NASDAQ:SMTI Sanara MedTech Q3 2025 Earnings Report $19.62 +0.63 (+3.32%) Closing price 04:00 PM EasternExtended Trading$19.24 -0.38 (-1.91%) As of 05:37 PM Eastern Extended trading is trading that happens on electronic markets outside of regular trading hours. This is a fair market value extended hours price provided by Massive. Learn more. ProfileEarnings HistoryForecast Sanara MedTech EPS ResultsActual EPS$0.09Consensus EPS -$0.24Beat/MissBeat by +$0.33One Year Ago EPSN/ASanara MedTech Revenue ResultsActual Revenue$26.33 millionExpected Revenue$26.63 millionBeat/MissMissed by -$291.18 thousandYoY Revenue GrowthN/ASanara MedTech Announcement DetailsQuarterQ3 2025Date11/12/2025TimeBefore Market OpensConference Call DateWednesday, November 12, 2025Conference Call Time8:00AM ETUpcoming EarningsSanara MedTech's Q1 2026 earnings is estimated for Tuesday, May 12, 2026, based on past reporting schedules, with a conference call scheduled at 8:00 AM ET. Check back for transcripts, audio, and key financial metrics as they become available.Q1 2026 Earnings ReportConference Call ResourcesConference Call AudioConference Call TranscriptPress Release (8-K)Quarterly Report (10-Q)Earnings HistoryCompany ProfilePowered by Sanara MedTech Q3 2025 Earnings Call TranscriptProvided by QuartrNovember 12, 2025 ShareLink copied to clipboard.Key Takeaways Neutral Sentiment: Tissue Health Plus (THP) discontinued. Management ceased THP after a strategic review and market check, expects $5.5–$6.5M of cash investment in H2 2025 and no material THP spend after 2025, and has classified THP as discontinued operations. Positive Sentiment: Strong Q3 surgical performance: Net revenue grew 22% year‑over‑year to $26.3M (soft tissue repair sales up 24%), gross margin improved to ~93%, and adjusted EBITDA rose $2.3M to $4.9M. Positive Sentiment: Commercial runway remains large: distributor count expanded from ~300 to >400 and products were sold into >1,400 facilities (vs >4,000 approvals), with management highlighting low current penetration as a major growth opportunity. Negative Sentiment: Balance sheet and interest costs are a concern: cash was $14.9M at Sept 30, 2025, long‑term debt increased to $45.1M, available borrowing capacity fell to $12.25M, and other expense rose due to higher interest and equity‑method losses. Positive Sentiment: Product pipeline progress: exclusive BMI‑licensed OSTIC completed agreed milestones and remains on track for a planned U.S. commercial launch in Q1 2027, offering a potential new market expansion opportunity. AI Generated. May Contain Errors.Conference Call Audio Live Call not available Earnings Conference CallSanara MedTech Q3 202500:00 / 00:00Speed:1x1.25x1.5x2xTranscript SectionsPresentationParticipantsPresentationSkip to Participants Operator00:00:00Welcome to the Sanara MedTech third quarter of 2025 earnings conference call. Please note that this conference call is being recorded, and a replay will be available on the investor relations page of the company's website shortly. The company issued earnings release earlier today. Before we begin, I would like to remind everyone that certain statements on today's call include forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. For more information about the risks and uncertainties involving forward-looking statements and factors that could cause actual results to differ materially from those projected or implied by forward-looking statements, please see the risk factors set forth in the company's most recent annual report on Form 10-K, as supplemented by the risk factors in the company's most recent quarterly reports on Form 10-Q. This call will also include references to certain non-GAAP financial measures. Operator00:01:01Reconciliations of these non-GAAP measures to the most comparable measures calculated and presented in accordance with GAAP are available in the earnings release available on the investor relations section of our website. Today's call will include remarks from Seth Yon, President and Chief Executive Officer, and Elizabeth Taylor, Chief Financial Officer. I would now like to turn the call over to Mr. Yon. Please go ahead. Seth YonCEO at Sanara MedTech00:01:32Thanks, Operator, and welcome everyone to our third quarter of 2025 earnings call. Let me outline the agenda for today's call. As the recently appointed President and CEO, I'll begin with a brief introduction and provide some opening thoughts on Sanara MedTech. I'll then discuss the announcement we made yesterday regarding Tissue Health Plus. Following this discussion, I'll review our net revenue performance, commercial progress, and select operational highlights in the third quarter. Elizabeth will then cover our quarterly financial results in further detail. Following her remarks, I'll share some additional thoughts on our near and long-term strategic priorities before we open the call for questions. With this agenda as our backdrop, I'd like to take a moment to introduce myself and provide some context on my background with the company. I joined Sanara in March of 2018 as one of our first regional sales managers. Seth YonCEO at Sanara MedTech00:02:27Over the next seven years, I served in a variety of leadership roles on our commercial team, including as National Sales Director, Vice President, and President of Commercial, and most recently as our President and Chief Commercial Officer. While developing our commercial strategy and leading our sales organization, I've gained a comprehensive view of our business operations, our customer relationships, and how our products perform in critical settings. I was appointed President and CEO effective September 15th. I appreciate the level of confidence placed in me by the board and look forward to building on the foundation established by Ron Nixon's leadership as we pursue the opportunities ahead of us. There are numerous factors that motivated me to lead Sanara MedTech, but let me start with three fundamental aspects of our business that speak to our unique positioning in the surgical market. Seth YonCEO at Sanara MedTech00:03:20First, our technologies are both differentiated and effective in addressing real clinical needs in the surgical operating room. Our portfolio is built around two key products, CellerateRX Surgical and BiOSurge, which have established their utility and clinical practice, helping to improve patient outcomes while reducing overall costs to the healthcare system. Through my experience leading Sanara's commercial team, I've observed firsthand the benefits of adopting these key products across hundreds of cases, as well as their impact on surgical outcomes. Second, Sanara's go-to-market strategy and commercial distribution model have demonstrated their effectiveness over the better part of a decade and enabled us to rapidly grow our key products. We've secured over 4,000 healthcare facility approvals, identified surgeons who would benefit from their use, and established a network of regional sales managers and industry distributors to engage, educate, and address the needs of these surgeons. Seth YonCEO at Sanara MedTech00:04:20This has enabled us to develop a track record of strong growth in recent years, while positioning us to achieve significant operating leverage as well. Third, Sanara has established an impressive team with the expertise necessary to achieve our mission of improving clinical outcomes and reducing healthcare expenditures in the surgical market. I'm proud of the level of talent we've been able to attract in recent years. Though we've made impressive progress, I believe we have opportunities to continue evolving as an organization. I'm confident in our team's ability to achieve the next stage of sustainable growth and development as we continue to expand our share of the large untapped market opportunity that products address. Now, I'd like to address the announcement we made yesterday regarding Tissue Health Plus and provide some additional context on this important strategic decision. I'll begin with some background for those less familiar. Seth YonCEO at Sanara MedTech00:05:16In parallel with developing and establishing THP, Sanara has been focused over the last two years on identifying and engaging with potential strategic and financial partners to invest in and assist in the execution of this business. At the beginning of the third quarter, we initiated a formal process of evaluating strategic alternatives for THP, which we announced on our second quarter call in August. We engaged an external strategic advisor to assist in this process as we explored a range of options with a goal of maximizing shareholder value. Together with our external strategic advisor, we performed a market check and explored a range of strategic alternatives during the third quarter. This formal process ultimately did not result in finding a partner to assume significant responsibility for this investment or surface a viable option to monetize our THP asset. Seth YonCEO at Sanara MedTech00:06:10After concluding this process, our management team and board of directors