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Capstone Holding (CAPS)
NASDAQ:CAPS
US Market

Capstone Holding (CAPS) AI Stock Analysis

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CAPS

Capstone Holding

(NASDAQ:CAPS)

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Neutral 41 (OpenAI - 5.2)
Rating:41Neutral
Price Target:
$0.57
▼(-19.30% Downside)
The score is primarily held down by weak financial performance (ongoing losses and renewed cash burn), with bearish technicals reinforcing downside pressure. Corporate updates provide some offset via growth/monetization actions and reduced near-term costs, but listing-compliance risk and loss-based valuation keep the overall score low.
Positive Factors
Acquisition-driven revenue scale
Successful recent acquisitions have materially increased scale and revenue run-rate, creating a broader revenue base and more predictable cash flows. Growing scale improves bargaining power with suppliers and enhances ability to absorb fixed costs, supporting more durable margin expansion and strategic optionality.
Stabilizing balance sheet
Leverage has fallen from severely elevated levels to a more manageable debt-to-equity ratio, restoring solvency headroom. A stronger equity base and reduced near-term leverage increase financing flexibility for operations and selective acquisitions, lowering the probability of immediate liquidity crises.
Near-term cash relief and alignment
Conditional fee waivers reduce 2026 cash obligations and tie compensation to performance, easing near-term burn and aligning management incentives with operational targets. This provides tangible runway improvement and better incentive structure to drive sustained cash generation from core operations.
Negative Factors
Persistent cash burn
The company has returned to negative operating and free cash flow, reversing prior positive FCF trends. Continued cash burn undermines funding autonomy, increases refinancing or equity issuance risk, and can force asset sales or curtailed investment if operational improvements don't restore consistent cash generation.
Listing non-compliance risk
A Nasdaq minimum bid price deficiency creates a material structural risk to liquidity and investor access. Potential delisting would reduce trading liquidity, raise capital costs, and limit institutional participation, constraining long-term financing options and strategic flexibility if compliance is not restored.
Related-party governance and contingent fees
Board-aligned related parties control Series B rights and receive consent/contingent fees, creating potential conflicts and minority shareholder dilution risk. Such governance arrangements can complicate major transactions, raise transaction costs, and concentrate control, weakening minority protections and strategic optionality.

Capstone Holding (CAPS) vs. SPDR S&P 500 ETF (SPY)

Capstone Holding Business Overview & Revenue Model

Company DescriptionCapstone Therapeutics (CAPS) is a biotechnology company focused on developing innovative therapies for serious medical conditions. The company operates primarily in the healthcare sector, specializing in the research and development of biologics and pharmaceuticals aimed at treating diseases with significant unmet medical needs. Capstone's core products include advanced therapeutic candidates designed to enhance patient outcomes and improve the quality of life in various therapeutic areas, such as oncology and autoimmune disorders.
How the Company Makes MoneyCapstone Therapeutics generates revenue through multiple streams, primarily from the development and commercialization of its therapeutic products. The company may receive funding from strategic partnerships with larger pharmaceutical companies, including milestone payments and royalties based on product sales once they reach the market. Additional revenue may come from government grants or research contracts that support the development of its therapies. Moreover, licensing agreements for its proprietary technologies can also contribute to its earnings, offering Capstone a diversified revenue model that leverages both product sales and collaborative research efforts.

