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KORU MEDICAL SYSTEMS ANNOUNCES 27% Q3 REVENUE GROWTH AND RAISES 2025

Key Takeaway: Koru Medical Systems reported a substantial revenue growth of 27% for Q3 2025, reaching $10.4 million. The core business segment experienced a 30% increase, propelled by new collaborations in pharmaceutical services and clinical trials. Despite the positive financial growth, the company still faced a net loss of $0.8 million and a decline in domestic core revenues. Additionally, the gross margin has decreased due to rising costs and tariffs, although the company remains optimistic about revenue growth and cash flow improvements for the full year.

Market Sentiment Analysis

POSITIVE FACTORS

  • 27% revenue growth in Q3 2025 indicates strong market performance.
  • Core business revenues increased by 30%, highlighting robust demand.
  • New collaborations with Pharma Services and Clinical Trials expand market opportunities.

CONCERNS & RISKS

  • Net loss improved only marginally, as the company still recorded a loss of $0.8 million.
  • Domestic core revenues decreased by 5%, showing potential challenges in the US market.
  • Gross margin decreased to 60.2% due to higher manufacturing costs and tariff-related charges.

Full Press Release Details

KORU MEDICAL SYSTEMS ANNOUNCES 27% Q3 REVENUE
GROWTH AND RAISES 2025 REVENUE GUIDANCE
MAHWAH, NJ - November 12, 2025 - KORU
Medical Systems, Inc. (NASDAQ: KRMD) ("KORU Medical" or the "Company"), a leading medical technology company
focused on development, manufacturing, and commercialization of innovative and patient-centric large volume subcutaneous infusion solutions,
today reported financial results for the third quarter ended September 30, 2025.
Third quarter 2025 net revenues of $10.4 million, a 27% increase over the prior year period
Core business (Domestic and International) net revenues of $9.8 million, a 30% increase over the prior year period
Announced two new Pharma Services and Clinical Trials (PST) collaborations expanding opportunity to reach new patient populations
Gross profit of $6.3 million, a 21% increase over the prior year period, and gross margin of 60.2%
Reported net loss of ($0.8) million, a 51% improvement over the prior year period, positive adjusted EBITDA of $0.09 million, a 121% improvement over the prior year period, and ending cash balance of $8.5 million reflective of quarterly cash generation of $0.4 million
Raising full year 2025 revenue guidance to $40.5 - $41.0 million, representing year-over-year growth of 20% - 22%, from prior range of $39.5 - $40.5 million; reiterating full year gross margin guidance of 61% - 63%, and positive cash flow from operations for full year 2025 with ending cash balance greater than $8.2 million
"During the third quarter we continued to make
progress on our key strategic goals. We achieved our second consecutive quarter of more than 20% revenue growth, driven by a strong core
SCIg business, while delivering positive adjusted EBITDA and cash flow generation. Additionally, we announced two new pharmaceutical collaborations,
creating opportunities to reach broader patient populations," said Linda Tharby, President and CEO of KORU Medical. "As we
look ahead, we remain focused on accelerating revenue growth, advancing our innovation pipeline, expanding our international footprint,
and forming new pharmaceutical collaborations that utilize the Freedom system to treat more patients on a global scale."
2025 Third Quarter Financial Results
Three Months Ended September 30, Change from Prior Year % of Net Revenues
2025 2024 $ % 2025 2024
Net Revenues
Domestic Core $ 6,122,365 $ 6,447,469 $ (325,104 ) (5.0% ) 58.9% 78.8%
International Core 3,695,524 1,121,196 2,574,328 229.6% 35.5% 13.7%
Total Core 9,817,889 7,568,665 2,249,224 29.7% 94.4% 92.5%
Pharma Services and Clinical Trials 584,274 611,312 (27,038 ) (4.4% ) 5.6% 7.5%
Total $ 10,402,163 $ 8,179,977 $ 2,222,186 27.2% 100% 100%
Total net revenues increased $2.2 million, or 27.2%,
to $10.4 million for the three months ended September 30, 2025, as compared to $8.2 million in the prior year period. Domestic core revenues
