Orthofix Medical Inc. (OFIX) Cash Flow Statement
Where OFIX’s cash came from and went, 2025
December 31, 2025 · U.S. dollars- Cash from operations
- $33.3M +29.3% vs 2024
- Capital expenditures
- $34.6M 4.2% of revenue
- Free cash flow
- −$1.3M −0.2% margin
- Returned to shareholders
- —
- Change in cash
- −$623,000 cash at year-end $85.1M
Cash from operations
$33.3M
Capital expenditures
−$34.6M
Net borrowing (repayment)
−$762,000
Shares issued
+$5.9M
Other financing
−$6.0M
Currency & other
+$1.4M
Change in cash
−$623,000
Drawn to scale: where the cash came from and how it was used. Hover for values.
OFIX operating cash flow, capex and free cash flow
Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)
OFIX cash flow trends, 2016–2025
| Metric | Trend | Then | Latest | Change |
|---|---|---|---|---|
| Operating cash flow | $44.7M2016 | $33.3M2025 | −3.2%/yr | |
| Capital expenditures | $18.3M2016 | $34.6M2025 | +7.3%/yr | |
| Free cash flow | $26.4M2016 | −$1.3M2025 | — | |
| Free cash flow margin | 6.4%2016 | −0.2%2025 | −6.6 pts | |
| Operating cash flow / net income | 14.632016 | 29.512020 | +14.88 | |
| Stock-based compensation | $16.0M2016 | $28.7M2025 | +6.7%/yr | |
| Dividends paid | $02016 | $1.7M2022 | — | |
| Share buybacks (net) | $63.4M2016 | $4.4M2023 | −31.7%/yr | |
| Capex / revenue | 4.5%2016 | 4.2%2025 | −0.3 pts |
Change is the average annual growth (CAGR) or the difference between the first and latest year.
OFIX cash flow by activity
OperatingInvestingFinancingChange in cash
OFIX 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).
OFIX cash flow statement
| 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | |
|---|---|---|---|---|---|---|---|---|---|---|
| Operating activities | ||||||||||
| Net income | −$92.2M | −$126.0M | −$151.4M | −$19.7M | −$38.4M | $2.5M | −$28.5M | $13.8M | $6.2M | $3.1M |
| Depreciation & amortization | $83.3M | $76.0M | $60.6M | $32.1M | $33.1M | $34.3M | $28.5M | $18.7M | $20.1M | $20.8M |
| Stock-based compensation | $28.7M | $32.5M | $35.7M | $18.4M | $15.4M | $16.2M | $21.5M | $18.9M | $12.6M | $16.0M |
| Change in working capital | −$21.5M | −$19.3M | −$54.0M | −$29.2M | −$18.1M | $19.7M | −$29.4M | −$7.0M | −$17.2M | −$12.1M |
| Other non-cash items | $35.1M | $62.6M | $63.3M | −$13.1M | $26.4M | $1.6M | $39.9M | $5.5M | $31.6M | $16.9M |
| Cash from operating activities | $33.3M | $25.8M | −$45.8M | −$11.5M | $18.5M | $74.3M | $32.0M | $49.9M | $53.3M | $44.7M |
| Investing activities | ||||||||||
| Capital expenditures | −$34.6M | −$34.9M | −$62.0M | −$23.2M | −$19.6M | −$17.1M | −$20.5M | −$15.3M | −$16.9M | −$18.3M |
| Investments (net) | $0 | −$27.6M | −$33.1M | −$24.5M | −$2.2M | −$10.0M | −$22.9M | −$61.0M | −$16.5M | −$21.9M |
| Acquisitions & other investing | $28,000 | $34.9M | $62.0M | $23.2M | −$1.2M | −$25.2M | $20.5M | $15.3M | $16.9M | $18.3M |
