Press Release: SANUWAVE Announces Record Quarterly Revenues: Q4 FY2024 Financial Results

Dow Jones
21 Mar

SANUWAVE Announces Record Quarterly Revenues: Q4 FY2024 Financial Results

Q4 2024 revenues were $10.3 million, up 47% from Q4 2023. This was an all-time quarterly record for the Company.

Full year 2024 revenues were $32.6 million, up 60% from full year 2023 revenues. This was an all-time annual record for the Company.

Q4 2024 gross margin was 77.9%, versus 69.1% in Q4 2023 and 75.5% in Q3 2024.

Full year 2024 gross margin was 75.2% versus 70.4% in 2023.

GAAP Operating Income was $2.5 million for Q4 2024 and $5.4 million for full year 2024.

Company provides guidance for revenue growth of 45-55% for Q1 2025 as compared to Q1 2024 and initiates full year 2025 revenue guidance of $48-50 million for full year 2025 (an increase of 47-53% versus 2024)

EDEN PRAIRIE, Minn., March 21, 2025 (GLOBE NEWSWIRE) -- SANUWAVE Health, Inc. (the "Company" or "Sanuwave") (NASDAQ: SNWV), a leading provider of next-generation FDA-approved wound care products, is pleased to provide its financial results for the three months and for the full year ended December 31, 2024.

Q4 2024 ended December 31, 2024

   -- Revenue for the three months ended December 31, 2024, totaled $10.3 
      million, an increase of 47%, as compared to $7.0 million for the same 
      period of 2023. This growth is consistent with guidance of growth of 
      40-50% year on year for the quarter. 
 
   -- 135 UltraMist$(R)$ systems were sold in Q4 2024 up from 79 in Q4 2023 and 
      from 124 in Q3 2024. 
 
   -- UltraMist(R) consumables revenue increased by 59% to $5.9 million in Q4 
      2024 versus $3.7 million for the same quarter last year. Consumables 
      revenue represented 58% of overall revenues in Q4 2024. UltraMIST systems 
      and consumables remained the primary revenue growth driver for the 
      Company and represented over 99% of SANUWAVE's overall revenues in Q4 
      2024. 
 
   -- Gross margin as a percentage of revenue amounted to 77.9% for the three 
      months ended December 31, 2024, versus 69.1% for the same period last 
      year. 
 
   -- For the three months ended December 31, 2024, operating income totaled 
      $2.5 million, an increase of $1.5 million, or 143%, compared to Q4 2023, 
      primarily as a result of the Company's continued efforts to drive 
      profitable growth and manage expenses. 
 
   -- Net loss for the fourth quarter of 2024 was $12.7 million, driven 
      predominantly by the change in the fair value of derivative liabilities, 
      valuation adjustments resulting from the share and warrant exchange, and 
      the extinguishment of debt. This compares to a net profit of $18.2 
      million in the fourth quarter of 2023, which was primarily driven by the 
      change in the fair value of derivative liabilities. 
 
   -- Adjusted EBITDA [1] for the three months ended December 31, 2024, was 
      $3.7 million versus Adjusted EBITDA of $0.7 million for the same period 
      last year, an improvement of $3.0 million. 

Full year 2024 ended December 31, 2024

   -- Revenue for the year ended December 31, 2024, totaled $32.6 million, an 
      increase of 60%, as compared to $20.4 million for the same period of 
      2023. This growth exceeded full year guidance of growth of 50% year on 
      year. 
 
   -- 374 UltraMist(R) systems were sold in 2024 up from 211 in 2023. 
 
   -- UltraMist(R) consumables revenue increased by 67% to $20.1 million (61% 
      of revenues) in 2024, versus $12.0 million for the same period last year. 
      UltraMIST systems and consumables remained the primary revenue growth 
      driver and continued to represent over 98% of SANUWAVE's overall revenues 
      in 2024. 
 
   -- Gross margin as a percentage of revenue amounted to 75.2% for the year 
      ended December 31, 2024, versus 70.4% for the same period last year. 
 
   -- For the year ended December 31, 2024, operating income totaled $5.4 
      million, an increase of $6.0 million compared to full year 2023. 
 
