Treace Medical Concepts, Inc. (TMCI) Cash Flow Statement

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

Where TMCI’s cash came from and went, 2025

December 31, 2025 · U.S. dollars
Cash from operations
−$16.0M
Capital expenditures
$13.5M
6.4% of revenue
Free cash flow
−$29.5M
−13.9% margin
Returned to shareholders
—
Change in cash
−$642,000
cash at year-end $10.7M
Investments (net): $26.8MInvestments (net)$26.8MBorrowing: $59.3MBorrowing$59.3MDrawn from cash: $642,000Drawn from cash$642,000Other financing: $57.2MOther financing$57.2M · 66%Cash used in operations: $16.0MCash used in operations$16.0M · 18%Capital expenditures: $13.5MCapital expenditures$13.5M · 16%$86.7M
Cash from operations
−$16.0M
Capital expenditures
−$13.5M
Investments (net)
+$26.8M
Net borrowing (repayment)
+$59.3M
Other financing
−$57.2M
Change in cash
−$642,000

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

TMCI operating cash flow, capex and free cash flow

Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)

TMCI cash flow trends, 2019–2025

Treace Medical Concepts, Inc. cash flow trends
MetricTrendThenLatestChange
Operating cash flow−$7.7M2019−$16.0M2025—
Capital expenditures$1.2M2019$13.5M2025+49.5%/yr
Free cash flow−$8.9M2019−$29.5M2025—
Free cash flow margin−22.5%2019−13.9%2025+8.7 pts
Stock-based compensation$815,0002019$33.8M2025+86.1%/yr
Dividends paid$7.9M2021$02025−100.0%
Share buybacks (net)$02021$13,0002023—
Capex / revenue3.1%20196.4%2025+3.3 pts

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

TMCI cash flow by activity

OperatingInvestingFinancingChange in cash

TMCI 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).

TMCI cash flow statement

Treace Medical Concepts, Inc. annual cash flow statement
2025202420232022202120202019
Operating activities
Net income−$59.0M−$55.7M−$49.5M−$42.8M−$20.6M−$3.7M−$4.3M
Depreciation & amortization$10.5M$8.4M$5.4M$2.1M$685,000$1.2M$793,000
Stock-based compensation$33.8M$30.6M$17.4M$8.1M$3.4M$919,000$815,000
Change in working capital−$8.6M−$25.4M−$9.7M−$5.8M−$1.3M−$5.3M−$5.3M
Other non-cash items$7.3M$5.0M$2.0M$7.7M$595,000$2.4M$292,000
Cash from operating activities−$16.0M−$37.2M−$34.6M−$30.6M−$17.2M−$4.5M−$7.7M
Investing activities
Capital expenditures−$13.5M−$11.6M−$11.5M−$14.8M−$2.7M−$1.1M−$1.2M
Investments (net)$26.8M$35.4M−$150.3M−$61.7M−$2.7M−$1.1M−$1.2M
Acquisitions & other investing$0$11.6M$80.5M$0$2.7M$1.1M$1.2M
Cash from investing activities$13.3M$35.4M−$81.3M−$76.5M−$2.7M−$1.1M−$1.2M
Financing activities
Dividends paid$0$0$0—−$7.9M——
Share repurchases & issuance (net)——−$13,000$2.2M$7.9M——
Net borrowing (repayment)$59.3M$0$0−$989,000−$1.8M$11.3M$20.0M
Shares issued$0$0$107.5M$107.5M$107.6M$0$0
Other financing−$57.2M$160,000$1.9M−$87.9M$1.8M$185,000−$261,000
Cash from financing activities$2.1M$160,000$109.4M$20.8M$107.7M$11.5M$19.7M
Summary
Net change in cash−$642,000−$1.6M−$6.5M−$86.4M$87.8M$5.9M$10.9M
Cash at end of period$10.7M$11.3M$13.0M$19.5M$105.8M$18.1M$12.1M
Free cash flow−$29.5M−$48.8M−$46.0M−$45.5M−$19.9M−$5.6M−$8.9M
Free cash flow margin−13.9%−23.3%−24.6%−32.1%−21.1%−9.7%−22.5%
Capex / revenue6.4%5.5%6.1%10.5%2.9%1.9%3.1%

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.

TMCI cash generation

In fiscal 2025 (ended December 31, 2025), Treace Medical Concepts generated -$16.0 million of cash from operations and spent $13.5 million on capital expenditures, leaving free cash flow of -$29.5 million, −13.9% of revenue. Cash and equivalents fell by $0.6 million over the year.

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

TMCI cash flow FAQ

What is Treace Medical Concepts's free cash flow?

Treace Medical Concepts's free cash flow was -$29.5 million in fiscal 2025: -$16.0 million of operating cash flow minus $13.5 million of capital expenditures It was -$48.8 million a year earlier..

How much cash does Treace Medical Concepts generate from operations?

Treace Medical Concepts generated -$16.0 million of cash from operating activities in fiscal 2025.

How much does Treace Medical Concepts spend on capital expenditures?

Treace Medical Concepts spent $13.5 million on capital expenditures in fiscal 2025, 6.4% of revenue, compared with $11.6 million the year before.

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