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

Sanara MedTech Inc. is the larger business by last-quarter revenue ($27.5M vs $22.2M, roughly 1.2× FiscalNote Holdings, Inc.). On growth, Sanara MedTech Inc. posted the faster year-over-year revenue change (4.6% vs -24.7%). Sanara MedTech Inc. produced more free cash flow last quarter ($3.9M vs $-1.9M). Over the past eight quarters, Sanara MedTech Inc.'s revenue compounded faster (21.8% CAGR vs -16.8%).

FiscalNote Holdings, Inc., or commonly FiscalNote, is a publicly traded software, data, and media company headquartered in Washington, D.C. The company was founded by Timothy Hwang, Gerald Yao, and Jonathan Chen in 2013. FiscalNote provides software tools, platforms, data services, and news through the FiscalNote Government Relationship Management (GRM) service, its core product. The company also uses an artificial intelligence platform to analyze proposed U.S. legislation based on key phrase...

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.

NOTE vs SMTI — Head-to-Head

Bigger by revenue
SMTI
SMTI
1.2× larger
SMTI
$27.5M
$22.2M
NOTE
Growing faster (revenue YoY)
SMTI
SMTI
+29.3% gap
SMTI
4.6%
-24.7%
NOTE
More free cash flow
SMTI
SMTI
$5.8M more FCF
SMTI
$3.9M
$-1.9M
NOTE
Faster 2-yr revenue CAGR
SMTI
SMTI
Annualised
SMTI
21.8%
-16.8%
NOTE

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
NOTE
NOTE
SMTI
SMTI
Revenue
$22.2M
$27.5M
Net Profit
$-1.6M
Gross Margin
93.2%
Operating Margin
-83.7%
23.5%
Net Margin
-5.9%
Revenue YoY
-24.7%
4.6%
Net Profit YoY
5.3%
EPS (diluted)
$-2.81
$-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
NOTE
NOTE
SMTI
SMTI
Q4 25
$22.2M
$27.5M
Q3 25
$22.4M
$26.3M
Q2 25
$23.3M
$25.8M
Q1 25
$27.5M
$23.4M
Q4 24
$29.5M
$26.3M
Q3 24
$29.4M
$21.7M
Q2 24
$29.2M
$20.2M
Q1 24
$32.1M
$18.5M
Net Profit
NOTE
NOTE
SMTI
SMTI
Q4 25
$-1.6M
Q3 25
$-24.9M
$-30.4M
Q2 25
$-13.3M
$-2.0M
Q1 25
$-4.3M
$-3.5M
Q4 24
$-1.7M
Q3 24
$-14.9M
$-2.9M
Q2 24
$-12.8M
$-3.5M
Q1 24
$50.6M
$-1.8M
Gross Margin
NOTE
NOTE
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
NOTE
NOTE
SMTI
SMTI
Q4 25
-83.7%
23.5%
Q3 25
-43.4%
11.2%
Q2 25
-31.9%
-0.1%
Q1 25
-50.0%
-8.9%
Q4 24
-19.4%
18.6%
Q3 24
-23.1%
3.6%
Q2 24
-27.2%
-14.3%
Q1 24
-35.6%
-8.3%
Net Margin
NOTE
NOTE
SMTI
SMTI
Q4 25
-5.9%
Q3 25
-110.8%
-115.5%
Q2 25
-57.0%
-7.8%
Q1 25
-15.4%
-15.1%
Q4 24
-6.5%
Q3 24
-50.7%
-13.2%
Q2 24
-43.6%
-17.4%
Q1 24
157.6%
-9.5%
EPS (diluted)
NOTE
NOTE
SMTI
SMTI
Q4 25
$-2.81
$-0.32
Q3 25
$-1.73
$-3.40
Q2 25
$-0.08
$-0.23
Q1 25
$-0.03
$-0.41
Q4 24
$1.88
$-0.18
Q3 24
$-1.33
$-0.34
Q2 24
$-0.09
$-0.41
Q1 24
$0.37
$-0.21

