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Cytosorbents Corp (CTSO)
:CTSO
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Cytosorbents (CTSO) AI Stock Analysis

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CTSO

Cytosorbents

(NASDAQ:CTSO)

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Neutral 42 (OpenAI - 4o)
Rating:42Neutral
Price Target:
$0.72
▲(1.41% Upside)
Cytosorbents' overall score is primarily impacted by its challenging financial performance, including high leverage and negative cash flows. The technical analysis indicates a bearish trend, and valuation metrics are poor due to the lack of profitability. While the earnings call provided some positive developments, the Nasdaq non-compliance notice adds significant risk.
Positive Factors
Revenue Growth
The 10% revenue growth indicates strong demand for CytoSorbents' products, suggesting a solid market position and potential for continued expansion.
Gross Margin Improvement
Improved gross margins reflect efficient cost management and enhance profitability potential, strengthening the company's financial foundation.
Strategic Cost Reduction
The cost reduction strategy aims to improve financial stability and operational efficiency, supporting long-term sustainability and profitability.
Negative Factors
High Leverage
High leverage increases financial risk and limits flexibility, potentially impacting the company's ability to invest in growth opportunities.
Negative Cash Flow
Persistent negative cash flow challenges liquidity and may hinder the company's ability to fund operations and strategic initiatives.
Operating Loss
Increasing operating losses highlight ongoing profitability challenges, which could affect long-term financial health and investor confidence.

Cytosorbents (CTSO) vs. SPDR S&P 500 ETF (SPY)

Cytosorbents Business Overview & Revenue Model

Company DescriptionCytosorbents Corporation (CTSO) is a biomedical company focused on developing innovative therapies for critical care and other medical applications. The company specializes in blood purification technologies, primarily through its flagship product, CytoSorb, which is designed to remove cytokines and other harmful substances from the bloodstream. Cytosorbents operates in the healthcare sector, targeting hospitals and medical facilities with its advanced technologies aimed at improving patient outcomes in conditions such as sepsis, trauma, and cardiac surgery.
How the Company Makes MoneyCytosorbents generates revenue primarily through the sale of its medical devices, particularly the CytoSorb blood purification technology. The company sells its products directly to hospitals and healthcare systems, often through distribution agreements and partnerships with medical device distributors. Additionally, Cytosorbents may receive revenue from product consumables, including single-use cartridges that are essential for the operation of their devices. The company also engages in clinical studies and research collaborations, which can provide funding and enhance product validation, contributing to its overall revenue. Significant partnerships with healthcare providers and participation in various clinical trials help bolster its market presence and drive sales, especially in critical care settings where its products can provide significant therapeutic benefits.

Cytosorbents Earnings Call Summary

Earnings Call Date:Nov 13, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Mar 05, 2026
Earnings Call Sentiment Neutral
The earnings call highlighted strong revenue growth and gross margin improvements, as well as strategic steps towards achieving profitability and regulatory progress in the U.S. However, challenges persist with declining sales in Germany and an increased net loss. The overall sentiment is cautiously optimistic as the company addresses these issues.
Q3-2025 Updates
Positive Updates
Record Core Product Sales
Trailing 12-month core product sales reached a record $37 million as of September 30, 2025, supported by strong execution across the global network.
Gross Margin Improvement
Gross margin remained strong at approximately 70%, an improvement from 61% in the third quarter of 2024.
Revenue Growth
Third quarter revenue was $9.5 million, up 10% from $8.6 million a year ago, or 4% on a constant currency basis.
Regulatory Progress for DrugSorb-ATR
Filed a formal pre-submission meeting request with the FDA on November 7, 2025, and anticipates a pre-submission meeting in late 2025 or early Q1 of '26.
Cost Reduction and Strategic Workforce Program
Implemented a strategic workforce and cost reduction program, including a 10% workforce reduction, to achieve cash flow breakeven by Q1 2026.
Negative Updates
Decline in German Market
Direct sales in Germany declined modestly by 3% to $12.6 million, prompting a restructuring of the sales team and approach.
Operating Loss
Q3 operating loss was approximately $9.2 million, compared to $4.8 million in the prior year.
Net Loss Increase
Net loss was $3.2 million for the quarter or $0.05 per share, compared to a net loss of $2.8 million or $0.05 per share in the prior year.
Company Guidance
In the third quarter of 2025, CytoSorbents Corp. reported a revenue of $9.5 million, marking a 10% increase from $8.6 million in the previous year, or 4% on a constant currency basis. The company's trailing 12-month core product sales reached a record $37 million as of September 30, 2025. Gross margin rose to approximately 70%, compared to 61% in the third quarter of 2024. Distributor and partner sales grew by 14% to $15.6 million, while direct sales outside of Germany increased by 24% to $8.8 million. However, sales in Germany declined by 3% to $12.6 million. Overall sales growth was 9%, or 17% when excluding Germany. The company has implemented a strategic workforce and cost reduction program, including a 10% workforce reduction, to achieve cash flow breakeven by Q1 2026. Operating expenses decreased by 6% to $9.5 million, with a net loss of $3.2 million for the quarter. CytoSorbents has also amended its loan agreement with Avenue Partners, securing $2.5 million in new capital and extending the interest-only period.

