KMDA Kamada Ltd

Exhibit 99.1

 

Kamada Reports Significant Increase in Sales and Profitability in the Third Quarter and Nine Month 2023; Reiterates 2023 Revenue and Profitability Guidance

 

●

Third Quarter 2023 Revenues were $37.9 Million Representing an 18% Increase Year-over-Year; Nine Month 2023 Revenues of $106.1 Million, Up 26% Year-over-Year

 

●

Third Quarter 2023 Adjusted EBITDA of $7.9 Million Representing a 31% Increase Year-over-Year; Nine Month 2023 Adjusted EBITDA of $17.7 Million, Up 67% Year-over-Year

 

●

Strong Third Quarter Results and Positive Outlook for Fourth Quarter Support Reiteration of Fiscal Year 2023 Revenue and Adjusted EBITDA Guidance

 

●

Multiple Recent Achievements with CYTOGAM®, including Availability of Product Manufactured by the Company for U.S. Commercial Sale and Presentation of New Clinical Data

 

●

Received Shareholder Approval and Subsequently Closed $60 Million Private Placement with FIMI Opportunity Funds

 

●

Conference Call and Live Webcast Today at 8:30 AM ET

 

Rehovot, Israel, and Hoboken, NJ – November 13, 2023 -- Kamada Ltd. (NASDAQ: KMDA; TASE: KMDA.TA), a commercial stage global biopharmaceutical company with a portfolio of marketed products indicated for rare and serious conditions and a leader in the specialty plasma-derived field, today announced financial results for the three and nine months ended September 30, 2023.

 

“We are highly encouraged with our strong financial and operational momentum during the first nine months of the year,” said Amir London, Kamada’s Chief Executive Officer. “With total revenues of $106.1 million, which represent year-over-year growth of 26%, and adjusted EBITDA of $17.7 million, an increase of 67% as compared to the first nine months of 2022, we achieved the top- and bottom-line growth anticipated in our business in the first nine months of the year. We continue to effectively leverage our multiple growth drivers, including a significant increase in sales of our anti-rabies immunoglobulin product, KEDRAB® as well as the portfolio of the four FDA-approved immunoglobulins (CYTOGAM®, HEPAGAMB®, VARIZIG® and WINRHO® SDF), and our Israeli distribution business.”

 

“We expect the momentum from the first nine months of the year to extend through the fourth quarter of 2023, with annual profitability to be further meaningfully enhanced as compared to last year. As such, we are reiterating our full-year 2023 revenue guidance of $138 million to $146 million and adjusted EBITDA of $22 million to $26 million; the mid-point of the range would represent profitability growth of approximately 35% over 2022,” continued Mr. London.

 

“During the recent period we reported multiple achievements with CYTOGAM. Specifically, following recent FDA approval of the technology transfer process, CYTOGAM manufactured at our Israeli facility is now available for commercial sale in U.S., and new clinical data highlighting five-year real-world survival benefits of high risk CMV mismatch lung transplant patients receiving CYTOGAM were presented at IDWeek 2023. In addition, we continue to advance our pivotal phase 3 InnovAATe trial for Inhaled AAT and we recently received positive feedback from the independent Data and Safety Monitoring Board (DSMB) which recommended study continuation without modification for the sixth time since study initiation, based on encouraging safety data observed in the study to date,” added Mr. London.

 

 

“Our future prospects were also recently further buoyed by the recent closing of our $60 million private placement with FIMI Opportunity Funds. This strategic investment provides us with financial flexibility to pursue compelling business development opportunities, a process that we are currently engaged in,” concluded Mr. London.

 

Financial Highlights for the Three Months Ended September 30, 2023

 

●

Total revenues were $37.9 million in the third quarter of 2023, an 18% increase from the $32.2 million recorded in the third quarter of 2022. The increase in revenues was primarily attributable to increased sales of KEDRAB to Kedrion due to increased market share and demand for the product in the U.S. market.

 

●

Gross profit and gross margins were $14.8 million and 39%, respectively, in the third quarter of 2023, compared to $12.9 million and 40%, respectively, reported in the third quarter of 2022. Cost of goods sold in the Company’s Proprietary segment, for the third quarter of 2023 and 2022, included $1.3 million of depreciation expenses associated with intangible assets generated through the IgG products acquisition.

 

●

Operating expenses, including R&D, Sales & Marketing (S&M), G&A and other expenses, totaled $10.4 million in the third quarter of 2023, as compared to $10.3 million in the third quarter of 2022. S&M costs, for the third quarter of 2023 and 2022, included $0.4 million of depreciation expenses of intangible assets generated through the IgG products acquisition.

 

●

Net income was $3.2 million, or $0.07 per share, in the third quarter of 2023, as compared to a net income of $0.5 million, or $0.01 per share, in the third quarter of 2022.

 

●

Adjusted EBITDA, as detailed in the tables below, was $7.9 million in the third quarter of 2023, a 31% increase as compared to $6.0 million in the third quarter of 2022.

 

●

Cash provided by operating activities was $0.9 million in the third quarter of 2023, as compared to cash provided by operating activities of $5.5 million in the third quarter of 2022. The change correlates to the changes in the Company’s working capital and supports overall growth.

 

Financial Highlights for the Nine Months Ended September 30, 2023

 

●

Total revenues for the first nine months of 2023 were $106.1 million, a 26% increase from the $83.9 million generated in the first nine months of 2022. The increase in revenues was primarily attributable to increased sales of KEDRAB to Kedrion due to increased market share and demand for the product in the U.S. market.

 

●

Gross profit and gross margins for the first nine months of 2023 were $41.1 million and 39%, respectively, compared to $31.4 million and 37%, respectively, in the first nine months of 2022. Cost of goods sold in the Company’s Proprietary segment, for the first nine months of 2023 and 2022, included $3.9 million of depreciation expenses associated with intangible assets generated through the IgG products acquisition.

 

●

Operating expenses, including R&D, S&M, G&A and other expenses, totaled $33.8 million in the first nine months of 2023, as compared to $30.9 million in the prior year period. S&M costs, for the first nine months of 2023 and 2022, included $1.2 million of depreciation expenses of intangible assets generated through the IgG products acquisition. The increase in operating expenses was attributable to an increase in S&M costs associated with the acquired portfolio commercial operation, as well as increased R&D costs, primarily due to advancing the pivotal Phase 3 InnovAATe trial for Inhaled AAT.

 

●

Net income for the first nine months of 2023 was $3.2 million, or $0.07 per share, as compared to net loss of $5.3 million, or $(0.12) per share, in the prior year period.

 

●

Adjusted EBITDA, as detailed in the tables below, was $17.7 million in the first nine months of 2023, a 67% increase as compared to $10.6 million in the first nine months of 2022.

 

●

Cash used in operating activities during the first nine months of 2023 was approximately $0.1 million, as compared to cash provided by operating activities of $21.8 million during the first nine months of 2022. The change correlates to the changes in the Company’s working capital and supports overall growth.

 

 

Balance Sheet Highlights

 

As of September 30, 2023, the Company had cash, cash equivalents, and short-term investments of $52.6 million, as compared to $34.3 million as of December 31, 2022. This includes the net proceeds of $58.2 million received from the $60 million financing closed during the third quarter. In addition, during the third quarter the Company made a $17.4 million pay-down in full the outstanding balance of a bank loan. The Company is currently debt free.

 

Recent Corporate Highlights

 

●

Received shareholder approval for and subsequently closed $60 million private placement with FIMI Opportunity Funds.

 

●

Announced multiple achievements with CYTOGAM, including the availability of product manufactured by Kamada for U.S. commercial sale, presented new clinical data highlighting five-year real-world survival benefits of high risk CMV mismatch lung transplant patients receiving CYTOGAM, and the establishment of a Scientific Advisory Board focused on U.S. clinical programs for CYTOGAM.

 

●

The Company continues to conduct its business operations in Israel with no effect on business continuity, and its global supply of products is not expected to be interrupted as a result of the recent events in Israel.

 

Fiscal Year 2023 Guidance

 

Kamada continues to expect to generate fiscal year 2023 total revenues in the range of $138 million to $146 million. The Company also continues to anticipate generating adjusted EBITDA during 2023 in the range of $22 million to $26 million, the mid-point of the range would represent profitability growth of approximately 35% over 2022.

 

Conference Call

 

Kamada management will host an investment community conference call on Monday, November 13, at 8:30am Eastern Time to discuss these results and answer questions. Shareholders and other interested parties may participate in the conference call by dialing 1-877-407-0792 (from within the U.S.), 1 809-406-247 (from Israel), or 1 201-689-8263 (International) and entering the conference identification number: 13741701. The call will also be webcast live on the Internet at:

 

https://viavid.webcasts.com/starthere.jsp?ei=1637192&tp_key=fd85a910fe.

