Sanuwave Announces Q2 FY2025 Financial Results

Rhea-AI Summary

Sanuwave Health (NASDAQ: SNWV) reported strong Q2 2025 financial results, achieving record quarterly revenues of $10.2 million, up 42% year-over-year. The company demonstrated improved profitability with a gross margin of 78.3%, up from 73.2% in Q2 2024.

Key highlights include the sale of 116 UltraMist® systems in Q2 2025, up from 72 in Q2 2024, and UltraMist® consumables revenue increased by 37% to $6.4 million. Operating income was $1.9 million, with net income of $1.1 million. The company achieved Adjusted EBITDA of $3.4 million, more than double the $1.5 million from Q2 2024.

Looking ahead, Sanuwave provided guidance for Q3 2025 revenue of $12-$12.7 million and maintained its full-year 2025 revenue guidance of $48-$50 million, representing a 47-53% increase from 2024.

Positive

• None.

Negative

• Operating income slightly decreased to $1.9M from $2.0M in Q2 2024
• Net income declined to $1.1M from $6.6M in Q2 2024
• Added $1.1M in stock compensation expenses not present in Q2 2024
• High dependency on UltraMist® with 99% of overall revenues

Insights

Financial Analyst

Sanuwave delivered strong 42% revenue growth and improved margins, though operating income slightly declined due to stock compensation costs.

Sanuwave Health has delivered an impressive 42% revenue growth in Q2 2025, reaching $10.2 million compared to $7.2 million in the same period last year. This represents their highest Q2 revenue in company history, falling within their projected 40-50% growth guidance.

The company's gross margin improved significantly to 78.3% from 73.2% year-over-year, indicating enhanced operational efficiency and potentially stronger pricing power for their UltraMist wound care system.

Particularly noteworthy is the 61% increase in UltraMist system sales (116 units vs. 72 in Q2 2024), suggesting strong market adoption. UltraMist consumables revenue grew by 37% to $6.4 million, demonstrating the success of their razor/razor-blade business model, where each installed system drives recurring revenue streams.

Despite the revenue growth, GAAP operating income slightly decreased to $1.9 million from $2.0 million, primarily due to $1.1 million in stock compensation expenses not present in the previous year. When adjusted for non-cash items, the company's Adjusted EBITDA more than doubled to $3.4 million from $1.5 million.

Net income fell to $1.1 million from $6.6 million, but this comparison is misleading as the prior year included a one-time $5.3 million gain from debt extinguishment.

Management's Q3 revenue guidance of $12-$12.7 million suggests continued strong sequential growth, while their maintained full-year guidance of $48-$50 million (representing 47-53% annual growth) indicates confidence in their commercial expansion strategy. With newly achieved national sales coverage and planned marketing initiatives, the company appears positioned to accelerate growth in upcoming quarters.

Q2 2025 revenues were $10.2 million, up 42% from $7.2 million in Q2 2024. This represents the highest Q2 quarterly revenues in Company history.

Q2 2025 gross margin was 78.3%, versus 73.2% in Q2 2024.

GAAP Operating Income was $1.9 million for Q2 2025 versus $2.0 million in Q2 2024. Q2 2025 included equity compensation costs of $1.1 million versus $0 in Q2 2024.

Company provides guidance for revenues of $12-$12.7 million for Q3 2025.

EDEN PRAIRIE, Minn., Aug. 08, 2025 (GLOBE NEWSWIRE) -- Sanuwave Health, Inc. (the "Company" or "Sanuwave”) (NASDAQ: SNWV), a leading provider of next-generation FDA-approved wound care products, is pleased to provide its financial results for the three months ended June 30, 2025.

