Spruce Biosciences, Inc. (SPRB) Cash Flow Statement

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

Where SPRB’s cash came from and went, 2025

December 31, 2025 · U.S. dollars
Cash from operations
−$33.3M
Capital expenditures
$0
Free cash flow
−$33.3M
Returned to shareholders
—
Change in cash
$10.2M
cash at year-end $48.9M
Shares issued: $50.0MShares issued$50.0MCash used in operations: $33.3MCash used in operations$33.3M · 67%Other financing: $4.5MOther financing$4.5M · 9%Debt repayment: $2.1MDebt repayment$2.1M · 4%Added to cash: $10.2MAdded to cash$10.2M · 20%$50.0M
Cash from operations
−$33.3M
Net borrowing (repayment)
−$2.1M
Shares issued
+$50.0M
Other financing
−$4.5M
Change in cash
$10.2M

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

SPRB operating cash flow, capex and free cash flow

Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)

SPRB cash flow trends, 2018–2025

Spruce Biosciences, Inc. cash flow trends
MetricTrendThenLatestChange
Operating cash flow−$8.6M2018−$33.3M2025—
Capital expenditures$4,0002018$02025−100.0%
Free cash flow−$8.6M2018−$33.3M2025—
Free cash flow margin−2,122.8%2022−1,139.6%2024+983.2 pts
Stock-based compensation$101,0002018$2.6M2025+58.8%/yr
Dividends paid$423,0002021$169,0002023−36.8%/yr
Share buybacks (net)$02020$02025—
Capex / revenue0.4%20220.0%2024−0.4 pts

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

SPRB cash flow by activity

OperatingInvestingFinancingChange in cash

SPRB 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).

SPRB cash flow statement

Spruce Biosciences, Inc. annual cash flow statement
20252024202320222021202020192018
Operating activities
Net income−$39.0M−$53.0M−$47.9M−$46.2M−$42.3M−$29.5M−$13.1M−$9.9M
Depreciation & amortization$21,000$46,000$70,000$74,000$68,000$36,000$12,000$1,000
Stock-based compensation$2.6M$5.3M$4.6M$3.6M$4.0M$755,000$196,000$101,000
Change in working capital−$724,000−$8.6M$10.4M$1.1M$2.0M$1.2M$263,000$1.2M
Other non-cash items$3.8M$249,000−$404,000−$340,000$434,000$66,000$0$0
Cash from operating activities−$33.3M−$56.0M−$33.3M−$41.7M−$35.9M−$27.5M−$12.6M−$8.6M
Investing activities
Capital expenditures$0$0−$7,000−$8,000−$93,000−$74,000−$4,000−$4,000
Investments (net)—$0$55.8M$23.7M−$79.1M−$74,000−$4,000−$79.1M
Acquisitions & other investing——$7,000$0$0$74,000$4,000$79.1M
Cash from investing activities——$55.8M$23.7M−$79.2M−$74,000−$4,000−$4,000
Financing activities
Dividends paid——−$169,000—−$423,000———
Share repurchases & issuance (net)$25,000$66,000−$311,000−$40,000$134,000$93.4M——
Net borrowing (repayment)−$2.1M−$1.6M−$1.6M$0$230,000$230,000$4.5M$4.5M
Shares issued$50.0M$0$53.6M$0$96.3M$183.9M$7.9M$0
Other financing−$4.5M−$66,000−$2.4M−$201,000−$95.6M−$96.5M−$8,000$7.9M
Cash from financing activities$43.5M−$1.6M$49.1M−$241,000$643,000$181.0M$12.4M$12.4M
Summary
Net change in cash$10.2M−$57.6M$71.6M−$18.0M−$114.4M$153.4M−$188,000−$8.6M
Cash at end of period$48.9M$38.8M$96.4M$24.7M$43.0M$157.4M$3.9M$4.1M
Free cash flow−$33.3M−$56.0M−$33.3M−$41.7M−$36.0M−$27.6M−$12.6M−$8.6M
Free cash flow margin—−1,139.6%−329.9%−2,122.8%————
Capex / revenue—0.0%0.1%0.4%————

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.

SPRB cash generation

In fiscal 2025 (ended December 31, 2025), Spruce Biosciences generated -$33.3 million of cash from operations and spent $0 on capital expenditures, leaving free cash flow of -$33.3 million. Cash and equivalents rose by $10.2 million over the year.

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

SPRB cash flow FAQ

What is Spruce Biosciences's free cash flow?

Spruce Biosciences's free cash flow was -$33.3 million in fiscal 2025: -$33.3 million of operating cash flow minus $0 of capital expenditures It was -$56.0 million a year earlier..

How much cash does Spruce Biosciences generate from operations?

Spruce Biosciences generated -$33.3 million of cash from operating activities in fiscal 2025.

Biotechnology: cash flow