 

Non-IFRS financial measures

 

We present EBITDA and adjusted EBITDA because we use this non-IFRS financial measure to assess our operational performance, for financial and operational decision-making, and as a means to evaluate period-to-period comparisons on a consistent basis. Management believes this non-IFRS financial measure are useful to investors because: (1) they allow for greater transparency with respect to key metrics used by management in its financial and operational decision-making and provide investors with a meaningful perspective on the current underlying performance of the Company’s core ongoing operations; and (2) they exclude the impact of certain items that are not directly attributable to our core operating performance and that may obscure trends in the core operating performance of the business. Non-IFRS financial measures have limitations as an analytical tool and should not be considered in isolation from, or as a substitute for, our IFRS results. We expect to continue reporting non-IFRS financial measures, adjusting for the items described below, and we expect to continue to incur expenses similar to certain of the non-cash, non-IFRS adjustments described below. Accordingly, unless otherwise stated, the exclusion of these and other similar items in the presentation of non-IFRS financial measures should not be construed as an inference that these items are unusual, infrequent or non-recurring. EBITDA and adjusted EBITDA are not recognized terms under IFRS and do not purport to be an alternative to IFRS terms as an indicator of operating performance or any other IFRS measure. Moreover, because not all companies use identical measures and calculations, the presentation of EBITDA and adjusted EBITDA may not be comparable to other similarly titled measures of other companies. EBITDA and adjusted EBITDA are defined as net income (loss), plus income tax expense, plus or minus financial income or expenses, net, plus or minus income or expense in respect of securities measured at fair value, net, plus or minus income or expenses in respect of currency exchange differences and derivatives instruments, net, plus depreciation and amortization expense, plus non-cash share-based compensation expenses and certain other costs.

 

 

About Kamada

 

Kamada Ltd. (the “Company”) is a commercial stage global biopharmaceutical company with a portfolio of marketed products indicated for rare and serious conditions and a leader in the specialty plasma-derived field, focused on diseases of limited treatment alternatives. The Company is also advancing an innovative development pipeline targeting areas of significant unmet medical need. The Company’s strategy is focused on driving profitable growth from its significant commercial catalysts as well as its manufacturing and development expertise in the plasma-derived and biopharmaceutical fields. The Company’s commercial products portfolio includes six FDA approved plasma-derived biopharmaceutical products: CYTOGAM®, KEDRAB®, WINRHO SDF®, VARIZIG®, HEPAGAM B® and GLASSIA®, as well as KAMRAB®, KAMRHO (D)® and two types of equine-based anti-snake venom (ASV) products. The Company distributes its commercial products portfolio directly, and through strategic partners or third-party distributors in more than 30 countries, including the U.S., Canada, Israel, Russia, Argentina, Brazil, India, Australia and other countries in Latin America, Europe, Middle East, and Asia. The Company leverages its expertise and presence in the Israeli market to distribute, for use in Israel, more than 25 pharmaceutical products that are supplied by international manufacturers. During recent years the Company added eleven biosimilar products to its Israeli distribution portfolio, which, subject to the European Medicines Agency (EMA) and the Israeli Ministry of Health approvals, are expected to be launched in Israel through 2028. The Company owns an FDA licensed plasma collection center in Beaumont, Texas, which currently specializes in the collection of hyper-immune plasma used in the manufacture of KAMRHO (D). In addition to the Company’s commercial operation, it invests in research and development of new product candidates. The Company’s leading investigational product is an inhaled AAT for the treatment of AAT deficiency, for which it is continuing to progress the InnovAATe clinical trial, a randomized, double-blind, placebo-controlled, pivotal Phase 3 trial. FIMI Opportunity Funds, the leading private equity firm in Israel, is the Company’s lead shareholder, beneficially owning approximately 38% of the outstanding ordinary shares.

 

Cautionary Note Regarding Forward-Looking Statements

 

This release includes forward-looking statements within the meaning of Section 21E of the U.S. Securities Exchange Act of 1934, as amended, and the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995. Forward-looking statements are statements that are not historical facts, including statements regarding: 1) continued ability to leverage growth drivers, 2) continuing the momentum of the first three quarters of 2023 in the last quarter and ability to enhance profitability, 3) reiteration of fiscal year 2023 guidance, 4) exploration of future business development prospects in the wake of the recent private placement proceeds, and 5) positive feedback relating to inhaled ATT clinical trial. Forward-looking statements are based on Kamada’s current knowledge and its present beliefs and expectations regarding possible future events and are subject to risks, uncertainties and assumptions. Actual results and the timing of events could differ materially from those anticipated in these forward-looking statements as a result of several factors including, but not limited to the evolving nature of the conflicts in the Middle East and the impact of such conflicts in Israel, the Middle East and the rest of the world, the impact of conflicts on market conditions and the general economic, industry and political conditions in Israel, the U.S. and globally, continuation of inbound and outbound international delivery routes, continued demand for Kamada’s products, financial conditions of the Company’s customer, suppliers and services providers, Kamada’s ability to integrate the new product portfolio into its current product portfolio, Kamada’s ability to grow the revenues of its new product portfolio, and leverage and expand its international distribution network, ability to reap the benefits of the acquisition of the plasma collection center, including the ability to open additional U.S. plasma centers, and acquisition of the FDA-approved plasma-derived hyperimmune commercial products, the ability to continue enrollment of the pivotal Phase 3 InnovAATe clinical trial in new locations, unexpected results of clinical studies, Kamada’s ability to manage operating expenses, additional competition in the markets that Kamada competes, regulatory delays, prevailing market conditions and the impact of general economic, industry or political conditions in the U.S., Israel or otherwise, and other risks detailed in Kamada’s filings with the U.S. Securities and Exchange Commission (the “SEC”) including those discussed in its most recent Annual Report on Form 20-F and in any subsequent reports on Form 6-K, each of which is on file or furnished with the SEC and available at the SEC’s website at www.sec.gov. The forward-looking statements made herein speak only as of the date of this announcement and Kamada undertakes no obligation to update publicly such forward-looking statements to reflect subsequent events or circumstances, except as otherwise required by law.

 

CONTACTS:

 

Chaime Orlev

Chief Financial Officer

IR@kamada.com

 

Brian Ritchie

LifeSci Advisors, LLC

212-915-2578

Britchie@LifeSciAdvisors.com

 

 

KAMADA LTD.

 

Condensed Consolidated Interim Statements of Financial Position

 

		As of September 30,								As of December 31,
		2023				2022				2022
		Unaudited								Audited
Assets
Current Assets
Cash and cash equivalents		$	52,603			$	31,252			$	34,258
Trade receivables, net			25,107				23,997				27,252
Other accounts  receivables			1,648				6,884				8,710
Inventories			73,795				73,029				68,785
Total Current Assets			153,153				135,162				139,005
Non-Current Assets
Property, plant and equipment, net			27,362				25,898				26,157
Right-of-use assets			5,494				2,793				2,568
Intangible assets, Goodwill and other long-term assets			142,501				148,620				147,072
Contract assets			8,546				7,164				7,577
Total Non-Current Assets			183,903				184,475				183,374
Total Assets		$	337,056			$	319,637			$	322,379
Liabilities
Current Liabilities
Current maturities of bank loans		$	-			$	4,444			$	4,444
Current maturities of lease liabilities			1,138				1,004				1,016
Current maturities of other long term liabilities			15,989				25,095				29,708
Trade payables			12,812				30,619				32,917
Other accounts payables			7,318				7,948				7,585
Deferred revenues			15				40				35
Total Current Liabilities			37,272				69,150				75,705
Non-Current Liabilities
Bank loans			-				14,074				12,963
Lease liabilities			4,717				2,414				2,177
Contingent consideration			19,642				20,705				17,534
Other long-term liabilities			36,477				39,915				37,308
Deferred revenues			-				15				-
Employee benefit liabilities, net			558				813				672
Total Non-Current Liabilities			61,394				77,936				70,654
Shareholder’s Equity
Ordinary shares			15,020				11,732				11,734
Additional paid in capital  net			265,700				210,355				210,495
Capital reserve due to translation to presentation currency			(3,490	)			(3,490	)			(3,490	)
Capital reserve from hedges			(98	)			(257	)			(88	)
Capital reserve from share-based payments			6,198				5,427				5,505
Capital reserve from employee benefits			318				212				348
Accumulated deficit			(45,258	)			(51,428	)			(48,484	)
Total Shareholder’s Equity			238,390				172,551				176,020
Total Liabilities and Shareholder’s Equity		$	337,056			$	319,637			$	322,379

 

 

KAMADA LTD.

