Sanara MedTech Inc. Reports Fourth Quarter (Unaudited) and Full Year 2025 Financial Results; Reaffirmed Full Year 2026 Financial Guidance
Rhea-AI Summary
Sanara MedTech (Nasdaq: SMTI) reported fourth-quarter and full-year 2025 results and reaffirmed 2026 guidance. Full-year net revenue rose 19% to $103.1M, Adjusted EBITDA was $17.0M, and the company reaffirmed 2026 revenue guidance of $116M–$121M (≈13%–17% growth).
Management highlighted commercial expansion, Vizient Innovative Technology contracting for BIASURGE, planned U.S. launch of OsStic in 1Q2027 pending FDA clearance, and increased R&D investment.
Positive
- Net revenue +19% to $103.1M in 2025
- Adjusted EBITDA of $17.0M for full-year 2025
- Net cash provided by operations $6.8M in 2025
- Vizient Innovative Technology contract for BIASURGE
Negative
- Total net loss $37.6M for full-year 2025 including discontinued ops
- Discontinued-operations impairment charge $26.5M in 2025
- Long-term debt $46.0M vs cash $16.6M at year-end 2025
News Market Reaction – SMTI
On the day this news was published, SMTI declined 1.42%, reflecting a mild negative market reaction. Argus tracked a trough of -17.1% from its starting point during tracking. Our momentum scanner triggered 14 alerts that day, indicating notable trading interest and price volatility. This price movement removed approximately $2M from the company's valuation, bringing the market cap to $173.08M at that time. Trading volume was very high at 4.1x the daily average, suggesting heavy selling pressure.
Data tracked by StockTitan Argus on the day of publication.
Key Figures
Market Reality Check
Peers on Argus
SMTI slipped 0.22% while peers were mixed: ANGO +0.47%, KMTS +0.36%, STXS +1.66%, EMBC -1.85%, and OSUR 0%. With no broad, same-direction move and no peer news catalysts, today’s action appears company-specific around the earnings release.
Previous Earnings Reports
| Date | Event | Sentiment | Move | Catalyst |
|---|---|---|---|---|
| Jan 23 | Preliminary earnings & guidance | Positive | -2.3% | Preliminary Q4/FY 2025 results and introduction of 2026 revenue guidance. |
| Nov 12 | Q3 2025 earnings | Neutral | -24.7% | Strong Q3 growth and margins offset by large THP impairment and losses. |
| Aug 13 | Q2 2025 earnings | Positive | +16.2% | Q2 2025 revenue up 28% with improved margins and segment profitability. |
| May 14 | Q1 2025 earnings | Neutral | -10.8% | Strong revenue growth but wider net loss and higher operating expenses. |
| Mar 25 | Q4/FY 2024 earnings | Positive | -12.6% | Robust Q4 and full-year 2024 revenue growth with improving adjusted EBITDA. |
Earnings-related announcements have often coincided with downside moves despite generally strong revenue and margin trends, suggesting a pattern of negative or cautious reactions around results and guidance.
Over the past year, Sanara has reported consistent revenue growth and high gross margins across quarters. Earnings updates on Mar 25, 2025, May 14, 2025, Aug 13, 2025, Nov 12, 2025, and the preliminary Jan 23, 2026 release highlighted rising net revenue and expanding adjusted EBITDA, alongside large noncash impairments and discontinued THP losses. Today’s full-year 2025 results and reaffirmed 2026 guidance continue that trajectory of growth with a cleaner focus on the surgical business.
Historical Comparison
In the last five earnings releases, SMTI’s average move was -6.83%, often skewing negative despite strong growth metrics. Today’s modest -0.22% change is mild versus those typical earnings reactions.
Earnings releases show a progression of strong revenue growth and high gross margins, while strategic actions moved THP into discontinued operations and concentrated the business on surgical products with rising adjusted EBITDA.
Market Pulse Summary
This announcement highlights Sanara’s transition to a focused surgical business, delivering $103.1 million in 2025 revenue (up 19%) and $17.0 million in Adjusted EBITDA, while reaffirming 2026 guidance of $116–$121 million. Historical earnings releases show both strong top-line growth and sizable discontinued-operations losses and impairments. Investors may watch revenue growth versus guidance, margin trends, debt levels of $46.0 million, and execution on strategic initiatives in 2026.
Key Terms
adjusted EBITDA financial
non-GAAP financial measures financial
discontinued operations financial
restricted stock financial
term loan financial
peer-reviewed study medical
peri-articular fractures medical
U.S. Food and Drug Administration regulatory
AI-generated analysis. Not financial advice.
FORT WORTH, TX, March 24, 2026 (GLOBE NEWSWIRE) -- Sanara MedTech Inc. (“Sanara,” the “Company,” “we,” “our” or “us”) (Nasdaq: SMTI), a medical technology company focused on developing and commercializing transformative technologies to improve clinical outcomes and reduce healthcare expenditures in the surgical market, today reported its financial results for the fourth quarter and full year ended December 31, 2025, and reaffirmed its financial guidance for the full year ending December 31, 2026.
Fourth Quarter 2025 Financial Summary(1)
- Net revenue increased
5% to$27.5 million , compared to$26.3 million in the fourth quarter of 2024.- As previously disclosed, the Company experienced growth in sales of BIASURGE® Advanced Surgical Solution (“BIASURGE”) in the fourth quarter of 2024 as a result of supply chain issues and shortages of intravenous fluids and saline solutions experienced by the broader industry due to Hurricane Helene. Excluding
$1.8 million of BIASURGE sales related to this dynamic in the fourth quarter of 2024, net revenue in the fourth quarter of 2025 increased13% year-over-year.(2)
- As previously disclosed, the Company experienced growth in sales of BIASURGE® Advanced Surgical Solution (“BIASURGE”) in the fourth quarter of 2024 as a result of supply chain issues and shortages of intravenous fluids and saline solutions experienced by the broader industry due to Hurricane Helene. Excluding
- Net loss from continuing operations of
$1.1 million , compared to net income from continuing operations of$0.9 million in the fourth quarter of 2024. - Adjusted EBITDA(2) of
$4.7 million , compared to$4.1 million in the fourth quarter of 2024.
