Island Waters Insights

Profitable but Out of Cash: Where the Money Went

November 5, 2026 · 13 min read

A profitable company runs out of cash because profit counts what you earned and cash counts what moved. Customers owe you, inventory and prepaid costs are paid up front, and loan principal, equipment and taxes use cash the P&L never shows. In my illustrative example, $400,000 of profit became a $310,000 drop in cash.1

I work with founders in the four industries I go real deep in: technology (AI and SaaS), healthcare and biotech, pharma, and pharmacy. This piece is for any founder whose profit and bank balance stopped agreeing, and I flag where an AI, biotech, pharma or pharmacy company changes the picture. I am not a CPA and the firm performs no attest work, so your auditor decides what counts as audit ready, and tax filing goes to a tax partner we trust. Every company number below is made up (illustrative, not a client) unless I cite it.

Picture the board meeting. Your P&L says the company made $400,000 this quarter, and the bank balance is $310,000 lower than it was in July. Somebody asks where the money went, and the room goes quiet. That question has an answer, it sits on a page you already have, and by the end you will know how to find it and what to do about it this month.

Why can a profitable company have no cash?

The short answer is that your income statement and your bank account keep score differently. Accrual accounting books a sale when you earn it, and the IRS states the rule plainly: you generally report income "in the tax year you earn it, regardless of when payment is received."1 So a sale on 60 day terms is profit today and cash in 2 months. Costs run the same way in reverse, and a few cash uses never touch the P&L at all, which is where founders get lost.

Here is the definition I use. Cash flow from operations is the cash your normal business activity brings in or uses, and FASB's old Statement 95 defined it by exclusion: operating activities "include all transactions and other events that are not defined as investing or financing activities."2 Start with net income, then adjust for the items that did not move cash and for the working capital that got tied up along the way. The SEC's investor education material describes the same indirect method, which starts from net income and adjusts for non-cash items such as depreciation.3 In my book that is the whole trick: begin with profit and walk it to cash one line at a time.

Two companies can show the same profit and live completely different lives. The one with 30 day customers and a month of inventory is fine. The one growing fast on 60 day terms is not, because the growth itself is the drain. The SBA puts the rule of thumb in one line: "Increasing assets reduce cash, and increasing liabilities increase cash."4

That matters because most small companies have very little room for error. JPMorgan Chase Institute studied about 597,000 small businesses with Chase accounts and wrote that "The median small business holds 27 cash buffer days in reserve."5 That is February to October 2015 data from Chase customers only, so I treat it as a dated benchmark and not as today's average. The same report found that half of small businesses held less than a month of cash, and the 25th percentile held about 13 days. A 2020 follow-up covering 25 metro areas put the typical business below about 2 weeks.6

The Federal Reserve's Small Business Credit Survey shows the same pressure. In the 2024 survey, a convenience sample of 7,653 responses, "More than half of firms cited paying operating expenses (56%) or uneven cash flows (51%) as challenges."7 It does not separate profitable firms from unprofitable ones, so I read it as the size of the problem and not a diagnosis of yours.

Where does the cash go: receivables, inventory, prepaid costs or debt?

Receivables come first, because they are usually the biggest. Every dollar a customer owes you is profit you cannot spend. A SCORE volunteer article explains the mechanic well: when sales are made on credit, the result is an increase in the accounts receivable account, which is an asset, and not an increase in cash.8 That is why a month of record sales can leave the bank balance flat.

Slow customers make it worse. The Federal Reserve's 2024 payments report says slow-paying customers are a common challenge for firms that collect after delivery, and only 38% of firms said they collect at the time of service or purchase.910 QuickBooks' 2026 late payments report, a vendor survey and not a nationally representative one, found 59% of businesses had invoices overdue by 30 days or more, up from 47% a year earlier.11 I weigh the vendor number lightly, but the direction matches the Fed's.

