Sanuwave Health (SNWV) risk factors, FY2025 10-K

Sanuwave Health's FY2025 10-K, filed Mar 26, 2026, lists 33 risk factors in 4 groups. Against the prior year's 34: 5 new, 6 dropped, 6 substantially reworded.

Risk factors listed
334 groups
New this year
5vs 34 last year
Dropped
6since the prior 10-K
Substantially reworded
6of those kept
Section length
10k wordsItem 1A

What the changes say

  • SANUWAVE added internal control material weakness risks and disclosed a $44.2 million NOL expiration from ownership changes.
  • The company highlighted debt refinancing, net income of $11.8 million, and positive operating income for 2025.
  • Reimbursement changes for wound care products like skin substitutes could indirectly reduce demand for the UltraMIST system.

What changed since the prior 10-K

New

  • NewRisks Related to our Business

    There can be no assurance as to when the material weaknesses will be remediated. These remediation measures will be time consuming, will result in us incurring significant costs, and will place significant demands on our financial and operational resources

    Material weaknesses in internal control over financial reporting require costly remediation and risk future financial restatements.

  • NewRisks Related to our Business

    Our ability to utilize our net operating loss carryforwards and certain other tax attributes may be limited

    Ownership changes triggered a $44.2 million expiration of net operating loss tax attributes under Section 382.

  • NewRisks Related to our Business

    The Company has historically experienced recurring net losses, accumulated deficits, negative working capital, and significant debt maturities, which raised substantial doubt about its ability to continue as a going concern

    The company achieved 2025 net income of $11.8 million and refinanced secured debt, alleviating going concern doubts.

  • NewRisks Related to our Business

    Changes in reimbursement affecting the wound care market could adversely affect our customers and indirectly reduce demand for our products

    Changes in reimbursement policies for wound care skin substitutes could indirectly reduce provider demand for the UltraMIST system.

  • NewRegulatory Risks

    individuals and companies from knowingly submitting false claims for payments to, or improperly retaining overpayments from, the government

    Financial relationships with healthcare providers expose the company to potential investigations under the Federal Anti-Kickback Statute and False Claims Act.

Dropped

  • DroppedRisks Related to our Business

    to procure such required financing could have a material adverse effect on our business, financial condition, and results of operations, or threaten our ability to continue as a going concern

  • DroppedRegulatory Risks

    noncompliance with such regulations could have a material adverse effect on our business, results of operations and financial condition

    Financing risks and going concern threats.

  • DroppedRisks Related to Intellectual Property

    connection with our collaborations, our ability to protect our proprietary information or obtain patent protection in the future may be impaired, which could have a material adverse effect on our business

  • DroppedRisks Related to Intellectual Property

    materially harm our business. We cannot guarantee that our products or technologies will not conflict with the intellectual property rights of others

  • DroppedRisks Related to our Common Stock

    The rights of the holders of common stock may be impaired by the potential issuance of preferred stock

  • DroppedRisks Related to our Common Stock

    We have not sought an advisory stockholder vote to approve the compensation of our named executive officers

Reworded

  • 72% rewrittenRisks Related to our Business

    If we are unable to successfully raise additional capital, our viability may be threatened; however, if we do raise additional capital, your percentage ownership as a stockholder could decrease and constraints could be placed on the operations of our business

    Updated to note that negative operating cash flows occurred prior to 2025 rather than continuously since inception.

  • 64% rewrittenRisks Related to our Business

    The medical device/therapeutic product industries are highly competitive and subject to rapid technological change. If our competitors are better able to develop and market products that are safer and more effective than any products we may develop, our commercial opportunities will be reduced or eliminated

    Retained standard industry competition risk language without substantive changes.

  • 48% rewrittenRegulatory Risks

    Failure to comply with the HIPAA and state-specific privacy laws, as such rules become applicable to our business, may increase our operational costs

    Retained HIPAA compliance risk language without substantive changes.

  • 39% rewrittenRegulatory Risks

    If we fail to comply with the United States Federal Anti-Kickback Statute, False Claims Act, and similar state laws, we could be subject to criminal and civil penalties and exclusion from the Medicare and Medicaid programs, which would have a material adverse effect on our business and results of operations

    Retained Federal Anti-Kickback Statute compliance risk language without substantive changes.

  • 24% rewrittenRisks Related to Intellectual Property

    The ability to market the products we develop is subject to the intellectual property rights of third parties

    Retained third-party intellectual property risk language without substantive changes.

  • 23% rewrittenRisks Related to Intellectual Property

    The protection of our intellectual property is critical to our success, and any failure on our part to adequately protect those rights could materially adversely affect our business

    Retained intellectual property protection risk language without substantive changes.

All 33 risk factors

Headings as the filing states them, in filing order.

