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.
| 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 |
|---|
| Cash from Operations | 21.17M | 22.52M | -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 Income | 561K | 2.7M | -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 & Amortization | 413K | 349K | 229K | 128K | 132K | 146K | 192K | 249K | 444K | 310K | 305K | 617K | 958K | 1.13M | 1.33M | 1.03M | 472.29K | 7.98K | 5.86K | 4.32K | 3.83K | 6.05K | 5.53K | 4.99K | 6.41K | 5.01K | 3K | 0 |
| Stock-Based Compensation | 11.72M | 24.23M | 9.77M | 8.15M | 7.94M | 7.83M | 3.91M | 277K | 58K | 129K | 427K | 657K | 491K | 291K | 3.83M | 3.6M | 3.84M | 2.32M | 667.11K | 1.4B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Deferred Taxes | 0 | 0 | 0 | 0 | 0 | 0 | 2.83M | 0 | -15.76M | 5.23M | 1K | 15K | -91K | 5K | 0 | 30.89M | 6.73K | 3.44K | 0 | -1.4B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Non-Cash Items | 8.76M | -1.7M | 13.23M | 9.05M | 1.37M | 831K | 159K | -9.77M | 7.97M | 21.54M | 1.49M | -565K | -1.45M | -2.76M | -2.16M | -45.8M | 17.62M | 8.57M | -1.1M | -1.1M | 1.35M | 111.69K | 29.22K | 0 | 0 | 198K | 3.8K | -980K |
| Working Capital Changes | -289K | -3.07M | -15.52M | -906K | 2.11M | -5.76M | -5.81M | -5.56M | 11.77M | 2.51M | 1.54M | -2.44M | 1.92M | -2.44M | -1.14M | 3.79M | 659.8K | 699.92K | 572.32K | -808.62K | 396.87K | -272.35K | 285.5K | 125.25K | 20.06K | -592.02K | 592.13K | 460K |
| Change in Receivables | -217K | -854K | -10.65M | 125K | -322K | 13K | -36K | 497K | -293K | 108K | -138K | -52K | 161K | -211K | -144K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Change in Inventory | -2.68M | -3.32M | -3.61M | -1.32M | -587K | -557K | -201K | 204K | 385K | -543K | 95K | -420K | 237K | 391K | -1.1M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Change in Payables | 5.42M | 4.77M | 479K | -199K | 1.8M | -1.14M | -5.31M | -4.79M | 8.18M | 3.18M | 1.51M | -1.76M | 132K | -2.44M | 331K | 0 | 1.35B | 1.14B | 578.21M | -545.09M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Cash from Investing | -2.01M | -26.59M | -981K | -19.71M | -209K | -143K | -782K | -24K | -76K | -524K | -1.34M | 10K | -7K | -142K | 2.86M | -6.09M | -3.13M | 3.53M | 9.62M | -7.49M | 8.69M | -4.04M | -5.04M | -1.65M | 1.12M | -13.26K | 0 | 0 |
| 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 | -13.26K | 0 | 0 |
| CapEx % of Revenue | 2.19% | 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% | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Acquisitions | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 180K | 0 | 0 | 0 | 0 | 1.64B | 0 | 8.31M | 15.64M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Investments | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Other Investing | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -1.09M | 180K | 37K | 0 | 4.98M | 0 | -1.64B | 200 | -8.31M | -15.64M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Cash from Financing | 9.41M | 15.05M | 39.41M | 51.78M | 10.14M | 20.82M | 42.35M | 30.3M | 13.24M | 15.45M | 7.41M | 8.65M | 4.87M | 41.7M | 45.06M | 23.62M | 37.35M | 35.48M | 0 | 14.65M | 5.1M | 8.56M | 7.88M | 3.02M | -22.17K | -230K | 5.6M | 800K |
| Debt Issued (Net) | 0 | 0 | -10.61M | -6.31M | -714K | 14.44M | -26K | 3.68M | 794K | 0 | 31.23M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -230K | 230K | 0 |
| Equity Issued (Net) | 9.41M | 15.05M | 7.02M | 23.08M | 10.86M | 3.92M | 39.76M | 26.63M | 0 | 0 | 2.38M | 8.65M | 4.87M | 41.7M | 45.06M | 23.62M | 37.35M | 35.48M | 0 | 14.65M | 5.1M | 8.56M | 7.88M | 3.02M | 216.4K | 0 | 5.87M | 0 |
| Dividends Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -527K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -499.54K | 0 |
| Share Repurchases | -9M | -6M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -51.1K | 0 | 0 | 800K |
| Other Financing | 0 | 0 | 43M | 35.01M | 0 | 2.46M | 2.62M | 0 | 12.44M | 2.85M | -26.2M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -238.57K | 0 | 0 | 800K |
| Net Change in Cash | 28.54M | 11.04M | 19.72M | 874K | -15.13M | -1.8M | 18.57M | 6.61M | -1.75M | -410K | -8.2M | -7.86M | -10.78M | 7.52M | -2.05M | -19.84M | 10.14M | 28.55M | 2.9M | 1.6M | 4.59M | 1.5M | -111.28K | -750.03K | -679.42K | -2.51M | 5.24M | -290K |
| Free Cash Flow | 19.19M | 20.97M | -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 Share | 0.53 | 0.53 | -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) | 34.21x | 8.34x | 0.71x | 0.66x | 0.68x | 0.88x | 0.95x | 2.67x | 0.77x | 0.34x | 0.79x | 1.12x | 0.89x | 1.12x | 0.96x | 1.21x | 0.52x | 0.47x | 0.98x | 1.52x | 0.84x | 1.05x | 0.90x | 0.94x | 0.99x | 1.21x | 0.38x | 1.91x |
| Interest Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Taxes Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Commercial adoption and execution
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.
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.
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.
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.
Quick answers to the most common questions about buying DCTH stock.
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.
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.
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.
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.