KORU Medical Systems FY Conference Summary Company Overview - **Company**: KORU Medical Systems (NasdaqCM: KRMD) - **Industry**: Medical Technology (Med Tech) Key Points and Arguments 1. Growth Performance - KORU Medical achieved over 20% growth year-to-date in 2025, driven primarily by international expansion and a strong U.S. market performance [2][3][4] - The international business more than doubled, with significant contributions from prefill expansion technology [2][4] 2. U.S. Market Dynamics - The U.S. business is growing at approximately 10-15%, supported by an 8-10% growth in the primary immune deficiency patient population [3][8] - The company anticipates adding four new drugs to its label, which will further increase patient usage of its systems in early to mid-2026 [3][4] 3. New Product Launches - KORU plans to file for a new pump in the first half of 2026, which is expected to enhance market share and average selling price (ASP) opportunities [6][24] - A pilot study in oncology clinics showed a 97% preference for KORU's platform among nurses, with a market launch anticipated in the second half of 2026 [4][24] 4. Market Growth Projections - The overall U.S. market for immunoglobulin therapy is projected to grow at 8-10%, with only 20% of the population currently on subcutaneous therapy, indicating significant growth potential [8][9] - The company expects to see a doubling of the patient opportunity if secondary immunodeficiency treatments receive reimbursement in the U.S. [9][11] 5. Competitive Landscape - KORU's primary competitor in the U.S. is a privately held company called EMED, which offers mechanical pumps at lower prices [16][19] - In Europe, KORU is gaining market share due to the incompatibility of existing electronic pumps with prefill technology [17][19] 6. Revenue Growth Strategy - KORU anticipates generating an additional $8 million in revenue through U.S. and international growth, as well as new drug launches [20][21] - The company expects international segment growth to exceed 30% [21] 7. Gross Margin Outlook - Current gross margins are projected between 61-63%, with expectations to improve to over 65% in the long term through new product launches and international expansion [31][46] - The company is focused on capital allocation towards gross margin improvement while maintaining top-line growth [46][49] 8. Cash Flow and Capital Allocation - KORU achieved positive cash flow and EBITDA, marking a significant milestone [49] - The company is exploring PFT collaborations to increase market share and revenue potential [50] 9. Regulatory and Market Entry Considerations - KORU does not anticipate significant disruptions from government shutdowns affecting FDA discussions or timelines for new product approvals [53][58] - The company is proactively managing the transition to new products to avoid market pauses or destocking issues [60] Additional Important Insights - The company is seeing a fivefold increase in the number of drugs in development for subcutaneous therapy compared to five years ago, indicating a growing market [18] - KORU's pricing strategy is expected to reflect a lift due to new product launches, with the new pump priced competitively against electronic pumps [41][42]