Form 8-K
8-K — Sanara MedTech Inc.
Accession: 0001493152-26-022291
Filed: 2026-05-11
Period: 2026-05-11
CIK: 0000714256
SIC: 3842 (ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES)
Item: Results of Operations and Financial Condition
Item: Financial Statements and Exhibits
Documents
8-K — form8-k.htm (Primary)
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2026-05-11
2026-05-11
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UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
FORM
8-K
CURRENT
REPORT
Pursuant
to Section 13 or 15(d) of the
Securities
Exchange Act of 1934
Date
of Report (Date of earliest event reported): May 11, 2026
SANARA
MEDTECH INC.
(Exact
name of registrant as specified in its charter)
Texas
001-39678
59-2219994
(State
or other jurisdiction
(Commission
(IRS
Employer
of
incorporation)
File
Number)
Identification
No.)
1200
Summit Avenue, Suite 414
Fort
Worth, Texas
76102
(Address
of principal executive offices)
(Zip
Code)
Registrant’s
telephone number, including area code: (817) 529-2300
(Former
name or former address, if changed since last report)
Not
Applicable
Check
the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under
any of the following provisions (see General Instruction A.2. below):
☐
Written
communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
☐
Soliciting
material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
☐
Pre-commencement
communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
☐
Pre-commencement
communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities
registered pursuant to Section 12(b) of the Act:
Title
of each class
Trading
Symbol(s)
Name
of each exchange on which registered
Common
Stock, $0.001 par value
SMTI
The
Nasdaq Capital Market
Indicate
by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405
of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging
growth company ☐
If
an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying
with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Item
2.02 Results
of Operations and Financial Condition.
On
May 11, 2026, Sanara MedTech Inc. (the “Company”) issued a press release announcing its financial results for the quarter
ended March 31, 2026. A copy of the Company’s press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K and
is incorporated by reference herein.
The
information in this Current Report on Form 8-K, including Exhibit 99.1 furnished hereto, shall not be deemed “filed” for
purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the
liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended,
or the Exchange Act, except as expressly set forth in such filing.
Item
9.01 Financial
Statements and Exhibits.
(d)
Exhibits
Exhibit
No.
Description
99.1
Press
Release issued May 11, 2026 (furnished pursuant to Item 2.02).
104
Cover
Page Interactive Data File (embedded within the Inline XBRL document).
SIGNATURES
Pursuant
to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by
the undersigned hereunto duly authorized.
Date:
May
11, 2026
Sanara
MedTech Inc.
By:
/s/
Elizabeth B. Taylor
Name:
Elizabeth B. Taylor
Title:
Chief Financial Officer
EX-99.1
EX-99.1
Filename: ex99-1.htm · Sequence: 2
Exhibit
99.1
Sanara
MedTech Inc. Reports First Quarter 2026 Financial Results (Unaudited)
Net
Revenue Growth of 19% and Net Profitability from Continuing Operations of $0.04 Per Fully Diluted Share for the Quarter
FORT
WORTH, TX, May 11, 2026 (GLOBE NEWSWIRE) — Sanara MedTech Inc. (“Sanara,” “Sanara MedTech,” the
“Company,” “we,” “our” or “us”) (Nasdaq: SMTI), a medical technology company focused
on developing and commercializing transformative technologies to improve clinical outcomes and reduce healthcare expenditures in the
surgical market, today reported its financial results for the first quarter ended March 31, 2026.
First
Quarter 2026 Financial Summary(1)
● Net
revenue increased 19% to $27.8 million, compared to $23.4 million in the first quarter of
2025.
● Gross
profit of $25.9 million, or 93% of net revenue, compared to gross profit of $21.6 million,
or 92% of net revenue, in the first quarter of 2025.
● Operating
income of $2.6 million, compared to operating income of $0.8 million in the first quarter
of 2025.
● Net
income from continuing operations of $0.4 million, or $0.04 per diluted share, compared to
net loss from continuing operations of $0.6 million, or $0.07 per diluted share, in the first
quarter of 2025.
● Adjusted
EBITDA(2) of $4.3 million, compared to $2.7 million in the first quarter of 2025.
● Cash
of $13.6 million and $46.2 million of long-term debt at March 31, 2026, compared to $16.6
million of cash and $46.0 million of long-term debt at December 31, 2025.
