KORU Medical Systems Announces +20% Fourth Quarter and Full Year 2025 Revenue Growth, Positive Adjusted EBITDA and Initiates Full Year 2026 Guidance
Key Terms
510(k) clearance regulatory
EU MDR regulatory
Phase III medical
Phase I trial medical
adjusted EBITDA financial
adjusted diluted EPS financial
non-GAAP financial measures financial
cash flow financial
Recent Highlights
-
Fourth quarter 2025 net revenues grew
23% to$10.9 million 22% to$41.1 million -
Full year 2025 gross profit grew
20% to$25.6 million 62.3% -
Full year 2025 net loss of
( , a$2.6) million 57% improvement over the prior year and a124% increase in positive adjusted EBITDA to$0.6 million -
Ending cash balance of
$8.9 million $0.7 million 63% improvement versus the prior year - Received 510(k) clearance for UCB RYSTIGGO®, further expanding the KORU Medical platform beyond Ig into broader therapeutic indications
- Announcing Freedom60® EU MDR certification with prefilled syringe compatibility
- Announcing an expanded development pipeline with two new pharmaceutical collaborations, including a Phase III nephrology molecule and a multi-indication drug in a Phase I trial
-
Initiating 2026 guidance to include net revenues of
$47.5 $50.0 million 22% ; gross margin of61% -63% ; positive adjusted EBITDA and positive cash flow for the full year 2026
“Our fourth quarter and full year performance reflect the meaningful progress we have made building a stronger, more scalable business positioned to meet the evolving needs of the subcutaneous infusion market,” said Linda Tharby, President and CEO of KORU Medical. “Demand for immunoglobulin therapy remains robust, supporting continued growth in our recurring patient base, and we continue to gain momentum with International Core expansion. At the same time, our 510(k) filings and clearances are broadening our platform beyond Ig and into new therapeutic areas, further expanding our patient base. We enter 2026 with a proven ability to execute on our strategy, a compelling set of additional growth opportunities, and a continued commitment to shareholder value generation.”
2025 Fourth Quarter Financial Results |
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Three Months Ended December 31, |
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Change from Prior Year |
|
% of Net Revenues |
|
|||||||||||||
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|
2025 |
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2024 |
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$ |
|
% |
|
2025 |
|
2024 |
|
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Net Revenues |
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|
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Domestic Core |
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$ |
7,844,822 |
|
$ |
6,657,182 |
|
$ |
1,187,639 |
|
|
17.8 |
% |
|
72.0 |
% |
|
75.3 |
% |
|
International Core |
|
|
2,576,886 |
|
|
1,504,108 |
|
|
1,072,778 |
|
|
71.3 |
% |
|
23.7 |
% |
|
17.0 |
% |
|
Total Core |
|
|
10,421,708 |
|
|
8,161,291 |
|
|
2,260,417 |
|
|
27.7 |
% |
|
95.7 |
% |
|
92.3 |
% |
|
Pharma Services and Clinical Trials |
|
|
473,620 |
|
|
677,309 |
|
|
(203,689 |
) |
|
(30.1 |
)% |
|
4.3 |
% |
|
7.7 |
% |
|
Total |
|
$ |
10,895,328 |
|
$ |
8,838,600 |
|
$ |
2,056,728 |
|
|
23.3 |
% |
|
100 |
% |
|
100 |
% |
|
Total net revenues increased
Gross profit increased
Total operating expenses increased
Net loss decreased
2025 Full Year Financial Results |
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Years Ended December 31, |
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Change from Prior Year |
|
% of Net Revenues |
|
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|
|
2025 |
|
2024 |
|
$ |
|
% |
|
2025 |
|
2024 |
|
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Net Revenues |
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|
|
|
|
|
|
|
|
|
|
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|
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Domestic Core |
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$ |
27,992,436 |
|
$ |
25,214,613 |
|
$ |
2,777,823 |
|
11.0 |
% |
|
68.1 |
% |
|
74.9 |
% |
|
|
International Core |
|
|
10,881,183 |
|
|
6,043,979 |
|
|
4,837,204 |
|
80.0 |
% |
|
26.5 |
% |
|
18.0 |
% |
|
|
Total Core |
|
|
38,873,619 |
|
|
31,258,592 |
|
|
7,615,027 |
|
24.4 |
% |
|
94.5 |
% |
|
92.9 |
% |
|
|
Pharma Services and Clinical Trials |
|
|
2,253,747 |
|
|
2,387,871 |
|
|
(134,124 |
) |
(5.6 |
)% |
|
5.5 |
% |
|
7.1 |
% |
|
|
Total |
|
$ |
41,127,366 |
|
$ |
33,646,463 |
|
$ |
7,480,903 |
|
22.2 |
% |
|
100 |
% |
|
100 |
% |
|
|
Total net revenues increased
Gross profit increased
Total operating expenses increased
Net loss decreased
Cash and cash equivalents were
2026 Guidance
KORU Medical expects:
-
Full year 2026 net revenues between
$47.5 $50.0 million 15% -22% -
Full year 2026 gross margin between 61 -
63% - Positive adjusted EBITDA and positive cash flow for the full year 2026
Conference Call and Webcast Details
The Company will host a live conference call and webcast to discuss these results and provide a corporate update on Thursday, March 12, 2026, at 4:30 PM ET.
