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Operator
Welcome to the IRADIMED CORPORATION third quarter 2025 financial results conference call. (Operator Instructions) This call is being recorded today, November 3, 2025, and contains time-sensitive, accurate information that is valid only for today.
IRADIMED released its financial results for the third quarter of 2025. A copy of this press release announcing the company's earnings is available under the heading News on their website at iradimed.com. A copy of the press release was also furnished to the Securities and Exchange Commission on Form 8-K and can be found at sec.gov. This call is being broadcast live on the company's website at iradimed.com and a replay will be available for the next 90 days. Some of the information in today's session will constitute forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995.
Forward-looking statements focus on future performance, results, plans, and events that may include the company's expected future results. IRADIMED remind you that future results may differ materially from those forward-looking statements due to several risk factors. For a description of the relevant risks and uncertainties that may affect the company's business, please see the risk factors section in the company's most recent reports filed with the Securities and Exchange Commission. Which may be obtained free from the SEC's website at sec.gov. I would now like to turn the call over to Roger Susi, President and Chief Executive Officer of IRADIMED CORPORATION Mr. Susi?
Roger Susi - Chairman of the Board, President, Chief Executive Officer, Founder
Thank you, operator, good morning and thank you all for joining us on today's call. I am indeed very proud to report that IRADIMED achieved its 17th consecutive quarter of record revenue, with the recent third quarter surpassing the 2024 third quarter by 16%. In the third quarter of 2025, we achieved revenue of $21.2 million. Our gross profit came in at 78%, and earnings remained strong, with GAAP diluted earnings per share increasing 8% from Q3 to '24. Pump shipments again led performance in the quarter as our 3860 MRI I`V pump grew another 20% year over year in Q3.
Our MR monitor sales have also continued to impress. I am also pleased to report that shipments of our MRI patient monitor grew by 16%, clearly showing that our emphasis on monitoring sales for 2025 is proving successful. Next, I want to touch on the planned rollout and commercial launch of the new 3870 MRI IV pump system which was cleared in Q2.
Let's recap what I have been saying about the number one growth driver for the new 3870 pump, but first, yes, we anticipate a price increase of 10% to 14%, and yes, the 3870 design is such that we fully expect to penetrate the greenfield opportunity more effectively and also drive increased utilization, among some of the existing customers who only use their older pumps rather sporadically.
But most significant increases come from the large replacement opportunity, which is the number one driver. We see step changing the pump revenue and will continue to be our key growth driver in pump area for several years to come. It is very telling that even the old 3860 model delivered 20% growth in the third quarter. Now this driven mainly by limiting again our extended maintenance offering to pumps under seven years old to two pumps rather under seven years old, which has brought in replacement orders for about a third of the pumps in that seven and up age group.
With the new state of the art 3870 pump having 20 years of technological advancement over the aging 3860, we anticipate a significant demand to replace the very large pool of older 3860 model pumps starting now at a five year and older level. Consider that in the US market alone there are approximately 6,300 five plus year old or older, 3860 61 pump channels up for replacement.
And we currently sell approximately 1,000 such channels annually in the domestic market. We will target adding another 1,000 channels per year in sales through replacement sales out of that existing 6,300 units that are over five years old. This will be our target starting in Q2 and throughout the rest of 2026, and as you can see, replacing 1,000 channels per year leaves many thousands more to replace in the years to come.
Put numbers to this opportunity for our domestic business only selling north of [203,870] pump channels annually at the slightly higher anticipated ASP, we would be approaching nearly a $50 million revenue run rate for pumps. Adding disposables and maintenance, international sales, and the MR monitoring business, one can understand our confidence in breaking into the $100 plus million revenue range.
I'd like to provide our thoughts as to timing on the rollout of the 3870 in December we will deliver an initial order 23 3870 systems for which we will provide an extraordinarily level, extraordinarily high level of clinical support and monitoring of the use of the pumps through January and February to review and adjust planning based on user input. The full sales team rollout in the US will begin after the national sales meeting in the third week of January. Given the time required for our hospital customers to be sold, approve funding, and issue orders, we expect bookings to build beginning in Q2 ramp significantly in the second half of the year. We expect to maintain quarterly revenue in the first half of 2026 through the increasing MRI monitoring business and our 3860-pump backlog. Now let's discuss our updated financial guidance. For the fourth quarter 2025.
We expect revenue now $21.4 million to $22.4 million and anticipated GAAP per diluted earnings per share of $0.43 to $0.47 and non-GAAP diluted EPS of $0.47 to $0.50 for the full year 2025, we are raising our guidance to $82.5 million to $83.5 million, up from our prior range of $80 million to $82.5 million. GAAP diluted earnings per share is now expected to be $1.68 to $1.72 up from $1.60 to $1.70 and non-GAAP diluted earning per share is expected is $1.84 to $1.88 up from $1.76 to $1.86.
