Free cash flow remains deeply negative at -$22.4 million for 2026Q1, reflecting a persistent cash burn that consistently outpaces the company's ability to generate internal funding.
| Cash from Operations | -71.96M | -67.5M | -49.23M | -44.78M | -28.76M | -25.34M | -6.86M | -5.93M | -8.14M | -8.29M |
| Operating CF Margin % | - | -673.61% | -1088.83% | -1029.85% | -932.43% | -2973.71% | -9947.83% | - | - | - |
| Operating CF Growth % | -124.63% | -37.11% | -9.93% | -55.72% | -13.5% | -269.11% | -15.71% | 27.12% | 1.79% | - |
| Net Income | -86.12M | -90.05M | -56.43M | -44.66M | -30.06M | -24.64M | -12.15M | -8.38M | -9.04M | -10.33M |
| Depreciation & Amortization | 5.43M | 4.48M | 2.72M | 2.36M | 1.93M | 1.66M | 620K | 433K | 95K | 87K |
| Stock-Based Compensation | 887K | 0 | 3.97M | 2.61M | 2.7M | 1.27M | 2.55M | 346K | 28K | 24K |
| Deferred Taxes | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Non-Cash Items | 6.97M | 12.7M | -2.44M | -1.6M | -3.42M | -2.48M | 700K | 716K | 575K | 2.39M |
| Working Capital Changes | -1.55M | 5.37M | 2.96M | -3.49M | 86K | -1.14M | 1.42M | 957K | 201K | -454K |
| Change in Receivables | -5.03M | -2.14M | -751K | -1.54M | 7K | -2.52M | 365K | -1.39M | -155K | -161K |
| Change in Inventory | 632.65K | 55.98K | -1.4M | -2.43M | -536K | -291K | -55K | 0 | 0 | 0 |
| Change in Payables | 2.84M | 7.45M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Cash from Investing | 24.61M | 26.17M | -16.32M | 32.01M | -89.95M | -11.82M | -10.69M | -5.79M | -75K | -91K |
| Capital Expenditures | -2.69M | -3.77M | -1.17M | -2.5M | -886K | -1.47M | -562K | -51K | -77K | -91K |
| CapEx % of Revenue | 16.47% | 37.6% | 25.77% | 57.5% | 28.73% | 172.42% | 814.49% | - | - | - |
| Acquisitions | 453.72K | 3K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Investments | - | - | - | - | - | - | - | - | - | - |
| Other Investing | 28.05M | 0 | -2.64M | -6.15M | -15.35M | -10.35M | -10.12M | -5.73M | 2K | 0 |
| Cash from Financing | 38.51M | 38.79M | 77.44M | 16.86M | -983K | 76.47M | 104.03M | 700K | 15M | 1.11M |
| Debt Issued (Net) | 21.45M | 21.19M | 8.47M | -1.24M | -1.07M | -863K | 593K | 733K | 0 | 1.11M |
| Equity Issued (Net) | 20.76M | 20.86M | 69.72M | 18.34M | 255K | 77.73M | 103.58M | 0 | 15M | 0 |
| Dividends Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Share Repurchases | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Financing | -3.7M | -3.26M | -758K | -243K | -167K | -393K | -151K | -33K | 0 | 0 |
| Net Change in Cash | -10.02M | -130.69K | 12.58M | 3.72M | -117.62M | 43.21M | 86.44M | -10.95M | 6.7M | -7.34M |
| Free Cash Flow | -73.28M | -68.3M | -55.3M | -55.74M | -45.1M | -37.15M | -17.54M | -11.72M | -8.22M | -8.38M |
| FCF Margin % | -449.1% | -681.64% | -1223.14% | -1281.97% | -1462.55% | -4360.68% | -25426.09% | - | - | - |
| FCF Growth % | -23.5% | -23.51% | 0.79% | -23.58% | -21.4% | -111.77% | -49.73% | -42.61% | 1.93% | - |
| FCF per Share | -1.70 | -1.79 | -1.69 | -1.99 | -1.75 | -1.56 | -0.97 | -0.55 | -0.39 | -0.40 |
| FCF Conversion (FCF/Net Income) | 0.85x | 0.75x | 0.83x | 1.04x | 0.92x | 0.92x | 0.56x | 0.63x | 0.90x | 0.80x |
| Interest Paid | 306K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Taxes Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Capital runway and dilution
According to quarterly financial data, Nyxoah's operating cash flow consistently trails net losses, with the OCF/NI ratio fluctuating between 0.56 and 1.17, suggesting that the company's accrual-based accounting does not yet reflect the full extent of its cash-intensive commercial and clinical development activities.
The persistent gap between net income and operating cash flow indicates that the company is not generating sufficient internal liquidity to cover its operational footprint. Investors should monitor whether this divergence narrows as the company attempts to scale, as current figures suggest a reliance on external funding to bridge the gap between accounting losses and actual cash outflows.
As reported in recent filings, Nyxoah's free cash flow has remained consistently negative, reaching a low of -$22.4 million in 2026Q1, which underscores the company's ongoing reliance on external capital to fund its clinical trial infrastructure and pre-commercialization activities in the European and U.S. markets.
The trajectory of free cash flow reflects a business model that is currently in a heavy investment phase with no immediate path to self-sustainability. The lack of positive FCF margins suggests that the company's current scale is insufficient to absorb the high fixed costs associated with its R&D and regulatory requirements.
Based on the provided cash flow statements, working capital changes have been highly erratic, swinging from a $4.8 million inflow in 2024Q4 to a $2.9 million outflow in 2026Q1, indicating potential instability in inventory management or the timing of collections from European hospital partners.
These fluctuations in working capital suggest that the company's cash conversion cycle is not yet optimized, likely due to the complexities of managing a specialized medical device supply chain. Analysts should investigate whether these swings are indicative of seasonal stocking patterns or broader inefficiencies in the company's accounts receivable and inventory processes.
As detailed in the company's financial disclosures, capital expenditures have remained volatile, peaking at 41.1% of revenue in 2025Q2, which highlights the significant investment required to maintain and scale the manufacturing capabilities necessary for the Genio system's global rollout.
The high capital intensity relative to revenue suggests that the company is still in the process of building out its core operational infrastructure. This level of spending warrants further investigation to determine if these costs are primarily maintenance-related or if they represent ongoing growth investments that will eventually taper off as the company achieves greater manufacturing scale.
Quick answers to the most common questions about buying NYXH stock.
Nyxoah S.A. (NYXH) generated $-67.5M in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.
Nyxoah S.A. (NYXH) reported negative free cash flow of $68.3M in 2025, indicating capital requirements exceeded cash from operations.
Nyxoah S.A. (NYXH) spent $3.8M on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.