Coax SPDIF is weird.
I currently use it to route audio from the interface to my Roland V-Synth, as an input for sampling. It works well for this task, and I don't have to sync the interface to the SPDIF. I have used it before, as an output from the Waldorf Q, as an attempt to free up some analog audio channels on the interface, but the audio was glitchy and terrible, because the Q must be the master clock.
And FYI: SPDIF coax cables are relatively cheap. Many on Amazon, just get one that is 75-ohm impedance.