 

Condensed Consolidated Interim Statements of Profit or Loss and Other Comprehensive Income

 

		Nine months period ended								Three months period ended								Year ended
		September 30,								September 30,								December 31,
		2023				2022				2023				2022				2022
		Unaudited								Unaudited								Audited
Revenues from proprietary products		$	86,437			$	67,198			$	31,436			$	25,580			$	102,598
Revenues from distribution			19,650				16,702				6,498				6,637				26,741
Total revenues			106,087				83,900				37,934				32,217				129,339
Cost of revenues from proprietary products			47,863				37,856				17,447				13,151				58,229
Cost of revenues from distribution			17,146				14,632				5,684				6,196				24,407
Total cost of revenues			65,009				52,488				23,131				19,347				82,636
Gross profit			41,078				31,412				14,803				12,870				46,703
Research and development expenses			10,694				10,181				3,180				3,118				13,172
Selling and marketing expenses			11,573				10,435				3,711				3,843				15,284
General and administrative expenses			10,603				9,481				3,701				3,165				12,803
Other expenses			920				801				(157	)			182				912
Operating income (loss)			7,288				514				4,368				2,562				4,532
Financial income			92				32				67				29				91
Income (expenses) in respect of currency exchange differences and derivatives instruments, net			726				756				553				163				298
Financial Income (expense) in respect of contingent consideration and other long- term liabilities.			(3,358	)			(5,924	)			(1,288	)			(2,049	)			(6,266	)
Financial expenses			(1,343	)			(583	)			(404	)			(211	)			(914	)
Income (expense) before tax on income			3,405				(5,205	)			3,296				494				(2,259	)
Taxes on income			179				60				73				10				62
Net income (loss)		$	3,226			$	(5,265	)		$	3,223			$	484			$	(2,321	)
Other comprehensive income (loss):
Amounts that will be or that have been reclassified to profit or loss when specific conditions are met:
Gain (loss) on cash flow hedges			(334	)			(830	)			(90	)			(46	)			(776	)
Net amounts transferred to the statement of profit or loss for cash flow hedges			324				519				59				231				634
Items that will not be reclassified to profit or loss in subsequent periods:
Remeasurement gain (loss) from defined benefit plan			(30	)			361				(106	)			(59	)			497
Total comprehensive income (loss)		$	3,186			$	(5,215	)		$	3,086			$	610			$	(1,966	)
Earnings per share attributable to equity holders of the Company:
Basic net earnings per share		$	0.07			$	(0.12	)		$	0.07			$	0.01			$	(0.05	)
Diluted net earnings per share		$	0.06			$	(0.12	)		$	0.06			$	0.01			$	(0.05	)

 

 

KAMADA LTD.

 

Condensed consolidated interim statements of cash flows

 

		Nine months period Ended								Three months period Ended								Year Ended
		September, 30								September, 30								December 31,
		2023				2022				2023				2022				2022
		Unaudited																Audited
		U.S Dollars In thousands
Cash Flows from Operating Activities
Net income (loss)		$	3,226			$	(5,265	)		$	3,223			$	484			$	(2,321	)
Adjustments to reconcile net income to net cash provided by (used in) operating activities:
Adjustments to the profit or loss items:
Depreciation and impairment			9,506				9,143				3,179				3,055				12,155
Financial expenses (income), net			3,883				5,719				1,072				2,068				6,791
Cost of share-based payment			941				935				312				366				1,153
Taxes on income			179				60				73				10				62
Loss (gain) from sale of property and equipment			(5	)			-				-				-				-
Change in employee benefit liabilities, net			(144	)			(106	)			(104	)			(10	)			(111	)
			14,360				15,751				4,532				5,489				20,050
Changes in asset and liability items:
Decrease (increase) in trade receivables, net			2,078				10,744				(618	)			(6,358	)			7,603
Decrease (increase) in other accounts receivables			2,716				2,917				1,177				844				(578	)
Decrease (increase) in inventories			(5,011	)			(5,606	)			6,441				(8,509	)			(1,361	)
Decrease (increase) in deferred expenses			2,763				(2,596	)			(279	)			(2,112	)			(1,340	)
Increase (decrease) in trade payables			(18,617	)			5,895				(13,181	)			13,738				7,055
Increase (decrease) in other accounts payables			(359	)			566				49				2,083				290
Decrease in deferred revenues			(20	)			-				(23	)			-				(20	)
			(16,450	)			11,920				(6,434	)			(314	)			11,649
Cash received (paid) during the period for:
Interest paid			(1,149	)			(550	)			(405	)			(170	)			(853	)
Interest received			92				15				67				12				97
Taxes paid			(174	)			(27	)			(62	)			(9	)			(36	)
			(1,231	)			(562	)			(400	)			(167	)			(792	)
Net cash provided by (used in) operating activities		$	(95	)		$	21,844			$	921			$	5,492			$	28,586

 

 

KAMADA LTD.

 

Condensed consolidated interim statements of cash flows

 

		Nine months period Ended								Three months period Ended								Year Ended
		September, 30								September, 30								December 31,
		2023				2022				2023				2022				2022
		Unaudited																Audited
		U.S Dollars In thousands
Cash Flows from Investing Activities
Purchase of property and equipment and intangible assets		$	(3,876	)		$	(2,807	)		$	(1,729	)		$	(1,616	)		$	(3,784	)
Proceeds from sale of property and equipment			6				-				-				-				-
Net cash provided by (used in) investing activities			(3,870	)			(2,807	)			(1,729	)			(1,616	)			(3,784	)
Cash Flows from Financing Activities
Proceeds from exercise of share base payments			3				7				-				1				9
Repayment of lease liabilities			(768	)			(842	)			(251	)			(269	)			(1,098	)
Repayment of long-term loans			(17,407	)			(1,517	)			(15,185	)			(1,116	)			(2,628	)
Repayment of other long-term liabilities			(17,500	)			(4,120	)			(11,500	)			(877	)			(5,626	)
Proceeds from issuance of ordinary shares, net			58,231				-				58,231				-				-
Net cash provided by (used in) financing activities			22,559				(6,472	)			31,295				(2,261	)			(9,343	)
Exchange differences on balances of cash and cash equivalent			(249	)			100				328				(296	)			212
Increase (decrease) in cash and cash equivalents			18,345				12,665				30,815				1,319				15,671
Cash and cash equivalents at the beginning of the period			34,258				18,587				21,788				29,933				18,587
Cash and cash equivalents at the end of the period		$	52,603			$	31,252			$	52,603			$	31,252			$	34,258
Significant non-cash transactions
Right-of-use asset recognized with corresponding lease liability		$	3,880			$	526			$	295			$	230			$	551
Purchase of property and equipment and Intangible assets		$	681			$	134			$	681			$	134			$	618

 

 

KAMADA LTD.

 

NON-IFRS MEASURES

 

		Nine months period ended								Three months period ended								Year ended
		September 30,								September 30,								December 31,
		2023				2022				2023				2022				2022
		In thousands
Net income		$	3,226			$	(5,265	)		$	3,223			$	484			$	(2,321	)
Taxes on income			179				60				73				10				62
Financial expense (income), net			3,883				5,719				1,072				2,068				6,791
Depreciation and amortization expense			9,506				9,143				3,179				3,055				12,155
Non-cash share-based compensation expenses			941				935				312				366				1,153
Adjusted EBITDA		$	17,735			$	10,592			$	7,859			$	5,983			$	17,840

 

 

Exhibit 99.2

 

