vs

Side-by-side financial comparison of MSA Safety Inc (MSA) and Sanara MedTech Inc. (SMTI). Click either name above to swap in a different company.

MSA Safety Inc is the larger business by last-quarter revenue ($510.9M vs $27.5M, roughly 18.6× Sanara MedTech Inc.). MSA Safety Inc runs the higher net margin — 17.0% vs -5.9%, a 22.9% gap on every dollar of revenue. On growth, Sanara MedTech Inc. posted the faster year-over-year revenue change (4.6% vs 2.2%). MSA Safety Inc produced more free cash flow last quarter ($106.0M vs $3.9M). Over the past eight quarters, Sanara MedTech Inc.'s revenue compounded faster (21.8% CAGR vs 11.2%).

Mine Safety Appliances, or MSA Safety Incorporated, is an American manufacturer and supplier of safety equipment designed for use in a variety of hazardous conditions in industries such as construction, the military, fire service, and chemical, oil, and gas production. MSA is based in the Pittsburgh suburb of Cranberry.

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.

MSA vs SMTI — Head-to-Head

Bigger by revenue
MSA
MSA
18.6× larger
MSA
$510.9M
$27.5M
SMTI
Growing faster (revenue YoY)
SMTI
SMTI
+2.4% gap
SMTI
4.6%
2.2%
MSA
Higher net margin
MSA
MSA
22.9% more per $
MSA
17.0%
-5.9%
SMTI
More free cash flow
MSA
MSA
$102.2M more FCF
MSA
$106.0M
$3.9M
SMTI
Faster 2-yr revenue CAGR
SMTI
SMTI
Annualised
SMTI
21.8%
11.2%
MSA

Income Statement — Q4 2025 vs Q4 2025

Metric
MSA
MSA
SMTI
SMTI
Revenue
$510.9M
$27.5M
Net Profit
$86.9M
$-1.6M
Gross Margin
46.9%
93.2%
Operating Margin
22.3%
23.5%
Net Margin
17.0%
-5.9%
Revenue YoY
2.2%
4.6%
Net Profit YoY
-1.2%
5.3%
EPS (diluted)
$2.22
$-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
MSA
MSA
SMTI
SMTI
Q4 25
$510.9M
$27.5M
Q3 25
$468.4M
$26.3M
Q2 25
$474.1M
$25.8M
Q1 25
$421.3M
$23.4M
Q4 24
$499.7M
$26.3M
Q3 24
$432.7M
$21.7M
Q2 24
$462.5M
$20.2M
Q1 24
$413.3M
$18.5M
Net Profit
MSA
MSA
SMTI
SMTI
Q4 25
$86.9M
$-1.6M
Q3 25
$69.6M
$-30.4M
Q2 25
$62.8M
$-2.0M
Q1 25
$59.6M
$-3.5M
Q4 24
$87.9M
$-1.7M
Q3 24
$66.6M
$-2.9M
Q2 24
$72.2M
$-3.5M
Q1 24
$58.1M
$-1.8M
Gross Margin
MSA
MSA
SMTI
SMTI
Q4 25
46.9%
93.2%
Q3 25
46.5%
92.9%
Q2 25
46.6%
92.5%
Q1 25
45.9%
92.2%
Q4 24
46.9%
91.4%
Q3 24
47.9%
90.8%
Q2 24
48.2%
90.0%
Q1 24
47.3%
89.8%
Operating Margin
MSA
MSA
SMTI
SMTI
Q4 25
22.3%
23.5%
Q3 25
20.1%
11.2%
Q2 25
18.1%
-0.1%
Q1 25
18.5%
-8.9%
Q4 24
23.5%
18.6%
Q3 24
21.1%
3.6%
Q2 24
21.6%
-14.3%
Q1 24
19.4%
-8.3%
Net Margin
MSA
MSA
SMTI
SMTI
Q4 25
17.0%
-5.9%
Q3 25
14.9%
-115.5%
Q2 25
13.2%
-7.8%
Q1 25
14.1%
-15.1%
Q4 24
17.6%
-6.5%
Q3 24
15.4%
-13.2%
Q2 24
15.6%
-17.4%
Q1 24
14.1%
-9.5%
EPS (diluted)
MSA
MSA
SMTI
SMTI
Q4 25
$2.22
$-0.32
Q3 25
$1.77
$-3.40
Q2 25
$1.59
$-0.23
Q1 25
$1.51
$-0.41
Q4 24
$2.22
$-0.18
Q3 24
$1.69
$-0.34
Q2 24
$1.83
$-0.41
Q1 24
$1.47
$-0.21

