The company reported a negative free cash flow of $32.8M in 2025Q4, highlighting a significant disconnect between accounting losses and the cash required to maintain operations.
| Cash from Operations | -26.68M | -19.78M | -17.96M | -23.88M | -11.81M | -7.25M | -6.91M |
| Operating CF Margin % | - | - | - | - | - | - | - |
| Operating CF Growth % | -34.87% | -10.16% | 24.8% | -102.16% | -62.9% | -4.93% | - |
| Net Income | -42.63M | -31.75M | -29.16M | -33.76M | -27.27M | -8.88M | -8.46M |
| Depreciation & Amortization | 1.23M | 1.1M | 1.07M | 979K | 776K | 86K | 66K |
| Stock-Based Compensation | 0 | 9.92M | 7.93M | 6.75M | 812K | 596K | 546K |
| Deferred Taxes | 0 | 0 | 0 | 0 | 0 | 0 | 994K |
| Other Non-Cash Items | 12.42M | -219K | -293K | 2.46M | 13.29M | 50K | 12K |
| Working Capital Changes | 2.29M | 1.17M | 2.49M | -307K | 585K | 899K | -64K |
| Change in Receivables | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Change in Inventory | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Change in Payables | 337K | 965K | 1.14M | 220K | 239K | 114K | 148K |
| Cash from Investing | -20.59M | 20.77M | 18.68M | -89.94M | 19.27M | -7.82M | -10.16M |
| Capital Expenditures | -6.08M | -2.24M | -6.4M | -904K | -2.93M | -3.77M | -1.29M |
| CapEx % of Revenue | - | - | - | - | - | - | - |
| Acquisitions | 0 | 0 | 0 | 0 | 0 | 0 | 8.87K |
| Investments | - | - | - | - | - | - | - |
| Other Investing | 0 | -103K | 25.08M | -89.03M | 22.2M | -4.05M | -8.87K |
| Cash from Financing | 45.77M | 25K | 5.3M | 96.91M | 111K | 29.32M | 5.32M |
| Debt Issued (Net) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Equity Issued (Net) | 45.77M | 25K | 49K | 3.36M | 111K | 29.32M | 5.25M |
| Dividends Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Share Repurchases | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Financing | 0 | 0 | 5.25M | 93.54M | 0 | 0 | 73K |
| Net Change in Cash | -1M | 1.17M | 9.12M | -17.17M | 7.68M | 16.17M | -11.77M |
| Free Cash Flow | -32.76M | -22.02M | -24.36M | -24.78M | -14.74M | -11.02M | -8.2M |
| FCF Margin % | - | - | - | - | - | - | - |
| FCF Growth % | -48.75% | 9.6% | 1.71% | -68.15% | -33.77% | -34.32% | - |
| FCF per Share | -0.41 | -0.31 | -0.35 | -0.39 | -0.36 | -0.27 | -0.12 |
| FCF Conversion (FCF/Net Income) | 0.63x | 0.62x | 0.62x | 0.71x | 0.43x | 0.82x | 0.82x |
| Interest Paid | 0 | 321K | 52K | 0 | 0 | 0 | 0 |
| Taxes Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Insufficient Clinical Funding Runway
According to the 2025Q4 financial disclosures, DRTS reported an operating cash outflow of $26.7M against a net loss of $12.1M, resulting in an OCF/NI ratio of 2.20, which highlights a significant disconnect between accounting losses and the actual cash required to sustain clinical operations.
The substantial divergence between net income and operating cash flow suggests that non-cash expenses and working capital movements are not sufficient to bridge the gap, indicating that the company's cash burn is accelerating faster than its accounting losses imply. Investors should monitor this ratio closely, as it suggests that the underlying clinical development activities are becoming increasingly capital-intensive.
As reported in the most recent quarterly filings, the company generated a negative free cash flow of $32.8M in 2025Q4, a figure that underscores the unsustainable nature of current spending levels relative to the firm's limited cash reserves of approximately $15.9M.
The negative FCF trajectory confirms that the company is in a deep cash-burn phase with no immediate prospect of self-funding through operations. This trend warrants further investigation into the timing of future capital raises, as the current burn rate appears to exceed the remaining liquidity runway.
Based on the 2025Q4 data, the company incurred $6.1M in capital expenditures, reflecting the high cost of maintaining specialized manufacturing and isotope production infrastructure necessary for its clinical-stage radiopharmaceutical delivery systems.
This level of capital intensity is typical for firms building proprietary nuclear supply chains, yet it places additional pressure on the company's already strained liquidity. The investment in fixed assets suggests that management is prioritizing long-term infrastructure over short-term cash preservation, which may be a necessary but risky trade-off.
Financial statements from 2025Q4 indicate a working capital change of $2.3M, which provides a minor, likely temporary, offset to the company's aggressive cash consumption during the final quarter of the fiscal year.
While this positive working capital adjustment helps mitigate the immediate cash outflow, it should not be interpreted as a sign of operational efficiency. Given the pre-revenue status of the firm, such fluctuations are likely driven by timing differences in vendor payments or clinical trial logistics rather than sustainable improvements in cash management.
Quick answers to the most common questions about buying DRTS stock.
Alpha Tau Medical Ltd. (DRTS) generated $-26.7M in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.
Alpha Tau Medical Ltd. (DRTS) reported negative free cash flow of $32.8M in 2025, indicating capital requirements exceeded cash from operations.
Alpha Tau Medical Ltd. (DRTS) spent $6.1M on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.