Full Year 2025 Financial Summary(1)
- Net revenue increased
19% to$103.1 million , compared to$86.7 million in 2024.- Excluding the aforementioned
$1.8 million of BIASURGE sales in the fourth quarter 2024, net revenue for the full year 2025 increased22% year-over-year.(2)
- Excluding the aforementioned
- Net loss from continuing operations of
$0.4 million , compared to net loss from continuing operations of$1.9 million in 2024. - Adjusted EBITDA(2) of
$17.0 million , compared to$9.1 million in 2024.
Fourth Quarter 2025 and Recent Operational Announcements
- On December 10, 2025, the Company provided an update on progress related to its strategic alliance with Biomimetic Innovations Ltd (“BMI”). In addition, Sanara reaffirmed its plans to introduce the OsStic™ Synthetic Injectable Structural Bio-Adhesive to the U.S. commercial market in the first quarter of 2027, following anticipated clearance by the U.S. Food and Drug Administration, to support reduction and provisional fixation treatment of the more than 100,000(3) peri-articular fractures occurring annually nationwide.
- On January 7, 2026, the Company announced its BIASURGE product received an Innovative Technology contract from Vizient® Inc. (“Vizient”), the nation’s largest provider-driven healthcare performance improvement company. The contract was awarded based on the recommendation of BIASURGE by hospital experts who serve on one of Vizient’s client-led councils, and it signifies to Vizient clients BIASURGE’s unique qualities that potentially bring improvement to the healthcare industry. The Innovative Technology contract offers Vizient’s extensive network of healthcare facility customers access to BIASURGE at contracted pricing and pre-negotiated terms, effective January 1, 2026.
- On March 11, 2026, the Company announced the publication of a peer-reviewed study evaluating the economic and clinical value of CellerateRX® Surgical Powder (“CellerateRX Surgical”) in the Journal of Medical Economics. The study demonstrated cost savings and improved health outcomes associated with the use of CellerateRX Surgical as an adjunct to the standard of care for high-risk spinal surgery patients, compared to the standard of care alone.
(1) As a result of the Company’s strategic realignment, the operations of Tissue Health Plus (“THP”), which were previously reported as the THP segment, have been classified as discontinued operations in Sanara’s financial statements for the three months and years ended December 31, 2025 and 2024.
(2) Net revenue excluding extraordinary BIASURGE sales in the fourth quarter of 2024 and Adjusted EBITDA are non-GAAP financial measures. See the discussion and the reconciliations at the end of this release for additional information.
(3) National Library of Medicine; BMI and Sanara company estimates.
Management Comments
“We are pleased to deliver strong sales performance in 2025, achieving our first full year of net revenue in excess of
“Sanara enters 2026 as a pure play surgical business with a singular focus on the surgical operating setting, a proven commercial strategy, and a compelling margin profile. We are reaffirming our net revenue guidance today, which calls for full year net revenue growth of
Fourth Quarter and Full Year 2025 Revenue
The following table summarizes revenue streams from product sales for the three months and years ended December 31, 2025 and 2024:
| Three Months Ended December 31, | Year Ended December 31, | |||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||
| Soft tissue repair products | $ | 24,729,470 | $ | 23,538,066 | $ | 91,347,493 | $ | 76,125,012 | ||||||||
| Bone fusion products | 2,816,345 | 2,767,299 | 11,770,489 | 10,547,413 | ||||||||||||
| Total Net Revenue | $ | 27,545,815 | $ | 26,305,365 | $ | 103,117,982 | $ | 86,672,425 | ||||||||
Fourth Quarter 2025 Financial Results
As a result of the Company’s previously announced strategic realignment, the operations of THP, which were previously reported as the THP segment, are classified as discontinued operations in Sanara’s financial statements for the three months and years ended December 31, 2025 and 2024.
Net revenue for the fourth quarter of 2025 was
As previously disclosed, net revenue in the fourth quarter of 2024 benefited from strong BIASURGE sales, driven in part by demand related to the supply chain issues and shortages of intravenous fluids and saline solutions, experienced by the broader industry due to Hurricane Helene. Excluding approximately
Gross profit for the fourth quarter of 2025 was
Operating expenses for the fourth quarter of 2025 were
Operating income for the fourth quarter of 2025 was
Other expense for the fourth quarter of 2025 was
Net loss from continuing operations for the fourth quarter of 2025 was
Adjusted EBITDA(1) for the fourth quarter of 2025 was
Net cash provided by operating activities in the fourth quarter of 2025 was
As of December 31, 2025, the Company had
Full Year 2025 Financial Results
As a result of the Company’s previously announced strategic realignment, the operations of THP, which were previously reported as the THP segment, are classified as discontinued operations in Sanara’s financial statements for the three months and years ended December 31, 2025 and 2024.
Net revenue for the full year 2025 was
Net loss from continuing operations for the full year 2025 was
Adjusted EBITDA(1) for the full year 2025 was
Net cash provided by operating activities in the full year 2025 was
(1) Net revenue excluding extraordinary BIASURGE sales in the fourth quarter of 2024 and Adjusted EBITDA are a non-GAAP financial measures. See the discussion and the reconciliations at the end of this release for additional information.