(1)
As a result of the Company’s strategic realignment, the operations of Tissue Health Plus (“THP”), which were previously
reported as the THP segment, have been classified as discontinued operations in Sanara’s financial statements for the three months
ended March 31, 2026 and 2025.
(2)
Adjusted EBITDA is a non-GAAP financial measure. See the discussion and the reconciliation at the end of this release for additional
information.
Management
Comments
Seth
Yon, President and Chief Executive Officer of Sanara, commented, “The first quarter of 2026 is the first full quarter in which
the Company was entirely focused on the surgical market, and the results reflected strong execution. We delivered net revenue
growth of 19% and gross margin improvement, and achieved GAAP net profitability, a reflection of the strength of our sharpened focus
and enhanced financial model. We’re particularly encouraged by these results given that the first quarter is historically our slowest
sales period of the year and was also impacted by a three-day shipping interruption in January due to a weather-related shut down.
“During
the end of 2025 and continuing into 2026, we began strengthening our sales team in an effort to support enhanced net revenue growth and
our heightened focus on the surgical setting, expanding the sales team to reach a total of 43 reps,” Mr. Yon stated. “Additionally,
we experienced meaningful growth in our surgeon users in the first quarter of 2026 as compared to the first quarter of 2025, and,
as of quarter end, our products were contracted or approved to be sold in over 4,000 hospitals and ambulatory surgery centers throughout
the United States, our products were sold in over 1,400 facilities throughout the United States, and we had agreements with more than
450 distributors.
“Looking
ahead, we believe we are well positioned with our strengthened sales team and refined, pure play focus on the surgical operating setting
to drive enhanced results. From a capital allocation perspective, this means tightening our scope and strategically investing in R&D
to grow our pipeline and introduce new products to the market. With our visibility today, we remain confident in our full-year guidance
of 13% to 17% net revenue growth,” Mr. Yon concluded.
First
Quarter of 2026 Revenue
The
following table summarizes revenue streams from product sales for the three months ended March 31, 2026 and 2025:
Three
Months Ended
March 31,
2026
2025
Soft tissue repair products
$ 24,942,945
$ 20,532,440
Bone fusion products
2,855,589
2,901,656
Total
Net Revenue
$ 27,798,534
$ 23,434,096
First
Quarter of 2026 Financial Results(1)
Net
revenue for the first quarter of 2026 was $27.8 million, compared to $23.4 million for the first quarter of 2025, an increase of $4.4
million, or 19%, year-over-year. The increase in net revenue was driven by an increase of $4.4 million, or 21%, in sales of soft tissue
repair products, offset by a slight decrease of $46,067, or 2%, in sales of bone fusion products. The increase in net
revenue is primarily due to increased sales of soft tissue repair products, including CellerateRX® Surgical Powder and
BIASURGE® Advanced Surgical Solution, supported by increased market penetration and geographic expansion, and the Company’s
strategy to continue expanding and developing its independent distribution network in both new and existing U.S. markets.
Gross
profit for the first quarter of 2026 was $25.9 million, compared to $21.6 million for the first quarter of 2025, an increase of $4.3
million, or 20%, year-over-year. Gross margin was 93% of net revenue for the first quarter of 2026, compared to 92% of net revenue for
the first quarter of 2025. The increase in gross profit and higher gross margin realized in the first quarter of 2026 was primarily due
to the net revenue growth factors above and product mix.
Operating
expenses for the first quarter of 2026 were $23.2 million, or 83.6% of sales, compared to $20.8 million, or 88.6% of sales,
for the first quarter of 2025, an increase of $2.5 million, or 12%, year-over-year. The increase in operating expenses was primarily
due to higher selling, general, and administrative expenses (“SG&A”) offset by lower research and development expenses
(“R&D”), for the first quarter of 2026. Higher SG&A is related to increased direct sales and marketing
expenses, which accounted for approximately $1.9 million of the increase, approximately $0.5 million in increase related to compensation
expense and approximately $0.2 million in increase related to contracted services and warehousing and distribution costs. R&D
for the first quarter of 2026 decreased to $0.8 million, or 2.7% of sales, compared to R&D of $1.0 million, or 4.1% of sales, for
the first quarter of 2025. While R&D will fluctuate from quarter to quarter based on timing of projects, the Company expects R&D,
on an annual basis, to be in the range of 5% to 7% of sales.