Quarter ended June 30, 2025

• Revenue for the three months ended June 30, 2025, totaled $10.2 million, an increase of 42%, as compared to $7.2 million for the same period of 2024. This growth was within the Company's guidance of growth of 40-50% year on year for the quarter.
• 116 UltraMist® systems were sold in Q2 2025 up from 72 in Q2 2024, and from 98 in Q1 2025.
• UltraMist® consumables revenue increased by 37% to $6.4 million in Q2 2025, versus $4.7 million for the same quarter last year. UltraMist® revenue represented 99% of Sanuwave’s overall revenues in Q2 2025.
• Gross margin as a percentage of revenue amounted to 78.3% for the three months ended June 30, 2025, versus 73.2% for the same period last year.
• For the three months ended June 30, 2025, operating income totaled $1.9 million, compared to $2.0 million in Q2 2024. Q2 2025 operating expenses included $1.1 million of stock compensation expenses versus $0 in the same period in 2024.
• Net income for the second quarter of 2025 was $1.1 million. This compares to a net income of $6.6 million in the second quarter of 2024 which was primarily driven by a $5.3 million gain on extinguishment of debt that did not recur during the three months ended June 30, 2025 and the change in the fair value of derivative liabilities.
• Adjusted EBITDA [1] for the three months ended June 30, 2025, was $3.4 million versus Adjusted EBITDA of $1.5 million for the same period last year.
  

“We’re pleased to have put up strong results for Q2 and to have achieved 51% revenue growth in the first six months of 2025 vs the same period in 2024 ,” said Morgan Frank, CEO. “We sold 214 UltraMIST systems in the first six months of this year, more than we did in the full year of 2023 and an increase of 86% versus same period in 2024. Q1 and Q2 have been spent building and reshaping our sales and commercial operations teams, and as of mid July, the Company achieved full national sales coverage for the first time in my tenure as CEO.   If Q1 and Q2 were the quarters of “max disruption” Q3 is expected to be the quarter of “max construction” as the Company builds up momentum around our new sales and marketing practices (including the launch of our first concerted marketing program) with an aim to set us up for breakout performance in Q4 2025 and 2026.   The energy at our sales and commercial operations national meeting a couple of weeks ago was palpable.  I think we’re all looking forward to seeing what Sanuwave can become as it starts firing on all cylinders.”

Certain percentages presented in this earnings release are calculated from the underlying whole-dollar amounts and therefore may not recalculate from the rounded numbers used for disclosure purposes.

Financial Outlook

The Company forecasts Q3 2025 revenue of $12-$12.7 million and reiterates full year 2025 revenue guidance of $48-$50 million (47-53% increase as compared to full year 2024 revenue).

As previously announced, a business update will occur via conference call on August 8, 2025 at 8:30 a.m. EST. Materials for the conference call are included on the Company’s website at http://www.sanuwave.com/investors. 

Telephone access to the call will be available by dialing the following numbers:

Toll Free:1-800-245-3047
Toll/International: 1-203-518-9765
Conference ID: SANUWAVE

OR use the link for instant telephone access to the event.

https://viavid.webcasts.com/starthere.jsp?ei=1723341&tp_key=b9f972bf82 

A replay will be made available through August 29, 2025:
Toll-Free: 1-844-512-2921 or 1-412-317-6671
Replay Access ID: 11159256

[1] This is a non-GAAP financial measure. Refer to “Non-GAAP Financial Measures” and the reconciliations in this release for further information.

About Sanuwave
Sanuwave Health is focused on the research, development, and commercialization of its patented, non-invasive and biological response-activating medical systems for the repair and regeneration of skin, musculoskeletal tissue, and vascular structures.

Sanuwave's end-to-end wound care portfolio of regenerative medicine products and product candidates help restore the body’s normal healing processes. Sanuwave applies and researches its patented energy transfer technologies in wound healing, orthopedic/spine, aesthetic/cosmetic, and cardiac/endovascular conditions.

Non-GAAP Financial Measures
This press release includes certain financial measures that are not presented in our financial statements prepared in accordance with accounting principles generally accepted in the United States (“U.S. GAAP”). These financial measures are considered "non-GAAP financial measures" and are intended to supplement, and should not be considered as superior to, or a replacement for, financial measures presented in accordance with U.S. GAAP.

