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KORU Medical Systems Announces Fourth Quarter and Full Year 2024 Financial Results with Record Revenues and Gross Profit; Issues Full Year 2025 Guidance MAHWAH, NJ

Key Takeaway: KORU Medical Systems reported impressive financial results for the fourth quarter and full year of 2024, highlighting record revenues and gross profits. The company experienced substantial growth in both its core and novel therapies segments, with a notable 122% increase in novel therapies revenue for Q4. Additionally, KORU Medical announced positive cash flow for Q4 and a significant reduction in full-year cash burn. Looking ahead, the company issued optimistic guidance for 2025, expecting revenues to increase by 13% to 16%. The novel therapies segment will be rebranded to better reflect its revenue model.

Market Sentiment Analysis

POSITIVE FACTORS

  • Record revenues and gross profit for Q4 and full year 2024.
  • Strong growth in Novel Therapies with a 122% increase in Q4.
  • Positive cash flow generated in Q4 and lower cash burn for the full year.
  • Guidance for 2025 shows expected revenue growth of 13%-16%.

Full Press Release Details

KORU Medical Systems Announces Fourth Quarter
and Full Year 2024 Financial Results with Record Revenues and Gross Profit; Issues Full Year 2025 Guidance
MAHWAH, NJ - March 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 fourth quarter and full year ended December 31, 2024. The Company also issued guidance for the
Fourth quarter 2024 net revenues of $8.8 million, a 23% increase over the prior year period; Full year 2024 net revenues of $33.6 million, an 18% increase over the prior year
Fourth quarter 2024 Core business (Domestic and International) net revenues of $8.2 million, a 19% increase over the prior year period; Full year 2024 Core business net revenues of $31.3 million, a 16% increase over the prior year
Fourth quarter 2024 Novel Therapies net revenues of $0.7 million, a 122% increase over the prior year period; Full year 2024 Novel Therapies net revenues of $2.4 million, a 62% increase over the prior year
Fourth quarter gross margin of 62.9%, a 260-basis point increase over the prior year period; Full year gross margin of 63.4%, a 480-basis point increase over the prior year
Ending cash balance of $9.6 million, representing positive cash flow of $0.8 million for the fourth quarter and full year cash burn of $1.9 million; a 68% improvement over the prior year
Entered 4 Novel Therapies collaborations in 2024 and announced 2 additional collaborations during the first two months of 2025
Issued full year 2025 net revenues guidance of $38.0 - $39.0 million, representing growth of 13% -16% over the prior year; full year gross margin guidance of 61% - 63%; and operational cash flow positive for the full year 2025
"In 2024, we delivered strong performance and
hit multiple key milestones," said Linda Tharby, President and CEO of KORU Medical. "We saw double digit growth across each
of our businesses as we gained market share, entered new geographies, and increased the number of collaborations in our pipeline. As a
result of increased revenues, improved gross margins, and operating expense discipline we were able to generate significant operating
leverage that led to positive cash flow in the fourth quarter, and a lower full-year cash burn. I'm proud of the team as we have
consistently executed on our business strategy, and this momentum is being carried into a strong start to 2025."
2024 Fourth Quarter Financial Results
Three Months Ended December 31, Change from Prior Year % of Net Revenues
2024 2023 $ % 2024 2023
Net Revenues
Domestic Core $ 6,657,182 $ 5,565,349 $ 1,091,833 19.6% 75.3% 77.4%
International Core 1,504,108 1,315,036 189,073 14.4% 17.0% 18.3%
Total Core 8,161,291 6,880,385 1,280,906 18.6% 92.3% 95.7%
Novel Therapies 677,309 305,547 371,762 121.7% 7.7% 4.3%
Total $ 8,838,600 $ 7,185,932 $ 1,652,668 23.0% 100% 100%
Total net revenues increased $1.7 million, or 23.0%,
to $8.8 million for the fourth quarter of 2024. Domestic Core growth of 19.6% was primarily driven by higher consumable and pump volumes
driven by new patient starts and market share gains. International Core growth of 14.4% was primarily due to higher consumable volumes
driven by new patient starts, increased penetration in established markets, and entry into new geographic markets. Novel Therapies revenues
for the fourth quarter of 2024 were $0.7 million, an increase of 121.7% over the prior year period, primarily driven by an increased number
of new collaborations in both non-recurring engineering services and clinical trial orders.
Gross profit increased $1.2 million, or 28.4%, to
$5.6 million for the fourth quarter of 2024. Gross margin was 62.9%, an increase of 260 basis points, compared to 60.3% in the prior year
period. The increase in gross margin was primarily driven by manufacturing efficiencies and favorable price driven by customer sales
mix resulting in higher average selling prices.
Total operating expenses increased $0.6 million, or
9.5%, to $7.1 million for the fourth quarter of 2024 primarily driven by 2024 performance-based compensation expenses.
Net loss decreased $5.9 million to $1.6 million, or