Inventory and prepaid costs are the second drain. You pay for stock, annual software, insurance and deposits before the cost lands on the P&L, so the cash is gone while the expense waits its turn. OpenStax's finance text shows it plainly: when inventory increased, additional cash was spent to acquire it, and the cash flow statement subtracts the increase.12

Then come the cash uses that never reach profit. Interest is an expense, but loan principal is not, and OpenStax lists the repayment of notes among financing activities.13 Some equipment costs must be capitalized and not deducted, as the IRS says in Publication 535, so the cash leaves now and the expense arrives slowly as depreciation.14 Taxes follow their own calendar, and the IRS says corporations generally must make estimated payments during the year.15 I treat these as a separate list from working capital, because they do not shrink when collections improve.

How do I find the money on the cash flow statement?

Here is the back of the napkin version, on illustrative numbers (not a client). A software and services company earns $400,000 of net income on $3,000,000 of revenue, up from $2,600,000 the quarter before. It starts the quarter with $620,000 in the bank and ends with $310,000. Walk it like this.

Start with net income of $400,000. Add back $30,000 of depreciation, because that expense used no cash this quarter. Receivables grew from $900,000 to $1,420,000, so subtract $520,000. The company also prepaid $90,000 of annual software and insurance, so subtract that, and it owes suppliers $60,000 more than it did in July, so add that back. Cash from operations is negative $120,000, which is $400,000 plus $30,000 minus $520,000 minus $90,000 plus $60,000.

Then come the two sections that never touch profit. The company bought $110,000 of equipment and capitalized software, an investing outflow, and repaid $80,000 of loan principal, a financing outflow. Negative $120,000 minus $110,000 minus $80,000 is negative $310,000, and $620,000 less $310,000 is the $310,000 left in the bank. The profit was real. So was the drop in cash.

Notice what moved the most. Receivables took $520,000, more than the whole $400,000 of profit. Days sales outstanding went from about 31 days ($900,000 on $2,600,000 of quarterly revenue, times 90) to about 43 days ($1,420,000 on $3,000,000), so customers did not only grow, they got slower. That slip is the part I would go after first, because it needs no new customer, no new loan and no new contract.

To read your own, open the cash flow statement and look at the first section only. Harvard Business School Online's guide says a company's cash from operations should routinely exceed its net income, so when that order flips, the change lines underneath are your answer.16 Those lines are receivables, inventory, prepaid costs and payables. Here is how I think about it: the P&L tells you whether the model works, and the cash flow statement tells you whether you can survive the model's timing.

Which cash drains should I check first?

Here is the list I walk through with founders, in the order I would check it. Each row is a place where profit and cash split, where it shows on the cash flow statement and the one thing to pull this week.

Where profit and cash split: five common drains, where each shows on the cash flow statement and what to check this week
DrainWhat happensWhere it showsCheck this week
ReceivablesThe sale is booked, the cash is not collected yetOperating section, an increase in receivables subtractsAged receivables list and days sales outstanding, this quarter against last
Inventory and prepaid costsCash is paid before the cost reaches the P&LOperating section, increases subtractInventory turns and every annual bill paid up front
Loan principalRepayment is not an expense, though interest isFinancing sectionDebt schedule by month for the next 13 weeks
Equipment and capitalized costsCash goes out now and the expense spreads over yearsInvesting sectionPurchases and capitalized software this quarter
Taxes and supplier paymentsPayments follow the tax calendar and the supplier terms, not the closeOperating section, taxes paid and the change in payablesEstimated tax dates and the payables aging

What is the cash conversion cycle, and why should I care?

The cash conversion cycle is the number of days between paying for what you sell and collecting the money from selling it. Harvard Business School Online describes that gap as the cash conversion cycle and gives the formula as days of inventory plus days of receivables minus days of payables.17 The CFA Institute's blog frames the idea as tracking working capital efficiency from the cash paid to suppliers to the cash collected from customers.18 It is the why behind the number: a long cycle means you fund your customers.

A company with 40 days of inventory, 45 days of receivables and 30 days of payables has a cycle of 55 days, so it funds about 2 months of operations before cash comes back. A software company with no inventory has a shorter formula, receivables minus payables, and my example company sits near 13 days if it pays suppliers in 30. I would rather watch one number every month, days sales outstanding, than a dashboard of 12 that nobody reads.

Has a real company failed with profits on the books?

