Operating cash flow was negative in every quarter reviewed, reaching -$9.0M in 2026Q2 with an FCF margin of -3.3%, suggesting sustained cash burn that warrants close monitoring of liquidity runway given cash of only $4.3M.
MediWound Ltd. (MDWD) cash flow statement — 14-year operating, investing & financing cash flows
| 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 |
|---|
| Cash from Operations | -22M | -14.53M | -13.62M | -10.46M | -11.88M | -8.92M | -6.89M | 8.29M | -12.15M | -16.45M | -16.45M | -19.6M | -16.49M | -9.74M | -4.73M |
| Operating CF Margin % | - | -85.68% | -67.37% | -56% | -44.86% | -37.52% | -31.68% | 26.08% | -357.37% | -659.25% | -1055.52% | -3261.4% | -6367.95% | - | - |
| Operating CF Growth % | -191.07% | -6.65% | -30.19% | 11.95% | -33.3% | -29.31% | -183.18% | 168.2% | 26.14% | -0.06% | 16.1% | -18.84% | -69.33% | -106.01% | - |
| Net Income | -20.18M | -23.88M | -30.22M | -6.72M | -19.6M | -13.55M | -9.2M | 4.96M | -1.06M | -22.15M | -18.89M | -22.09M | -18.88M | -15.35M | 10.94M |
| Depreciation & Amortization | 1.89M | 1.86M | 1.48M | 1.3M | 1.27M | 1.24M | 1.09M | 1.15M | 577K | 567K | 589K | 503K | 492K | 336K | 267K |
| Stock-Based Compensation | 2.05M | 3.11M | 3.14M | 1.94M | 1.95M | 1.67M | 1.32M | 1.23M | 645K | 1.36M | 3.17M | 2.66M | 4.83M | 531K | 334K |
| Deferred Taxes | 0 | 0 | 0 | 0 | 0 | 0 | -373K | -1.86M | 201K | -1.64M | 125K | 90K | -4.49M | -845K | -15.93M |
| Other Non-Cash Items | -11.38M | -386K | 10.71M | -9.33M | 11.74M | 1.56M | 323K | -1.69M | -11.51M | 7.85M | -3.43M | -1.04M | 925K | 5.98M | 1.61M |
| Working Capital Changes | 5.62M | 4.77M | 1.27M | 2.34M | -7.24M | 162K | -61K | 4.49M | -1.01M | -2.45M | 1.98M | 275K | 629K | -389K | -1.95M |
| Change in Receivables | 4.06M | 4.88M | -1.02M | 4.76M | -7.22M | 166K | 1.39M | -3.55M | -211K | 28K | -107K | -181K | -67K | -532K | 0 |
| Change in Inventory | -242.9K | -1.36M | 187K | -906K | -721K | 257K | 141K | 67K | 206K | -1.04M | 873K | -273K | -1.42M | 0 | 0 |
| Change in Payables | 1.51M | 2.35M | 406K | -594K | 414K | 1.72M | -1.1M | 1.35M | -536K | -135K | 331K | -76K | 22K | 405K | 30K |
| Cash from Investing | -4.28M | -19.54M | -8.4M | -34.32M | -481K | 3.55M | 17.39M | -6.9M | -17.04M | 437K | 1.82M | 36.05M | -37.15M | -2.85M | -407K |
| Capital Expenditures | -6.38M | -5.5M | -6.27M | -6.46M | -555K | -489K | -923K | -792K | -534K | -1.07M | -701K | -406K | -396K | -358K | -413K |
| CapEx % of Revenue | 53.79% | 32.46% | 31.02% | 34.59% | 2.09% | 2.06% | 4.24% | 2.49% | 15.7% | 43.07% | 44.99% | 67.55% | 152.9% | - | - |
| Acquisitions | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Investments | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Other Investing | 3.56M | 0 | -2.12M | -27.86M | 74K | 35K | 274K | -1.05M | -16.51M | 349K | 2.52M | 36.45M | -36.76M | -2.5M | 6K |
| Cash from Financing | 29.41M | 29.62M | 19.39M | 22.92M | 35.76M | -1.05M | -629K | -1.01M | 46K | 23M | 907K | 778K | 72.47M | 19.24M | 1.77M |
| Debt Issued (Net) | -1.01M | 0 | -928K | 0 | 0 | 0 | -508K | -630K | 0 | 0 | 0 | 0 | 0 | 3.02M | 1.55M |
| Equity Issued (Net) | 30.97M | 31.05M | 22.16M | 24.91M | 38.39M | 3K | 0 | 0 | 0 | 22.66M | 0 | 0 | 71.82M | 0 | 0 |
| Dividends Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Share Repurchases | -747K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Financing | -546.45K | -1.43M | -1.84M | -1.99M | -2.63M | -1.05M | -121K | -376K | 46K | 337K | 907K | 778K | 651K | 16.23M | 213K |
| Net Change in Cash | -26.01M | -4.36M | -2.71M | -22.03M | 22.85M | -6.33M | 10.13M | 526K | -29.35M | 7.2M | -13.64M | 17.08M | 18.37M | 6.72M | -3.33M |
| Free Cash Flow | -28.39M | -20.04M | -19.9M | -16.93M | -12.44M | -9.4M | -7.82M | 7.5M | -12.69M | -17.53M | -17.15M | -20.01M | -16.89M | -10.1M | -5.14M |
| FCF Margin % | -239.28% | -118.14% | -98.39% | -90.6% | -46.95% | -39.58% | -35.92% | 23.58% | -373.07% | -702.32% | -1100.51% | -3328.95% | -6520.85% | - | - |
| FCF Growth % | -47.34% | -0.69% | -17.53% | -36.09% | -32.27% | -20.3% | -204.28% | 159.09% | 27.62% | -2.24% | 14.3% | -18.46% | -67.25% | -96.42% | - |
| FCF per Share | -2.20 | -1.76 | -2.00 | -1.88 | -2.49 | -2.42 | -2.01 | 1.93 | -3.28 | -5.26 | -5.49 | -6.46 | -5.95 | -3.47 | -1.77 |
| FCF Conversion (FCF/Net Income) | 1.41x | 0.61x | 0.45x | 1.56x | 0.61x | 0.66x | 0.75x | 1.67x | 11.50x | 0.74x | 0.87x | 0.89x | 0.87x | 0.63x | -0.43x |
| Interest Paid | 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 |
Quick answers to the most common questions about buying MDWD stock.