| Cash from investing activities | −$34.6M | −$27.6M | −$33.1M | −$24.5M | −$23.0M | −$52.3M | −$22.9M | −$61.0M | −$16.5M | −$21.9M |
| Financing activities | ||||||||||
| Dividends paid | — | — | — | −$1.7M | −$2.6M | −$2.5M | −$5.2M | $0 | $0 | $0 |
| Share repurchases & issuance (net) | — | — | −$4.4M | −$1.7M | −$2.6M | −$2.5M | −$5.2M | −$3.4M | −$3.8M | −$63.4M |
| Net borrowing (repayment) | −$762,000 | $54.4M | $67.9M | −$92,000 | −$948,000 | −$1.5M | −$3.0M | −$682,000 | −$365,000 | −$365,000 |
| Shares issued | $5.9M | $6.3M | $5.1M | $4.3M | $8.8M | $7.6M | $11.6M | $7.1M | $0 | $0 |
| Other financing | −$6.0M | −$9.9M | −$3.4M | −$865,000 | −$6.4M | $2.2M | −$8.8M | $0 | $7.7M | $17.7M |
| Cash from financing activities | −$786,000 | $50.7M | $65.3M | −$78,000 | −$3.6M | $3.2M | −$10.7M | $3.0M | $3.5M | −$46.1M |
| Summary | ||||||||||
| Net change in cash | −$623,000 | $48.0M | −$12.9M | −$37.1M | −$9.0M | $26.4M | −$1.8M | −$9.0M | $41.6M | −$24.1M |
| Cash at end of period | $85.1M | $85.7M | $37.8M | $50.7M | $87.8M | $96.8M | $70.4M | $72.2M | $81.2M | $39.6M |
| Free cash flow | −$1.3M | −$9.1M | −$107.8M | −$34.7M | −$1.1M | $57.2M | $11.5M | $34.7M | $36.4M | $26.4M |
| Free cash flow margin | −0.2% | −1.1% | −14.4% | −7.5% | −0.2% | 14.1% | 2.5% | 7.7% | 8.4% | 6.4% |
| Capex / revenue | 4.2% | 4.4% | 8.3% | 5.0% | 4.2% | 4.2% | 4.5% | 3.4% | 3.9% | 4.5% |
| Operating cash flow / net income | — | — | — | — | — | 29.51 | — | 3.61 | 8.57 | 14.63 |
| Jun '26 | Mar '26 | Dec '25 | Sep '25 | Jun '25 | Mar '25 | Dec '24 | Sep '24 | Jun '24 | Mar '24 | Dec '23 | Sep '23 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Operating activities | ||||||||||||
| Net income | −$15.8M | −$20.9M | −$120.3M | −$22.8M | −$14.1M | −$53.1M | −$29.1M | −$27.4M | −$33.4M | −$36.0M | −$22.2M | −$28.9M |
| Depreciation & amortization | $12.2M | $13.5M | $89.4M | $14.5M | $18.0M | $35.7M | $27.3M | $16.8M | $15.5M | $16.3M | $17.0M | $14.3M |
| Stock-based compensation | $7.7M | $6.5M | $20.8M | $7.2M | $7.8M | $6.5M | $7.2M | $6.5M | $10.0M | $8.8M | $3.2M | $6.3M |
| Change in working capital | −$22.9M | −$22.4M | −$55.1M | $9.3M | −$10.5M | −$22.3M | $7.3M | −$83,000 | −$5.2M | −$21.3M | −$13.9M | −$7.5M |
| Other non-cash items | $12.5M | $5.7M | $93.7M | $4.2M | $10.4M | $14.9M | $11.1M | $15.8M | $22.1M | $13.6M | $9.2M | $16.3M |
| Cash from operating activities | −$6.2M | −$17.6M | $28.5M | $12.4M | $11.6M | −$18.4M | $23.7M | $11.7M | $9.0M | −$18.6M | −$6.7M | $477,000 |
| Investing activities | ||||||||||||
| Capital expenditures | −$12.6M | −$10.7M | −$10.9M | −$9.9M | −$7.1M | −$6.7M | −$8.5M | −$5.8M | −$9.7M | −$10.8M | −$16.4M | −$22.3M |
| Investments (net) | — | — | — | −$9.9M | −$7.1M | −$6.7M | −$1.1M | −$5.9M | −$9.7M | −$10.9M | −$15.1M | −$22.3M |
