LLY

Eli Lilly and Company

78
Fundamentals85/ 100
Valuation62/ 100
Upside potential72/ 100
Risk potential15/ 100

LLY has the edge over SMTI overall, supported by lower modeled downside and stronger fundamentals.

SMTI

Sanara MedTech Inc.

59
Fundamentals70/ 100
Valuation50/ 100
Upside potential59/ 100
Risk potential31/ 100

SMTI trails on the overall score without a compensating advantage in the available component scores.

LLY Fundamentals

MetricStatus
Healthy
Strong
Strong
Healthy

LLY's revenue, profitability, cash flow and balance sheet are all currently healthy.

SMTI Fundamentals

MetricStatus
Stable
Stable
Healthy
Under pressure

SMTI's cash flow is currently healthy, and its revenue and profitability are stable, but its balance sheet is under pressure.

LLY PE Valuation

CHEAPFAIREXPENSIVE37x74x111x147x
CHEAPFAIREXPENSIVE37x74x111x147x
LevelPEPriceVs current
Cheap27x$845-41%
Forward30x$1,427—
Current46x$1,427—
Fair48x$1,466+2.7%
Expensive85x$2,612+83%

Historical ranges are pointers, not guarantees.

LLY's PE is in its fair range at 46x. If earnings grow as analysts expect, today's price would be 30x next year's earnings, in its cheap range.

SMTI PE Valuation

SMTI has no meaningful PE right now: it lost money over the past year.

LLY Forward outlook

MetricOutlook
Strongly improving
Strong growth
Strong growth
Strongly improving
Limited
Moderate

Analysts expect strong earnings and revenue growth for LLY, with profitability improving.

SMTI Forward outlook

There aren't enough analyst estimates for SMTI to show an outlook.

LLY Risk to reward

ScenarioChangePrice
Upside+39%$1,988.49
Downside-15%$1,209.08

Calculated from the latest close: $1,427.28 on Nov 12.

LLY has a better modeled risk to reward balance than SMTI, with more potential upside relative to its potential downside.

SMTI Risk to reward

ScenarioChangePrice
Upside+46%$47.36
Downside-31%$22.41

Calculated from the latest close: $32.54 on Nov 12.

SMTI trails LLY on modeled risk to reward, with less potential upside relative to its potential downside.

LLY Earnings Per Share

Q4 2023: $5.80Q1 2024: $6.79Q2 2024: $8.12Q3 2024: $9.25Q4 2024: $11.71Q1 2025: $12.29Q2 2025: $15.30Q3 2025: $20.44Q4 2025: $22.95Q1 2026: $28.15Q2 2026: $29.80Q3 2026: $30.81Forward: $46.82
Q4 2023: $5.80Q1 2024: $6.79Q2 2024: $8.12Q3 2024: $9.25Q4 2024: $11.71Q1 2025: $12.29Q2 2025: $15.30Q3 2025: $20.44Q4 2025: $22.95Q1 2026: $28.15Q2 2026: $29.80Q3 2026: $30.81Forward: $46.82
QuarterTTM EPSYoY
Forward$46.82+52%
Q3 2026$30.81+51%
Q2 2026$29.80+95%
Q1 2026$28.15+129%
Q4 2025$22.95+96%
Q3 2025$20.44+121%
Q2 2025$15.30+88%
Q1 2025$12.29+81%
Q4 2024$11.71+102%

LLY has the edge over SMTI on earnings quality, reporting a profit while its opponent remains loss making.

SMTI Earnings Per Share

Q4 2023: $-0.52Q1 2024: $-0.59Q2 2024: $-0.78Q3 2024: $-0.99Q4 2024: $-1.14Q1 2025: $-1.34Q2 2025: $-1.16Q3 2025: $-4.22Q4 2025: $-4.36Q1 2026: $-3.90Q2 2026: $-3.72Q3 2026: $-0.48
Q4 2023: $-0.52Q1 2024: $-0.59Q2 2024: $-0.78Q3 2024: $-0.99Q4 2024: $-1.14Q1 2025: $-1.34Q2 2025: $-1.16Q3 2025: $-4.22Q4 2025: $-4.36Q1 2026: $-3.90Q2 2026: $-3.72Q3 2026: $-0.48
QuarterTTM EPSYoY
Q3 2026-$0.48+$3.74
Q2 2026-$3.72-$2.56
Q1 2026-$3.90-$2.56
Q4 2025-$4.36-$3.22
Q3 2025-$4.22-$3.23
Q2 2025-$1.16-$0.38
Q1 2025-$1.34-$0.75
Q4 2024-$1.14-$0.62

SMTI lost $0.48 per share over the past year, a smaller loss than the year before.