We also remain committed to delivering value through our $0.17 per share quarterly divi dividend. Declared for Q4 and payable on November 5, I'll turn over the call to Jack Glenn, our CFO, now, to review the quarter's financial results, Jack
John Glenn - Chief Financial Officer, Corporate Secretary
Thank you, Roger and good morning everyone. As in the past, our results are reported on a GAAP basis and non-GAAP basis. You can find a description of our non-GAAP operating measures in this morning's earnings release and a reconciliation of these non-GAAP measures to GAAP measure on the last page of today's release. For the three months ended September 30, 2025, we reported revenue of $21.2 million, a 16% increase from $18.3 million in the third quarter of 2024.
This growth was driven by strong performance across our product lines with MRI-compatible IV infusion pump systems contributing $8.3 million, up 20% year over year, and patient vital signs monitoring systems contributing $6.9 million, up 16%. Disposable revenue grew 12% to $4.1 million, reflecting increased utilization of our devices, while ferromagnetic detection systems also saw solid gains. Domestic sales increased 19% to $18.1 million, and international sales remained consistent at $3.1 million. Overall domestic revenue accounted for 85% of total revenue for Q3 2025 compared to 83% for Q3 2024.
Gross profit was $16.4 million, up 16% from $14.1 million in Q3 2024, with a gross margin of 78% compared to 77% in Q3 of 2024. The strong margin performance was especially noteworthy as we moved manufacturing operations into the new facility at the beginning of the quarter and stayed on track with our shipment and cost of goods sold targets.
Operating expenses for the quarter were $9.7 million up 15% from $8.4 million in Q3 of 2024, driven by higher sales and marketing expenses to support our growth and modest increases in general administrative costs and research and development expenses. The increase in sales and marketing and expenses was primarily due to higher sales commissions for our direct sales force in the US as they exceeded their bookings plan in the quarter. Income from operations grew 17% to $6.8 million from $5.8 million in Q3 of 2024. Tax expense for the quarter was $1.7 million, resulting in an effective tax rate of 23.6%. The increase in the effective tax rate was primarily due to a catch up in the quarter, with our projected effective tax rate for the year now estimated at 22%.
Net income was $5.6 million or $0.43 per diluted share, a 12% increase from $5 million or $0.40 per diluted share in Q3 of 2024. On a non-GAAP basis, net income was $6.1 million or $0.47 per diluted year, up 9% from $0.43, excluding a half a million dollars of stock-based compensation expense net of tax. Now turning to our balance sheet, we ended the quarter with cash and cash equivalents of $56.5 million, up from $52.2 million at year end 2024. Cash flow from operations was a strong $7 million for the quarter and $19 million year-to-date. Free cash flow, a non-GAAP measure, was $5.7 million for the quarter and $11 million year-to-date, reflecting capital expenditures of $8 million year-to-date, primarily related to the new facility.
Final payments totaling approximately $1.3 million for the facility were made in the third quarter, bringing the total construction cost to approximately $13.3 million. And with that I will now turn the call over to you for questions operator.
Operator
(Operator Instructions)
Frank Takkinen, Lake Street Capital Markets.
Frank Takkinen - Senior Research Analyst
Great, thanks for taking the questions. Congrats on the solid quarter and all the progress. I was hoping I could start with some more color around the kind of bridge to $50 million run rate in pumps. Appreciate the timing that you laid out related to sales meeting launching after that in January. And then ramping the backlog in Q2 through mid 2026. When should we expect that to flow through to kind of revenue to that $50 million run rate? Can we see that in late '26, or is that more of a 2027 event?
Roger Susi - Chairman of the Board, President, Chief Executive Officer, Founder
We should, yeah, Frank it's Roger. Maybe I'll pick it up first and let Jack help jump in if he has some more color for you. As I said, most of that, given that we start. Pounding the pavement, shall we say, to sell the 3870 here in mid January, the early part, but you know by the time they get out there you're basically, half of Q1 and as I mentioned, orders don't just immediately get turned around even from people that are. We think we are pretty well pent up with a desire to get, a new pump now after all these 20 years with 3860. So yeah, the story is in the back half of 2026 for revenue, we anticipate bookings and so forth. What you'll we'll be able to report on in the in the first half certainly but the real revenue will start to ramp up in the third and fourth quarter and so yeah that by that fourth quarter we think it'll be pretty clear that we're doubling the number of pump channels that we're booking certainly and the revenues should start to reflect that as well.
Frank Takkinen - Senior Research Analyst
Got it. That's helpful. And then I wanted to follow-up on one comment in the press release. I think it was along the lines of despite some inefficiencies with the transition. We maintained a 78% gross margin. Quite honestly, I figured that would be followed with, our gross margin was negatively impacted and below expectations, but that was still above expectations. Is this maybe kind of hinting at the fact that you can get even better gross margins out of this product, potentially into the 80%, or how should we kind of read through on that inefficiencies and how that impacted the quarter?
Roger Susi - Chairman of the Board, President, Chief Executive Officer, Founder
Well, I think it shows that we did a great job. Transition moving the entire operation across Orlando essentially and getting it plugged in and running again that we didn't have any glitch negatively impacting you know revenues and subsequently you know cost of goods and but I think the real impact there is that the revenue that stuff that we didn't ship out by and large in Q3 was heavily domestic and so that is probably what accounts for that 1% boost. In the gross margin.