INVESTORS MEETING NASDAQ & TASE: KMDA November 2023

FORWARD LOOKING STATEMENT This presentation is not intended to provide investment or medical advice . It should be noted that some products under development described herein have not been found safe or effective by any regulatory agency and are not approved for any use outside of clinical trials . This presentation contains forward - looking statements, which express the current beliefs and expectations of Kamada’s management . Such statements include the 2023 financial guidance, success of the inhaled AAT clinical study, its benefits and potential market size, success of the U . S . plasma collection expansion and revenue potential, and success in launching new products in the Israeli distribution business segment . These statement involve a number of known and unknown risks and uncertainties that could cause Kamada's future results, performance or achievements to differ significantly from the prospected results, performances or achievements expressed or implied by such forward - looking statements . Important factors that could cause or contribute to such differences include, but are not limited to, risks relating to Kamada's ability to successfully develop and commercialize its products and product candidates, the progress and results of any clinical trials, the introduction of competing products, the continued market acceptance of Kamada’s commercial products portfolio, the impact of any changes in regulation and legislation that could affect the pharmaceutical industry, the difficulty of predicting, obtaining or maintaining U . S . Food and Drug Administration, European Medicines Agency and other regulatory authority approvals, the regulatory environment, restrains related to third parties’ IP rights and changes in the health policies and structures of various countries, success of M&A strategies, environmental risks, changes in the worldwide pharmaceutical industry and other factors that are discussed under the heading “Risk Factors” of Kamada’s 202 2 Annual Report on Form 20 - F (filed on March 15 , 202 3 ) as well as in Kamada’s recent Forms 6 - K filed with the U . S . Securities and Exchange Commission . This presentation includes certain non - IFRS financial information, which is not intended to be considered in isolation or as a substitute for, or superior to, the financial information prepared and presented in accordance with IFRS . The non - IFRS financial measures may be calculated differently from, and therefore may not be comparable to, similarly titled measures used by other companies . In accordance with the requirement of the SEC regulations a reconciliation of these non - IFRS financial measures to the comparable IFRS measures is included in an appendix to this presentation . Management uses these non - IFRS financial measures for financial and operational decision - making and as a means to evaluate period - to - period comparisons . Management believes that these non - IFRS financial measures provide meaningful supplemental information regarding Kamada’s performance and liquidity . Forward - looking statements speak only as of the date they are made, and Kamada undertakes no obligation to update any forward - looking statement to reflect the impact of circumstances or events that arise after the date the forward - looking statement was made, except as required by applicable securities laws . You should not place undue reliance on any forward - looking statement and should consider the uncertainties and risks noted above, as well as the risks and uncertainties more fully discussed under the heading “Risk Factors” of Kamada’s 202 2 Annual Report on Form 20 - F (filed on March 15 , 202 3 ) as well as in Kamada’s recent Forms 6 - K filed with the U . S . Securities and Exchange Commission . 2 Kamada / November 2023

6 FDA approved products ; global commercial network selling in over 30 countries 2023 revenues guidance of $138M - $146M; Adjusted EBITDA of $22M - $26M; rapidly growing; positive cash - flow; strong balance sheet Multiple growth drivers with limited downside ri sk and significant upside potential KAMADA HIGHLIGHTS 6 3 Kamada is a commercial stage global biopharmaceutical company with a portfolio of marketed products indicated for rare and serious conditions The company is a leader in the specialty plasma - derived field focused on diseases of limited treatment alternatives The company is advancing an innovative development pipeline targeting areas of significant unmet medical need Kamada / November 2023

FINANCIAL GROWTH TRAJECTORY Adjusted EBITDA is defined as net income, plus (i) tax expense, (ii) financial income (expense), net, (iii) depreciation and amortization ; and (v) non - cash share - based compensation expenses 4 104 129 138 - 146 2021 2022 2023 Revenues US$M 6 18 22 - 26 2021 2022 2023 Adjusted EBITDA US$M 2023 represents annual guidance 2023 represents annual guidance Kamada / November 2023 Strong First 9 - Month Results and Expected Continued Momentum Anticipated to Drive Full - Year 2023 Adjusted EBITDA Growth (mid point represents approx. 35% increase YoY)

o Product launched in the U.S in 2018 in collaboration with Kedrion o Total U.S market size > $150M o Only anti - Rabies IgG product with FDA approved label confirming safety and effectiveness in children KEDRAB Anti - Rabies Immune Globulin 12 16 18 12 16 16 31 24 25 36 10 % 20 % 23 % 27 % 32 % 0% 5% 10% 15% 20% 25% 30% 35% 0 5 10 15 20 25 30 35 40 2018 2019 2020 2021 2022 KEDRAB US Revenues (US$M) Kamada Kedrion Market Share Kamada / November 2023 5

$60M STRATEGIC INVESTMENT BY FIMI 6 Kamada / November 2023 o Proceeds from the private placement are expected to be used to accelerate the growth of the Company’s existing business and execution of strategic business development opportunities o Approximately 12.6 million ordinary shares at a price of $4.75 per share. Represents the average closing price of the Company’s shares on NASDAQ during the 20 trading days prior to the date of the agreement o Following the investment, FIMI beneficially own approximately 38% of Kamada’s outstanding ordinary shares and is a controlling shareholder of the Company, within the meaning of the Israeli Companies Law, 1999. o Secured a strategic share purchase agreement with FIMI Opportunity Funds , the leading private equity firm in Israel and an existing significant Kamada shareholder to purchase $60 million of the Company ordinary ’s shares in a private placement

FDA - APPROVED S PECIALITY PLASMA PRODUCTS; KEY FOCUS ON TRANSPLANTATION & RARE CONDITIONS KEDRAB/KAMRAB® [Rabies Immune Globulin (Human)] Post exposure prophylaxis of rabies infection CYTOGAM® [Cytomegalovirus Immune Globulin Intravenous (Human)] Prophylaxis of cytomegalovirus disease associated with transplantation VARIZIG® [Varicella Zoster Immune Globulin (Human)] Post - exposure prophylaxis of varicella in high - risk patient groups HEPGAM B® [Hepatitis B Immune Globulin (Human)] Prevention of HBV recurrence following liver transplantation WINRHO® [Rho(D) Immune Globulin (Human)] Treatment of immune thermobocytopunic purpura (ITP) & suppression of Rh isoimmunization (HDN) GLASSIA® [Alpha1 - Proteinase Inhibitor (Human)] Augmentation therapy for Alpha - 1 Antitrypsin Deficiency (AATD) Kamada / November 2023 7

CYTOGAM is the only plasma - derived IgG approved in the US and Canada for its indication o Indicated for prophylaxis of CMV disease in kidney, lung, liver, pancreas, heart and heart / lung transplants, an area of significant unmet medical need. International guidelines for the management of CMV in solid organ transplantation provide recommendations for prophylaxis in high - risk groups o Significant growth opportunities in the US, Canada and the international markets as volume of transplants continues to increase . o CYTOGAM manufactured at the Company’s facility in Israel is now available for commercial sales in the U . S . Availability in Canada is expected by the end of this year CYTOGAM CMV Immune Globulin Kamada / November 2023 8 o New clinical data highlighting five - year real - world survival benefits of high risk cmv mismatch lung transplant patients receiving CYTOGAM were presented at IDweek 2023 o Established a Scientific Advisory Board, consisting of eight U . S . based world - renowned thought leaders in the solid organ transplantation field, focuses on U . S . clinical program for CYTOGAM including new opportunities and future R&D possibilities

STRATEGIC ENTRY INTO THE U.S. PLASMA COLLECTION MARKET 9 Kamada / November 2023

STRATEGIC ENTRY INTO THE U.S. PLASMA COLLECTION MARKET Kamada Plasma was established in Q1 20 21 through the acquisition of an FDA - licensed plasma collection center in Texas, focusing on collecting hyper - immune plasma for specialty IgG’s o Strategic transaction which advances Kamad a ’s objective to evolve into a fully integrated specialty plasma company, enhancing self - supply for our hyperimmune products o Planning to open additional centers in the US, collecting hyper - immune plasma as well as normal source plasma (NSP) o Average annual revenues of a mature collection center ranges between $8M - $10M 10 Kamada / November 2023

o Non - Invasive, at - home treatment. Expected better ease of use and quality of life for AATD patients than current IV SOC o The leading new innovative AATD treatment in advanced clinical stage (Ph - 3) o Most effective mode of treatment for delivering therapeutic amounts of AAT directly into the airways o Studied in more than 200 individuals to date, with an established safety profile o Positive recent scientific advice from EMA : reconfirms overall study design and acknowledges the statistically and clinically meaningful FEV1 results demonstrated in previously study o Only 1/8th of the IV AAT dosing, more cost - effective ; Favorable market access landscape o To date enrolled over 30% of the overall required enrollment to the study o Substantial opportunity in over a $1 billion market Global, double - blind, randomized, placebo - controlled pivotal Phase 3 clinical trial to test the safety and efficacy of inhaled AAT in patients with AATD. Study design meet FDA and EMA’s requirements 11 Kamada / November 2023 INHALED AAT PHASE 3 PIVOTAL STUDY