To participate in the call, please dial (877) 407-0784 (domestic) or (201) 689-8560 (international). The live webcast will be available on the IR Calendar on the News/Events page of the Investors section of KORU Medical’s website.
Non-GAAP Measures
This press release includes the non-GAAP financial measures “adjusted diluted EPS” and “adjusted EBITDA” that are not in accordance with, nor an alternate to, generally accepted accounting principles and may be different from non-GAAP measures used by other companies. These non-GAAP measures are not based on any comprehensive set of accounting rules or principles. Non-GAAP financial measures should not be considered a substitute for, or superior to, measures of financial performance prepared in accordance with GAAP. They are limited in value because they exclude charges that have a material effect on KORU Medical’s reported results and, therefore, should not be relied upon as the sole financial measures to evaluate the Company’s financial results. Non-GAAP financial measures are meant to supplement, and to be viewed in conjunction with GAAP financial results. Reconciliations of the Company’s non-GAAP measures are included at the end of this press release.
About KORU Medical Systems
KORU Medical Systems develops, manufactures, and commercializes innovative and patient-centric large volume subcutaneous infusion solutions that improve quality of life for patients around the world. The Freedom Syringe Infusion System (the “Freedom System”) currently includes the Freedom60® and FreedomEDGE® Syringe Infusion Drivers, Precision Flow Rate Tubing™ and HigH-Flo Subcutaneous Safety Needle Sets™. The Freedom System, which received its first FDA clearance in 1994, is used for self-administration in the home by the patient and/or delivery in an ambulatory infusion center by a healthcare professional. Through its Pharma Service and Clinical Trials business, KORU Medical provides products for use by biopharmaceutical companies in feasibility/clinical trials during the drug development process and, as needed, is capable of customizing the Freedom System for clinical and commercial use across multiple drug categories. For more information, please visit www.korumedical.com.
Forward-looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 that involve risks and uncertainties. All statements that are not historical fact are forward-looking statements, including, but not limited to, financial guidance and expected operating performance for fiscal 2026. Forward-looking statements discuss the Company’s current expectations and projections relating to its financial position, results of operations, plans, objectives, future performance, and business. Forward-looking statements can be identified by words such as “guidance”, “expect” and “will”. Actual results may differ materially from the results predicted and reported results should not be considered as an indication of future performance. The potential risks and uncertainties that could cause actual results to differ from the results predicted include, among others, uncertainties associated with SCIg market growth, prefilled syringe penetration, plasma supply, clinical trial activity and success, approval and commercialization of new drug indications, the shift to increased healthcare delivery in the home, new patient diagnoses, customer ordering patterns, global and regional instability, innovation and competition, labor and supply price increases, inflationary impacts, labor supply, and those risks and uncertainties included under the captions “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2025, which is on file with the SEC and available on our website at www.korumedical.com/investors and on the SEC website at www.sec.gov. All information provided in this release and in the attachments is as of March 12, 2026. Undue reliance should not be placed on the forward-looking statements in this press release, which are based on information available to us on the date hereof. We undertake no duty to update this information unless required by law.
