Cash conversion efficiency remains erratic, as demonstrated by an OCF/NI ratio that reached an extreme of 18.78 in 2025Q3, while aggressive capital allocation included a $37 million share repurchase in 2026Q1 despite declining cash flow.
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 | Dec'04 | Dec'03 | Dec'02 | Dec'01 | Dec'00 | Dec'99 | Dec'98 | Dec'97 | Dec'96 |
|---|
| Cash from Operations | 142.63M | 170.69M | 166.97M | 125.35M | 33.37M | 111.77M | 64.53M | 95.13M | 74.7M | 65.57M | 38.22M | 48.07M | 65.18M | 80.95M | 95.2M | 102.99M | 38.24M | 25.03M | 61.15M | 65.89M | 64.57M | 42.43M | 74.84M | 58.01M | 44.92M | 77.15M | 35.95M | 37M | 21M | 31.8M | 25.9M |
| Operating CF Margin % | - | 12.42% | 12.77% | 10.07% | 3.19% | 11.06% | 7.48% | 9.96% | 8.69% | 8.23% | 5.01% | 6.68% | 8.87% | 10.7% | 12.41% | 14.2% | 5.36% | 3.6% | 8.24% | 9.49% | 9.98% | 6.87% | 13.4% | 11.67% | 9.92% | 18% | 9.17% | 9.93% | 6.24% | 22.99% | 20.62% |
| Operating CF Growth % | -88.52% | 2.23% | 33.2% | 275.69% | -70.15% | 73.2% | -32.17% | 27.35% | 13.93% | 71.54% | -20.48% | -26.25% | -19.49% | -14.97% | -7.57% | 169.31% | 52.8% | -59.07% | -7.2% | 2.05% | 52.17% | -43.3% | 29.01% | 29.13% | -41.77% | 114.6% | -2.84% | 76.19% | -33.96% | 22.78% | 407.84% |
| Net Income | 54.85M | 47.05M | 132.42M | 64.46M | -80.58M | 62.54M | 9.52M | 28.62M | 40.85M | 55.49M | 14.66M | 30.5M | 32.19M | 35.94M | 40.48M | 752K | 30.35M | 12.14M | 44.56M | 41.46M | -12.51M | 31.99M | 33.47M | 32.08M | 34.15M | 24.41M | 19.31M | 27.2M | 19.4M | -7.1M | 16.3M |
| Depreciation & Amortization | 60.2M | 74.28M | 51.3M | 51.4M | 69.52M | 70.74M | 72.63M | 72.32M | 61.8M | 58.55M | 55.31M | 43.88M | 45.73M | 47.87M | 46.62M | 42.69M | 41.81M | 41.28M | 32.34M | 31.53M | 29.85M | 30.79M | 26.87M | 24.85M | 22.37M | 30.15M | 29.49M | 25.7M | 23.6M | 7M | 6.4M |
| Stock-Based Compensation | 19.96M | 28.32M | 25.56M | 24.26M | 21.73M | 16.34M | 13.11M | 11.78M | 10.04M | 8.47M | 8.38M | 7.5M | 9.33M | 5.59M | 5.65M | 5.24M | 4.22M | 4.31M | 4.18M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Deferred Taxes | 7.72M | 3.52M | 12.2M | 700K | -6.04M | 3M | -14.23M | -6.31M | 2.06M | -40.02M | -2.87M | 2.25M | -284K | 7.22M | 12.95M | -13.1M | 13.16M | 4.24M | 18.98M | 16.71M | -12.29M | 10.13M | 4.3M | 13.71M | 10.66M | 8.56M | 7.97M | 8.6M | 7M | -10.8M | 3.7M |
| Other Non-Cash Items | 11.99M | 28.96M | -14.8M | 24.11M | 119.44M | 14.84M | 13.41M | 12.37M | 4.21M | 143.41M | 118.26M | 12.28M | 1.28M | 263K | 8.1M | 60.3M | -28.92M | -14.08M | -12.91M | 3.77M | 50.6M | 7.6M | 24.74M | -611K | 944K | 0 | 0 | -1M | -5.7M | 1.5M | -500K |
| Working Capital Changes | -12.09M | -11.45M | -39.72M | -39.58M | -90.7M | -55.7M | -29.9M | -23.65M | -44.27M | -16.92M | -37.26M | -36.06M | -21.8M | -15.93M | -10.5M | 7.11M | -22.37M | -22.86M | -26M | -22.47M | 7.04M | -38.07M | -14.54M | -12.03M | -23.21M | 14.03M | -20.82M | -23.5M | -23.3M | 7.2M | 28.7M |