Operating
income for the first quarter of 2026 was $2.6 million, compared to operating income of $0.8 million for the first quarter of 2025.
Other
expense for the first quarter of 2026 was $2.2 million, compared to $1.4 million for the first quarter of 2025. The increase in other
expense was primarily due to higher interest expense and fees related to the Company’s term loan with CRG Servicing LLC and the
Company’s share of losses from equity method investments.
Net
income from continuing operations for the first quarter of 2026 was $0.4 million, or $0.04 per diluted share, compared to a net loss
from continuing operations of $0.6 million, or $0.07 per diluted share, for the first quarter of 2025. Net income from discontinued operations
for the first quarter of 2026 was $0.1 million, compared to a net loss from discontinued operations of $2.9 million for the first quarter
of 2025.
Adjusted
EBITDA(2) for the first quarter of 2026 was $4.3 million, compared to $2.7 million for the first quarter of 2025, an increase
of $1.6 million, or 58%, year-over-year. Higher Adjusted EBITDA in the first quarter of 2026 was primarily due to net revenue growth
offset by increases in SG&A.
Net
cash used in operating activities in the first quarter of 2026 was $2.5 million, compared to $2.0 million of net cash used in operating
activities in the first quarter of 2025. The increase in cash used in operating activities during the first quarter of 2026 was primarily
due to the timing of commissions payments, higher cash interest expense resulting from a larger outstanding debt balance compared to
the prior-year period and the absence of paid-in-kind interest.
As
of March 31, 2026, the Company had $13.6 million of cash and $46.2 million of long-term debt, compared to $16.6 million and $46.0 million,
respectively, as of December 31, 2025.
(1)
As a result of the Company’s strategic realignment, the operations of THP, which were previously reported as the THP segment, have
been classified as discontinued operations in Sanara’s financial statements for the three months ended March 31, 2026 and 2025.
(2)
Adjusted EBITDA is a non-GAAP financial measure. See the discussion and the reconciliation at the end of this release for additional
information.
Second
Quarter and Full Year 2026 Financial Guidance
For
the second quarter of 2026, Sanara expects net revenue to range from $28.5 million to $29.5 million, representing growth of approximately
10% to 14%, compared to net revenue of $25.8 million for the second quarter of 2025.
The
Company is reaffirming financial guidance for the full year ending December 31, 2026.
Sanara
continues to expect full year 2026 net revenue to range from $116 million to $121 million, representing growth of approximately 13% to
17%, compared to net revenue of $103.1 million for the full year 2025.
Conference
Call
The
Company will host a conference call on Tuesday, May 12, 2026 at 8:00 a.m. Eastern Time to discuss the results of the quarter ended March
31, 2026 and hold a question and answer session at the end of the call. The toll-free number to call for this teleconference is 888-506-0062
(international callers: 973-528-0011) and the access code is 931324. A telephonic replay of the conference call will be available through
Tuesday, May 26, 2026, by dialing 877-481-4010 (international callers: 919-882-2331) and entering the replay passcode: 53818.
A
live webcast of Sanara’s conference call is accessible by clicking here and will be made available under the “Events”
section of the Company’s Investor Relations website, https://ir.sanaramedtech.com/. An online replay will be available for
approximately one year following the conclusion of the live broadcast.
About
Sanara MedTech Inc.
Sanara
MedTech Inc. is a medical technology company focused on developing and commercializing transformative technologies to improve clinical
outcomes and reduce healthcare expenditures in the surgical market. The Company develops, markets and distributes surgical products for
use by physicians and clinicians in hospitals. Each of the Company’s products and technologies are designed to achieve the goal
of providing better clinical outcomes at a lower overall cost for healthcare systems. Sanara’s products are primarily sold in the
North American surgical tissue repair market. Sanara markets and distributes CellerateRX® Surgical Activated Collagen
Powder, BIASURGE® Advanced Surgical Solution, FORTIFY TRG® Tissue Repair Graft and FORTIFY FLOWABLE®
Extracellular Matrix, as well as a portfolio of advanced biologic products including: ACTIGEN® Verified Inductive Bone
Matrix, ALLOCYTE® Plus Advanced Viable Bone Matrix, BiFORM® Bioactive Moldable Matrix and TEXAGEN®
Amniotic Membrane Allograft to the surgical market. The Company believes it can drive its pipeline from concept to preclinical and clinical
development while meeting quality and regulatory requirements. The Company strives to be one of the most innovative and comprehensive
providers of effective surgical solutions and is continually seeking to expand its offerings for patients requiring treatments in the
United States. For more information, please visit SanaraMedTech.com.