determined that the most appropriate course of action was to cease operations of THP, which we announced via press release yesterday after market close. Let me walk you through the rationale behind this decision. While our THP team achieved significant progress in developing this platform over recent years, the next stage of preparing THP for commercialization and achieving the scale necessary for THP to be accretive to our adjusted EBITDA would have required considerable investment over a multiple-year period. Ultimately, this decision allows us to enhance our operational efficiency and focus our resources on our core surgical business. We believe this focus will enable Sanara to capitalize on our greatest opportunities and deliver sustained long-term growth and value creation over time. Seth YonCEO at Sanara MedTech00:07:02After reaching this decision, we acted promptly to discontinue THP and have made considerable progress in winding down its operation in recent months. We expect the process to be substantially completed by the end of 2025. From an accounting and financial reporting perspective, we have classified the operations of THP, which were previously reported as the THP segment, as discontinued operations for the three and nine months ended September 30, 2025, and 2024. Elizabeth will discuss the financial implications of this decision further. However, I want to emphasize that we continue to anticipate total cash investment related to THP will range from $5.5 million-$6.5 million in the second half of 2025. This is consistent with the expectation we shared on our last earnings call in August. We also continue to anticipate no material cash spend in THP after 2025. Seth YonCEO at Sanara MedTech00:08:03In summary, this strategic realignment of our business is designed to enhance Sanara's ability to capitalize on our strengths, capabilities, and opportunities in the surgical market while facilitating a leaner and more efficient organization. After careful consideration, both the board of directors and management believe it represents an important proactive step forward for the long-term benefit of Sanara MedTech and our stakeholders. Now, let's review our third quarter net revenue performance. In the third quarter, our surgical team achieved net revenue of $26.3 million, representing growth of 22% year-over-year. Our net revenue growth was driven almost exclusively by our sales of soft tissue repair products. Soft tissue repair product sales increased 24% year over year to $23.4 million, led by strong sales of our key products, CellerateRX Surgical and BiOSurge. Seth YonCEO at Sanara MedTech00:09:00Importantly, we complemented our net revenue performance with year-over-year improvements in our gross margins and demonstrated significant operating leverage. As a result, we achieved notable year-over-year improvements in our profitability profile, with a $1 million improvement in net income from continuing operations and a $2.3 million improvement in adjusted EBITDA, a net revenue growth of $4.7 million. Lastly, we generated $2.2 million of net cash from operating activities in the third quarter. All in all, we were pleased with our third quarter financial performance, the focus and dedication of our team, and the level of demand for our surgical products in the market. Seth YonCEO at Sanara MedTech00:09:41With respect to the key drivers of our net revenue growth, our performance in the third quarter reflects on our commercial team's strong execution across the following three key initiatives: one, developing our relationships with independent distributors; two, selling into new healthcare facilities; and three, penetrating the existing healthcare facilities we serve. I'll now take a minute to touch on each of these three initiatives related to our commercial strategy, beginning with our efforts to develop our independent distributor network. Our team has made considerable progress in identifying and partnering with new independent distributors in key geographies across the U.S. Specifically, during the last 12 months ended September 30, we expanded our network from more than 300 contracted distributors to more than 400. In tandem, we have increasingly focused on onboarding our recently contracted distributors and training their reps to position them for success in selling our products. Seth YonCEO at Sanara MedTech00:10:40Truly partnering with our distributors for shared long-term growth versus simply contracting with them is a core component of our approach that we believe differentiates Sanara. This philosophy will continue to guide our approach as we focus on optimizing our relationships with existing distributors while expanding our network selectively going forward. Turning to our second commercial initiative, our team continues to leverage our network of distributor partners, whose reps possess strong local relationships across the U.S., to begin selling into new healthcare facilities where our products have been contracted or approved. As a result, we significantly expanded our base of healthcare facility customers over the last 12 months. Specifically, our products were sold into more than 1,400 healthcare facilities during the trailing 12 months ended September 30, compared to more than 1,200 facilities in the prior year period. Seth YonCEO at Sanara MedTech00:11:35As a reminder, our products are approved or contracted for sale in over 4,000 facilities, so we see a considerable runway for future expansion on this front. In terms of our third commercial initiative, across the more than 1,400 healthcare facilities we currently serve, our penetration of these facilities remains very low. This represents one of our most significant opportunities for future growth. With this in mind, we are focused on increasing the number of surgeons using our products within the existing healthcare facilities by targeting practitioners both within and outside of our traditional specialties of spine and orthopedics. Our team continues to deliver impressive progress on this front, significantly expanding the number of surgeon users on a year-over-year basis in the third quarter. Lastly, we remain pleased with the performance of BiOSurge in the third quarter and the progress made during its second year of commercialization. Seth YonCEO at Sanara MedTech00:12:32Our team continues to facilitate its future growth by securing new facility approvals and introducing it to our existing CellerateRX Surgical customers. Turning to our other operational highlights, in addition to executing our commercial plan and navigating the path forward regarding THP, we continue to make progress in expanding our portfolio of clinical evidence and advancing our new product initiatives. With respect to clinical evidence, we are focused on demonstrating the clinical efficacy and cost-effectiveness of our key products across a variety of surgical procedures, including some of the most challenging cases. To this end, we are pleased to see the publication of two studies in peer-reviewed medical journals that are worth highlighting this quarter. Both publications discussed retrospective case series which examined the use of CellerateRX Surgical in challenging procedures. Seth YonCEO at Sanara MedTech00:13:25The first was published in the Journal of Foot and Ankle Surgery, the official publication of the American College of Foot and Ankle Surgeons. It was focused on the use of CellerateRX Surgical in treating high-risk patients with multiple comorbidities. These patients underwent complex orthopedic and plastic reconstructive surgery to preserve their limbs. The researchers concluded that CellerateRX Surgical demonstrated significant value in assisting these complex procedures, helping to support the healing of soft tissue in extremely compromised patients. The second was published in the Annals of Case Reports, an open-access multidisciplinary journal. It was focused on the use of CellerateRX Surgical in treating surgical wounds following vulvectomy procedures, which tend to involve high complication rates. Based on the findings, the researchers concluded that CellerateRX Surgical may serve as a valuable adjunct in enhancing post-operative wound healing for vulvectomy patients. Seth YonCEO at Sanara MedTech00:14:22Our expanding portfolio of clinical evidence continues to demonstrate the value our key products bring to the treatment of some of the most challenging surgical wounds, helping us to educate the medical community and raise awareness of their benefits. With respect to our new product initiatives, I'm pleased to report continued progress under our strategic partnership with Biomimetic Innovations Limited, or BMI. By way of background, we have an exclusive U.S. license and distribution agreement with BMI for OSTIC, as well as an adjunctive fixation technology. OSTIC is an innovative and differentiated product designed to enhance the repair process for periarticular fractures. While not currently cleared for sale in the U.S., it's been granted breakthrough device designation by the FDA. Throughout 