Full Year 2026 Financial Guidance
The Company is reaffirming financial guidance for the full year ending December 31, 2026.
Sanara continues to expect full year 2026 net revenue to range from
Conference Call
The Company will host a conference call on Tuesday, March 24, 2026 at 8:00 a.m. Eastern Time to discuss the results of the quarter and full year ended December 31, 2025 and hold a question and answer session at the end of the call. The toll-free number to call for this teleconference is 888-506-0062 (international callers: 973-528-0011) and the access code is 658106. A telephonic replay of the conference call will be available through Tuesday, April 7, 2026, by dialing 877-481-4010 (international callers: 919-882-2331) and entering the replay passcode: 53559.
A live webcast of Sanara’s conference call is accessible by clicking here and will be made available under the “Events” section of the Company’s Investor Relations website, https://ir.sanaramedtech.com/. An online replay will be available for approximately one year following the conclusion of the live broadcast.
About Sanara MedTech Inc.
Sanara MedTech Inc. is a medical technology company focused on developing and commercializing transformative technologies to improve clinical outcomes and reduce healthcare expenditures in the surgical market. The Company develops, markets and distributes surgical products to surgeons at hospitals and surgical centers. Each of the Company’s products and technologies are designed to achieve the goal of providing better clinical outcomes at a lower overall cost for patients. Sanara’s products are primarily sold in the North American surgical tissue repair market. Sanara markets and distributes CellerateRX Surgical Activated Collagen Powder, BIASURGE Advanced Surgical Solution, FORTIFY TRG® Tissue Repair Graft and FORTIFY FLOWABLE® Extracellular Matrix, as well as a portfolio of advanced biologic products including: ACTIGEN® Verified Inductive Bone Matrix, ALLOCYTE® Plus Advanced Viable Bone Matrix, BiFORM® Bioactive Moldable Matrix and TEXAGEN® Amniotic Membrane Allograft to the surgical market. The Company believes it can drive its pipeline from concept to preclinical and clinical development while meeting quality and regulatory requirements. The Company strives to be one of the most innovative and comprehensive providers of effective surgical solutions and is continually seeking to expand its offerings for patients requiring treatments in the United States. For more information, please visit SanaraMedTech.com.
Information about Forward-Looking Statements
The statements in this press release that do not constitute historical facts are “forward-looking statements,” within the meaning of and subject to the safe harbor created by the Private Securities Litigation Reform Act of 1995. These statements may be identified by terms such as “aims,” “anticipates,” “believes,” contemplates,” “continue,” “could,” “estimates,” “expects,” “forecast,” “guidance,” “intends,” “may,” “plans,” “possible,” “potential,” “predicts,” “preliminary,” “projects,” “seeks,” “should,” “targets,” “will” or “would,” or the negatives of these terms, variations of these terms or other similar expressions. These forward-looking statements include, among others, statements regarding the Company’s expected net revenue for the fiscal year ending December 31, 2026, the potential sale of BIASURGE to Vizient clients upon award of the Innovative Technology contract, the Company’s business strategy and mission, the development of new products, the timing of commercialization of the Company’s products, and the regulatory approval process. These items involve risks, contingencies and uncertainties such as uncertainties associated with the development and process for obtaining regulatory approval for new products, the extent of product demand, market and customer acceptance, the effect of economic conditions, competition, pricing, uncertainties associated with the development and process for obtaining regulatory approval for new products, the ability to consummate and integrate acquisitions, and other risks, contingencies and uncertainties detailed in the Company’s most recent annual report on Form 10-K and subsequent reports filed with the Securities and Exchange Commission, which could cause the Company’s actual operating results, performance or business plans or prospects to differ materially from those expressed in or implied by these statements.
All forward-looking statements speak only as of the date on which they are made, and the Company undertakes no obligation to revise any of these statements to reflect future circumstances or the occurrence of unanticipated events, except as required by applicable securities laws.
Investor Relations Contact:
Jack Powell or Mike Piccinino, CFA
ICR Healthcare
IR@sanaramedtech.com
SANARA MEDTECH INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
| December 31, | ||||||||
| 2025 | 2024 | |||||||
| Assets | ||||||||
| Current assets | ||||||||
| Cash | $ | 16,578,857 | $ | 15,878,295 | ||||
| Accounts receivable, net | 11,998,075 | 12,408,819 | ||||||
| Accounts receivable – related parties | - | 40,566 | ||||||
| Inventory, net | 3,948,748 | 2,753,032 | ||||||
| Convertible loan receivable | - | 1,101,478 | ||||||
| Prepaid and other assets | 948,620 | 1,022,464 | ||||||
| Current assets related to discontinued operations | 67,863 | 101,334 | ||||||
| Total current assets | 33,542,163 | 33,305,988 | ||||||
| Long-term assets | ||||||||
| Intangible assets, net | 18,640,673 | 23,481,095 | ||||||
| Goodwill | 3,601,781 | 3,601,781 | ||||||
