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ZCMDZhongchao Inc.
$0.98$53601
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HomeStocksZCMDCash Flow

Zhongchao Inc. (ZCMD) Cash Flow Statement

9Y historyFree accessUpdated daily

Operating cash flow remains highly unstable, evidenced by a negative $1.1 million in free cash flow for 2025Q4 and erratic working capital swings.

Income StatementBalance SheetCash FlowRatios

ZCMD Cash Flow Statement

Annual statement

ZCMD Cash Flow Statement

Zhongchao Inc. (ZCMD) cash flow statement — 9-year operating, investing & financing cash flows

AnnualQuarterly
MetricTTMDec'25Dec'24Dec'23Dec'22Dec'21Dec'20Dec'19Dec'18Dec'17
Cash from Operations-2.97M845.39K-1.47M54.23K-661.74K2.86M-1.04M1.41M1.31M-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 %-221.46%157.38%-2816.71%108.19%-123.12%375.75%-173.71%7.27%344.14%-
Net Income-12.34M-6.31M-273.41K-11.31M-2.82M238.66K4.46M4.05M3.02M1.53M
Depreciation & Amortization696.45K321.67K428.36K923.61K730.31K702.98K403.01K240.51K28.78K16.27K
Stock-Based Compensation00109.71K135.55K160.78K211.82K0000
Deferred Taxes397.87K-82.49K287.65K-739.23K134.13K-1.35M-58.42K-318.09K60.98K-153.95K
Other Non-Cash Items7.87M5.1M-27.24K8.35M962.49K1.52M561.06K135.46K-22.4K76.59K
Working Capital Changes407.73K1.82M-2M2.69M172.88K1.53M-6.4M-2.7M-1.77M-2.01M
Change in Receivables1.25M1.17M-2.32M2.79M1.08M-104.23K-5.49M-3.13M-792.03K-777.42K
Change in Inventory304.5K595.34K-10.17K-409.77K-193.83K00000
Change in Payables-1.05M-31.53K-132.05K548.59K103.83K-375.14K260.35K94.46K-548.51K-737.35K
Cash from Investing-2.56M-826.6K-1.81M-3.75M-3.35M-4.02M-4.09M-203.07K-504.05K-1.84M
Capital Expenditures-1.1M-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%
Acquisitions0000-3.05M-708.13K0-33.72K00
Investments----------
Other Investing1810277.94K1.81M2.03M-3.04M-673.78K-14.48K00
Cash from Financing8.58M03.84M01.85M011.5M-1.19M4.34M2.73M
Debt Issued (Net)0000000-723.79K756.54K0
Equity Issued (Net)8.58M03.84M01.85M011.5M-468.33K3.58M0
Dividends Paid0000000000
Share Repurchases0000000000
Other Financing0000000002.73M
Net Change in Cash3.47M256.77K292.61K-3.97M-2.39M-1.16M7.24M-86.12K4.94M2.98M
Free Cash Flow-4.07M692.83K-4.52M-785.51K-2.52M1.06M-1.2M95.08K644.58K-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-74.0118.85-645.77-224.49-722.13316.82-357.6427.61191.44-169.25
FCF Conversion (FCF/Net Income)0.33x-0.13x2.29x-0.00x0.23x11.99x-0.23x0.35x0.43x-0.35x
Interest Paid0000000000
Taxes Paid0045.94K114.5K134.23K91.46K0000

Key Metrics

Growth RegimeContracting
ProfitabilityNegative
Balance SheetAdequate
Cash FlowBurning
Top Statement Risk

Unsustainable cash burn rate

Earnings Quality Remains Highly Volatile

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.

Free Cash Flow Trajectory Deteriorating

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.

Working Capital Volatility Masks Instability

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.

Cumulative Earnings Fail Cash Reality

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.

ZCMD — Frequently Asked Questions

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

How much cash does Zhongchao Inc. (ZCMD) generate from operations?

Zhongchao Inc. (ZCMD) generated $0.8M in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.

What is Zhongchao Inc.'s free cash flow?

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.

What is Zhongchao Inc.'s capital expenditure (CapEx)?

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.