2025, BMI has been focused on advancing through a series of key product development, clinical, and regulatory milestones structured in our agreement. Seth YonCEO at Sanara MedTech00:15:19After achieving the first of these milestones during the second quarter, they have made significant progress in recent months. As of September 30, they have completed all of our agreed-upon milestones. Based on the recent pace of progress, we continue to anticipate U.S. commercial launch in the first quarter of 2027. We look forward to leveraging our sales and distribution team to help address the more than 100,000 periarticular fractures that occur annually in the U.S. Elizabeth will now review our third quarter financial performance in greater detail. Elizabeth TaylorCFO at Sanara MedTech00:15:51Thanks, Seth. I will begin by reiterating that the operations of THP, which were previously reported as the THP segment, have been classified as discontinued operations for the three and nine months ended September 30, 2025, and 2024. As such, unless otherwise noted, all commentary that follows relates to our surgical business on a continuing operations basis. Elizabeth TaylorCFO at Sanara MedTech00:16:20In our 8-K filed with the SEC today, we have included tables detailing the historical results of our operations on a quarterly basis by business for our surgical and THP businesses in 2025, 2024, and 2023. These materials are also available on the events section of our investor website next to the webcast link for today's earnings call. Given that Seth covered our net revenue results for the quarter, I'll begin with gross profit. All percentage changes referenced throughout my remarks compare to prior year period unless otherwise specified. Third quarter gross profit increased $4.8 million, or 24%, to $24.5 million. Gross margin increased approximately 200 basis points to 93% of net revenue, driven primarily by increased sales of soft tissue repair products. Third quarter operating expenses increased $2.6 million, or 14%, to $21.5 million. Elizabeth TaylorCFO at Sanara MedTech00:17:25The change in operating expenses was driven by a $2.5 million, or 14%, increase in selling, general, and administrative expenses, and to a lesser extent, a $200,000, or 31%, increase in research and development expenses. The $2.5 million increase in SG&A was driven primarily by a $1.4 million increase in compensation and contract services and an $800,000 increase in direct sales and marketing expenses. Operating income for the third quarter increased $2.2 million, or 278%, to $2.9 million. Other expense for the third quarter was $2.1 million, compared to $1 million of expense last year. The increase in other expense was primarily due to higher interest expense and fees related to our CRG term loan, as well as higher share of losses related to equity method investments. Elizabeth TaylorCFO at Sanara MedTech00:18:27Net income from continuing operations for the third quarter was $800,000, or $0.09 per diluted share, compared to a net loss from continuing operations of $200,000, or $0.02 per diluted share last year. Adjusted EBITDA for the third quarter of 2025 increased $2.3 million-$4.9 million. Turning to the balance sheet, as of September 30, 2025, we had $14.9 million of cash, $45.1 million of long-term debt, and $12.25 million of available borrowing capacity, which is accessible through December 31, 2025. This compares to $15.9 million of cash, $30.7 million of long-term debt, and $24.5 million of available borrowing capacity as of December 31, 2024. Lastly, a few considerations to bear in mind for the remainder of the year. We remain focused on driving strong net revenue growth for the full year 2025, coupled with improvements in our profitability on a continuing operations basis. Elizabeth TaylorCFO at Sanara MedTech00:19:36With respect to our net revenue over the balance of the year, as a reminder, our net revenue in the fourth quarter of 2024 grew 49% year-over-year. This exceptional performance benefited in part from increased demand for BiOSurge following the disruption caused by Hurricane Helen last fall, which caused industry shortages of IV fluids and saline solutions. As we have shared previously, of the $26.3 million of net revenue generated in the fourth quarter of 2024, we believe approximately $1.8 million was attributable to this unique dynamic. Excluding this $1.8 million headwind, we expect our revenue in the fourth quarter of 2025 will increase in the high single digits to low teens on a year-over-year basis, compared to strong year-over-year growth in the fourth quarter of 2024. Elizabeth TaylorCFO at Sanara MedTech00:20:32With respect to anticipated cash utilization, as Seth mentioned, we continue to expect the total cash investment related to THP will range from $5.5 million-$6.5 million in the second half of 2025. Specifically, our total cash investment in THP was $4 million in the third quarter of 2025, implying approximately $1.5-$2.5 million of cash investment in the fourth quarter as we continue to wind down THP. We continue to anticipate no material cash spend in THP after 2025. Lastly, we continue to expect the tariffs will not materially impact our results of operations in 2025. With that, I will now turn it back to Seth for closing remarks. Seth YonCEO at Sanara MedTech00:21:19Thanks, Elizabeth. Stepping back, over the trailing 12 months ended September 30th, 2025, our surgical business has generated nearly $102 million of net revenue, representing growth of 31% over prior year period. Seth YonCEO at Sanara MedTech00:21:36In the third quarter of 2025 alone, we generated higher net revenue than over the entirety of 2021. Our ability to achieve the significant commercial scale in a relatively short time speaks to the strength of our key surgical products, our go-to-market strategy, and our team. It also represents a validation of our large, addressable opportunity we continue to pursue in the surgical market. With clarity on THP, we are moving forward with a leaner organization and a renewed commitment to building on the progress made in our surgical business. As we close out 2025, our team is focused on executing our commercial plan, including the three initiatives I outlined earlier, while improving our efficiency and investing prudently and strategically in our surgical business. Seth YonCEO at Sanara MedTech00:22:24Longer term, we are focused on supporting the future development and evolution of our surgical business by improving our systems and processes, deepening our competitive moat, and enhancing our commercial strategy. Through these efforts, we will position Sanara MedTech to continue driving strong, sustainable growth both in 2025 and over the coming years as we progress to our next phase as an organization. I'd like to close by congratulating the entire Sanara MedTech team on their progress made this past quarter, which is a testament to our collective vision, grit, and execution. Thank you as well to our shareholders and customers for their support and to those on today's call for their interest in Sanara MedTech. With that, Operator, you may now open the call for questions. Certainly. Operator00:23:12The floor is now open for questions. Operator00:23:14If you have any questions or comments, please press star one on your phone at this time. We ask that while posing your question, you please pick up your handset if listening on a speakerphone to provide optimum sound quality. Please hold just a moment while we pull for questions. Your first question is coming from Ross Osborne with Cantor Fitzgerald. Please pose your question. Your line is live. Ross OsbornDirector and Lead Research Analyst at Cantor Fitzgerald00:23:37Hi. Good morning and congrats on the progress. Starting off, could you spend some more time on some of your initiatives in driving further penetration within existing facilities? How do your conversations go with new physicians? What are people excited about? What do they have more questions about? Seth YonCEO at Sanara MedTech00:23:55Hey, Ross. Good morning. It's Seth. Yeah, a couple of things to answer that. Seth YonCEO at Sanara MedTech00:24:02We've done a lot at the street level with the salesforce, both on our W-2 side plus our distributor side to expand into new specialties. In addition to that, both our R&D team and our clinical team as well have worked really hard on both scientific, clinical, and even economic evidence that supports the value that our products provide. It's really a culmination of all those things to continue to expand into new users and also into new facilities at the same time. We've talked a lot about this in the past. We've grown considerably in the number of facilities, but we know we've got a lot of room to grow there as well. The same is true with our distributor network and surgeon base as well. We've liked the formula that we have. Seth YonCEO at Sanara MedTech00:24:46We'll continue to take that and replicate that where we can and then get creative as we go into 2026 and beyond. Ross OsbornDirector and Lead