Capstone Holding Financial Statement Overview

Summary
Financial profile remains weak: TTM profitability is materially negative (EBIT margin ~-7.7%, net margin ~-12.4%) and cash generation has turned negative again (operating cash flow and free cash flow both ~-$1.15M to -$1.17M). The balance sheet has improved versus prior stress (debt-to-equity ~0.86 vs. extremely high/negative-equity periods), but ROE is still deeply negative (~-28.7%), leaving elevated risk if losses persist.
Income Statement
34
Negative
TTM (Trailing-Twelve-Months) results show modest revenue growth (+3.08%), but profitability has deteriorated materially: gross margin is ~21.9% and the company is operating at a loss (EBIT margin ~-7.7%) with a net loss of about -12.4% margin. Profitability has been volatile over the cycle—healthy profits in 2020–2021 and positive EBIT in 2022, followed by losses in 2023–2024 and a deeper loss in TTM—suggesting limited earnings durability and weaker cost absorption at current scale.
Balance Sheet
41
Neutral
Leverage is mixed but currently more manageable: TTM debt-to-equity is ~0.86 with equity around $27.2M, a notable improvement versus 2023’s very high leverage (debt-to-equity ~8.34) and 2024’s negative equity position. However, returns remain weak, with TTM return on equity around -28.7%, reflecting ongoing losses. The balance sheet has stabilized versus the most stressed periods, but earnings pressure keeps credit/solvency risk elevated if losses persist.
Cash Flow
28
Negative
Cash generation has weakened sharply in TTM (Trailing-Twelve-Months): operating cash flow is negative (~-$1.15M) and free cash flow is also negative (~-$1.17M), reversing the positive free cash flow seen in 2023–2024. Free cash flow growth is deeply negative (about -206%), indicating significant deterioration in cash conversion and/or working-capital dynamics. While free cash flow is roughly in line with net losses in TTM (free cash flow to net income ~1.02), the key issue is the return to cash burn, which reduces financial flexibility.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue44.72M44.88M48.35M61.56M66.74M45.45M
Gross Profit9.78M9.57M9.61M16.53M16.32M10.94M
EBITDA-2.86M-121.00K-1.75M4.23M5.02M2.64M
Net Income-5.54M-2.56M-3.82M2.31M3.92M10.46M
Balance Sheet
Total Assets58.48M47.22M52.70M65.21M60.85M54.87M
Cash, Cash Equivalents and Short-Term Investments730.00K11.00K52.00K23.00K50.00K0.00
Total Debt23.25M16.61M20.33M28.80M28.34M20.81M
Total Liabilities31.33M50.28M50.26M57.04M31.78M25.77M
Stockholders Equity27.16M-3.06M2.44M8.17M29.08M29.11M
Cash Flow
Free Cash Flow-1.17M3.70M1.24M-3.06M2.55M639.00K
Operating Cash Flow-1.15M3.82M1.45M-2.89M3.72M642.00K
Investing Cash Flow-2.46M-120.00K-208.00K-173.00K-931.00K-3.00K
Financing Cash Flow4.32M-3.74M-1.21M3.04M-2.74M-697.00K

Capstone Holding Technical Analysis

Technical Analysis Sentiment
Negative
Last Price0.71
Price Trends
50DMA
0.73
Negative
100DMA
0.92
Negative
200DMA
1.26
Negative
Market Momentum
MACD
-0.05
Positive
RSI
32.89
Neutral
STOCH
22.22
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CAPS, the sentiment is Negative. The current price of 0.71 is above the 20-day moving average (MA) of 0.64, below the 50-day MA of 0.73, and below the 200-day MA of 1.26, indicating a bearish trend. The MACD of -0.05 indicates Positive momentum. The RSI at 32.89 is Neutral, neither overbought nor oversold. The STOCH value of 22.22 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for CAPS.

Capstone Holding Risk Analysis

Capstone Holding disclosed 18 risk factors in its most recent earnings report. Capstone Holding reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Capstone Holding Peers Comparison

Overall Rating
UnderperformOutperform
Sector (61)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
61
Neutral
$10.43B7.12-0.05%2.87%2.86%-36.73%
46
Neutral
$50.79M-0.36-94.35%80.73%
41
Neutral
$4.56M-0.07-20.23%1.52%77.22%
41
Neutral
$2.50M
* Basic Materials Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CAPS
Capstone Holding
0.54
-1.96
-78.32%
RETO
ReTo Eco-Solutions
0.91
-19.09
-95.45%
FEAM
5E Advanced Materials, Inc.
2.45
-3.78
-60.67%
STAI
ScanTech AI Systems
0.90
-27.70
-96.85%

Capstone Holding Corporate Events

Business Operations and StrategyStock BuybackFinancial DisclosuresPrivate Placements and FinancingRegulatory Filings and ComplianceStock Split
Capstone Holding Highlights Monetization Strategy and Capital Priorities
Positive
Jan 28, 2026

On January 28, 2026, Capstone Holding Corp. published an investor FAQ outlining how it is shifting from pure platform expansion to monetizing scale in the building products sector, emphasizing its technology and AI-enabled tools as core drivers of faster integration, margin expansion, and improved cash generation following recent acquisitions that added more than $25 million in 2025 revenue. Management detailed its focus on funding growth increasingly from operating cash flow and senior credit rather than equity issuance, managing its Instone revolving credit facility and 2026 debt maturities through cash generation and refinancing flexibility, and prioritizing long-term per-share value as it seeks to regain Nasdaq minimum bid compliance primarily through operational and earnings improvements, with a reverse split only as a contingency, while remaining disciplined on further accretive acquisitions and open to potential share buybacks as part of its capital allocation strategy.