   -- Net loss for 2024 was $31.4 million, driven predominantly by the change 
      in the fair value of derivative liabilities. This compares to a net loss 
      of $25.8 million in 2023, which was primarily driven by the change in the 
      fair value of derivative liabilities. 
 
   -- Adjusted EBITDA [1] for the twelve months ended December 31, 2024, was 
      $7.2 million versus Adjusted EBITDA of negative $1.2 million for the same 
      period last year, an improvement of $8.4 million. 

"The fourth quarter once more setting an all-time record for quarterly revenue was a fitting end to a transformational year at Sanuwave," said Morgan Frank, CEO. "Obviously, we're very pleased with these results both for the quarter, and for the year as a whole. We're especially excited about our gains in gross margin and adjusted EBITDA, allowing us to continue the trend of having positive cash flows from operations even after cash interest expense that we began in Q3 2024. This feels like turning a corner. After the "pig through a python" quarter in Q3, Q4 was a quarter without any exceptionally large orders where no customer exceeded 7% of revenues and yet UltraMIST system sales in Q4 still exceeded those in Q3 and set another all-time quarterly record, increasing over 70% from Q4 2023. We are confident that our revenue pipeline is stronger than it has ever been and have been ramping up our sales force and sales strategy to meet this opportunity and to effectively manage the larger customers with whom we continue to engage. Having greatly simplified our capital structure in October 2024 and now having uplisted to the Nasdaq Global Market in March of this year, 2025 shows every sign of being a breakout year for Sanuwave. We look forward to sharing our further progress with you in future quarters."

Financial Outlook

The Company forecasts Q1 2025 revenue of $8.4 to $9.0 million (45-55% increase from Q1 2024) and initiates full year 2025 revenue guidance of $48-50 million (47-53% increase as compared to full year 2024 revenue).

During Q4 2024, the Company effected a 1-for-375 reverse stock split on October 18, 2024, completed its note and warrant exchange, and raised $10.3 million in a private placement, simplifying the Company's capital structure and leaving it with approximately 8.5 million basic shares outstanding. Details of this transaction can be found on the Sanuwave website https://sanuwave.com/investors/press-release-details?newsId=OxzYFl0t620enXp1VyUG or in its filings with the SEC.

As previously announced, a business update will occur via conference call on March 21, 2025 at 8:30 a.m. EST. Materials for the conference call are included on the Company's website at http://www.sanuwave.com/investors.

Telephone access to the call will be available by dialing the following numbers:

Toll Free:1-800-245-3047

Toll/International: 1-203-518-9765

Conference ID: SANUWAVE

OR click the link for instant telephone access to the event.

https://viavid.webcasts.com/starthere.jsp?ei=1703280&tp_key=c099e4f4d9

A replay will be made available through April 11, 2025:

Toll-Free: 1-844-512-2921

Toll/International: 1-412-317-6671

Replay Access ID: 11157832

[1] This is a non-GAAP financial measure. Refer to "Non-GAAP Financial Measures" and the reconciliations in this release for further information.

About SANUWAVE

SANUWAVE Health is focused on the research, development, and commercialization of its patented, non-invasive and biological response-activating medical systems for the repair and regeneration of skin, musculoskeletal tissue, and vascular structures.

SANUWAVE's end-to-end wound care portfolio of regenerative medicine products and product candidates helps restore the body's normal healing processes. SANUWAVE applies and researches its patented energy transfer technologies in wound healing, orthopedic/spine, aesthetic/cosmetic, and cardiac/endovascular conditions.

Non-GAAP Financial Measures

This press release includes certain financial measures that are not presented in our financial statements prepared in accordance with accounting principles generally accepted in the United States ("U.S. GAAP"). These financial measures are considered "non-GAAP financial measures" and are intended to supplement, and should not be considered as superior to, or a replacement for, financial measures presented in accordance with U.S. GAAP.

