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Side-by-side financial comparison of SANUWAVE Health, Inc. (SNWV) and Usio, Inc. (USIO). Click either name above to swap in a different company.

Usio, Inc. is the larger business by last-quarter revenue ($22.2M vs $13.4M, roughly 1.7× SANUWAVE Health, Inc.). SANUWAVE Health, Inc. runs the higher net margin — 57.4% vs -6.7%, a 64.2% gap on every dollar of revenue. On growth, SANUWAVE Health, Inc. posted the faster year-over-year revenue change (30.3% vs 8.2%). SANUWAVE Health, Inc. produced more free cash flow last quarter ($3.2M vs $1.1M). Over the past eight quarters, SANUWAVE Health, Inc.'s revenue compounded faster (53.5% CAGR vs 3.0%).

SANUWAVE Health, Inc. is a medical technology company specializing in non-invasive regenerative care solutions. It develops and commercializes shock wave therapy systems for treating chronic wounds, diabetic foot ulcers, and orthopedic conditions, serving healthcare providers and patients across North America, Europe, and key Asia-Pacific markets.

Usio, Inc. is an American financial technology company headquartered in San Antonio, Texas. It provides integrated electronic payment services, including ACH processing, credit card and debit card acceptance, payment facilitation for software platforms, prepaid card issuing and a document print and mail operation.

SNWV vs USIO — Head-to-Head

Bigger by revenue
USIO
USIO
1.7× larger
USIO
$22.2M
$13.4M
SNWV
Growing faster (revenue YoY)
SNWV
SNWV
+22.1% gap
SNWV
30.3%
8.2%
USIO
Higher net margin
SNWV
SNWV
64.2% more per $
SNWV
57.4%
-6.7%
USIO
More free cash flow
SNWV
SNWV
$2.1M more FCF
SNWV
$3.2M
$1.1M
USIO
Faster 2-yr revenue CAGR
SNWV
SNWV
Annualised
SNWV
53.5%
3.0%
USIO

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
SNWV
SNWV
USIO
USIO
Revenue
$13.4M
$22.2M
Net Profit
$7.7M
$-1.5M
Gross Margin
74.7%
21.9%
Operating Margin
15.0%
-5.7%
Net Margin
57.4%
-6.7%
Revenue YoY
30.3%
8.2%
Net Profit YoY
157.8%
-337.8%
EPS (diluted)
$0.78
$-0.05

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
SNWV
SNWV
USIO
USIO
Q4 25
$13.4M
$22.2M
Q3 25
$11.4M
$21.2M
Q2 25
$10.1M
$20.0M
Q1 25
$9.3M
$22.0M
Q4 24
$10.3M
$20.6M
Q3 24
$9.3M
$21.3M
Q2 24
$7.1M
$20.1M
Q1 24
$5.7M
$21.0M
Net Profit
SNWV
SNWV
USIO
USIO
Q4 25
$7.7M
$-1.5M
Q3 25
$9.7M
$-415.1K
Q2 25
$551.0K
$-366.7K
Q1 25
$-6.1M
$-235.0K
Q4 24
$-13.3M
$628.9K
Q3 24
$-21.2M
$2.9M
Q2 24
$6.2M
$75.5K
Q1 24
$-4.8M
$-250.2K
Gross Margin
SNWV
SNWV
USIO
USIO
Q4 25
74.7%
21.9%
Q3 25
76.6%
23.0%
Q2 25
77.3%
25.8%
Q1 25
79.4%
21.9%
Q4 24
78.2%
24.6%
Q3 24
76.1%
23.0%
Q2 24
74.0%
23.9%
Q1 24
73.9%
23.1%
Operating Margin
SNWV
SNWV
USIO
USIO
Q4 25
15.0%
-5.7%
Q3 25
7.9%
-2.2%
Q2 25
14.2%
-2.0%
Q1 25
6.5%
-1.1%
Q4 24
19.6%
-2.9%
Q3 24
16.0%
-1.8%
Q2 24
23.3%
-1.0%
Q1 24
-22.8%
-1.3%
Net Margin
SNWV
SNWV
USIO
USIO
Q4 25
57.4%
-6.7%
Q3 25
84.8%
-2.0%
Q2 25
5.4%
-1.8%
Q1 25
-65.8%
-1.1%
Q4 24
-129.5%
3.1%
Q3 24
-227.8%
13.4%
Q2 24
87.4%
0.4%
Q1 24
-84.4%
-1.2%
EPS (diluted)
SNWV
SNWV
USIO
USIO
Q4 25
$0.78
$-0.05
Q3 25
$0.39
$-0.02
Q2 25
$-0.04
$-0.01
Q1 25
$-0.72
$-0.01
Q4 24
$-0.76
$0.03
Q3 24
$-6.65
$0.10
Q2 24
$0.00
$0.00
Q1 24
$0.00
$-0.01