| Investment in equity securities | 14,626,858 | 6,212,945 | ||||||
| Right of use assets – operating leases | 2,075,634 | 1,447,907 | ||||||
| Property and equipment, net | 456,962 | 432,317 | ||||||
| Long-term assets related to discontinued operations | - | 19,609,959 | ||||||
| Total long-term assets | 39,401,908 | 54,786,004 | ||||||
| Total assets | $ | 72,944,071 | $ | 88,091,992 | ||||
| Liabilities and shareholders’ equity | ||||||||
| Current liabilities | ||||||||
| Accounts payable | $ | 2,313,761 | $ | 1,499,764 | ||||
| Accounts payable – related parties | 25,000 | 30,913 | ||||||
| Accrued bonuses and commissions | 11,781,435 | 10,084,650 | ||||||
| Accrued royalties and expenses | 2,684,626 | 2,265,237 | ||||||
| Earnout liabilities – current | 235,001 | - | ||||||
| Operating lease liabilities – current | 353,229 | 358,687 | ||||||
| Current liabilities related to discontinued operations | 1,233,478 | 1,050,820 | ||||||
| Total current liabilities | 18,626,530 | 15,290,071 | ||||||
| Long-term liabilities | ||||||||
| Long-term debt | 45,970,937 | 30,689,290 | ||||||
| Earnout liabilities – long-term | - | 748,001 | ||||||
| Operating lease liabilities – long-term | 1,868,703 | 1,237,051 | ||||||
| Other long-term liabilities | 548,125 | 1,215,617 | ||||||
| Total long-term liabilities | 48,387,765 | 33,889,959 | ||||||
| Total liabilities | 67,014,295 | 49,180,030 | ||||||
| Commitments and contingencies | ||||||||
| Shareholders’ equity | ||||||||
| Common Stock: | 8,948 | 8,754 | ||||||
| Additional paid-in capital | 81,232,536 | 77,179,211 | ||||||
| Accumulated deficit | (75,303,042 | ) | (37,784,392 | ) | ||||
| Total Sanara MedTech shareholders’ equity | 5,938,442 | 39,403,573 | ||||||
| Equity attributable to noncontrolling interest | (8,666 | ) | (491,611 | ) | ||||
| Total shareholders’ equity | 5,929,776 | 38,911,962 | ||||||
| Total liabilities and shareholders’ equity | $ | 72,944,071 | $ | 88,091,992 | ||||
SANARA MEDTECH INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
| Three Months Ended December 31, | Year Ended December 31, | |||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||
| (Unaudited) | ||||||||||||||||
| Net Revenue | $ | 27,545,815 | $ | 26,305,365 | $ | 103,117,982 | $ | 86,672,425 | ||||||||
| Cost of goods sold | 1,874,506 | 2,249,182 | 7,520,969 | 8,139,901 | ||||||||||||
| Gross profit | 25,671,309 | 24,056,183 | 95,597,013 | 78,532,524 | ||||||||||||
| Operating expenses | ||||||||||||||||
| Selling, general and administrative | 20,075,597 | 20,220,332 | 78,716,999 | 71,673,642 | ||||||||||||
| Research and development | 2,035,737 | 883,399 | 5,072,483 | 2,828,663 | ||||||||||||
| Depreciation and amortization | 668,396 | 692,032 | 2,661,873 | 2,785,829 | ||||||||||||
| Change in fair value of earnout liabilities | - | - | - | (14,451 | ) | |||||||||||
| Asset impairment charges | 1,841,120 | - | 1,841,120 | - | ||||||||||||
| Total operating expenses | 24,620,850 | 21,795,763 | 88,292,475 | 77,273,683 | ||||||||||||
| Operating income | 1,050,459 | 2,260,420 | 7,304,538 | 1,258,841 | ||||||||||||
| Other income (expense) | ||||||||||||||||
| Interest expense | (1,833,035 | ) | (1,289,136 | ) | (6,759,800 | ) | (3,128,395 | ) | ||||||||
| Share of losses from equity method investments | (324,734 | ) | (58,559 | ) | (952,466 | ) | (90,007 | ) | ||||||||
| Interest income | - | 21,978 | 3,672 | 21,978 | ||||||||||||
| Gain on disposal of property and equipment | - | - | 10,932 | - | ||||||||||||
| Total other income (expense) | (2,157,769 | ) | (1,325,717 | ) | (7,697,662 | ) | (3,196,424 | ) | ||||||||
| Net income (loss) from continuing operations | (1,107,310 | ) | 934,703 | (393,124 | ) | (1,937,583 | ) | |||||||||
| Net loss from discontinued operations (including asset impairment charge of | (502,848 | ) | (2,635,304 | ) | (37,174,923 | ) | (7,974,315 | ) | ||||||||
| Net loss | (1,610,158 | ) | (1,700,601 | ) | (37,568,047 | ) | (9,911,898 | ) | ||||||||
| Net income (loss) attributable to noncontrolling interest from continuing operations | (244 | ) | 82,107 | (5,441 | ) | (3,224 | ) | |||||||||
| Net loss attributable to noncontrolling interest from discontinued operations | - | (244,127 | ) | - | (244,127 | ) | ||||||||||
| Less: Total net loss attributable to noncontrolling interest | (244 | ) | (162,020 | ) | (5,441 | ) | (247,351 | ) | ||||||||
| Net loss attributable to Sanara MedTech shareholders | $ | (1,609,914 | ) | $ | (1,538,581 | ) | $ | (37,562,606 | ) | $ | (9,664,547 | ) | ||||
| Net income (loss) per share, basic: | ||||||||||||||||
| Continuing operations | $ | (0.13 | ) | $ | 0.10 | $ | (0.05 | ) | $ | (0.23 | ) | |||||
| Discontinued operations | (0.06 | ) | (0.28 | ) | (4.31 | ) | (0.91 | ) | ||||||||
| Net income (loss) per share of common stock, basic | $ | (0.19 | ) | $ | (0.18 | ) | $ | (4.36 | ) | $ | (1.14 | ) | ||||
| Net income (loss) per share, diluted: | ||||||||||||||||
| Continuing operations | $ | (0.13 | ) | $ | 0.10 | $ | (0.05 | ) | $ | (0.23 | ) | |||||
| Discontinued operations | (0.06 | ) | (0.27 | ) | (4.31 | ) | (0.91 | ) | ||||||||
| Net income (loss) per share of common stock, diluted | $ | (0.19 | ) | $ | (0.17 | ) | $ | (4.36 | ) | $ | (1.14 | ) | ||||
| Weighted average number of common shares outstanding, basic | 8,473,112 | 8,531,507 | 8,623,028 | 8,484,224 | ||||||||||||
| Weighted average number of common shares outstanding, diluted | 8,473,112 | 8,765,307 | 8,623,028 | 8,484,224 | ||||||||||||
The following is a reconciliation of the numerator and denominator of basic and diluted net income (loss) per share for the three months and years ended December 31, 2025 and 2024.