KORU MEDICAL SYSTEMS, INC. BALANCE SHEETS |
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December 31, |
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December 31, |
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2025 |
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2024 |
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ASSETS |
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CURRENT ASSETS |
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|
|
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Cash and cash equivalents |
|
$ |
8,872,212 |
|
$ |
9,580,947 |
|
Accounts receivable, net |
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|
6,209,950 |
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|
5,720,750 |
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Inventory, net |
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|
3,678,131 |
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|
2,803,669 |
|
Other receivables |
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|
319,955 |
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|
277,193 |
|
Prepaid expenses and other current assets |
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|
908,542 |
|
|
749,851 |
|
TOTAL CURRENT ASSETS |
|
|
19,988,790 |
|
|
19,132,410 |
|
Property and equipment, net |
|
|
4,471,386 |
|
|
4,290,515 |
|
Intangible assets, net of accumulated amortization of |
|
|
684,841 |
|
|
730,279 |
|
Operating lease right-of-use assets |
|
|
2,956,192 |
|
|
2,966,341 |
|
Other assets |
|
|
98,970 |
|
|
98,970 |
|
TOTAL ASSETS |
|
$ |
28,200,179 |
|
$ |
27,218,515 |
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LIABILITIES AND STOCKHOLDERS’ EQUITY |
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CURRENT LIABILITIES |
|
|
|
|
|
|
|
Accounts payable |
|
$ |
2,267,473 |
|
$ |
1,649,969 |
|
Accrued expenses |
|
|
4,828,830 |
|
|
3,924,184 |
|
Note payable |
|
|
— |
|
|
271,152 |
|
Other liabilities |
|
|
27,722 |
|
|
29,269 |
|
Accrued payroll and related taxes |
|
|
531,972 |
|
|
811,401 |
|
Finance lease liability |
|
|
124,913 |
|
|
115,587 |
|
Operating lease liability |
|
|
413,448 |
|
|
400,258 |
|
TOTAL CURRENT LIABILITIES |
|
|
8,194,358 |
|
|
7,201,820 |
|
Finance lease liability, net current portion |
|
|
78,675 |
|
|
202,613 |
|
Operating lease liability, net of current portion |
|
|
2,879,224 |
|
|
3,000,403 |
|
TOTAL LIABILITIES |
|
|
11,152,257 |
|
|
10,404,836 |
|
Commitments and contingencies (Refer to Note 9) |
|
|
|
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STOCKHOLDERS’ EQUITY |
|
|
|
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|
|
|
Common stock, |
|
|
497,909 |
|
|
493,776 |
|
Additional paid-in capital |
|
|
52,449,339 |
|
|
49,581,303 |
|
Treasury stock, 3,438,526 and 3,438,526 shares at December 31, 2025 and December 31, 2024, respectively, at cost |
|
|
(3,882,494 |
) |
|
(3,882,494 |
) |
Accumulated Deficit |
|
|
(32,016,832 |
) |
|
(29,378,906 |
) |
TOTAL STOCKHOLDERS’ EQUITY |
|
|
17,047,922 |
|
|
16,813,679 |
|
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY |
|
$ |
28,200,179 |
|
$ |
27,218,515 |
|
KORU MEDICAL SYSTEMS, INC. STATEMENTS OF OPERATIONS |
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For the Years Ended
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|
||||
|
|
2025 |
|
2024 |
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||
|
|
|
|
|
|
||
NET REVENUES |
|
$ |
41,127,366 |
|
$ |
33,646,463 |
|
Cost of goods sold |
|
|
15,523,287 |
|
|
12,314,605 |
|
Gross Profit |
|
|
25,604,079 |
|
|
21,331,858 |
|
|
|
|
|
|
|
|
|
OPERATING EXPENSES |
|
|
|
|
|
|
|
Selling, general and administrative |
|
|
23,378,807 |
|
|
21,631,674 |
|
Research and development |
|
|
4,387,214 |
|
|
5,257,942 |
|
Depreciation and amortization |
|
|
810,500 |
|
|
888,473 |
|
Total Operating Expenses |