Balance Sheet & Financial Strength

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

Metric
SNWV
SNWV
USIO
USIO
Cash + ST InvestmentsLiquidity on hand
$12.0M
$7.4M
Total DebtLower is stronger
$21.9M
$1.4M
Stockholders' EquityBook value
$1.6M
$17.9M
Total Assets
$37.3M
$134.9M
Debt / EquityLower = less leverage
13.52×
0.08×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
SNWV
SNWV
USIO
USIO
Q4 25
$12.0M
$7.4M
Q3 25
$9.6M
$7.7M
Q2 25
$8.5M
$8.1M
Q1 25
$8.5M
$8.7M
Q4 24
$10.2M
$8.1M
Q3 24
$3.3M
$8.4M
Q2 24
$2.5M
$7.2M
Q1 24
$2.9M
$7.1M
Total Debt
SNWV
SNWV
USIO
USIO
Q4 25
$21.9M
$1.4M
Q3 25
$23.3M
$836.7K
Q2 25
$647.1K
Q1 25
$683.3K
Q4 24
$719.4K
Q3 24
$562.9K
Q2 24
$597.2K
Q1 24
$630.9K
Stockholders' Equity
SNWV
SNWV
USIO
USIO
Q4 25
$1.6M
$17.9M
Q3 25
$-7.6M
$18.7M
Q2 25
$-18.8M
$18.7M
Q1 25
$-20.8M
$19.0M
Q4 24
$-15.8M
$19.2M
Q3 24
$-60.3M
$18.9M
Q2 24
$-39.6M
$15.7M
Q1 24
$-47.6M
$15.3M
Total Assets
SNWV
SNWV
USIO
USIO
Q4 25
$37.3M
$134.9M
Q3 25
$35.6M
$99.4M
Q2 25
$33.0M
$108.4M
Q1 25
$30.9M
$109.6M
Q4 24
$30.1M
$107.2M
Q3 24
$21.8M
$114.6M
Q2 24
$21.0M
$108.8M
Q1 24
$23.3M
$99.1M
Debt / Equity
SNWV
SNWV
USIO
USIO
Q4 25
13.52×
0.08×
Q3 25
0.04×
Q2 25
0.03×
Q1 25
0.04×
Q4 24
0.04×
Q3 24
0.03×
Q2 24
0.04×
Q1 24
0.04×

Cash Flow & Capital Efficiency

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

Metric
SNWV
SNWV
USIO
USIO
Operating Cash FlowLast quarter
$3.3M
$1.5M
Free Cash FlowOCF − Capex
$3.2M
$1.1M
FCF MarginFCF / Revenue
24.1%
4.8%
Capex IntensityCapex / Revenue
0.7%
2.0%
Cash ConversionOCF / Net Profit
0.43×
TTM Free Cash FlowTrailing 4 quarters
$1.9M
$1.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
SNWV
SNWV
USIO
USIO
Q4 25
$3.3M
$1.5M
Q3 25
$1.1M
$303.8K
Q2 25
$993.0K
$-263.9K
Q1 25
$-1.5M
$1.4M
Q4 24
$741.0K
$2.9M
Q3 24
$1.3M
$1.4M
Q2 24
$-668.0K
$369.1K
Q1 24
$1.1M
$88.7K
Free Cash Flow
SNWV
SNWV
USIO
USIO
Q4 25
$3.2M
$1.1M
Q3 25
$556.0K
$85.2K
Q2 25
$-166.0K
$-503.2K
Q1 25
$-1.7M
$1.1M
Q4 24
$505.0K
$2.7M
Q3 24
$1.2M
$1.4M
Q2 24
$-760.0K
$246.3K
Q1 24
$986.0K
$-88.1K
FCF Margin
SNWV
SNWV
USIO
USIO
Q4 25
24.1%
4.8%
Q3 25
4.9%
0.4%
Q2 25
-1.6%
-2.5%
Q1 25
-18.1%
4.8%
Q4 24
4.9%
13.1%
Q3 24
13.3%
6.4%
Q2 24
-10.7%
1.2%
Q1 24
17.3%
-0.4%
Capex Intensity
SNWV
SNWV
USIO
USIO
Q4 25
0.7%
2.0%
Q3 25
4.6%
1.0%
Q2 25
11.4%
1.2%
Q1 25
1.7%
1.4%
Q4 24
2.3%
1.0%
Q3 24
0.5%
0.3%
Q2 24
1.3%
0.6%
Q1 24
2.0%
0.8%
Cash Conversion
SNWV
SNWV
USIO
USIO
Q4 25
0.43×
Q3 25
0.11×
Q2 25
1.80×
Q1 25
Q4 24
4.61×
Q3 24
0.50×
Q2 24
-0.11×
4.89×
Q1 24

Financial Flow Comparison

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

Revenue Breakdown by Segment

SNWV
SNWV

Segment breakdown not available.

USIO
USIO

Credit Card Revenue$7.7M35%
ACH And Complementary Service Revenue$6.1M28%
Output Solutions$5.4M24%
Prepaid Card Services Revenue$2.6M12%

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