The Company uses Earnings Before Interest, Taxes, Depreciation and Amortization ("EBITDA") and Adjusted EBITDA to assess its operating performance. Adjusted EBITDA is Earnings before Interest, Taxes, Depreciation and Amortization adjusted for the change in fair value of derivatives and any significant non-cash or infrequent charges. EBITDA and Adjusted EBITDA should not be considered as alternatives to net income (loss) as a measure of financial performance or any other performance measure derived in accordance with U.S. GAAP, and they should not be construed as an inference that the Company's future results will be unaffected by unusual or infrequent items. These non-GAAP financial measures are presented in a consistent manner for each period, unless otherwise disclosed. The Company uses these measures for the purpose of evaluating its historical and prospective financial performance, as well as its performance relative to competitors. These measures also help the Company to make operational and strategic decisions. The Company believes that providing this information to investors, in addition to U.S. GAAP measures, allows them to see the Company's results through the eyes of management, and to better understand its historical and future financial performance. These non-GAAP financial measures are also frequently used by analysts, investors, and other interested parties to evaluate companies in our industry, when considered alongside other U.S. GAAP measures.

EBITDA and Adjusted EBITDA have their limitations as analytical tools, and you should not consider them in isolation or as a substitute for analysis of the Company's results as reported under U.S. GAAP. Some of these limitations are that EBITDA and Adjusted EBITDA:

   -- Do not reflect every expenditure, future requirements for capital 
      expenditures or contractual commitments. 
 
   -- Do not reflect all changes in our working capital needs. 
 
   -- Do not reflect interest expense, or the amount necessary to service our 
      outstanding debt. 

As presented in the U.S. GAAP to Non-GAAP Reconciliations section below, the Company's non-GAAP financial measures exclude the impact of certain charges that contribute to our net income (loss).

Forward-Looking Statements

This press release may contain "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995, such as statements relating to future financial results, production expectations, and plans for future business development activities. Forward-looking statements include all statements that are not statements of historical fact regarding intent, belief or current expectations of the Company, its directors or its officers. Investors are cautioned that any such forward-looking statements are not guarantees of future performance and involve risks and uncertainties, many of which are beyond the Company's ability to control. Actual results may differ materially from those projected in the forward-looking statements. Among the key risks, assumptions and factors that may affect operating results, performance and financial condition are risks associated with regulatory oversight, the Company's ability to manage its capital resources, competition and the other factors discussed in detail in the Company's periodic filings with the Securities and Exchange Commission. The Company undertakes no obligation to update any forward-looking statement.

Contact: investors@sanuwave.com

 
                     SELECTED FINANCIAL DATA 
           FOR THE QUARTERS ENDED DECEMBER 2024 AND 2023 
 
(in thousands)                             2024          2023 
 
Revenue                                  $ 10,326      $ 6,994 
   Cost of Revenues                         2,285        2,158 
                                          -------       ------ 
 
Gross Margin                                8,041        4,836 
   Gross Margin %                            77.9%        69.1% 
 
   Total operating expenses                 5,519        3,796 
Operating Income                         $  2,522      $ 1,040 
 
Total other expense                       (15,243)      17,201 
                                          -------       ------ 
 
Net (Loss) Income Before Income Taxes    $(12,721)     $18,241 
 
Income tax expense                             27            4 
                                          -------       ------ 
 
Net (Loss) Income                        $(12,748)     $18,237 
                                          =======       ====== 
 
 
 
                         NON-GAAP ADJUSTED EBITDA 
 
                                       Three Months Ended December 31, 
                                   --------------------------------------- 
(in thousands)                             2024                2023 
                                                           ------------ 
 
Net (Loss) Income                   $        (12,748)     $      18,235 
Non-GAAP Adjustments: 
   Interest expense                            2,633              3,119 
   Depreciation and amortization                 409                248 
                                       -------------       ------------ 
EBITDA                                        (9,706)            21,602 
                                       -------------       ------------ 
 
Non-GAAP Adjustments for Adjusted 
EBITDA: 
Change in fair value of 
 derivative liabilities                       13,780            (20,322) 
Other non-cash or infrequent 
charges: 
   Gain on extinguishment of debt             (1,121)                 - 
   Severance agreement and legal 
    settlement                                   156                  - 
   Release of historical accrued 
    expenses                                    (968)              (616) 
   Stock-based compensation                    1,514                  - 
Adjusted EBITDA                     $          3,655      $         664 
                                       =============       ============ 
 
 
 