RECENTLY APPOINTED INDEPENDENT DIRECTORS 12 Kamada / November 2023 Prof . Benjamin Dekel currently serves as the Founder and Chief Scientist of RenoVate Biopharmaceuticals Ltd . , as director at Sagol Center for Regenerative Medicine, Tel Aviv University ; as Vice - Dean, School of Medicine, Tel Aviv University ; Chief, Pediatric Nephrology and Pediatric Stem Cell Research Institute, Sheba Medical Center ; as a member of the Higher Committee on Cell and Gene Therapy, Israel Ministry of Health ; and as a member of the Scientific Advisory Board, Stemrad , Ltd . From June 2009 until June 2020 , Prof . Dekel served as Chief Scientist and a member of the board of directors of KidneyCure Inc . In 2011 , Prof . Dekel Served as a Visiting Scholar at Stanford University . From January 2003 to January 2005 , Prof . Dekel Served as a Fellow at the Weizmann Institute . Prof . Dekel holds an MD degree in Medicine from the Technion — Israel Institute of Technology and a PhD in Immunology & Transplantation Biology from the Weizmann Institute . Assaf Itshayek has over 15 years of hi - tech industry experience in senior management and finance executive positions in different industries (including online, fintech and energy) . Mr . Itshayek currently serves as a member of the board of directors of GoTo Global Ltd . , Qira Ltd . and Trinity Audio Ltd . From June 2021 until October 2022 , Mr . Itshayek served as the chief executive officer of NeraTech Media Ltd . Prior thereto, from November 2012 until June 2021 , Mr . Itshayek was at Somoto Ltd . (TASE : SMTO), initially as the chief financial officer and from December 2017 , as the chief executive officer . Prior thereto, Mr . Itshayek served as the chief financial officer of BlueSnap Inc . (from February 2021 until January 2021 ) and Digital Power Corporation Ltd . (June 2009 - May 2011 ) and served as the corporate controller of Metalink Ltd . from June 2006 until August 2008 . From December 1999 until July 2006 , Mr . Itshayek served as a TMT senior audit manager at Deloitte Brightman Almagor Zohar & Co . , a Firm in the Deloitte Global Network . Mr . Itshayek holds a B . A . degree in Business Administration and Accountancy from the College of Management and an M . B . A . degree from Tel Aviv University .

9M & Q3 SUMMARY FINANCIAL DATA 13 Kamada / November 2023 Details Q3/ 20 22 Q3/2023 9M/ 20 22 9M/2023 US $ M 25.6 31.4 67.2 86.4 PROPRIETARY 6.6 6.5 16.7 19.7 DISTRIBUTION 26% and 18% YoY increase for 9M & Q3, respectively 32.2 37.9 83.9 106.1 TOTAL REVENUES 12.9 14.8 31.4 41.1 GROSS PROFIT 40% 39% 37% 39% GROSS MARGIN (10.3) (10.4) (30.9) (33.8) OPEX 0.5 3.2 (5.3) 3.2 NET PROFIT 67% and 31% YoY increase for 9M & Q3, respectively 6.0 7.9 10.6 17.7 Adjusted EBITDA 31.3 52.6 CASH Including acquisition related intangible assets ($138M @ September 23) 319.6 337.1 TOTAL ASSETS 5 - year term loan paid down in full during Q3 - 23 18.5 0.0 BANK LOAN Acquisition related contingent consideration 85.7 72.1 CONTINGENT LIABILITIES 172.6 238.4 EQUITY

KAMADA INVESTMENT HIGHLIGHTS 14 Kamada / November 2023 A global leader; focused on areas of limited treatment alternatives Financially stable; profitable; cash - generating; continued double digit growth 6 FDA approved products with significant worldwide growth potential Leading innovative product for AAT Deficiency in late stage development; Targeting a market of over $1B Significant upside potential with limited downside

November 202 3 THANK YOU WWW.KAMADA.COM

Non - IFRS measures – Adjusted EBITDA Q3/ 20 22 Q3/2023 9M/ 20 22 9M/2023 US $ M 0.5 3.2 (5.3) 3.2 Net loss 0.0 0.1 0.1 0.2 Taxes on income 2.0 1.3 5.9 3.4 Revaluation of Acquisition related contingent consideration 0.0 (0.2) (0.2) 0.5 Other financial expense, net 1.8 1.8 5.3 5.3 Amortization of acquisition related intangible assets 1.3 1.4 3.9 4.2 Other depreciation and amortization expenses 0.4 0.3 0.9 0.9 Non - cash share - based compensation expenses 6.0 7.9 10.6 17.7 Adjusted EBITDA Kamada / November 2023 16

v3.23.3

Document And Entity Information	9 Months Ended
	Sep. 30, 2023
Document Information Line Items
Entity Registrant Name	Kamada Ltd.
Document Type	6-K
Current Fiscal Year End Date	--12-31
Amendment Flag	false
Entity Central Index Key	0001567529
Document Period End Date	Sep. 30, 2023
Document Fiscal Year Focus	2023
Document Fiscal Period Focus	Q3
Entity File Number	001-35948

v3.23.3

Condensed Consolidated Interim Statements of Financial Position - USD ($)	Sep. 30, 2023	Dec. 31, 2022	Sep. 30, 2022
Current Assets
Cash and cash equivalents	$ 52,603	$ 34,258	$ 31,252
Trade receivables, net	25,107	27,252	23,997
Other accounts receivables	1,648	8,710	6,884
Inventories	73,795	68,785	73,029
Total Current Assets	153,153	139,005	135,162
Non-Current Assets
Property, plant and equipment, net	27,362	26,157	25,898
Right-of-use assets	5,494	2,568	2,793
Intangible assets, Goodwill and other long-term assets	142,501	147,072	148,620
Contract assets	8,546	7,577	7,164
Total Non-Current Assets	183,903	183,374	184,475
Total Assets	337,056	322,379	319,637
Current Liabilities
Current maturities of bank loans		4,444	4,444
Current maturities of lease liabilities	1,138	1,016	1,004
Current maturities of other long term liabilities	15,989	29,708	25,095
Trade payables	12,812	32,917	30,619
Other accounts payables	7,318	7,585	7,948
Deferred revenues	15	35	40
Total Current Liabilities	37,272	75,705	69,150
Non-Current Liabilities
Bank loans		12,963	14,074
Lease liabilities	4,717	2,177	2,414
Contingent consideration	19,642	17,534	20,705
Other long-term liabilities	36,477	37,308	39,915
Deferred revenues			15
Employee benefit liabilities, net	558	672	813
Total Non-Current Liabilities	61,394	70,654	77,936
Shareholder’s Equity
Ordinary shares	15,020	11,734	11,732
Additional paid in capital net	265,700	210,495	210,355
Capital reserve due to translation to presentation currency	(3,490)	(3,490)	(3,490)
Capital reserve from hedges	(98)	(88)	(257)
Capital reserve from share-based payments	6,198	5,505	5,427
Capital reserve from employee benefits	318	348	212
Accumulated deficit	(45,258)	(48,484)	(51,428)
Total Shareholder’s Equity	238,390	176,020	172,551
Total Liabilities and Shareholder’s Equity	$ 337,056	$ 322,379	$ 319,637

v3.23.3

Condensed Consolidated Interim Statements of Profit or Loss and Other Comprehensive Income - USD ($)	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Income Statement [Abstract]
Revenues from proprietary products	$ 31,436	$ 25,580	$ 86,437	$ 67,198	$ 102,598
Revenues from distribution	6,498	6,637	19,650	16,702	26,741
Total revenues	37,934	32,217	106,087	83,900	129,339
Cost of revenues from proprietary products	17,447	13,151	47,863	37,856	58,229
Cost of revenues from distribution	5,684	6,196	17,146	14,632	24,407
Total cost of revenues	23,131	19,347	65,009	52,488	82,636
Gross profit	14,803	12,870	41,078	31,412	46,703
Research and development expenses	3,180	3,118	10,694	10,181	13,172
Selling and marketing expenses	3,711	3,843	11,573	10,435	15,284
General and administrative expenses	3,701	3,165	10,603	9,481	12,803
Other expenses	(157)	182	920	801	912
Operating income (loss)	4,368	2,562	7,288	514	4,532
Financial income	67	29	92	32	91
Income (expenses) in respect of currency exchange differences and derivatives instruments, net	553	163	726	756	298
Financial Income (expense) in respect of contingent consideration and other long- term liabilities.	(1,288)	(2,049)	(3,358)	(5,924)	(6,266)
Financial expenses	(404)	(211)	(1,343)	(583)	(914)
Income (expense) before tax on income	3,296	494	3,405	(5,205)	(2,259)
Taxes on income	73	10	179	60	62
Net income (loss)	3,223	484	3,226	(5,265)	(2,321)
Other comprehensive income (loss) :
Gain (loss) on cash flow hedges	(90)	(46)	(334)	(830)	(776)
Net amounts transferred to the statement of profit or loss for cash flow hedges	59	231	324	519	634
Items that will not be reclassified to profit or loss in subsequent periods:
Remeasurement gain (loss) from defined benefit plan	(106)	(59)	(30)	361	497
Total comprehensive income (loss)	$ 3,086	$ 610	$ 3,186	$ (5,215)	$ (1,966)
Earnings per share attributable to equity holders of the Company:
Basic net earnings per share (in Dollars per share)	$ 0.07	$ 0.01	$ 0.07	$ (0.12)	$ (0.05)
Diluted net earnings per share (in Dollars per share)	$ 0.06	$ 0.01	$ 0.06	$ (0.12)	$ (0.05)