Yes, and the cleanest public record I know is Carillion, the UK construction and services group whose collapse the House of Commons Library documented in March 2018. Its briefing paper says "While declared profits can be based on expectations, dividends are paid out in hard cash."19 In the 8 years from 2009 to 2016, Carillion paid out £554 million in dividends, three quarters of the cash it made from operations.19 A Commons Library explainer describes the warning sign as something that "shows up in company accounts as a fall in the actual cash that the company makes compared with the profits it declares."20

Two cautions. Carillion was far larger than any company you run, and its collapse also involved heavy debt and contract write-downs, so profit running ahead of cash was one part of the story and not all of it. I raise it because the pattern is the same at any size, and because it is a public record and not a story I could make up. I tell founders to watch the gap and not the profit. When cash from operations trails net income for 2 quarters in a row, I want to know why before anyone talks about a dividend, a hire or a raise.

What 3 moves free up cash fastest?

Here is how I think about it, ranked by speed: collect, bill earlier, then use terms and inventory.

Collect first. Call the 3 largest overdue invoices this week, and set a reminder for the day after the due date on every new one. Most late payers are not refusing to pay, they are waiting for someone to ask, and an overdue receivable is the only drain here you can turn into cash in days.

Bill earlier second. Invoice on delivery, bill on milestones, ask for a deposit, and for software move customers to annual prepaid contracts where they will accept it. Sprinklr, a public software company, reported net income of about $4.2 million against about $70.4 million of cash from operating activities in the quarter ended April 30, 2026, and its filing says deferred revenue consists primarily of customer billings made in advance of the related performance obligations.21 I did not trace the whole gap to that one line. Still, it is the mirror image of this article: cash arrives first and revenue follows.

Use terms and inventory third. The SBA's guide on net 30 accounts suggests negotiating the longest payback terms you can get, such as net 45, net 60 or even net 90 days.22 I would negotiate terms up front and never simply pay a supplier late, because late payment costs the relationship those terms depend on. McKinsey says most companies can improve net working capital by 10% to 30%, and PwC describes the same range in its own projects.2324 Both are consultancies' own experience, so I use them to size the prize and nothing more.

If you run a biotech, pharma, pharmacy or AI company, what changes?

For an AI or SaaS company, deferred revenue can flip the problem. If customers prepay annually, cash arrives before revenue, so your P&L understates your cash. I would track cash and deferred revenue side by side every month.

A pharmacy sits between two clocks. Drug Topics reports that wholesalers are paid within 7 to 14 days, while "Reimbursement from PBMs, on the other hand, can take anywhere from 2 to 6 weeks, depending on the payer."25 So a pharmacy that grows prescription volume fronts inventory for weeks before insurers pay. NCPA told Pharmacy Times that 67% of the 500 or more owners it surveyed wait more than 22 days for manufacturer refunds under the Medicare Drug Price Negotiation Program, and 60% have dipped into savings.26 Drug Topics also passes along a cooperative's estimate that moving from 10 to 12 inventory turns to 15 could free about $15,000 to $60,000.25 That is one estimate, so test it against your own turns.

Biotech and pharma carry accrual timing. Through a High Rock Accounting engagement, I served as the sole accountant on a clinical-stage biopharmaceutical client's month-end close, owning its preclinical, clinical, manufacturing and general accruals through its Nasdaq IPO. I was on the client's accounting team, and the accrual workpapers took 40 hours or more in the first week of every month. An accrual puts a cost on the P&L when the work is done, while the cash leaves when the invoice is paid, sometimes months later. That is why I read accruals against cash every month.

A pre-revenue company has no profit, but the same gap shows up on the loss. Zenas BioPharma's 10-Q for the quarter ended September 30, 2025 shows a nine month net loss of $137.3 million against $119.9 million of net cash used in operations, $17.4 million apart, with $18.8 million of stock compensation among the non-cash items.27 If a number like that looks wrong on your statements and it is not my lane, I will say so and point you to who is.

