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SERASera Prognostics, Inc.
$1.78$68M
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HomeStocksSERACash Flow

Sera Prognostics, Inc. (SERA) Cash Flow Statement

7Y historyFree accessUpdated daily

Free cash flow remains deeply negative, with the company burning through its remaining $4.2 million cash position to sustain quarterly operating losses of $9.4 million.

SERA Cash Flow Statement

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly
MetricTTMDec'25Dec'24Dec'23Dec'22Dec'21Dec'20Dec'19
Cash from Operations-26.84M-25.62M-14.19M-27.19M-34.61M-31.64M-16.87M-19.32M
Operating CF Margin %--31633.33%-18427.27%-8884.97%-12914.18%-38580.49%-67472%-53677.78%
Operating CF Growth %1.15%-80.58%47.81%21.44%-9.4%-87.55%12.71%-
Net Income-32.14M-31.93M-32.9M-36.24M-44.19M-35.01M-19.85M-16.52M
Depreciation & Amortization917K940K833K900K756K659K895K946K
Stock-Based Compensation3.62M5.11M7.01M5.27M5.05M3.13M726K438K
Deferred Taxes00000000
Other Non-Cash Items1.53M801K-412K-638K213K-372K1.67M-541K
Working Capital Changes-772K-546K11.28M3.52M3.55M-44K-311K-3.65M
Change in Receivables14K22K11.42M-5.36M-2.97M-3.14M-2K6K
Change in Inventory00000000
Change in Payables-83K-1.01M455K-442K352K603K-307K-534K
Cash from Investing25.29M-28.5M11.74M438K5.55M-82.56M-149K-6K
Capital Expenditures-731K-726K-56K-128K-791K-1.3M-149K-109K
CapEx % of Revenue1282.46%896.3%72.73%41.83%295.15%1590.24%596%302.78%
Acquisitions00000000
Investments--------
Other Investing-10-1.04M311K16K00103K
Cash from Financing504K54.03M2.61M752K5K159.59M9.16M33.05M
Debt Issued (Net)-81K-194K-440K-466K-303K-7.66M-1.7M2.98M
Equity Issued (Net)116K54.22M000165.59M10.69M30.05M
Dividends Paid00000000
Share Repurchases00000000
Other Financing469K03.05M1.22M308K1.66M176K15K
Net Change in Cash-1.05M-99K163K-26M-29.05M45.4M-7.86M13.72M
Free Cash Flow-27.57M-26.35M-15.29M-27.32M-35.4M-32.94M-17.02M-19.43M
FCF Margin %-48377.19%-32529.63%-19857.14%-8926.8%-13209.33%-40170.73%-68068%-53980.56%
FCF Growth %-1.65%-72.33%44.03%22.84%-7.47%-93.57%12.43%-
FCF per Share-0.55-0.55-0.46-0.88-1.14-1.07-0.94-1.07
FCF Conversion (FCF/Net Income)0.86x0.80x0.43x0.75x0.78x0.90x0.85x1.17x
Interest Paid3K028K55K48K1.19M250K463K
Taxes Paid00000000

Key Metrics

Growth RegimeContracting
ProfitabilityNegative
Balance SheetVulnerable
Cash FlowBurning
Top Statement Risk

Imminent liquidity and solvency risk

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q1)

Persistent Disconnect Between Earnings Reality

As reported in recent financial statements, Sera's operating cash flow consistently mirrors its net losses, with an OCF/NI ratio frequently hovering near 0.80, suggesting that the company lacks the non-cash accrual cushion necessary to mask its underlying cash-burning operational model during this early commercial phase.

The tight correlation between net income and operating cash flow indicates that the company's losses are primarily cash-based rather than driven by non-cash accounting charges. This suggests that the firm is consuming actual liquidity to fund its ongoing laboratory and clinical validation activities, leaving little room for operational error.

Negative Free Cash Flow Trajectory

Based on quarterly filings, Sera's free cash flow remains deeply negative, with the company consistently burning millions per quarter to sustain operations, a trend that underscores the lack of a self-sustaining commercial engine despite the firm's long-standing focus on clinical validation and market development.

The persistent negative free cash flow trajectory highlights the company's inability to generate sufficient revenue to cover its high fixed-cost base. Investors should monitor the widening gap between cash outflows and the negligible revenue inflows, which suggests that the current business model is not yet viable.

Volatile Working Capital Management Trends

According to historical cash flow data, working capital changes have been highly erratic, including a significant $11.3 million inflow in 2024Q1 followed by subsequent outflows, indicating that the company's cash position is heavily influenced by timing differences rather than stable, recurring operational cash generation.

The volatility in working capital suggests that the company's cash flow is susceptible to the timing of institutional payments and potential shifts in accounts payable management. This instability complicates cash flow forecasting and highlights the firm's reliance on external financing to bridge gaps in operational liquidity.

Stock-Based Compensation Masks Cash Burn

As disclosed in recent SEC filings, Sera consistently utilizes stock-based compensation, with quarterly figures often exceeding $1 million, which serves to preserve cash but simultaneously dilutes existing shareholders while failing to address the fundamental lack of operational cash flow generation from the core diagnostic business.

The reliance on stock-based compensation as a non-cash expense suggests that management is attempting to conserve limited cash reserves by compensating talent with equity. While this preserves liquidity in the short term, it does not solve the underlying issue of negative operating cash flow and may lead to significant dilution for investors.

SERA — Frequently Asked Questions

Quick answers to the most common questions about buying SERA stock.

How much cash does Sera Prognostics, Inc. (SERA) generate from operations?

Sera Prognostics, Inc. (SERA) generated $-25.6M in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.

What is Sera Prognostics, Inc.'s free cash flow?

Sera Prognostics, Inc. (SERA) reported negative free cash flow of $26.3M in 2025, indicating capital requirements exceeded cash from operations.

What is Sera Prognostics, Inc.'s capital expenditure (CapEx)?

Sera Prognostics, Inc. (SERA) spent $0.7M on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.