Detailed financial statements for SANUWAVE Health Inc. (SNWV): income statement, balance sheet and cash-flow summary. Track margins, debt, liquidity and profitability trends year over year with up to 20 years of history.
SANUWAVE Health, Inc. is a shockwave technology company, which engages in the development and commercialization of patented noninvasive, biological response activating devices. Its portfolio of healthcare products and product candidates activate biologic signaling and angiogenic responses, including new vascularization and microcirculatory improvement, helping to restore the body's normal healing processes and regeneration.
Analysis Summary
SANUWAVE Health Inc. reported revenue of $44.1M in the most recent fiscal year, growing at a 5-year CAGR of 61.1%.
Trailing-twelve-month margins: gross margin 75.2%, operating margin 1.5%, net margin 32.6%.
At the current price of $4.43, SNWV trades at a P/E of 2.47 and an ROE of 17.28%. Market capitalisation stands at $38M.
Balance sheet quality for SNWV: current ratio of 1.4, net debt of $11.0M. A debt-to-equity below 1.0 typically signals conservative capital structure, while a current ratio above 1.5 indicates comfortable short-term liquidity.
Cash flow quality is below average: free cash flow of $1.9M represents 16% conversion of reported net income. High conversion (above 90%) suggests earnings translate cleanly into cash; lower conversion may indicate working capital tightness or accounting timing differences.
Income Statement (10y)
| Year | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|---|---|
| Revenue | $1.4M | $738527 | $1.9M | $1.0M | $4.1M | $13.0M | $16.7M | $20.4M | $32.6M | $44.1M |
| Cost of Revenue | $565129 | $241970 | $693664 | $538923 | $1.2M | $5.0M | $4.3M | $6.0M | $8.1M | $10.1M |
| Gross Profit | $810934 | $496557 | $1.2M | $489807 | $2.9M | $8.0M | $12.4M | $14.4M | $24.6M | $34.0M |
| Research & Development | $1.1M | $1.3M | $1.7M | $1.2M | $1.2M | $1.1M | $567000 | $579000 | $673000 | $1.4M |
| Selling, General & Admin | $2.7M | $3.0M | $7.3M | $8.0M | $18.9M | $20.3M | $20.0M | $13.6M | $17.7M | $26.8M |
| Operating Expenses | $4.1M | $4.3M | $8.3M | $9.3M | $28.1M | $22.2M | $21.4M | $14.9M | $19.1M | $29.0M |
| Operating Income | -$3.3M | -$3.8M | -$7.2M | -$8.8M | -$25.2M | -$14.1M | -$9.0M | -$540000 | $5.4M | $4.9M |
| EBITDA | -$3.0M | -$4.4M | -$7.1M | -$8.5M | -$27.4M | -$18.9M | $4.8M | -$9.2M | -$16.6M | $19.4M |
| Interest Expense | $854980 | $1.1M | $4.5M | $1.8M | $2.5M | $7.1M | $14.1M | $15.6M | $13.6M | $6.2M |
| Pre-tax Income | -$6.4M | -$5.5M | -$11.6M | -$10.4M | -$30.9M | -$27.2M | -$10.3M | -$25.8M | -$31.3M | $11.9M |
| Income Tax | $3.1M | 0 | $45012 | 0 | 0 | $28000 | $2000 | $4000 | $27000 | $86000 |
| Net Income | -$6.4M | -$5.5M | -$11.6M | -$10.4M | -$30.9M | -$27.3M | -$10.3M | -$25.8M | -$31.4M | $11.8M |
| EPS | $-22.50 | $-15.00 | $-29.17 | $-19.26 | $-30.68 | $-19.72 | $-7.02 | $-12.19 | $-7.03 | $1.38 |
| EPS (Diluted) | $-22.50 | $-15.00 | $-29.17 | $-19.26 | $-30.68 | $-19.72 | $-7.02 | $-12.19 | $-7.03 | $0.41 |
| Shares Outstanding (Diluted) | $286986 | $370236 | $398767 | $541442 | $1.0M | $1.4M | $1.5M | $2.1M | $4.5M | $9.1M |
Income Statement (Quarterly)
| Year | 2025-Q3 | 2025-Q4 | 2026-Q1 | 2026-Q2 |
|---|---|---|---|---|
| Revenue | $11.5M | $13.1M | $9.6M | $9.7M |
| Gross Profit | $8.7M | $9.7M | $7.2M | $7.4M |
| Operating Income | $1.5M | $615000 | -$1.1M | -$280000 |
| EBITDA | $12.4M | $7.6M | -$581000 | -$158000 |
| Net Income | $10.3M | $6.1M | -$1.4M | -$682000 |
| EPS | $1.21 | $0.71 | $-0.17 | $-0.08 |
| EPS (Diluted) | $1.13 | $0.02 | $-0.17 | $-0.08 |
Balance Sheet (10y)