The Company uses Earnings Before Interest, Taxes, Depreciation and Amortization (“EBITDA”) and Adjusted EBITDA to assess its operating performance. Adjusted EBITDA is Earnings before Interest, Taxes, Depreciation and Amortization adjusted for the change in fair value of derivatives and any significant non-cash or infrequent charges. EBITDA and Adjusted EBITDA should not be considered as alternatives to net income (loss) as a measure of financial performance or any other performance measure derived in accordance with U.S. GAAP, and they should not be construed as an inference that the Company’s future results will be unaffected by unusual or infrequent items. These non-GAAP financial measures are presented in a consistent manner for each period, unless otherwise disclosed. The Company uses these measures for the purpose of evaluating its historical and prospective financial performance, as well as its performance relative to competitors. These measures also help the Company to make operational and strategic decisions. The Company believes that providing this information to investors, in addition to U.S. GAAP measures, allows them to see the Company’s results through the eyes of management, and to better understand its historical and future financial performance. These non-GAAP financial measures are also frequently used by analysts, investors, and other interested parties to evaluate companies in our industry, when considered alongside other U.S. GAAP measures.

EBITDA and Adjusted EBITDA have their limitations as analytical tools, and you should not consider them in isolation or as a substitute for analysis of the Company’s results as reported under U.S. GAAP. Some of these limitations are that EBITDA and Adjusted EBITDA:

• Do not reflect every expenditure, future requirements for capital expenditures or contractual commitments.
• Do not reflect all changes in our working capital needs.
• Do not reflect interest expense, or the amount necessary to service our outstanding debt.
  

As presented in the U.S. GAAP to Non-GAAP Reconciliations section below, the Company’s non-GAAP financial measures exclude the impact of certain charges that contribute to our net income (loss).

Forward-Looking Statements

This press release may contain “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, such as statements relating to future financial results, production expectations, and plans for future business development activities. Forward-looking statements include all statements that are not statements of historical fact regarding intent, belief or current expectations of the Company, its directors or its officers. Investors are cautioned that any such forward-looking statements are not guarantees of future performance and involve risks and uncertainties, many of which are beyond the Company’s ability to control. Actual results may differ materially from those projected in the forward-looking statements. Among the key risks, assumptions and factors that may affect operating results, performance and financial condition are risks associated with regulatory oversight, the Company’s ability to manage its capital resources, competition and the other factors discussed in detail in the Company’s periodic filings with the Securities and Exchange Commission. The Company undertakes no obligation to update any forward-looking statement, except as may be required by applicable law.

Contact: investors@sanuwave.com 

SELECTED FINANCIAL DATA FOR THE THREE AND SIX MONTHS ENDED JUNE 30, 2025 AND 2024
			Three Months Ended June 30,								Six Months Ended June 30,
(in thousands)				2025				2024				2025				2024
Revenue			$	10,164			$	7,162			$	19,506			$	12,948
Cost of Revenues				2,206				1,922				4,164				3,506
Gross Margin				7,958				5,240				15,342				9,442
Gross Margin %				78.3	%			73.2	%			78.7	%			72.9	%
Total operating expenses				6,081				3,248				12,479				8,500
Operating Income			$	1,877			$	1,992			$	2,863			$	942
Total other income (expense)				(822	)			4,569				(7,484	)			1,091
Net Income (Loss)			$	1,055			$	6,561			$	(4,621	)		$	2,033

