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Sonendo

SONX
17
Medical - Devices · Healthcare
Price
$0.55
+0.00 (+0.00%)
Market Cap
$235,071
Exchange
Other OTC
Winston Score
17
Winston is worried
Weak fundamentals across most pillars.
Data as of Aug 23, 2026 · filings through Dec 31, 2024
How the score breaks down
Quality
Weak
Growth
Mixed
Cash Flow
Weak
Stability
Weak
Valuation
Data not available

Share count falling — buybacks

78.9% over 4y

The company has reduced its share count over this period, returning value to shareholders through buybacks.

Diluted shares outstanding: 22.6M (2021) → 4.8M (2025)

Winston Score History

The full picture

Sonendo is a medical device company that makes a specialized system for cleaning and treating infected teeth. Its main product is the GentleWave System, which uses sound waves and fluid to remove bacteria from inside teeth — a procedure called root canal treatment. Dentists and endodontists (root canal specialists) in the United States are its primary customers.

The company makes money by selling or placing the GentleWave machines in dental offices and then charging for the single-use procedure kits needed each time the system is used, creating a recurring revenue stream. Sonendo operates mainly in the U.S. and is a small company, with its stock market value near zero, reflecting significant financial losses — its operating margin was deeply negative in recent periods. The key risk is that the company burns through cash quickly and must convince more dental practices to adopt its technology in a market where traditional root canal tools are already well established.

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

-29.0% YoY

YoY Growth Rate

Revenue declining

EPS Growth

-8.3% YoY

YoY Growth Rate

Earnings declining

R&D Spend

$4M/ year

Declining (-37% vs prior year)

15.0% of revenue

In line with sector average (18%)

R&D spend declining — could signal cost-cutting or efficiency

Insider Activity

0.7%ownership

Relatively low insider ownership

Cash Runway

~12 months

$12M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Adequate runway but may need to raise capital within 2 years

Revenue declining

Sonendo's revenue is actually shrinking. In a growth stock, that removes the core investment thesis. The low Winston Score here may be warranted — unless there's a turnaround story.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Profit per sale
Gross Margin
41.1%
Healthy — 41.1% gross margin
Profit after running costs
Operating Margin
-67.9%
Losing money on operations — -67.9%
Return on the money invested
ROCE
-141.7%
Weak — -141.7% return on capital

Negative ROIC means the business is losing money on every dollar invested in it.

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Growth

Sales growth
Sales YoY
-27.7%
Shrinking sales (-27.7% YoY)
Profit growth
EPS YoY
N/A
Data not available
How steady the profit is
EPS Consistency
6/8 quarters
Earnings grew in most of the last 8 quarters

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Cash Flow

Profit that turns into cash
Cash Conversion
N/A
Data not available
Spare cash per sale
FCF Margin
-78.3%
Burning cash (-78.3%)

Free cash flow is negative. They are burning cash, not generating it.

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Stability

What it owes vs what it owns
Debt / Equity
2.99
Heavy debt load (2.99)
Covers its interest
Interest Cover
N/A
Data not available

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Valuation

Price vs profit
P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
Cheaper or dearer next year
P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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