Information
about Forward-Looking Statements
The
statements in this press release that do not constitute historical facts are “forward-looking statements,” within the meaning
of and subject to the safe harbor created by the Private Securities Litigation Reform Act of 1995. These statements may be identified
by terms such as “aims,” “anticipates,” “believes,” contemplates,” “continue,”
“could,” “estimates,” “expects,” “forecast,” “guidance,” “intends,”
“may,” “plans,” “possible,” “potential,” “predicts,” “preliminary,”
“projects,” “seeks,” “should,” “targets,” “will” or “would,”
or the negatives of these terms, variations of these terms or other similar expressions. These forward-looking statements include, among
others, statements regarding the Company’s expected net revenue, the Company’s
ability to achieve enhanced results by focusing on the surgical market, the Company’s business strategy and mission, the development
of new products, the timing of commercialization of the Company’s products, and the regulatory approval process. These items involve
risks, contingencies and uncertainties such as uncertainties associated with the development and process for obtaining regulatory approval
for new products, the extent of product demand, market and customer acceptance, the effect of economic conditions, competition, pricing,
uncertainties associated with the development and process for obtaining regulatory approval for new products, the ability to consummate
and integrate acquisitions, and other risks, contingencies and uncertainties detailed in the Company’s most recent annual report
on Form 10-K and subsequent reports filed with the Securities and Exchange Commission, which could cause the Company’s actual operating
results, performance or business plans or prospects to differ materially from those expressed in or implied by these statements.
All
forward-looking statements speak only as of the date on which they are made, and the Company undertakes no obligation to revise any of
these statements to reflect future circumstances or the occurrence of unanticipated events, except as required by applicable securities
laws.
Investor
Relations Contact:
Walter
Frank or John Nesbett
IMS
Investor Relations
IR@sanaramedtech.com
(203)
972-9200
SANARA
MEDTECH INC. AND SUBSIDIARIES
CONSOLIDATED
BALANCE SHEETS
March
31, 2026
December
31, 2025
(Unaudited)
Assets
Current assets
Cash
$ 13,594,459
$ 16,578,857
Accounts
receivable, net
13,617,407
11,998,075
Inventory,
net
3,120,795
3,948,748
Prepaid
and other assets
816,788
948,620
Current
assets related to discontinued operations
48,533
67,863
Total
current assets
31,197,982
33,542,163
Long-term assets
Intangible
assets, net
17,860,273
18,640,673
Goodwill
3,601,781
3,601,781
Investment
in equity securities
14,164,351
14,626,858
Right
of use assets – operating leases
1,993,850
2,075,634
Property
and equipment, net
458,880
456,962
Total
long-term assets
38,079,135
39,401,908
Total
assets
$ 69,277,117
$ 72,944,071
Liabilities and shareholders’
equity
Current liabilities
Accounts
payable
$ 905,396
$ 2,338,761
Accounts
payable – related parties
15,847
-
Accrued
bonuses and commissions
9,082,596
11,781,435
Accrued
royalties and expenses
2,615,798
2,684,626
Earnout
liabilities – current
-
235,001
Operating
lease liabilities – current
367,945
353,229
Current
liabilities related to discontinued operations
713,260
1,233,478
Total
current liabilities
13,700,842
18,626,530
Long-term liabilities
Long-term debt
46,226,422
45,970,937
Operating lease liabilities
– long-term
1,770,756
1,868,703
Other
long-term liabilities
559,602
548,125
Total
long-term liabilities
48,556,780
48,387,765
Total
liabilities
62,257,622
67,014,295
Commitments and contingencies
Shareholders’ equity
Common Stock: $0.001
par value, 20,000,000 shares authorized; 9,165,148 issued and outstanding as of March 31, 2026 and 8,946,913 issued and outstanding
as of December 31, 2025
9,166
8,948
Additional
paid-in capital
81,522,244
81,232,536
Accumulated
deficit
(74,502,895 )
(75,303,042 )
Total Sanara MedTech shareholders’
equity
7,028,515
5,938,442
Equity attributable to
noncontrolling interest
(9,020 )
(8,666 )
Total
shareholders’ equity