If you only do 3 things after reading this, do these, and do them before your next board meeting so nobody has to rebuild the answer for you:

  1. Walk last quarter's profit to cash on one page. Net income, then receivables, inventory and prepaid costs, payables, equipment and loan principal, down to the change in your bank balance.
  2. Call the 3 largest overdue invoices this week. Then pull days sales outstanding for this quarter and last, and write the trend next to the number.
  3. Build a 13-week cash flow forecast that puts loan payments, tax dates and annual prepaids on the calendar. Roll it forward every Monday so the next surprise is already on the page.

The short version, if you only have a minute

How can a profitable company run out of cash?

Profit counts a sale when it is earned, and cash counts it when the money arrives. Growing receivables, inventory and prepaid costs tie cash up on the balance sheet, and loan principal, equipment and some taxes use cash without touching the P&L. In my example, $400,000 of profit still became a $310,000 drop in cash in one quarter.

Where does the cash go when a company is profitable?

Usually into 5 places: receivables customers have not paid, inventory and prepaid costs bought ahead of use, loan principal, equipment and capitalized software, and tax or supplier payments on their own calendar. In my example receivables took $520,000, more than the $400,000 of profit. I check receivables first because they are usually the largest.

How do you read the cash flow statement to find it?

Open the first section, cash from operations, and compare it with net income. If it is lower, the lines underneath tell you why: an increase in receivables, inventory or prepaid costs subtracts cash, and an increase in payables or deferred revenue adds it. Then check investing for equipment and financing for loan principal, which never touch profit.

What is the cash conversion cycle?

It is the days between paying for what you sell and collecting the money, calculated as days of inventory plus days of receivables minus days of payables. A company with 40 days of inventory, 45 of receivables and 30 of payables has a 55 day cycle, so it funds about 2 months of operations before cash comes back. A shorter cycle is easier to run.

What 3 moves free up cash fastest?

Collect what is already earned by calling the largest overdue invoices this week. Bill earlier with deposits, milestones or annual prepaid contracts. Then use supplier terms and inventory: negotiate longer terms without paying late, and trim slow stock. I would rank them in that order, because the first needs no new customer and no new contract.

Have a question like this about your own numbers?

Founder Fridays is a free 30 minute slot with me every Friday. Bring the question, and I will give you a straight answer. Book a Founder Fridays slot

Launch. Scale. Exit. Beach.