were $6.1 million, a decrease of 5.0% over the prior year period, primarily impacted by a US distributor's purchase of KORU product
from one of our international distributors, and an inventory reduction by such US distributor, which were partially offset by market growth
from new patient starts and share gains in key accounts. International core revenues were $3.7 million, an increase of 229.6% over the
prior year period primarily due to supplying a distributor in a strategic market to meet anticipated demands of prefilled conversion from
vials, new patient starts within existing markets, and product purchases by an international distributor who subsequently sold into the
US market. Pharma services and clinical trials net revenues were $0.6 million, a decrease of 4.4% over the prior year period, primarily
driven by staging of NRE work versus the prior year period, which is reflective of the inherent variability of this business.
Gross profit increased $1.1 million, or 20.8%, to
$6.3 million in the three months ended September 30, 2025, as compared to $5.2 million in the prior year period. Gross margin decreased
to 60.2% in the three months ended September 30, 2025, as compared to 63.4% in the prior year period. The decrease in gross margin was
primarily driven by higher manufacturing costs, geographic sales mix, and tariff-related charges. Gross margin is expected to improve
in the fourth quarter of 2025.
Total operating expenses for the third quarter of
2025 were $7.1 million, an increase of $0.2 million, or 3.5%, over the prior year period, primarily driven by increases in compensation
and benefits related to higher bonus accruals due to higher revenues, and legal fees, offset by lower research and development expenses
due to severance in the prior year period, and lower project spend in the current period.
Our net loss decreased to $0.8 million in the three
months ended September 30, 2025, as compared to $1.6 million in the prior year period, primarily driven by an increase in gross profit
of $1.1 million due to increased revenues, partially offset by an increase in operating expense of $0.2 million.
Adjusted EBITDA for the third quarter of 2025 was
$0.09 million, or $0.00 per diluted share, compared to adjusted EBITDA of ($0.4) million, or ($0.01) per diluted share, for the prior
year period. A reconciliation of adjusted EBITDA and adjusted diluted EPS is provided at the end of this press release.
Cash and cash equivalents were $8.5 million as of
September 30, 2025, reflecting cash generation of $0.4 million in the third quarter of 2025.
Raising full year 2025 net revenues guidance to $40.5 - $41.0 million, representing year-over-year growth of 20% - 22%, from prior range of $39.5 - $40.5 million
Reiterating full year 2025 gross margin guidance of 61% - 63%
Reiterating positive cash flow from operations for full year 2025 and ending cash balance greater than $8.2 million
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 Wednesday, November 12, 2025, 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.
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 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 Services 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 for fiscal 2025. 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", "plan", "believe" 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 health
crises, innovation and competition, labor and supply price increases, inflationary impacts, labor supply, tariffs 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,
2024 and our Quarterly Report on Form 10-Q for the quarter ended March 31, 2025, which are 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 November 12, 2025. 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.
September 30, December 31,
2025 2024
(UNAUDITED)
ASSETS
CURRENT ASSETS
Cash and cash equivalents $ 8,464,019 $ 9,580,947
Accounts receivable less allowance for credit losses of $0 as of September 30, 2025 and December 31, 2024 5,412,004 5,720,750
Inventory 4,411,710 2,803,669
Other receivables 103,079 277,193
