Health Catalyst, Inc. (HCAT) Cash Flow Statement

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

Where HCAT’s cash came from and went, 2025

December 31, 2025 · U.S. dollars
Cash from operations
$731,000
−95.0% vs 2024
Capital expenditures
$968,000
0.3% of revenue
Free cash flow
−$237,000
−0.1% margin
Returned to shareholders
$5.0M
Change in cash
−$198.8M
cash at year-end $50.8M
Investments (net): $98.8MInvestments (net)$98.8MDrawn from cash: $198.8MDrawn from cash$198.8MCash from operations, Other financing, Currency & other: $2.3MOther sources$2.3MDebt repayment: $232.3MDebt repayment$232.3M · 77%Acquisitions & other: $61.7MAcquisitions & other$61.7M · 21%Share buybacks, Capital expenditures: $6.0MOther uses$6.0M · 2%$299.9M
Cash from operations
$731,000
Capital expenditures
−$968,000
Investments (net)
+$98.8M
Acquisitions & other
−$61.7M
Share buybacks (net)
−$5.0M
Net borrowing (repayment)
−$232.3M
Other financing
+$1.5M
Currency & other
+$27,000
Change in cash
−$198.8M

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

HCAT operating cash flow, capex and free cash flow

Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)

HCAT cash flow trends, 2017–2025

Health Catalyst, Inc. cash flow trends
MetricTrendThenLatestChange
Operating cash flow−$36.8M2017$731,0002025—
Capital expenditures$3.3M2017$968,0002025−14.4%/yr
Free cash flow−$40.2M2017−$237,0002025—
Free cash flow margin−55.0%2017−0.1%2025+54.9 pts
Stock-based compensation$4.2M2017$27.0M2025+26.0%/yr
Dividends paid$02017$02018—
Share buybacks (net)$02017$5.0M2025—
Capex / revenue4.6%20170.3%2025−4.3 pts

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

HCAT cash flow by activity

OperatingInvestingFinancingChange in cash

HCAT 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).

HCAT cash flow statement

Health Catalyst, Inc. annual cash flow statement
202520242023202220212020201920182017
Operating activities
Net income−$178.0M−$69.5M−$118.1M−$137.4M−$153.2M−$115.0M−$60.1M−$62.0M−$47.0M
Depreciation & amortization$50.5M$41.4M$42.2M$48.3M$37.5M$18.7M$9.2M$7.4M$5.9M
Stock-based compensation$27.0M$40.1M$55.8M$72.1M$65.1M$38.0M$17.8M$4.2M$4.2M
Change in working capital−$15.1M−$660,000−$13.7M−$13.9M$4.6M−$3.8M−$1.3M$9.8M−$166,000
Other non-cash items$116.3M$3.2M$758,000−$4.4M$22.8M$36.0M$2.1M$327,000$239,000
Cash from operating activities$731,000$14.6M−$33.1M−$35.3M−$23.1M−$26.1M−$32.2M−$40.3M−$36.8M
Investing activities
Capital expenditures−$968,000−$16.4M−$14.3M−$17.4M−$18.5M−$10.5M−$4.3M−$2.5M−$3.3M
Investments (net)$98.8M−$22.9M−$3.4M−$39.0M−$74.5M$29.5M−$205.3M$23.9M$25.7M
Acquisitions & other investing−$61.7M$16.4M$38.0M$17.4M−$46.7M−$101.6M$62,000$29,000$47,000
Cash from investing activities$36.2M−$22.9M$20.3M−$39.0M−$139.7M−$82.6M−$209.6M$21.4M$22.4M
Financing activities
Dividends paid———————$0$0
Share repurchases & issuance (net)−$5.0M$0−$1.8M−$8.4M$270.4M$40.5M$0−$8.7M$0
Net borrowing (repayment)−$232.3M$151.3M$0$0$0$143.7M$25.3M$9.9M$9.8M
Shares issued$0$0$0$0$245.2M$0$206.7M$34.0M$0
Other financing$1.5M$428,000$4.5M$5.8M−$251.5M−$1.6M−$689,000−$10.9M$15.1M
Cash from financing activities−$235.8M$151.7M$2.7M−$2.6M$264.1M$182.6M$231.4M$24.3M$24.9M
Summary
Net change in cash−$198.8M$143.4M−$10.0M−$76.9M$101.3M$73.9M−$10.4M$5.5M$10.4M
Cash at end of period$50.8M$249.6M$106.3M$116.3M$193.2M$92.0M$18.0M$28.4M$23.0M
Free cash flow−$237,000−$1.8M−$47.4M−$52.7M−$41.6M−$36.6M−$36.5M−$42.8M−$40.2M
Free cash flow margin−0.1%−0.6%−16.0%−19.1%−17.2%−19.4%−23.6%−38.0%−55.0%
Capex / revenue0.3%5.3%4.8%6.3%7.6%5.5%2.8%2.2%4.6%

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.

HCAT cash generation

In fiscal 2025 (ended December 31, 2025), Health Catalyst generated $0.7 million of cash from operations (down 95.0%) and spent $1.0 million on capital expenditures, leaving free cash flow of -$0.2 million, −0.1% of revenue. It returned $5.0 million to shareholders through dividends ($0) and net share buybacks ($5.0 million). Cash and equivalents fell by $198.8 million over the year.

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

HCAT cash flow FAQ

What is Health Catalyst's free cash flow?

Health Catalyst's free cash flow was -$0.2 million in fiscal 2025: $0.7 million of operating cash flow minus $1.0 million of capital expenditures It was -$1.8 million a year earlier..

How much cash does Health Catalyst generate from operations?

Health Catalyst generated $0.7 million of cash from operating activities in fiscal 2025.

How much does Health Catalyst spend on capital expenditures?

Health Catalyst spent $1.0 million on capital expenditures in fiscal 2025, 0.3% of revenue, compared with $16.4 million the year before.

How much stock does Health Catalyst buy back?

Health Catalyst spent $5.0 million on net share repurchases in fiscal 2025.

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