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Sanara MedTech (SMTI)
:SMTI
US Market

Sanara MedTech (SMTI) AI Stock Analysis

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SMTI

Sanara MedTech

(NASDAQ:SMTI)

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Neutral 41 (OpenAI - 4o)
Rating:41Neutral
Price Target:
$18.00
▼(-39.02% Downside)
Sanara MedTech's overall score is primarily impacted by its financial struggles and bearish technical indicators. Despite strong revenue growth highlighted in the earnings call, the company's profitability issues and negative valuation metrics weigh heavily on the stock's attractiveness.
Positive Factors
Revenue Growth
Strong revenue growth indicates robust demand for Sanara's products, enhancing its market position and supporting long-term business expansion.
Distributor Network Expansion
Expanding the distributor network increases market reach and accessibility, potentially driving future sales growth and strengthening competitive advantage.
Clinical Evidence and Product Initiatives
Strong clinical evidence and new product initiatives enhance credibility and marketability, supporting long-term growth and innovation.
Negative Factors
Discontinuation of Tissue Health Plus
The discontinuation of THP represents a strategic setback, potentially impacting revenue streams and requiring significant cash outlay.
Increased Operating Expenses
Rising operating expenses can erode profitability, limiting the company's ability to reinvest in growth and innovation over the long term.
Rising Debt Levels
Higher debt levels increase financial risk and may constrain future operational and strategic flexibility, impacting long-term stability.

Sanara MedTech (SMTI) vs. SPDR S&P 500 ETF (SPY)

Sanara MedTech Business Overview & Revenue Model

Company DescriptionSanara 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.
How the Company Makes MoneySanara MedTech generates revenue primarily through the sale of its advanced wound care products to hospitals, clinics, and healthcare providers. The company employs a direct sales force as well as distribution agreements to reach its customers. Key revenue streams include product sales, licensing agreements for its proprietary technologies, and potential royalties from partnerships with other medical technology firms. Significant partnerships with healthcare organizations and distribution networks enhance its market reach and contribute to its earnings by expanding its product offerings and ensuring wide availability in various healthcare settings.

Sanara MedTech Earnings Call Summary

Earnings Call Date:Nov 12, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Apr 01, 2026
Earnings Call Sentiment Neutral
Sanara MedTech demonstrated strong revenue growth and improved profitability, driven by its core surgical business and strategic network expansion. However, the discontinuation of Tissue Health Plus and increased operating expenses pose challenges.
Q3-2025 Updates
Positive Updates
Strong Revenue Growth
Sanara MedTech's surgical team achieved net revenue of $26.3 million in Q3 2025, marking a 22% year-over-year growth, driven by soft tissue repair products.
Improved Profitability
The company reported a $1 million improvement in net income from continuing operations and a $2.3 million increase in adjusted EBITDA on net revenue growth of $4.7 million.
Expansion of Distributor Network
Sanara expanded its network from 300 to over 400 contracted distributors over the last 12 months, enhancing its market reach.
Clinical Evidence and New Product Initiatives
Two studies on CellerateRX were published in peer-reviewed journals, supporting its efficacy in complex surgical procedures. Progress was also made with the OsStic product under the BMI partnership.
Negative Updates
Discontinuation of Tissue Health Plus
Sanara MedTech ceased operations of Tissue Health Plus (THP) after failing to find a strategic partner or monetization option, involving an anticipated cash investment of $5.5 million to $6.5 million in H2 2025.
Increased Operating Expenses
Third quarter operating expenses rose by $2.6 million or 14% to $21.5 million, driven primarily by increases in compensation, contract services, and direct sales and marketing expenses.
Higher Interest and Expense
Other expenses increased to $2.1 million from $1 million, primarily due to higher interest expense and fees related to the CRG term loan.
Company Guidance
During the Sanara MedTech third quarter of 2025 earnings call, the company outlined several key metrics and strategic decisions impacting its financial performance and future direction. The company achieved a net revenue of $26.3 million, marking a 22% year-over-year growth, with soft tissue repair product sales increasing by 24% to $23.4 million. Sanara also reported a $1 million improvement in net income from continuing operations and a $2.3 million enhancement in adjusted EBITDA, alongside a 200 basis point increase in gross margin to 93%. Despite these gains, the company announced the cessation of its Tissue Health Plus (THP) operations, a move expected to result in a cash investment between $5.5 million and $6.5 million in the second half of 2025, aligning with previously shared expectations. Looking ahead, Sanara anticipates high single-digit to low-teens revenue growth in the fourth quarter of 2025, excluding a $1.8 million headwind from the previous year's extraordinary demand for BIASURGE. The organization remains focused on driving sustainable growth, optimizing its commercial strategy, and leveraging its strong distributor network and clinical evidence to expand its market presence.

