Heartflow, Inc. (HTFL) Cash Flow Statement

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

Where HTFL’s cash came from and went, 2025

December 31, 2025 · U.S. dollars
Cash from operations
−$54.0M
Capital expenditures
$5.0M
2.9% of revenue
Free cash flow
−$59.0M
−33.5% margin
Returned to shareholders
—
Change in cash
−$6.7M
cash at year-end $44.8M
Shares issued: $332.4MShares issued$332.4MDrawn from cash: $6.7MDrawn from cash$6.7MInvestments (net): $233.5MInvestments (net)$233.5M · 69%Cash used in operations: $54.0MCash used in operations$54.0M · 16%Debt repayment: $42.4MDebt repayment$42.4M · 12%Capital expenditures, Other financing: $9.0MOther uses$9.0M · 3%$339.1M
Cash from operations
−$54.0M
Capital expenditures
−$5.0M
Investments (net)
−$233.5M
Net borrowing (repayment)
−$42.4M
Shares issued
+$332.4M
Other financing
−$4.0M
Change in cash
−$6.7M

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

HTFL operating cash flow, capex and free cash flow

Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)

HTFL cash flow trends, 2023–2025

Heartflow, Inc. cash flow trends
MetricTrendThenLatestChange
Operating cash flow−$76.4M2023−$54.0M2025—
Capital expenditures$6.1M2023$5.0M2025−9.3%/yr
Free cash flow−$82.5M2023−$59.0M2025—
Free cash flow margin−94.7%2023−33.5%2025+61.1 pts
Stock-based compensation$11.9M2023$14.0M2025+8.4%/yr
Share buybacks (net)$228,0002023$02025−100.0%
Capex / revenue7.0%20232.9%2025−4.1 pts

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

HTFL cash flow by activity

OperatingInvestingFinancingChange in cash

HTFL 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).

HTFL cash flow statement

Heartflow, Inc. annual cash flow statement
202520242023
Operating activities
Net income−$116.8M−$96.4M−$95.7M
Depreciation & amortization$8.6M$8.1M$7.6M
Stock-based compensation$14.0M$10.2M$11.9M
Change in working capital−$7.7M−$10.9M−$8.5M
Other non-cash items$47.9M$20.0M$8.3M
Cash from operating activities−$54.0M−$69.0M−$76.4M
Investing activities
Capital expenditures−$5.0M−$4.4M−$6.1M
Investments (net)−$233.5M−$4.4M−$6.1M
Acquisitions & other investing$0$4.4M$6.1M
Cash from investing activities−$238.6M−$4.4M−$6.1M
Financing activities
Share repurchases & issuance (net)$0$0−$228,000
Net borrowing (repayment)−$42.4M$0$0
Shares issued$332.4M$0$169.0M
Other financing−$4.0M$2.2M$589,000
Cash from financing activities$286.0M$2.2M$169.3M
Summary
Net change in cash−$6.7M−$71.4M$86.3M
Cash at end of period$44.8M$55.8M$127.2M
Free cash flow−$59.0M−$73.4M−$82.5M
Free cash flow margin−33.5%−58.3%−94.7%
Capex / revenue2.9%3.5%7.0%

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.

HTFL cash generation

In fiscal 2025 (ended December 31, 2025), Heartflow generated -$54.0 million of cash from operations and spent $5.0 million on capital expenditures, leaving free cash flow of -$59.0 million, −33.5% of revenue. Cash and equivalents fell by $6.7 million over the year.

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

HTFL cash flow FAQ

What is Heartflow's free cash flow?

Heartflow's free cash flow was -$59.0 million in fiscal 2025: -$54.0 million of operating cash flow minus $5.0 million of capital expenditures It was -$73.4 million a year earlier..

How much cash does Heartflow generate from operations?

Heartflow generated -$54.0 million of cash from operating activities in fiscal 2025.

How much does Heartflow spend on capital expenditures?

Heartflow spent $5.0 million on capital expenditures in fiscal 2025, 2.9% of revenue, compared with $4.4 million the year before.

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