7,019,495
5,929,776
Total
liabilities and shareholders’ equity
$ 69,277,117
$ 72,944,071
SANARA
MEDTECH INC. AND SUBSIDIARIES
CONSOLIDATED
STATEMENTS OF OPERATIONS (UNAUDITED)
Three
Months Ended
March 31,
2026
2025
Net Revenue
$ 27,798,534
$ 23,434,096
Cost
of goods sold
1,923,589
1,834,967
Gross
profit
25,874,945
21,599,129
Operating expenses
Selling,
general and administrative
21,881,520
19,129,208
Research
and development
759,592
950,359
Depreciation
and amortization
587,252
694,032
Total
operating expenses
23,228,364
20,773,599
Operating
income
2,646,581
825,530
Other income (expense)
Interest
expense
(1,799,345 )
(1,317,092 )
Share
of losses from equity method investments
(462,507 )
(143,608 )
Interest
income
12,958
3,672
Gain
on disposal of property and equipment
-
10,932
Total other income (expense)
(2,248,894 )
(1,446,096 )
Net
income (loss) from continuing operations
397,687
(620,566 )
Net
income (loss) from discontinued operations
60,916
(2,906,817 )
Net income (loss)
458,603
(3,527,383 )
Less:
Net loss attributable to noncontrolling interest from continuing operations
(354 )
(206 )
Net
income (loss) attributable to Sanara MedTech shareholders
$ 458,957
$ (3,527,177 )
Net income (loss) per share, basic:
Continuing operations
$ 0.04
$ (0.07 )
Discontinued operations
0.01
(0.34 )
Net income (loss) per
share of common stock, basic
$ 0.05
$ (0.41 )
Net income (loss) per share, diluted:
Continuing operations
$ 0.04
$ (0.07 )
Discontinued operations
0.01
(0.34 )
Net income (loss) per
share of common stock, diluted
$ 0.05
$ (0.41 )
Weighted average number of common shares outstanding, basic
8,706,678
8,570,104
Weighted average number of common shares outstanding, diluted
8,985,866
8,570,104
The
following is a reconciliation of the numerator and denominator of basic and diluted net income (loss) per share for the three months
ended March 31, 2026 and 2025:
Three
Months Ended
March 31,
2026
2025
Numerator:
Net income (loss) from continuing
operations
$ 397,687
$ (620,566 )
Net income (loss) from discontinued operations
60,916
(2,906,817 )
Less:
Net loss attributable to noncontrolling interests from continuing operations
(354 )
(206 )
Net income (loss)
attributable to Sanara MedTech shareholders
$ 458,957
$ (3,527,177 )
Denominator:
Weighted average shares, basic
8,706,678
8,570,104
Dilutive effect of stock options
10,218
-
Dilutive effect of unvested shares
268,970
-
Weighted average shares, diluted
8,985,866
8,570,104
The
following table summarizes the shares of common stock that were potentially issuable but were excluded from the computation of diluted
net loss per share of common stock for the three months ended March 31, 2025, as such shares would have had an anti-dilutive effect:
March 31,
2025
Stock options
31,013
Unvested restricted stock
290,493
SANARA
MEDTECH INC. AND SUBSIDIARIES
CONSOLIDATED
STATEMENTS OF CASH FLOWS (UNAUDITED)
Three Months Ended
March 31,
2026
2025
Cash flows from operating
activities:
Net income (loss)
$ 458,603
$ (3,527,383 )
Adjustments to reconcile net income (loss)
to net cash used in operating activities:
Depreciation
and amortization
587,252
1,124,410
Gain
on disposal of property and equipment
-
(9,674 )
Credit
loss expense
75,000
179,034
Inventory
obsolescence
62,800
199,278
Share-based
compensation
1,028,335
1,304,904
Noncash
lease expense
81,784
274,055
Share
of losses from equity method investments
462,507
143,608
Back-end
fee
181,944
176,079
Paid-in-kind
interest
-
411,324
Accretion
of finance liabilities
27,113
43,630
Amortization
and write-off of debt issuance costs
73,541
59,280
Changes in operating assets and liabilities:
Accounts
receivable, net
(1,709,332 )
368,284
Accounts
receivable – related parties
-
(2,254 )
Inventory,
net
765,153
(605,628 )
Prepaid
and other assets
166,162
32,759
Accounts
payable
(1,433,365 )
595,836
Accounts
payable – related parties
15,847
10,892
Accrued
royalties and expenses
(105,442 )
67,224
Accrued
bonuses and commissions
(3,120,078 )
(2,566,461 )
Operating
lease liabilities
(83,231 )
(278,081 )
Net
cash used in operating activities
(2,465,407 )
(1,998,884 )
Cash flows from investing
activities:
Purchases
of property and equipment
(43,772 )
