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Nuwellis, Inc. Reports First Quarter 2025 Financial Results and Business Highlights

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Nuwellis (NUWE) reported its Q1 2025 financial results with revenue of $1.9 million, up 3% year-over-year. Key highlights include 38% growth in pediatric revenue and 4% increase in consumables utilization. The company achieved significant cost reductions with operating expenses decreasing 31% to $4.1 million. However, gross margin declined to 56.0% from 64.1% in Q1 2024. The company's Aquadex therapy received higher CMS reimbursement, with facility fees increasing nearly four-fold to $1,639 per day effective January 2025. The quarter ended with $2.6 million in cash and no debt, while net loss improved to $3.0 million ($0.69 per share) compared to $3.8 million ($24.11 per share) in Q1 2024.
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Positive

  • Revenue grew 3% year-over-year to $1.9 million
  • Strong 38% growth in pediatric revenue
  • 31% reduction in operating expenses ($1.8 million savings)
  • CMS increased Aquadex reimbursement nearly four-fold to $1,639 per day
  • Net loss improved from $3.8M to $3.0M year-over-year
  • Company remains debt-free

Negative

  • Gross margin declined to 56.0% from 64.1% year-over-year
  • International sales declined
  • Cash position of $2.6M is relatively low given quarterly burn rate
  • Still operating at a significant loss ($3.1M operating loss in Q1)

News Market Reaction – NUWE

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On the day this news was published, NUWE gained 0.91%, reflecting a mild positive market reaction.

Data tracked by StockTitan Argus on the day of publication.

MINNEAPOLIS, May 13, 2025 (GLOBE NEWSWIRE) -- Nuwellis, Inc. (Nasdaq: NUWE), a commercial-stage medical device company dedicated to transforming care for fluid overload patients, today announced financial results for the first quarter ended March 31, 2025, and provided a business update.

First Quarter 2025 and Recent Business Highlights

Nuwellis continued to advance its strategic priorities during the first quarter, delivering growth in customer categories and strengthening the foundation for broader adoption of Aquadex therapy. Higher CMS reimbursement, strong pediatric performance, and disciplined expense management position the company to capitalize on both inpatient growth and emerging outpatient opportunities in 2025.

  • Revenue of $1.9 million, a 3% increase over the prior-year quarter.
  • 4% growth in consumables utilization year-over-year.
  • Pediatric revenue grew 38% year-over-year.
  • Operating expense reduction of $1.8 million, or 31%, compared to the prior-year quarter.
  • Effective January 1, 2025, CMS reassigned Aquadex to a higher outpatient reimbursement level, increasing the facility fee nearly four-fold to $1,639 per day.
  • Expanded outpatient opportunity pipeline, driven by favorable reimbursement and supportive clinical data.

"We are encouraged by the strategic progress we’re making in expanding access to Aquadex therapy, particularly as more hospitals explore outpatient use," said John Erb, Chairman of the Board and Interim Chief Executive Officer of Nuwellis. "With higher reimbursement rates now in effect and a growing base of clinical support, we believe we are well-positioned to expand adoption across both inpatient and outpatient environments in 2025."

First Quarter 2025 Financial Results

Revenue for the first quarter of 2025 was $1.9 million, a 3% increase compared to the same period in 2024. The year-over-year increase was driven by a 4% growth in consumables utilization and higher U.S. console sales, partially offset by a decline in international sales.

Gross margin for the first quarter of 2025 was 56.0%, compared to 64.1% in the prior-year quarter. The decrease primarily reflects unfavorable manufacturing variances, lower fixed overhead absorption from reduced production, and an inventory adjustment related to the FlexFlow console.

Selling, general, and administrative (SG&A) expenses for the first quarter of 2025 were $3.6 million, representing a 22% decrease from $4.6 million in the prior-year period, largely driven by lower headcount, compensation-related expenses, and reduced professional services.

Research and development (R&D) expenses were $550 thousand, compared to $1.3 million in the prior-year quarter, primarily due to reduced staffing and lower R&D project spend.

Total operating expenses for the quarter were $4.1 million, a 31% decrease from $5.9 million in the first quarter of 2024.

Operating loss improved to $3.1 million in the first quarter of 2025, compared to an operating loss of $4.7 million in the first quarter of 2024.

Net loss attributable to common shareholders was $3.0 million, or a loss of $0.69 per basic and diluted share, compared to a net loss of $3.8 million, or $24.11 per share, in the prior-year period.

