Form: 8-K

Current report

November 12, 2025

 

EXHIBIT 99.1

 

 

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. 

 

Recent Highlights

 

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.

 

2025 Guidance

 

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.

 

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 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.

 

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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.

 

Investor Contact:

 

Louisa Smith

investor@korumedical.com

 

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KORU MEDICAL SYSTEMS, INC.

BALANCE SHEETS

           
    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  

 

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KORU MEDICAL SYSTEMS, INC.

STATEMENTS OF OPERATIONS

(UNAUDITED)

                           
    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  

 

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KORU MEDICAL SYSTEMS, INC.

STATEMENTS OF CASH FLOWS

(UNAUDITED)

             
    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  

 

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KORU MEDICAL SYSTEMS, INC.

STATEMENTS OF STOCKHOLDERS’ EQUITY

(UNAUDITED)

 

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  

 

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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  

 

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KORU MEDICAL SYSTEMS, INC.

SUPPLEMENTAL INFORMATION

(UNAUDITED)

 

A reconciliation of our non-GAAP measures is below:

 

    Three Months Ended   Nine Months Ended  
Reconciliation of GAAP Net (Loss)   September 30,   September 30,  
to Non-GAAP Adjusted EBITDA:   2025   2024   2025   2024  
GAAP Net Loss   $ (777,966 ) $ (1,580,817 ) $ (2,151,070 ) $ (4,505,490 )
Reorganization Charges         396,926         496,255  
Depreciation and Amortization     204,482     227,785     631,326     677,019  
Interest Income, Net     (74,567 )   (112,997 )   (226,698 )   (364,183 )
Tax Expense (Refund)     (150 )       17,206      
Stock-based Compensation Expense     737,398     634,608     1,850,732     1,948,992  
Non-GAAP Adjusted EBITDA   $ 89,197   $ (434,495 ) $ 121,496   $ (1,747,407 )
                           
Weighted average number of common shares     46,238,819     45,851,019     46,140,347     45,791,756  

 

 

    Three Months Ended   Nine Months Ended
Reconciliation of Reported Diluted EPS   September 30,   September 30,
to Non-GAAP Adjusted Diluted EPS:   2025   2024   2025   2024
Reported Diluted Earnings Per Share   $ (0.02 ) $ (0.03 ) $ (0.05 ) $ (0.10 )
Reorganization Charges         0.01         0.01  
Depreciation and Amortization             0.01     0.01  
Interest Income, Net                 (0.01 )
Tax Expense (Refund)                  
Stock-based Compensation Expense     0.02     0.01     0.04     0.04  
Non-GAAP Adjusted Diluted Earnings Per Share   $ (0.00 ) $ (0.01 ) $ (0.00 ) $ (0.05 )

 

*Numbers presented are rounded to the nearest whole cent

  

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.

 

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