Research Analyst at Cantor Fitzgerald00:24:53Okay. Great. When thinking about operating profitability, are there areas outside of THP where we should expect cash savings, or should we begin to expect leverage on sales and marketing going forward? Elizabeth TaylorCFO at Sanara MedTech00:25:10Hey, Ross. How are you? Doing well. I think I'm good. I think we've kept our headcount and sales flat with 40 reps and 400 distributors, and it's evidence that the model's working and you're seeing the operating leverage on the EBITDA line. We're focused on sustainable and profitable growth and the balance of which we're going to invest in our product portfolio and growing the top line going forward. Like all MedTech companies, we need to invest in our current product portfolio and, from an IP perspective, invest there as well. Elizabeth TaylorCFO at Sanara MedTech00:25:49We see leverage in our sales channel, and we'll continue to invest and no longer be spending some of our cash flow in the THP segment. Ross OsbornDirector and Lead Research Analyst at Cantor Fitzgerald00:25:58Okay. Perfect. Thanks for taking our questions. Seth YonCEO at Sanara MedTech00:26:02Thanks, Ross. Operator00:26:04Your next question is coming from Danielle Journey with Unrivaled Investing. Please pose your question. Your line is live. Also, if you do have any remaining questions, please press star one at this time. Danielle JourneyAnalyst at UNRIVALED INVESTING00:26:16Great. Thanks so much for taking my call. I'm a little disappointed with the THP result, but thanks for coming to that conclusion, trying to rationally manage your capital. Based on your outlook for the next quarter, you mentioned that excluding one-time benefits from last year, growth is going to be high single digits, low teens. Is that the right sort of expectation for this business going forward? Danielle JourneyAnalyst at UNRIVALED INVESTING00:26:47Are you still because it is a significant sort of deceleration from where you've been. I'm curious on how you think about the cadence that you're expecting, your internal threshold that you're expecting, and the same thing along with the margins where I noticed your EBITDA margin was effectively flat sequentially. I'm curious, do you have any sort of benchmark or target so that way investors can understand, "Okay, this is a 10% grower? Is this a 20% grower? And what's the sort of operating margin that we should be thinking about long-term?" Ballpark. Thank you so much. Seth YonCEO at Sanara MedTech00:27:24Danielle, thanks for the question. We'll kind of divide and conquer on this, if you don't mind. I'll take part of the questions. I'll let Elizabeth do the same. Seth YonCEO at Sanara MedTech00:27:34As far as Q4 performance and looking at that, as Elizabeth had mentioned, we grew 49% in Q4 of 2024. If you take out that adjusted $1.8 million, it's still about 38%, which obviously was just a very, very significant growth quarter for us. Even inside that 38%, when you think about the $1.8 million that we grew as a result of the saline shortage, that was solely on just new accounts. We had other growth as well coming from BiOSurge in existing accounts as well. That's not captured in that $1.8 million. We know we had a really significant number. We still believe in a very strong quarter this coming quarter as well. I don't think that the expectation going into the fourth quarter should be concerning to anybody. Seth YonCEO at Sanara MedTech00:28:23We still feel very confident in our ability to perform at a high level going into the new year, given the opportunities that we have and the number of facilities that we have approved, the distributor partnerships that we have currently in place, and those where we'll expand. There is great opportunity to continue to reach more surgeons. We remain very confident as we go into the new year and how we'll perform. I'll let Elizabeth answer the EBITDA question as well. Elizabeth TaylorCFO at Sanara MedTech00:28:48Great. Thank you. If you look at our trailing 12 months EBITDA, last year was $6.6 million and this year is $16.4 million, with a revenue growth of 31%. You are seeing operating leverage in that. It is a testament to Seth having built out a really strong salesforce, and he's been able to increase sales with a flat headcount for the last two years. Elizabeth TaylorCFO at Sanara MedTech00:29:14Will the business require additional headcount? Yes, at some point. The point is that you're seeing we sort of built and then are growing from what we built. We feel strongly about our performance and feel good about it. Got it. Is there a sense that there is a lot of room still to expand margins, though? Yes, I believe we feel good about where the business is going and what we've shown in the past. We do not give forward-looking guidance. Danielle JourneyAnalyst at UNRIVALED INVESTING00:29:52Okay. Thank you. Seth YonCEO at Sanara MedTech00:29:54Thanks, Danielle. Operator00:29:56Before we take any additional audio questions in our queue, we have a question coming from the webcast. The question is, "It is my understanding a strategic partner was always expected to be required to bring to the market. Is this correct? Operator00:30:13With this in mind, why was a strategic partner not considered as an integral part before the costs were incurred? Seth YonCEO at Sanara MedTech00:30:21Sure. Looking back over the last 18-24 months or so, I think it was the beginning of March, if I remember correctly, of 2024, that THP really started to pursue some form of strategic partner and thought that we could do that along the way. Again, the team had done a nice job of developing that software, and our hopes with that, coupled with some of the beta sites that we were also in, would start to encourage that activity. Unfortunately, that did not happen, and that put us in a position going into the third quarter and certainly into the end of the year that we needed to make that decision. Seth YonCEO at Sanara MedTech00:31:00We did that with confidence, both at the board level and on the managerial group as well. Going into the future, we knew that those resources needed to be put back into the surgical space, and that was the decision that we made back in September as we went forward. Operator00:31:14Okay. Thank you. Your next question from the audio lines is coming from Yi Chen with H.C. Wainwright. Please pose your question. Your line is live. Yi ChenManaging Director and Equity Research at H.C. Wainwright & Co.00:31:25Good morning. Thank you for taking my question. Now that the THP is going to be discontinued, could you comment on the trend of total operating expenses? Should we project to see a meaningful decrease in operating expenses? Elizabeth TaylorCFO at Sanara MedTech00:31:42Yi, thanks for the question. We do not give forward-looking guidance, but I would remind everyone that we have put a supplemental disclosure on our website that examines the surgical business as a standalone business historically. Elizabeth TaylorCFO at Sanara MedTech00:31:59I think using that information can see good trends in that business and be able to model it from there. Yi ChenManaging Director and Equity Research at H.C. Wainwright & Co.00:32:06All right. Thank you. Operator00:32:14Thank you. There appear to be no further questions in queue. I would now like to turn it back to Seth Yon for his closing remarks. Seth YonCEO at Sanara MedTech00:32:20Just like to say again, congratulations to the entire Sanara MedTech team and all our distributors as well for an excellent quarter. Really a testament again to the vision and the grit in ultimately delivering on our go-to-market plan. In addition, again, just thank you to all of our shareholders and our customers that see value in us as a company and our technologies as well. And for those joining maybe the call for the very first time as well. Thank you for your time and have a great day. Seth YonCEO at Sanara MedTech00:32:48Thank you, everyone. This does conclude today's conference call. Seth YonCEO at Sanara MedTech00:32:52You may disconnect your phone lines at this time and have a wonderful day. Thank you for your participation.Read moreParticipantsExecutivesElizabeth TaylorCFOSeth YonCEOAnalystsRoss OsbornDirector and Lead Research Analyst at Cantor FitzgeraldDanielle JourneyAnalyst at UNRIVALED INVESTINGYi ChenManaging Director and Equity Research at H.C. Wainwright & Co.Powered by Earnings DocumentsEarnings Release(8-K)Quarterly Report(10-Q) Sanara MedTech Earnings HeadlinesHow Sanara MedTech (SMTI) Is Reframing Its Growth Story Around A Steady US$34 Target3 hours ago | finance.yahoo.comSanara MedTech (SMTI) Q4 2025 Earnings TranscriptMay 4 at 1:15 PM | fool.comThe REAL Reason Trump is Invading IranFor a moment… Forget about Trump’s ties to Israel. Forget about reports of Iran’s nuclear program. Because my research has led me to believe we’re risking World War 3 with Iran for a completely different reason.May 5 at 1:00 AM | Banyan Hill Publishing (Ad)INVESTOR ALERT: Pomerantz Law Firm Investigates Claims On Behalf of Investors of Sanara