                        NON-GAAP ADJUSTED EBITDA 
 
                                                  For the year ended 
                                                ---------------------- 
(in thousands)                                    2024       2023 
                                                            ------- 
 
Net Loss                                        $(31,372)  $(25,807) 
    Non-GAAP Adjustments: 
Interest expense                                  13,637     15,623 
Depreciation and amortization                      1,145      1,028 
                                                 -------    ------- 
    EBITDA                                      $(16,590)  $ (9,156) 
                                                 -------    ------- 
 
Non-GAAP Adjustments for Adjusted EBITDA: 
    Change in fair value of derivative 
     liabilities                                  31,413      9,621 
Other non-cash or infrequent charges: 
    Gain on extinguishment of debt                (6,326)         - 
    Severance agreement and legal settlement         741          - 
    Release of historical accrued expenses        (1,547)    (1,866) 
    Stock-based compensation                       1,514          - 
    Shares issued for services                         -        224 
    License and option agreement                  (2,500)         - 
    Prepaid legal fees expensed from 
     termination of Merger Agreement                 457          - 
                                                 -------    ------- 
Adjusted EBITDA                                 $  7,162   $ (1,177) 
                                                 =======    ======= 
 
 
 
                       CONSOLIDATED BALANCE SHEETS 
 
(In thousands, except share 
data)                            December 31, 2024     December 31, 2023 
                                -------------------  --------------------- 
            ASSETS 
Current Assets: 
   Cash and cash equivalent      $          10,237    $           1,797 
   Accounts receivable, net of 
    allowance of $1,056 and 
    $1,237, respectively                     3,329                3,314 
   Inventory                                 4,149                2,951 
   Prepaid expenses and other 
    current assets                             682                1,722 
                                    --------------       -------------- 
Total Current Assets                        18,397                9,784 
                                    --------------       -------------- 
Non-Current Assets: 
   Property, equipment and 
    other, net                                 732                  938 
   Intangible assets, net                    3,730                4,434 
   Goodwill                                  7,260                7,260 
                                    --------------       -------------- 
Total Non-current Assets                    11,722               12,632 
 
Total Assets                     $          30,119    $          22,416 
                                    ==============       ============== 
 
         LIABILITIES 
Current Liabilities: 
   Senior secured debt           $          25,305    $          18,278 
   Convertible promissory 
    notes payable                               --                5,404 
   Convertible promissory 
    notes payable, related 
    parties                                     --                1,705 
   Asset-backed secured 
    promissory notes payable                    --                3,117 
   Asset-backed secured 
    promissory notes payable, 
    related parties                             --                1,458 
   Accounts payable                          3,728                5,705 
   Accrued expenses                          4,678                5,999 
   Factoring liabilities                        --                1,490 
   Warrant liability                         8,107               14,447 
   Accrued interest                             --                5,444 
   Accrued interest, related 
    parties                                     --                  669 
   Current portion of contract 
    liabilities                                193                   92 
   Other                                       334                  947 
                                    --------------       -------------- 
Total Current Liabilities                   42,345               64,755 
                                    --------------       -------------- 
Non-current Liabilities 
   Lease liabilities, less 
    current portion                            191                  492 
   Contract liabilities, less 
    current portion                            300                  347 
                                    --------------       -------------- 
Total Non-current Liabilities                  491                  839 
 
Total Liabilities                $          42,836    $          65,594 
                                    ==============       ============== 
 
    STOCKHOLDERS' DEFICIT 
Preferred stock, par value 
$0.001, 5,000,000 shares 
authorized, 6,175 Series A, 
293 Series B, 90 Series C, and 
8 Series D designated shares, 
respectively; no shares issues 
and outstanding at 2024 and 
2023                             $               -    $               - 
Common stock, par value 
 $0.001, 2,500,000,000 shares 
 authorized, 8,543,686 and 
 3,041,492 issued and 
 outstanding at 2024 and 2023, 
 respectively *                                  9                    3 
Additional paid-in capital                 238,685              176,979 
Accumulated deficit                       (251,421)            (220,049) 
Accumulated other 
 comprehensive loss                             10                 (111) 
                                    --------------       -------------- 
Total Stockholders' Deficit                (12,717)             (43,178) 
                                    --------------       -------------- 
Total Liabilities and 
 Stockholders' Deficit           $          30,119    $          22,416 
                                    ==============       ============== 
 
* Reflects a one-for-three hundred seventy-five (1:375) 
 reverse stock split of the outstanding shares of the 
 Company's common stock effected on October 18, 2024. 
 
