SANUWAVE Health, Inc.
Business
SANUWAVE Health, Inc. develops and markets directed energy medical devices that promote repair and regeneration of tissue, musculoskeletal, and vascular structures in wound care. Its primary products are the UltraMIST® system, which delivers low-frequency non-contact ultrasound via a sterile applicator, and the PACE® family of shockwave-based systems (dermaPACE, orthoPACE, Profile) used for wound and orthopedic applications. The company operates by selling systems and recurring consumables across its product lines and supporting manufacturing, regulatory, and IP functions. Products are marketed primarily in the United States, with PACE systems also sold in the European Union, through direct sales representatives and independent distributors to hospitals, wound centers, clinics, skilled nursing facilities, and mobile wound care providers.
Summary from filing dated 2025-03-20
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Revenue | 44 | 33 | 20 | 17 | 13 | |
| Cost of revenues | 10 | 8 | 6 | 4 | 5 | |
| Gross Margin | 34 | 25 | 14 | 12 | 8 | |
| General and administrative | 19 | 13 | 9 | 13 | 12 | |
| Selling and marketing | 7 | 6 | 5 | 7 | 9 | |
| Research and development | 1 | 673,000 | 579,000 | 567,000 | 1 | |
| Depreciation and amortization | 880,000 | 789,000 | 752,000 | 766,000 | 784,000 | |
| Total Operating Expenses | 29 | 21 | 15 | 21 | 22 | |
| Operating Income | 5 | 4 | −540,000 | −9 | −14 | |
| Interest expense | — | −13 | — | −13 | −7 | |
| (Loss) Gain on extinguishment of debt | −477,000 | 6 | 0 | −418,000 | 204,000 | |
| Change in fair value of derivative liabilities | 8 | −31 | −10 | 17 | −3 | |
| Loss on impairment of assets | −196,000 | 0 | — | — | — | |
| Other expense | −42,000 | −893,000 | −19,000 | −9,000 | — | |
| Other income (See Note 20) | 6 | 3 | 0 | — | — | |
| Total Other Income (Expense) | 7 | −37 | −25 | −1 | −13 | |
| Net Income (Loss) Before Income Taxes | 12 | −33 | −26 | −10 | −27 | |
| Income tax expense | 86,000 | 27,000 | 4,000 | 2,000 | 28,000 | |
| Net Income (Loss) | 12 | −33 | −26 | −10 | −27 | |
| Foreign currency translation adjustments | 0 | 121,000 | −44,000 | 6,000 | −11,000 | |
| Total Comprehensive Income (Loss) | 12 | −33 | −26 | −10 | −27 | |
| Basic (in dollars per share) | 1.38 | −7.41 | −12.19 | −0.02 | −0.05 | |
| Diluted (in dollars per share) | 0.41 | −7.41 | −12.19 | −0.02 | −0.05 | |
| Basic (in shares) | 9 | 4 | 2 | 549 | 518 | |
| Diluted (in shares) | 9 | 4 | 2 | 549 | 518 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2025 2025-09-30 | FY 2025 2025-06-30 | FY 2025 2025-03-31 | FY 2024 2024-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 12 | — | — | — | 10 | |
| Accounts receivable, net of allowance of $1,265 and $1,147, respectively | 5 | — | — | — | 3 | |
| Inventory | 6 | — | — | — | 4 | |
| Prepaid expenses and other current assets | 1 | — | — | — | 682,000 | |
| Total Current Assets | 25 | — | — | — | 18 | |
| Property and equipment, net | 2 | — | — | — | 303,000 | |
| Right of use assets, net | 390,000 | — | — | 400,000 | 429,000 | |
| Intangible assets, net | 3 | — | — | — | 4 | |
| Goodwill | 7 | — | — | — | 7 | |
| Secured revolving credit facility debt issuance costs, net | 68,000 | — | — | — | 0 | |
| Total Non-Current Assets | 13 | — | — | — | 12 | |
| Total Assets | 37 | — | — | — | 30 | |
| Current portion of secured term loan | 6 | — | — | — | 0 | |
| Senior secured debt | 0 | — | — | — | 25 | |
| Accounts payable | 3 | — | — | — | 4 | |
| Accrued expenses | 8 | 8 | 7 | 7 | 8 | |
| Warrant liability | 0 | — | — | — | 8 | |
| Current portion of operating lease liabilities | 157,000 | — | — | — | 126,000 | |
| Current portion of finance lease liabilities | 0 | — | — | — | 175,000 | |
| Current portion of contract liabilities | 388,000 | 299,000 | 231,000 | 194,000 | 193,000 | |
| Accrued interest | 24,000 | — | — | — | 0 | |
| Other | 7,000 | — | — | — | 33,000 | |
| Total Current Liabilities | 18 | 24 | 50 | 51 | 45 | |
| Secured term loan, net of current portion and debt issuance costs | 16 | — | — | — | 0 | |
| Secured revolving credit facility | 655,000 | — | — | — | 0 | |
| Operating lease liabilities, less current portion | 854,000 | — | — | — | 125,000 | |
| Finance lease liabilities, less current portion | 0 | — | — | — | 66,000 | |