Prepaid expenses 1,028,484 749,851
TOTAL CURRENT ASSETS 19,419,296 19,132,410
Property and equipment, net 4,235,983 4,290,515
Intangible assets, net of accumulated amortization of $510,597 and $458,538 as of September 30, 2025 and December 31, 2024, respectively 681,621 730,279
Operating lease right-of-use assets 2,667,656 2,966,341
Other assets 98,970 98,970
TOTAL ASSETS $ 27,103,526 $ 27,218,515
LIABILITIES AND STOCKHOLDERS' EQUITY
CURRENT LIABILITIES
Accounts payable $ 1,872,162 $ 1,649,969
Accrued expenses 4,634,183 3,924,184
Note payable 334,931 271,152
Other liabilities 2,893 29,269
Accrued payroll and related taxes 456,066 811,401
Financing lease liability 120,211 115,587
Operating lease liability 413,486 400,258
TOTAL CURRENT LIABILITIES 7,833,932 7,201,820
Financing lease liability, net of current portion 116,279 202,613
Operating lease liability, net of current portion 2,688,490 3,000,403
TOTAL LIABILITIES 10,638,701 10,404,836
STOCKHOLDERS' EQUITY
Common stock, $0.01 par value, 75,000,000 shares authorized, 49,713,694 and 49,377,617 shares issued 46,293,192 and 45,957,115 shares outstanding as of September 30, 2025, and December 31, 2024, respectively 497,137 493,776
Additional paid-in capital 51,380,158 49,581,303
Treasury stock, 3,438,526 shares as of September 30, 2025 and December 31, 2024, at cost (3,882,494 ) (3,882,494 )
Accumulated deficit (31,529,976 ) (29,378,906 )
TOTAL STOCKHOLDERS' EQUITY 16,464,825 16,813,679
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY $ 27,103,526 $ 27,218,515
KORU MEDICAL SYSTEMS, INC.
STATEMENTS OF OPERATIONS
Three Months Ended Nine Months Ended
September 30, September 30,
2025 2024 2025 2024
NET REVENUES $ 10,402,163 $ 8,179,977 $ 30,232,038 $ 24,807,864
Cost of goods sold 4,137,592 2,993,986 11,445,362 9,038,825
Gross Profit 6,264,571 5,185,991 18,786,676 15,769,038
OPERATING EXPENSES
Selling, general and administrative 5,994,661 5,127,658 17,338,183 15,804,966
Research and development 933,107 1,533,845 3,242,505 4,143,751
Depreciation and amortization 204,482 227,785 631,326 677,019
Total Operating Expenses 7,132,250 6,889,288 21,212,014 20,625,736
Net Operating Loss (867,679 ) (1,703,297 ) (2,425,338 ) (4,856,698 )
Non-Operating Income (Expense)
Gain (Loss) on currency exchange 11,790 9,485 61,571 (12,674 )
Other income 3,206 - 3,205 (300 )
Interest income, net 74,567 112,995 226,698 364,183
TOTAL OTHER INCOME 89,563 122,480 291,474 351,208
LOSS BEFORE INCOME TAXES (778,116 ) (1,580,817 ) (2,133,864 ) (4,505,490 )
Income Tax Refund (Expense) 150 - (17,206) -
NET LOSS $ (777,966 ) $ (1,580,817 ) $ (2,151,070 ) $ (4,505,490 )
NET LOSS PER SHARE
Basic & Diluted $ (0.02 ) $ (0.03 ) $ (0.05 ) $ (0.10 )
WEIGHTED AVERAGE NUMBER OF COMMON SHARES OUTSTANDING
Basic & Diluted 46,238,819 45,851,019 46,140,347 45,791,756
KORU MEDICAL SYSTEMS, INC.
STATEMENTS OF CASH FLOWS
For the Nine Months Ended
September 30,
2025 2024
CASH FLOWS FROM OPERATING ACTIVITIES
Net Loss $ (2,151,070 ) $ (4,505,490 )
Adjustments to reconcile net loss to net cash used in operating activities:
Stock-based compensation expense and warrant expense 1,740,727 1,924,131
Depreciation and amortization 631,326 677,019
Loss on disposal of fixed assets - 300
Non-cash lease adjustments - 243,762
Changes in operating assets and liabilities:
Accounts receivable 308,749 (1,119,490 )
Inventory (1,608,041 ) (447,017 )
Prepaid expenses and other assets (104,520 ) 217,652
Other liabilities (26,379 ) (330,773 )
Accounts payable 222,193 695,107
Accrued payroll and related taxes (355,335 ) 303,927
Accrued expenses 709,999 1,081,539
NET CASH USED IN OPERATING ACTIVITIES (632,351 ) (1,259,333 )
CASH FLOWS FROM INVESTING ACTIVITIES
Purchases of property and equipment (524,735 ) (1,340,994 )
Purchases of intangible assets (3,400 ) (42,786 )
NET CASH USED IN INVESTING ACTIVITIES (528,135 ) (1,383,780 )
CASH FLOWS FROM FINANCING ACTIVITIES
Proceeds from exercise of employee stock options 89,025 -
Borrowings from insurance finance indebtedness 406,751 487,516
Payments on insurance finance indebtedness (342,972 ) (399,867 )
Payments on finance lease liability (81,710 ) (81,534 )