($0.03) per diluted share for the fourth quarter of 2024, compared to a net loss of $7.5 million, or ($0.16) per diluted share, for the
prior year period which included a tax valuation allowance of $6.0 million. Adjusted EBITDA for the quarter was ($0.7) million, or ($0.02)
per diluted share versus ($1.0) million or ($0.02) in the prior year period. A reconciliation of adjusted EBITDA and adjusted diluted
EPS to the most directly comparable GAAP measures is provided at the end of this press release
2024 Full Year Financial Results
Years Ended December 31, Change from Prior Year % of Net Revenues
2024 2023 $ % 2024 2023
Net Revenues
Domestic Core $ 25,214,613 $ 22,446,519 $ 2,768,094 12.3% 74.9% 78.7%
International Core 6,043,979 4,596,097 1,447,882 31.5% 18.0% 16.1%
Total Core 31,258,592 27,042,616 4,215,976 15.6% 92.9% 94.8%
Novel Therapies 2,387,871 1,475,050 912,821 61.9% 7.1% 5.2%
Total $ 33,646,463 $ 28,517,666 $ 5,128,797 18.0% 100% 100%
Total net revenues increased $5.1 million, or 18.0%,
to $33.6 million, for the year ended December 31, 2024. Domestic Core growth of 12.3% was primarily driven by volume growth in pumps and
consumables attributed to overall SCIg market growth and new account share gains. International Core growth of 31.5% was driven by overall
SCIg market growth, increased penetration in several established EU markets, and the entry into multiple new geographies. Novel Therapies
net revenues increased $0.9 million, or 61.9%, driven primarily by an increase in NRE collaborations and an increase in clinical trial
supply shipments compared to the prior year.
Gross profit increased $4.6 million, or 27.7%, to
$21.3 million, for the year ended December 31, 2024. Gross margin was 63.4%, an increase of 480 basis points, compared to 58.6% in the
prior year. The increase in gross margin was primarily driven by increased manufacturing productivity, improved margin on product
revenue mix, and marginal increases in average selling prices versus the prior year.
Total operating expenses increased $0.8 million, or
3.0%, to $27.8 million for the year ended December 31, 2024 driven primarily by 2024 performance-based compensation expenses.
Net loss decreased $7.7 million to $6.1 million, or
($0.13) per diluted share for the year ended December 31, 2024, compared to a net loss of $13.7 million, or ($0.30) per diluted share
in the prior year. Net loss improvement was primarily driven by lower net operating losses of $3.8 million as a result of our gross profit
improvement of 27.7%, against an operating expense increase of 3.0%. In the prior year we established an allowance for the non-realization
of deferred tax assets which reversed a tax benefit of $4.0 million, partially offsetting in the current year was lower interest income
of $0.1 million driven by a lower cash balance coupled with lower yields. Adjusted EBITDA for the full year was ($2.5) million, or ($0.06)
per diluted share versus ($6.0) million, or ($0.13) in the prior year period. A reconciliation of adjusted EBITDA and adjusted diluted
EPS to the most directly comparable GAAP measures is provided at the end of this press release.
Cash and cash equivalents were $9.6 million as of
December 31, 2024, reflecting cash usage of $1.9 million for the full year 2024.
KORU Medical expects:
Full year 2025 net revenues between $38.0 - $39.0, representing growth of 13% - 16%
Full year 2025 gross margin between 61% - 63%
Operational cash flow positive for the full year 2025
Novel Therapies Business to be Renamed as Pharma Services and Clinical Trials (PST)
Effective with the first quarter of 2025, the Novel Therapies business
will be renamed "Pharma Services and Clinical Trials" to better reflect the non-recurring nature of this revenue. Pharma Services
and Clinical Trials refers to revenue generated via collaborations prior to a drug's clearance for use on the KORU Freedom Infusion
System. Once a drug is cleared via 510(k) for use with the KORU Freedom Infusion System and becomes "on-label", any revenue
generated is recorded as part of Domestic and/or International Core. The name change will have no impact on the composition of revenue
recorded in each of our businesses, on the preparation or disclosure of financial information by business, or on previously reported financial
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, March 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 Novel Therapies 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 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, and those risks and uncertainties

Frequently Asked Questions

What were KORU Medical's Q4 2024 net revenues?

KORU Medical reported Q4 2024 net revenues of $8.8 million, up 23% year-over-year.

How did KORU's gross margin change in 2024?

KORU's gross margin increased to 63.4% for 2024, up 480 basis points from the previous year.

What is KORU's revenue guidance for 2025?

KORU expects 2025 net revenues between $38.0 million and $39.0 million, a 13%-16% growth.

What will happen to the Novel Therapies business name?

The Novel Therapies business will be renamed 'Pharma Services and Clinical Trials' in Q1 2025.

What was KORU's cash burn for 2024?

KORU's cash burn was $1.9 million for the full year 2024, an improvement of 68% year-over-year.

Last updated: Mar 12, 2025