v3.23.3

Condensed Consolidated Interim Statements of Changes in Equity - USD ($)	Share capital	Additional paid in capital	Capital reserve due to translation to presentation currency	Capital reserve from hedges	Capital reserve from sharebased payments	Capital reserve from employee benefits	Accumulated deficit	Total
Balance at Dec. 31, 2021	$ 11,725	$ 210,204	$ (3,490)	$ 54	$ 4,643	$ (149)	$ (46,163)	$ 176,824
Net income							(5,265)	(5,265)
Other comprehensive income (loss)				(311)		361		50
Total comprehensive income (loss)				(311)		361	(5,265)	(5,215)
Exercise and forfeiture of share-based payment into shares	7	151			(151)			7
Cost of share-based payment					935			935
Balance at Sep. 30, 2022	11,732	210,355	(3,490)	(257)	5,427	212	(51,428)	172,551
Balance at Dec. 31, 2021	11,725	210,204	(3,490)	54	4,643	(149)	(46,163)	176,824
Net income							(2,321)	(2,321)
Other comprehensive income (loss)				(142)		497		355
Total comprehensive income (loss)				(142)		497	(2,321)	(1,966)
Exercise and forfeiture of share-based payment into shares	9	291			(291)			9
Cost of share-based payment					1,153			1,153
Balance at Dec. 31, 2022	11,734	210,495	(3,490)	(88)	5,505	348	(48,484)	176,020
Balance at Jun. 30, 2022	11,731	210,319	(3,490)	(442)	5,097	271	(51,912)	171,574
Net income							484	484
Other comprehensive income (loss)				185		(59)		126
Total comprehensive income (loss)				185		(59)	484	610
Exercise and forfeiture of share-based payment into shares	1	36			(36)			1
Cost of share-based payment					366			366
Balance at Sep. 30, 2022	11,732	210,355	(3,490)	(257)	5,427	212	(51,428)	172,551
Balance at Dec. 31, 2022	11,734	210,495	(3,490)	(88)	5,505	348	(48,484)	176,020
Net income							3,226	3,226
Other comprehensive income (loss)				(10)		(30)		(40)
Total comprehensive income (loss)				(10)		(30)	3,226	3,186
Issuance of ordinary shares, net of issuance cost	3,283	54,948						58,231
Exercise and forfeiture of share-based payment into shares	3	257			(257)			3
Cost of share-based payment					950			950
Balance at Sep. 30, 2023	15,020	265,700	(3,490)	(98)	6,198	318	(45,258)	238,390
Balance at Jun. 30, 2023	11,737	210,727	(3,490)	(67)	5,902	424	(48,481)	176,752
Net income							3,223	3,223
Other comprehensive income (loss)				32		(115)		(83)
Total comprehensive income (loss)				32		(115)	1,812	1,729
Issuance of ordinary shares, net of issuance cost	3,283	54,948						58,231
Exercise and forfeiture of share-based payment into shares		25			(25)
Cost of share-based payment					321			321
Balance at Sep. 30, 2023	$ 15,020	$ 265,700	$ (3,490)	$ (98)	$ 6,198	$ 318	$ (45,258)	$ 238,390

v3.23.3

Condensed Consolidated Interim Statements of Cash Flows - USD ($)	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Cash Flows from Operating Activities
Net income (loss)	$ 3,223	$ 484	$ 3,226	$ (5,265)	$ (2,321)
Adjustments to the profit or loss items:
Depreciation and impairment	3,179	3,055	9,506	9,143	12,155
Financial expenses (income), net	1,072	2,068	3,883	5,719	6,791
Cost of share-based payment	312	366	941	935	1,153
Taxes on income	73	10	179	60	62
Loss (gain) from sale of property and equipment			(5)
Change in employee benefit liabilities, net	(104)	(10)	(144)	(106)	(111)
Adjustments to the profit or loss items	4,532	5,489	14,360	15,751	20,050
Changes in asset and liability items:
Decrease (increase) in trade receivables, net	(618)	(6,358)	2,078	10,744	7,603
Decrease (increase) in other accounts receivables	1,177	844	2,716	2,917	(578)
Decrease (increase) in inventories	6,441	(8,509)	(5,011)	(5,606)	(1,361)
Decrease (increase) in deferred expenses	(279)	(2,112)	2,763	(2,596)	(1,340)
Increase (decrease) in trade payables	(13,181)	13,738	(18,617)	5,895	7,055
Increase (decrease) in other accounts payables	49	2,083	(359)	566	290
Decrease in deferred revenues	(23)		(20)		(20)
Total Changes in asset and liability	(6,434)	(314)	(16,450)	11,920	11,649
Cash received (paid) during the period for:
Interest paid	(405)	(170)	(1,149)	(550)	(853)
Interest received	67	12	92	15	97
Taxes paid	(62)	(9)	(174)	(27)	(36)
Cash received (paid) during the year	(400)	(167)	(1,231)	(562)	(792)
Net cash provided by (used in) operating activities	921	5,492	(95)	21,844	28,586
Cash Flows from Investing Activities
Purchase of property and equipment and intangible assets	(1,729)	(1,616)	(3,876)	(2,807)	(3,784)
Proceeds from sale of property and equipment			6
Net cash provided by (used in) investing activities	(1,729)	(1,616)	(3,870)	(2,807)	(3,784)
Cash Flows from Financing Activities
Proceeds from exercise of share base payments		1	3	7	9
Repayment of lease liabilities	(251)	(269)	(768)	(842)	(1,098)
Repayment of long-term loans	(15,185)	(1,116)	(17,407)	(1,517)	(2,628)
Repayment of other long-term liabilities	(11,500)	(877)	(17,500)	(4,120)	(5,626)
Proceeds from issuance of ordinary shares, net	58,231		58,231
Net cash provided by (used in) financing activities	31,295	(2,261)	22,559	(6,472)	(9,343)
Exchange differences on balances of cash and cash equivalent	328	(296)	(249)	100	212
Increase (decrease) in cash and cash equivalents	30,815	1,319	18,345	12,665	15,671
Cash and cash equivalents at the beginning of the period	21,788	29,933	34,258	18,587	18,587
Cash and cash equivalents at the end of the period	52,603	31,252	52,603	31,252	34,258
Significant non-cash transactions
Right-of-use asset recognized with corresponding lease liability	295	230	3,880	526	551
Purchase of property and equipment and Intangible assets	$ 681	$ 134	$ 681	$ 134	$ 618

v3.23.3

General	9 Months Ended
	Sep. 30, 2023
General [Abstract]
General	Note 1:- General   General description of the Company and its activity   Kamada Ltd. (the “Company”) is a commercial stage global biopharmaceutical company with a portfolio of marketed products indicated for rare and serious conditions and a leader in the specialty plasma-derived field, focused on diseases of limited treatment alternatives. The Company is also advancing an innovative development pipeline targeting areas of significant unmet medical need. The Company’s strategy is focused on driving profitable growth from its significant commercial catalysts as well as its manufacturing and development expertise in the plasma-derived and biopharmaceutical fields. The Company’s commercial products portfolio includes six FDA approved plasma-derived biopharmaceutical products CYTOGAM®, KEDRAB®, WINRHO SDF®, VARIZIG®, HEPAGAM B® and GLASSIA®, as well as KAMRAB®, KAMRHO (D) ® and two types of equine-based anti-snake venom (ASV) products. The Company distributes its commercial products portfolio directly, and through strategic partners or third-party distributors in more than 30 countries, including the U.S., Canada, Israel, Russia, Argentina, Brazil, India, Australia and other countries in Latin America, Europe, Middle East and Asia. The Company leverages its expertise and presence in the Israeli market to distribute, for use in Israel, more than 25 pharmaceutical products that are supplied by international manufacturers. During recent years added eleven biosimilar products to its Israeli distribution portfolio, which, subject to European Medicines Agency (EMA) and the Israeli Ministry of Health approvals, are expected to be launched in Israel through 2028. The Company owns an FDA licensed plasma collection center in Beaumont, Texas which currently specializes in the collection of hyper-immune plasma used in the manufacture of KAMRHO (D). In addition to the Company’s commercial operation, it invests in research and development of new product candidates. The Company’s leading investigational product is an inhaled AAT for the treatment of AAT deficiency, for which it is continuing to progress the InnovAATe clinical trial, a randomized, double-blind, placebo-controlled, pivotal Phase 3 trial.   In November 2021, the Company acquired CYTOGAM, WINRHO SDF, VARIZIG and HEPGAM B from Saol Therapeutics Ltd. (“Saol”). The acquisition of this portfolio furthered the Company’s core objective to become a fully integrated specialty plasma company with strong commercial capabilities in the U.S. market, as well as to expand to new markets, mainly in the Middle East/North Africa region, and to broaden the Company’s portfolio offering in existing markets. The Company’s wholly owned U.S. subsidiary, Kamada Inc., is responsible for the commercialization of the four products in the U.S. market, including direct sales to wholesalers and local distributers. Refer to Note 5 in our annual Financial report for further details on this acquisition.