NON-GAAP ADJUSTED EBITDA
	Three Months Ended June 30,								Six Months Ended June 30,
(in thousands)		2025				2024				2025				2024
Net Income (Loss)	$	1,055			$	6,561			$	(4,621	)		$	2,033
Non-GAAP Adjustments:
Interest expense		1,874				3,783				3,726				7,343
Depreciation and amortization		299				262				573				480
EBITDA		3,228				10,606				(322	)			9,856
Non-GAAP Adjustments for Adjusted EBITDA:
Change in fair value of derivative liabilities		(990	)			(3,717	)			3,911				(1,216	)
Other non-cash or infrequent charges:
Stock-based compensation		1,132				-				2,116				-
Gain on extinguishment of debt		-				(5,310	)			-				(5,205	)
Severance agreement and legal settlement		-				-				-				585
Release of historical accrued expenses		-				(579	)			-				(579	)
License and option agreement		-				-				-				(2,500	)
Prepaid legal fees expensed from termination of Merger Agreement		-				457				-				457
Adjusted EBITDA	$	3,370			$	1,457			$	5,705			$	1,398

CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, except share data)	June 30, 2025				December 31, 2024
ASSETS
Current Assets:
Cash and cash equivalents	$	8,496			$	10,237
Accounts receivable, net of allowance of $1,278 and $1,147, respectively		3,848				3,329
Inventory		5,911				4,149
Prepaid expenses and other current assets		1,913				682
Total Current Assets		20,168				18,397
Non-Current Assets:
Property and equipment, net		1,587				303
Right of use assets, net		653				429
Intangible assets, net		3,378				3,730
Goodwill		7,260				7,260
Total Non-current Assets	$	12,878			$	11,722
Total Assets		33,046				30,119
LIABILITIES
Current Liabilities:
Senior secured debt	$	26,774			$	25,305
Accounts payable		4,002				3,728
Accrued expenses		3,289				4,678
Warrant liability		12,018				8,107
Current portion of operating lease liabilities		82				126
Current portion of finance lease liabilities		115				175
Current portion of contract liabilities		221				193
Other		-				33
Total Current Liabilities		46,501				42,345
Non-current Liabilities:
Operating lease liabilities, less current portion, net of incentives		974				125
Finance lease liabilities, less current portion		11				66
Contract liabilities, less current portion		301				300
Other		34				-
Total Non-current Liabilities		1,320				491
Total Liabilities	$	47,821			$	42,836
STOCKHOLDERS’ DEFICIT
Preferred Stock, par value $0.001, 5,000,000 shares authorized; 6,175 shares Series A, 293 shares Series B, 90 shares Series C and 8 shares Series D designated, respectively; no shares issued and outstanding at June 30, 2025 and December 31, 2024	$	-			$	-
Common stock, par value $0.001, 2,500,000,000 shares authorized; 8,568,005 and 8,543,686 issued and outstanding at June 30, 2025 and December 31, 2024, respectively *		9				9
Additional paid-in capital		241,248				238,685
Accumulated deficit		(256,042	)			(251,421	)
Accumulated other comprehensive loss		10				10
Total Stockholders’ Deficit		(14,775	)			(12,717	)
Total Liabilities and Stockholders’ Deficit	$	33,046			$	30,119

_{* Reflects a one-for-three hundred seventy-five (1:375) reverse stock split of the outstanding shares of the Company's common stock effected on October 18, 2024.}

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(In thousands, except share data)	Three Months Ended June 30,								Six Months Ended June 30,
		2025				2024				2025				2024
Revenue	$	10,164			$	7,162			$	19,506			$	12,948
Cost of Revenues		2,206				1,922				4,164				3,506
Gross Margin		7,958				5,240				15,342				9,442
Operating Expenses:
General and administrative		4,039				1,839				8,506				5,514
Selling and marketing		1,674				1,034				3,205				2,266
Research and development		194				195				402				358
Depreciation and amortization		174				180				366				362
Total Operating Expenses		6,081				3,248				12,479				8,500
Operating Income		1,877				1,992				2,863				942
Other Income (Expense):
Interest expense		(1,874	)			(3,396	)			(3,726	)			(6,633	)
Interest expense, related party		—				(387	)			—				(710	)
Gain on extinguishment of debt		—				5,310				-				5,205
Change in fair value of derivative liabilities		990				3,717				(3,911	)			1,216
Other expense		(27	)			(685	)			(28	)			(787	)
Other income		89				10				181				2,800
Total Other Income (Expense)		(822	)			4,569				(7,484	)			1,091
Net Income (Loss)		1,055				6,561				(4,518	)			2,033
Other Comprehensive Income (Loss)
Foreign currency translation adjustments		—				10				—				121
Total Comprehensive Income (Loss)	$	1,055			$	6,571			$	(4,621	)		$	2,154
Earnings (Loss) per Share:
Basic *	$	0.12			$	2.08			$	(0.54	)		$	0.65
Diluted *	$	0.01			$	1.77			$	(0.54	)		$	0.55
Weighted average shares outstanding
Basic *		8,561,737				3,152,595				8,554,706				3,126,000
Diluted *		9,167,846				3,699,501				8,554,706				3,663,730

