The firm exhibits a persistent cash burn with quarterly outflows often exceeding $1.0M, resulting in a steady decline of the cash balance from $7.7M in 2025Q1 to $5.7M in 2026Q1.
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 |
|---|
| Cash from Operations | -5.59M | -5.86M | -5.3M | -8.03M | -7.8M | -2.22M | -434.56K | -1.21M | -1.05M | -889.62K | -445.23K | -14.64K | -17.32K | -22.91K | -16.77K | -13.96K | -13.66K | -30.74K | -57.16K | -12.86K | 1.14K |
| Operating CF Margin % | - | -97607.42% | -48193.56% | -89198.72% | -8800.19% | -2524.99% | -264.17% | -732.99% | -845.88% | -18533.77% | - | - | - | - | - | - | - | - | - | - | - |
| Operating CF Growth % | 20.03% | -10.47% | 33.96% | -2.96% | -251.88% | -409.9% | 64.18% | -15.28% | -18.28% | -99.81% | -2941.62% | 15.48% | 24.39% | -36.56% | -20.17% | -2.18% | 55.56% | 46.22% | -344.61% | -1228.8% | - |
| Net Income | -5.76M | -6M | -5.49M | -5.29M | -10.14M | 19.21M | -36.33M | -8.48M | -13.66M | -2.66M | -766.07K | -30.76K | -28.01K | -27.28K | -25.59K | -24.05K | -17.26K | -31.61K | -52.64K | -9.54K | 1.37K |
| Depreciation & Amortization | 120.02K | 121.74K | 110.45K | 94.58K | 92.08K | 92.08K | 66.79K | 26.95K | 21.14K | 15.99K | 9.36K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Stock-Based Compensation | 0 | 3.48K | 36.65K | 36.65K | 68.75K | 595.38K | 170.32K | 0 | 1.88K | 144.16K | 2.56K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Deferred Taxes | 0 | 0 | 0 | 0 | 0 | 0 | 33.98M | 0 | 11.19M | 347.56K | -2.56K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Non-Cash Items | -19.92K | 0 | 0 | -34.09K | 0 | -22.36M | 979.96K | 7.18M | 1.26M | 1.1M | 2.56K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Working Capital Changes | 73.67K | 13.34K | 45.09K | -2.84M | 2.19M | 249.47K | 692.79K | 62.2K | 129.43K | 158.06K | 308.92K | 16.12K | 10.69K | 4.38K | 8.81K | 10.1K | 3.6K | 868 | -4.53K | -3.31K | -233 |
| Change in Receivables | 0 | 0 | 0 | 0 | 2.48K | -2.48K | 5.6K | 4K | -4.8K | -4.8K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Change in Inventory | 994 | 2.19K | 4.4K | 3.6K | 672 | -10.87K | 0 | 0 | 4.2M | 2.41M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Change in Payables | 37.55K | -2.84K | -43.85K | -2.95M | 2.51M | 410.96K | 30.11K | -11.05K | 94.76K | 171.18K | 22.6K | 6.89K | 2.11K | -1.9K | 2.11K | 7.87K | -1.87K | 1.13K | -8.54K | 1.04K | 618 |
| Cash from Investing | -212.14K | -50.5K | 6.32M | 3.45M | -10.08M | 0 | -250K | 0 | 0 | 0 | -10K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 8.67K | 19.63K | -23.75K |
| Capital Expenditures | 0 | 0 | -200K | -100K | 0 | 0 | -250K | 0 | 0 | 0 | -10K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| CapEx % of Revenue | 0% | 0.08% | 1818.18% | 1111.11% | - | - | 151.98% | 0% | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Acquisitions | 13.36K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Investments | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Other Investing | -100.5K | -50.5K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -10K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 8.67K | 19.63K | -23.75K |
| Cash from Financing | 3.82M | 7.17M | 1.45M | -270.95K | 15.47M | 12.84M | 693.92K | 997.68K | 1.34M | 681.45K | 677K | 13.9K | 17.9K | 22.5K | 16.45K | 14.65K | 13.5K | 31K | 27.05K | 15K | 1K |
| Debt Issued (Net) | 0 | 0 | 0 | 0 | 0 | -1.63M | 693.92K | 997.68K | 1.34M | 573.25K | 125K | 13.9K | 17.9K | 22.5K | 0 | 14.65K | 0 | 31K | 0 | 0 | 0 |
| Equity Issued (Net) | 3.81M | 7.16M | 1.45M | -270.95K | 15.47M | 15.02M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 30K | 15K | 1K |
| Dividends Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Share Repurchases | 0 | -10K | -174.96K | -270.95K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Financing | 10K | 10K | 0 | 0 | 457 | -548.31K | 0 | 0 | 0 | 108.2K | 552K | 0 | 0 | 0 | 16.45K | 0 | 13.5K | 0 | -2.96K | 0 | 0 |
| Net Change in Cash | -1.98M | 1.27M | 2.47M | -4.85M | -2.4M | 10.63M | 9.36K | -215.41K | 290.36K | -208.17K | 221.77K | -738 | 580 | -407 | -324 | 691 | -161 | 258 | -21.45K | 15K | 1K |
| Free Cash Flow | -5.59M | -5.86M | -5.3M | -8.13M | -7.8M | -2.22M | -684.56K | -1.21M | -1.05M | -889.62K | -455.23K | -14.64K | -17.32K | -22.91K | -16.77K | -13.96K | -13.66K | -30.74K | -57.16K | -12.86K | 1.14K |
| FCF Margin % | -186274.1% | -97607.42% | -48193.56% | -90309.83% | -8800.19% | -2524.99% | -416.14% | -732.98% | -845.88% | -18533.77% | - | - | - | - | - | - | - | - | - | - | - |