Sanara MedTech Financial Statement Overview

Summary
Sanara MedTech is experiencing revenue growth but faces significant challenges in profitability and cash flow management. The high gross profit margin is a positive indicator, but the company needs to address its operating expenses and improve its cash flow generation to enhance financial stability. Increasing debt levels and negative equity returns highlight potential financial risks.
Income Statement
45
Neutral
Sanara MedTech shows a consistent increase in revenue, with a TTM revenue growth rate of 4.79%. However, the company struggles with profitability, as indicated by negative net profit margins and EBIT margins. The gross profit margin remains strong at over 90%, suggesting effective cost management at the production level, but overall profitability is hindered by high operating expenses.
Balance Sheet
40
Negative
The company's debt-to-equity ratio has increased to 1.28 in the TTM period, indicating a higher reliance on debt financing. Return on equity is negative, reflecting ongoing losses. The equity ratio has decreased, suggesting a lower proportion of equity financing relative to total assets, which could pose risks if financial conditions worsen.
Cash Flow
30
Negative
Sanara MedTech's cash flow position is concerning, with negative free cash flow and a significant decline in free cash flow growth. The operating cash flow to net income ratio is low, indicating challenges in converting earnings into cash. The free cash flow to net income ratio is positive but minimal, suggesting limited cash generation relative to net losses.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue101.90M86.67M64.99M45.84M24.14M15.59M
Gross Profit94.01M78.53M57.14M39.48M21.83M13.97M
EBITDA-26.79M-1.86M-289.10K-11.57M-7.22M-4.14M
Net Income-37.49M-9.66M-4.30M-7.94M-7.92M-4.36M
Balance Sheet
Total Assets71.09M88.09M73.87M61.04M36.40M9.83M
Cash, Cash Equivalents and Short-Term Investments14.94M15.88M5.15M8.96M18.65M455.37K
Total Debt47.39M32.29M11.79M819.22K425.44K481.38K
Total Liabilities64.95M49.18M29.28M19.32M6.24M3.99M
Stockholders Equity6.14M39.40M44.83M41.83M30.64M6.15M
Cash Flow
Free Cash Flow-865.50K-253.08K-3.51M-6.30M-5.56M-5.68M
Operating Cash Flow3.77M-23.78K-3.25M-5.55M-4.81M-4.03M
Investing Cash Flow-12.66M-6.61M-10.21M-3.51M-5.28M-2.74M
Financing Cash Flow7.55M17.37M9.64M-627.35K28.30M622.33K

Sanara MedTech Technical Analysis

Technical Analysis Sentiment
Negative
Last Price29.52
Price Trends
50DMA
26.07
Negative
100DMA
28.38
Negative
200DMA
29.37
Negative
Market Momentum
MACD
-0.74
Negative
RSI
54.57
Neutral
STOCH
84.38
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For SMTI, the sentiment is Negative. The current price of 29.52 is above the 20-day moving average (MA) of 21.08, above the 50-day MA of 26.07, and above the 200-day MA of 29.37, indicating a neutral trend. The MACD of -0.74 indicates Negative momentum. The RSI at 54.57 is Neutral, neither overbought nor oversold. The STOCH value of 84.38 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for SMTI.

Sanara MedTech Risk Analysis

Sanara MedTech disclosed 49 risk factors in its most recent earnings report. Sanara MedTech reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Sanara MedTech Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
68
Neutral
$185.26M35.219.95%6.23%283.88%
63
Neutral
$180.82M15.979.59%2.16%-12.35%-17.20%
60
Neutral
$247.71M-170.24%19.61%-3.42%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
48
Neutral
$182.92M-15.30%-43.95%-620.21%
41
Neutral
$218.03M-27.19%30.55%-340.19%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
SMTI
Sanara MedTech
24.10
-10.55
-30.45%
INFU
InfuSystem Holdings
9.21
0.30
3.37%
OSUR
Orasure Technologies
2.57
-1.34
-34.27%
STXS
Stereotaxis
2.42
0.08
3.42%
UTMD
Utah Medical Products
57.70
-3.92
-6.36%
STSS
Sharps Technology, Inc.
2.76
-609.24
-99.55%

Sanara MedTech Corporate Events

Business Operations and StrategyRegulatory Filings and Compliance
Sanara MedTech Releases 2026 Strategy Presentation
Neutral
Nov 26, 2025

Sanara MedTech Inc. has released an investor presentation that outlines its priorities and strategy for the 2026 fiscal year. This presentation will be used in meetings with investors and analysts, including at the Piper Sandler 37th Annual Healthcare Conference in New York on December 3, 2025. The presentation is intended to provide context alongside the company’s SEC filings and public announcements, and it highlights the company’s strategic direction for the coming year.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Nov 21, 2025