| Change in Receivables | -2.74M | -2.36M | -1.62M | -47.07M | -5.2M | -9.16M | 13.92M | -13.94M | -17.46M | -13.63M | -6.38M | -9.64M | 5.25M | -798K | 1.69M | 8.46M | 9.34M | -12.88M | -3.73M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Change in Inventory | -11.53M | -6.73M | -31.63M | 14.07M | -78.56M | -37.81M | -30.4M | -117K | -15.04M | -3.93M | 3.1M | -34.54M | -20.94M | -1.82M | 3.81M | -7.85M | -20.32M | -9.45M | -8.11M | -22.62M | -9.38M | -33.62M | 1.44M | -3.41M | -15.21M | -4.24M | -18.04M | -8.6M | -19.3M | 6.3M | 400K |
| Change in Payables | 8.05M | -9.75M | 14.71M | 14.85M | 13.3M | 4.89M | -2.98M | 38K | 12.11M | -286K | 2.09M | 11.51M | -3.45M | 4.22M | 259K | 2.65M | -4.64M | -7.4M | -7.04M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Cash from Investing | -13.92M | -20.96M | -13.08M | -20.03M | -249.53M | -14.87M | -13.64M | -387.66M | -16.51M | -29.05M | -266.02M | -24.36M | -20.68M | -18.45M | -105.95M | -21.74M | -20.02M | -21.77M | -57.9M | -26.84M | -23.16M | -16.61M | -94.06M | -68.47M | -30.76M | -14.44M | -20.09M | -49.9M | -44.8M | -403.5M | -36.6M |
| Capital Expenditures | -18.92M | -19.81M | -13.08M | -19.03M | -21.79M | -14.87M | -13.01M | -20.07M | -16.51M | -12.84M | -14.75M | -15.01M | -15.41M | -18.45M | -21.53M | -21.74M | -14.73M | -21.44M | -35.88M | -20.91M | -21.89M | -16.24M | -12.42M | -9.31M | -13.38M | -14.44M | -14.05M | -49.9M | -44.8M | -8.2M | -4.9M |
| CapEx % of Revenue | 1.38% | 1.44% | 1% | 1.53% | 2.08% | 1.47% | 1.51% | 2.1% | 1.92% | 1.61% | 1.93% | 2.09% | 2.1% | 2.44% | 2.81% | 3% | 2.06% | 3.09% | 4.83% | 3.01% | 3.39% | 2.63% | 2.22% | 1.87% | 2.95% | 3.37% | 3.58% | 13.39% | 13.32% | 5.93% | 3.9% |
| Acquisitions | 0 | 0 | 0 | 0 | -227.74M | 0 | -3.85M | -367.6M | 0 | -16.21M | -256.45M | -9.35M | -5.26M | 0 | -86.25M | -4.19M | -5.29M | -330K | -22.02M | -5.93M | -2.47M | -372K | -81.64M | -55.08M | -17.38M | 0 | -6.04M | 0 | 0 | 0 | 0 |
| Investments | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Other Investing | 5M | -1.15M | 0 | -1M | 0 | 0 | 3.23M | 0 | 0 | 0 | 5.18M | 0 | 0 | 0 | 1.84M | 4.19M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -4.08M | 0 | 0 | 0 | 0 | 0 | -395.3M | -31.7M |
| Cash from Financing | -129.97M | -135.82M | -151M | -110.43M | 225M | -101.55M | -52.06M | 300.88M | -72.27M | -34.88M | 184.2M | -9.77M | -26.39M | -31.3M | 11.35M | -66.7M | -15.61M | -4.6M | -5.35M | -35.41M | -44.1M | -22.33M | 15.5M | 8.45M | -10.91M | -63.59M | -15.47M | 10.7M | 16.3M | 365M | 29.3M |
| Debt Issued (Net) | -60M | -74.59M | -72M | -88M | 362.02M | -81.24M | -29.4M | 362.85M | -29.7M | -12.2M | 227.56M | 29.45M | 25.86M | 53.72M | 18.34M | -56.01M | 6.89M | -5.77M | -14.44M | -44.99M | -39.03M | 6.04M | 36.14M | 7.2M | -80.06M | -65.42M | -15.92M | 9.1M | 15.3M | 364.7M | -36.6M |
| Equity Issued (Net) | -37.02M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -16.86M | -50.56M | -3.92M | -15.02M | -22.98M | 1.2M | 7.35M | 11.36M | -5.12M | -28.38M | -14.79M | 3.2M | 69.14M | 1.83M | 449K | 1.6M | 1.1M | 300K | 66M |
