Tearsheet

Sanara MedTech (SMTI)


Market Price (12/4/2025): $20.87 | Market Cap: $179.8 Mil
Sector: Health Care | Industry: Health Care Equipment

Sanara MedTech (SMTI)


Market Price (12/4/2025): $20.87
Market Cap: $179.8 Mil
Sector: Health Care
Industry: Health Care Equipment

Investment Highlights Why It Matters Which of these 2 stories sounds closer for this stock?

1. Generates cash flow

The stock generated 4% or more of the share price (called cash flow yield), and shows moderate 10-15% or more growth.

2. Riding a trend

Think Tesla during the pandemic of 2020 when EVs were riding a cultural high, or Nvidia in the current AI boom, or even Figma. These companies don’t have enough yield, or, enough growth, or both - however - they are riding a trend. They have momentum. These can be more volatile - they don’t have the floor of strong cash flow


0 Strong revenue growth
Rev Chg LTMRevenue Change % Last Twelve Months (LTM) is 34%
Weak multi-year price returns
2Y Excs Rtn is -85%, 3Y Excs Rtn is -114%
Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -6.3 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -6.4%
1 Megatrend and thematic drivers
Megatrends include Aging Population & Chronic Disease, and Precision Medicine. Themes include Geriatric Care, Diabetes Management, Show more.
  Expensive valuation multiples
P/CFOPrice/(Cash Flow from Operations). CFO is cash before capital expenditures. is 67x
2   Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -8.3%
0 Strong revenue growth
Rev Chg LTMRevenue Change % Last Twelve Months (LTM) is 34%
1 Megatrend and thematic drivers
Megatrends include Aging Population & Chronic Disease, and Precision Medicine. Themes include Geriatric Care, Diabetes Management, Show more.
2 Weak multi-year price returns
2Y Excs Rtn is -85%, 3Y Excs Rtn is -114%
3 Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -6.3 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -6.4%
4 Expensive valuation multiples
P/CFOPrice/(Cash Flow from Operations). CFO is cash before capital expenditures. is 67x
5 Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -8.3%

Valuation, Metrics & Events

SMTI Stock


Why The Stock Moved


Qualitative Assessment

AI Generated Analysis | Feedback

Between August 31, 2025, and early December 2025, Sanara MedTech (SMTI) experienced an approximate stock price decline of 35.1%, from an adjusted price of $33.66 in August 2025 to $21.84 in November 2025. This significant movement can be attributed to several key factors that impacted investor sentiment during this period.

1. Strategic Realignment and Discontinuation of Tissue Health Plus: On November 11 and 12, 2025, Sanara MedTech announced a strategic realignment of its business, which included discontinuing the operations of its Tissue Health Plus segment. This major shift in business strategy likely led to investor concerns regarding future growth prospects or the performance of the discontinued segment.

2. Q3 2025 Revenue Miss: While Sanara MedTech reported a beat on earnings per share (EPS) for the third quarter of 2025, their reported revenue of $26.33 million fell slightly below analysts' consensus estimate of $26.63 million. Even a minor revenue miss can sometimes lead to a negative market reaction, overshadowing positive EPS results.

Show more

Stock Movement Drivers

Return vs. Risk


Price Returns Compared

 202020212022202320242025Total [1]
Returns
SMTI Return210%-41%54%-10%-19%-39%25%
Peers Return36%31%-16%2%14%4%81%
S&P 500 Return16%27%-19%24%23%16%112%

Monthly Win Rates [3]
SMTI Win Rate33%50%50%42%42%30% 
Peers Win Rate57%65%45%57%60%50% 
S&P 500 Win Rate58%75%42%67%75%70% 

Max Drawdowns [4]
SMTI Max Drawdown-50%-54%-38%-42%-35%-43% 
Peers Max Drawdown-26%-9%-42%-24%-19%-11% 
S&P 500 Max Drawdown-31%-1%-25%-1%-2%-15% 


[1] Cumulative total returns since the beginning of 2020
[2] Peers: EW, MASI, UFPT, ATRC, ABT.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2025 data is for the year up to 12/3/2025 (YTD)