The most recent analyst rating on (CAPS) stock is a Hold with a $0.67 price target. To see the full list of analyst forecasts on Capstone Holding stock, see the CAPS Stock Forecast page.

Business Operations and StrategyExecutive/Board ChangesFinancial Disclosures
Capstone Holding Enters Fee Waiver Agreement to Ease 2026 Costs
Positive
Jan 27, 2026

On January 21, 2026, TotalStone, LLC, the operating company of Capstone Holding Corp., entered into a conditional fee waiver and deferral agreement under which related party Brookstone Partners IAC agreed to waive $400,000 of 2026 management and consulting fees and Board Chairman Gordon Strout agreed to waive $94,091 of salary or fee accruals otherwise payable under existing agreements. The waived amounts will only become payable if TotalStone later meets specified performance targets, effectively easing the company’s near-term cash obligations for 2026 while tying compensation more closely to future performance outcomes, with potential implications for liquidity, profitability, and alignment between management, related parties, and stakeholders.

The most recent analyst rating on (CAPS) stock is a Sell with a $0.70 price target. To see the full list of analyst forecasts on Capstone Holding stock, see the CAPS Stock Forecast page.

Delistings and Listing ChangesRegulatory Filings and Compliance
Capstone Therapeutics Receives Nasdaq Minimum Bid Price Notice
Negative
Jan 9, 2026

On January 7, 2026, Capstone Holding Corp. received notice from Nasdaq that its common stock had closed below the $1.00 minimum bid price requirement for 30 consecutive business days, placing the company out of compliance with Nasdaq’s continued listing standards. The notification does not immediately affect trading of its shares, which continue to trade under the symbol “CAPS,” and Capstone has until July 6, 2026, to regain compliance, with the possibility of an additional 180-day extension if it meets other listing criteria; failure to do so could ultimately result in delisting, a development that would weigh on the stock’s liquidity and visibility for investors, while the company monitors its share price and considers options to restore compliance.

The most recent analyst rating on (CAPS) stock is a Hold with a $0.64 price target. To see the full list of analyst forecasts on Capstone Therapeutics stock, see the CAPS Stock Forecast page.

Business Operations and StrategyM&A TransactionsPrivate Placements and FinancingShareholder Meetings
Capstone Therapeutics advances post-acquisition financing and governance arrangements
Positive
Dec 29, 2025

At its November 18, 2025 annual meeting, Capstone Holding Corp. shareholders unaffiliated with Nectarine Management LLC approved a letter agreement authorizing consent fees to Nectarine—owned by four Capstone directors and controlling the company’s Series B preferred stock—in return for its support on major corporate transactions such as mergers, significant asset deals, stock issuances, joint ventures and new debt. Following the December 1, 2025 acquisition of Fraser Canyon Holdings Inc., the board’s Nominating and Corporate Governance Committee on December 19, 2025 approved about $88,700 in fees and up to $50,000 in legal cost reimbursement to Nectarine tied to the cash portion of the deal, with additional contingent payments to Nectarine’s principals dependent on repayment of a CAD$3.6 million seller note and a CAD$3 million earn‑out, while subsidiary TotalStone, LLC simultaneously secured an extension of its $8.3 million revolving credit facility with Berkshire Bank to June 19, 2026, supporting ongoing liquidity and growth plans.

The most recent analyst rating on (CAPS) stock is a Hold with a $0.69 price target. To see the full list of analyst forecasts on Capstone Therapeutics stock, see the CAPS Stock Forecast page.

Business Operations and StrategyM&A Transactions
Capstone Therapeutics Outlines 2026 Growth Strategy
Positive
Dec 15, 2025

On December 15, 2025, Capstone Holding Corp. released an investor presentation detailing its 2026 strategy, emphasizing its growth through acquisitions and organic expansion. The company has successfully integrated recent acquisitions, achieving a $70 million revenue run rate, and is on track to meet its $100 million target by 2026. This strategy positions Capstone to capitalize on deferred construction demand, enhancing its market presence and shareholder value.