| Dividends Paid | -18.57M | -24.75M | -24.65M | -24.5M | -23.96M | -23.26M | -22.82M | -22.6M | -22.44M | -22.31M | -22.21M | -22.11M | -21.96M | -16.7M | -12.86M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Share Repurchases | -37.02M | 0 | 0 | 0 | -72M | 0 | 0 | -30.57M | 0 | 0 | 0 | 0 | -16.86M | -50.56M | -3.92M | -15.02M | -22.98M | 0 | 0 | 0 | -7.85M | -45.37M | -29.99M | 0 | -2M | 0 | 0 | 0 | 0 | -400K | 0 |
| Other Financing | -14.39M | -36.49M | -54.35M | 2.07M | -113.06M | 2.95M | 162K | -39.37M | -20.12M | -372K | -22.81M | -17.11M | -13.43M | -17.77M | 9.79M | 4.33M | 478K | 886K | 1.74M | -1.77M | 45K | 0 | -5.85M | -1.95M | 0 | 0 | 0 | 0 | -100K | 0 | -100K |
| Net Change in Cash | -455K | 16.36M | 163K | -4.65M | 8.1M | -6.51M | 1.5M | 8.35M | -15.11M | 5.19M | -45.08M | 6.17M | 11.89M | 30.72M | -2.33M | 13.63M | 2.32M | -2.62M | 116K | 7.86M | 377K | -735K | -1.8M | 360K | 4.22M | -2.07M | -277K | -2.2M | 16.3M | 365M | 29.3M |
| Free Cash Flow | 123.71M | 150.88M | 153.88M | 106.32M | 11.58M | 96.9M | 51.52M | 75.07M | 58.19M | 52.72M | 23.47M | 33.06M | 49.77M | 62.5M | 73.67M | 81.25M | 23.51M | 3.58M | 25.27M | 44.98M | 42.68M | 26.19M | 62.42M | 48.7M | 31.54M | 62.71M | 21.9M | -12.9M | -23.8M | 23.6M | 21M |
| FCF Margin % | 9.02% | 10.98% | 11.77% | 8.54% | 1.11% | 9.59% | 5.97% | 7.86% | 6.77% | 6.62% | 3.07% | 4.6% | 6.78% | 8.26% | 9.6% | 11.21% | 3.29% | 0.52% | 3.4% | 6.48% | 6.6% | 4.24% | 11.18% | 9.8% | 6.96% | 14.63% | 5.58% | -3.46% | -7.07% | 17.06% | 16.72% |
| FCF Growth % | -24.82% | -1.95% | 44.74% | 818.1% | -88.05% | 88.1% | -31.37% | 28.99% | 10.37% | 124.65% | -29.01% | -33.57% | -20.38% | -15.15% | -9.33% | 245.58% | 556% | -85.82% | -43.82% | 5.41% | 62.94% | -58.04% | 28.17% | 54.42% | -49.7% | 186.33% | 269.77% | 45.8% | -200.85% | 12.38% | 21100% |
| FCF per Share | 4.04 | 4.84 | 4.95 | 3.37 | 0.39 | 3.01 | 1.75 | 2.55 | 2.01 | 1.87 | 0.84 | 1.19 | 1.79 | 2.22 | 2.57 | 2.84 | 0.81 | 0.12 | 0.86 | 1.55 | 1.54 | 0.88 | 2.07 | 1.67 | 1.14 | 2.57 | 0.94 | -0.56 | -1.03 | 1.04 | 0.96 |
| FCF Conversion (FCF/Net Income) | 2.26x | 3.63x | 1.26x | 1.94x | -0.41x | 1.79x | 6.78x | 3.32x | 1.83x | 1.18x | 2.61x | 1.58x | 2.02x | 2.25x | 2.35x | 136.96x | 1.26x | 2.06x | 1.37x | 1.59x | -5.16x | 1.33x | 2.24x | 1.81x | 1.32x | 3.16x | 1.86x | 1.36x | 1.18x | -4.48x | 1.59x |
| Interest Paid | 0 | 25.42M | 32.65M | 33.69M | 26.08M | 21.8M | 30.45M | 27.27M | 19.66M | 16.16M | 13.76M | 5.43M | 5.53M | 5.14M | 5.04M | 5.8M | 6.03M | 6.3M | 9.38M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Taxes Paid | 0 | 0 | 15.22M | 19.88M | 9.07M | 8.56M | 9.12M | 10.58M | 11.05M | 8.87M | 9.59M | 10.26M | 10.21M | 6.84M | 10.95M | 4.76M | 3.26M | 3.65M | 7.4M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Operating cash flow volatility
As reported in recent financial statements, the OCF/NI ratio has fluctuated wildly, reaching an extreme of 18.78 in 2025Q3, which suggests that reported net income is a poor proxy for the actual cash-generating capacity of the underlying surgical business.
The significant divergence between net income and operating cash flow indicates that non-cash charges and accounting adjustments are heavily distorting the bottom line. Investors should monitor whether this disconnect stems from aggressive capitalization policies or the heavy amortization of intangible assets from recent acquisitions.