LLY Quarterly Revenue

Q4 2023: $9.4BQ1 2024: $8.8BQ2 2024: $11.3BQ3 2024: $11.4BQ4 2024: $13.5BQ1 2025: $12.7BQ2 2025: $15.6BQ3 2025: $17.6BQ4 2025: $19.3BQ1 2026: $19.8BQ2 2026: $23BQ3 2026: $24.4B
Q4 2023: $9.4BQ1 2024: $8.8BQ2 2024: $11.3BQ3 2024: $11.4BQ4 2024: $13.5BQ1 2025: $12.7BQ2 2025: $15.6BQ3 2025: $17.6BQ4 2025: $19.3BQ1 2026: $19.8BQ2 2026: $23BQ3 2026: $24.4B
QuarterRevenueYoY
Q3 2026$24.4B+39%
Q2 2026$23B+48%
Q1 2026$19.8B+56%
Q4 2025$19.3B+43%
Q3 2025$17.6B+54%
Q2 2025$15.6B+38%
Q1 2025$12.7B+45%
Q4 2024$13.5B+45%

LLY has the edge over SMTI on sales, with stronger typical year-over-year growth.

SMTI Quarterly Revenue

Q4 2023: $18MQ1 2024: $19MQ2 2024: $20MQ3 2024: $22MQ4 2024: $26MQ1 2025: $23MQ2 2025: $26MQ3 2025: $26MQ4 2025: $28MQ1 2026: $28MQ2 2026: $28MQ3 2026: $28M
Q4 2023: $18MQ1 2024: $19MQ2 2024: $20MQ3 2024: $22MQ4 2024: $26MQ1 2025: $23MQ2 2025: $26MQ3 2025: $26MQ4 2025: $28MQ1 2026: $28MQ2 2026: $28MQ3 2026: $28M
QuarterRevenueYoY
Q3 2026$28.4M+8%
Q2 2026$28.1M+8.9%
Q1 2026$27.8M+19%
Q4 2025$27.5M+4.7%
Q3 2025$26.3M+22%
Q2 2025$25.8M+28%
Q1 2025$23.4M+26%
Q4 2024$26.3M+49%

SMTI's revenue has grown year over year every quarter since late 2020: $28M last quarter, up 8% from the same quarter a year ago.

LLY Free Cash Flow

Q4 2023: −$1.4BQ1 2024: $180MQ2 2024: $241MQ3 2024: $2.4BQ4 2024: $978MQ1 2025: $156MQ2 2025: $1.4BQ3 2025: $6.7BQ4 2025: $678MQ1 2026: $3BQ2 2026: $7.8BQ3 2026: $8.2B
Q4 2023: −$1.4BQ1 2024: $180MQ2 2024: $241MQ3 2024: $2.4BQ4 2024: $978MQ1 2025: $156MQ2 2025: $1.4BQ3 2025: $6.7BQ4 2025: $678MQ1 2026: $3BQ2 2026: $7.8BQ3 2026: $8.2B
QuarterFree cash flowYoY
Q3 2026$8.2B+22%
Q2 2026$7.8B+458%
Q1 2026$3B+1826%
Q4 2025$677.9M-31%
Q3 2025$6.7B+186%
Q2 2025$1.4B+476%
Q1 2025$156.1M-13%
Q4 2024$977.8M+$2.4B

LLY generated $19.7B in free cash flow over the past year, up 112% from the year before.

SMTI Free Cash Flow

Q4 2023: −$902,808Q1 2024: −$2MQ2 2024: −$1MQ3 2024: $2MQ4 2024: $859,875Q1 2025: −$4MQ2 2025: $902,652Q3 2025: $1MQ4 2025: $4MQ1 2026: −$3MQ2 2026: $2MQ3 2026: $4M
Q4 2023: −$902,808Q1 2024: −$2MQ2 2024: −$1MQ3 2024: $2MQ4 2024: $859,875Q1 2025: −$4MQ2 2025: $902,652Q3 2025: $1MQ4 2025: $4MQ1 2026: −$3MQ2 2026: $2MQ3 2026: $4M
QuarterFree cash flowYoY
Q3 2026$3.9M+250%
Q2 2026$2M+125%
Q1 2026-$2.5M+$1.2M
Q4 2025$3.9M+349%
Q3 2025$1.1M-45%
Q2 2025$902.7K+$2.4M
Q1 2025-$3.7M-$2.1M
Q4 2024$859.9K+$1.8M

SMTI's free cash flow has turned positive again: $7M over the past year, against −$842,048 the year before.

LLY Total Shares

Q4 2023: 903MQ1 2024: 904MQ2 2024: 904MQ3 2024: 905MQ4 2024: 904MQ1 2025: 901MQ2 2025: 900MQ3 2025: 899MQ4 2025: 899MQ1 2026: 896MQ2 2026: 894MQ3 2026: 893M
Q4 2023: 903MQ1 2024: 904MQ2 2024: 904MQ3 2024: 905MQ4 2024: 904MQ1 2025: 901MQ2 2025: 900MQ3 2025: 899MQ4 2025: 899MQ1 2026: 896MQ2 2026: 894MQ3 2026: 893M
PeriodChange %Net change
Quarterly0%-300K shares
1 year-0.6%-5.4M shares
3 years-0.7%-6.4M shares
5 years-1.9%-17.4M shares
Available history-4.5%-42.3M shares

LLY has 893M diluted shares, down 0.6% from a year ago.