 
 
             CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS 
 
(In thousands, except share data)            Years ended December 31, 
                                          ------------------------------ 
                                                 2024         2023 
                                                            --------- 
 
Revenue                                    $      32,634   $   20,398 
Cost of Revenues                                   8,084        6,035 
                                              ----------    --------- 
 
Gross Margin                                      24,550       14,363 
                                              ----------    --------- 
 
Operating Expenses: 
   General and administrative                     11,348        8,674 
   Selling and marketing                           6,323        4,898 
   Research and development                          673          579 
   Depreciation and amortization                     789          752 
                                              ----------    --------- 
Total Operating Expenses                          19,133       14,903 
                                              ----------    --------- 
 
Operating Income (Loss)                            5,417         $(540.SI)$ 
                                              ----------    --------- 
 
Other Income (Expense): 
   Interest expense                              (12,423)     (12,946) 
   Interest expense, related party                (1,214)      (2,677) 
   Change in fair value of derivative 
    liabilities                                  (31,413)      (9,621) 
   Gain on extinguishment of debt                  6,326           -- 
   Other expense                                    (893)         (19) 
   Other income                                    2,855            - 
                                              ----------    --------- 
Total Other Expense                              (36,762)     (25,263) 
                                              ----------    --------- 
 
Net Loss Before Income Taxes                     (31,345)     (25,803) 
 
Income tax expense                                    27            4 
                                              ----------    --------- 
 
Net Loss                                         (31,372)     (25,807) 
                                              ==========    ========= 
 
Other Comprehensive Loss 
   Foreign currency translation 
    adjustments                                      121          (44) 
                                              ----------    --------- 
Total Comprehensive Loss                   $     (31,251)  $  (25,851) 
                                              ==========    ========= 
 
Net Loss per share: 
   Basic and Diluted *                     $       (7.03)  $   (12.19) 
Weighted average shares outstanding: 
   Basic and Diluted *                         4,462,883    2,116,936 
 
* Reflects a one-for-three hundred seventy-five (1:375) 
 reverse stock split of the outstanding shares of the 
 Company's common stock effected on October 18, 2024. 
 
 
 
                         CONSOLIDATED STATEMENTS OF STOCKHOLDERS' DEFICIT 
                                 (In thousands, except share data) 
 
                      Common Stock 
                   ------------------- 
                    Number of 
                      Shares             Additional                  Accumulated Other 
                    Issued and    Par     Paid- in     Accumulated     Comprehensive 
                   Outstanding*  Value    Capital        Deficit            Loss           Total 
                   ------------  -----  ------------  -------------  -----------------  ----------- 
 
Balances as of 
 December 31, 
 2022                 1,463,300  $   1   $   153,298   $  (194,242)     $      (67)     $(41,010) 
   Shares issued 
    for services         34,400      1           526             -               -           527 
   Shares issued 
    for 
    settlement of 
    debt              1,543,792      1        23,155             -               -        23,156 
   Foreign 
    currency 
    translation 
    adjustment                -      -             -             -             (44)          (44) 
   Net loss                   -      -             -       (25,807)              -       (25,807) 
                   ------------   ----      --------      --------   ----  -------       ------- 
 
Balances as of 
 December 31, 
 2023                 3,041,492  $   3   $   176,979   $  (220,049)     $     (111)     $(43,178) 
                   ============   ====      ========      ========   ====  =======       ======= 
 
   Sale of common 
    stock             1,248,489      1        10,299             -               -        10,300 
   Shares issued 
    for 
    settlement of 
    warrants          3,558,396      4        41,380             -               -        41,384 
   Shares issued 
    for 
    settlement of 
    debt                685,737      1         8,513             -               -         8,514 
   Stock-based 
    compensation          9,572      -         1,514             -               -         1,514 
   Foreign 
    currency 
    translation 
    adjustment                -      -             -             -             121           121 
   Net loss                   -      -             -       (31,372)              -       (31,372) 
                   ------------   ----      --------      --------   ----  -------       ------- 
 
Balance as of 
 December 31, 
 2024                 8,543,686  $   9   $   238,685   $  (251,421)     $       10      $(12,717) 
                   ============   ====      ========      ========   ====  =======       ======= 
 
* Reflects a one-for-three hundred seventy-five (1:375) 
 reverse stock split of the outstanding shares of the 
 Company's common stock effected on October 18, 2024. 
 
