Operational cash generation remains inconsistent, as demonstrated by an OCF/NI ratio that fluctuated from -3.25 in 2024Q3 to 1.65 in 2026Q1, while free cash flow margins remained negative in nine of the last ten quarters.
| Cash from Operations | -40.81M | -48.91M | -2.52M | -32.35M | -37.13M | -15.62M | -10.82M | -10.3M |
| Operating CF Margin % | - | -24.81% | -1.01% | -14.37% | -25.41% | -30.9% | -46.16% | -33.02% |
| Operating CF Growth % | -64579.53% | -1841.8% | 92.21% | 12.88% | -137.78% | -44.34% | -5.01% | - |
| Net Income | 46.99M | 41.35M | -27.31M | -56.08M | -27.26M | -40.05M | -10.16M | -10.84M |
| Depreciation & Amortization | 9.29M | 8.19M | 5.96M | 7.11M | 5.72M | 596K | 526K | 472K |
| Stock-Based Compensation | 6.59M | 17.83M | 19.89M | 12.5M | 8.28M | 9.62M | 490K | 317K |
| Deferred Taxes | 372K | 432K | -255K | -1.47M | -772K | -3.64M | 0 | 0 |
| Other Non-Cash Items | -25.92M | -107.63M | 2.2M | 12.32M | -23.08M | 20.06M | 0 | 28K |
| Working Capital Changes | -11.3M | -9.08M | -3.01M | -6.74M | -17K | -2.2M | -1.67M | -281K |
| Change in Receivables | -11.37M | -12.03M | -998K | -10.25M | -5.35M | -414K | -591K | -165K |
| Change in Inventory | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Change in Payables | 2.5M | 0 | 0 | 0 | 9.9M | 0 | 0 | 0 |
| Cash from Investing | 74.07M | 69.75M | -1.02M | 17.09M | 79.34M | -321.34M | -377K | -1.05M |
| Capital Expenditures | -13.18M | -9.6M | -30.88M | -2.11M | -730K | -297K | -377K | -604K |
| CapEx % of Revenue | 6.27% | 4.87% | 12.41% | 0.94% | 0.5% | 0.59% | 1.61% | 1.94% |
| Acquisitions | -68.07M | -69.34M | -2.23M | -39K | -48.1M | -23.07M | 0 | -200K |
| Investments | - | - | - | - | - | - | - | - |
| Other Investing | 21.47M | -1.42M | -2.11M | 138K | 0 | -504K | 0 | -250K |
| Cash from Financing | -9.5M | -8.91M | -5.76M | -76K | -1.08M | 332.26M | 1.18M | 116K |
| Debt Issued (Net) | 0 | 0 | 0 | 0 | 0 | -1.17M | 1.17M | - |
| Equity Issued (Net) | 185K | 193K | -244K | 0 | 87K | 119.63M | 0 | - |
| Dividends Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Share Repurchases | 0 | 0 | -244K | 0 | 0 | 0 | 0 | 0 |
| Other Financing | -9.69M | -9.11M | -5.51M | -76K | -1.17M | 213.79M | 15K | 116K |
| Net Change in Cash | 23.3M | 11.59M | -9.37M | -15.4M | 36.84M | -4.69M | -10.02M | -11.24M |
| Free Cash Flow | -53.99M | -59.92M | -35.51M | -34.46M | -37.86M | -16.42M | -11.2M | -11.16M |
| FCF Margin % | -25.68% | -30.4% | -14.28% | -15.3% | -25.91% | -32.49% | -47.77% | -35.76% |
| FCF Growth % | -109.59% | -68.74% | -3.06% | 8.99% | -130.63% | -46.64% | -0.35% | - |
| FCF per Share | -0.60 | -0.73 | -0.46 | -0.47 | -0.53 | -0.23 | -0.89 | -1.52 |
| FCF Conversion (FCF/Net Income) | -1.15x | -1.18x | 0.09x | 0.58x | 1.36x | 0.39x | 1.06x | 0.95x |
| Interest Paid | 0 | 0 | 0 | 0 | 0 | 12K | 0 | - |
| Taxes Paid | 0 | 87K | 0 | 16K | 0 | 0 | 0 | - |
Persistent Operating Cash Burn
As reported in recent financial statements, SRTA exhibits a volatile relationship between net income and operating cash flow, with the OCF/NI ratio fluctuating wildly from -3.25 in 2024Q3 to 1.65 in 2026Q1, indicating that reported earnings are frequently decoupled from actual cash generation capabilities.
The extreme variance in the OCF/NI ratio suggests that accounting adjustments and non-operating items are significantly distorting the company's true cash-generating performance. Investors should view net income figures with skepticism, as they appear to be poor proxies for the underlying cash reality of the medical logistics business.
Based on historical cash flow data, SRTA has struggled to achieve positive free cash flow, with FCF margins remaining negative in nine of the last ten quarters, including a significant -70.9% margin in 2025Q3 that underscores the difficulty of funding operations through internal cash generation.
The persistent inability to generate positive free cash flow suggests that the company's current business model is structurally dependent on external capital or balance sheet reserves. This trajectory warrants close monitoring, as the company must eventually demonstrate a path to self-funding to avoid further dilution or liquidity constraints.
According to quarterly filings, SRTA's capital expenditure as a percentage of revenue has been highly inconsistent, peaking at 24.9% in 2024Q2, which highlights the heavy investment required to maintain the logistics infrastructure necessary for its specialized organ-transport mission protocols.
The high and variable nature of these capital outlays suggests that the company is still in a heavy investment phase, likely upgrading its proprietary logistics software and coordination systems. This capital intensity creates a high hurdle for achieving positive free cash flow, as the company must scale revenue significantly to offset these recurring infrastructure costs.
As evidenced by the provided cash flow statements, SRTA has experienced erratic working capital swings, including a notable $11.9M outflow in 2025Q4, which suggests significant friction in managing the timing of hospital billings against the payments due to third-party aircraft and ground transport operators.
These working capital fluctuations indicate that the company's cash conversion cycle is highly sensitive to the timing of mission fulfillment and subsequent collections. The lack of stability in these flows may indicate operational inefficiencies in the accounts receivable process or challenges in managing payables within the medical logistics ecosystem.
Based on reported figures, SRTA has utilized its cash reserves for inorganic growth, most notably the $66.5M net acquisition outflow in 2025Q3, which significantly depleted the company's cash position during a period when core operations were already struggling to generate positive cash flow.
The decision to deploy substantial capital toward acquisitions while the core business remains cash-flow negative suggests an aggressive, albeit risky, strategy to build scale. Investors should evaluate whether these acquisitions are providing the expected synergies or if they are merely adding complexity to an already strained financial structure.
Quick answers to the most common questions about buying SRTA stock.
Strata Critical Medical, Inc. (SRTA) generated $-48.9M in net cash from operating activities in 2025. This reflects the cash generated directly from core business operations.
Strata Critical Medical, Inc. (SRTA) reported negative free cash flow of $59.9M in 2025, indicating capital requirements exceeded cash from operations.
Strata Critical Medical, Inc. (SRTA) spent $9.6M on capital expenditures in 2025. CapEx represents the cash invested in physical assets like property, plant, and equipment to maintain or grow the business.