SMTI Total Shares

Q4 2023: 8MQ1 2024: 8MQ2 2024: 8MQ3 2024: 9MQ4 2024: 8MQ1 2025: 9MQ2 2025: 9MQ3 2025: 9MQ4 2025: 9MQ1 2026: 9MQ2 2026: 9MQ3 2026: 9M
Q4 2023: 8MQ1 2024: 8MQ2 2024: 8MQ3 2024: 9MQ4 2024: 8MQ1 2025: 9MQ2 2025: 9MQ3 2025: 9MQ4 2025: 9MQ1 2026: 9MQ2 2026: 9MQ3 2026: 9M
PeriodChange %Net change
Quarterly+1.4%+120K shares
1 year-1.8%-158K shares
3 years+5.4%+451K shares
5 years+17%+1.3M shares
Available history+41%+2.6M shares

SMTI has the edge over LLY on shareholder dilution, with a more favorable share count trend.

LLY Net Leverage

Q4 2023: 2.8xQ1 2024: 2.6xQ2 2024: 2.4xQ3 2024: 2.4xQ4 2024: 2.1xQ1 2025: 2.3xQ2 2025: 2.0xQ3 2025: 1.3xQ4 2025: 1.3xQ1 2026: 1.2xQ2 2026: 1.3xQ3 2026: 1.2x
Q4 2023: 2.8xQ1 2024: 2.6xQ2 2024: 2.4xQ3 2024: 2.4xQ4 2024: 2.1xQ1 2025: 2.3xQ2 2025: 2.0xQ3 2025: 1.3xQ4 2025: 1.3xQ1 2026: 1.2xQ2 2026: 1.3xQ3 2026: 1.2x
QuarterNet LeverageStatus
Q3 20261.2xHealthy
Q2 20261.3xHealthy
Q1 20261.2xHealthy
Q4 20251.3xHealthy
Q3 20251.3xHealthy
Q2 20252.0xHealthy
Q1 20252.3xModerate
Q4 20242.1xModerate

LLY has the edge over SMTI on leverage, with a lower net debt burden relative to earnings.

SMTI Net Leverage

Q2 2025: 50.4xQ3 2025: 6.1xQ4 2025: 5.4xQ1 2026: 3.4xQ2 2026: 2.9xQ3 2026: 3.4x
Q2 2025: 50.4xQ3 2025: 6.1xQ4 2025: 5.4xQ1 2026: 3.4xQ2 2026: 2.9xQ3 2026: 3.4x
QuarterNet LeverageStatus
Q3 20263.4xElevated
Q2 20262.9xModerate
Q1 20263.4xElevated
Q4 20255.4xHigh
Q3 20256.1xHigh
Q2 202550.4xHigh

SMTI's net debt is about 3.4 years of its operating earnings (EBITDA), down from 6.1 years a year ago.

LLY Weekly Momentum

MetricValueStatus
RSI68.3Neutral
Stochastic84.1Overbought

LLY's weekly RSI is 68 (neutral) and its Stochastic is 84 (overbought).

SMTI Weekly Momentum

MetricValueStatus
RSI59.2Neutral
Stochastic55.3Neutral

SMTI's weekly RSI is 59 (neutral) and its Stochastic is 55 (neutral).

LLY PE vs Healthcare Sector

MetricLLYSector medianRelative
PE46x26x79% above
PE %482919 pts above

LLY is trading at 46x earnings, a 79% premium to the Healthcare sector's median of 26x.

SMTI PE vs Healthcare Sector

SMTI has no meaningful PE right now: it lost money over the past year.

LLY Weekly Moving Averages

Moving averageMA priceRelative
8 week MA$1,279.412% above
20 week MA$1,218.817% above
50 week MA$1,102.229% above
100 week MA$954.150% above
200 week MA$797.579% above

LLY has the edge over SMTI on trend strength, trading above more of its moving averages.

SMTI Weekly Moving Averages

Moving averageMA priceRelative
8 week MA$33.52.8% below
20 week MA$32.21.2% above
50 week MA$25.528% above
100 week MA$28.016% above
200 week MA$32.01.8% above

SMTI has slipped below its 8-week average, but it's still above the other four, and 1.8% above its 200-week average.

LLY Yearly ROI

YearStart priceEnd priceROI
2020$131.5$166.7+27%
2021$166.7$273.1+64%
2022$273.1$367.9+35%
2023$367.9$582.9+58%
2024$582.9$783.2+34%
2025$783.2$1,077.8+38%
2026 YTD$1,077.8$1,427.3+32%

LLY has finished every year since 2020 higher, and it's up 32% so far in 2026.

SMTI Yearly ROI

YearStart priceEnd priceROI
2020$16.0$51.7+223%
2021$51.7$25.7-50%
2022$25.7$42.8+66%
2023$42.8$41.1-4%
2024$41.1$33.5-18%
2025$33.5$24.2-28%
2026 YTD$24.2$32.5+34%

SMTI has the edge over LLY on returns for 2026, with the stronger performance.

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