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SNWVSANUWAVE Health, Inc.
$8.61$74M
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  3. SNWV
  4. Financial Ratios

SANUWAVE Health, Inc. (SNWV) Financial Ratios

Latest Ratios: P/E Ratio 21.0x · EV/EBITDA 13.7x · ROE 729.6%. (2006–2025 historical series)

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly

SNWV Valuation Multiples

Price-based multiples — how expensive the stock is relative to earnings, sales, book value, and cash flow

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Market Cap$74M$271M$103M$10M$13M$88M$70M$32M$34M$34M$19M
Enterprise Value$85M$282M$118M$39M$50M$116M$85M$38M$45M$39M$24M
P/E Ratio →21.0072.78—————————
P/S Ratio1.686.153.150.510.756.7717.2431.5818.5945.4913.68
P/B Ratio48.30167.40—————————
P/FCF38.28140.1452.24————————
P/OCF19.1069.9241.81————————

P/E links to full P/E history page with 30-year chart

SNWV EV Ratios

Enterprise-value multiples — capital-structure-neutral measures of total business value

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
EV / Revenue—6.403.611.913.018.9120.9736.6024.2352.7017.59
EV / EBITDA13.6645.2817.9779.85———————
EV / EBIT17.2015.54——13.11——————
EV / FCF—145.8360.00————————

SNWV Profitability

Margins and return-on-capital ratios measuring operating efficiency

Margins

Full margin charts and quarterly trend are on the Earnings History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Gross Margin77.1%77.1%75.2%70.4%74.1%61.7%71.4%47.6%62.5%67.2%58.9%
Operating Margin11.2%11.2%16.6%-2.6%-53.5%-108.7%-621.1%-854.9%-388.1%-517.8%-241.0%
Net Profit Margin26.8%26.8%-96.1%-126.5%-61.5%-209.5%-762.6%-1013.9%-628.7%-749.9%-467.9%

Return on Capital

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
ROE729.6%729.6%—————————
ROA35.0%35.0%-119.4%-122.1%-53.5%-130.9%-234.3%-457.5%-947.0%-485.0%-656.0%
ROIC48.9%48.9%159.8%————————
ROCE136.0%136.0%—————————

SNWV Leverage & Debt

Solvency and debt-coverage ratios — lower is generally safer

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Debt / Equity14.1914.19—————————
Debt / EBITDA3.693.693.8962.41———————
Net Debt / Equity—6.80—————————
Net Debt / EBITDA1.771.772.3358.72———————
Debt / FCF—5.697.77————————
Interest Coverage2.912.91-1.30-0.650.27-2.84-11.18-4.68-1.59-3.86-3.88

SNWV Liquidity & Efficiency

Short-term solvency ratios and asset-utilisation metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Current Ratio1.381.380.430.150.110.080.220.200.070.110.12
Quick Ratio1.051.050.340.110.100.060.140.160.040.090.09
Cash Ratio0.670.670.240.030.020.010.070.140.020.070.02
Asset Turnover—1.181.080.910.840.700.180.301.570.581.37
Inventory Turnover1.701.701.952.054.994.790.390.991.941.052.44
Days Sales Outstanding—44.9337.2359.3087.8467.75211.9626.8046.5675.38122.23

SNWV Shareholder Yields

Earnings, FCF, buyback, and dividend yields — total returns to shareholders

Dividends

Full dividend history and growth charts are on the Dividend History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Dividend Yield———————————
Payout Ratio———————————

Total Shareholder Return Metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Earnings Yield4.8%1.4%—————————
FCF Yield2.6%0.7%1.9%————————
Buyback Yield0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%
Total Shareholder Yield0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%
Shares Outstanding—$9M$4M$2M$1M$1M$1M$541442$398767$370236$286986

Key Metrics

Growth RegimeMixed
ProfitabilityStrained
Balance SheetVulnerable
Cash FlowMixed
Top Statement Risk

Regulatory and reimbursement dependency

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q1)

Valuation Multiples Reflect Growth Uncertainty

Based on current market data, SNWV trades at a P/S ratio of 1.68, which appears to discount the volatility of its recent revenue growth compared to more established peers in the advanced wound care sector that command higher premiums for consistent, predictable cash flow generation.