So, can it be sustained? Well, as we get quarters where domestic business is, a little bit on the less, lesser side from international business that will fluctuate probably by that point.
Frank Takkinen - Senior Research Analyst
Okay, that's helpful. I'll stop there. Thanks for the questions.
Operator
Kyle Bauser, Roth Capital Partners.
Kyle Bauser - Analyst
Great, thanks so much and congrats on the great results. Maybe we can talk a little bit about inventory levels for 3860 and 3870, maybe first on 3860 obviously demand is. Still very strong here. Doesn't sound like any air pockets, which is impressive. Is pricing stable on that? Or are you planning on maybe sort of providing any sort of discounted levels there as you kind of roll off that inventory and move into 3870?
Roger Susi - Chairman of the Board, President, Chief Executive Officer, Founder
Oh Kyle, hey, nice to have you on Board here with us, by the way, and hope to meet face to face soon. But, to answer your question, the question is simple. No, we haven't, it, it's surprising maybe, but yeah, that boost that gift that keeps on giving from these old 3860 pump orders is straight. The straight at the ASPs we've always enjoyed, no discounting, no, haven't done that.
Kyle Bauser - Analyst
Great to hear. And maybe on how you are thinking about inventory levels for 3870, ahead of the launch and start, what are current levels, or do you expect, how do you expect to manage that etc.
Roger Susi - Chairman of the Board, President, Chief Executive Officer, Founder
Well, there's lots of money going there. I'll let Jack pick that one up.
John Glenn - Chief Financial Officer, Corporate Secretary
Sure, so, good to hear from you, Kyle. So yeah, as far as the inventories of the levels of 3860, certainly we have the inventory and we'll plan the inventories for the backlog that we have currently with the 3860, which will be, shipping throughout Q1 of next year and end of Q2 it looks like. As far as the 3870, we are beginning those buys now and so you'll see in Q4 they're certainly we're building up inventory for those 3870s and now, would be appropriate build for Q1 and beyond and so certainly we have the working capital from that perspective, no issues there.
Kyle Bauser - Analyst
Okay. Appreciate that and I don't want to get ahead of myself here since you're just kind of beginning to roll out in the US, but can you remind me plans eventually to secure entry into international markets for 3870 and how your kind of thinking about that?
Roger Susi - Chairman of the Board, President, Chief Executive Officer, Founder
Yeah, it's primarily a regulatory issue, there's the new MDR requirements to maintain your CE mark for European Community business, that's a heavy lift, but, our regulatory folks, they came off of a long battle with FDAs, to clear the, 3870, but that was back in May. They took a breather, but they're hot and heavy on obtaining that MDR, let's call it a clearance, but it's a registration with CE mark.
And that will that's we're targeting to be done in Q4 so international business will switch over to the 3870 next year in 2027 I should say, not in 2026. We'll just be getting the MDR towards the latter part of 2026. Likewise, our other large market, for pumps is Japan and. I'll be speaking with them. I'm in Japan calling on this call right now. I'm speaking to them here, in the next day or two and working with the Japanese to clear the product here in Japan.
We're going to do that simultaneously, but it probably still will be somewhere in the fourth quarter by the time we get that cleared. And then we'll switch Japan over so both those large, largest international markets, will be a 2027 kicked in.
Kyle Bauser - Analyst
Okay, great, appreciate that maybe just one more quick one, I'm glad to hear you're fully moved into the new facility. I think it's 2.5 times the size of the previous facility. Correct me if I'm wrong, but any sense as to kind of what level of sales this could support or capacity, however you want to frame it.
Roger Susi - Chairman of the Board, President, Chief Executive Officer, Founder
Well, we, it is 2.5 times the size that's right, and, we were doing $20 million a quarter out of the, out of that 2.5 times smaller space so you know the math of it's pretty equal. We don't see any reason why we can't get to $50 million a quarter in the, in the new facility, and, so yeah, 2.5 times, but, unlike the old facility, we're not landlocked where we are, as you might recall, Jack mentioned the cost of construction of the building. That we did pay cash and built it with our cash flow, but we also purchased the 26 acres. The building sits on about five of it, five or six of that, so there's lots of space around us that's ours to and the way we constructed the building was so it could easily be expanded into that adjacent space that we own. So, we have plenty of space without spending another nickel. On any construction or buy more land and to expand the production side of the building into the land that we already own is not that heavy of a lift, so we have I guess paid forward quite a ways, there's plenty of capacity physically.
Kyle Bauser - Analyst
Okay, I appreciate that. Thank you, Roger and Jack for taking my questions.
Roger Susi - Chairman of the Board, President, Chief Executive Officer, Founder
Great, good to talk to you.
Operator
Thank you, and this will conclude today's question-and-answer session, and I would now like to turn the conference back over to Roger Susi for closing remarks.
Roger Susi - Chairman of the Board, President, Chief Executive Officer, Founder
Thank you, operator, and I thank you all once again for joining today's call and look forward to displaying IRADIMED ability to execute once again as we introduce our new MRI IV pump and capitalize on the huge replacement opportunity throughout 2026 and beyond. Thank you.
Operator
Thank you. This concludes the call. You may now disconnect. Everyone, have a great day.