How Low Can It Go

Unique KeyEventSMTIS&P 500
2022 Inflation Shock2022 Inflation Shock  
2022 Inflation Shock% Loss% Loss-63.3%-25.4%
2022 Inflation Shock% Gain to Breakeven% Gain to Breakeven172.5%34.1%
2022 Inflation ShockTime to BreakevenTime to BreakevenNot Fully Recovered days464 days
2020 Covid Pandemic2020 Covid Pandemic  
2020 Covid Pandemic% Loss% Loss-60.5%-33.9%
2020 Covid Pandemic% Gain to Breakeven% Gain to Breakeven153.1%51.3%
2020 Covid PandemicTime to BreakevenTime to Breakeven215 days148 days
2008 Global Financial Crisis2008 Global Financial Crisis  
2008 Global Financial Crisis% Loss% Loss-58.6%-56.8%
2008 Global Financial Crisis% Gain to Breakeven% Gain to Breakeven141.7%131.3%
2008 Global Financial CrisisTime to BreakevenTime to Breakeven3508 days1480 days

Compare to EW, MASI, UFPT, ATRC, ABT


In The Past

Sanara MedTech's stock fell -63.3% during the 2022 Inflation Shock from a high on 1/1/2021. A -63.3% loss requires a 172.5% gain to breakeven.

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Asset Allocation

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About Sanara MedTech (SMTI)

Better Bets than Sanara MedTech (SMTI)

Latest Trefis Analyses

Title
0ARTICLES

Trade Ideas

Select past ideas related to SMTI. For more, see Trefis Trade Ideas.

Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
CRL_11142025_Dip_Buyer_FCFYield11142025CRLCharles River Laboratories InternationalDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
4.1%4.1%-3.7%
GDRX_11142025_Dip_Buyer_High_CFO_Margins_ExInd_DE11142025GDRXGoodRxDip BuyDB | CFO/Rev | Low D/EDip Buy with High Cash Flow Margins
Buying dips for companies with significant cash flows from operations and reasonable debt / market cap
-9.8%-9.8%-11.8%
ASTH_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025ASTHAstrana HealthDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
6.0%6.0%-5.5%
SGRY_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025SGRYSurgery PartnersDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
9.7%9.7%-1.4%
TFX_11072025_Dip_Buyer_FCFYield11072025TFXTeleflexDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
6.2%6.2%-5.1%
Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
CRL_11142025_Dip_Buyer_FCFYield11142025CRLCharles River Laboratories InternationalDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
4.1%4.1%-3.7%
GDRX_11142025_Dip_Buyer_High_CFO_Margins_ExInd_DE11142025GDRXGoodRxDip BuyDB | CFO/Rev | Low D/EDip Buy with High Cash Flow Margins
Buying dips for companies with significant cash flows from operations and reasonable debt / market cap
-9.8%-9.8%-11.8%
ASTH_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025ASTHAstrana HealthDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
6.0%6.0%-5.5%
SGRY_11142025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG11142025SGRYSurgery PartnersDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
9.7%9.7%-1.4%
TFX_11072025_Dip_Buyer_FCFYield11072025TFXTeleflexDip BuyDB | FCFY OPMDip Buy with High FCF Yield and High Margin
Buying dips for companies with high FCF yield and meaningfully high operating margin
6.2%6.2%-5.1%

Recent Active Movers

Recent Active Movers

More From Trefis

Peer Comparisons for Sanara MedTech

Peers to compare with:

Financials

SMTIEWMASIUFPTATRCABTMedian
NameSanara M.Edwards .Masimo UFP Tech.AtriCure Abbott L. 
Mkt Price21.0783.98138.09219.6636.31125.29104.64
Mkt Cap0.249.17.51.71.7218.34.6
Rev LTM975,8842,18259851843,8431,390
Op Inc LTM-61,61913395-267,713114
FCF LTM080016887166,917128
FCF 3Y Avg-36889356-95,96575
CFO LTM41,01720899439,119154
CFO 3Y Avg-295514767188,132107