|
|
28,576,521 |
|
|
27,778,089 |
|
|
|
|
|
|
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Net Operating Loss |
|
|
(2,972,442 |
) |
|
(6,446,231 |
) |
|
|
|
|
|
|
|
|
Non-Operating Income/(Expense) |
|
|
|
|
|
|
|
Income/(loss) on foreign currency exchange |
|
|
53,097 |
|
|
(45,991 |
) |
Other income/(expense) |
|
|
9,906 |
|
|
(16,160 |
) |
Interest income, net |
|
|
293,403 |
|
|
444,642 |
|
TOTAL OTHER INCOME |
|
|
356,406 |
|
|
382,491 |
|
|
|
|
|
|
|
|
|
LOSS BEFORE TAXES |
|
|
(2,616,036 |
) |
|
(6,063,740 |
) |
|
|
|
|
|
|
|
|
Income tax expense |
|
|
(21,890 |
) |
|
(2,893 |
) |
|
|
|
|
|
|
|
|
NET LOSS |
|
$ |
(2,637,926 |
) |
$ |
(6,066,633 |
) |
|
|
|
|
|
|
|
|
NET LOSS PER SHARE |
|
|
|
|
|
|
|
Basic |
|
$ |
(0.06 |
) |
$ |
(0.13 |
) |
Diluted |
|
$ |
(0.06 |
) |
$ |
(0.13 |
) |
|
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WEIGHTED AVERAGE COMMON SHARES OUTSTANDING |
|
|
|
|
|
|
|
Basic |
|
|
46,187,077 |
|
|
45,802,701 |
|
Diluted |
|
|
46,187,077 |
|
|
45,802,701 |
|
KORU MEDICAL SYSTEMS, INC. STATEMENTS OF CASH FLOWS |
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For the Years Ended
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|
2025 |
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2024 |
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CASH FLOWS FROM OPERATING ACTIVITIES |
|
|
|
|
|
|
|
Net Loss |
|
$ |
(2,637,926 |
) |
$ |
(6,066,633 |
) |
Adjustments to reconcile net loss to net cash used in operating activities: |
|
|
|
|
|
|
|
Stock-based compensation expense and warrant expense |
|
|
2,713,539 |
|
|
2,623,920 |
|
Depreciation and amortization |
|
|
810,500 |
|
|
888,473 |
|
Loss/(Gain) on disposal of fixed assets |
|
|
(6,700 |
) |
|
16,160 |
|
Non-cash leasing charges |
|
|
(97,840 |
) |
|
243,394 |
|
Changes in operating assets and liabilities: |
|
|
|
|
|
|
|
Increase in accounts receivable |
|
|
(489,199 |
) |
|
(1,675,540 |
) |
Decrease/(Increase) in inventory |
|
|
(874,462 |
) |
|
677,632 |
|
Decrease/(Increase) in prepaid expenses and other assets |
|
|
(196,682 |
) |
|
220,133 |
|
Increase in accounts payable |
|
|
617,504 |
|
|
674,776 |
|
Increase/(Increase) in accrued payroll and related taxes |
|
|
(279,429 |
) |
|
348,460 |
|
Decrease in other liabilities |
|
|
(1,547 |
) |
|
(483,250 |
) |
Increase in accrued expenses |
|
|
904,647 |
|
|
2,212,757 |
|
NET CASH PROVIDED BY (USED IN) OPERATING ACTIVITIES |
|
|
462,405 |
|
|
(319,718 |
) |
|
|
|
|
|
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|
CASH FLOWS FROM INVESTING ACTIVITIES |
|
|
|
|
|
|
|
Purchases of property and equipment |
|
|
(932,517 |
) |
|
(1,297,427 |
) |
Proceeds on disposals of property and equipment |
|
|
6,700 |
|
|
8,500 |
|
Purchases of intangible assets |
|
|
(23,973 |
) |
|
(44,115 |
) |
NET CASH USED IN INVESTING ACTIVITIES |
|
|
(949,790 |
) |
|
(1,333,042 |
) |
|
|
|
|
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|
CASH FLOWS FROM FINANCING ACTIVITIES |
|
|
|
|
|
|
|
Proceeds from exercise of employee stock options |
|
|
186,165 |
|
|
— |
|
Borrowings from insurance finance indebtedness |
|
|
406,751 |
|
|
487,516 |
|
Payments on insurance finance indebtedness |
|
|
(677,903 |
) |
|
(530,707 |
) |
Payments for taxes related to net share settlement of equity awards |
|
|
(27,536 |
) |
|
(97,379 |
) |
Payments on finance lease liability, net of asset |
|
|
(108,827 |
) |
|
(107,963 |
) |
NET CASH USED IN FINANCING ACTIVITIES |
|
|
(221,350 |
) |
|
(248,533 |
) |
|
|
|
|
|
|
|
|
NET DECREASE IN CASH AND CASH EQUIVALENTS |
|
|
(708,735 |
) |
|
(1,901,293 |
) |
CASH AND CASH EQUIVALENTS, BEGINNING OF YEAR |
|
|
9,580,947 |
|
|
11,482,240 |
|
CASH AND CASH EQUIVALENTS, END OF YEAR |
|
$ |
8,872,212 |
|
$ |
9,580,947 |
|
|
|
|
|
|
|
|
|
Supplemental Information |
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|
