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Side-by-side financial comparison of KINGSWAY FINANCIAL SERVICES INC (KFS) and Sanara MedTech Inc. (SMTI). Click either name above to swap in a different company.

KINGSWAY FINANCIAL SERVICES INC is the larger business by last-quarter revenue ($38.6M vs $27.5M, roughly 1.4× Sanara MedTech Inc.). KINGSWAY FINANCIAL SERVICES INC runs the higher net margin — -4.1% vs -5.9%, a 1.7% gap on every dollar of revenue. On growth, KINGSWAY FINANCIAL SERVICES INC posted the faster year-over-year revenue change (30.1% vs 4.6%). Over the past eight quarters, Sanara MedTech Inc.'s revenue compounded faster (21.8% CAGR vs 21.4%).

Kingsway Financial Services Inc. is a specialty financial holding firm that primarily offers property and casualty insurance products, including personal auto, commercial liability and property coverage. It operates mainly across North American markets, catering to individual consumers, small business owners and niche commercial client segments.

Sanara MedTech Inc. is a US-based medical technology company that develops, manufactures, and distributes innovative surgical, wound care, and post-acute rehabilitation products. It mainly serves healthcare providers, hospitals, and long-term care facilities across North America, with a portfolio of FDA-cleared solutions designed to improve patient outcomes and lower clinical care operational costs.

KFS vs SMTI — Head-to-Head

Bigger by revenue
KFS
KFS
1.4× larger
KFS
$38.6M
$27.5M
SMTI
Growing faster (revenue YoY)
KFS
KFS
+25.5% gap
KFS
30.1%
4.6%
SMTI
Higher net margin
KFS
KFS
1.7% more per $
KFS
-4.1%
-5.9%
SMTI
Faster 2-yr revenue CAGR
SMTI
SMTI
Annualised
SMTI
21.8%
21.4%
KFS

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
KFS
KFS
SMTI
SMTI
Revenue
$38.6M
$27.5M
Net Profit
$-1.6M
$-1.6M
Gross Margin
93.2%
Operating Margin
0.8%
23.5%
Net Margin
-4.1%
-5.9%
Revenue YoY
30.1%
4.6%
Net Profit YoY
-7.8%
5.3%
EPS (diluted)
$-0.07
$-0.32

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
KFS
KFS
SMTI
SMTI
Q4 25
$38.6M
$27.5M
Q3 25
$37.2M
$26.3M
Q2 25
$30.9M
$25.8M
Q1 25
$28.3M
$23.4M
Q4 24
$29.6M
$26.3M
Q3 24
$27.1M
$21.7M
Q2 24
$26.4M
$20.2M
Q1 24
$26.2M
$18.5M
Net Profit
KFS
KFS
SMTI
SMTI
Q4 25
$-1.6M
$-1.6M
Q3 25
$-2.4M
$-30.4M
Q2 25
$-3.2M
$-2.0M
Q1 25
$-3.1M
$-3.5M
Q4 24
$-1.5M
$-1.7M
Q3 24
$-2.3M
$-2.9M
Q2 24
$-2.2M
$-3.5M
Q1 24
$-2.3M
$-1.8M
Gross Margin
KFS
KFS
SMTI
SMTI
Q4 25
93.2%
Q3 25
92.9%
Q2 25
92.5%
Q1 25
92.2%
Q4 24
91.4%
Q3 24
90.8%
Q2 24
90.0%
Q1 24
89.8%
Operating Margin
KFS
KFS
SMTI
SMTI
Q4 25
0.8%
23.5%
Q3 25
-2.3%
11.2%
Q2 25
-3.6%
-0.1%
Q1 25
-2.5%
-8.9%
Q4 24
6.5%
18.6%
Q3 24
-2.5%
3.6%
Q2 24
0.5%
-14.3%
Q1 24
2.9%
-8.3%
Net Margin
KFS
KFS
SMTI
SMTI
Q4 25
-4.1%
-5.9%
Q3 25
-6.5%
-115.5%
Q2 25
-10.2%
-7.8%
Q1 25
-10.9%
-15.1%
Q4 24
-5.0%
-6.5%
Q3 24
-8.5%
-13.2%
Q2 24
-8.3%
-17.4%
Q1 24
-8.9%
-9.5%
EPS (diluted)
KFS
KFS
SMTI
SMTI
Q4 25
$-0.07
$-0.32
Q3 25
$-0.10
$-3.40
Q2 25
$-0.13
$-0.23
Q1 25
$-0.13
$-0.41
Q4 24
$-0.08
$-0.18
Q3 24
$-0.10
$-0.34
Q2 24
$-0.08
$-0.41
Q1 24
$-0.09
$-0.21

