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

Zimmer Biomet is the larger business by last-quarter revenue ($2.2B vs $27.5M, roughly 81.5× Sanara MedTech Inc.). Zimmer Biomet runs the higher net margin — 6.2% vs -5.9%, a 12.1% gap on every dollar of revenue. On growth, Zimmer Biomet posted the faster year-over-year revenue change (10.9% vs 4.6%). Zimmer Biomet produced more free cash flow last quarter ($442.6M vs $3.9M). Over the past eight quarters, Sanara MedTech Inc.'s revenue compounded faster (21.8% CAGR vs 9.0%).

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.

Zimmer Biomet Holdings, Inc. is a publicly traded American medical device company. It was founded in 1927 to produce aluminum splints. The firm is headquartered in Warsaw, Indiana, where it is part of the medical devices business cluster.

SMTI vs ZBH — Head-to-Head

Bigger by revenue
ZBH
ZBH
81.5× larger
ZBH
$2.2B
$27.5M
SMTI
Growing faster (revenue YoY)
ZBH
ZBH
+6.3% gap
ZBH
10.9%
4.6%
SMTI
Higher net margin
ZBH
ZBH
12.1% more per $
ZBH
6.2%
-5.9%
SMTI
More free cash flow
ZBH
ZBH
$438.7M more FCF
ZBH
$442.6M
$3.9M
SMTI
Faster 2-yr revenue CAGR
SMTI
SMTI
Annualised
SMTI
21.8%
9.0%
ZBH

Income Statement — Q4 2025 vs Q4 2025

Metric
SMTI
SMTI
ZBH
ZBH
Revenue
$27.5M
$2.2B
Net Profit
$-1.6M
$139.4M
Gross Margin
93.2%
64.7%
Operating Margin
23.5%
6.9%
Net Margin
-5.9%
6.2%
Revenue YoY
4.6%
10.9%
Net Profit YoY
5.3%
-41.8%
EPS (diluted)
$-0.32
$0.71

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
ZBH
ZBH
Q4 25
$27.5M
$2.2B
Q3 25
$26.3M
$2.0B
Q2 25
$25.8M
$2.1B
Q1 25
$23.4M
$1.9B
Q4 24
$26.3M
$2.0B
Q3 24
$21.7M
$1.8B
Q2 24
$20.2M
$1.9B
Q1 24
$18.5M
$1.9B
Net Profit
SMTI
SMTI
ZBH
ZBH
Q4 25
$-1.6M
$139.4M
Q3 25
$-30.4M
$230.9M
Q2 25
$-2.0M
$152.8M
Q1 25
$-3.5M
$182.0M
Q4 24
$-1.7M
$239.5M
Q3 24
$-2.9M
$249.1M
Q2 24
$-3.5M
$242.8M
Q1 24
$-1.8M
$172.4M
Gross Margin
SMTI
SMTI
ZBH
ZBH
Q4 25
93.2%
64.7%
Q3 25
92.9%
72.1%
Q2 25
92.5%
71.5%
Q1 25
92.2%
71.2%
Q4 24
91.4%
71.0%
Q3 24
90.8%
70.5%
Q2 24
90.0%
71.5%
Q1 24
89.8%
72.9%
Operating Margin
SMTI
SMTI
ZBH
ZBH
Q4 25
23.5%
6.9%
Q3 25
11.2%
17.6%
Q2 25
-0.1%
14.4%
Q1 25
-8.9%
15.3%
Q4 24
18.6%
19.2%
Q3 24
3.6%
15.3%
Q2 24
-14.3%
18.1%
Q1 24
-8.3%
14.1%
Net Margin
SMTI
SMTI
ZBH
ZBH
Q4 25
-5.9%
6.2%
Q3 25
-115.5%
11.5%
Q2 25
-7.8%
7.4%
Q1 25
-15.1%
9.5%
Q4 24
-6.5%
11.8%
Q3 24
-13.2%
13.7%
Q2 24
-17.4%
12.5%
Q1 24
-9.5%
9.1%
EPS (diluted)
SMTI
SMTI
ZBH
ZBH
Q4 25
$-0.32
$0.71
Q3 25
$-3.40
$1.16
Q2 25
$-0.23
$0.77
Q1 25
$-0.41
$0.91
Q4 24
$-0.18
$1.18
Q3 24
$-0.34
$1.23
Q2 24
$-0.41
$1.18
Q1 24
$-0.21
$0.84

