Operating cash flow remains highly unstable, evidenced by a negative $1.1 million in free cash flow for 2025Q4 and erratic working capital swings.
| Cash from Operations | 845.39K | -1.47M | 54.23K | -661.74K | 2.86M | -1.04M | 1.41M | 1.31M | -537.65K |
| Operating CF Margin % | 7.43% | -9.29% | 0.28% | -4.68% | 17.56% | -5.77% | 9.46% | 10.2% | -5.48% |
| Operating CF Growth % | 157.38% | -2816.71% | 108.19% | -123.12% | 375.75% | -173.71% | 7.27% | 344.14% | - |
| Net Income | -6.31M | -273.41K | -11.31M | -2.82M | 238.66K | 4.46M | 4.05M | 3.02M | 1.53M |
| Depreciation & Amortization | 321.67K | 428.36K | 923.61K | 730.31K | 702.98K | 403.01K | 240.51K | 28.78K | 16.27K |
| Stock-Based Compensation | 0 | 109.71K | 135.55K | 160.78K | 211.82K | 0 | 0 | 0 | 0 |
| Deferred Taxes | -82.49K | 287.65K | -739.23K | 134.13K | -1.35M | -58.42K | -318.09K | 60.98K | -153.95K |
| Other Non-Cash Items | 5.1M | -27.24K | 8.35M | 962.49K | 1.52M | 561.06K | 135.46K | -22.4K | 76.59K |
| Working Capital Changes | 1.82M | -2M | 2.69M | 172.88K | 1.53M | -6.4M | -2.7M | -1.77M | -2.01M |
| Change in Receivables | 1.17M | -2.32M | 2.79M | 1.08M | -104.23K | -5.49M | -3.13M | -792.03K | -777.42K |
| Change in Inventory | 595.34K | -10.17K | -409.77K | -193.83K | 0 | 0 | 0 | 0 | 0 |
| Change in Payables | -31.53K | -132.05K | 548.59K | 103.83K | -375.14K | 260.35K | 94.46K | -548.51K | -737.35K |
| Cash from Investing | -826.6K | -1.81M | -3.75M | -3.35M | -4.02M | -4.09M | -203.07K | -504.05K | -1.84M |
| Capital Expenditures | -152.56K | -3.05M | -839.74K | -1.86M | -1.8M | -160.6K | -1.31M | -1.09M | -81.7K |
| CapEx % of Revenue | 1.34% | 19.19% | 4.32% | 13.15% | 11.04% | 0.89% | 8.82% | 8.45% | 0.83% |
| Acquisitions | 0 | 0 | 0 | -3.05M | -708.13K | 0 | -33.72K | 0 | 0 |
| Investments | - | - | - | - | - | - | - | - | - |
| Other Investing | 0 | 277.94K | 1.81M | 2.03M | -3.04M | -673.78K | -14.48K | 0 | 0 |
| Cash from Financing | 0 | 3.84M | 0 | 1.85M | 0 | 11.5M | -1.19M | 4.34M | 2.73M |
| Debt Issued (Net) | 0 | 0 | 0 | 0 | 0 | 0 | -723.79K | 756.54K | 0 |
| Equity Issued (Net) | 0 | 3.84M | 0 | 1.85M | 0 | 11.5M | -468.33K | 3.58M | 0 |
| Dividends Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Share Repurchases | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Financing | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2.73M |
| Net Change in Cash | 256.77K | 292.61K | -3.97M | -2.39M | -1.16M | 7.24M | -86.12K | 4.94M | 2.98M |
| Free Cash Flow | 692.83K | -4.52M | -785.51K | -2.52M | 1.06M | -1.2M | 95.08K | 644.58K | -569.87K |
| FCF Margin % | 6.09% | -28.48% | -4.04% | -17.83% | 6.52% | -6.66% | 0.64% | 5.01% | -5.81% |
| FCF Growth % | 115.33% | -475.22% | 68.87% | -337.58% | 188.61% | -1360.45% | -85.25% | 213.11% | - |
| FCF per Share | 6.28 | -215.27 | -74.83 | -240.69 | 105.61 | -119.20 | 9.20 | 63.81 | -56.42 |
| FCF Conversion (FCF/Net Income) | -0.13x | 2.29x | -0.00x | 0.23x | 11.99x | -0.23x | 0.35x | 0.43x | -0.35x |
| Interest Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Taxes Paid | 0 | 45.94K | 114.5K | 134.23K | 91.46K | 0 | 0 | 0 | 0 |
Unsustainable cash burn rate
According to historical cash flow statements, ZCMD exhibits extreme volatility in its OCF/NI ratio, with figures swinging from 8.99 in 2024Q2 to -1.89 in 2025Q2, indicating that reported net income provides little reliable insight into the company's actual ability to generate cash from its core operations.
The persistent divergence between net income and operating cash flow suggests that accrual-based accounting adjustments are significantly distorting the company's true economic performance. Investors should monitor this disconnect, as it implies that the business model relies heavily on non-cash items or timing differences rather than consistent operational cash generation.
Based on reported financial data, ZCMD's free cash flow has shown a downward trend, culminating in a negative $1.1 million in 2025Q4, which highlights the company's inability to sustain positive cash generation despite its efforts to manage capital expenditures during periods of significant revenue contraction.
The erratic nature of FCF margins, which reached a low of -43.0% in 2024Q4, underscores the structural difficulty in scaling the current medical education platform. This trajectory suggests that the company may struggle to achieve self-funding status without a fundamental shift in its cost structure or revenue model.
As reported in quarterly filings, ZCMD's working capital changes have been highly erratic, swinging from a $2.1 million inflow in 2025Q2 to a $264.8K outflow in 2025Q4, which suggests that the company's cash position is heavily dependent on the timing of client payments and project milestones.
This reliance on working capital fluctuations to bridge operational gaps may indicate that the company lacks a predictable cash conversion cycle. Such instability warrants further investigation into the quality of accounts receivable and the potential for future liquidity pressure if client payment cycles lengthen.
Based on an analysis of the 10-quarter data set, ZCMD's cumulative net losses consistently exceed its operating cash flow, revealing a structural inability to convert its service-based revenue into meaningful cash reserves, a trend that has persisted throughout the observed period of operational decline.
The persistent gap between accounting losses and cash flow reality suggests that the company's business model is fundamentally challenged by high fixed costs that are not being offset by sufficient top-line growth. This divergence implies that the company is essentially consuming its capital base to maintain operations rather than building long-term value.
Quick answers to the most common questions about buying ZCMD stock.
Zhongchao Inc. (ZCMD) generated $0.8M in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.
Zhongchao Inc. (ZCMD) generated $0.7M in free cash flow in 2025. Free cash flow is the cash left over after capital expenditures, which can be used to pay dividends, repurchase shares, or pay down debt.
Zhongchao Inc. (ZCMD) spent $0.2M on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.