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Sanara MedTech (SMTI) Stock Fundamentals, Analysis & Risk Signals

Health score, price, valuation, risk signals, and key metrics at a glance.

Sanara MedTech
NasdaqCM•Healthcare•Medical Instruments & Supplies
$34.73+0.01(<0.01%)Market closed
Market Cap
$303.80M
P/S
2.8x
P/B
38.2x

Sanara MedTech Inc., a medical technology company, develops, markets, and distributes surgical solutions to physicians, hospitals, clinics, and post-acute care settings in the United States. The company offers CellerateRX Surgical, a medical hydrolysate of Type I bovine collagen indicated for the management of surgical, traumatic, and partial- and full-thickness wounds, as well as first- and second-degree burns. It also develops BIASURGE, a no-rinse surgical solution used for wound irrigation; FORTIFY Tissue Repair Graft(FORTIFY TRG), a freeze-dried, multi-layer small intestinal submucosa extracellular matrix sheet; BiFORM, an osteoconductive, bioactive, porous implant that allows bony ingrowth across the graft site and it can be used as a strip or molded into a putty to fill a bone defect; ACTIGEN Inductive Bone Matrix, a naturally derived, differentiated allograft matrix with robust handling properties; ALLOCYTE Plus, a human allograft cellular bone matrix containing bone-derived progenitor cells and conformable bone fibers; and TEXAGEN, a multi-layer amniotic membrane allograft used as an anatomical barrier with robust handling that can be sutured for securement. The company has a license agreement with Rochal to develop, market, and sell antimicrobial products that include BIASURGE Advanced Surgical Solution, BIAKOS Antimicrobial Wound Gel, and BIAKOS Antimicrobial Skin and Wound Cleanser for the prevention and treatment of microbes on the human body. Sanara MedTech Inc. was incorporated in 2001 and is based in Fort Worth, Texas.

D

How this company scores

WeakMetricSide Score: 35/100

Grade capped at D — Interest coverage below 1× (1.0x) — earnings cannot cover interest. Strongest: Growth (16/25); weakest: Balance Sheet & Red Flags (2/25).

Profitability2/25
Growth16/25
Balance Sheet & Red Flags2/25
Cash & Earnings Quality15/25
Strengths
Rising free cash flowConsistent growth
Grade capped at D
  • Interest coverage below 1× (1.0x) — earnings cannot cover interest.

Valuation vs. 5-year range

Today's multiple positioned against its own trailing range — a visual premium/discount check.

P/S · 2.8x5y range 1.4x – 11.9x
P/S 2.8x · below its 20-quarter median

Currently below its 20-quarter median.

P/B · 38.2x5y range 4.5x – 44.8x
P/B 38.2x · above its 20-quarter median

Currently above its 20-quarter median.

Watch items

Data-driven signals worth keeping an eye on across the last 8 quarters

High Risk

Margin Pressure

Red Flag

The company posted negative operating margins in recent quarters — core operations are unprofitable.

Earnings Quality

Red Flag

FCF consistently trails net income (avg -1.6x) — earnings may be inflated by non-cash items or aggressive accounting.

Price & Volume
Market Cap $303.80M

Metrics at a Glance

as of June 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$109.79M
7Q
Q. Revenue
$28.14M
5Q
TTM EBITDA
$15.47M
5Q
TTM Op. Income
$13.84M
5Q
Q. Op. Income
$1.78M
2Q
TTM Net Income
$-32.01M
2Q
Q. Net Income
$-452,864
78%
EPS
$-0.05
78%
Shares Out.
$8.66M
1%
$109.79M in TTM revenue grew 12.9% YoY, reaching $28.14M last quarter. TTM EBITDA of $15.47M and TTM operating income of $13.84M show growth is flowing through to the bottom line. However, net income is negative at $32.01M — growth is not yet reaching the bottom line. Across the last 8 quarters, TTM revenue has risen for 7 consecutive quarters — an improving trend.

Margins

Gross, EBITDA, operating, and net margin trends

Gross Margin
93.0%
2Q
EBITDA Margin
8.5%
2Q
Op. Margin
6.3%
2Q
Net Margin
-1.6%
79%
Op. margin of 6.3% is up 6.4% YoY — cost efficiency is improving. Net margin at -1.6% and gross margin of 93.0% show how much of each revenue dollar survives to profit. Across the last 8 quarters, operating margin has fallen for 2 consecutive quarters — a weakening trend.

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
N/A
P/S Ratio
2.8x
10%
P/B Ratio
38.2x
454%
P/S of 2.8x and P/B of 38.2x.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$69.15M
2Q
Cash
$15.42M
9%
Long-Term Debt
$46.48M
7Q
Book Value
$7.94M
2Q
D/E Ratio
5.9
2Q
Debt/EBITDA
19.4
2Q
With $69.15M in assets and $46.48M in long-term debt, D/E is 5.9and book value is $7.94M — elevated leverage, meaning significant financial risk in a downturn. Across the last 8 quarters, debt/equity has fallen for 2 consecutive quarters — an improving trend.

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$2.04M
23%
TTM Free Cash Flow
$4.50M
3Q
FCF Margin
4.1%
3Q
FCF / Net Income
-0.1
3Q
TTM FCF of $4.50M on $2.04M in operating cash flow. The FCF / Net Income ratio of -0.1x means the business consumes cash — it is not yet self-funding. Across the last 8 quarters, free cash flow has risen for 3 consecutive quarters — an improving trend.

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Leverage Risk

Red Flag

D/E ratio is 5.9 — heavily leveraged and vulnerable to rising rates or cash flow dips.

Cash Burn

Watch

FCF turned negative in 2 of the last 8 quarters — occasional cash consumption.