MedTech, Inc. - SMTIApril 30, 2026 | prnewswire.comINVESTOR ALERT: Pomerantz Law Firm Investigates Claims On Behalf of Investors of Sanara MedTech, Inc. - SMTIApril 28, 2026 | globenewswire.comWhat Makes Sanara Medtech (SMTI) A Compelling Risk-Reward Opportunity?April 23, 2026 | finance.yahoo.comSee More Sanara MedTech Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like Sanara MedTech? Sign up for Earnings360's daily newsletter to receive timely earnings updates on Sanara MedTech and other key companies, straight to your email. Email Address About Sanara MedTechSanara MedTech (NASDAQ:SMTI) is a medical technology company focused on developing and commercializing innovative devices for ear, nose and throat (ENT) healthcare. The company’s core offering centers on minimally invasive sinus dilation systems designed to treat chronic sinusitis and related conditions. These products leverage balloon catheter technology to expand sinus pathways and improve patient outcomes while reducing recovery times. In addition to sinus solutions, the portfolio extends to procedural tools and implants for otology and cranial applications. With its legacy rooted in the assets of a former Johnson & Johnson business, Sanara MedTech combines decades of research and development in ENT therapies. The company offers a range of balloon-based dilation products, including multisinus dilation systems, as well as adjunctive instruments for tissue access and endoscopic visualization. Its ENT platform is complemented by specialized energy‐based ablation technologies and implantable devices designed to address complex nasal and ear disorders. Following its establishment through a business combination in early 2022, Sanara MedTech continues to invest in clinical studies and product enhancements aimed at broadening indications and improving procedural efficiency. The company collaborates with leading physicians and academic centers to validate its technologies and expand training programs that support adoption by surgeons worldwide. Headquartered in Irvine, California, Sanara MedTech serves markets across North America, Europe, Latin America and Asia Pacific through a combination of direct sales teams and distributor partnerships. Its leadership team comprises experienced executives and clinicians with backgrounds in medical device innovation, regulatory affairs and global commercialization. Looking forward, the company is positioned to leverage its established technology platforms to pursue growth opportunities in ENT and adjacent specialties.View Sanara MedTech ProfileRead more More Earnings Resources from MarketBeat Earnings Tools Today's Earnings Tomorrow's Earnings Next Week's Earnings Upcoming Earnings Calls Earnings Newsletter Earnings Call Transcripts Earnings Beats & Misses Corporate Guidance Earnings Screener Latest Articles Palantir Drops After a Blowout Q1—What Investors Should KnowShopify’s Valuation Crisis Creates Opportunity in 2026onsemi Stock Dips After Earnings: Why the Dip Is BuyableTSLA: 3 Reasons the Stock Could Hit $400 in MayNebius Breaks Out to All-Time Highs—Here's What's Driving It.3 Reasons Analysts Love DexComMonolithic Power Systems: AI Stock Beat, Raised and Upgraded Post-Earnings Upcoming Earnings ARM (5/6/2026)AppLovin (5/6/2026)DoorDash (5/6/2026)Fortinet (5/6/2026)Marriott International (5/6/2026)Warner Bros. 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PresentationSkip to Participants Operator00:00:00Welcome to the Sanara MedTech third quarter of 2025 earnings conference call. Please note that this conference call is being recorded, and a replay will be available on the investor relations page of the company's website shortly. The company issued earnings release earlier today. Before we begin, I would like to remind everyone that certain statements on today's call include forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. For more information about the risks and uncertainties involving forward-looking statements and factors that could cause actual results to differ materially from those projected or implied by forward-looking statements, please see the risk factors set forth in the company's most recent annual report on Form 10-K, as supplemented by the risk factors in the company's most recent quarterly reports on Form 10-Q. This call will also include references to certain non-GAAP financial measures. Operator00:01:01Reconciliations of these non-GAAP measures to the most comparable measures calculated and presented in accordance with GAAP are available in the earnings release available on the investor relations section of our website. Today's call will include remarks from Seth Yon, President and Chief Executive Officer, and Elizabeth Taylor, Chief Financial Officer. I would now like to turn the call over to Mr. Yon. Please go ahead. Seth YonCEO at Sanara MedTech00:01:32Thanks, Operator, and welcome everyone to our third quarter of 2025 earnings call. Let me outline the agenda for today's call. As the recently appointed President and CEO, I'll begin with a brief introduction and provide some opening thoughts on Sanara MedTech. I'll then discuss the announcement we made yesterday regarding Tissue Health Plus. Following this discussion, I'll review our net revenue performance, commercial progress, and select operational highlights in the third quarter. Elizabeth will then cover our quarterly financial results in further detail. Following her remarks, I'll share some additional thoughts on our near and long-term strategic priorities before we open the call for questions. With this agenda as our backdrop, I'd like to take a moment to introduce myself and provide some context on my background with the company. I joined Sanara in March of 2018 as one of our first regional sales managers. Seth YonCEO at Sanara MedTech00:02:27Over the next seven years, I served in a variety of leadership roles on our commercial team, including as National Sales Director, Vice President, and President of Commercial, and most recently as our President and Chief Commercial Officer. While developing our commercial strategy and leading our sales organization, I've gained a comprehensive view of our business operations, our customer relationships, and how our products perform in critical settings. I was appointed President and CEO effective September 15th. I appreciate the level of confidence placed in me by the board and look forward to building on the foundation established by Ron Nixon's leadership as we pursue the opportunities ahead of us. There are numerous factors that motivated me to lead Sanara MedTech, but let me start with three fundamental aspects of our business that speak to our unique positioning in the surgical market. Seth YonCEO at Sanara MedTech00:03:20First, our technologies are both differentiated and effective in addressing real clinical needs in the surgical operating room. Our portfolio is built around two key products, CellerateRX Surgical and BiOSurge, which have established their utility and clinical practice, helping to improve patient outcomes while reducing overall costs to the healthcare system. Through my experience leading Sanara's commercial team, I've observed firsthand the benefits of adopting these key products across hundreds of cases, as well as their impact on surgical outcomes. Second, Sanara's go-to-market strategy and commercial distribution model have demonstrated their effectiveness over the better part of a decade and enabled us to rapidly grow our key products. We've secured over 4,000 healthcare facility approvals, identified surgeons who would benefit from their use, and established a network of regional sales managers and industry distributors to engage, educate, and address the needs of these surgeons. Seth YonCEO at Sanara MedTech00:04:20This has enabled us to develop a track record of strong growth in recent years, while positioning us to achieve significant operating leverage as well. Third, Sanara has established an impressive team with the expertise necessary to achieve our mission of improving clinical outcomes and reducing healthcare expenditures in the surgical market. I'm proud of the level of talent we've been able to attract in recent years. Though we've made impressive progress, I believe we have opportunities to continue evolving as an organization. I'm confident in our team's ability to achieve the next stage of sustainable growth and development as we continue to expand our share of the large untapped market opportunity that products address. Now, I'd like to address the announcement we made yesterday regarding Tissue Health Plus and provide some additional context on this important strategic decision. I'll begin with some background for those less familiar. Seth YonCEO at Sanara MedTech00:05:16In parallel with developing and establishing THP, Sanara has been focused over the last two years on identifying and engaging with potential strategic and financial partners to invest in and assist in the execution of this business. At the beginning of the third quarter, we initiated a formal process of evaluating