(1,722,649 )
Proceeds
from disposal of property and equipment
-
60,000
Investment
in equity securities
-
(3,517,206 )
Net
cash used in investing activities
(43,772 )
(5,179,855 )
Cash flows from financing
activities:
Loan proceeds, net of debt
issuance costs of zero in 2026 and $183,750 in 2025
-
12,066,250
Net settlement of equity-based
awards
(397,219 )
-
Cash
payment of finance and earnout liabilities
(78,000 )
(78,000 )
Net
cash provided by (used in) financing activities
(475,219 )
11,988,250
Net increase (decrease)
in cash
(2,984,398 )
4,809,511
Cash, beginning of period
16,578,857
15,878,295
Cash, end of period
$ 13,594,459
$ 20,687,806
Cash paid during the period
for:
Interest
$ 1,516,747
$ 626,779
Taxes
143
52,984
Supplemental noncash investing
and financing activities:
Non-monetary
exchange to acquire intangible assets
$ -
$ 2,084,278
Conversion
of note receivable into equity method investment
-
1,101,478
SANARA
MEDTECH INC. AND SUBSIDIARIES
NON-GAAP
FINANCIAL MEASURES (UNAUDITED)
To
supplement the Company’s financial information presented in accordance with generally accepted accounting principles in the United
States (“GAAP”), we present certain non-GAAP financial measures in this press release and on the related teleconference call,
including Adjusted EBITDA. The Company’s management uses these non-GAAP financial measures, both internally and externally, to
assess and communicate the financial performance of the Company. The Company defines Adjusted EBITDA as net income (loss) from continuing
operations excluding interest expense/income, provision/benefit for income taxes, depreciation and amortization, non-cash share-based
compensation expense, change in fair value of earnout liabilities, asset impairment charges, share of losses from equity method investments,
gains/losses on the disposal of property and equipment, executive separation costs, and legal and diligence expenses related to acquisitions,
as each is applicable to the periods presented.
The
Company believes Adjusted EBITDA is useful to investors because it facilitates comparisons of the Company’s core business operations
across periods on a consistent basis. Accordingly, the Company adjusts certain items when calculating Adjusted EBITDA because the Company
believes that such items are not related to the Company’s core business operations.
The
Company’s non-GAAP financial measures are not in accordance with, nor an alternative for, measures conforming to GAAP and may be
different from non-GAAP financial measures used by other companies. In addition, these non-GAAP financial measures are not based on any
comprehensive set of accounting rules or principles. The Company continues to provide all information required by GAAP, but it believes
that evaluating its ongoing operating results may not be as useful if an investor or other user is limited to reviewing only GAAP financial
measures. The Company does not, nor does it suggest that investors should, consider these non-GAAP financial measures in isolation from,
or as a substitute for, financial information prepared in accordance with GAAP. Material limitations associated with the use of such
measures include that they do not reflect all costs included in operating expenses and may not be comparable with similarly named financial
measures of other companies. Furthermore, these non-GAAP financial measures are based on subjective determinations of management regarding
the nature and classification of events and circumstances. The Company presents these non-GAAP financial measures to provide investors
with information to evaluate the Company’s operating results in a manner similar to how management evaluates business performance.
To compensate for any limitations in such non-GAAP financial measures, management believes that it is useful in understanding and analyzing
the results of the business to review both GAAP information and the related non-GAAP financial measures. Whenever the Company uses a
non-GAAP financial measure, it provides a reconciliation of the non-GAAP financial measure to the most directly comparable GAAP financial
measure. Investors are encouraged to review and consider these reconciliations.