| Year | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|---|---|
| Cash & Equivalents | $133571 | $730184 | $364549 | $1.8M | $2.4M | $619000 | $1.2M | $1.8M | $10.2M | $12.0M |
| Short-term Investments | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Receivables | $460799 | $152520 | $236002 | $75543 | $2.4M | $2.4M | $4.0M | $3.3M | $3.3M | $5.4M |
| Inventory | $231953 | $231532 | $357820 | $542955 | $3.0M | $1.0M | $868000 | $3.0M | $4.1M | $5.9M |
| Total Current Assets | $914146 | $1.2M | $1.1M | $2.5M | $7.9M | $4.4M | $6.6M | $9.8M | $18.4M | $24.6M |
| Property, Plant & Equipment | $76938 | $60369 | $77755 | $835703 | $1.3M | $1.0M | $856000 | $938000 | $732000 | $2.4M |
| Goodwill | 0 | 0 | 0 | 0 | $7.3M | $7.3M | $7.3M | $7.3M | $7.3M | $7.3M |
| Intangible Assets | 0 | 0 | 0 | 0 | $6.5M | $5.8M | $5.1M | $4.4M | $3.7M | $3.0M |
| Total Assets | $1.0M | $1.3M | $1.2M | $3.4M | $23.0M | $18.6M | $19.9M | $22.4M | $30.1M | $37.3M |
| Accounts Payable | $712964 | $1.5M | $1.6M | $1.4M | $4.5M | $7.6M | $4.4M | $5.7M | $3.7M | $3.2M |
| Short-term Debt | $5.4M | $6.0M | $10.8M | $6.2M | $16.6M | $27.1M | $38.5M | $30.0M | $25.3M | $5.6M |
| Total Current Liabilities | $7.9M | $11.2M | $16.5M | $12.4M | $36.2M | $56.3M | $60.2M | $64.8M | $42.3M | $17.8M |
| Long-term Debt | 0 | 0 | 0 | 0 | $143000 | $875000 | 0 | 0 | 0 | $16.3M |
| Total Liabilities | $7.9M | $11.2M | $16.5M | $13.4M | $36.7M | $57.6M | $60.9M | $65.6M | $42.8M | $35.7M |
| Retained Earnings | -$99.4M | -$105.0M | -$116.6M | -$125.8M | -$156.7M | -$183.9M | -$194.2M | -$220.0M | -$251.4M | -$242.7M |
| Total Equity | -$6.9M | -$9.9M | -$15.4M | -$10.1M | -$13.7M | -$39.0M | -$41.0M | -$43.2M | -$12.7M | $1.6M |
| Total Debt | $5.5M | $6.0M | $10.8M | $6.9M | $17.6M | $28.4M | $39.0M | $30.5M | $25.5M | $23.0M |
| Net Debt | $5.4M | $5.3M | $10.4M | $5.2M | $15.1M | $27.8M | $37.8M | $28.7M | $15.3M | $11.0M |
| Working Capital | -$7.0M | -$10.0M | -$15.4M | -$9.9M | -$28.2M | -$51.9M | -$53.6M | -$55.0M | -$23.9M | $6.8M |
Balance Sheet (Quarterly)
| Year | 2025-Q3 | 2025-Q4 | 2026-Q1 | 2026-Q2 |
|---|---|---|---|---|
| Cash & Equivalents | $9.6M | $12.0M | $10.8M | $9.4M |
| Total Assets | $35.6M | $37.3M | $37.1M | $36.6M |
| Total Liabilities | $38.5M | $35.7M | $35.3M | $33.8M |
| Total Equity | -$2.9M | $1.6M | $1.8M | $2.8M |
| Total Debt | $24.5M | $23.0M | $22.2M | $20.7M |
Cash Flow (10y)
| Year | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|---|---|
| Net Income | -$6.4M | -$5.5M | -$11.6M | -$10.4M | -$30.9M | -$27.3M | -$10.3M | -$25.8M | -$31.4M | $11.8M |
| Depreciation & Amortization | $326614 | $24069 | $22332 | $71213 | $1.0M | $1.2M | $952000 | $1.0M | $1.1M | $1.3M |
| Stock-based Compensation | $547842 | $768105 | $2.5M | $333422 | $22000 | 0 | 0 | 0 | $1.5M | 0 |
| Change in Working Capital | -$495998 | $1.9M | $797849 | $1.7M | $1.4M | $9.9M | -$1.1M | -$3.6M | -$2.9M | -$4.0M |
| Operating Cash Flow | -$3.2M | -$1.5M | -$3.6M | -$6.4M | -$12.7M | -$6.4M | -$17.2M | -$4.5M | $2.5M | $3.9M |
| Capital Expenditure | -$10364 | 0 | -$42888 | -$53939 | -$53000 | -$529000 | $1.0M | 0 | -$490000 | -$1.9M |
| Acquisitions | $1594 | 0 | 0 | 0 | -$20.0M | 0 | $332000 | 0 | 0 | 0 |
| Stock Repurchased | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Dividends Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Free Cash Flow | -$3.2M | -$1.5M | -$3.7M | -$6.5M | -$12.8M | -$6.9M | -$16.1M | -$4.5M | $2.0M | $1.9M |
Cash Flow (Quarterly)
| Year | 2025-Q3 | 2025-Q4 | 2026-Q1 | 2026-Q2 |
|---|---|---|---|---|
| Operating Cash Flow | $1.1M | $3.3M | $397000 | $425000 |
| Capital Expenditure | -$525000 | $1.8M | -$89000 | -$268000 |