MediWound Ltd. (MDWD) generated $-14.5M in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.
MediWound Ltd. (MDWD) reported negative free cash flow of $20.0M in 2025, indicating capital requirements exceeded cash from operations.
MediWound Ltd. (MDWD) spent $5.5M on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.
Key Metrics
Top Statement Risk
Persistent operating cash burn
Negative Earnings Mask Partial Cash Offsets
As reported in the quarterly cash flow data, MDWD's operating cash flow was negative in every one of the last ten quarters, yet the OCF/NI ratio swung between 0.37 and 5.66, which signals that net losses and cash outflows are not moving in lockstep and warrants careful interpretation.
Because net income is negative in nearly all periods, the OCF/NI ratio is mathematically less meaningful than it would be for a profitable company, since a ratio above 1 here reflects a smaller cash loss against a larger accounting loss rather than cash generation. The consistently negative operating cash flow, including -$9.0M in 2026Q2, suggests that non-cash items such as the modest D&A and stock-based compensation do not account for the gap, pointing to genuine operating shortfalls. Investors should monitor whether the cash burn narrows as the company's cost structure is reshaped, rather than relying on the favorable-looking ratio in individual quarters.
Free Cash Flow Deficits Persist Across Cycles
Based on reported figures, MDWD's free cash flow has been negative throughout the ten-quarter window, with FCF margins ranging from -3.3% to -128.2%, and the most recent quarter recording -$10.1M of FCF against $0.3M of revenue implied by the 34.4% capex intensity.
The FCF margin figures are heavily distorted by the very small revenue base, so the extreme readings such as -128.2% in 2025Q1 should be read as directional rather than precise. The fact that FCF remained negative even in quarters where the free cash flow margin appeared less extreme indicates the deficit is structural rather than a one-time timing effect. This pattern warrants further investigation into how the company intends to fund ongoing operations, since the reported data alone does not reveal the financing sources available to close the gap.
Capital Intensity Elevated Against Thin Revenue
As reported in the cash flow statements, MDWD's capital expenditures ranged from $0.8M to $3.0M per quarter, and CapEx as a share of revenue reached 131.3% in 2025Q4 and 123.4% in 2026Q1, indicating spending that is large relative to the company's top line.
Capex exceeding revenue in several quarters suggests the company is investing ahead of commercial scale, which is consistent with a manufacturing-oriented biotech model but leaves little margin for error. D&A of roughly $0.36M to $1.0M per quarter is well below capex in most periods, implying the asset base is expanding rather than being replaced, which may indicate growth-oriented rather than maintenance spending. The distinction between maintenance and growth capex cannot be determined from the supplied data, so investors should monitor whether elevated capex is tied to commercial capacity that will translate into revenue.
No Shareholder Returns Amid Continued Burn
Based on the supplied cash flow data, MDWD reported zero dividends paid across all ten quarters and only one buyback of $747K in 2025Q4, while free cash flow remained negative, meaning the company has not returned capital to shareholders and has relied on other sources to cover its deficits.
The absence of dividends is expected for a loss-making company, but the single buyback in 2025Q4 during a period of negative FCF is an observation worth noting, as it represents cash diverted from a business that was burning capital. No acquisition outflows are recorded, so capital deployment appears concentrated in operating and capital spending rather than inorganic growth. The reported data does not disclose the specific financing arrangements, so any conclusion about how deficits were funded would be speculative and should be verified against the balance sheet and filings.
What Could Invalidate the Base Case
Based on reported figures, MDWD's cash flow trend could improve if operating cash burn narrows materially, but the ten-quarter record of uninterrupted negative operating cash flow and FCF suggests that a turnaround has not yet appeared in the data.
The most plausible bull argument rests on the possibility that the recent capex peak reflects one-time build-out spending that will fall away, which would lift FCF toward breakeven without any change in operations. However, the supplied data does not show revenue stabilization, and the -88% operating margins reported in the prior analysis indicate the cost base would need to shrink substantially for cash flow to turn positive. Investors should monitor whether operating cash outflows narrow in coming quarters, as sustained burn at current levels would call into question the company's ability to self-fund without external capital.