EDAP TMS S.A. (FOCL) Cash Flow Statement

NASDAQ: FOCLOperating cash, capex, free cash flow and buybacks.

Where FOCL’s cash came from and went, 2025

December 31, 2025 · U.S. dollars
Cash from operations
−$16.5M
Capital expenditures
$4.9M
7.0% of revenue
Free cash flow
−$21.4M
−30.3% margin
Returned to shareholders
—
Change in cash
−$10.4M
cash at year-end $20.5M
Borrowing: $8.6MBorrowing$8.6MDrawn from cash: $10.4MDrawn from cash$10.4MCurrency & other: $3.1MCurrency & other$3.1MCash used in operations: $16.5MCash used in operations$16.5M · 74%Capital expenditures: $4.9MCapital expenditures$4.9M · 22%Acquisitions & other: $790,435Acquisitions & other$790,435 · 4%$22.2M
Cash from operations
−$16.5M
Capital expenditures
−$4.9M
Acquisitions & other
−$790,435
Net borrowing (repayment)
+$8.6M
Currency & other
+$3.1M
Change in cash
−$10.4M

Drawn to scale: where the cash came from and how it was used. Hover for values.

FOCL operating cash flow, capex and free cash flow

Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)

FOCL cash flow trends, 2016–2025

EDAP TMS S.A. cash flow trends
MetricTrendThenLatestChange
Operating cash flow$1.3M2016−$16.5M2025—
Capital expenditures$355,0922016$4.9M2025+34.0%/yr
Free cash flow$982,3002016−$21.4M2025—
Free cash flow margin2.5%2016−30.3%2025−32.7 pts
Operating cash flow / net income0.3120166.352021+6.04
Stock-based compensation$2.3M2022$2.6M2025+4.3%/yr
Capex / revenue0.9%20167.0%2025+6.1 pts

Change is the average annual growth (CAGR) or the difference between the first and latest year.

FOCL cash flow by activity

OperatingInvestingFinancingChange in cash

FOCL net income vs operating cash flow

Net incomeOperating cash flow

Operating cash flow above net income usually means earnings are backed by cash (depreciation and stock-based pay are non-cash expenses).

FOCL cash flow statement

EDAP TMS S.A. annual cash flow statement
2025202420232022202120202019201820172016
Operating activities
Net income−$29.3M−$20.6M−$22.9M−$3.1M$827,386−$1.9M$1.7M−$398,755−$768,123$4.3M
Depreciation & amortization$3.4M$2.8M$2.1M$1.7M$2.3M$2.5M$2.3M$1.7M$1.8M$1.1M
Stock-based compensation$2.6M$3.6M$7.6M$2.3M——————
Change in working capital$2.9M−$2.1M−$3.1M−$4.5M$615,812−$124,257$6,715−$1.5M−$1.9M−$217,920
Other non-cash items$4.0M$1.6M$495,766$463,619$1.5M$1.8M$235,043$363,362−$2.5M−$3.8M
Cash from operating activities−$16.5M−$14.7M−$15.9M−$3.2M$5.3M$2.3M$4.3M$206,456−$3.5M$1.3M
Investing activities
Capital expenditures−$4.9M−$1.4M−$1.3M−$644,244−$464,517−$605,329−$443,224−$712,565−$711,728−$355,092
Investments (net)$0$0$1,105$0——————
Acquisitions & other investing−$790,435−$3.0M−$3.4M−$1.9M−$1.5M−$1.7M−$1.3M−$1.1M−$1.6M−$69,687
Cash from investing activities−$5.7M−$4.5M−$4.7M−$2.5M−$1.9M−$2.3M−$1.7M−$1.9M−$2.3M−$424,779
Financing activities
Net borrowing (repayment)$8.6M$4.9M−$1.3M−$970,520——————
Shares issued$0$0$0$23.5M$0$0$0$0$0$0
Other financing$26,641$121,636$310,633$269,901$24.0M$3.6M−$743,181$1.4M$3.2M$8.4M
Cash from financing activities$8.6M$5.0M−$984,896$22.8M$24.0M$3.6M−$743,181$1.4M$3.2M$8.4M
Summary
Net change in cash−$10.4M−$17.1M−$19.4M$13.7M$23.4M$6.8M$1.2M−$1.8M$827,906$8.4M
Cash at end of period$20.5M$30.9M$48.0M$67.4M$53.7M$30.2M$23.4M$22.3M$24.0M$23.2M
Free cash flow−$21.4M−$16.1M−$17.1M−$3.8M$4.8M$1.6M$3.8M−$506,109−$4.2M$982,300
Free cash flow margin−30.3%−23.2%−26.2%−6.6%9.2%3.5%7.6%−1.1%−10.3%2.5%
Capex / revenue7.0%2.1%2.0%1.1%0.9%1.3%0.9%1.5%1.8%0.9%
Operating cash flow / net income————6.35—2.51——0.31

Negative numbers are cash paid out. Quarterly columns are labeled by the month the quarter ended. Figures in U.S. dollars as reported; data from EODHD.

FOCL cash generation

In fiscal 2025 (ended December 31, 2025), EDAP TMS generated -$16.5 million of cash from operations and spent $4.9 million on capital expenditures, leaving free cash flow of -$21.4 million, −30.3% of revenue. Cash and equivalents fell by $10.4 million over the year.

Related: FOCL income statement, FOCL balance sheet. See the FOCL stock overview for the latest quote and news.

FOCL cash flow FAQ

What is EDAP TMS's free cash flow?

EDAP TMS's free cash flow was -$21.4 million in fiscal 2025: -$16.5 million of operating cash flow minus $4.9 million of capital expenditures It was -$16.1 million a year earlier..

How much cash does EDAP TMS generate from operations?

EDAP TMS generated -$16.5 million of cash from operating activities in fiscal 2025.

How much does EDAP TMS spend on capital expenditures?

EDAP TMS spent $4.9 million on capital expenditures in fiscal 2025, 7.0% of revenue, compared with $1.4 million the year before.

Medical Distribution: cash flow