| Three Months Ended December 31, | Year Ended December 31, | |||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||
| Numerator: | ||||||||||||||||
| Net income (loss) from continuing operations | $ | (1,107,310 | ) | $ | 934,703 | $ | (393,124 | ) | $ | (1,937,583 | ) | |||||
| Net loss from discontinued operations | (502,848 | ) | (2,635,304 | ) | (37,174,923 | ) | (7,974,315 | ) | ||||||||
| Less: Net income (loss) from continuing operations attributable to noncontrolling interests | (244 | ) | 82,107 | (5,441 | ) | (3,224 | ) | |||||||||
| Less: Net loss from discontinued operations attributable to noncontrolling interests | - | (244,127 | ) | - | (244,127 | ) | ||||||||||
| Net loss attributable to Sanara MedTech shareholders | $ | (1,609,914 | ) | $ | (1,538,581 | ) | $ | (37,562,606 | ) | $ | (9,664,547 | ) | ||||
| Denominator: | ||||||||||||||||
| Weighted average shares, basic | 8,473,112 | 8,531,507 | 8,623,028 | 8,484,224 | ||||||||||||
| Dilutive effect of stock options | - | 31,013 | - | - | ||||||||||||
| Dilutive effect of unvested shares | - | 202,787 | - | - | ||||||||||||
| Weighted average shares, diluted | 8,473,112 | 8,765,307 | 8,623,028 | 8,484,224 | ||||||||||||
The following table summarizes the shares of common stock that were potentially issuable but were excluded from the computation of diluted net loss per share of common stock for the three months and year ended December 31, 2025 and the year ended December 31, 2024, as such shares would have had an anti-dilutive effect:
| December 31, | ||||||||
| 2025 | 2024 | |||||||
| Stock options | 10,218 | 31,013 | ||||||
| Unvested restricted stock | 257,989 | 202,787 | ||||||
SANARA MEDTECH INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
| Year Ended December 31, | ||||||||
| 2025 | 2024 | |||||||
| Cash flows from operating activities: | ||||||||
| Net loss | $ | (37,568,047 | ) | $ | (9,911,898 | ) | ||
| Adjustments to reconcile net loss to net cash provided by (used in) operating activities: | ||||||||
| Depreciation and amortization | 3,945,965 | 4,923,224 | ||||||
| Asset impairment charges | 28,313,527 | - | ||||||
| Gain on disposal of property and equipment | (9,674 | ) | - | |||||
| Credit loss expense | 509,233 | 624,448 | ||||||
| Inventory obsolescence | 582,046 | 521,757 | ||||||
| Share-based compensation | 5,154,761 | 4,436,048 | ||||||
| Noncash lease expense | 525,372 | 547,297 | ||||||
| Share of losses from equity method investments | 952,466 | 90,007 | ||||||
| Back-end fee | 780,312 | 358,086 | ||||||
| Paid-in-kind interest | 2,199,613 | 838,965 | ||||||
| Accretion of finance liabilities | 148,179 | 210,931 | ||||||
| Amortization and write-off of debt issuance costs | 279,905 | 209,499 | ||||||
| Change in fair value of earnout liabilities | - | (1,938,451 | ) | |||||
| Accrued interest income | - | (21,978 | ) | |||||
| Changes in operating assets and liabilities: | ||||||||
| Accounts receivable, net | (114,690 | ) | (4,508,958 | ) | ||||
| Accounts receivable – related parties | 40,566 | (32,166 | ) | |||||
| Inventory, net | (1,777,762 | ) | 1,442,744 | |||||
| Prepaid and other assets | 123,515 | (515,496 | ) | |||||
| Accounts payable | 813,999 | (424,318 | ) | |||||
| Accounts payable – related parties | (5,913 | ) | (46,891 | ) | ||||
| Accrued royalties and expenses | 292,195 | 574,189 | ||||||
| Accrued bonuses and commissions | 2,127,966 | 3,102,069 | ||||||
| Operating lease liabilities | (526,905 | ) | (502,892 | ) | ||||
| Net cash provided by (used in) operating activities | 6,786,629 | (23,784 | ) | |||||
| Cash flows from investing activities: | ||||||||
| Purchases of property and equipment | (4,625,650 | ) | (205,848 | ) | ||||
| Proceeds from disposal of property and equipment | 60,000 | - | ||||||
| Purchases of intangible assets | (23,452 | ) | (23,452 | ) | ||||
| Investment in equity securities | (8,262,642 | ) | (5,302,952 | ) | ||||
| Convertible loan receivable | - | (1,079,391 | ) | |||||
| CarePICS Acquisition | (2,122,146 | ) | - | |||||
| Net cash used in investing activities | (14,973,890 | ) | (6,611,643 | ) | ||||
| Cash flows from financing activities: | ||||||||
| Loan proceeds, net of debt issuance costs of | 12,021,817 | 29,339,260 | ||||||
| Pay off line of credit | - | (9,750,000 | ) | |||||
| Pay off debt assumed in CarePICS Acquisition | (1,650,000 | ) | - | |||||
| Equity offering net expenses | - | (75,000 | ) | |||||
| Net settlement of equity-based awards | (546,994 | ) | (125,205 | ) | ||||
| Cash payment of finance and earnout liabilities | (937,000 | ) | (2,022,549 | ) | ||||
| Net cash provided by financing activities | 8,887,823 | 17,366,506 | ||||||
| Net increase in cash | 700,562 | 10,731,079 | ||||||
