Kestra Medical Technologies, Ltd. (KMTS) Cash Flow Statement

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

Where KMTS’s cash came from and went, FY2026

April 30, 2026 · U.S. dollars
Cash from operations
−$81.7M
Capital expenditures
$34.9M
36.7% of revenue
Free cash flow
−$116.6M
−122.6% margin
Returned to shareholders
$3.1M
Change in cash
−$137.9M
cash at year-end $100.0M
Shares issued: $149.3MShares issued$149.3MDrawn from cash: $137.9MDrawn from cash$137.9MOther financing: $916,000Other financing$916,000Investments (net): $168.0MInvestments (net)$168.0M · 58%Cash used in operations: $81.7MCash used in operations$81.7M · 28%Capital expenditures: $34.9MCapital expenditures$34.9M · 12%Share buybacks, Acquisitions & other, Dividends: $3.5MOther uses$3.5M · 1%$288.1M
Cash from operations
−$81.7M
Capital expenditures
−$34.9M
Investments (net)
−$168.0M
Acquisitions & other
−$344,000
Share buybacks (net)
−$2.8M
Shares issued
+$149.3M
Other financing
+$916,000
Change in cash
−$137.9M

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

KMTS operating cash flow, capex and free cash flow

Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)

KMTS cash flow trends, FY2020–FY2026

Kestra Medical Technologies, Ltd. cash flow trends
MetricTrendThenLatestChange
Operating cash flow−$30.3MFY2020−$81.7MFY2026—
Capital expenditures$232,000FY2020$34.9MFY2026+172.6%/yr
Free cash flow−$30.5MFY2020−$116.6MFY2026—
Free cash flow margin−1,115.4%FY2023−122.6%FY2026+992.8 pts
Stock-based compensation$0FY2020$33.6MFY2026—
Dividends paid$183,000FY2020$323,000FY2026+12.0%/yr
Capex / revenue202.6%FY202336.7%FY2026−166.0 pts

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

KMTS cash flow by activity

OperatingInvestingFinancingChange in cash

KMTS 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).

KMTS cash flow statement

Kestra Medical Technologies, Ltd. annual cash flow statement
FY2026FY2025FY2024FY2023FY2021FY2020
Operating activities
Net income−$131.6M−$113.8M−$94.1M−$84.2M−$34.1M−$29.5M
Depreciation & amortization$8.7M$8.0M$11.6M$4.9M$420,000$478,000
Stock-based compensation$33.6M$24.3M$1.5M$1.2M$1.9M$0
Change in working capital−$685,000−$6.2M$4.4M$1.3M−$19,000−$2.0M
Other non-cash items$8.2M$10.2M$4.4M$7.2M$1.9M$706,000
Cash from operating activities−$81.7M−$77.6M−$72.2M−$69.6M−$29.9M−$30.3M
Investing activities
Capital expenditures−$34.9M−$23.6M−$12.5M−$15.5M−$336,000−$232,000
Investments (net)−$168.0M−$23.3M−$12.2M−$15.5M−$334,000−$232,000
Acquisitions & other investing−$344,000$23.6M$12.5M$15.5M$336,000$232,000
Cash from investing activities−$203.3M−$23.3M−$12.2M−$15.5M−$334,000−$232,000
Financing activities
Dividends paid−$323,000−$1.7M−$799,000−$671,000−$187,000−$183,000
Share repurchases & issuance (net)−$2.8M—————
Net borrowing (repayment)—$0$5.9M−$5.3M$20.0M—
Shares issued$149.3M$319.2M$75.0M$102.1M$0$0
Other financing$916,000$12.7M−$2.4M$0$29.0M$30.4M
Cash from financing activities$147.1M$330.3M$77.7M$96.1M$48.8M$30.2M
Summary
Net change in cash−$137.9M$229.3M−$6.7M$11.0M$18.6M−$286,000
Cash at end of period$100.0M$237.9M$8.6M$15.3M$24.9M$6.3M
Free cash flow−$116.6M−$101.2M−$84.7M−$85.1M−$30.2M−$30.5M
Free cash flow margin−122.6%−169.2%−304.7%−1,115.4%——
Capex / revenue36.7%39.4%45.0%202.6%——

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.

KMTS cash generation

In fiscal 2026 (ended April 30, 2026), Kestra Medical Technologies generated -$81.7 million of cash from operations and spent $34.9 million on capital expenditures, leaving free cash flow of -$116.6 million, −122.6% of revenue. It returned $3.1 million to shareholders through dividends ($0.3 million) and net share buybacks ($2.8 million). Cash and equivalents fell by $137.9 million over the year.

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

KMTS cash flow FAQ

What is Kestra Medical Technologies's free cash flow?

Kestra Medical Technologies's free cash flow was -$116.6 million in fiscal 2026: -$81.7 million of operating cash flow minus $34.9 million of capital expenditures It was -$101.2 million a year earlier..

How much cash does Kestra Medical Technologies generate from operations?

Kestra Medical Technologies generated -$81.7 million of cash from operating activities in fiscal 2026.

How much does Kestra Medical Technologies spend on capital expenditures?

Kestra Medical Technologies spent $34.9 million on capital expenditures in fiscal 2026, 36.7% of revenue, compared with $23.6 million the year before.

How much stock does Kestra Medical Technologies buy back?

Kestra Medical Technologies spent $2.8 million on net share repurchases in fiscal 2026.

How much does Kestra Medical Technologies pay in dividends?

Kestra Medical Technologies paid $0.3 million in dividends in fiscal 2026.

Medical Instruments & Supplies: cash flow