* Reflects a one-for-three hundred seventy-five (1:375) reverse stock split of the outstanding shares of the Company's common stock effected on October 18, 2024.

CONSOLIDATED STATEMENTS OF STOCKHOLDERS' DEFICIT (In thousands, except share data)
Three Months Ended June 30, 2025
		Common Stock
		Number of Shares Issued and Outstanding*		Par Value			Additional Paid- in Capital			Accumulated Deficit				Accumulated Other Comprehensive Loss			Total
Balances as of March 31, 2025		8,548,473		$	9		$	239,786		$	(257,097	)		$	10		$	(17,292	)
Stock-based compensation		-			-			1,132			-				-			1,132
Stock options exercised		17,008			-			253			-				-			253
Shares granted in lieu of board of director fees		2,524			-			77			-				-			77
Net income		-			-			-			1,055				-			1,055
Balances as of June 30, 2025		8,568,005		$	9		$	241,248		$	(256,042	)		$	10		$	(14,775	)
Three Months Ended June 30, 2024
		Common Stock
		Number of Shares Issued and Outstanding*		Par Value			Additional Paid- in Capital			Accumulated Deficit				Accumulated Other Comprehensive Loss			Total
Balances as of March 31, 2024		3,041,492		$	3		$	176,979		$	(224,577	)		$	-		$	(47,595	)
Shares issued for settlement of warrants		14,440			-			6			-				-			6
Shares issued for settlement of debt		94,130			-			1,412			-				-			1,412
Foreign currency translation adjustment		-			-			-			-				10			10
Net income		-			-			-			6,561				-			6,561
Balances as of June 30, 2024		3,150,062		$	3		$	178,397		$	(218,016	)		$	10		$	(39,606	)

_{* Reflects a one-for-three hundred seventy-five (1:375) reverse stock split of the outstanding shares of the Company's common stock effected on October 18, 2024.}

Six Months Ended June 30, 2025
		Common Stock
		Number of Shares Issued and Outstanding*		Par Value			Additional Paid- in Capital			Accumulated Deficit				Accumulated Other Comprehensive Loss				Total
Balances as of December 31, 2024		8,543,686		$	9		$	238,685		$	(251,421	)		$	10			$	(12,717	)
Stock-based compensation		4,787			-			2,233			-				-				2,233
Stock options exercised		17,008			-			253			-				-				253
Shares granted in lieu of board of director fees		2,524			-			77			-				-				77
Net loss		-			-			-			(4,621	)			-				(4,621	)
Balances as of June 30, 2025		8,568,005		$	9		$	241,248		$	(256,042	)		$	10			$	(14,775	)
Six Months Ended June 30, 2024
		Common Stock
		Number of Shares Issued and Outstanding*		Par Value			Additional Paid- in Capital			Accumulated Deficit				Accumulated Other Comprehensive Loss				Total
Balances as of December 31, 2023		3,041,492		$	3		$	176,979		$	(220,049	)		$	(111	)		$	(43,178	)
Shares issued for settlement of warrants		14,440			-			6			-				-				6
Shares issued for settlement of debt		94,130			-			1,412			-				-				1,412
Foreign currency translation adjustment		-			-			-			-				121				121
Net income		-			-			-			2,033				-				2,033
Balances as of June 30, 2024		3,150,062		$	3		$	178,397		$	(218,016	)		$	10			$	(39,606	)

