Free cash flow remains deeply negative with a -95.1% FCF margin in 2026Q1, highlighting an unsustainable cash burn rate that continues to erode the company's liquidity.
| 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 | -5.39M | -7.01M | -2.97M | -4.76M | -6.6M | -6.03M | -4.78M | 1.37M | -652.97K | -181.27K | -323.9K | -151.62K | -19.4K | -59.92K | -43.21K | -117.78K | -315.99K | -926.66K | -1.07M | -116.04K | -1.01K |
| Operating CF Margin % | - | -102.53% | -45.54% | -157.42% | -803.13% | -144.95% | -460.35% | 92.59% | -132.08% | -64.25% | -636.33% | -1297.13% | -116.96% | -221.39% | -76.64% | -164.72% | -467.11% | -1466.17% | -2807.29% | - | - |
| Operating CF Growth % | -45.2% | -135.83% | 37.45% | 27.99% | -9.51% | -26.28% | -448.42% | 309.89% | -260.22% | 44.04% | -113.62% | -681.52% | 67.62% | -38.67% | 63.31% | 62.73% | 65.9% | 13.12% | -819.18% | -11377.84% | - |
| Net Income | -11.46M | -23.32M | -9.1M | -8.03M | -10.89M | -6.65M | -8.35M | -2.17M | -3.08M | -702.16K | -2.12M | -4.96M | -1.73M | -760.68K | -666.45K | -797.47K | -153.43K | -4.66M | -1.87M | -214.09K | -7.39K |
| Depreciation & Amortization | 587.34K | 677.36K | 919.6K | 200.89K | 77.3K | 166.08K | 34.48K | 25.35K | 5.19K | 2.81K | 1.88K | 5.63K | 10.53K | 11.51K | 11.51K | 21.35K | 14.04K | 14.04K | 7.51K | 6.15K | 6K |
| Stock-Based Compensation | 1.49M | 1.47M | 1.59M | 1.39M | 2.22M | 2.71M | 1.76M | 133.54K | 2.09M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 506.42K | 665.07K | 0 | 0 | 0 |
| Deferred Taxes | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 433 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Non-Cash Items | 4.15M | 15.84M | 1.75M | 1.21M | 505.43K | 1.36M | 2.63M | 431.16K | 366.13K | 256K | 1.26M | 4.42M | 1.17M | 208.59K | 114.15K | 77.08K | -1.34M | 2.45M | 216.09K | 93.16K | 125 |
| Working Capital Changes | -1.05M | -1.68M | 1.86M | 471.7K | 1.48M | -3.61M | -845.52K | 2.95M | -40.86K | 262.08K | 534.87K | 378.52K | 534.24K | 480.66K | 497.59K | 581.26K | 654.26K | 608.13K | 583.17K | -1.27K | 250 |
| Change in Receivables | -136.55K | -104.16K | -34.33K | -63.4K | -26.68K | -28.77K | -14.14K | 218.34K | -139.2K | -83.9K | -1.45K | -1.02K | 1.44K | 10.7K | -6.88K | 10.13K | -5.11K | -874 | -41.7K | 0 | 0 |
| Change in Inventory | -8.1K | -5.49K | 44.74K | -905 | 24.17K | -22.4K | -163.99K | -57.87K | 15.37K | 26.33K | -19.79K | -2.96K | 3.12K | -11.7K | 5.64K | 9.75K | -6.14K | 7.59K | -70.72K | 0 | 0 |
| Change in Payables | -782.26K | -1.32M | 1.35M | 924.68K | 904.06K | 114.5K | -42.6K | -200.3K | -377.81K | -5.35K | 82.81K | -6.29K | 0 | 0 | 0 | 0 | -55.57K | 456.95K | 216.24K | 10.35K | 0 |
| Cash from Investing | -2.94M | -2.75M | 363.89K | -2.49M | -81.22K | -2.15M | -187.25K | -114.71K | -19.4K | 0 | -15.7K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -73.88K | -46.73K | 0 |
| Capital Expenditures | -28.76K | -43.41K | -183.7K | -444.72K | -10.79K | -415.71K | -49.26K | -114.71K | -19.4K | 0 | -15.7K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -73.88K | -46.73K | 0 |
| CapEx % of Revenue | 0.4% | 0.63% | 2.81% | 14.72% | 1.31% | 9.99% | 4.75% | 7.75% | 3.92% | - | 30.84% | 0.02% | - | - | - | - | 0% | 0.01% | 194.43% | - | - |
| Acquisitions | -2.91M | -2.7M | 472.01K | -2.05M | -68.49K | -1.7M | -98.08K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Investments | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Other Investing | 0 | 0 | 75.59K | 0 | -1.94K | -38.94K | -39.91K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Cash from Financing | 12.39M | 11.1M | 3.12M | 7.39M | 1.09M | 3.77M | 13.82M | -229.47K | 858.86K | 54.63K | 0 | 625K | 20K | 70.75K | 50K | 105.66K | 249.47K | 990K | 1.16M | 162.77K | 14.8K |
| Debt Issued (Net) | -247.66K | -1.22M | 409.83K | 1.66M | 800K | -250K | 2.35M | -229.47K | 781.86K | 0 | 0 | -20K | 0 | 0 | 0 | 95.43K | -25K | 595K | 74.28K | 142.77K | 0 |
| Equity Issued (Net) | 14.66M | 8.32M | 1.81M | 5.73M | 289.8K | 3.65M | 11.48M | 0 | 77K | 54.63K | 0 | 645K | 20K | 70.75K | 50K | 10.23K | 274.46K | 395K | 1.08M | 20K | 14.8K |
| 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 | -4M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Financing | -2.02M | 4M | 900.61K | 0 | 0 | 369.84K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Net Change in Cash | 4.06M | 1.34M | 508.97K | 142.29K | -5.59M | -4.41M | 8.86M | 0 | 0 | 0 | 0 | 0 | 599 | 10.83K | 6.79K | -12.12K | 0 | 0 | 0 | 0 | 13.79K |