| Free Cash Flow | $556000 | $5.2M | $308000 | $157000 |
| Dividends Paid | 0 | 0 | 0 | 0 |
| Stock-based Compensation | 0 | -$3.5M | 0 | $1.5M |
Growth & Margins (10y)
| Year | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|---|---|
| Revenue Growth (YoY) | -46.3% | +150.5% | -44.4% | +294.4% | +220.7% | +28.7% | +21.8% | +60.0% | +35.0% | |
| Net Income Growth (YoY) | +14.0% | -110.0% | +10.3% | -196.6% | +11.9% | +62.2% | -150.7% | -21.6% | +137.7% | |
| EPS Growth (YoY) | +33.3% | -94.5% | +34.0% | -59.3% | +35.7% | +64.4% | -73.6% | +42.3% | +119.6% | |
| Shares Change (YoY) | +29.0% | +7.7% | +35.8% | +86.2% | +37.1% | +6.0% | +44.5% | +110.8% | +103.5% | |
| FCF Growth (YoY) | +52.4% | -139.6% | -76.4% | -97.5% | +45.7% | -132.7% | +71.9% | +143.3% | -1.6% | |
| Gross Margin | 58.9% | 67.2% | 62.5% | 47.6% | 71.4% | 61.7% | 74.1% | 70.4% | 75.2% | 77.1% |
| Operating Margin | -241.0% | -517.8% | -388.1% | -854.9% | -621.1% | -108.7% | -53.5% | -2.6% | 16.6% | 11.2% |
| EBITDA Margin | -217.4% | -592.3% | -384.5% | -828.4% | -675.0% | -145.3% | 28.6% | -44.9% | -50.8% | 44.1% |
| Net Margin | -467.9% | -749.9% | -628.7% | -1013.9% | -762.6% | -209.5% | -61.5% | -126.5% | -96.1% | 26.8% |
| FCF Margin | -233.3% | -207.0% | -198.1% | -628.4% | -314.8% | -53.3% | -96.4% | -22.2% | 6.0% | 4.4% |
| Effective Tax Rate | -48.5% | -0.0% | -0.4% | -0.0% | -0.0% | -0.1% | -0.0% | -0.0% | -0.1% | 0.7% |
Per-Share Data (10y)
| Year | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|---|---|
| FCF Per Share | $-11.18 | $-4.13 | $-9.19 | $-11.94 | $-12.67 | $-5.02 | $-11.02 | $-2.14 | $0.44 | $0.21 |
| Dividends Per Share | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Shares Outstanding (Basic) | $286986 | $370236 | $398767 | $541442 | $1.0M | $1.4M | $1.5M | $2.1M | $4.5M | $8.6M |
What to look at in Healthcare / Pharma
The R&D pipeline is the invisible asset. Patents expiring = revenues evaporating. Look at innovation and cash flow.
- R&D / Revenue — Shows investment in future pipeline. Serious pharma reinvests 15-20%
- 5y EPS growth — After patent expirations, are they still growing?
- Gross margin — Branded pharma >70%. Generics much lower — defines the business type
- FCF / Net Income — Earnings quality — big pharma should convert >90%
- ROIC — Capital reinvested efficiently — key in pharma due to long R&D cycles
- Net debt / EBITDA — Pharma acquisitions pile up debt — watch the post-M&A picture
- P/E vs own 10y history — The best comparison is with its own history, not with peers
Profitability
| Return on Equity | 1728.10% |
| Return on Invested Capital | 2.80% |
| Return on Assets | 39.10% |
| Gross Margin | 75.20% |
| Operating Margin | 1.54% |
| Net Margin | 32.60% |
Financial Health
| Debt / Equity | 7.43 |
| Current Ratio | 1.28 |
| Piotroski F-Score | 6 |
| Altman Z-Score | -2.97 |
Key Ratios (10y)
| Year | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|---|---|
| P/E | -2.92 | -6.05 | -2.96 | -3.11 | -2.26 | -3.23 | -1.22 | -0.40 | -3.27 | 21.62 |
| P/B | -2.72 | -3.40 | -2.24 | -3.23 | -5.10 | -2.26 | -0.31 | -0.24 | -8.07 | 157.84 |
| P/S | 13.68 | 45.49 | 18.59 | 31.58 | 17.24 | 6.77 | 0.75 | 0.51 | 3.15 | 5.80 |
| Gross Margin | 58.9% | 67.2% | 62.5% | 47.6% | 71.4% | 61.7% | 74.1% | 70.4% | 75.2% | 77.1% |
| Operating Margin | -241.0% | -517.8% | -388.1% | -854.9% | -621.1% | -108.7% | -53.5% | -2.6% | 16.6% | 11.2% |
| Net Margin | -467.9% | -749.9% | -628.7% | -1013.9% | -762.6% | -209.5% | -61.5% | -126.5% | -96.1% | 26.8% |
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Explore sector: Healthcare · Medical - Devices
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