KORU Medical Systems, Inc. (KRMD) Cash Flow Statement

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

Where KRMD’s cash came from and went, 2025

December 31, 2025 · U.S. dollars
Cash from operations
$462,405
Capital expenditures
$932,517
2.3% of revenue
Free cash flow
−$470,112
−1.1% margin
Returned to shareholders
—
Change in cash
−$708,735
cash at year-end $8.9M
Cash from operations: $462,405Cash from operations$462,405Other financing: $158,629Other financing$158,629Drawn from cash: $708,735Drawn from cash$708,735Capital expenditures: $932,517Capital expenditures$932,517 · 70%Debt repayment: $379,979Debt repayment$379,979 · 29%Acquisitions & other: $17,273Acquisitions & other$17,273 · 1%$1.3M
Cash from operations
$462,405
Capital expenditures
−$932,517
Acquisitions & other
−$17,273
Net borrowing (repayment)
−$379,979
Other financing
+$158,629
Change in cash
−$708,735

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

KRMD operating cash flow, capex and free cash flow

Operating cash flowCapital expendituresFree cash flowFCF margin (right axis)

KRMD cash flow trends, 2016–2025

KORU Medical Systems, Inc. cash flow trends
MetricTrendThenLatestChange
Operating cash flow−$331,6162016$462,4052025—
Capital expenditures$415,1332016$932,5172025+9.4%/yr
Free cash flow−$746,7492016−$470,1122025—
Free cash flow margin−6.1%2016−1.1%2025+4.9 pts
Operating cash flow / net income0.8320170.572019−0.26
Stock-based compensation$205,4862016$2.7M2025+33.2%/yr
Share buybacks (net)$140,7392016$97,3792024−4.5%/yr
Capex / revenue3.4%20162.3%2025−1.1 pts

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

KRMD cash flow by activity

OperatingInvestingFinancingChange in cash

KRMD 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).

KRMD cash flow statement

KORU Medical Systems, Inc. annual cash flow statement
2025202420232022202120202019201820172016
Operating activities
Net income−$2.6M−$6.1M−$13.7M−$8.7M−$4.6M−$1.2M$564,349$910,570$1.1M−$535,000
Depreciation & amortization$810,500$888,473$870,390$587,137$463,130$418,595$340,229$309,263$308,708$300,611
Stock-based compensation$2.7M$2.6M$2.8M$3.1M$2.7M$1.6M$1.2M$366,081$129,700$205,486
Change in working capital−$319,168$2.0M$1.2M$1.4M−$1.1M−$2.9M−$1.5M−$16,134−$349,845−$248,185
Other non-cash items−$104,540$259,554$4.0M−$1.8M−$1.8M$1.4M−$243,223−$90,118−$274,599−$54,528
Cash from operating activities$462,405−$319,718−$4.9M−$5.4M−$4.3M−$743,323$320,620$1.5M$899,912−$331,616
Investing activities
Capital expenditures−$932,517−$1.3M−$814,597−$2.8M−$375,234−$1.1M−$425,539−$481,166−$218,326−$415,133
Investments (net)—−$1.3M−$814,597−$2.8M−$366,169−$1.0M$1.3M−$1.7M−$1,146−$416,329
Acquisitions & other investing−$17,273$1.3M$814,597$2.8M$375,234$1.1M$425,539$481,166$191$415,133
Cash from investing activities−$949,790−$1.3M−$814,597−$2.8M−$366,169−$1.0M$1.3M−$1.7M−$219,281−$416,329
Financing activities
Dividends paid——————−$184,772———
Share repurchases & issuance (net)—−$97,379—$406,623$0−$3.5M−$2,820−$36,821−$19,360−$140,739
Net borrowing (repayment)−$379,979−$151,154−$218,867−$127,138$505,937−$5,296−$4,783−$4,783−$4,783−$4,783
Shares issued$0$0$0$406,623$2.2M$26.7M$508,900$51,250$0$0
Other financing$158,629$0$0−$406,623$0$0$184,772$4,783$4,783$4,783
Cash from financing activities−$221,350−$248,533−$218,867$279,485$2.7M$23.2M$501,297$14,429−$19,360−$140,739
Summary
Net change in cash−$708,735−$1.9M−$5.9M−$7.9M−$2.0M$21.4M$2.1M−$235,733−$227,413−$888,684
Cash at end of period$8.9M$9.6M$11.5M$17.4M$25.3M$27.3M$5.9M$3.7M$4.0M$3.3M
Free cash flow−$470,112−$1.6M−$5.7M−$8.2M−$4.7M−$1.8M−$104,919$998,496$681,586−$746,749
Free cash flow margin−1.1%−4.8%−20.0%−29.4%−20.0%−7.5%−0.5%5.8%4.3%−6.1%
Capex / revenue2.3%3.9%2.9%10.0%1.6%4.4%1.8%2.8%1.4%3.4%
Operating cash flow / net income——————0.571.620.83—

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.

KRMD cash generation

In fiscal 2025 (ended December 31, 2025), KORU Medical Systems generated $0.5 million of cash from operations and spent $0.9 million on capital expenditures, leaving free cash flow of -$0.5 million, −1.1% of revenue. Cash and equivalents fell by $0.7 million over the year.

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

KRMD cash flow FAQ

What is KORU Medical Systems's free cash flow?

KORU Medical Systems's free cash flow was -$0.5 million in fiscal 2025: $0.5 million of operating cash flow minus $0.9 million of capital expenditures It was -$1.6 million a year earlier..

How much cash does KORU Medical Systems generate from operations?

KORU Medical Systems generated $0.5 million of cash from operating activities in fiscal 2025.

How much does KORU Medical Systems spend on capital expenditures?

KORU Medical Systems spent $0.9 million on capital expenditures in fiscal 2025, 2.3% of revenue, compared with $1.3 million the year before.

Medical Instruments & Supplies: cash flow