| Free Cash Flow | -5.41M | -7.06M | -3.16M | -5.2M | -6.62M | -6.48M | -4.86M | 1.31M | -672.37K | -181.27K | -339.6K | -151.62K | -19.4K | -59.92K | -43.21K | -117.78K | -315.99K | -926.66K | -1.11M | -116.04K | -1.01K |
| FCF Margin % | -75% | -103.17% | -48.35% | -172.15% | -804.68% | -155.87% | -468.92% | 88.21% | -136% | -64.25% | -667.18% | -1297.12% | -116.96% | -221.39% | -76.64% | -164.72% | -467.11% | -1466.16% | -2920.09% | - | - |
| FCF Growth % | 15.51% | -123.49% | 39.26% | 21.41% | -2.03% | -33.32% | -472.53% | 294.19% | -270.92% | 46.62% | -123.98% | -681.51% | 67.62% | -38.67% | 63.31% | 62.73% | 65.9% | 16.48% | -856.13% | -11377.74% | - |
| FCF per Share | -3.31 | -60.28 | -74.20 | -317.10 | -952.88 | -1065.05 | -5.37 | 1.62 | -0.85 | -0.25 | -0.47 | -0.21 | -0.05 | -0.14 | -0.10 | -0.27 | -0.97 | -3.28 | -5.86 | -5.23 | -0.06 |
| FCF Conversion (FCF/Net Income) | 0.47x | 0.30x | 0.33x | 0.59x | 0.61x | 0.91x | 0.57x | -0.63x | 0.21x | 0.26x | 0.15x | 0.03x | 0.01x | 0.08x | 0.06x | 0.15x | 2.06x | 0.20x | 0.57x | 0.54x | 0.14x |
| Interest Paid | 1.12M | 644.16K | 214.74K | 9.64K | 0 | 52.6K | 253.39K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Taxes Paid | 0 | 0 | 0 | 0 | 800 | 3.31K | 1.06K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Persistent operating cash deficit
According to the provided cash flow statements, INVO Fertility consistently reports operating cash flow that fails to track with net income, as evidenced by the OCF/NI ratio remaining well below parity in nearly every observed quarter, signaling significant quality of earnings concerns for potential investors.
The persistent gap between net income and operating cash flow suggests that the company's reported bottom-line figures are heavily influenced by non-cash items or accounting adjustments that do not translate into actual liquidity. This divergence indicates that the core business model is struggling to generate cash from its primary operations, necessitating a deeper look into the underlying accruals.
Based on financial data from the last ten quarters, the company's free cash flow remains deeply negative, with the most recent figures showing a -95.1% FCF margin, highlighting an unsustainable cash burn that continues to erode the company's liquidity position without clear signs of stabilization.
The consistent inability to generate positive free cash flow suggests that the company's current operational scale is insufficient to cover its fixed costs and ongoing development expenses. Investors should monitor whether the company can achieve a pivot toward positive cash generation before its existing capital reserves are exhausted.
As reported in recent filings, working capital changes have been highly erratic, swinging from a $2.0M inflow in 2024Q4 to a $1.2M outflow in 2025Q1, which suggests that the company lacks a predictable cycle for managing its receivables, payables, and inventory levels effectively.
This volatility in working capital management may indicate operational inefficiencies in how the company collects payments from its fertility centers or manages its medical device inventory. Such fluctuations complicate cash flow forecasting and suggest that the company's liquidity is subject to unpredictable timing differences in its operational cycle.
Based on the reported figures, capital deployment is primarily focused on funding operational deficits and acquisitions, such as the $2.7M outflow in 2025Q4, rather than returning value to shareholders through dividends or buybacks, which have remained at zero throughout the entire ten-quarter observation period.
The absence of shareholder returns combined with the use of cash for acquisitions suggests that management is prioritizing growth and asset expansion over capital discipline. This strategy appears to be a high-risk endeavor given the company's ongoing cash burn and the lack of clear evidence that these acquisitions are contributing to positive cash flow.
Quick answers to the most common questions about buying IVF stock.
INVO Fertility, Inc. (IVF) generated $-7.0M in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.
INVO Fertility, Inc. (IVF) reported negative free cash flow of $7.1M in 2025, indicating capital requirements exceeded cash from operations.
INVO Fertility, Inc. (IVF) 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, INVO Fertility, Inc. (IVF) spent $4.0M on share repurchases. This shows the company's commitment to returning capital to its equity investors.