 
 
                CONSOLIDATED STATEMENTS OF CASH FLOWS 
                Years ended December 31, 2024 and 2023 
 
(In thousands)                                    2024       2023 
                                                 -------    ------- 
Cash Flows - Operating Activities: 
Net loss                                        $(31,372)  $(25,807) 
  Adjustments to reconcile net loss to net 
  cash used by operating activities 
    Stock-based compensation                       1,514          - 
    Depreciation and amortization                  1,145      1,028 
    Reserve for credit losses                         77        781 
    Shares issued for services                         -        224 
    Gain on extinguishment of debt                (6,326)         - 
    Income tax expense                                 -          4 
    Change in fair value of derivative 
     liabilities                                  31,413      9,621 
    Amortization of debt issuance and debt 
     discounts                                     5,520      6,911 
      Changes in operating assets and 
      liabilities 
      Accounts receivable                           (486)       (53) 
      Inventory                                   (1,198)    (2,800) 
      Prepaid expenses and other assets              (79)      (206) 
      Accounts payable                            (1,422)     1,546 
      Accrued interest and accrued interest, 
       related parties                             3,387      6,306 
                                                 -------    ------- 
Accrued expenses and contract liabilities            282     (2,093) 
                                                 -------    ------- 
Net Cash Provided by (Used in) Operating 
 Activities                                        2,455     (4,538) 
 
Cash Flows - Investing Activities 
   Proceeds from sale of property and 
    equipment                                          -         21 
   Purchases of property and equipment              (490)         - 
                                                 -------    ------- 
Net Cash Flows (Used in) Provided by Investing 
 Activities                                         (490)        21 
                                                 -------    ------- 
 
Cash Flows - Financing Activities 
    Proceeds from convertible promissory notes     1,300      3,026 
    Payment of note payable                       (3,548)         - 
    Proceeds from asset-backed secured 
     promissory notes payable                          -      2,994 
    Proceeds from secured promissory notes 
     payable, related party                          500          - 
    Payments to secured promissory notes 
     payable, related party                         $(500.SI)$         - 
    Payments to factoring                         (1,490)      (639) 
    Proceeds from sale of common stock            10,300          - 
Principal payments on finance leases                (208)      (170) 
                                                 -------    ------- 
Net Cash Flows Provided by Financing 
 Activities                                        6,354      5,211 
                                                 -------    ------- 
 
Effect of Exchange Rates on Cash                     121        (50) 
                                                 -------    ------- 
 
Net Change in Cash During Period                   8,440        644 
                                                 -------    ------- 
 
Cash at Beginning of Period                        1,797      1,153 
                                                 -------    ------- 
Cash at End of Period                           $ 10,237   $  1,797 
                                                 =======    ======= 
 
Supplemental Information: 
      Cash paid for interest                    $  4,311   $  1,958 
Non-Cash Investing and Financing Activities: 
      Shares issued for settlement of debt         8,513          - 
      Write off deferred merger costs              1,225          - 
      Warrants issued in conjunction with 
       senior secured promissory note payable 
       and convertible promissory notes 
       payable                                     3,557      1,682 
      Conversion of warrants to common stock      41,380          - 
      Conversion of convertible notes payable 
       and accrued interest to common stock            -     23,156 
      Embedded conversion feature on 
       convertible debt                                -        835 
      Common shares issued for advisory shares         -        302 
      Capitalize default interest into senior 
       secured debt                                3,850          - 
      Conversion of asset-based secured 
       promissory notes to convertible 
       promissory notes                            4,584          - 
 
 

(END) Dow Jones Newswires

March 21, 2025 06:00 ET (10:00 GMT)

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