KORU Medical Systems(KRMD) - 2022 Q4 - Annual Report

Revenue Sources and Growth - KORU Medical's revenues are derived from three sources: domestic core, international core, and novel therapies, with a significant focus on subcutaneous drug delivery systems [18]. - The company plans to increase penetration in the subcutaneous immunoglobulin (SCIg) market and expand into new subcutaneous drug therapies, targeting at least 100 large-volume drugs currently in clinical development [21][22]. - The company aims to increase revenue growth by investing in innovation and new product development, which requires substantial resources [69]. - The company reported net revenues of $27.9 million for the fiscal year 2022, an 18.8% increase from $23.5 million in 2021, driven by growth in all three business sources [180]. - Domestic core revenues were $21.2 million, up 11.3% from $19.0 million in 2021, while international core revenues increased by 8.0% to $4.2 million [182]. - Novel therapies revenues surged by 329.8% to $2.5 million, attributed to services performed under an NRE innovation development agreement and increased clinical trial product sales [183]. Research and Development - KORU Medical spent $5.0 million on research and development in 2022, up from $2.5 million in 2021, indicating a commitment to innovation and product development [33]. - The company aims to partner with biopharmaceutical manufacturers during clinical development to generate service revenues and product revenues post-commercialization [22]. Manufacturing and Operations - The company is transitioning manufacturing activities to a new facility in Mahwah, NJ, expected to be completed by March 2023, to enhance operational efficiency [31]. - The company plans to complete the transition of manufacturing operations to Command Medical Products by the second quarter of 2023 [178]. - Manufacturing operations are regulated by the FDA and other agencies, and any interruptions, such as transitioning to a new facility, could negatively affect future revenues and operating income [76]. - The company is building product inventory to ensure service continuity during the transition to the new manufacturing facility [98]. Regulatory Compliance - The company recognizes the importance of regulatory compliance, with ongoing responsibilities under the FDA and other regulatory bodies to ensure product safety and effectiveness [34]. - The company is an FDA-registered medical device manufacturer and must comply with FDA's QSR and Current Good Manufacturing Practices (cGMPs) to avoid potential regulatory actions [43]. - Compliance with EU MDR regulations by December 2028 will require significant investment, and failure to comply will prevent the company from selling products in the EU, materially impacting net revenues [72][75]. - The new Medical Device Regulation (MDR) in the EU, effective May 2021, will require significant investment to implement due to increased compliance requirements [116]. - Regulatory compliance is complex and costly, and any adverse regulatory actions could materially affect the company's financial condition and operations [88][92]. Financial Performance - Gross profit for 2022 was $15.4 million, an increase of 11.6% from $13.8 million in 2021, but gross profit margin declined to 55.1% from 58.6% due to higher manufacturing costs [184]. - Operating expenses rose to $26.2 million in 2022, up from $20.8 million in 2021, primarily due to increased research and development and selling, general, and administrative costs [181]. - The company reported a net loss of $8.7 million for 2022, compared to a net loss of $4.6 million in 2021, reflecting higher operating expenses [188]. - Cash on hand as of December 31, 2022, was $17.4 million, with expectations that this will be sufficient to meet requirements through at least December 31, 2023 [189]. - The company expects cash on hand, cash flows from operations, and available credit facilities to be sufficient for at least the next 12 months [199]. Employee and Workforce - As of December 31, 2022, the company had 85 full-time employees, with approximately 53% being female and 41% being minorities [54][56]. - The company provides competitive compensation and employee benefits, including subsidized health insurance and a 401(k) plan with matching contributions [64]. - Attracting and retaining key employees is critical for competitiveness, with potential adverse effects on business if key personnel are lost [112]. Market and Competition - The company operates in a highly competitive market, facing competition from both large medical device companies and specialized firms, which may exert downward pressure on pricing [83][84]. - The company faces competition from various infusion device technologies, including electronic pumps and mechanical pumps, which influence pump selection based on safety, ease of use, and cost-effectiveness [51][53]. - Health care policy changes could result in downward pricing pressure for products, limiting sales and affecting financial results [99]. Risks and Challenges - The company faces risks related to patent protection and potential litigation, which could adversely affect competitiveness and financial condition [106]. - The company faces risks related to the supply chain, as most components and raw materials are sourced from single suppliers, which could adversely affect operations if supply is disrupted [125]. - The introduction of generic or biosimilar therapies could significantly reduce the commercial viability of brand name injectable therapies, impacting the company's revenue [124]. - The company is subject to foreign currency exchange risk, which may impact revenues derived from international operations [139]. - The company is subject to risks from cyber security breaches and data leakage, which could disrupt operations and delay product development [141]. Inventory and Assets - Inventory position was $6.4 million at December 31, 2022, reflecting a $0.3 million increase from the previous year, with expectations to reduce inventory in 2023 [191]. - The company maintains reserves for excess and obsolete inventory, which may require additional write-downs if product demand is less favorable than projected [211]. Stock and Capital - The company has never paid dividends on its common stock and does not intend to do so for the foreseeable future, focusing instead on funding growth [155]. - The stock price has fluctuated between $1.82 and $12.84 per share since its listing on the Nasdaq Capital Market on October 17, 2019 [158]. - The company may need additional capital in the future, which could result in substantial dilution for existing stockholders if equity is issued [156].