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DCTHDelcath Systems, Inc.
$12.94$447M
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HomeStocksDCTHCash Flow

Delcath Systems, Inc. (DCTH) Cash Flow Statement

27Y historyFree accessUpdated daily

Cash flow generation remains highly volatile, with OCF/NI ratios fluctuating from -4.35 in 2025Q4 to 5.75 in 2025Q3, suggesting that accounting earnings are currently an unreliable proxy for operational cash performance.

DCTH Cash Flow Statement

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly
MetricTTMDec'25Dec'24Dec'23Dec'22Dec'21Dec'20Dec'19Dec'18Dec'17Dec'16Dec'15Dec'14Dec'13Dec'12Dec'11Dec'10Dec'09Dec'08Dec'07Dec'06Dec'05Dec'04Dec'03Dec'02Dec'01Dec'00Dec'99
Cash from Operations21.17M22.52M-18.68M-31.25M-24.95M-22.6M-22.87M-23.69M-14.73M-15.4M-14.21M-16.42M-15.55M-34.1M-50.01M-37.37M-24.08M-10.46M-6.72M-5.57M-9.2M-3.02M-2.95M-2.12M-1.78M-2.27M-361.26K-1.09M
Operating CF Margin %-26.42%-50.21%-1513.37%-917.62%-635.84%-1389.31%-1499.3%-432.4%-567.15%-713.5%-939.9%-1454.82%-4316.71%-14452.6%-------------
Operating CF Growth %1353.73%220.53%40.22%-25.25%-10.38%1.15%3.47%-60.8%4.33%-8.34%13.44%-5.58%54.4%31.8%-33.81%-55.18%-130.19%-55.61%-20.72%39.48%-204.8%-2.48%-38.95%-19.07%21.39%-526.98%66.86%-
Net Income561K2.7M-26.39M-47.68M-36.51M-25.65M-24.16M-8.88M-19.22M-45.12M-17.97M-14.7M-17.38M-30.32M-51.87M-30.89M-46.68M-22.06M-6.86M-3.66M-10.95M-2.86M-3.27M-2.25M-1.81M-1.88M-960.18K-570K
Depreciation & Amortization413K349K229K128K132K146K192K249K444K310K305K617K958K1.13M1.33M1.03M472.29K7.98K5.86K4.32K3.83K6.05K5.53K4.99K6.41K5.01K3K0
Stock-Based Compensation11.72M24.23M9.77M8.15M7.94M7.83M3.91M277K58K129K427K657K491K291K3.83M3.6M3.84M2.32M667.11K1.4B00000000
Deferred Taxes0000002.83M0-15.76M5.23M1K15K-91K5K030.89M6.73K3.44K0-1.4B00000000
Other Non-Cash Items8.76M-1.7M13.23M9.05M1.37M831K159K-9.77M7.97M21.54M1.49M-565K-1.45M-2.76M-2.16M-45.8M17.62M8.57M-1.1M-1.1M1.35M111.69K29.22K00198K3.8K-980K
Working Capital Changes-289K-3.07M-15.52M-906K2.11M-5.76M-5.81M-5.56M11.77M2.51M1.54M-2.44M1.92M-2.44M-1.14M3.79M659.8K699.92K572.32K-808.62K396.87K-272.35K285.5K125.25K20.06K-592.02K592.13K460K
Change in Receivables-217K-854K-10.65M125K-322K13K-36K497K-293K108K-138K-52K161K-211K-144K0000000000000
Change in Inventory-2.68M-3.32M-3.61M-1.32M-587K-557K-201K204K385K-543K95K-420K237K391K-1.1M0000000000000
Change in Payables5.42M4.77M479K-199K1.8M-1.14M-5.31M-4.79M8.18M3.18M1.51M-1.76M132K-2.44M331K01.35B1.14B578.21M-545.09M00000000
Cash from Investing-2.01M-26.59M-981K-19.71M-209K-143K-782K-24K-76K-524K-1.34M10K-7K-142K2.86M-6.09M-3.13M3.53M9.62M-7.49M8.69M-4.04M-5.04M-1.65M1.12M-13.26K00
Capital Expenditures-1.98M-1.55M-559K-58K-209K-143K-782K-24K-76K-524K-258K-170K-44K-142K-2.12M-2.61M-1.64M-515.44K-8.31K-15.64K-5.42M-11.1M-5.35K-5.03K-6.66K-13.26K00
CapEx % of Revenue2.19%1.82%1.5%2.81%7.69%4.02%47.51%1.52%2.23%19.3%12.95%9.73%4.12%17.97%612.72%-------------
Acquisitions00000000000180K00001.64B08.31M15.64M00000000
Investments----------------------------
Other Investing0000000000-1.09M180K37K04.98M0-1.64B200-8.31M-15.64M00000000
Cash from Financing9.41M15.05M39.41M51.78M10.14M20.82M42.35M30.3M13.24M15.45M7.41M8.65M4.87M41.7M45.06M23.62M37.35M35.48M014.65M5.1M8.56M7.88M3.02M-22.17K-230K5.6M800K
Debt Issued (Net)00-10.61M-6.31M-714K14.44M-26K3.68M794K031.23M00000000000000-230K230K0
Equity Issued (Net)9.41M15.05M7.02M23.08M10.86M3.92M39.76M26.63M002.38M8.65M4.87M41.7M45.06M23.62M37.35M35.48M014.65M5.1M8.56M7.88M3.02M216.4K05.87M0
Dividends Paid000000000-527K0000000000000000-499.54K0
Share Repurchases-9M-6M0000000000000000000000-51.1K00800K
Other Financing0043M35.01M02.46M2.62M012.44M2.85M-26.2M0000000000000-238.57K00800K
Net Change in Cash28.54M11.04M19.72M874K-15.13M-1.8M18.57M6.61M-1.75M-410K-8.2M-7.86M-10.78M7.52M-2.05M-19.84M10.14M28.55M2.9M1.6M4.59M1.5M-111.28K-750.03K-679.42K-2.51M5.24M-290K
Free Cash Flow19.19M20.97M-19.24M-31.31M-25.16M-22.75M-23.65M-23.71M-14.81M-15.92M-14.47M-16.59M-15.6M-34.24M-52.13M-39.98M-25.72M-10.98M-6.73M-5.58M-14.63M-14.12M-2.95M-2.13M-1.79M-2.28M-361.26K-1.09M
FCF Margin %21.22%24.6%-51.71%-1516.17%-925.3%-639.86%-1436.82%-1500.82%-434.63%-586.45%-726.46%-949.63%-1458.93%-4334.68%-15065.32%-------------
FCF Growth %353.21%208.99%38.55%-24.44%-10.6%3.82%0.27%-60.14%7%-10.03%12.77%-6.37%54.46%34.31%-30.38%-55.44%-134.3%-63.08%-20.53%61.82%-3.61%-378.31%-38.88%-18.91%21.55%-530.65%66.86%-
FCF per Share0.530.53-0.67-1.93-2.84-3.18-8.16-915.56-388.15-793116.15-3.52-0.76-1.61-0.26-0.68-0.83--------19677.80-39716.53-52983.19-8401.37-14729.73
FCF Conversion (FCF/Net Income)34.21x8.34x0.71x0.66x0.68x0.88x0.95x2.67x0.77x0.34x0.79x1.12x0.89x1.12x0.96x1.21x0.52x0.47x0.98x1.52x0.84x1.05x0.90x0.94x0.99x1.21x0.38x1.91x
Interest Paid0000000000000000000000000000
Taxes Paid0000000000000000000000000000