v3.23.3

Significant Accounting Policies	9 Months Ended
	Sep. 30, 2023
Significant Accounting Policies [Abstract]
Significant Accounting Policies	Note 2:- Significant Accounting Policies     a. Basis of preparation of the interim consolidated financial statements:   The interim consolidated financial statements have been prepared in accordance with generally accepted accounting principles for the preparation of financial statements for interim periods, as prescribed in IAS 34, “Interim Financial Reporting”.     b. Implementation of new accounting standards:   Amendment to IAS 1, Presentation of Financial Statements: Classification of Liabilities as Current or Non-Current and subsequent amendment: Non-Current Liabilities with Covenants   The Amendment, together with the subsequent amendment to IAS 1 (see hereunder) replaces certain requirements for classifying liabilities as current or non-current. According to the Amendment, a liability will be classified as non-current when the entity has the right to defer settlement for at least 12 months after the reporting period, and it “has substance” and is in existence at the end of the reporting period. According to the subsequent amendment, as published in October 2022, covenants with which the entity must comply after the reporting date do not affect classification of the liability as current or non-current. Additionally, the subsequent amendment adds disclosure requirements for liabilities subject to covenants within 12 months after the reporting date, such as disclosure regarding the nature of the covenants, the date they need to be complied with and facts and circumstances that indicate the entity may have difficulty complying with the covenants. Furthermore, the Amendment clarifies that the conversion option of a liability will affect its classification as current or non-current, other than when the conversion option is recognized as equity.   The Amendment and subsequent amendment are effective for reporting periods beginning on or after January 1, 2024 with earlier application being permitted. The Amendment and subsequent amendment are applicable retrospectively, including an amendment to comparative data.   The Company believes that the adoption of the Amendment will not have an effect on its financial statements.

v3.23.3

Significant Events in the Reporting Period	9 Months Ended
	Sep. 30, 2023
Significant Events in the Reporting Period [Abstract]
Significant Events in the Reporting Period	Note 3:- Significant events in the reporting period   a. Grant of options to the purchase ordinary shares of the Company to employees, executive officers:   1. On February 27, 2023, the Company’s Board of Directors approved the grant of options to purchase up to 147,000 options to purchase ordinary shares of the Company under the 2011 Plan and the US Appendix.   The Company granted, out of the above mentioned, to employees and executive officers the following:   Under the Israeli Share Option Plan:     - On February 27, 2023, 60,331 options to purchase the ordinary shares of the Company, at an exercise price of NIS 16.53 (USD 4.50) per share. The fair value of the options calculated on the date of grant using the binomial option valuation model was estimated at $108 thousands.     - On March 01, 2023 3,333 options to purchase ordinary shares of the Company, at an exercise price of NIS 16.63 (USD 4.57) per share. The fair value of the options calculated on the date of grant using the binomial option valuation model was estimated on the date of grant at $5.7 thousands.     - On March 02, 2023 40,000 options to purchase ordinary shares of the Company, at an exercise price of NIS 16.76 (USD 4.60) per share. The fair value of the options calculated on the date of grant using the binomial option valuation model was estimated on the date of grant at $71 thousands.     - On April 23, 2023 40,000 options to purchase ordinary shares of the Company, at an exercise price of NIS 17.67 (USD 4.83) per share. The fair value of the options calculated on the date of grant using the binomial option valuation model was estimated on the date of grant at $65 thousands.   Under the US Appendix:     - On February 27, 2023 3,333 options to purchase the ordinary shares of the Company, at an exercise price of USD 4.57 per share. The fair value of the options was estimated on the date of grant was estimated at $5.80 thousands.   2. On May 28, 2023, the Company’s Board of Directors approved the grant of 90,000 options to purchase ordinary shares of the Company, under the Israeli Share Option Plan, at an exercise price of NIS 19.46 (USD 5.25) per share. The fair value of the options calculated on the date of grant using the binomial option valuation model was estimated on the date of grant at $217 thousands.   3. On August 15, 2023 the Company’s Board of Directors approved the grant of 20,000 options to purchase ordinary shares of the Company, at an exercise price of NIS 20.07 (USD 5.33) per share. The fair value of the options calculated on the date of grant using the binomial option valuation model was estimated on the date of grant at $36.8 thousands.   4. On August 21, 2023, the Company’s Board of Directors approved the grant of options to purchase up to 54,650 options to purchase ordinary shares of the Company under the 2011 Plan and the US Appendix.   The Company granted, out of the above mentioned, to employees and executive officers the following:   Under the Israeli Share Option Plan:     - On August 21, 2023, 24,050 options to purchase the ordinary shares of the Company, at an exercise price of NIS 21.54 (USD 5.68) per share. The fair value of the options calculated on the date of grant using the binomial option valuation model was estimated at $48 thousands.     - On September 26, 2023, 9,050 options to purchase ordinary shares of the Company, at an exercise price of NIS 20.60 (USD 5.39) per share. The fair value of the options calculated on the date of grant using the binomial option valuation model was estimated on the date of grant at $17 thousands.     - On October 4, 2023, 2,500 options to purchase ordinary shares of the Company, at an exercise price of NIS 21.51 (USD 5.39) per share. The fair value of the options calculated on the date of grant using the binomial option valuation model was estimated on the date of grant at $5 thousands.   Under the US Appendix:     - On August 21, 2023, 7,500 options to purchase ordinary shares of the Company, at an exercise price of USD 5.86 per share. The fair value of the options was estimated on the date of grant was estimated at $18 thousands.     - On August 30, 2023, 9,050 options to purchase ordinary shares of the Company, at an exercise price of USD 5.91 per share. The fair value of the options was estimated on the date of grant was estimated at $22 thousands.     - On September 25, 2023, 2,500 options to purchase the ordinary shares of the Company, at an exercise price of USD 5.47 per share. The fair value of the options was estimated on the date of grant was estimated at $5.5 thousands.   5. On September 7, 2023, Following the closing of the Private Placement to FIMI, the Company granted to the External Board of Directors members 32,000 options to purchase ordinary shares of the Company, at an exercise price of NIS 21.63 (USD 5.62) per share. The fair value of the options calculated on the date of grant using the binomial option valuation model was estimated at $45 thousands.     b. Private Placement with FIMI Opportunity Funds   On September 7, 2023, the Company closed a $60 million private placement (the “Private Placement”) with FIMI Opportunity Funds (“FIMI”), the leading private equity firm in Israel and a large existing shareholder of the Company. Under the terms of the Private Placement, the Company issued an aggregate of 12,631,579 ordinary shares to FIMI at a price of $4.75 per share (which represented the average closing price of the Company’s shares on NASDAQ during the 20 trading days prior to the date of execution of the Private Placement). Following the closing of the Private Placement, FIMI beneficially owns approximately 38% of the Company’s outstanding ordinary shares and became a controlling shareholder of the Company, within the meaning of the Israeli Companies Law, 1999.     c. Bank Loan   On September 19, 2023, the Company paid down in full the outstanding balance of a $20,000 thousand 5-year term loan borrowed during November 2021 from Bank Hapoalim, an Israeli bank.

