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Sanara MedTechSMTI +0.03%72 Debt-to-EBITDA is 4.34 as of Mar. 2026. GuruFocus rates SMTI with a GF Score™ of 72/100 and a GF Value™ of $46.23 (Modestly Undervalued). The stock has 7 warning signs investors should review. Among 471 Medical Devices & Instruments companies, Sanara MedTech ranks worse than 84.93% on this metric.
Debt-to-EBITDA measures a company's ability to pay off its debt.
A high Debt-to-EBITDA ratio generally means that a company may spend more time to paying off its debt. According to Joel Tillinghast's BIG MONEY THINKS SMALL: Biases, Blind Spots, and Smarter Investing, a ratio of Debt-to-EBITDA exceeding four is usually considered scary unless tangible assets cover the debt.
The historical rank and industry rank for Sanara MedTech's Debt-to-EBITDA or its related term are showing as below:
SMTI'
s Debt-to-EBITDA Range Over the Past 10 Years
Min: -40.81 Med: -0.07 Max: 5.52
Current: 5.52
During the past 13 years, the highest Debt-to-EBITDA Ratio of Sanara MedTech was 5.52. The lowest was -40.81. And the median was -0.07.
SMTI's Debt-to-EBITDA is ranked worse than 84.93% of 471
companies
in the Medical Devices & Instruments industry
Industry Median: 1.64
vs SMTI: 5.52
A high Debt-to-EBITDA ratio generally means that a company may spend more time to paying off its debt.
According to Joel Tillinghast's BIG MONEY THINKS SMALL: Biases, Blind Spots, and Smarter Investing, a ratio of Debt-to-EBITDA exceeding four is usually considered scary unless tangible assets cover the debt.
Sanara MedTech Debt-to-EBITDA Related Terms
Sanara MedTech Debt-to-EBITDA Historical Data
* Premium members only.
The historical data trend for Sanara MedTech's Debt-to-EBITDA can be seen below:
* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD. * For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.
SMTI vs UTMD, OSUR, EMBC: Debt-to-EBITDA Comparison
For the Medical Instruments & Supplies subindustry, Sanara MedTech's Debt-to-EBITDA, along with its competitors' market caps and Debt-to-EBITDA data, can be viewed below:
* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.
Sanara MedTech Debt-to-EBITDA vs Medical Devices & Instruments Industry
For the Medical Devices & Instruments industry and Healthcare sector, Sanara MedTech's Debt-to-EBITDA distribution charts can be found below:
* The bar in red indicates where Sanara MedTech's Debt-to-EBITDA falls into.
* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD. * For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.
In the calculation of annual Debt-to-EBITDA, the EBITDA of the last fiscal year is used. In calculating the annualized quarterly data,
the EBITDA data used here is four times the quarterly (Mar. 2026) EBITDA data.
Sanara MedTech (SMTI) has a Debt-to-EBITDA of 4.34 as of Mar. 2026. Debt-to-EBITDA ratio represents the ratio of total debt to total earnings before interest, taxes, depreciation and amortization. View historical data on Sanara MedTech. According to the industry distribution chart, Sanara MedTech ranks #400 out of 471 companies in the Medical Devices & Instruments industry, placing it in the top 84.9%.
Is Sanara MedTech's Debt-to-EBITDA too high?
Sanara MedTech's current Debt-to-EBITDA is 4.34. The Medical Devices & Instruments industry median Debt-to-EBITDA is 1.64. Sanara MedTech's value of 4.34 is 164.6% above this industry median. Based on the distribution chart, Sanara MedTech ranks #400 out of 471 companies in the Medical Devices & Instruments industry, which is in the bottom quartile relative to peers. Overall, Sanara MedTech has a GF Score™ of 72/100 and is considered Modestly Undervalued, reflecting its overall financial health beyond just this single metric.
How does Sanara MedTech's Debt-to-EBITDA compare to UTMD and OSUR?
According to the Medical Devices & Instruments industry distribution chart, Sanara MedTech ranks #400 out of 471 companies for Debt-to-EBITDA. This places Sanara MedTech in the lower half of its industry. The industry median Debt-to-EBITDA is 1.64. Sanara MedTech's value of 4.34 is 164.6% above this benchmark. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Debt-to-EBITDA for a Medical Devices & Instruments company?
The median Debt-to-EBITDA among Medical Devices & Instruments companies is 1.64, based on 471 companies in the industry. Companies in the top quartile (top 25%) have a Debt-to-EBITDA significantly above this median, while those in the bottom quartile fall well below. However, Debt-to-EBITDA should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Sanara MedTech's current Debt-to-EBITDA of 4.34 is 164.6% above the industry median. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Debt-to-EBITDA mean?
A high Debt-to-EBITDA can signal that a stock is expensive relative to its fundamentals. Debt-to-EBITDA ratio represents the ratio of total debt to total earnings before interest, taxes, depreciation and amortization. View historical data on Sanara MedTech. For the Medical Devices & Instruments industry, the median Debt-to-EBITDA is 1.64 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Sanara MedTech's current Debt-to-EBITDA is 4.34. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Sanara MedTech stock overvalued right now?
Based on GuruFocus' analysis, Sanara MedTech (SMTI) is currently considered Modestly Undervalued. The stock's GF Value™ is $46.23, compared to a current price of $34.08 — trading 26.3% below its estimated fair value. The current Debt-to-EBITDA is 4.34 and 164.6% above the Medical Devices & Instruments industry median of 1.64. Sanara MedTech's overall GF Score™ is 72/100 with 7 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Debt-to-EBITDA calculated?
Debt-to-EBITDA is calculated from a company's financial statements. For Sanara MedTech (SMTI), the current Debt-to-EBITDA is 4.34 as of Mar. 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.
Is Sanara MedTech (SMTI) Overvalued in 2026?
Based on GuruFocus' analysis, Sanara MedTech stock appears to be undervalued.
The current stock price of $34.08 is trading 26.3% below its estimated GF Value™ of $46.23.
GuruFocus considers Sanara MedTech to be Modestly Undervalued.
Key valuation signals for SMTI:
Debt-to-EBITDA: 4.34
GF Value™: $46.23 vs. price of $34.08 (26.3% below fair value)
Industry Position: 164.6% above the Medical Devices & Instruments median (#400 of 471)
No single metric tells the full story. See the SMTI stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.
Sanara MedTech Inc is a medical technology company focused on developing and commercializing technologies to improve clinical outcomes and reduce healthcare expenditures in the surgical market. It markets and sells soft tissue repair and bone fusion products for use in operating rooms and sterile environments. Its soft tissue repair products include CellerateRX Surgical Powder, a hydrolyzed collagen used in management of surgical wounds, and BIASURGE Surgical Solution, a sterile no-rinse solution for wound irrigation, while its bone fusion products include BiFORM Bioactive Moldable Matrix, an osteoconductive implant that supports bone growth, and ALLOCYTE Plus Viable Bone Matrix, a human allograft cellular bone matrix containing bone-derived progenitor cells and conformable bone fibers.
72GF Score
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