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Vsee Health cash flow, quarter by quarter

Latest: Q2 2026 · from the cash-flow statements filed with the SEC

Free cash flow−$1.2M in Q2 2026 · −$6.4M over twelve months

Operating cash flow−$1.2M
Capital spending−$73K
Free cash flow−$1.2M
Cash / net income-1.4×
Cash conversion cycle-114 days

Analysis

In Q2 2026, Vsee Health generated −$1.2M of operating cash flow and spent $73K on capital projects, leaving free cash flow of −$1.2M. That is $919K less than in Q2 2025 (−$328K).

Over the twelve months to Jun 30, 2026, operating cash flow was −$6.3M; the largest uses were operating cash flow ($6.3M), net borrowing (+) / repaid (−) ($929K), capital spending ($114K); besides operations, cash came from other financing ($6.4M), shares issued ($1.4M); the cash balance rose by $377K.

Operating cash flow was −$1.2M against net income of $847K — -1.4× profit, less cash than reported earnings, worth checking against working capital. The largest differences: depreciation & amortization +$640K, payables +$380K, receivables −$356K.

Its cash conversion cycle was -114 days (receivables 143 + inventory 0 − payables 257): suppliers fund its working capital.

Free cash flow

Vsee Health: free cash flow by quarterVsee Health: free cash flow by quarter−$226KQ3 2024−$3.0MQ4 2024−$452KQ1 2025−$328KQ2 2025−$762KQ3 2025−$1.9MQ4 2025−$2.5MQ1 2026−$1.2MQ2 2026
Operating cash flow less capital spending.
Vsee Health: operating cash flow against capital spendingVsee Health: operating cash flow against capital spendingOperating cash flowCapital spending−$221K$5KQ3 2024−$3.0M$5KQ4 2024−$440K$12KQ1 2025−$325K$4KQ2 2025−$755K$7KQ3 2025−$1.9M$7KQ4 2025−$2.5M$27KQ1 2026−$1.2M$73KQ2 2026
Latest (Q2 2026): Operating cash flow −$1.2M, Capital spending $73K.

Capital allocation, year by year

Vsee Health: where the cash came from (up) and went (down), by fiscal yearVsee Health: where the cash came from (up) and went (down), by fiscal yearOperating cash flowNet borrowingShares issuedCapital spendingBuybacksFY2022: Operating cash flow −$1.4MFY2022: Net borrowing $800KFY2022: Buybacks −$110M$800KFY2022FY2023: Operating cash flow −$633KFY2023: Net borrowing $100KFY2023: Capital spending −$4KFY2023: Buybacks −$6.8M$100KFY2023FY2024: Operating cash flow −$5.8MFY2024: Net borrowing −$39KFY2024: Capital spending −$55KFY2024: Buybacks −$5KFY2024FY2025: Operating cash flow −$3.4MFY2025: Net borrowing −$174KFY2025: Shares issued $1.5MFY2025: Capital spending −$30KFY2025: Buybacks −$44$1.5MFY2025
Over these 4 years operating cash flow totalled −$11.3M; the largest uses were buybacks ($117M) and operating cash flow ($11.3M). Cash-flow statements as filed.

Cash runway and the debt wall

Cash & investments$454K
Debt$2.0M
Net debt$1.6M
Due within a year$1.2M
Cash runway1 month

Vsee Health is burning cash: its operations consume cash, a free cash flow of −$6.4M a year at the current rate against $454K of cash and investments: a runway of about 1 month; $1.2M of debt also comes due within a year, which would need refinancing or new money before any new financing.

Vsee Health: debt maturities by year (FY2025)Vsee Health: debt maturities by year (FY2025)$1.2MYear 1$38KYear 2$39KYear 3$41KYear 4$42KYear 5$1.3MAfter year 5
Principal due in each year as disclosed in the annual report, against $454K of cash and investments now.

Where the cash came from and went

Vsee Health: sources (+) and uses (−) of cash, Q2 2026Vsee Health: sources (+) and uses (−) of cash, Q2 2026Operating cash flow−$1.2MOther financing$750KCash drawn (+) / kept (−)$677KNet borrowing (+) / repaid (−)−$252KCapital spending−$73KOther investing$71K
Vsee Health: sources (+) and uses (−) of cash, TTM to Q2 2026Vsee Health: sources (+) and uses (−) of cash, TTM to Q2 2026Other financing$6.4MOperating cash flow−$6.3MShares issued$1.4MNet borrowing (+) / repaid (−)−$929KCash drawn (+) / kept (−)−$377KCapital spending−$114KBuybacks−$50KOther investing−$29K

From profit to cash

Vsee Health: net income to operating cash flow, Q2 2026Vsee Health: net income to operating cash flow, Q2 2026Net income$847KDepreciation & amortization$640KStock-based pay$203KReceivables−$356KPayables$380KPrepaid and other assets$113KOperating cash flow−$1.2M
Non-cash charges are added back; money tied up in receivables or inventory is subtracted.
QuarterReceivable daysInventory daysPayable daysCash conversion cycle
Q2 2026143—257-114
Q1 202670—210-140
Q4 202556—244-188
Q3 202548—246-197
Q2 202547—217-171
Q1 202548—261-213
Q3 202427—1399-1372

Every quarter

QuarterOperating cash flowCapital spendingBuybacksNet borrowing (+) / repaid (−)Shares issuedCash drawn (+) / kept (−)Free cash flow
Q2 2026−$1.2M−$73K—−$252K—$677K−$1.2M
Q1 2026−$2.5M−$27K−$50K−$1.5M—$3.9M−$2.5M
Q4 2025−$1.9M−$7K—$520K$959K−$4.8M−$1.9M
Q3 2025−$755K−$7K——$451K−$181K−$762K
Q2 2025−$325K−$4K−$44−$509K—$119K−$328K
Q1 2025−$440K−$12K—$459K$91K−$84K−$452K
Q4 2024−$3.0M−$5K−$5K$359K—$2.0M−$3.0M
Q3 2024−$221K−$5K—−$31K—−$1.2M−$226K

Vsee Health: income statement and cash flow

Vsee Health, Q2 2026: revenue $1.6M (-54% year over year), operating margin -172.7%. The chart follows the revenue to costs, profit and cash.

Vsee Health: every quarter, Q/Q and Y/Y → Open in the app

Read automatically from the company’s XBRL cash-flow statements; quarterly figures for the fourth quarter are the year less the first three. Errors are possible. Not investment advice.