As of March 31, 2025, Nuwellis had $2.6 million in cash and cash equivalents and remained debt-free.

Conference Call and Webcast Information

Nuwellis will host a conference call and webcast today at 9:00 AM ET to discuss its first quarter results and recent business developments.

To access the live webcast, please visit the Investors page of the Nuwellis website at https://ir.nuwellis.com. Alternatively, participants may dial 1-800-579-2543 (U.S.) or 1-785-424-1789 (International) and use conference ID: NUWEQ1. A replay will be available following the event.

About Nuwellis

Nuwellis, Inc. (Nasdaq: NUWE) is a commercial-stage medical device company dedicated to transforming the lives of patients suffering from fluid overload through science, collaboration, and innovation. The company’s focus is on commercializing the Aquadex SmartFlow® system for ultrafiltration therapy. Nuwellis is headquartered in Minneapolis, Minnesota, with a wholly owned subsidiary in Ireland. For more information, visit ir.nuwellis.com or follow us on LinkedIn or X.

About the Aquadex SmartFlow® System

The Aquadex SmartFlow system delivers clinically proven therapy using a simple, flexible, and smart method of removing excess fluid from patients suffering from hypervolemia (fluid overload). The Aquadex SmartFlow system is indicated for temporary (up to 8 hours) or extended (longer than 8 hours in patients who require hospitalization) use in adult and pediatric patients weighing 20 kg or more whose fluid overload is unresponsive to medical management, including diuretics. All treatments must be administered by a healthcare provider within an outpatient or inpatient clinical setting, under physician prescription, both having received training in extracorporeal therapies.

Forward-Looking Statements

Certain statements in this release may be considered forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, including without limitation, statements regarding future growth and market opportunities. Forward-looking statements are based on current assumptions and expectations and involve risks and uncertainties that could cause actual results to differ materially. These risks are detailed in the Company's filings with the Securities and Exchange Commission. Nuwellis undertakes no obligation to update any forward-looking statements, whether as a result of new information, future events, or otherwise.

Contacts:

Investors:
Louisa Smith
Gilmartin Group
ir@nuwellis.com

Media Contact:
Leah McMullen
Nuwellis
Director of Communications
Leah.mcmullen@nuwellis.com

 


NUWELLIS, INC. AND SUBSIDIARY

Condensed Consolidated Balance Sheets
(in thousands, except share and per share amounts)
  March 31,
2025
  December 31, 2024  
  (Unaudited)     
ASSETS       
Current assets       
        Cash and cash equivalents             $2,557  $5,095   
        Accounts receivable 1,540   1,727    
        Inventories, net 1,752   1,718   
        Other current assets 274   315   
Total current assets 6,123   8,855   
        Property, plant and equipment, net 405   478   
        Operating lease right-of-use asset 457   510   
        Other assets 21   21   
TOTAL ASSETS$ 7,006 $9,864   
        
LIABILITIES, CONVERTIBLE PREFERRED STOCK AND STOCKHOLDERS’ EQUITY       
Current liabilities       
          Accounts payable and accrued liabilities$1,731  $1,640   
          Accrued compensation 689   640   
          Current portion of operating lease liability 243   238   
          Other current liabilities 86   41   
Total current liabilities 2,749   2,559   
  Common stock warrant liability 426   468   
          Operating lease liability 249   307   
Total liabilities 3,424  3,334    
Commitments and contingencies       
        
Mezzanine Equity
Series J Convertible Preferred Stock as of March 31, 2025 and December 31, 2024, par value $0.0001 per share; authorized 600,000 shares, issued and outstanding 110 and 102, respectively

 
  

 

 

4
    

 

 

2
   
Stockholders’ equity       
Series A junior participating preferred stock as of March 31, 2025 and December 31, 2024, par value $0.0001 per share; authorized 30,000 shares, none outstanding       
Series F convertible preferred stock as of March 31, 2025 and December 31, 2024, par value $0.0001 per share; authorized 18,000 shares, issued and outstanding 127 shares      
Preferred stock as of March 31, 2025 and December 31, 2024, par value
$0.0001 per share; authorized 39,352,000 shares, none outstanding
                 —                   —    
Common stock as of March 31, 2025 and December 31, 2024, par value
$0.0001 per share; authorized 100,000,000 shares, issued and outstanding
4,373,968 and 4,373,968, respectively
                                 —                  —   
Additional paid‑in capital 305,432  305,366   
Accumulated other comprehensive income:       
     Foreign currency translation adjustment (49)  (47)  
Accumulated deficit (301,805)  (298,791)  
Total stockholders’ equity 3,578   6,528   
TOTAL LIABILITIES, CONVERTIBLE PREFERRED STOCK AND STOCKHOLDERS’ EQUITY$7,006  $9,864   