strategic alternatives for THP, which we announced on our second quarter call in August. We engaged an external strategic advisor to assist in this process as we explored a range of options with a goal of maximizing shareholder value. Together with our external strategic advisor, we performed a market check and explored a range of strategic alternatives during the third quarter. This formal process ultimately did not result in finding a partner to assume significant responsibility for this investment or surface a viable option to monetize our THP asset. Seth YonCEO at Sanara MedTech00:06:10After concluding this process, our management team and board of directors determined that the most appropriate course of action was to cease operations of THP, which we announced via press release yesterday after market close. Let me walk you through the rationale behind this decision. While our THP team achieved significant progress in developing this platform over recent years, the next stage of preparing THP for commercialization and achieving the scale necessary for THP to be accretive to our adjusted EBITDA would have required considerable investment over a multiple-year period. Ultimately, this decision allows us to enhance our operational efficiency and focus our resources on our core surgical business. We believe this focus will enable Sanara to capitalize on our greatest opportunities and deliver sustained long-term growth and value creation over time. Seth YonCEO at Sanara MedTech00:07:02After reaching this decision, we acted promptly to discontinue THP and have made considerable progress in winding down its operation in recent months. We expect the process to be substantially completed by the end of 2025. From an accounting and financial reporting perspective, we have classified the operations of THP, which were previously reported as the THP segment, as discontinued operations for the three and nine months ended September 30, 2025, and 2024. Elizabeth will discuss the financial implications of this decision further. However, I want to emphasize that we continue to anticipate total cash investment related to THP will range from $5.5 million-$6.5 million in the second half of 2025. This is consistent with the expectation we shared on our last earnings call in August. We also continue to anticipate no material cash spend in THP after 2025. Seth YonCEO at Sanara MedTech00:08:03In summary, this strategic realignment of our business is designed to enhance Sanara's ability to capitalize on our strengths, capabilities, and opportunities in the surgical market while facilitating a leaner and more efficient organization. After careful consideration, both the board of directors and management believe it represents an important proactive step forward for the long-term benefit of Sanara MedTech and our stakeholders. Now, let's review our third quarter net revenue performance. In the third quarter, our surgical team achieved net revenue of $26.3 million, representing growth of 22% year-over-year. Our net revenue growth was driven almost exclusively by our sales of soft tissue repair products. Soft tissue repair product sales increased 24% year over year to $23.4 million, led by strong sales of our key products, CellerateRX Surgical and BiOSurge. Seth YonCEO at Sanara MedTech00:09:00Importantly, we complemented our net revenue performance with year-over-year improvements in our gross margins and demonstrated significant operating leverage. As a result, we achieved notable year-over-year improvements in our profitability profile, with a $1 million improvement in net income from continuing operations and a $2.3 million improvement in adjusted EBITDA, a net revenue growth of $4.7 million. Lastly, we generated $2.2 million of net cash from operating activities in the third quarter. All in all, we were pleased with our third quarter financial performance, the focus and dedication of our team, and the level of demand for our surgical products in the market. Seth YonCEO at Sanara MedTech00:09:41With respect to the key drivers of our net revenue growth, our performance in the third quarter reflects on our commercial team's strong execution across the following three key initiatives: one, developing our relationships with independent distributors; two, selling into new healthcare facilities; and three, penetrating the existing healthcare facilities we serve. I'll now take a minute to touch on each of these three initiatives related to our commercial strategy, beginning with our efforts to develop our independent distributor network. Our team has made considerable progress in identifying and partnering with new independent distributors in key geographies across the U.S. Specifically, during the last 12 months ended September 30, we expanded our network from more than 300 contracted distributors to more than 400. In tandem, we have increasingly focused on onboarding our recently contracted distributors and training their reps to position them for success in selling our products. Seth YonCEO at Sanara MedTech00:10:40Truly partnering with our distributors for shared long-term growth versus simply contracting with them is a core component of our approach that we believe differentiates Sanara. This philosophy will continue to guide our approach as we focus on optimizing our relationships with existing distributors while expanding our network selectively going forward. Turning to our second commercial initiative, our team continues to leverage our network of distributor partners, whose reps possess strong local relationships across the U.S., to begin selling into new healthcare facilities where our products have been contracted or approved. As a result, we significantly expanded our base of healthcare facility customers over the last 12 months. Specifically, our products were sold into more than 1,400 healthcare facilities during the trailing 12 months ended September 30, compared to more than 1,200 facilities in the prior year period. Seth YonCEO at Sanara MedTech00:11:35As a reminder, our products are approved or contracted for sale in over 4,000 facilities, so we see a considerable runway for future expansion on this front. In terms of our third commercial initiative, across the more than 1,400 healthcare facilities we currently serve, our penetration of these facilities remains very low. This represents one of our most significant opportunities for future growth. With this in mind, we are focused on increasing the number of surgeons using our products within the existing healthcare facilities by targeting practitioners both within and outside of our traditional specialties of spine and orthopedics. Our team continues to deliver impressive progress on this front, significantly expanding the number of surgeon users on a year-over-year basis in the third quarter. Lastly, we remain pleased with the performance of BiOSurge in the third quarter and the progress made during its second year of commercialization. Seth YonCEO at Sanara MedTech00:12:32Our team continues to facilitate its future growth by securing new facility approvals and introducing it to our existing CellerateRX Surgical customers. Turning to our other operational highlights, in addition to executing our commercial plan and navigating the path forward regarding THP, we continue to make progress in expanding our portfolio of clinical evidence and advancing our new product initiatives. With respect to clinical evidence, we are focused on demonstrating the clinical efficacy and cost-effectiveness of our key products across a variety of surgical procedures, including some of the most challenging cases. To this end, we are pleased to see the publication of two studies in peer-reviewed medical journals that are worth highlighting this quarter. Both publications discussed retrospective case series which examined the use of CellerateRX Surgical in challenging procedures. Seth YonCEO at Sanara MedTech00:13:25The first was published in the Journal of Foot and Ankle Surgery, the official publication of the American College of Foot and Ankle Surgeons. It was focused on the use of CellerateRX Surgical in treating high-risk patients with multiple comorbidities. These patients underwent complex orthopedic and plastic reconstructive surgery to preserve their limbs. The researchers concluded that CellerateRX Surgical demonstrated significant value in assisting these complex procedures, helping to support the healing of soft tissue in extremely compromised patients. The second was published in the Annals of Case Reports, an open-access multidisciplinary journal. It was focused on the use of CellerateRX Surgical in treating surgical wounds following vulvectomy procedures, which tend to involve high complication rates. Based on the findings, the researchers concluded that CellerateRX Surgical may serve as a valuable adjunct in enhancing post-operative wound healing for vulvectomy patients. Seth YonCEO at Sanara MedTech00:14:22Our expanding portfolio of clinical evidence continues to demonstrate the value our key products bring to the treatment of some