Key Metrics

Growth RegimeAccelerating
ProfitabilityStrained
Balance SheetAdequate
Cash FlowMixed
Top Statement Risk

Commercial adoption and execution

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q1)

Earnings Quality and Cash Conversion

As reported in recent financial filings, the relationship between net income and operating cash flow remains highly volatile, with OCF/NI ratios fluctuating wildly from -4.35 in 2025Q4 to 5.75 in 2025Q3, indicating that accounting earnings currently provide a poor proxy for the company's actual cash generation capabilities.

The significant divergence between net income and operating cash flow suggests that non-cash items and working capital swings are heavily distorting the bottom line. Investors should monitor this instability, as it implies that the company's reported profitability is not yet supported by a consistent or predictable cash conversion cycle.

FCF Volatility During Commercial Ramp

Based on quarterly data, Delcath's free cash flow trajectory has shifted from consistent negative outflows in 2024 to intermittent positive periods, peaking at $7.7M in 2025Q4, though the sustainability of these gains remains uncertain given the company's ongoing reliance on high-touch commercial infrastructure and specialized medical device sales.

The transition to positive FCF in recent quarters appears to be driven by specific operational milestones rather than a steady-state business model. This volatility warrants further investigation into whether the current cash flow profile can withstand potential fluctuations in procedure volume or increased competitive pressure in the interventional oncology space.

Working Capital Dynamics and Efficiency

According to the cash flow statements, working capital changes have been a primary driver of cash flow variance, with swings ranging from a $6.0M inflow in 2025Q4 to a $5.5M outflow in 2025Q1, reflecting the inherent complexities of managing inventory for a high-value, kit-based medical device product.

These large working capital swings suggest that the company's cash position is highly sensitive to the timing of kit shipments and hospital procurement cycles. Such fluctuations may obscure the underlying operational efficiency, making it difficult to determine if the company is effectively managing its receivables and inventory levels.

Capital Allocation and Shareholder Returns

As evidenced by recent financial statements, Delcath has utilized its cash reserves for share repurchases, including a $6.0M outflow in 2025Q4, despite the company's ongoing need to fund its commercial launch and maintain a sufficient runway for its specialized medical device operations in the United States.

The decision to prioritize share repurchases while the company is still in a critical commercial inflection phase may indicate management's confidence in the long-term value of the HEPZATO KIT. However, investors should monitor whether this capital allocation strategy could potentially constrain the company's ability to fund future growth initiatives or respond to unforeseen operational challenges.

DCTH — Frequently Asked Questions

Quick answers to the most common questions about buying DCTH stock.

How much cash does Delcath Systems, Inc. (DCTH) generate from operations?

Delcath Systems, Inc. (DCTH) generated $22.5M in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.

What is Delcath Systems, Inc.'s free cash flow?

Delcath Systems, Inc. (DCTH) generated $21.0M 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.

What is Delcath Systems, Inc.'s capital expenditure (CapEx)?

Delcath Systems, Inc. (DCTH) spent $1.5M on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.

How does Delcath Systems, Inc. distribute cash to shareholders?

In 2025, Delcath Systems, Inc. (DCTH) spent $6.0M on share repurchases. This shows the company's commitment to returning capital to its equity investors.