Payments for taxes related to net share settlement of equity awards (27,536 ) (38,932 )
NET CASH PROVIDED BY (USED IN) FINANCING ACTIVITIES 43,558 (32,817 )
NET DECREASE IN CASH AND CASH EQUIVALENTS (1,116,928 ) (2,675,930 )
CASH AND CASH EQUIVALENTS, BEGINNING OF PERIOD 9,580,947 11,482,240
CASH AND CASH EQUIVALENTS, END OF PERIOD $ 8,464,019 $ 8,806,310
Supplemental Information
Cash paid during the periods for:
Interest $ 36,690 $ 46,014
KORU MEDICAL SYSTEMS, INC.
STATEMENTS OF STOCKHOLDERS' EQUITY
Three and Nine Months Ended September 30, 2025
Additional Total
Common Stock Paid-in Accumulated Treasury Stockholders'
Shares Amount Capital Deficit Stock Equity
BALANCE, DECEMBER 31, 2024 49,377,617 $ 493,776 $ 49,581,303 $ (29,378,906 ) $ (3,882,494 ) $ 16,813,679
Issuance of stock-based compensation 183,881 1,839 95,661 - - 97,500
Compensation expense related to stock options - - 359,197 - - 359,197
Compensation related to restricted stock - - 227,860 - - 227,860
Issuance of warrants - - 13,032 - - 13,032
Net loss - - - (1,166,237 ) - (1,166,237 )
BALANCE, MARCH 31, 2025 49,561,498 $ 495,615 $ 50,277,053 $ (30,545,143 ) $ (3,882,494 ) $ 16,345,031
Issuance of stock-based compensation 93,961 940 96,560 - - 97,500
Compensation expense related to stock options - - 147,944 - - 147,944
Compensation related to restricted stock - - 142,766 - - 142,766
Net loss - - - (206,867 ) - (206,867 )
BALANCE, JUNE 30, 2025 49,655,459 $ 496,555 $ 50,664,323 $ (30,752,010 ) $ (3,882,494 ) $ 16,526,374
Issuance of stock-based compensation 25,454 254 97,246 - - 97,500
Compensation expense related to stock options - - 254,697 - - 254,697
Compensation related to restricted stock - - 275,195 - - 275,195
Proceeds from exercise of employee stock options 32,781 328 88,697 - - 89,025
Net loss - - - (777,966 ) - (777,966 )
BALANCE, SEPTEMBER 30, 2025 49,713,694 $ 497,137 $ 51,380,158 $ (31,529,976 ) $ (3,882,494 ) $ 16,464,825
Three and Nine Months Ended September 30, 2024
Additional Total
Common Stock Paid-in Retained Treasury Stockholders'
Shares Amount Capital Deficit Stock Equity
BALANCE, DECEMBER 31, 2023 49,089,864 $ 490,899 $ 47,018,707 $ (23,312,273 ) $ (3,843,562 ) $ 20,353,771
Issuance of stock-based compensation 53,725 537 123,267 - - 123,804
Compensation expense related to stock options - - 393,113 - - 393,113
Compensation related to restricted stock - - 130,676 - - 130,676
Issuance of warrants - - 52,125 - - 52,125
Net loss - - - (1,935,958 ) - (1,935,958 )
BALANCE, MARCH 31, 2024 49,143,589 $ 491,436 $ 47,717,888 $ (25,248,231 ) $ (3,843,562 ) $ 19,117,531
Issuance of stock-based compensation 41,138 411 136,020 - (38,932 ) 97,500
Compensation expense related to stock options - - 401,218 - - 401,218
Compensation related to restricted stock 55,061 551 63,434 - - 63,984
Issuance of warrants - - 13,032 - - 13,032
Net loss - - - (988,715 ) - (988,715 )
BALANCE, JUNE 30, 2024 49,239,788 $ 492,398 $ 48,331,591 $ (26,236,946 ) $ (3,882,493 ) $ 18,704,550
Issuance of stock-based compensation 36,042 360 97,140 - - 97,500
Compensation expense related to stock options - - 305,376 - - 305,376
Compensation related to restricted stock - - 193,839 - - 193,839
Issuance of warrants - - 13,032 - - 13,032
Net loss - - - (1,580,817 ) - (1,580,817 )
BALANCE, SEPTEMBER 30, 2024 49,275,830 $ 492,758 $ 48,940,978 $ (27,817,763 ) $ (3,882,493 ) $ 17,733,480
KORU MEDICAL SYSTEMS, INC.
SUPPLEMENTAL INFORMATION
A reconciliation of our non-GAAP measures is below:

Frequently Asked Questions

What was KORU Medical's revenue growth in Q3 2025?

KORU Medical reported a 27% increase in revenue for Q3 2025.

What is KORU Medical's new revenue guidance for 2025?

KORU Medical raised its 2025 revenue guidance to $40.5 - $41.0 million.

How did KORU's gross profit change in Q3 2025?

Gross profit increased by 21%, reaching $6.3 million in Q3 2025.

What was KORU's adjusted EBITDA for Q3 2025?

KORU's adjusted EBITDA for Q3 2025 was $0.09 million.

What strategic collaborations did KORU announce?

KORU announced two new Pharma Services and Clinical Trials collaborations.

Last updated: Nov 12, 2025