Risks Related to our Business

  1. 01There can be no assurance as to when the material weaknesses will be remediated. These remediation measures will be time consuming, will result in us incurring significant costs, and will place significant demands on our financial and operational resourcesNew
  2. 02Our ability to utilize our net operating loss carryforwards and certain other tax attributes may be limitedNew
  3. 03The Company has historically experienced recurring net losses, accumulated deficits, negative working capital, and significant debt maturities, which raised substantial doubt about its ability to continue as a going concernNew
  4. 04If we are unable to successfully raise additional capital, our viability may be threatened; however, if we do raise additional capital, your percentage ownership as a stockholder could decrease and constraints could be placed on the operations of our business72% rewritten
  5. 05The medical device/therapeutic product industries are highly competitive and subject to rapid technological change. If our competitors are better able to develop and market products that are safer and more effective than any products we may develop, our commercial opportunities will be reduced or eliminated64% rewritten
  6. 06Changes in reimbursement affecting the wound care market could adversely affect our customers and indirectly reduce demand for our productsNew
  7. 07The loss of our key management would likely hinder our ability to execute our business plan
  8. 08We face an inherent risk of liability if the use or misuse of our products results in personal injury or death
  9. 09We are dependent on information technology and our systems and infrastructure face certain risks, including from cybersecurity breaches and data leakage
  10. 10If we are unable to expand, manage and maintain our direct sales and marketing organizations, we may not be able to generate anticipated revenue
  11. 11If we fail to properly manage our growth effectively, our business could suffer
  12. 12Future growth will continue to impose significant added responsibilities on management, including the need to identify, recruit, train and integrate additional employees. In addition, rapid and significant growth will place a strain on our administrative and operational infrastructure
  13. 13We generate a portion of our revenue internationally and are subject to various risks relating to our international activities, which could adversely affect our operating results
  14. 14Provisions in our Articles of Incorporation, Bylaws and Nevada law might decrease the chances of an acquisition

Regulatory Risks

  1. 15We are subject to extensive governmental regulation, including the FDA
  2. 16Regulatory approval of our products may be withdrawn at any time
  3. 17If we fail to obtain an adequate level of reimbursement for our approved products by third party payors, there may be no commercially viable markets for our approved products, or the markets may be much smaller than expected
  4. 18Failure to obtain regulatory approval in foreign jurisdictions will prevent us from marketing our products abroad
  5. 19Uncertainty surrounding and future changes to healthcare law in the United States may have a material adverse effect on us
  6. 20If we fail to comply with the United States Federal Anti-Kickback Statute, False Claims Act, and similar state laws, we could be subject to criminal and civil penalties and exclusion from the Medicare and Medicaid programs, which would have a material adverse effect on our business and results of operations39% rewritten
  7. 21individuals and companies from knowingly submitting false claims for payments to, or improperly retaining overpayments from, the governmentNew
  8. 22Failure to comply with the HIPAA and state-specific privacy laws, as such rules become applicable to our business, may increase our operational costs48% rewritten
  9. 23We face periodic reviews and billing audits from governmental and private payors, and these audits could have adverse results that may negatively impact our business
  10. 24Product quality or performance issues may be discovered through ongoing regulation by the FDA and by comparable international agencies, as well as through our internal standard quality process
  11. 25The use of hazardous materials in our operations may subject us to environmental claims or liability

Risks Related to Intellectual Property

  1. 26The protection of our intellectual property is critical to our success, and any failure on our part to adequately protect those rights could materially adversely affect our business23% rewritten
  2. 27Patent applications owned by us or licensed to us may not result in issued patents, and our competitors may commercialize the discoveries we attempt to patent
  3. 28Our patents may not be valid or enforceable and may be challenged by third parties
  4. 29Issued patents and patent licenses may not provide us with any competitive advantage or provide meaningful protection against competitors
  5. 30In addition, issued patents may not provide commercially meaningful protection against competitors. Other parties may seek and/or be able to duplicate, design around or independently develop products having effects similar or identical to our patented products that are not within the scope of our patents
  6. 31The ability to market the products we develop is subject to the intellectual property rights of third parties24% rewritten

Risks Related to our Common Stock

  1. 32Our stock price is volatile
  2. 33We have not paid dividends in the past and do not expect to pay dividends in the future. Any return on investment may be limited to the value of our common stock

Other Sanuwave Health 10-Ks

  • FY2024 10-K risk factors
    34 risks

    The company relies heavily on ongoing equity and debt financing to fund its continuous negative operating cash flows. Regulatory compliance with the FDA, healthcare laws, and extensive intellectual property protection dictate its commercial viability.

    Filed Mar 20, 2025

About this page

The headings are the filing's own. The one-line readings and the overview are automated and can be wrong: read Item 1A of the 10-K for the exact wording.