Cytosorbents Financial Statement Overview

Summary
Cytosorbents faces significant financial challenges with consistent losses and high leverage. Despite strong gross profit margins, profitability is hindered by high operating expenses and negative cash flows, posing liquidity risks.
Income Statement
45
Neutral
Cytosorbents has shown a slight improvement in revenue growth with a TTM growth rate of 2.37%. However, the company continues to face significant profitability challenges, as indicated by negative net profit and EBIT margins. The gross profit margin remains strong at 72.57%, suggesting efficient cost management at the production level, but overall profitability is hindered by high operating expenses.
Balance Sheet
40
Negative
The company's balance sheet reflects high leverage with a debt-to-equity ratio of 2.34, indicating a reliance on debt financing. The return on equity is negative, highlighting ongoing losses. The equity ratio stands at 24.14%, suggesting a moderate level of equity financing relative to total assets, but the high debt levels pose a risk to financial stability.
Cash Flow
35
Negative
Cytosorbents is experiencing negative operating and free cash flows, with a declining free cash flow growth rate of -24.67% in the TTM period. The operating cash flow to net income ratio is close to 1, indicating that cash flow generation is in line with net losses, but the overall cash flow situation remains weak, posing liquidity challenges.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue36.11M35.59M31.08M34.69M40.11M39.45M
Gross Profit26.92M25.13M21.95M20.73M29.06M28.40M
EBITDA-16.57M-15.22M-27.88M-30.00M-21.62M-9.71M
Net Income-9.75M-20.72M-29.25M-32.81M-24.56M-7.84M
Balance Sheet
Total Assets47.99M47.37M53.26M63.23M89.52M89.95M
Cash, Cash Equivalents and Short-Term Investments10.20M3.28M14.13M22.14M52.14M71.42M
Total Debt27.06M26.89M18.31M18.25M13.82M1.03M
Total Liabilities36.40M36.26M29.99M27.86M26.94M10.73M
Stockholders Equity11.59M11.11M23.28M35.37M62.58M79.22M
Cash Flow
Free Cash Flow-10.29M-14.71M-22.59M-34.69M-18.29M-7.29M
Operating Cash Flow-9.78M-14.43M-21.66M-28.23M-14.01M-5.61M
Investing Cash Flow-601.55K-669.43K-936.24K-6.46M-4.28M-1.68M
Financing Cash Flow6.90M9.33M14.47M4.96M715.20K66.35M

Cytosorbents Technical Analysis

Technical Analysis Sentiment
Negative
Last Price0.71
Price Trends
50DMA
0.81
Negative
100DMA
0.89
Negative
200DMA
0.96
Negative
Market Momentum
MACD
-0.01
Negative
RSI
46.57
Neutral
STOCH
42.92
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CTSO, the sentiment is Negative. The current price of 0.71 is below the 20-day moving average (MA) of 0.72, below the 50-day MA of 0.81, and below the 200-day MA of 0.96, indicating a neutral trend. The MACD of -0.01 indicates Negative momentum. The RSI at 46.57 is Neutral, neither overbought nor oversold. The STOCH value of 42.92 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for CTSO.

Cytosorbents Risk Analysis

Cytosorbents disclosed 39 risk factors in its most recent earnings report. Cytosorbents 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

Cytosorbents Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
59
Neutral
$38.54M-337.84%27.90%1.62%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
45
Neutral
$47.15M-157.91%-18.96%8.98%
45
Neutral
$50.64M-15.02%-11.06%
43
Neutral
$51.11M-1.1512.24%47.45%
42
Neutral
$45.85M-96.15%-8.97%47.29%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CTSO
Cytosorbents
0.73
-0.15
-17.05%
ECOR
Electrocore
4.82
-8.26
-63.15%
TELA
TELA Bio
1.15
-1.88
-62.05%
MDAI
Spectral AI
1.65
-0.42
-20.29%
ICCM
Icecure Medical
0.69
-0.11
-13.75%
BDMD
Baird Medical Investment Holdings
1.63
-0.12
-6.86%

Cytosorbents Corporate Events

Delistings and Listing ChangesRegulatory Filings and Compliance
Cytosorbents Faces Nasdaq Non-Compliance Notice
Negative
Oct 3, 2025

On October 2, 2025, CytoSorbents Corporation received a notice from Nasdaq for non-compliance with the Minimum Bid Price Requirement, as its stock price remained below $1.00 for 30 consecutive business days. The company has until March 31, 2026, to regain compliance by ensuring its stock price meets or exceeds $1.00 for at least 10 consecutive days. Failure to comply could lead to an additional compliance period if an acceptable plan is presented to Nasdaq. The company is actively monitoring its stock price and exploring options to meet the requirement.

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: Dec 07, 2025