NUWELLIS, INC. AND SUBSIDIARY
Condensed Consolidated Statements of Operations and Comprehensive Loss
(Unaudited)
(in thousands, except per share amounts and weighted average shares outstanding)




  Three months ended
March 31
 
  2025  2024   
Net sales$1,904  $1,857   
Cost of goods sold 837   666   
Gross profit 1,067   1,191   
Operating expenses:       
Selling, general and administrative 3,577   4,606   
Research and development 550   1,334   
Total operating expenses 4,127   5,940   
Loss from operations (3,060)  (4,749) 
Other income (expense), net 7   (101)  
Change in fair value of warrant liability 40   522   
Loss before income taxes (3,013)  (4,328) 
Income tax expense (1)  (2) 
Net loss (3,014)  (4,330) 
Deemed dividend attributable to Series J Convertible    Preferred Stock 1   541   
Net loss attributable to common shareholders$(3,013) $(3,789) 
        
Basic and diluted loss per share$(0.69) $(24.11) 
        
Weighted average shares outstanding – basic and diluted 4,373,968   179,608   
        
Other comprehensive loss:       
Net loss$(3,014) $(4,330)   
Foreign currency translation adjustments (2)  (9) 
Total comprehensive loss$(3,016) $(4,339) 


 NUWELLIS, INC. AND SUBSIDIARY
Condensed Consolidated Statements of Cash Flows
(Unaudited)

(in thousands)
   Three months ended
March 31
 
   2025

 
   2024   
 Operating Activities:       
 Net loss$(3,014) $(4,330)  
 Adjustments to reconcile net loss to cash flows used in operating activities:       
      Depreciation and amortization 73   76   
       Stock-based compensation expense 67   158   
 Change in fair value of warrant liability (40)  (522)  
 Changes in operating assets and liabilities:       
      Accounts receivable 187   725   
      Inventory, net (34)     (134)  
      Other current assets 41   21   
      Other assets and liabilities 45     (6)  
      Accounts payable and accrued expenses 139     1,150   
 Net cash used in operating activities (2,536)  (2,862)  
         
 Investing Activities:       
    Purchases of property and equipment     (29)  
 Net cash used in investing activities   

  (29)  
         
 Financing Activities:       
     Proceeds from the exercise of Series J Convertible Preferred Warrants     500  
  Net cash provided by financing activities   

      500   
         
 Effect of exchange rate changes on cash (2)   (9)  
 Net decrease in cash and cash equivalents (2,538)   (2,400)  
 Cash and cash equivalents - beginning of period 5,095   3,800   
  Cash and cash equivalents – end of period$                    2,557  $       1,400   
          
 Supplemental cash flow information
       
      Issuance of Series J Preferred Stock for exercise of Warrants$ $ 1,857   
      Issuance of Common Stock for conversion of Series J Preferred    Stock$ $ 1,535   
      Deemed dividend on Series J Preferred Stock$1 $ 541   

FAQ

What was Nuwellis (NUWE) revenue in Q1 2025?

Nuwellis reported revenue of $1.9 million in Q1 2025, representing a 3% increase compared to Q1 2024.

How much did NUWE's pediatric revenue grow in Q1 2025?

Nuwellis's pediatric revenue grew 38% year-over-year in Q1 2025.

What is the new CMS reimbursement rate for Nuwellis's Aquadex therapy?

Effective January 1, 2025, CMS increased the facility fee for Aquadex therapy nearly four-fold to $1,639 per day.

What was Nuwellis's (NUWE) net loss per share in Q1 2025?

Nuwellis reported a net loss of $0.69 per share in Q1 2025, compared to $24.11 per share in Q1 2024.

How much cash does Nuwellis (NUWE) have as of March 31, 2025?

Nuwellis had $2.6 million in cash and cash equivalents as of March 31, 2025, and remained debt-free.
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Electromedical & Electrotherapeutic Apparatus
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