Balance Sheet & Financial Strength

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

Metric
MSA
MSA
SMTI
SMTI
Cash + ST InvestmentsLiquidity on hand
$165.1M
$16.6M
Total DebtLower is stronger
$580.9M
$46.0M
Stockholders' EquityBook value
$1.4B
$5.9M
Total Assets
$2.6B
$72.9M
Debt / EquityLower = less leverage
0.42×
7.74×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MSA
MSA
SMTI
SMTI
Q4 25
$165.1M
$16.6M
Q3 25
$170.0M
$14.9M
Q2 25
$147.0M
$17.0M
Q1 25
$170.6M
$20.7M
Q4 24
$164.6M
$15.9M
Q3 24
$154.4M
$16.3M
Q2 24
$146.8M
$6.2M
Q1 24
$148.3M
$2.8M
Total Debt
MSA
MSA
SMTI
SMTI
Q4 25
$580.9M
$46.0M
Q3 25
$628.6M
$45.1M
Q2 25
$679.3M
$44.2M
Q1 25
$502.1M
$43.4M
Q4 24
$508.0M
$30.7M
Q3 24
$554.7M
$30.1M
Q2 24
$588.2M
$14.4M
Q1 24
$596.2M
$9.7M
Stockholders' Equity
MSA
MSA
SMTI
SMTI
Q4 25
$1.4B
$5.9M
Q3 25
$1.3B
$6.1M
Q2 25
$1.3B
$35.4M
Q1 25
$1.2B
$36.7M
Q4 24
$1.1B
$39.4M
Q3 24
$1.1B
$39.8M
Q2 24
$1.0B
$41.7M
Q1 24
$994.8M
$43.3M
Total Assets
MSA
MSA
SMTI
SMTI
Q4 25
$2.6B
$72.9M
Q3 25
$2.6B
$71.1M
Q2 25
$2.6B
$98.8M
Q1 25
$2.2B
$96.4M
Q4 24
$2.2B
$88.1M
Q3 24
$2.2B
$88.5M
Q2 24
$2.2B
$73.4M
Q1 24
$2.2B
$70.9M
Debt / Equity
MSA
MSA
SMTI
SMTI
Q4 25
0.42×
7.74×
Q3 25
0.48×
7.33×
Q2 25
0.54×
1.25×
Q1 25
0.42×
1.18×
Q4 24
0.44×
0.78×
Q3 24
0.51×
0.76×
Q2 24
0.57×
0.34×
Q1 24
0.60×
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
MSA
MSA
SMTI
SMTI
Operating Cash FlowLast quarter
$122.4M
$3.9M
Free Cash FlowOCF − Capex
$106.0M
$3.9M
FCF MarginFCF / Revenue
20.8%
14.0%
Capex IntensityCapex / Revenue
3.2%
0.3%
Cash ConversionOCF / Net Profit
1.41×
TTM Free Cash FlowTrailing 4 quarters
$295.4M
$2.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MSA
MSA
SMTI
SMTI
Q4 25
$122.4M
$3.9M
Q3 25
$112.5M
$2.2M
Q2 25
$67.2M
$2.7M
Q1 25
$61.8M
$-2.0M
Q4 24
$107.9M
$932.0K
Q3 24
$84.3M
$2.1M
Q2 24
$53.3M
$-1.4M
Q1 24
$50.9M
$-1.6M
Free Cash Flow
MSA
MSA
SMTI
SMTI
Q4 25
$106.0M
$3.9M
Q3 25
$100.5M
$1.1M
Q2 25
$37.9M
$902.7K
Q1 25
$51.0M
$-3.7M
Q4 24
$93.5M
$859.9K
Q3 24
$70.1M
$2.0M
Q2 24
$39.0M
$-1.5M
Q1 24
$39.7M
$-1.7M
FCF Margin
MSA
MSA
SMTI
SMTI
Q4 25
20.8%
14.0%
Q3 25
21.4%
4.2%
Q2 25
8.0%
3.5%
Q1 25
12.1%
-15.9%
Q4 24
18.7%
3.3%
Q3 24
16.2%
9.4%
Q2 24
8.4%
-7.3%
Q1 24
9.6%
-9.0%
Capex Intensity
MSA
MSA
SMTI
SMTI
Q4 25
3.2%
0.3%
Q3 25
2.6%
4.0%
Q2 25
6.2%
6.8%
Q1 25
2.6%
7.4%
Q4 24
2.9%
0.3%
Q3 24
3.3%
0.0%
Q2 24
3.1%
0.3%
Q1 24
2.7%
0.4%
Cash Conversion
MSA
MSA
SMTI
SMTI
Q4 25
1.41×
Q3 25
1.62×
Q2 25
1.07×
Q1 25
1.04×
Q4 24
1.23×
Q3 24
1.27×
Q2 24
0.74×
Q1 24
0.88×

Financial Flow Comparison

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

Revenue Breakdown by Segment

MSA
MSA

Americas Segment$335.2M66%
International Segment$175.7M34%

SMTI
SMTI

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

Related Comparisons