| Cash, beginning of period | 15,878,295 | 5,147,216 | ||||||
| Cash, end of period | $ | 16,578,857 | $ | 15,878,295 | ||||
| Cash paid during the period for: | ||||||||
| Interest | $ | 3,351,791 | $ | 1,580,984 | ||||
| Taxes | 48,792 | 40,586 | ||||||
| Supplemental noncash investing and financing activities: | ||||||||
| Non-monetary exchange to acquire intangible assets | $ | 2,084,278 | $ | - | ||||
| Conversion of note receivable into equity method investment | 1,101,478 | - | ||||||
| Earnout liability generated by CarePICS Acquisition | 1,355,603 | - | ||||||
| Right of use assets obtained in exchange for lease obligations | 1,153,099 | - | ||||||
SANARA MEDTECH INC. AND SUBSIDIARIES
NON-GAAP FINANCIAL MEASURES (UNAUDITED)
To supplement the Company’s financial information presented in accordance with generally accepted accounting principles in the United States (“GAAP”), we present certain non-GAAP financial measures in this press release and on the related teleconference call, including Adjusted EBITDA and adjusted net revenue. The Company’s management uses these non-GAAP financial measures, both internally and externally, to assess and communicate the financial performance of the Company. The Company defines Adjusted EBITDA as net income (loss) from continuing operations excluding interest expense/income, provision/benefit for income taxes, depreciation and amortization, non-cash share-based compensation expense, change in fair value of earnout liabilities, asset impairment charges, share of losses from equity method investments, executive separation costs, legal and diligence expenses related to acquisitions, and gains/losses on the disposal of property and equipment, as each is applicable to the periods presented.
The Company believes Adjusted EBITDA is useful to investors because it facilitates comparisons of the Company’s core business operations across periods on a consistent basis. Accordingly, the Company adjusts certain items, such as change in fair value of earnout liabilities, when calculating Adjusted EBITDA because the Company believes that such items are not related to the Company’s core business operations.
The Company’s non-GAAP financial measures are not in accordance with, nor an alternative for, measures conforming to GAAP and may be different from non-GAAP financial measures used by other companies. In addition, these non-GAAP financial measures are not based on any comprehensive set of accounting rules or principles. The Company continues to provide all information required by GAAP, but it believes that evaluating its ongoing operating results may not be as useful if an investor or other user is limited to reviewing only GAAP financial measures. The Company does not, nor does it suggest that investors should, consider these non-GAAP financial measures in isolation from, or as a substitute for, financial information prepared in accordance with GAAP. Material limitations associated with the use of such measures include that they do not reflect all costs included in operating expenses and may not be comparable with similarly named financial measures of other companies. Furthermore, these non-GAAP financial measures are based on subjective determinations of management regarding the nature and classification of events and circumstances. The Company presents these non-GAAP financial measures to provide investors with information to evaluate the Company’s operating results in a manner similar to how management evaluates business performance. To compensate for any limitations in such non-GAAP financial measures, management believes that it is useful in understanding and analyzing the results of the business to review both GAAP information and the related non-GAAP financial measures. Whenever the Company uses a non-GAAP financial measure, it provides a reconciliation of the non-GAAP financial measure to the most directly comparable GAAP financial measure. Investors are encouraged to review and consider these reconciliations.
Reconciliation of Net Revenue to Adjusted Net Revenue:
| Three Months Ended December 31, | Year Ended December 31, | |||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||
| Net Revenue | $ | 27,545,815 | $ | 26,305,365 | $ | 103,117,982 | $ | 86,672,425 | ||||||||
| Adjustments: | ||||||||||||||||
| Extraordinary BIASURGE Sales (1) | - | (1,847,280 | ) | - | (1,847,280 | ) | ||||||||||
| Adjusted Net Revenue | $ | 27,545,815 | $ | 24,458,085 | $ | 103,117,982 | $ | 84,825,145 | ||||||||
| (1 | ) | Estimated BIASURGE sales related to supply chain issues and shortages of intravenous fluids and saline solutions experienced by the broader industry during the fourth quarter of 2024 due to Hurricane Helene. | |
