SeaStar Medical Holding Corporation (ICU) Cash Flow Statement

NASDAQ: ICUOperating cash, capex, free cash flow and buybacks.

Where ICU’s cash came from and went, 2025

December 31, 2025 · U.S. dollars
Cash from operations
−$13.6M
Capital expenditures
$0
0.0% of revenue
Free cash flow
−$13.6M
−1,102.0% margin
Returned to shareholders
—
Change in cash
$10.2M
cash at year-end $12.0M
Shares issued: $16.1MShares issued$16.1MOther financing: $7.7MOther financing$7.7MCash used in operations: $13.6MCash used in operations$13.6M · 57%Added to cash: $10.2MAdded to cash$10.2M · 43%Debt repayment: $67,000Debt repayment$67,000 · 0%$23.8M
Cash from operations
−$13.6M
Net borrowing (repayment)
−$67,000
Shares issued
+$16.1M
Other financing
+$7.7M
Change in cash
$10.2M

Drawn to scale: where the cash came from and how it was used. Hover for values.

ICU operating cash flow, capex and free cash flow

Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)

ICU cash flow trends, 2020–2025

SeaStar Medical Holding Corporation cash flow trends
MetricTrendThenLatestChange
Operating cash flow−$5.6M2020−$13.6M2025—
Capital expenditures$52020$02025−100.0%
Free cash flow−$5.6M2020−$13.6M2025—
Free cash flow margin−11,857.0%2024−1,102.0%2025+10,755.0 pts
Stock-based compensation$162020$624,0002025+728.3%/yr
Capex / revenue0.0%20240.0%20250.0 pts

Change is the average annual growth (CAGR) or the difference between the first and latest year.

ICU cash flow by activity

OperatingInvestingFinancingChange in cash

ICU net income vs operating cash flow

Net incomeOperating cash flow

Operating cash flow above net income usually means earnings are backed by cash (depreciation and stock-based pay are non-cash expenses).

ICU cash flow statement

SeaStar Medical Holding Corporation annual cash flow statement
202520242023202220212020
Operating activities
Net income−$12.2M−$24.8M−$26.2M−$12.2M−$4.6M−$3.3M
Depreciation & amortization$18,000—$14.0M———
Stock-based compensation$624,000$887,000$1.9M$1.3M$14,000$16
Change in working capital−$2.4M$992,000$2.9M$2.6M−$680,000$890,000
Other non-cash items$266,000$6.9M−$2.9M$533,000$148,000−$3.2M
Cash from operating activities−$13.6M−$16.0M−$10.3M−$7.8M−$5.1M−$5.6M
Investing activities
Capital expenditures$0$0$0$0$0−$5
Acquisitions & other investing————−$105.6M—
Cash from investing activities————−$105.6M—
Financing activities
Net borrowing (repayment)−$67,000−$4.4M$3.5M$3.5M$2.8M−$133,000
Shares issued$16.1M$17.4M$6.6M$10.0M$0$5.0M
Other financing$7.7M$4.6M$272,000−$6.2M$0$0
Cash from financing activities$23.8M$17.6M$10.4M$7.3M$2.8M$4.9M
Summary
Net change in cash$10.2M$1.6M$129,000−$463,000$471,612−$680,000
Cash at end of period$12.0M$1.8M$176,000$47,000$510,000$2.8M
Free cash flow−$13.6M−$16.0M−$10.3M−$7.8M−$5.1M−$5.6M
Free cash flow margin−1,102.0%−11,857.0%————
Capex / revenue0.0%0.0%————

Negative numbers are cash paid out. Quarterly columns are labeled by the month the quarter ended. Figures in U.S. dollars as reported; data from EODHD.

ICU cash generation

In fiscal 2025 (ended December 31, 2025), SeaStar Medical generated -$13.6 million of cash from operations and spent $0 on capital expenditures, leaving free cash flow of -$13.6 million, −1,102.0% of revenue. Cash and equivalents rose by $10.2 million over the year.

Related: ICU income statement, ICU balance sheet. See the ICU stock overview for the latest quote and news.

ICU cash flow FAQ

What is SeaStar Medical's free cash flow?

SeaStar Medical's free cash flow was -$13.6 million in fiscal 2025: -$13.6 million of operating cash flow minus $0 of capital expenditures It was -$16.0 million a year earlier..

How much cash does SeaStar Medical generate from operations?

SeaStar Medical generated -$13.6 million of cash from operating activities in fiscal 2025.

Biotechnology: cash flow