_{* Reflects a one-for-three hundred seventy-five (1:375) reverse stock split of the outstanding shares of the Company's common stock effected on October 18, 2024.}

CONSOLIDATED STATEMENTS OF CASH FLOWS
	Six Months Ended June 30,
(in thousands)		2025				2024
Cash Flows - Operating Activities:
Net income (loss)	$	(4,621	)		$	2,033
Adjustments to reconcile net income to net cash (used in) provided by operating activities
Stock-based compensation		2,106				-
Depreciation and amortization		388				393
Amortization of right-of-use assets		185				87
Reserve for credit losses		131				99
Gain on extinguishment of debt		-				(5,205	)
Change in fair value of derivative liabilities		3,911				(1,216	)
Amortization of debt issuance and debt discounts		1,062				3,274
Accrued interest and accrued interest, related party		-				1,859
Proceeds from tenant improvement funds		429				-
Changes in operating assets and liabilities
Accounts receivable		(650	)			(340	)
Inventory		(1,762	)			220
Prepaid expenses and other assets		(1,231	)			118
Accounts payable		274				(1,259	)
Accrued expenses and contract liabilities		(746	)			369
Net Cash Flows (Used in) Provided by Operating Activities		(524	)			432
Cash Flows - Investing Activities
Purchase of property and equipment		(1,321	)			(206	)
Net Cash Flows Used in Investing Activities		(1,321	)			(206	)
Cash Flows - Financing Activities
Proceeds from exercises of stock options		253				-
Payment of note payable		-				(2,175	)
Proceeds from convertible notes payable		-				1,300
Proceeds from promissory note payable, related party		-				500
Proceeds from factoring, net		-				831
Payments of principal on finance leases		(149	)			(140	)
Net Cash Flows Provided by Financing Activities		104				316
Effect of Exchange Rates on Cash		-				121
Net Change in Cash During Period		(1,741	)			663
Cash at Beginning of Period		10,237				1,797
Cash at End of Period	$	8,496			$	2,460
Supplemental Information:
Cash paid for interest	$	2,255			$	2,055
Non-cash Investing and Financing Activities:
Capitalize interest into senior secured debt		407				3,850
Shares granted in lieu of board of director fees		77				-
Stock options granted in lieu of cash bonus		117				-
Right-of-use assets obtained in exchange for lease liabilities		430				-
RSUs granted in exchange for services		10				-
Warrants issued in conjunction with convertible promissory notes		-				3,633
Conversion of asset-backed secured promissory notes to convertible promissory notes		-				4,584
Shares issued for settlement of debt		-				1,412
Write off deferred merger costs		-				1,226

FAQ

What were Sanuwave's (SNWV) Q2 2025 earnings results?

Sanuwave reported Q2 2025 revenue of $10.2 million (up 42% YoY), operating income of $1.9 million, and net income of $1.1 million. Gross margin improved to 78.3%.

How many UltraMist systems did Sanuwave sell in Q2 2025?

Sanuwave sold 116 UltraMist® systems in Q2 2025, up from 72 systems in Q2 2024 and 98 systems in Q1 2025.

What is Sanuwave's revenue guidance for Q3 2025?

Sanuwave provided Q3 2025 revenue guidance of $12-$12.7 million and maintained full-year 2025 guidance of $48-$50 million.

How much did Sanuwave's UltraMist consumables revenue grow in Q2 2025?

UltraMist® consumables revenue increased by 37% to $6.4 million in Q2 2025, compared to $4.7 million in Q2 2024.

What was Sanuwave's Adjusted EBITDA for Q2 2025?

Sanuwave reported Adjusted EBITDA of $3.4 million for Q2 2025, compared to $1.5 million in Q2 2024.