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

TOP SHIPS INC. is the larger business by last-quarter revenue ($36.6M vs $27.5M, roughly 1.3× Sanara MedTech Inc.). Sanara MedTech Inc. runs the higher net margin — -5.9% vs -12.2%, a 6.4% gap on every dollar of revenue.

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.

Top Ships Inc. is a supply chain maritime transportation operations management company responsible for seaborne trade of raw materials. The company was founded by Evangelos J. Pistiolis on January 10, 2000 and is headquartered in Maroussi, Greece.

SMTI vs TOPS — Head-to-Head

Bigger by revenue
TOPS
TOPS
1.3× larger
TOPS
$36.6M
$27.5M
SMTI
Higher net margin
SMTI
SMTI
6.4% more per $
SMTI
-5.9%
-12.2%
TOPS

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
SMTI
SMTI
TOPS
TOPS
Revenue
$27.5M
$36.6M
Net Profit
$-1.6M
$-4.5M
Gross Margin
93.2%
Operating Margin
23.5%
22.0%
Net Margin
-5.9%
-12.2%
Revenue YoY
4.6%
Net Profit YoY
5.3%
EPS (diluted)
$-0.32
$-0.96

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
SMTI
SMTI
TOPS
TOPS
Q4 25
$27.5M
$36.6M
Q3 25
$26.3M
Q2 25
$25.8M
Q1 25
$23.4M
Q4 24
$26.3M
Q3 24
$21.7M
Q2 24
$20.2M
Q1 24
$18.5M
Net Profit
SMTI
SMTI
TOPS
TOPS
Q4 25
$-1.6M
$-4.5M
Q3 25
$-30.4M
Q2 25
$-2.0M
Q1 25
$-3.5M
Q4 24
$-1.7M
Q3 24
$-2.9M
Q2 24
$-3.5M
Q1 24
$-1.8M
Gross Margin
SMTI
SMTI
TOPS
TOPS
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
SMTI
SMTI
TOPS
TOPS
Q4 25
23.5%
22.0%
Q3 25
11.2%
Q2 25
-0.1%
Q1 25
-8.9%
Q4 24
18.6%
Q3 24
3.6%
Q2 24
-14.3%
Q1 24
-8.3%
Net Margin
SMTI
SMTI
TOPS
TOPS
Q4 25
-5.9%
-12.2%
Q3 25
-115.5%
Q2 25
-7.8%
Q1 25
-15.1%
Q4 24
-6.5%
Q3 24
-13.2%
Q2 24
-17.4%
Q1 24
-9.5%
EPS (diluted)
SMTI
SMTI
TOPS
TOPS
Q4 25
$-0.32
$-0.96
Q3 25
$-3.40
Q2 25
$-0.23
Q1 25
$-0.41
Q4 24
$-0.18
Q3 24
$-0.34
Q2 24
$-0.41
Q1 24
$-0.21

Balance Sheet & Financial Strength

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

Metric
SMTI
SMTI
TOPS
TOPS
Cash + ST InvestmentsLiquidity on hand
$16.6M
$20.4M
Total DebtLower is stronger
$46.0M
$216.6M
Stockholders' EquityBook value
$5.9M
$89.2M
Total Assets
$72.9M
$333.6M
Debt / EquityLower = less leverage
7.74×
2.43×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
SMTI
SMTI
TOPS
TOPS
Q4 25
$16.6M
$20.4M
Q3 25
$14.9M
Q2 25
$17.0M
Q1 25
$20.7M
Q4 24
$15.9M
Q3 24
$16.3M
Q2 24
$6.2M
Q1 24
$2.8M
Total Debt
SMTI
SMTI
TOPS
TOPS
Q4 25
$46.0M
$216.6M
Q3 25
$45.1M
Q2 25
$44.2M
Q1 25
$43.4M
Q4 24
$30.7M
Q3 24
$30.1M
Q2 24
$14.4M
Q1 24
$9.7M
Stockholders' Equity
SMTI
SMTI
TOPS
TOPS
Q4 25
$5.9M
$89.2M
Q3 25
$6.1M
Q2 25
$35.4M
Q1 25
$36.7M
Q4 24
$39.4M
Q3 24
$39.8M
Q2 24
$41.7M
Q1 24
$43.3M
Total Assets
SMTI
SMTI
TOPS
TOPS
Q4 25
$72.9M
$333.6M
Q3 25
$71.1M
Q2 25
$98.8M
Q1 25
$96.4M
Q4 24
$88.1M
Q3 24
$88.5M
Q2 24
$73.4M
Q1 24
$70.9M
Debt / Equity
SMTI
SMTI
TOPS
TOPS
Q4 25
7.74×
2.43×
Q3 25
7.33×
Q2 25
1.25×
Q1 25
1.18×
Q4 24
0.78×
Q3 24
0.76×
Q2 24
0.34×
Q1 24
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
SMTI
SMTI
TOPS
TOPS
Operating Cash FlowLast quarter
$3.9M
$26.4M
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
SMTI
SMTI
TOPS
TOPS
Q4 25
$3.9M
$26.4M
Q3 25
$2.2M
Q2 25
$2.7M
Q1 25
$-2.0M
Q4 24
$932.0K
Q3 24
$2.1M
Q2 24
$-1.4M
Q1 24
$-1.6M
Free Cash Flow
SMTI
SMTI
TOPS
TOPS
Q4 25
$3.9M
Q3 25
$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
SMTI
SMTI
TOPS
TOPS
Q4 25
14.0%
Q3 25
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
SMTI
SMTI
TOPS
TOPS
Q4 25
0.3%
Q3 25
4.0%
Q2 25
6.8%
Q1 25
7.4%
Q4 24
0.3%
Q3 24
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

SMTI
SMTI

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

TOPS
TOPS

Segment breakdown not available.

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