Balance Sheet & Financial Strength

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

Metric
NOTE
NOTE
SMTI
SMTI
Cash + ST InvestmentsLiquidity on hand
$26.3M
$16.6M
Total DebtLower is stronger
$128.4M
$46.0M
Stockholders' EquityBook value
$62.0M
$5.9M
Total Assets
$255.1M
$72.9M
Debt / EquityLower = less leverage
2.07×
7.74×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
NOTE
NOTE
SMTI
SMTI
Q4 25
$26.3M
$16.6M
Q3 25
$31.2M
$14.9M
Q2 25
$38.5M
$17.0M
Q1 25
$46.3M
$20.7M
Q4 24
$34.6M
$15.9M
Q3 24
$32.7M
$16.3M
Q2 24
$37.7M
$6.2M
Q1 24
$43.6M
$2.8M
Total Debt
NOTE
NOTE
SMTI
SMTI
Q4 25
$128.4M
$46.0M
Q3 25
$131.5M
$45.1M
Q2 25
$116.7M
$44.2M
Q1 25
$118.0M
$43.4M
Q4 24
$147.1M
$30.7M
Q3 24
$152.2M
$30.1M
Q2 24
$145.9M
$14.4M
Q1 24
$153.0M
$9.7M
Stockholders' Equity
NOTE
NOTE
SMTI
SMTI
Q4 25
$62.0M
$5.9M
Q3 25
$75.5M
$6.1M
Q2 25
$95.1M
$35.4M
Q1 25
$98.7M
$36.7M
Q4 24
$97.8M
$39.4M
Q3 24
$98.5M
$39.8M
Q2 24
$106.9M
$41.7M
Q1 24
$106.1M
$43.3M
Total Assets
NOTE
NOTE
SMTI
SMTI
Q4 25
$255.1M
$72.9M
Q3 25
$273.9M
$71.1M
Q2 25
$288.3M
$98.8M
Q1 25
$299.7M
$96.4M
Q4 24
$326.2M
$88.1M
Q3 24
$337.9M
$88.5M
Q2 24
$346.3M
$73.4M
Q1 24
$357.8M
$70.9M
Debt / Equity
NOTE
NOTE
SMTI
SMTI
Q4 25
2.07×
7.74×
Q3 25
1.74×
7.33×
Q2 25
1.23×
1.25×
Q1 25
1.20×
1.18×
Q4 24
1.50×
0.78×
Q3 24
1.54×
0.76×
Q2 24
1.36×
0.34×
Q1 24
1.44×
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
NOTE
NOTE
SMTI
SMTI
Operating Cash FlowLast quarter
$-279.0K
$3.9M
Free Cash FlowOCF − Capex
$-1.9M
$3.9M
FCF MarginFCF / Revenue
-8.7%
14.0%
Capex IntensityCapex / Revenue
7.4%
0.3%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$-18.6M
$2.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
NOTE
NOTE
SMTI
SMTI
Q4 25
$-279.0K
$3.9M
Q3 25
$-8.3M
$2.2M
Q2 25
$-6.2M
$2.7M
Q1 25
$3.3M
$-2.0M
Q4 24
$-1.3M
$932.0K
Q3 24
$-3.0M
$2.1M
Q2 24
$-3.7M
$-1.4M
Q1 24
$2.7M
$-1.6M
Free Cash Flow
NOTE
NOTE
SMTI
SMTI
Q4 25
$-1.9M
$3.9M
Q3 25
$-10.4M
$1.1M
Q2 25
$-7.7M
$902.7K
Q1 25
$1.3M
$-3.7M
Q4 24
$-3.4M
$859.9K
Q3 24
$-5.4M
$2.0M
Q2 24
$-6.5M
$-1.5M
Q1 24
$1.0M
$-1.7M
FCF Margin
NOTE
NOTE
SMTI
SMTI
Q4 25
-8.7%
14.0%
Q3 25
-46.2%
4.2%
Q2 25
-33.0%
3.5%
Q1 25
4.7%
-15.9%
Q4 24
-11.4%
3.3%
Q3 24
-18.4%
9.4%
Q2 24
-22.1%
-7.3%
Q1 24
3.3%
-9.0%
Capex Intensity
NOTE
NOTE
SMTI
SMTI
Q4 25
7.4%
0.3%
Q3 25
9.3%
4.0%
Q2 25
6.4%
6.8%
Q1 25
7.2%
7.4%
Q4 24
6.8%
0.3%
Q3 24
8.3%
0.0%
Q2 24
9.4%
0.3%
Q1 24
5.3%
0.4%
Cash Conversion
NOTE
NOTE
SMTI
SMTI
Q4 25
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
Q1 24
0.05×

Financial Flow Comparison

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

Revenue Breakdown by Segment

NOTE
NOTE

Subscription$21.2M95%
Advisory Advertising And Other$1.0M5%

SMTI
SMTI

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

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