Zhongchao Inc. (ZCMD) Cash Flow Statement

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

Where ZCMD’s cash came from and went, 2025

December 31, 2025 · U.S. dollars
Cash from operations
$845,391
Capital expenditures
$152,561
1.3% of revenue
Free cash flow
$692,830
6.1% margin
Returned to shareholders
—
Change in cash
$256,769
cash at year-end $8.1M
Cash from operations: $845,391Cash from operations$845,391Currency & other: $237,977Currency & other$237,977Investments (net): $674,038Investments (net)$674,038 · 62%Capital expenditures: $152,561Capital expenditures$152,561 · 14%Added to cash: $256,769Added to cash$256,769 · 24%$1.1M
Cash from operations
$845,391
Capital expenditures
−$152,561
Investments (net)
−$674,038
Currency & other
+$237,977
Change in cash
$256,769

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

ZCMD operating cash flow, capex and free cash flow

Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)

ZCMD cash flow trends, 2017–2025

Zhongchao Inc. cash flow trends
MetricTrendThenLatestChange
Operating cash flow−$537,6542017$845,3912025—
Capital expenditures$32,2162017$152,5612025+21.5%/yr
Free cash flow−$569,8702017$692,8302025—
Free cash flow margin−5.8%20176.1%2025+11.9 pts
Operating cash flow / net income−0.35201711.992021+12.34
Stock-based compensation$110,9402017$3.7M2025+55.0%/yr
Capex / revenue0.3%20171.3%2025+1.0 pts

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

ZCMD cash flow by activity

OperatingInvestingFinancingChange in cash

ZCMD 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).

ZCMD cash flow statement

Zhongchao Inc. annual cash flow statement
202520242023202220212020201920182017
Operating activities
Net income−$6.3M−$273,413−$11.3M−$2.8M$238,665$4.5M$4.0M$3.0M$1.5M
Depreciation & amortization$321,667$428,355$923,614$730,311$702,977$403,008$240,514$28,778$16,270
Stock-based compensation$3.7M$109,714$135,547$160,777$211,823$168,350$159,984−$14,483$110,940
Change in working capital$1.8M−$2.0M$2.7M$172,877$1.5M−$6.4M−$2.7M−$1.8M−$2.0M
Other non-cash items$1.3M$260,413$7.6M$1.1M$175,372$334,283−$342,608$53,062−$188,305
Cash from operating activities$845,391−$1.5M$54,229−$661,740$2.9M−$1.0M$1.4M$1.3M−$537,654
Investing activities
Capital expenditures−$152,561−$3.0M−$839,736−$1.9M−$1.8M−$160,601−$1.3M−$668,067−$32,216
Investments (net)−$674,038−$1.8M−$3.8M−$3.3M$820,238−$3.3M$1.2M$582,539−$1.8M
Acquisitions & other investing$0$3.0M$839,736$1.9M−$3.0M−$673,779−$48,195−$418,520−$49,480
Cash from investing activities−$826,599−$1.8M−$3.8M−$3.3M−$4.0M−$4.1M−$203,074−$504,048−$1.8M
Financing activities
Net borrowing (repayment)————$0—−$723,788$756,544$756,544
Shares issued$0$3.8M$0$1.9M$0$11.9M$0$0$0
Other financing$0$0$0$0$0−$388,709−$468,328$3.6M$2.0M
Cash from financing activities$0$3.8M$0$1.9M$0$11.5M−$1.2M$4.3M$2.7M
Summary
Net change in cash$256,769$292,612−$4.0M−$2.4M−$1.2M$7.2M−$86,123$4.9M$3.0M
Cash at end of period$8.1M$7.8M$7.5M$11.5M$13.9M$15.1M$7.8M$7.9M$3.0M
Free cash flow$692,830−$4.5M−$785,507−$2.5M$1.1M−$1.2M$95,080$644,580−$569,870
Free cash flow margin6.1%−28.5%−4.0%−17.8%6.5%−6.7%0.6%5.0%−5.8%
Capex / revenue1.3%19.2%4.3%13.2%11.0%0.9%8.8%5.2%0.3%
Operating cash flow / net income————11.99−0.230.350.43−0.35

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.

ZCMD cash generation

In fiscal 2025 (ended December 31, 2025), Zhongchao generated $0.8 million of cash from operations and spent $0.2 million on capital expenditures, leaving free cash flow of $0.7 million, 6.1% of revenue. Cash and equivalents rose by $0.3 million over the year.

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

ZCMD cash flow FAQ

What is Zhongchao's free cash flow?

Zhongchao's free cash flow was $0.7 million in fiscal 2025: $0.8 million of operating cash flow minus $0.2 million of capital expenditures It was -$4.5 million a year earlier..

How much cash does Zhongchao generate from operations?

Zhongchao generated $0.8 million of cash from operating activities in fiscal 2025.

How much does Zhongchao spend on capital expenditures?

Zhongchao spent $0.2 million on capital expenditures in fiscal 2025, 1.3% of revenue, compared with $3.0 million the year before.

Health Information Services: cash flow