| FCF Growth % | 6.8% | -10.47% | 34.78% | -4.24% | -251.88% | -223.68% | 43.57% | -15.28% | -18.28% | -95.42% | -3009.93% | 15.48% | 24.39% | -36.56% | -20.17% | -2.18% | 55.56% | 46.22% | -344.61% | -1228.8% | - |
| FCF per Share | -1.51 | -2.46 | -3.58 | -5.77 | -7.13 | -6.82 | -11.81 | -586.60 | -874.70 | -5814.52 | -3251.66 | -609.92 | -721.67 | -954.46 | -698.92 | -581.63 | -569.21 | -1280.92 | -2381.83 | -535.71 | 47.46 |
| FCF Conversion (FCF/Net Income) | 0.97x | 0.98x | 0.97x | 1.52x | 0.77x | -0.12x | 0.01x | 0.14x | 0.08x | 0.33x | 0.58x | 0.48x | 0.62x | 0.84x | 0.66x | 0.58x | 0.79x | 0.97x | 1.09x | 1.35x | 0.83x |
| Interest Paid | 0 | 0 | 0 | 0 | 0 | 9.19K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Taxes Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Binary clinical trial failure
According to quarterly financial disclosures, CELZ exhibits a near-perfect correlation between net income and operating cash flow, with OCF/NI ratios consistently hovering near 1.0, which suggests that the company's reported losses are almost entirely cash-based rather than driven by non-cash accounting accruals or significant depreciation.
The absence of a meaningful wedge between net income and operating cash flow indicates that the company is not masking operational inefficiencies through accounting adjustments. This transparency confirms that the firm is in a pure cash-consumption phase, where every dollar of loss directly depletes the available liquidity runway.
As reported in recent SEC filings, CELZ has maintained a consistent pattern of negative free cash flow, with quarterly outflows frequently exceeding $1.0M, underscoring the company's inability to generate self-sustaining capital from its current regenerative medicine product portfolio or physician training initiatives.
The lack of positive FCF margins suggests that the business model remains fundamentally unproven at its current scale. Investors should monitor whether the company can achieve any meaningful reduction in cash burn, as the current trajectory implies a continued reliance on external financing to maintain operations.
Based on the provided cash flow statements, CELZ reports negligible capital expenditures, with most quarters showing near-zero investment in property, plant, or equipment, which indicates that the firm's primary capital intensity is directed toward R&D and administrative overhead rather than tangible asset expansion.
The minimal CapEx/Rev ratio confirms that the company is not currently building a manufacturing or infrastructure base, but rather operating as a lean, research-focused entity. This structure warrants further investigation into whether the company possesses the necessary physical assets to scale if clinical milestones are achieved.
Data from recent financial statements reveals erratic working capital fluctuations, with quarterly changes swinging between positive and negative values, suggesting that the company lacks a stable or predictable cycle for managing its limited accounts receivable and payables in its early-stage commercial environment.
These fluctuations appear to be noise rather than a sign of operational efficiency, reflecting the company's lack of consistent revenue volume. The inability to establish a stable working capital cycle further highlights the speculative nature of the firm's current commercial activities.
As indicated by historical cash flow data, CELZ has historically utilized cash for share repurchases despite its negative operating cash flow, a strategy that appears to have been deprioritized in favor of preserving the $7.2M cash balance to extend the company's operational runway.
The shift away from share repurchases suggests that management is increasingly focused on liquidity preservation as the primary defense against insolvency. This capital allocation pattern implies that the company is prioritizing survival over shareholder returns until a significant clinical or commercial catalyst emerges.
Quick answers to the most common questions about buying CELZ stock.
Creative Medical Technology Holdings, Inc. (CELZ) generated $-5.9M in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.
Creative Medical Technology Holdings, Inc. (CELZ) reported negative free cash flow of $5.9M in 2025, indicating capital requirements exceeded cash from operations.
Creative Medical Technology Holdings, Inc. (CELZ) spent $0.0M on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.
In 2025, Creative Medical Technology Holdings, Inc. (CELZ) spent $0.0M on share repurchases. This shows the company's commitment to returning capital to its equity investors.