Based on the provided cash flow data, free cash flow margins have swung from a low of 3.3% in 2026Q1 to a high of 15.8% in 2023Q4, indicating that the company struggles to maintain a consistent cash conversion trajectory across different operating cycles.
This volatility suggests that the company's cash flow profile is highly sensitive to fluctuations in elective procedure volumes and capital equipment sales cycles. The inability to sustain high FCF margins implies that the business model may require significant ongoing investment to maintain its competitive position in the surgical market.
According to quarterly cash flow disclosures, working capital changes have been erratic, ranging from a $23.9 million outflow in 2024Q4 to a $21.3 million inflow in 2025Q3, which complicates the assessment of underlying operational efficiency and inventory management.
These sharp reversals in working capital suggest that the company may be experiencing difficulty in balancing inventory levels for its diverse orthopedic and general surgery product lines. Such instability often indicates potential inefficiencies in the supply chain or aggressive efforts to manage cash flow through timing of payables.
As evidenced by the $37 million share repurchase in 2026Q1 despite a period of declining cash flow, the company's capital deployment strategy appears disconnected from its immediate operational performance, raising questions about the sustainability of current shareholder return policies.
The decision to prioritize buybacks during a quarter of weak cash generation warrants further investigation into the company's long-term liquidity planning. This approach may limit the firm's flexibility to pursue necessary R&D or strategic acquisitions if the current cash flow volatility persists.
Based on the provided data, stock-based compensation has remained a persistent cash flow drag, peaking at $13.9 million in 2025Q1, which suggests that the reported cash flow figures may be overstating the true economic value generated for shareholders.
The consistent reliance on equity-based incentives appears to be a significant factor in the gap between reported earnings and cash reality. Investors should consider the dilutive impact of these programs alongside the cash flow volatility to gain a clearer picture of the company's true operational health.
Quick answers to the most common questions about buying CNMD stock.
CONMED Corporation (CNMD) generated $170.7M in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.
CONMED Corporation (CNMD) generated $150.9M in free cash flow in 2025. Free cash flow is the cash left over after capital expenditures, which can be used to pay dividends, repurchase shares, or pay down debt.
CONMED Corporation (CNMD) spent $19.8M on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.
In 2025, CONMED Corporation (CNMD) returned $24.7M to shareholders via cash dividends. This shows the company's commitment to returning capital to its equity investors.