10-K annual report · filed Feb 23, 2026

GLAUKOS Corp (GKOS) FY2025 10-K Annual Report

Short answer

GLAUKOS Corp (GKOS) filed its fiscal 2025 10-K annual report with the SEC on Feb 23, 2026. It reported revenue of $507M (+32.3% year over year) and net income of −$188M.

  • Top risk flagged: Regulatory risk: U.S. FDA approval of Epioxa in October 2025 requires securing permanent HCPCS J-Code and commercial payer coverage for reimbursement

FY2025 key financial metrics · XBRL

Revenue
$507M
+32.3% YoY
Net income
−$188M
−28.2% YoY
Operating margin
-39.3%
−7.4 pp YoY
Gross margin
55.7%
−19.8 pp YoY
EPS (diluted)
−$3.28
−18.4% YoY
ROE
-28.6%
−9.5 pp YoY
Operating cash flow
−$15M
+75.9% YoY

Source: XBRL data from the GLAUKOS Corp (GKOS) FY2025 10-K on SEC EDGAR. USD.

GLAUKOS Corp FY2025 10-K analysis

AI summary of each section, grounded in the filing text

Business Overview

  • Core business model: Development, manufacturing, and commercialization of ophthalmic surgical implants and pharmaceutical therapies
  • New product emphasis: Commercial launch of iDose TR implant in early 2024 and FDA approval plus planned commercialization of Epioxa pharmaceutical therapy in early 2026
  • Strategic risk exposure: Increased vulnerability to geopolitical conflicts, economic volatility, and supply chain disruptions impacting manufacturing and regulatory processes
  • Quantitative metric: Accumulated deficit of approximately $933.1 million as of December 31, 2025 reflecting ongoing investment and operating losses
  • Noteworthy fact: First-time FDA approval of Epioxa in October 2025, an incision-free keratoconus treatment alternative, marking significant product portfolio expansion

Management Discussion & Analysis

  • Revenue $507.4M, up 32% YoY from $383.5M; US glaucoma sales up 50% to $298.6M, international glaucoma up 18% to $122.5M
  • Gross margin 56% in 2025 vs 75% in 2024; Operating loss $(199.6)M vs $(122.4)M; Net loss $(187.7)M vs $(146.4)M
  • Best segment US glaucoma sales $298.6M (+50%); Worst margin impacted by $112.9M intangible asset impairment, driving cost of sales 139% higher to $224.7M
  • Cash/cash equivalents $90.8M; short-term investments $187.9M; operating cash used $14.8M; investing cash used $77.6M; financing cash provided $11.9M; $80M+ capex planned for Huntsville facility
  • Management expects higher 2026 capex with Huntsville facility construction; key risk in funding operations as cash flows and profitability remain negative

Risk Factors

  • Regulatory risk: U.S. FDA approval of Epioxa in October 2025 requires securing permanent HCPCS J-Code and commercial payer coverage for reimbursement
  • Macroeconomic risk: U.S. tariffs on imports from Canada, Mexico, and China, despite limited exposure, risk escalating trade disputes affecting sourcing costs
  • Supply chain risk: Vendor supply shortages and labor disruptions causing longer lead times and higher raw material costs, impacting gross margins and product availability
  • Competitive risk: Royalty income from Ivantis’ Hydrus Microstent expired April 2025, coinciding with competitor Alcon’s acquisition of Ivantis
  • Financial risk: Accumulated deficit of $933.1 million as of December 31, 2025 with net losses of $187.7 million in 2025, reflecting ongoing unprofitability and high operating expenses

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