, which may reduce interest expense and improve future solvency. However, the rapid nature of this change warrants investigation into whether this was achieved through debt-for-equity swaps that could impact long-term shareholder dilution.
As indicated by the 2026Q1 current ratio of 1.31, SNWV maintains a modest liquidity buffer, a notable improvement from the 0.12 ratio observed in 2024Q3, yet the company's cash position of $10.8M remains relatively low given the ongoing requirements of its specialized medical device sales force.
While the current ratio suggests an improved ability to cover short-term obligations, the company's historical reliance on external financing to bridge operational gaps suggests that liquidity remains a primary constraint. Any unexpected disruption in consumable sales could quickly erode this narrow margin of safety.
Analysis of the asset mix reveals that goodwill remains constant at $7.3M, representing approximately 20% of total assets as of 2026Q1, which suggests that a significant portion of the balance sheet is tied to intangible value rather than tangible, revenue-generating medical equipment or inventory.
The reliance on goodwill as a major asset component implies that the company's book value is highly sensitive to impairment testing, particularly if the UltraMIST acquisition fails to meet long-term growth expectations. This concentration of intangible assets may mask the true underlying value of the company's physical infrastructure and clinical footprint.
Quick answers to the most common questions about buying SNWV stock.
As of 2025, SANUWAVE Health, Inc. (SNWV) had total assets of $37.3M including $24.6M in current assets.
SANUWAVE Health, Inc. (SNWV) carries total debt of $23.0M, offset by $12.0M in cash and short-term investments. Comparing total debt to cash helps evaluate the company's debt burden and net leverage.
SANUWAVE Health, Inc. (SNWV) has total shareholders' equity (book value) of $1.6M ($0.18 book value per share). Book value represents the net worth of the company belonging to common stock holders.
SANUWAVE Health, Inc. (SNWV) reported a current ratio of 1.38x. A current ratio above 1.0x indicates that the company has more current assets than current liabilities, suggesting sufficient short-term liquidity.