The most recent analyst rating on (CAPS) stock is a Hold with a $0.91 price target. To see the full list of analyst forecasts on Capstone Therapeutics stock, see the CAPS Stock Forecast page.

Business Operations and StrategyM&A Transactions
Capstone Completes Acquisition of Canadian Stone Industries
Positive
Dec 2, 2025

On December 1, 2025, Capstone Holding Corp. completed the acquisition of Canadian Stone Industries, a distributor with $15 million in annual revenue, which expands Capstone’s North American footprint and strengthens its brand portfolio. This acquisition is expected to immediately increase revenue and EBITDA, advancing Capstone towards its $100 million revenue target for early 2026, and reflects the company’s strategy of acquiring high-quality businesses to enhance its market position.

The most recent analyst rating on (CAPS) stock is a Hold with a $0.83 price target. To see the full list of analyst forecasts on Capstone Therapeutics stock, see the CAPS Stock Forecast page.

Business Operations and StrategyPrivate Placements and Financing
Capstone Therapeutics Adjusts Convertible Note Conversion Price
Neutral
Nov 28, 2025

Capstone Holding Corp. has entered into a securities purchase agreement with an institutional investor, authorizing the issuance of senior secured convertible notes with an original principal amount of up to $10,909,885. On November 28, 2025, the company and the buyer agreed to reduce the conversion price of the July 2025 Convertible Note to $0.75 for the remaining principal amount of $500,744.01, and for $1,772,856.21 of the October 2025 Convertible Note, potentially impacting the company’s stock conversion strategy.

The most recent analyst rating on (CAPS) stock is a Hold with a $0.83 price target. To see the full list of analyst forecasts on Capstone Therapeutics stock, see the CAPS Stock Forecast page.

Business Operations and StrategyExecutive/Board ChangesShareholder Meetings
Capstone Therapeutics Approves Reincorporation to Nevada
Neutral
Nov 24, 2025

On November 18, 2025, Capstone Holding Corp. held its annual stockholders meeting where several key proposals were voted upon. The meeting, which had a quorum with 74.78% of votes represented, resulted in the election of two directors, the ratification of GBQ Partners LLC as the independent auditor, and the approval of the company’s reincorporation from Delaware to Nevada. Additionally, the 2025 Stock Incentive Plan was adopted, and executive compensation was approved to be reviewed every three years. These decisions are likely to impact the company’s governance and operational structure moving forward.

The most recent analyst rating on (CAPS) stock is a Hold with a $1.00 price target. To see the full list of analyst forecasts on Capstone Therapeutics stock, see the CAPS Stock Forecast page.

Business Operations and StrategyFinancial DisclosuresM&A Transactions
Capstone Therapeutics Reports Record Q3 2025 Financial Results
Positive
Nov 17, 2025

Capstone Holding Corp. reported record financial results for the third quarter of 2025, with a 19% year-over-year increase in pro forma revenue and a 46% rise in adjusted EBITDA. The company announced two acquisitions expected to contribute $26 million in annualized revenue, accelerating its path toward a $100 million run-rate by early 2026. The improved economic conditions and a favorable industry outlook, supported by interest rate cuts and a recovery in demand, provide strong long-term growth prospects for Capstone. The company has also achieved integration milestones with its recent acquisition, positioning itself for rapid post-close integration of future acquisitions.

The most recent analyst rating on (CAPS) stock is a Hold with a $1.00 price target. To see the full list of analyst forecasts on Capstone Therapeutics stock, see the CAPS Stock Forecast page.

Business Operations and StrategyM&A Transactions
Capstone Completes Acquisition of Carolina Stone Holdings
Positive
Nov 7, 2025

On August 22, 2025, Capstone Holding Corp. completed its acquisition of Carolina Stone Holdings, LLC, and its subsidiary, Carolina Stone Distributors, LLC, from D22L, Inc. and other sellers. The transaction involved a cash payment of $2,625,000, subject to adjustments, and a seller note of $1,250,000. This acquisition is expected to enhance Capstone’s market presence in the stone products industry by expanding its operational capabilities and market reach.

The most recent analyst rating on (CAPS) stock is a Hold with a $1.00 price target. To see the full list of analyst forecasts on Capstone Therapeutics stock, see the CAPS Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Jan 28, 2026