| Contract liabilities, less current portion | 701,000 | 575,000 | 410,000 | 319,000 | 300,000 | |
| Total Non-Current Liabilities | 18 | — | — | — | 491,000 | |
| Total Liabilities | 36 | 43 | 52 | 52 | 46 | |
| Commitments and Contingencies (Note 21) | — | — | — | — | — | |
| Preferred stock | 0 | — | — | — | 0 | |
| Common stock | 9,000 | — | — | — | 9,000 | |
| Additional paid-in capital | 244 | — | — | — | 239 | |
| Accumulated deficit | −243 | −250 | −260 | −261 | −254 | |
| Accumulated other comprehensive loss | 10,000 | — | — | — | 10,000 | |
| Total Stockholders Equity (Deficit) | 2 | −8 | −19 | −21 | −16 | |
| Total Liabilities and Stockholders Equity (Deficit) | 37 | — | — | — | 30 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Stock-based compensation | 5 | 2 | 0 | — | 0 | |
| Depreciation and amortization | 974,000 | 788,000 | 1 | 952,000 | 1 | |
| Amortization of right-of-use assets | 309,000 | 357,000 | — | — | — | |
| Provision for credit losses | 202,000 | 77,000 | 781,000 | 253,000 | 442,000 | |
| Loss on disposal and impairment of assets | 210,000 | 0 | — | — | — | |
| Change in fair value of derivative liabilities | −8 | 31 | 10 | −17 | 3 | |
| Gain on sale of patents | −5 | 0 | — | — | — | |
| Amortization of debt issuance and debt discounts | 1 | 6 | 7 | 5 | 3 | |
| Write-off of inventory related to PACE disposal | 500,000 | 0 | — | — | — | |
| Gain on lease modification | −7,000 | 0 | — | — | — | |
| Accrued interest and accrued interest, related parties | 0 | 3 | 6 | 3 | 2 | |
| Proceeds from tenant improvement funds | 586,000 | 0 | — | — | — | |
| Accounts receivable | −2 | −486,000 | −53,000 | −2 | −395,000 | |
| Inventory | −2 | −1 | −3 | — | 2 | |
| Prepaid expenses and other assets | −724,000 | −79,000 | −206,000 | — | — | |
| Accounts payable | −521,000 | −1 | 2 | −3 | 3 | |
| Accrued expenses and contract liabilities | 2 | 2 | −2 | 69,000 | 4 | |
| Operating leases | −156,000 | 0 | — | — | — | |
| Net Cash Provided by Operating Activities | 4 | 2 | −5 | −17 | −6 | |
| Purchases of property and equipment | −2 | −490,000 | 0 | — | −529,000 | |
| Proceeds from sale of patents | 5 | 0 | — | — | — | |
| Net Cash Provided by (Used in) Investing Activities | 3 | −490,000 | 21,000 | 332,000 | −529,000 | |
| Repayment of principal secured term loan | −1 | 0 | — | — | — | |
| Proceeds from secured term loan | 23 | 0 | — | — | — | |
| Proceeds from secured revolving credit facility | 655,000 | 0 | — | — | — | |
| Payment of debt issuance costs | −371,000 | 0 | — | — | — | |
| Proceeds from exercises of stock options | 556,000 | 0 | — | — | 0 | |
| Payment of note payable | −28 | −4 | — | — | — | |
| Proceeds from sale of common stock | 0 | 10 | 0 | — | — | |
| Payments to factoring | 0 | −1 | — | — | — | |
| Principal payments on finance leases | −242,000 | −208,000 | −170,000 | −237,000 | −199,000 | |
| Net Cash Flows Provided by Financing Activities | −6 | 6 | 5 | 17 | 5 | |
| Effect of Exchange Rates on Cash and Cash Equivalents | 0 | 121,000 | −50,000 | −13,000 | −1,000 | |
| Net Change in Cash and Cash Equivalents During Period | 2 | 8 | 644,000 | 534,000 | −2 | |
| Cash paid for interest | 4 | 4 | 2 | 4 | 3 | |
| Cash paid for state income taxes | 27,000 | 4,000 | — | — | — | |
| Capitalize default interest into senior secured debt | 549,000 | 4 | — | — | — | |
| Shares granted in lieu of board of director fees | 77,000 | 0 | — | — | — | |
| Stock options granted in lieu of cash bonus | 117,000 | 0 | — | — | — | |
| Right-of-use assets obtained in exchange for lease liabilities | 430,000 | 0 | — | — | — | |
| Lease liabilities reduced upon lease modification | 99,000 | 0 | — | — | — | |
| Purchases of property and equipment in accounts payable | 45,000 | 0 | — | — | — | |
| RSUs granted in exchange for services | 10,000 | 0 | — | — | — | |
| Shares issued for settlement of debt | 0 | 9 | — | — | 0 | |
| Write off deferred merger costs | 0 | 1 | 0 | — | — | |
| Warrants issued in conjunction with senior secured promissory note payable and convertible promissory notes payable | 0 | 4 | 2 | 4 | — | |
| Conversion of warrants to common stock | 0 | 41 | 0 | — | — | |
| Conversion of asset-based secured promissory notes to convertible promissory notes | 0 | 5 | 0 | — | — |