Reconciliation of Net income (loss) from continuing operations to Adjusted EBITDA:
| Three Months Ended December 31, | Year Ended December 31, | |||||||||||||||
| 2025 | 2024 | 2025 | 2024 | |||||||||||||
| Net income (loss) from continuing operations | $ | (1,107,310 | ) | $ | 934,703 | $ | (393,124 | ) | $ | (1,937,583 | ) | |||||
| Adjustments: | ||||||||||||||||
| Interest expense | 1,833,035 | 1,289,136 | 6,759,800 | 3,128,395 | ||||||||||||
| Depreciation and amortization | 668,396 | 692,032 | 2,661,873 | 2,785,829 | ||||||||||||
| Noncash share-based compensation | 1,155,545 | 1,165,472 | 4,773,982 | 3,969,008 | ||||||||||||
| Change in fair value of earnout liabilities | - | - | - | (14,451 | ) | |||||||||||
| Asset impairment charges | 1,841,120 | - | 1,841,120 | - | ||||||||||||
| Share of losses from equity method investments | 324,734 | 58,559 | 952,466 | 90,007 | ||||||||||||
| Gain on disposal of property and equipment | - | - | (10,932 | ) | - | |||||||||||
| Interest income | - | (21,978 | ) | (3,672 | ) | (21,978 | ) | |||||||||
| Executive separation costs (1) | - | - | 432,323 | 964,466 | ||||||||||||
| Acquisition costs (2) | (24,826 | ) | (64,872 | ) | - | 185,029 | ||||||||||
| Adjusted EBITDA | $ | 4,690,694 | $ | 4,053,052 | $ | 17,013,836 | $ | 9,148,722 | ||||||||
| (1 | ) | Includes | |
| (2 | ) | Acquisition costs include legal, tax, accounting and other contract services related to prospective acquisitions. | |
ANNEX - Consolidated (reflecting our Surgical Business):
The following tables reflect results of operations of our surgical business for the periods indicated below (Unaudited except for full fiscal years ended December 31, 2025, 2024 and 2023):
| 2025 | 2024 | 2023 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Q1 | Q2 | Q3 | Q4 | TOTAL | Q1 | Q2 | Q3 | Q4 | TOTAL | Q1 | Q2 | Q3 | Q4 | TOTAL | ||||||||||||||||||||||||||||||||||||||||||||||
| Net Revenue | $ | 23,434,096 | $ | 25,804,252 | $ | 26,333,819 | $ | 27,545,815 | $ | 103,117,982 | $ | 18,536,638 | $ | 20,158,823 | $ | 21,671,599 | $ | 26,305,365 | $ | 86,672,425 | $ | 15,519,187 | $ | 15,753,164 | $ | 16,024,948 | $ | 17,689,813 | $ | 64,987,112 | ||||||||||||||||||||||||||||||
| Cost of goods sold | 1,834,967 | 1,937,282 | 1,874,214 | 1,874,506 | 7,520,969 | 1,890,046 | 2,008,686 | 1,991,987 | 2,249,182 | 8,139,901 | 2,116,694 | 2,187,516 | 1,751,349 | 1,788,162 | 7,843,721 | |||||||||||||||||||||||||||||||||||||||||||||
| Gross profit | 21,599,129 | 23,866,970 | 24,459,605 | 25,671,309 | 95,597,013 | 16,646,592 | 18,150,137 | 19,679,612 | 24,056,183 | 78,532,524 | 13,402,493 | 13,565,648 | 14,273,599 | 15,901,651 | 57,143,391 | |||||||||||||||||||||||||||||||||||||||||||||
| Operating expenses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Selling, general and administrative(1) | 19,129,208 | 19,634,319 | 19,877,875 | 20,075,597 | 78,716,999 | 15,683,039 | 18,349,924 | 17,420,347 | 20,220,332 | 71,673,642 | 12,467,395 | 13,301,230 | 13,460,404 | 15,597,823 | 54,826,852 | |||||||||||||||||||||||||||||||||||||||||||||
| Research and development | 950,359 | 1,056,796 | 1,029,591 | 2,035,737 | 5,072,483 | 578,981 | 582,443 | 783,840 | 883,399 | 2,828,663 | 235,236 | 208,727 | 225,886 | 232,933 | 902,782 | |||||||||||||||||||||||||||||||||||||||||||||
| Depreciation and amortization(2) | 694,032 | 688,546 | 610,899 | 668,396 | 2,661,873 | 698,502 | 698,407 | 696,888 | 692,032 | 2,785,829 | 372,020 | 396,597 | 590,563 | 687,679 | 2,046,859 | |||||||||||||||||||||||||||||||||||||||||||||
| Change in fair value of earnout liabilities | - | - | - | - | - | (103,781 | ) | 89,330 | - | - | (14,451 | ) | (191,127 | ) | (436,004 | ) | (758,783 | ) | 87,578 | (1,298,336 | ) | |||||||||||||||||||||||||||||||||||||||
| Asset impairment charges | - | - | - | 1,841,120 | 1,841,120 | - | - | - | - | - | - | - | - | - | - | |||||||||||||||||||||||||||||||||||||||||||||
| Total operating expenses | 20,773,599 | 21,379,661 | 21,518,365 | 24,620,850 | 88,292,475 | 16,856,741 | 19,720,104 | 18,901,075 | 21,795,763 | 77,273,683 | 12,883,524 | 13,470,550 | 13,518,070 | 16,606,013 | 56,478,157 | |||||||||||||||||||||||||||||||||||||||||||||
| Operating income (loss) | 825,530 | 2,487,309 | 2,941,240 | 1,050,459 | 7,304,538 | (210,149 | ) | (1,569,967 | ) | 778,537 | 2,260,420 | 1,258,841 | 518,969 | 95,098 | 755,529 | (704,362 | ) | 665,234 | ||||||||||||||||||||||||||||||||||||||||||
| Other income (expense) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Interest expense | (1,317,092 | ) | (1,791,568 | ) | (1,818,105 | ) | (1,833,035 | ) | (6,759,800 | ) | (267,336 | ) | (644,346 | ) | (927,577 | ) | (1,289,136 | ) | (3,128,395 | ) | (6 | ) | - | (188,294 | ) | (287,483 | ) | (475,783 | ) | |||||||||||||||||||||||||||||||
