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SMTI

BEARISH
$20.77 Live
Sanara MedTech Inc. · NASDAQ
Target $34.0 (+63.7%)
$16.05 52W Range $35.95

At a glance

Key valuation, profitability, growth, and risk metrics.

Updated Apr 20, 2026
Market cap
$190.4M
P/E
N/A
ROE
-1.8%
Profit margin
-36.4%
Debt/Equity
8.13
Dividend yield
N/A

AI Analysis

AI-powered fundamental assessment

Confidence
85%
SMTI exhibits severe financial distress, highlighted by a weak Piotroski F-Score of 2/9 and an alarming Debt/Equity ratio of 8.13. While the company maintains an impressive gross margin of 92.71%, this is offset by consistent net losses and a track record of massive earnings misses (average surprise of -587.40% over the last 4 quarters). There is a stark disconnect between the 'Strong Buy' analyst consensus and the underlying deterministic health metrics, which suggest high insolvency risk. The stock's long-term price trajectory is sharply negative, despite a recent short-term bounce.

Key Strengths

Exceptional Gross Margin (92.71%) indicating strong product pricing power
Positive Operating Margin (10.50%) suggesting core business viability
Adequate short-term liquidity with a Current Ratio of 1.80
Strong analyst target price ($34.00) relative to current price
Recent short-term price momentum (1W +25.6%)

Key Risks

Extreme leverage with a Debt/Equity ratio of 8.13
Critical financial health indicated by Piotroski F-Score of 2/9
Chronic inability to meet earnings estimates with severe negative surprises
Stagnant revenue growth (4.70% YoY) for a small-cap med-tech firm
Extreme valuation premium on book value (Price/Book of 31.28)

Performance Snowflake

Multi-dimensional analysis across 5 key categories

Overall
15
Weak
Value
15
Future
30
Past
20
Health
10
Dividend
0
AI Verdict
High Risk / Speculative
Key drivers: Extreme Debt/Equity, Poor Piotroski Score, Consistent Earnings Misses, High P/B Ratio
Confidence
90%
Value
15/100

Ref P/E, PEG, Graham Number

Positives
  • P/S ratio of 1.85 is relatively modest
Watchpoints
  • P/B ratio of 31.28 is unsustainable
  • No Graham Number available due to lack of earnings
Future
30/100

Ref Growth rates

Positives
  • Positive operating margins
  • Bullish analyst targets
Watchpoints
  • Very low YoY revenue growth (4.7%)
  • Negative profit margins (-36.43%)
Past
20/100

Ref Historical trends

Positives
  • Recent 1-month recovery
Watchpoints
  • 3-year price decline of 56.6%
  • Consistent history of EPS misses
Health
10/100

Ref Altman Z-Score, Piotroski F-Score

Positives
  • Current ratio above 1.0
Watchpoints
  • Piotroski F-Score 2/9 (Weak)
  • Debt/Equity 8.13 (Extreme Risk)
Dividend
0/100

Ref Yield, Payout

Positives
No standout positives identified.
Watchpoints
  • No dividend paid
  • 0/100 dividend strength

Stock Price & Analyst Targets

Real-time price movements and analyst price targets

Current Price
$20.77
Analyst Target
$34.0
Upside/Downside
+63.7%

Multi-Horizon Performance vs Peers

Price momentum across 5Y → 1W horizons for SMTI and closest competitors.

Updated 2026-04-17
SMT
Sanara MedTech Inc.
Primary
5Y
-25.6%
3Y
-56.6%
1Y
-29.4%
6M
-26.5%
1M
+11.3%
1W
+25.6%
ARC
Arcturus Therapeutics Holdings Inc.
Peer
5Y
-87.2%
3Y
-57.7%
1Y
-51.9%
6M
-61.4%
1M
-9.7%
1W
-6.0%
RNA
Cartesian Therapeutics, Inc.
Peer
5Y
-93.8%
3Y
-80.8%
1Y
-33.0%
6M
-21.9%
1M
+5.9%
1W
+17.7%
ACB
Aurora Cannabis Inc.
Peer
5Y
-96.9%
3Y
-52.9%
1Y
-20.2%
6M
-29.6%
1M
-0.3%
1W
-2.3%
ADA
Adagene Inc.
Peer
5Y
-81.2%
3Y
+188.8%
1Y
+109.6%
6M
+84.4%
1M
+33.2%
1W
+45.4%

Positive values indicate cumulative gains over the specified period. Comparables pulled from the same sector to highlight whether momentum is stock-specific or industry-wide.

