Sera Prognostics, Inc. (SERA) Cash Flow Statement

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

Where SERA’s cash came from and went, 2025

December 31, 2025 · U.S. dollars
Cash from operations
−$25.6M
Capital expenditures
$726,000
896.3% of revenue
Free cash flow
−$26.3M
−32,529.6% margin
Returned to shareholders
—
Change in cash
−$99,000
cash at year-end $3.9M
Shares issued: $53.6MShares issued$53.6MOther financing, Drawn from cash: $709,000Other sources$709,000Investments (net): $27.8MInvestments (net)$27.8M · 51%Cash used in operations: $25.6MCash used in operations$25.6M · 47%Capital expenditures, Debt repayment: $920,000Other uses$920,000 · 2%$54.3M
Cash from operations
−$25.6M
Capital expenditures
−$726,000
Investments (net)
−$27.8M
Net borrowing (repayment)
−$194,000
Shares issued
+$53.6M
Other financing
+$610,000
Change in cash
−$99,000

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

SERA operating cash flow, capex and free cash flow

Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)

SERA cash flow trends, 2019–2025

Sera Prognostics, Inc. cash flow trends
MetricTrendThenLatestChange
Operating cash flow−$19.3M2019−$25.6M2025—
Capital expenditures$109,0002019$726,0002025+37.2%/yr
Free cash flow−$19.4M2019−$26.3M2025—
Free cash flow margin−53,980.6%2019−32,529.6%2025+21,450.9 pts
Stock-based compensation$438,0002019$5.1M2025+50.6%/yr
Share buybacks (net)$02021$02022—
Capex / revenue302.8%2019896.3%2025+593.5 pts

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

SERA cash flow by activity

OperatingInvestingFinancingChange in cash

SERA 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).

SERA cash flow statement

Sera Prognostics, Inc. annual cash flow statement
2025202420232022202120202019
Operating activities
Net income−$31.9M−$32.9M−$36.2M−$44.2M−$35.0M−$19.8M−$16.5M
Depreciation & amortization$940,000$833,000$900,000$756,000$659,000$895,000$946,000
Stock-based compensation$5.1M$7.0M$5.3M$5.1M$3.1M$726,000$438,000
Change in working capital−$546,000$11.3M$3.5M$3.6M−$44,000−$311,000−$3.6M
Other non-cash items$801,000−$412,000−$638,000$213,000−$372,000$1.7M−$541,000
Cash from operating activities−$25.6M−$14.2M−$27.2M−$34.6M−$31.6M−$16.9M−$19.3M
Investing activities
Capital expenditures−$726,000−$1.1M−$128,000−$791,000−$1.3M−$149,000−$109,000
Investments (net)−$27.8M$11.7M$438,000$6.3M−$81.3M−$149,000−$6,000
Acquisitions & other investing$0$1.1M$128,000$16,000$0$149,000$109,000
Cash from investing activities−$28.5M$11.7M$438,000$5.6M−$82.6M−$149,000−$6,000
Financing activities
Share repurchases & issuance (net)———$308,000$167.3M——
Net borrowing (repayment)−$194,000−$440,000−$466,000−$303,000−$7.7M−$1.7M$3.0M
Shares issued$53.6M$0$0$1,000$165.6M$10.7M$30.0M
Other financing$610,000$3.0M$1.2M−$1,000−$165.6M$176,000$15,000
Cash from financing activities$54.0M$2.6M$752,000$5,000$159.6M$9.2M$33.0M
Summary
Net change in cash−$99,000$163,000−$26.0M−$29.1M$45.4M−$7.9M$13.7M
Cash at end of period$3.9M$4.0M$3.9M$29.9M$58.9M$13.5M$21.4M
Free cash flow−$26.3M−$15.3M−$27.3M−$35.4M−$32.9M−$17.0M−$19.4M
Free cash flow margin−32,529.6%−19,857.1%−8,926.8%−13,209.3%−40,170.7%−68,068.0%−53,980.6%
Capex / revenue896.3%1,429.9%41.8%295.1%1,590.2%596.0%302.8%

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.

SERA cash generation

In fiscal 2025 (ended December 31, 2025), Sera Prognostics generated -$25.6 million of cash from operations and spent $0.7 million on capital expenditures, leaving free cash flow of -$26.3 million, −32,529.6% of revenue. Cash and equivalents fell by $0.1 million over the year.

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

SERA cash flow FAQ

What is Sera Prognostics's free cash flow?

Sera Prognostics's free cash flow was -$26.3 million in fiscal 2025: -$25.6 million of operating cash flow minus $0.7 million of capital expenditures It was -$15.3 million a year earlier..

How much cash does Sera Prognostics generate from operations?

Sera Prognostics generated -$25.6 million of cash from operating activities in fiscal 2025.

How much does Sera Prognostics spend on capital expenditures?

Sera Prognostics spent $0.7 million on capital expenditures in fiscal 2025, 896.3% of revenue, compared with $1.1 million the year before.

Medical Devices: cash flow