Sources

  1. Internal Revenue Service, "Publication 538 (01/2022), Accounting Periods and Methods," IRS, Rev. January 2022. irs.gov↩↩
  2. Financial Accounting Standards Board, "Statement of Financial Accounting Standards No. 95, Statement of Cash Flows (codified later in ASC 230)," FASB, 1987-11. storage.fasb.org↩
  3. U.S. SEC, Office of the Advocate for Small Business Capital Formation, "What is a statement of cash flows?," U.S. Securities and Exchange Commission, undated page. sec.gov↩
  4. U.S. Small Business Administration (Learning Platform, Manage Your Benjamins series), "How to Understand Cash Flow Statements," U.S. Small Business Administration (ascent.sba.gov), undated page. ascent.sba.gov↩
  5. JPMorgan Chase Institute (Diana Farrell, Fiona Greig), "Cash Flows, Balances, and Buffer Days (small business report, 'Cash Is King' series)," JPMorgan Chase Institute, 2016-09-01. jpmorganchase.com↩
  6. JPMorgan Chase Institute, "Small Business Cash Liquidity in 25 Metro Areas," JPMorgan Chase Institute, 2020-04. jpmorganchase.com↩
  7. Federal Reserve Banks (Small Business Credit Survey), "2025 Report on Employer Firms: Findings from the 2024 Small Business Credit Survey," Federal Reserve Banks / fedsmallbusiness.org, 2025-03-27. fedsmallbusiness.org↩
  8. SCORE Port Charlotte (no author listed), "SCORE Small Business Talk: Where Did the Money Go?," SCORE (SBA resource partner), 2019-07-12. score.org↩
  9. Federal Reserve Banks (Small Business Credit Survey), "2024 Report on Payments (Small Business Credit Survey)," Federal Reserve Banks / fedsmallbusiness.org, 2024-12. fedsmallbusiness.org↩
  10. Federal Reserve Banks (Fed Small Business), "Fees easily rank as the top payments challenge small businesses face (press release)," fedsmallbusiness.org, 2024-12-05. fedsmallbusiness.org↩
  11. Intuit QuickBooks, "Small Business Late Payments Report 2026," QuickBooks (Intuit), 2026-07-07 (practitioner or vendor estimate). quickbooks.intuit.com↩
  12. Rainford Knight (OpenStax Principles of Finance), "5.5 The Statement of Cash Flows," OpenStax, Rice University, 2022-03-24. openstax.org↩
  13. Franklin, M., Graybeal, P., Cooper, D., "16.2 Differentiate between Operating, Investing, and Financing Activities (Principles of Accounting, Vol. 1)," OpenStax, Rice University, 2019-04-11. openstax.org↩
  14. Internal Revenue Service, "Publication 535, Business Expenses (for 2022 returns)," IRS, Rev. 2023-02-02. irs.gov↩
  15. Internal Revenue Service, "Estimated taxes," IRS, 2026-09-25 (last reviewed or updated). irs.gov↩
  16. Tim Stobierski, "How to Read & Understand a Cash Flow Statement," Harvard Business School Online, 2020-04-30. online.hbs.edu↩
  17. Brian Misamore, "Word of the Week: Cash Conversion Cycle," Harvard Business School Online, 2016-07-26. online.hbs.edu↩
  18. Luke Constable, "Refreshing Revenue, the Cash Conversion Cycle, and Free Cash Flow," CFA Institute Research and Policy Center (Enterprising Investor), 2021-04-05. rpc.cfainstitute.org↩
  19. Federico Mor, Lorraine Conway, Djuna Thurley, Lorna Booth (House of Commons Library), "The collapse of Carillion (Briefing Paper 8206)," UK Parliament, House of Commons Library, 2018-03-14. researchbriefings.files.parliament.uk↩↩
  20. UK Parliament, House of Commons Library, "Carillion collapse: what went wrong?," UK Parliament, House of Commons Library, undated page. commonslibrary.parliament.uk↩
  21. Sprinklr, Inc., "Form 10-Q for the quarterly period ended April 30, 2026," U.S. SEC EDGAR, 2026-04-30. sec.gov↩
  22. Marco Carbajo, "How Net 30 Accounts Help Conserve Business Cash Flow," U.S. Small Business Administration (SBA Newsroom blog), 2016-09-13. sba.gov↩
  23. McKinsey & Company, "Cash solutions (Transformation capability page)," McKinsey & Company, undated page. mckinsey.com↩
  24. PwC (Vietnam), "Releasing cash and improving the operational performance of your company (Working Capital Management overview)," PwC (Vietnam) Limited, 2021. pwc.com↩
  25. Kimberly Rath, PharmD (fact-checked by Ron Panarotti), "Finance Strategies for Independent Pharmacies Facing Shrinking Margins," Drug Topics, 2026-08-13 (practitioner or vendor estimate). drugtopics.com↩↩
  26. Ronna Hauser, PharmD (NCPA), interviewed by Pharmacy Times, "NCPA: Independent pharmacies facing cash flow gaps under Medicare Drug Price Negotiation Program," Pharmacy Times, 2026-03-12 (practitioner or vendor estimate). pharmacytimes.com↩
  27. Zenas BioPharma, Inc., "Form 10-Q for the quarterly period ended September 30, 2025," U.S. SEC EDGAR, 2025-09-30. sec.gov↩

About the author

Shawn Elliott is the Founder & CEO of Island Waters Accounting LLC, a fractional CFO and client advisory firm for founders in AI, SaaS, Technology, Healthcare, Biotech, Health Tech, Pharmacy, and Pharma. He has more than 23 years in accounting and finance, including two private equity exits and five years in the accounting department of a specialty pharmacy that grew from about $50 million to about $500 million in revenue. Through a High Rock Accounting engagement, he served as the sole accountant on a clinical-stage biopharmaceutical client's month-end close, owning its preclinical, clinical, manufacturing and general accruals through its Nasdaq IPO. He is not a CPA, and the firm performs no attest work.

Island Waters is not a CPA firm and performs no audit, review, compilation or other attest work, and gives no legal or investment advice. Tax preparation and filing are handled by a tax partner we trust.