The P/E ratio of 21.00 suggests that investors are pricing in a recovery phase, yet the lack of a stable PEG ratio highlights the difficulty in forecasting long-term earnings growth. The valuation appears to be heavily influenced by the company's transition to a consumable-heavy model, which may be mispriced if the market fails to account for the durability of the UltraMIST installed base.

Capital Returns Remain Highly Erratic

According to historical financial data, SNWV's ROIC has fluctuated wildly from a negative 15.5% in 2026Q1 to a peak of 74.4% in 2024Q4, indicating that the company has yet to establish a stable mechanism for compounding capital effectively within its specialized medical device niche.

The extreme variance in returns on capital suggests that profitability is frequently driven by non-recurring accounting adjustments rather than core operational efficiency. Investors should monitor whether the company can sustain positive returns as it moves past its recent balance sheet restructuring and focuses on organic growth.

Working Capital Cycles Impede Efficiency

As reported in recent filings, the company's cash conversion cycle remains highly inconsistent, swinging from a negative 104 days in 2024Q1 to 151 days in 2026Q1, which reflects significant challenges in managing inventory levels and collecting receivables within the complex outpatient wound care reimbursement environment.

The high DIO, which reached 219 days in 2026Q1, suggests that the company may be carrying excessive inventory or struggling with the placement model of its devices. This inefficiency in working capital management likely acts as a drag on free cash flow, necessitating further scrutiny of the company's inventory turnover policies.

Leverage Dynamics Mask Refinancing Risks

Based on reported financial statements, the 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.

While the moderation in leverage is a positive development, the company's interest coverage remains inconsistent, occasionally dipping into negative territory. This suggests that the firm's ability to service its debt is not yet fully decoupled from its volatile operational performance, warranting caution regarding future financing needs.

Misapplication of Standard P/E Multiples

The P/E ratio is frequently misapplied to SNWV, as it obscures the impact of non-operating income and tax-related adjustments that frequently distort net income, making an EV/EBITDA or P/S approach more appropriate for evaluating the underlying health of this medical device business.

Because the company's net income is often bolstered by one-time gains, the P/E ratio provides a misleading picture of operational profitability. Analysts should instead focus on gross margin stability and revenue growth per installed device to better understand the true earning power of the company's core technology.

Download Financial Ratios Data

Includes 30+ ratios · 20 years · Updated daily

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SNWV — Frequently Asked Questions

Quick answers to the most common questions about buying SNWV stock.

What is SANUWAVE Health, Inc.'s P/E ratio?

SANUWAVE Health, Inc.'s current P/E ratio is 21.0x. The historical average is 72.8x.

What is SANUWAVE Health, Inc.'s EV/EBITDA?

SANUWAVE Health, Inc.'s current EV/EBITDA is 13.7x. This enterprise value multiple compares the company's total value (equity + debt - cash) to its EBITDA. The historical average is 47.7x.

What is SANUWAVE Health, Inc.'s ROE?

SANUWAVE Health, Inc.'s return on equity (ROE) is 729.6%. This is above the typical threshold of 15-20% considered good for most companies.

Is SNWV stock overvalued?

Based on historical data, SANUWAVE Health, Inc. is trading at a P/E of 21.0x. Compare with industry peers and growth rates for a complete picture.

What are SANUWAVE Health, Inc.'s profit margins?

SANUWAVE Health, Inc. has 77.1% gross margin and 11.2% operating margin. Operating margin between 10-20% is typical for established companies.

How much debt does SANUWAVE Health, Inc. have?

SANUWAVE Health, Inc.'s Debt/EBITDA ratio is 3.7x, indicating high leverage. A ratio between 2-4x is manageable but warrants monitoring.