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
KFS
KFS
SMTI
SMTI
Cash + ST InvestmentsLiquidity on hand
$8.5M
$16.6M
Total DebtLower is stronger
$70.7M
$46.0M
Stockholders' EquityBook value
$15.2M
$5.9M
Total Assets
$231.5M
$72.9M
Debt / EquityLower = less leverage
4.66×
7.74×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
KFS
KFS
SMTI
SMTI
Q4 25
$8.5M
$16.6M
Q3 25
$9.5M
$14.9M
Q2 25
$12.3M
$17.0M
Q1 25
$6.5M
$20.7M
Q4 24
$5.7M
$15.9M
Q3 24
$6.7M
$16.3M
Q2 24
$9.8M
$6.2M
Q1 24
$12.3M
$2.8M
Total Debt
KFS
KFS
SMTI
SMTI
Q4 25
$70.7M
$46.0M
Q3 25
$70.7M
$45.1M
Q2 25
$58.3M
$44.2M
Q1 25
$59.5M
$43.4M
Q4 24
$57.5M
$30.7M
Q3 24
$58.5M
$30.1M
Q2 24
$47.3M
$14.4M
Q1 24
$47.1M
$9.7M
Stockholders' Equity
KFS
KFS
SMTI
SMTI
Q4 25
$15.2M
$5.9M
Q3 25
$16.6M
$6.1M
Q2 25
$17.4M
$35.4M
Q1 25
$5.5M
$36.7M
Q4 24
$8.4M
$39.4M
Q3 24
$9.9M
$39.8M
Q2 24
$20.7M
$41.7M
Q1 24
$23.6M
$43.3M
Total Assets
KFS
KFS
SMTI
SMTI
Q4 25
$231.5M
$72.9M
Q3 25
$235.1M
$71.1M
Q2 25
$207.7M
$98.8M
Q1 25
$192.1M
$96.4M
Q4 24
$186.6M
$88.1M
Q3 24
$191.1M
$88.5M
Q2 24
$192.3M
$73.4M
Q1 24
$198.0M
$70.9M
Debt / Equity
KFS
KFS
SMTI
SMTI
Q4 25
4.66×
7.74×
Q3 25
4.25×
7.33×
Q2 25
3.34×
1.25×
Q1 25
10.91×
1.18×
Q4 24
6.84×
0.78×
Q3 24
5.88×
0.76×
Q2 24
2.29×
0.34×
Q1 24
2.00×
0.22×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
KFS
KFS
SMTI
SMTI
Operating Cash FlowLast quarter
$-3.0K
$3.9M
Free Cash FlowOCF − Capex
$3.9M
FCF MarginFCF / Revenue
14.0%
Capex IntensityCapex / Revenue
0.3%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$2.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
KFS
KFS
SMTI
SMTI
Q4 25
$-3.0K
$3.9M
Q3 25
$1.5M
$2.2M
Q2 25
$337.0K
$2.7M
Q1 25
$-1.8M
$-2.0M
Q4 24
$1.1M
$932.0K
Q3 24
$368.0K
$2.1M
Q2 24
$557.0K
$-1.4M
Q1 24
$249.0K
$-1.6M
Free Cash Flow
KFS
KFS
SMTI
SMTI
Q4 25
$3.9M
Q3 25
$1.3M
$1.1M
Q2 25
$902.7K
Q1 25
$-3.7M
Q4 24
$859.9K
Q3 24
$2.0M
Q2 24
$-1.5M
Q1 24
$-1.7M
FCF Margin
KFS
KFS
SMTI
SMTI
Q4 25
14.0%
Q3 25
3.4%
4.2%
Q2 25
3.5%
Q1 25
-15.9%
Q4 24
3.3%
Q3 24
9.4%
Q2 24
-7.3%
Q1 24
-9.0%
Capex Intensity
KFS
KFS
SMTI
SMTI
Q4 25
0.3%
Q3 25
0.5%
4.0%
Q2 25
6.8%
Q1 25
7.4%
Q4 24
0.3%
Q3 24
0.0%
0.0%
Q2 24
0.3%
Q1 24
0.4%

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

KFS
KFS

Other$14.8M38%
Roundhouse Electric Equipment Co Inc$9.7M25%
MLC Plumbing LLC$5.7M15%
Systems Products International Incspi$3.8M10%
Advanced Plumbing And Drain$2.9M8%
Southside Plumbing$1.7M4%

SMTI
SMTI

Soft Tissue Repair Products$24.7M90%
Bone Fusion Products$2.8M10%

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