Historical Performance Trends

Long-term financial metrics and growth patterns

Revenue & Net Income

Profit & Operating Margins

Return on Equity (ROE)

Quarterly Revenue Growth

Historical data shows last 12 quarters (3 years)

Valuation Metrics

Key valuation ratios and pricing indicators

P/E Ratio
N/A
Forward P/E
40.73
PEG Ratio
N/A
P/B Ratio
31.28
P/S Ratio
1.85
EV/Revenue
2.15
EV/EBITDA
18.8
Market Cap
$190.4M

Profitability

Profit margins and return metrics

Profit Margin -36.43%
Operating Margin 10.5%
Gross Margin 92.71%
ROE -1.75%
ROA 7.1%

Growth

Revenue and earnings growth rates

Revenue Growth +4.7%
Earnings Growth N/A
Q/Q Revenue Growth +4.72%
Q/Q Earnings Growth N/A

Financial Health

Balance sheet strength and liquidity metrics

Debt/Equity
8.13
High debt
Current Ratio
1.8
Good
Quick Ratio
1.53
Excellent
Cash/Share
$1.81

Financial Statement Flow

Interactive flow visualization showing how money moves through the company Q4 2025

Revenue
$0.0B
Gross Margin
93.2%
Op. Margin
10.5%
Net Margin
-5.8%
Total Assets
$0.1B
Liabilities
$0.1B
Equity
$0.0B
Debt/Equity
11.28x
Operating CF
$0.0B
CapEx
$-0.0B
Free Cash Flow
$0.0B
FCF Yield
98%

Quarterly Earnings History

EPS performance vs analyst estimates

2026-05-12
$N/A
2026-03-24
$-0.19
-272.7% surprise
2025-11-12
$-3.52
-1537.2% surprise
2025-08-13
$-0.23
+47.7% surprise

Healthcare Sector Comparison

Comparing SMTI against 470 companies in the Healthcare sector (26 bullish, 143 neutral, 301 bearish)
Return on Equity (ROE)
-1.75%
This Stock
vs
-97.91%
Sector Avg
-98.2% (Below Avg)
Profit Margin
-36.43%
This Stock
vs
-16.16%
Sector Avg
+125.4% (Superior)
Debt to Equity
8.13
This Stock
vs
3.0
Sector Avg
+170.9% (Higher)
Revenue Growth
4.7%
This Stock
vs
142.9%
Sector Avg
-96.7% (Slower)
Current Ratio
1.8
This Stock
vs
4.65
Sector Avg
-61.3% (Weaker)

Similar Companies

Peer comparison within the same industry

Recent Insider Trading

Insider buy and sell transactions from the last 6 months

WALDROP JACOB A.
Chief Operating Officer
Stock Award
2026-03-20
13,956 shares
TAYLOR ELIZABETH
Chief Financial Officer
Stock Award
2026-03-20
12,687 shares
YON SETH D
Chief Executive Officer
Stock Award
2026-03-20
25,430 shares
MACKEY ASHLEY M
Officer
Stock Award
2026-03-20
2,804 shares
Insider transactions can signal confidence or concerns about company prospects

SEC Filings

Recent regulatory filings from the SEC EDGAR database

DEF 14A
DEF 14A
2026-04-17

SMTI filed a Definitive Proxy Statement on April 17, 2026, providing shareholders with necessary information to vote on corporate matters at the upcoming annual meeting.

10-K
10-K
2026-03-24

SMTI filed its annual 10-K report on March 24, 2026. The provided excerpts do not contain specific financial highlights or detailed risk factors.

8-K
8-K
2026-03-24
8-K
8-K
2026-03-02

SMTI filed a current report on March 2, 2026, likely to announce its year-end financial results.

8-K
8-K
2026-01-23

SMTI filed an 8-K on January 23, 2026, likely to announce its financial results for the most recent fiscal period.

8-K
8-K
2025-11-26
10-Q
10-Q
2025-11-12

SMTI submitted its quarterly 10-Q filing on November 12, 2025. While the document includes a section for Risk Factors under Item 1A, no specific financial highlights or detailed risk disclosures were provided in the available excerpt.

8-K
8-K
2025-11-12

SMTI filed an 8-K on November 12, 2025, likely to announce its third-quarter financial results.

8-K
8-K
2025-11-12

SMTI filed an 8-K on November 12, 2025, likely to announce its third-quarter financial results.

8-K
8-K
2025-09-02
8-K
8-K
2025-08-13
10-Q
10-Q
2025-08-13
8-K
8-K
2025-05-28
8-K
8-K
2025-05-23
8-K
8-K
2025-05-14
Data sourced from SEC EDGAR. AI summaries generated automatically.

Wall Street Analysts

Professional analyst ratings and price targets

Consensus
STRONG_BUY
2 analysts
Lake Street
2026-04-15
init
Buy
HC Wainwright & Co.
2026-01-26
reit
Buy Buy
HC Wainwright & Co.
2025-11-14
Maintains
Buy Buy

Past News Coverage

Recent headlines mentioning SMTI from our newsroom.

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