Growth & Margins

SMTIEWMASIUFPTATRCABTMedian
NameSanara M.Edwards .Masimo UFP Tech.AtriCure Abbott L. 
Rev Chg LTM34.3%10.6%38.5%29.5%15.8%6.4%22.6%
Rev Chg 3Y Avg50.8%4.4%11.4%23.4%18.0%-0.6%14.7%
Rev Chg Q28.1%14.7%8.2%6.5%15.8%6.9%11.4%
QoQ Delta Rev Chg LTM6.2%3.5%1.3%1.6%3.7%1.7%2.6%
Op Mgn LTM-6.4%27.5%6.1%16.0%-5.1%17.6%11.0%
Op Mgn 3Y Avg-11.6%28.9%8.9%15.8%-6.2%16.3%12.4%
QoQ Delta Op Mgn LTM3.5%-0.4%2.0%-0.6%1.7%0.2%0.9%
CFO/Rev LTM3.8%17.3%9.5%16.6%8.3%20.8%13.1%
CFO/Rev 3Y Avg-3.2%18.7%8.1%13.5%3.6%19.5%10.8%
FCF/Rev LTM0.0%13.6%7.7%14.6%3.1%15.8%10.6%
FCF/Rev 3Y Avg-4.7%13.4%5.3%11.2%-2.8%14.3%8.2%

Valuation

SMTIEWMASIUFPTATRCABTMedian
NameSanara M.Edwards .Masimo UFP Tech.AtriCure Abbott L. 
Mkt Cap0.249.17.51.71.7218.34.6
P/S2.57.73.72.63.35.33.5
P/EBIT-50.926.6-46.716.5-76.827.0-15.1
P/E-24.633.3-14.022.9-58.716.71.4
P/CFO67.044.738.315.539.225.638.7
Total Yield-4.1%3.0%-7.1%4.4%-1.7%7.7%0.6%
Dividend Yield0.0%0.0%0.0%0.0%0.0%1.7%0.0%
FCF Yield 3Y Avg-1.0%1.6%1.1%3.5%-0.4%3.0%1.3%
D/E0.20.00.10.10.00.10.1
Net D/E0.1-0.10.00.1-0.00.00.0

Returns

SMTIEWMASIUFPTATRCABTMedian
NameSanara M.Edwards .Masimo UFP Tech.AtriCure Abbott L. 
1M Rtn-27.3%1.1%-4.7%10.4%6.7%1.2%1.1%
3M Rtn-37.1%3.4%1.0%7.9%4.4%-4.8%2.2%
6M Rtn-28.1%7.9%-15.3%-8.5%4.0%-4.9%-6.7%
12M Rtn-42.1%19.6%-20.7%-26.6%0.5%9.8%-10.1%
3Y Rtn-42.8%9.7%-5.1%79.7%-20.3%22.9%2.3%
1M Excs Rtn-27.3%1.1%-4.7%10.4%6.7%1.2%1.2%
3M Excs Rtn-43.4%-1.6%-8.8%-0.2%-3.5%-10.6%-6.2%
6M Excs Rtn-42.8%-6.8%-30.0%-23.2%-10.7%-19.6%-21.4%
12M Excs Rtn-55.6%4.2%-33.5%-45.5%-13.1%-6.1%-23.3%
3Y Excs Rtn-114.3%-62.0%-75.5%15.5%-90.0%-46.8%-68.8%

Financials

Segment Financials

Revenue by Segment

$ Mil20242023202220212020
Sanara Surgical65    
Tissue Health Plus (THP)0    
Bone fusion products 4   
Royalty revenue 0000
Soft tissue repair products 42   
Product sales revenue  241512
Total6546241612


Net Income by Segment
$ Mil20242023202220212020
Sanara Surgical0    
Tissue Health Plus (THP)-5    
Total-4    


Price Behavior

Short Interest

Short Interest: As Of Date11142025
Short Interest: Shares Quantity222,932
Short Interest: % Change Since 1031202513.2%
Average Daily Volume86,796
Days-to-Cover Short Interest2.57
Basic Shares Quantity8,612,986
Short % of Basic Shares2.6%

SEC Filings

Expand for More

Report DateFiling DateFiling
6302025813202510-Q 6/30/2025
3312025514202510-Q 3/31/2025
12312024325202510-K 12/31/2024
93020241112202410-Q 9/30/2024
6302024812202410-Q 6/30/2024
3312024513202410-Q 3/31/2024
12312023325202410-K 12/31/2023
93020231113202310-Q 9/30/2023
6302023814202310-Q 6/30/2023
3312023515202310-Q 3/31/2023
12312022320202310-K 12/31/2022
93020221114202210-Q 9/30/2022
6302022815202210-Q 6/30/2022
3312022516202210-Q 3/31/2022
12312021331202210-K 12/31/2021
93020211112202110-Q 9/30/2021