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|
Cash paid during the years for: |
|
|
|
|
|
|
|
Interest |
|
$ |
55,546 |
|
$ |
71,934 |
|
Income taxes |
|
$ |
14,850 |
|
$ |
— |
|
KORU MEDICAL SYSTEMS, INC. SUPPLEMENTAL INFORMATION (UNAUDITED) |
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A reconciliation of our non-GAAP measures is below: |
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| Reconciliation of GAAP Net (Loss) |
|
December 31, |
|
December 31, |
|
|||||||||||
to Non-GAAP Adjusted EBITDA: |
|
2025 |
|
|
2024 |
|
|
2025 |
|
|
2024 |
|
||||
GAAP Net Loss |
|
$ |
(486,856 |
) |
$ |
(1,558,249 |
) |
$ |
(2,637,926 |
) |
$ |
(6,066,632 |
) |
|||
Tax Benefit |
|
|
— |
|
|
(185,542 |
) |
|
— |
|
|
(1,078,066 |
) |
|||
Allowance for Tax Benefit |
|
|
— |
|
|
185,542 |
|
|
— |
|
|
1,078,066 |
|
|||
Reorganization Charges |
|
|
— |
|
|
— |
|
|
— |
|
|
496,255 |
|
|||
Depreciation and Amortization |
|
|
179,174 |
|
|
211,454 |
|
|
810,500 |
|
|
888,473 |
|
|||
Interest Income, Net |
|
|
(66,705 |
) |
|
(80,459 |
) |
|
(293,403 |
) |
|
(444,642 |
) |
|||
Tax Expense (Refund) |
|
|
4,684 |
|
|
— |
|
|
21,890 |
|
|
— |
|
|||
Stock-based Compensation Expense |
|
|
862,807 |
|
|
699,789 |
|
|
2,713,539 |
|
|
2,623,920 |
|
|||
Non-GAAP Adjusted EBITDA |
|
$ |
493,104 |
|
$ |
(727,465 |
) |
$ |
614,600 |
|
$ |
(2,502,626 |
) |
|||
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||||||
Weighted average number of common shares |
|
|
46,302,746 |
|
|
45,907,001 |
|
|
46,187,077 |
|
|
45,802,701 |
|
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Three Months Ended |
|
Twelve Months Ended |
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Reconciliation of Reported Diluted EPS |
|
December 31, |
|
December 31, |
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to Non-GAAP Adjusted Diluted EPS: |
|
2025 |
|
|
2024 |
|
|
2025 |
|
|
2024 |
|
||||
Reported Diluted Earnings Per Share |
|
$ |
(0.01 |
) |
$ |
(0.03 |
) |
$ |
(0.6 |
) |
$ |
(0.13 |
) |
|||
Tax Benefit |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|||
Allowance for Tax Benefit |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|||
Reorganization Charges |
|
|
— |
|
|
— |
|
|
— |
|
|
0.01 |
|
|||
Depreciation and Amortization |
|
|
— |
|
|
— |
|
|
0.02 |
|
|
0.02 |
|
|||
Interest Income, Net |
|
|
— |
|
|
— |
|
|
(0.01 |
) |
|
(0.01 |
) |
|||
Tax Expense (Refund) |
|
|
— |
|
|
— |
|
|
— |
|
|
— |
|
|||
Stock-based Compensation Expense |
|
|
0.02 |
|
|
0.01 |
|
|
0.06 |
|
|
0.06 |
|
|||
Non-GAAP Adjusted Diluted Earnings Per Share |
|
$ |
0.01 |
|
$ |
(0.02 |
) |
$ |
0.01 |
|
$ |
(0.06 |
) |
|||
*Numbers presented are rounded to the nearest whole cent |
||||||||||||||||
Allowance for nonrealization of deferred tax assets (DTA). We have excluded the effect of recording a full valuation allowance on our deferred tax assets in the fourth quarter ended 2024 in the amount of
Reorganization Charges. We have excluded the effect of reorganization charges in calculating our non-GAAP measures. In 2024 we incurred severance expenses related to the reorganization of the leadership team, which we would not have otherwise incurred in periods presented as part of continuing operations.
Stock-based Compensation Expense. We have excluded the effect of stock-based compensation expense in calculating our non-GAAP measures. We record non-cash compensation expenses related to grants of equity-based awards for executives, employees, consultants, and directors. Depending upon the size, timing and the terms of the grants, the non-cash compensation expense may vary significantly but is expected to recur in future periods.
View source version on businesswire.com: https://www.businesswire.com/news/home/20260312120369/en/
Investor Contact:
Louisa Smith
investor@korumedical.com
Source: KORU Medical Systems, Inc.