of the most challenging surgical wounds, helping us to educate the medical community and raise awareness of their benefits. With respect to our new product initiatives, I'm pleased to report continued progress under our strategic partnership with Biomimetic Innovations Limited, or BMI. By way of background, we have an exclusive U.S. license and distribution agreement with BMI for OSTIC, as well as an adjunctive fixation technology. OSTIC is an innovative and differentiated product designed to enhance the repair process for periarticular fractures. While not currently cleared for sale in the U.S., it's been granted breakthrough device designation by the FDA. Throughout 2025, BMI has been focused on advancing through a series of key product development, clinical, and regulatory milestones structured in our agreement. Seth YonCEO at Sanara MedTech00:15:19After achieving the first of these milestones during the second quarter, they have made significant progress in recent months. As of September 30, they have completed all of our agreed-upon milestones. Based on the recent pace of progress, we continue to anticipate U.S. commercial launch in the first quarter of 2027. We look forward to leveraging our sales and distribution team to help address the more than 100,000 periarticular fractures that occur annually in the U.S. Elizabeth will now review our third quarter financial performance in greater detail. Elizabeth TaylorCFO at Sanara MedTech00:15:51Thanks, Seth. I will begin by reiterating that the operations of THP, which were previously reported as the THP segment, have been classified as discontinued operations for the three and nine months ended September 30, 2025, and 2024. As such, unless otherwise noted, all commentary that follows relates to our surgical business on a continuing operations basis. Elizabeth TaylorCFO at Sanara MedTech00:16:20In our 8-K filed with the SEC today, we have included tables detailing the historical results of our operations on a quarterly basis by business for our surgical and THP businesses in 2025, 2024, and 2023. These materials are also available on the events section of our investor website next to the webcast link for today's earnings call. Given that Seth covered our net revenue results for the quarter, I'll begin with gross profit. All percentage changes referenced throughout my remarks compare to prior year period unless otherwise specified. Third quarter gross profit increased $4.8 million, or 24%, to $24.5 million. Gross margin increased approximately 200 basis points to 93% of net revenue, driven primarily by increased sales of soft tissue repair products. Third quarter operating expenses increased $2.6 million, or 14%, to $21.5 million. Elizabeth TaylorCFO at Sanara MedTech00:17:25The change in operating expenses was driven by a $2.5 million, or 14%, increase in selling, general, and administrative expenses, and to a lesser extent, a $200,000, or 31%, increase in research and development expenses. The $2.5 million increase in SG&A was driven primarily by a $1.4 million increase in compensation and contract services and an $800,000 increase in direct sales and marketing expenses. Operating income for the third quarter increased $2.2 million, or 278%, to $2.9 million. Other expense for the third quarter was $2.1 million, compared to $1 million of expense last year. The increase in other expense was primarily due to higher interest expense and fees related to our CRG term loan, as well as higher share of losses related to equity method investments. Elizabeth TaylorCFO at Sanara MedTech00:18:27Net income from continuing operations for the third quarter was $800,000, or $0.09 per diluted share, compared to a net loss from continuing operations of $200,000, or $0.02 per diluted share last year. Adjusted EBITDA for the third quarter of 2025 increased $2.3 million-$4.9 million. Turning to the balance sheet, as of September 30, 2025, we had $14.9 million of cash, $45.1 million of long-term debt, and $12.25 million of available borrowing capacity, which is accessible through December 31, 2025. This compares to $15.9 million of cash, $30.7 million of long-term debt, and $24.5 million of available borrowing capacity as of December 31, 2024. Lastly, a few considerations to bear in mind for the remainder of the year. We remain focused on driving strong net revenue growth for the full year 2025, coupled with improvements in our profitability on a continuing operations basis. Elizabeth TaylorCFO at Sanara MedTech00:19:36With respect to our net revenue over the balance of the year, as a reminder, our net revenue in the fourth quarter of 2024 grew 49% year-over-year. This exceptional performance benefited in part from increased demand for BiOSurge following the disruption caused by Hurricane Helen last fall, which caused industry shortages of IV fluids and saline solutions. As we have shared previously, of the $26.3 million of net revenue generated in the fourth quarter of 2024, we believe approximately $1.8 million was attributable to this unique dynamic. Excluding this $1.8 million headwind, we expect our revenue in the fourth quarter of 2025 will increase in the high single digits to low teens on a year-over-year basis, compared to strong year-over-year growth in the fourth quarter of 2024. Elizabeth TaylorCFO at Sanara MedTech00:20:32With respect to anticipated cash utilization, as Seth mentioned, we continue to expect the total cash investment related to THP will range from $5.5 million-$6.5 million in the second half of 2025. Specifically, our total cash investment in THP was $4 million in the third quarter of 2025, implying approximately $1.5-$2.5 million of cash investment in the fourth quarter as we continue to wind down THP. We continue to anticipate no material cash spend in THP after 2025. Lastly, we continue to expect the tariffs will not materially impact our results of operations in 2025. With that, I will now turn it back to Seth for closing remarks. Seth YonCEO at Sanara MedTech00:21:19Thanks, Elizabeth. Stepping back, over the trailing 12 months ended September 30th, 2025, our surgical business has generated nearly $102 million of net revenue, representing growth of 31% over prior year period. Seth YonCEO at Sanara MedTech00:21:36In the third quarter of 2025 alone, we generated higher net revenue than over the entirety of 2021. Our ability to achieve the significant commercial scale in a relatively short time speaks to the strength of our key surgical products, our go-to-market strategy, and our team. It also represents a validation of our large, addressable opportunity we continue to pursue in the surgical market. With clarity on THP, we are moving forward with a leaner organization and a renewed commitment to building on the progress made in our surgical business. As we close out 2025, our team is focused on executing our commercial plan, including the three initiatives I outlined earlier, while improving our efficiency and investing prudently and strategically in our surgical business. Seth YonCEO at Sanara MedTech00:22:24Longer term, we are focused on supporting the future development and evolution of our surgical business by improving our systems and processes, deepening our competitive moat, and enhancing our commercial strategy. Through these efforts, we will position Sanara MedTech to continue driving strong, sustainable growth both in 2025 and over the coming years as we progress to our next phase as an organization. I'd like to close by congratulating the entire Sanara MedTech team on their progress made this past quarter, which is a testament to our collective vision, grit, and execution. Thank you as well to our shareholders and customers for their support and to those on today's call for their interest in Sanara MedTech. With that, Operator, you may now open the call for questions. Certainly. Operator00:23:12The floor is now open for questions. Operator00:23:14If you have any questions or comments, please press star one on your phone at this time. We ask that while posing your question, you please pick up your handset if listening on a speakerphone to provide optimum sound quality. Please hold just a moment while we pull for questions. Your first question is coming from Ross Osborne with Cantor Fitzgerald. Please pose your question. Your line is live. Ross OsbornDirector and Lead Research Analyst at Cantor Fitzgerald00:23:37Hi. Good morning and congrats on the progress. Starting off, could you spend some more time on some of your initiatives in driving further penetration within existing facilities? How do your conversations go with new physicians? What are people excited about? What do they have more questions about? Seth YonCEO at Sanara MedTech00:23:55Hey, Ross. Good morning. It's Seth. Yeah, a couple of things to answer that. Seth YonCEO at Sanara MedTech00:24:02We've done a lot at the street level with the salesforce, both on our W-2 side plus our distributor side to expand into new specialties. In addition to that, both our R&D team and our clinical team as well have worked really hard on both