| Acquisitions & other investing | $0 | $146,000 | −$3,617 | $9.9M | $7.1M | $6.7M | $8.5M | $5.8M | $9.7M | $10.8M | $16.4M | $22.3M |
| Cash from investing activities | −$12.6M | −$10.5M | −$10.9M | −$9.9M | −$7.1M | −$6.7M | −$1.1M | −$5.9M | −$9.7M | −$10.9M | −$15.1M | −$22.3M |
| Financing activities | ||||||||||||
| Dividends paid | — | — | — | — | — | — | — | — | — | — | — | −$168,069 |
| Share repurchases & issuance (net) | — | — | — | −$9,000 | — | — | — | $3.8M | −$1.9M | −$1.8M | −$1.1M | −$167,000 |
| Net borrowing (repayment) | −$25,000 | $64.0M | −$198,000 | −$189,000 | −$187,000 | −$188,000 | $29.9M | −$179,000 | — | — | — | — |
| Shares issued | $2.6M | $0 | $2.8M | $36,000 | $3.0M | $49,000 | $2.9M | $120,000 | $3.2M | $0 | $2.8M | $0 |
| Other financing | −$150,000 | −$24,000 | −$142,876 | −$5.0M | −$178,000 | −$512,000 | −$1.4M | −$6.2M | −$1.0M | $23.3M | $23.6M | $18.6M |
| Cash from financing activities | $2.5M | $64.0M | $2.5M | −$5.2M | $2.6M | −$651,000 | $31.5M | −$2.5M | $225,000 | $21.5M | $25.3M | $18.3M |
| Summary | ||||||||||||
| Net change in cash | −$16.5M | $35.8M | $19.2M | −$2.7M | $8.2M | −$25.3M | $53.2M | $3.7M | −$598,000 | −$8.3M | $4.1M | −$3.9M |
| Cash at end of period | $104.4M | $120.9M | $85.1M | $65.9M | $68.7M | $60.5M | $85.7M | $32.6M | $28.9M | $29.5M | $37.8M | $33.7M |
| Free cash flow | −$18.9M | −$28.3M | $17.6M | $2.5M | $4.5M | −$25.1M | $15.2M | $5.9M | −$732,000 | −$29.4M | −$23.0M | −$21.9M |
| Free cash flow margin | −8.9% | −14.4% | 8.0% | 1.2% | 2.2% | −13.0% | 7.0% | 3.0% | −0.4% | −15.6% | −11.5% | −11.9% |
| Capex / revenue | 6.0% | 5.4% | 4.9% | 4.8% | 3.5% | 3.5% | 4.0% | 3.0% | 4.9% | 5.7% | 8.2% | 12.1% |
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.
OFIX cash generation
In fiscal 2025 (ended December 31, 2025), Orthofix Medical generated $33.3 million of cash from operations (up 29.3%) and spent $34.6 million on capital expenditures, leaving free cash flow of -$1.3 million, −0.2% of revenue. Cash and equivalents fell by $0.6 million over the year.
Related: OFIX income statement, OFIX balance sheet. See the OFIX stock overview for the latest quote and news.
OFIX cash flow FAQ
What is Orthofix Medical's free cash flow?
Orthofix Medical's free cash flow was -$1.3 million in fiscal 2025: $33.3 million of operating cash flow minus $34.6 million of capital expenditures It was -$9.1 million a year earlier..
How much cash does Orthofix Medical generate from operations?
Orthofix Medical generated $33.3 million of cash from operating activities in fiscal 2025.
How much does Orthofix Medical spend on capital expenditures?
Orthofix Medical spent $34.6 million on capital expenditures in fiscal 2025, 4.2% of revenue, compared with $34.9 million the year before.