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Fri, March 27, 2026 astatine 9:07 AM CDT 9 min read
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Record Q4 and full-year results: Sanuwave reported Q4 gross of $13.4 cardinal (up 30% YoY) and adjusted EBITDA of $4.8 million, driven by grounds strategy placements—624 UltraMIST systems sold successful 2025 with a Q4 precocious of 255 systems.
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Industry disruption and caller metric: Management introduced an “active systems” metric (1,292 astatine Q4) aft a displacement toward resellers and CMS reimbursement changes that, portion not affecting UltraMIST coding, person reduced lawsuit counts and led to 168 discontinued systems.
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Financial housekeeping and outlook: The institution recorded a restatement chiefly tied to sales-tax liabilities (about $1.6M) and a ~$300k gross allocation error, finished the twelvemonth with $12.0M successful cash, and guided Q1 gross to $9.6M–$10.3M with preliminary 2026 gross maturation of 16%–25% portion withholding adjusted EBITDA guidance.
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Sanuwave Health (NASDAQ:SNWV) reported fourth-quarter and full-year 2025 results that absorption described arsenic a “good if somewhat analyzable quarter,” highlighted by grounds revenue, grounds strategy placements, and sharply higher full-year profitability. Executives besides spent important clip discussing however caller CMS reimbursement changes for tegument substitutes and allografts are disrupting parts of the wound-care market, influencing lawsuit behavior, and affecting the company’s maturation outlook aboriginal successful 2026.
CEO Morgan Frank said the 4th fourth was an all-time grounds for the company, with gross of $13.4 million, up 30% from the prior-year quarter, and adjusted EBITDA of $4.8 million, up from $3.7 cardinal a twelvemonth earlier. Adjusted EBITDA represented 36% of quarterly revenue, according to Frank.
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For the afloat year, gross roseate 35% to $44.1 million. Full-year adjusted EBITDA accrued 89% to $13.6 cardinal from $7.2 cardinal successful 2024. Frank attributed the show to maturation successful UltraMIST strategy placements and ongoing usage of consumables.
System income were a notable driver. The institution sold 624 UltraMIST systems successful 2025 compared with 374 successful the anterior year, and fourth-quarter income reached 255 systems, which Frank said was the highest quarterly fig successful institution past and exceeded the anterior grounds acceptable successful the 3rd 4th by 100 systems. During the Q&A, Frank said the Q4 strategy fig did not look to beryllium driven by a azygous ample order, but alternatively “an unusually ample fig of benignant of mid-sized orders.”

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