scientific, clinical, and even economic evidence that supports the value that our products provide. It's really a culmination of all those things to continue to expand into new users and also into new facilities at the same time. We've talked a lot about this in the past. We've grown considerably in the number of facilities, but we know we've got a lot of room to grow there as well. The same is true with our distributor network and surgeon base as well. We've liked the formula that we have. Seth YonCEO at Sanara MedTech00:24:46We'll continue to take that and replicate that where we can and then get creative as we go into 2026 and beyond. Ross OsbornDirector and Lead Research Analyst at Cantor Fitzgerald00:24:53Okay. Great. When thinking about operating profitability, are there areas outside of THP where we should expect cash savings, or should we begin to expect leverage on sales and marketing going forward? Elizabeth TaylorCFO at Sanara MedTech00:25:10Hey, Ross. How are you? Doing well. I think I'm good. I think we've kept our headcount and sales flat with 40 reps and 400 distributors, and it's evidence that the model's working and you're seeing the operating leverage on the EBITDA line. We're focused on sustainable and profitable growth and the balance of which we're going to invest in our product portfolio and growing the top line going forward. Like all MedTech companies, we need to invest in our current product portfolio and, from an IP perspective, invest there as well. Elizabeth TaylorCFO at Sanara MedTech00:25:49We see leverage in our sales channel, and we'll continue to invest and no longer be spending some of our cash flow in the THP segment. Ross OsbornDirector and Lead Research Analyst at Cantor Fitzgerald00:25:58Okay. Perfect. Thanks for taking our questions. Seth YonCEO at Sanara MedTech00:26:02Thanks, Ross. Operator00:26:04Your next question is coming from Danielle Journey with Unrivaled Investing. Please pose your question. Your line is live. Also, if you do have any remaining questions, please press star one at this time. Danielle JourneyAnalyst at UNRIVALED INVESTING00:26:16Great. Thanks so much for taking my call. I'm a little disappointed with the THP result, but thanks for coming to that conclusion, trying to rationally manage your capital. Based on your outlook for the next quarter, you mentioned that excluding one-time benefits from last year, growth is going to be high single digits, low teens. Is that the right sort of expectation for this business going forward? Danielle JourneyAnalyst at UNRIVALED INVESTING00:26:47Are you still because it is a significant sort of deceleration from where you've been. I'm curious on how you think about the cadence that you're expecting, your internal threshold that you're expecting, and the same thing along with the margins where I noticed your EBITDA margin was effectively flat sequentially. I'm curious, do you have any sort of benchmark or target so that way investors can understand, "Okay, this is a 10% grower? Is this a 20% grower? And what's the sort of operating margin that we should be thinking about long-term?" Ballpark. Thank you so much. Seth YonCEO at Sanara MedTech00:27:24Danielle, thanks for the question. We'll kind of divide and conquer on this, if you don't mind. I'll take part of the questions. I'll let Elizabeth do the same. Seth YonCEO at Sanara MedTech00:27:34As far as Q4 performance and looking at that, as Elizabeth had mentioned, we grew 49% in Q4 of 2024. If you take out that adjusted $1.8 million, it's still about 38%, which obviously was just a very, very significant growth quarter for us. Even inside that 38%, when you think about the $1.8 million that we grew as a result of the saline shortage, that was solely on just new accounts. We had other growth as well coming from BiOSurge in existing accounts as well. That's not captured in that $1.8 million. We know we had a really significant number. We still believe in a very strong quarter this coming quarter as well. I don't think that the expectation going into the fourth quarter should be concerning to anybody. Seth YonCEO at Sanara MedTech00:28:23We still feel very confident in our ability to perform at a high level going into the new year, given the opportunities that we have and the number of facilities that we have approved, the distributor partnerships that we have currently in place, and those where we'll expand. There is great opportunity to continue to reach more surgeons. We remain very confident as we go into the new year and how we'll perform. I'll let Elizabeth answer the EBITDA question as well. Elizabeth TaylorCFO at Sanara MedTech00:28:48Great. Thank you. If you look at our trailing 12 months EBITDA, last year was $6.6 million and this year is $16.4 million, with a revenue growth of 31%. You are seeing operating leverage in that. It is a testament to Seth having built out a really strong salesforce, and he's been able to increase sales with a flat headcount for the last two years. Elizabeth TaylorCFO at Sanara MedTech00:29:14Will the business require additional headcount? Yes, at some point. The point is that you're seeing we sort of built and then are growing from what we built. We feel strongly about our performance and feel good about it. Got it. Is there a sense that there is a lot of room still to expand margins, though? Yes, I believe we feel good about where the business is going and what we've shown in the past. We do not give forward-looking guidance. Danielle JourneyAnalyst at UNRIVALED INVESTING00:29:52Okay. Thank you. Seth YonCEO at Sanara MedTech00:29:54Thanks, Danielle. Operator00:29:56Before we take any additional audio questions in our queue, we have a question coming from the webcast. The question is, "It is my understanding a strategic partner was always expected to be required to bring to the market. Is this correct? Operator00:30:13With this in mind, why was a strategic partner not considered as an integral part before the costs were incurred? Seth YonCEO at Sanara MedTech00:30:21Sure. Looking back over the last 18-24 months or so, I think it was the beginning of March, if I remember correctly, of 2024, that THP really started to pursue some form of strategic partner and thought that we could do that along the way. Again, the team had done a nice job of developing that software, and our hopes with that, coupled with some of the beta sites that we were also in, would start to encourage that activity. Unfortunately, that did not happen, and that put us in a position going into the third quarter and certainly into the end of the year that we needed to make that decision. Seth YonCEO at Sanara MedTech00:31:00We did that with confidence, both at the board level and on the managerial group as well. Going into the future, we knew that those resources needed to be put back into the surgical space, and that was the decision that we made back in September as we went forward. Operator00:31:14Okay. Thank you. Your next question from the audio lines is coming from Yi Chen with H.C. Wainwright. Please pose your question. Your line is live. Yi ChenManaging Director and Equity Research at H.C. Wainwright & Co.00:31:25Good morning. Thank you for taking my question. Now that the THP is going to be discontinued, could you comment on the trend of total operating expenses? Should we project to see a meaningful decrease in operating expenses? Elizabeth TaylorCFO at Sanara MedTech00:31:42Yi, thanks for the question. We do not give forward-looking guidance, but I would remind everyone that we have put a supplemental disclosure on our website that examines the surgical business as a standalone business historically. Elizabeth TaylorCFO at Sanara MedTech00:31:59I think using that information can see good trends in that business and be able to model it from there. Yi ChenManaging Director and Equity Research at H.C. Wainwright & Co.00:32:06All right. Thank you. Operator00:32:14Thank you. There appear to be no further questions in queue. I would now like to turn it back to Seth Yon for his closing remarks. Seth YonCEO at Sanara MedTech00:32:20Just like to say again, congratulations to the entire Sanara MedTech team and all our distributors as well for an excellent quarter. Really a testament again to the vision and the grit in ultimately delivering on our go-to-market plan. In addition, again, just thank you to all of our shareholders and our customers that see value in us as a company and our technologies as well. And for those joining maybe the call for the very first time as well. Thank you for your time and have a great day. Seth YonCEO at Sanara MedTech00:32:48Thank you, everyone. This does conclude today's conference call. Seth YonCEO at Sanara MedTech00:32:52You may disconnect your phone lines at this time and have a wonderful day. Thank you for your participation.Read moreParticipantsExecutivesElizabeth TaylorCFOSeth YonCEOAnalystsRoss OsbornDirector and Lead Research Analyst at Cantor FitzgeraldDanielle JourneyAnalyst at UNRIVALED INVESTINGYi ChenManaging Director and Equity Research at H.C. Wainwright & Co.Powered by