| Share of losses from equity method investments | (143,608 | ) | (195,482 | ) | (288,642 | ) | (324,734 | ) | (952,466 | ) | - | - | (31,448 | ) | (58,559 | ) | (90,007 | ) | - | - | - | - | - | |||||||||||||||||||||||||||||||||||||
| Interest income | 3,672 | - | - | - | 3,672 | - | - | - | 21,978 | 21,978 | - | - | - | - | - | |||||||||||||||||||||||||||||||||||||||||||||
| Gain on disposal of property and equipment | 10,932 | - | - | - | 10,932 | - | - | - | - | - | - | - | - | - | - | |||||||||||||||||||||||||||||||||||||||||||||
| Gain on disposal of investment | - | - | - | - | - | - | - | - | - | - | - | - | - | 251,034 | 251,034 | |||||||||||||||||||||||||||||||||||||||||||||
| Total other income (expense) | (1,446,096 | ) | (1,987,050 | ) | (2,106,747 | ) | (2,157,769 | ) | (7,697,662 | ) | (267,336 | ) | (644,346 | ) | (959,025 | ) | (1,325,717 | ) | (3,196,424 | ) | (6 | ) | - | (188,294 | ) | (36,449 | ) | (224,749 | ) | |||||||||||||||||||||||||||||||
| Net income (loss) from continuing operations | $ | (620,566 | ) | $ | 500,259 | $ | 834,493 | $ | (1,107,310 | ) | $ | (393,124 | ) | $ | (477,485 | ) | $ | (2,214,313 | ) | $ | (180,488 | ) | $ | 934,703 | $ | (1,937,583 | ) | $ | 518,963 | $ | 95,098 | $ | 567,235 | $ | (740,811 | ) | $ | 440,485 | ||||||||||||||||||||||
| (1 | ) | Selling, general and administrative expense of | |
| (2 | ) | Depreciation expense of | |
ANNEX - Consolidated (reflecting our Surgical Business) (continued):
Reconciliation of Net income (loss) from continuing operations to Adjusted EBITDA (Unaudited):
| 2025 | 2024 | 2023 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Q1 | Q2 | Q3 | Q4 | TOTAL | Q1 | Q2 | Q3 | Q4 | TOTAL | Q1 | Q2 | Q3 | Q4 | TOTAL | ||||||||||||||||||||||||||||||||||||||||||||||
| Net income (loss) from continuing operations | $ | (620,566 | ) | $ | 500,259 | $ | 834,493 | $ | (1,107,310 | ) | $ | (393,124 | ) | $ | (477,485 | ) | $ | (2,214,313 | ) | $ | (180,488 | ) | $ | 934,703 | $ | (1,937,583 | ) | $ | 518,963 | $ | 95,098 | $ | 567,235 | $ | (740,811 | ) | $ | 440,485 | ||||||||||||||||||||||
| Adjustments: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Interest expense | 1,317,092 | 1,791,568 | 1,818,105 | 1,833,035 | 6,759,800 | 267,336 | 644,346 | 927,577 | 1,289,136 | 3,128,395 | 6 | - | 188,294 | 287,483 | 475,783 | |||||||||||||||||||||||||||||||||||||||||||||
| Depreciation and amortization(1) | 694,032 | 688,546 | 610,899 | 668,396 | 2,661,873 | 698,502 | 698,407 | 696,888 | 692,032 | 2,785,829 | 372,020 | 396,597 | 590,563 | 687,679 | 2,046,859 | |||||||||||||||||||||||||||||||||||||||||||||
| Noncash share-based compensation | 1,175,496 | 1,278,871 | 1,164,070 | 1,155,545 | 4,773,982 | 753,616 | 1,046,321 | 1,003,599 | 1,165,472 | 3,969,008 | 545,214 | 1,064,516 | 813,606 | 777,994 | 3,201,330 | |||||||||||||||||||||||||||||||||||||||||||||
| Change in fair value of earnout liabilities | - | - | - | - | - | (103,781 | ) | 89,330 | - | - | (14,451 | ) | (191,127 | ) | (436,004 | ) | (758,783 | ) | 87,578 | (1,298,336 | ) | |||||||||||||||||||||||||||||||||||||||
| Asset impairment charges | - | - | - | 1,841,120 | 1,841,120 | - | - | - | - | - | - | - | - | - | - | |||||||||||||||||||||||||||||||||||||||||||||
| Share of losses from equity method investments | 143,608 | 195,482 | 288,642 | 324,734 | 952,466 | - | - | 31,448 | 58,559 | 90,007 | - | - | - | - | - | |||||||||||||||||||||||||||||||||||||||||||||
| Gain on disposal of property and equipment | (10,932 | ) | - | - | - | (10,932 | ) | - | - | - | - | - | - | - | - | - | - | |||||||||||||||||||||||||||||||||||||||||||
| Interest income | (3,672 | ) | - | - | - | (3,672 | ) | - | - | - | (21,978 | ) | (21,978 | ) | - | - | - | - | - | |||||||||||||||||||||||||||||||||||||||||
| Executive separation costs(2) | - | 260,275 | 172,048 | - | 432,323 | - | 904,781 | 59,685 | - | 964,466 | - | - | - | - | - | |||||||||||||||||||||||||||||||||||||||||||||
| Acquisition costs (3) | - | 4,826 | 20,000 | (24,826 | ) | - | - | 225,089 | 24,812 | (64,872 | ) | 185,029 | - | - | - | 423,513 | 423,513 | |||||||||||||||||||||||||||||||||||||||||||
| Adjusted EBITDA | $ | 2,695,058 | $ | 4,719,827 | $ | 4,908,257 | $ | 4,690,694 | $ | 17,013,836 | $ | 1,138,188 | $ | 1,393,961 | $ | 2,563,521 | $ | 4,053,052 | $ | 9,148,722 | $ | 1,245,076 | $ | 1,120,207 | $ | 1,400,915 | $ | 1,523,436 | $ | 5,289,634 | ||||||||||||||||||||||||||||||
| (1 | ) | Depreciation expense of | |
| (2 | ) | Includes share-based compensation related to executive separation costs. | |
| (3 | ) | Acquisition costs include legal, tax, accounting and other contract services related to prospective acquisitions. | |
FAQ
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