Balance Sheet & Financial Strength

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

Metric
SMTI
SMTI
ZBH
ZBH
Cash + ST InvestmentsLiquidity on hand
$16.6M
$591.9M
Total DebtLower is stronger
$46.0M
Stockholders' EquityBook value
$5.9M
$12.7B
Total Assets
$72.9M
$23.1B
Debt / EquityLower = less leverage
7.74×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
SMTI
SMTI
ZBH
ZBH
Q4 25
$16.6M
$591.9M
Q3 25
$14.9M
$1.3B
Q2 25
$17.0M
$556.9M
Q1 25
$20.7M
$1.4B
Q4 24
$15.9M
$525.5M
Q3 24
$16.3M
$569.0M
Q2 24
$6.2M
$420.1M
Q1 24
$2.8M
$393.0M
Total Debt
SMTI
SMTI
ZBH
ZBH
Q4 25
$46.0M
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
ZBH
ZBH
Q4 25
$5.9M
$12.7B
Q3 25
$6.1M
$12.8B
Q2 25
$35.4M
$12.5B
Q1 25
$36.7M
$12.4B
Q4 24
$39.4M
$12.5B
Q3 24
$39.8M
$12.4B
Q2 24
$41.7M
$12.7B
Q1 24
$43.3M
$12.6B
Total Assets
SMTI
SMTI
ZBH
ZBH
Q4 25
$72.9M
$23.1B
Q3 25
$71.1M
$23.5B
Q2 25
$98.8M
$22.9B
Q1 25
$96.4M
$22.2B
Q4 24
$88.1M
$21.4B
Q3 24
$88.5M
$21.7B
Q2 24
$73.4M
$21.5B
Q1 24
$70.9M
$21.5B
Debt / Equity
SMTI
SMTI
ZBH
ZBH
Q4 25
7.74×
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
ZBH
ZBH
Operating Cash FlowLast quarter
$3.9M
$517.4M
Free Cash FlowOCF − Capex
$3.9M
$442.6M
FCF MarginFCF / Revenue
14.0%
19.7%
Capex IntensityCapex / Revenue
0.3%
3.3%
Cash ConversionOCF / Net Profit
3.71×
TTM Free Cash FlowTrailing 4 quarters
$2.2M
$1.5B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
SMTI
SMTI
ZBH
ZBH
Q4 25
$3.9M
$517.4M
Q3 25
$2.2M
$418.7M
Q2 25
$2.7M
$378.2M
Q1 25
$-2.0M
$382.8M
Q4 24
$932.0K
$506.3M
Q3 24
$2.1M
$395.7M
Q2 24
$-1.4M
$369.4M
Q1 24
$-1.6M
$228.0M
Free Cash Flow
SMTI
SMTI
ZBH
ZBH
Q4 25
$3.9M
$442.6M
Q3 25
$1.1M
$363.7M
Q2 25
$902.7K
$328.1M
Q1 25
$-3.7M
$338.2M
Q4 24
$859.9K
$454.8M
Q3 24
$2.0M
$351.2M
Q2 24
$-1.5M
$316.7M
Q1 24
$-1.7M
$172.9M
FCF Margin
SMTI
SMTI
ZBH
ZBH
Q4 25
14.0%
19.7%
Q3 25
4.2%
18.2%
Q2 25
3.5%
15.8%
Q1 25
-15.9%
17.7%
Q4 24
3.3%
22.5%
Q3 24
9.4%
19.3%
Q2 24
-7.3%
16.3%
Q1 24
-9.0%
9.2%
Capex Intensity
SMTI
SMTI
ZBH
ZBH
Q4 25
0.3%
3.3%
Q3 25
4.0%
2.7%
Q2 25
6.8%
2.4%
Q1 25
7.4%
2.3%
Q4 24
0.3%
2.5%
Q3 24
0.0%
2.4%
Q2 24
0.3%
2.7%
Q1 24
0.4%
2.9%
Cash Conversion
SMTI
SMTI
ZBH
ZBH
Q4 25
3.71×
Q3 25
1.81×
Q2 25
2.48×
Q1 25
2.10×
Q4 24
2.11×
Q3 24
1.59×
Q2 24
1.52×
Q1 24
1.32×

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%

ZBH
ZBH

Knees$911.0M41%
SET$587.6M26%
Hips$555.4M25%
Technology And Data Bone Cement And Surgical$189.8M8%

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