Reconciliation
of Net income (loss) from continuing operations to Adjusted EBITDA:
Three
Months Ended March 31,
2026
2025
Net income (loss) from continuing
operations
$ 397,687
$ (620,566 )
Adjustments:
Interest expense
1,799,345
1,317,092
Depreciation
and amortization(1)
587,252
694,032
Noncash share-based compensation
1,028,335
1,175,496
Share of losses from equity
method investments
462,507
143,608
Gain on disposal of property
and equipment
-
(10,932 )
Interest
income
(12,958 )
(3,672 )
Adjusted
EBITDA
$ 4,262,168
$ 2,695,058
(1) Depreciation
expense of $5,461 was reclassified as continuing operations in the three months ended March
31, 2025 and is therefore no longer reflected in discontinued operations.
ANNEX
- Consolidated (reflecting our Surgical Business):
The
following tables reflect results of operations of our surgical business for the periods indicated below (Unaudited except for full fiscal
years ended December 31, 2025, 2024, and 2023):
2025
2024
2023
Q1
Q2
Q3
Q4
TOTAL
Q1
Q2
Q3
Q4
TOTAL
Q1
Q2
Q3
Q4
TOTAL
Net Revenue
$ 23,434,096
$ 25,804,252
$ 26,333,819
$ 27,545,815
$ 103,117,982
$ 18,536,638
$ 20,158,823
$ 21,671,599
$ 26,305,365
$ 86,672,425
$ 15,519,187
$ 15,753,164
$ 16,024,948
$ 17,689,813
$ 64,987,112
Cost
of goods sold
1,834,967
1,937,282
1,874,214
1,874,506
7,520,969
1,890,046
2,008,686
1,991,987
2,249,182
8,139,901
2,116,694
2,187,516
1,751,349
1,788,162
7,843,721
Gross
profit
21,599,129
23,866,970
24,459,605
25,671,309
95,597,013
16,646,592
18,150,137
19,679,612
24,056,183
78,532,524
13,402,493
13,565,648
14,273,599
15,901,651
57,143,391
Operating expenses
Selling, general and administrative(1)
19,129,208
19,634,319
19,877,875
20,075,597
78,716,999
15,683,039
18,349,924
17,420,347
20,220,332
71,673,642
12,467,395
13,301,230
13,460,404
15,597,823
54,826,852
Research and development
950,359
1,056,796
1,029,591
2,035,737
5,072,483
578,981
582,443
783,840
883,399
2,828,663
235,236
208,727
225,886
232,933
902,782
Depreciation and amortization(2)
694,032
688,546
610,899
668,396
2,661,873
698,502
698,407
696,888
692,032
2,785,829
372,020
396,597
590,563
687,679
2,046,859
Change in fair value of
earnout liabilities
-
-
-
-
-
(103,781 )
89,330
-
-
(14,451 )
(191,127 )
(436,004 )
(758,783 )
87,578
(1,298,336 )
Asset
impairment charges
-
-
-
1,841,120
1,841,120
-
-
-
-
-
-
-
-
-
-
Total
operating expenses
20,773,599
21,379,661
21,518,365
24,620,850
88,292,475
16,856,741
19,720,104
18,901,075
21,795,763
77,273,683
12,883,524
13,470,550
13,518,070
16,606,013
56,478,157
Operating
income (loss)
825,530
2,487,309
2,941,240
1,050,459
7,304,538
(210,149 )
(1,569,967 )
778,537
2,260,420
1,258,841
518,969
95,098
755,529
(704,362 )
665,234
Other income (expense)
Interest expense
(1,317,092 )
(1,791,568 )
(1,818,105 )
(1,833,035 )
(6,759,800 )
(267,336 )
(644,346 )
(927,577 )
(1,289,136 )
(3,128,395 )
(6 )
-
(188,294 )
(287,483 )
(475,783 )
Share of losses from equity
method investments
(143,608 )
(195,482 )
(288,642 )
(324,734 )
(952,466 )
-
-
(31,448 )
(58,559 )
(90,007 )
-
-
-
-
-
Interest income
3,672
-
-
-
3,672
-
-
-
21,978
21,978
-
-
-
-
-
Gain on disposal of property
and equipment
10,932
-
-
-
10,932
-
-
-
-
-
-
-
-
-
-
Gain
on disposal of investment
-
-
-
-
-
-
-
-
-
-
-
-
-
251,034
251,034
Total other income (expense)
(1,446,096 )
(1,987,050 )
(2,106,747 )
(2,157,769 )
(7,697,662 )
(267,336 )
(644,346 )
(959,025 )
(1,325,717 )
(3,196,424 )
(6 )
-
(188,294 )
(36,449 )
(224,749 )
Net
income (loss) from continuing operations
$ (620,566 )
$ 500,259
$ 834,493
$ (1,107,310 )
$ (393,124 )
$ (477,485 )
$ (2,214,313 )
$ (180,488 )
$ 934,703
$ (1,937,583 )
$ 518,963
$ 95,098
$ 567,235
$ (740,811 )
$ 440,485
(1) Selling,
general and administrative expense of $90,293 was reclassified and is now reflected as discontinued
operations in the first quarter of 2024.
(2) Depreciation
expense of $5,461 and $7,021 was reclassified as continuing operations in the first and second
quarters of 2025, respectively, and is therefore no longer reflected in discontinued operations.
ANNEX
- Consolidated (reflecting our Surgical Business) (continued):
Reconciliation
of Net income (loss) from continuing operations to Adjusted EBITDA (Unaudited):
2025
2024
2023
Q1
Q2
Q3
Q4
TOTAL
Q1
Q2
Q3
Q4
TOTAL
Q1
Q2
Q3
Q4
TOTAL
Net income (loss) from continuing
operations
$ (620,566 )
$ 500,259
$ 834,493
$ (1,107,310 )
$ (393,124 )
$ (477,485 )
$ (2,214,313 )
$ (180,488 )
$ 934,703
$ (1,937,583 )
$ 518,963
$ 95,098
$ 567,235
$ (740,811 )
$ 440,485
Adjustments:
Interest expense
1,317,092
1,791,568
1,818,105
1,833,035
6,759,800
267,336
644,346
927,577
1,289,136
3,128,395
6
-
188,294
287,483
475,783
Depreciation and amortization(1)
694,032
688,546
610,899
668,396
2,661,873
698,502
698,407
696,888
692,032
2,785,829
372,020
396,597
590,563
687,679
2,046,859
Noncash share-based compensation
1,175,496
1,278,871
1,164,070
1,155,545
4,773,982
753,616
1,046,321
1,003,599
1,165,472
3,969,008
545,214
1,064,516
813,606
777,994
3,201,330
Change in fair value of
earnout liabilities
-
-
-
-
-
(103,781 )
89,330
-
-
(14,451 )
(191,127 )
(436,004 )
(758,783 )
87,578
(1,298,336 )
Asset impairment charges
-
-
-
1,841,120
1,841,120
-
-
-
-
-
-
-
-
-
-
Share of losses from equity
method investments
143,608
195,482
288,642
324,734
952,466
-
-
31,448
58,559
90,007
-
-
-
-
-
Gain on disposal of property
and equipment
(10,932 )
-
-
-
(10,932 )
-
-
-
-
-
-
-
-
-
-
Interest income
(3,672 )
-
-
-
(3,672 )
-
-
-
(21,978 )
(21,978 )
-
-
-
-
-
Executive separation costs(2)
-
260,275
172,048
-
432,323
-
904,781
59,685
-
964,466
-
-
-
-
-
Acquisition
costs (3)
-
4,826
20,000
(24,826 )
-
-
225,089
24,812
(64,872 )
185,029
-
-
-
423,513
423,513
Adjusted
EBITDA
$ 2,695,058
$ 4,719,827
$ 4,908,257
$ 4,690,694
$ 17,013,836
$ 1,138,188
$ 1,393,961
$ 2,563,521
$ 4,053,052
$ 9,148,722
$ 1,245,076
$ 1,120,207
$ 1,400,915
$ 1,523,436
$ 5,289,634
(1) Depreciation
expense of $5,461 and $7,021 was reclassified as continuing operations in the first and second
quarters of 2025, respectively, and is therefore no longer reflected in discontinued operations.
(2) Includes
share-based compensation related to executive separation costs.
(3) Acquisition
costs include legal, tax, accounting and other contract services related to prospective acquisitions.
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May 11, 2026
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