v3.23.3

Operating Segments	9 Months Ended
	Sep. 30, 2023
Operating Segments [Abstract]
Operating Segments	Note 4:- Operating Segments     a. General:   The company has two operating segments, as follows:   Proprietary Products - Development, manufacturing, sales and distribution of proprietary plasma-derived protein therapeutics.       Distribution - Distribute imported drug products in Israel, which are manufactured by third parties.     b. Reporting on operating segments:       Proprietary Products     Distribution     Total       U.S Dollars in thousands       Unaudited   Nine months period ended September 30, 2023                   Revenues   $ 86,437     $ 19,650     $ 106,087   Gross profit   $ 38,574     $ 2,504     $ 41,078   Unallocated corporate expenses                     (33,790 ) Finance expenses, net                     (3,883 ) Income before taxes on income                   $ 3,405         Proprietary Products     Distribution     Total       U.S Dollars in thousands       Unaudited   Nine months period ended September 30, 2022                   Revenues   $ 67,198     $ 16,702     $ 83,900   Gross profit   $ 29,342     $ 2,070     $ 31,412   Unallocated corporate expenses                     (30,898 ) Finance expenses, net                     (5,719 ) Income before taxes on income                   $ (5,205 )       Proprietary Products     Distribution     Total       U.S Dollars in thousands       Unaudited   Three months period ended September 30, 2023                   Revenues   $ 31,436     $ 6,498     $ 37,934   Gross profit   $ 13,989     $ 814     $ 14,803   Unallocated corporate expenses                     (10,435 ) Finance expenses, net                     (1,072 ) Income before taxes on income                   $ 3,296          Proprietary Products     Distribution     Total       U.S Dollars in thousands       Unaudited   Three months period ended September 30, 2022                   Revenues   $ 25,580     $ 6,637     $ 32,217   Gross profit   $ 12,429     $ 441     $ 12,870   Unallocated corporate expenses                     (10,308 ) Finance expenses, net                     (2,068 ) Income before taxes on income                   $ 494       b. Reporting on operating segments:       Proprietary Products     Distribution     Total       U.S Dollars in thousands       Audited   Year Ended December 31, 2022                   Revenues   $ 102,598     $ 26,741     $ 129,339   Gross profit   $ 44,369     $ 2,334     $ 46,703   Unallocated corporate expenses                     (42,171 ) Finance expenses, net                     (6,791 ) Income before taxes on income                   $ (2,259 )     c. Reporting on operating segments by geographic region:       Nine months period ended September 30, 2023       Proprietary Products     Distribution     Total       U.S Dollars in thousands       Unaudited   Geographical markets                   U.S.A and North America   $ 62,150     $ -     $ 62,150   Israel     3,119       19,650       22,769   Europe     6,724       -       6,724   Latin America     10,365       -       10,365   Asia     3,958       -       3,958   Others     121       -       121       $ 86,437     $ 19,650     $ 106,087       c. Reporting on operating segments by geographic region:       Nine months period ended September 30, 2022       Proprietary Products     Distribution     Total       U.S Dollars in thousands       Unaudited   Geographical markets                   U.S.A and North America.   $ 52,866     $ -     $ 52,866   Israel     3,631       16,702       20,333   Europe     2,192       -       2,192   Latin America     5,301       -       5,301   Asia     2,665       -       2,665   Others     543       -       543       $ 67,198     $ 16,702     $ 83,900         Three months period ended September 30, 2023       Proprietary Products     Distribution     Total       U.S Dollars in thousands       Unaudited   Geographical markets                   U.S.A and North America.   $ 25,294     $ -     $ 25,294   Israel     1,017       6,498       7,515   Europe     3,280       -       3,280   Latin America     328       -       328   Asia     1,479       -       1,479   Others     38       -       38       $ 31,436     $ 6,498     $ 37,934         Three months period ended September 30, 2022       Proprietary Products     Distribution     Total       U.S Dollars in thousands       Unaudited   Geographical markets                   U.S.A and North America.   $ 20,597     $ -     $ 20,597   Israel     1,377       6,637       8,014   Europe     750       -       750   Latin America     1,775       -       1,775   Asia     767       -       767   Others     314       -       314       $ 25,580     $ 6,637     $ 32,217         Year ended December 31, 2022       Proprietary Products     Distribution     Total       U.S Dollars in thousands       Audited   Geographical markets                   U.S.A and North America   $ 75,851     $ -     $ 75,851   Israel     5,290       26,741       32,031   Europe     5,277       -       5,277   Latin America     11,294       -       11,294   Asia     4,581       -       4,581   Others     305       -       305       $ 102,598     $ 26,741     $ 129,339

v3.23.3

Financial Instruments	9 Months Ended
	Sep. 30, 2023
Financial Instruments [Abstract]
Financial Instruments	Note 5:- Financial Instruments     a. Classification of financial instruments by fair value hierarchy   Financial assets (liabilities) measured at fair value        Level 1     Level 2     Level 3       U.S Dollars in thousands   September 30, 2023                   Derivatives instruments   $    -     $ (98 )   $ -   Contingent consideration     -       -       (22,326 )                           September 30, 2022                         Derivatives instruments             (180 )         Contingent consideration   $ -     $       $ (23,705 )                           December 31, 2022                         Derivatives instruments   $ -     $ (92 )   $ -   Contingent consideration   $ -     $ -     $ (23,534 )   During the nine months ended on September 30, 2023 there were no transfers due to the fair value measurement of any financial instrument from Level 1 to Level 2, and furthermore, there were no transfers to or from Level 3 due to the fair value measurement of any financial instrument.

v3.23.3

Accounting Policies, by Policy (Policies)	9 Months Ended
	Sep. 30, 2023
Accounting Policies [Abstract]
Basis of preparation of the interim consolidated financial statements	a. Basis of preparation of the interim consolidated financial statements: The interim consolidated financial statements have been prepared in accordance with generally accepted accounting principles for the preparation of financial statements for interim periods, as prescribed in IAS 34, “Interim Financial Reporting”.
Implementation of new accounting standards	b. Implementation of new accounting standards: Amendment to IAS 1, Presentation of Financial Statements: Classification of Liabilities as Current or Non-Current and subsequent amendment: Non-Current Liabilities with Covenants The Amendment, together with the subsequent amendment to IAS 1 (see hereunder) replaces certain requirements for classifying liabilities as current or non-current. According to the Amendment, a liability will be classified as non-current when the entity has the right to defer settlement for at least 12 months after the reporting period, and it “has substance” and is in existence at the end of the reporting period. According to the subsequent amendment, as published in October 2022, covenants with which the entity must comply after the reporting date do not affect classification of the liability as current or non-current. Additionally, the subsequent amendment adds disclosure requirements for liabilities subject to covenants within 12 months after the reporting date, such as disclosure regarding the nature of the covenants, the date they need to be complied with and facts and circumstances that indicate the entity may have difficulty complying with the covenants. Furthermore, the Amendment clarifies that the conversion option of a liability will affect its classification as current or non-current, other than when the conversion option is recognized as equity. The Amendment and subsequent amendment are effective for reporting periods beginning on or after January 1, 2024 with earlier application being permitted. The Amendment and subsequent amendment are applicable retrospectively, including an amendment to comparative data. The Company believes that the adoption of the Amendment will not have an effect on its financial statements.

v3.23.3

Operating Segments (Tables)	9 Months Ended
	Sep. 30, 2023
Operating Segments [Abstract]
Schedule of Reporting on Operating Segments	Reporting on operating segments:     Proprietary Products     Distribution     Total       U.S Dollars in thousands       Unaudited   Nine months period ended September 30, 2023                   Revenues   $ 86,437     $ 19,650     $ 106,087   Gross profit   $ 38,574     $ 2,504     $ 41,078   Unallocated corporate expenses                     (33,790 ) Finance expenses, net                     (3,883 ) Income before taxes on income                   $ 3,405       Proprietary Products     Distribution     Total       U.S Dollars in thousands       Unaudited   Nine months period ended September 30, 2022                   Revenues   $ 67,198     $ 16,702     $ 83,900   Gross profit   $ 29,342     $ 2,070     $ 31,412   Unallocated corporate expenses                     (30,898 ) Finance expenses, net                     (5,719 ) Income before taxes on income                   $ (5,205 )     Proprietary Products     Distribution     Total       U.S Dollars in thousands       Unaudited   Three months period ended September 30, 2023                   Revenues   $ 31,436     $ 6,498     $ 37,934   Gross profit   $ 13,989     $ 814     $ 14,803   Unallocated corporate expenses                     (10,435 ) Finance expenses, net                     (1,072 ) Income before taxes on income                   $ 3,296       Proprietary Products     Distribution     Total       U.S Dollars in thousands       Unaudited   Three months period ended September 30, 2022                   Revenues   $ 25,580     $ 6,637     $ 32,217   Gross profit   $ 12,429     $ 441     $ 12,870   Unallocated corporate expenses                     (10,308 ) Finance expenses, net                     (2,068 ) Income before taxes on income                   $ 494         Proprietary Products     Distribution     Total       U.S Dollars in thousands       Audited   Year Ended December 31, 2022                   Revenues   $ 102,598     $ 26,741     $ 129,339   Gross profit   $ 44,369     $ 2,334     $ 46,703   Unallocated corporate expenses                     (42,171 ) Finance expenses, net                     (6,791 ) Income before taxes on income                   $ (2,259 )
Schedule of Reporting on Operating Segments Geographic Region	Reporting on operating segments by geographic region:     Nine months period ended September 30, 2023       Proprietary Products     Distribution     Total       U.S Dollars in thousands       Unaudited   Geographical markets                   U.S.A and North America   $ 62,150     $ -     $ 62,150   Israel     3,119       19,650       22,769   Europe     6,724       -       6,724   Latin America     10,365       -       10,365   Asia     3,958       -       3,958   Others     121       -       121       $ 86,437     $ 19,650     $ 106,087         Nine months period ended September 30, 2022       Proprietary Products     Distribution     Total       U.S Dollars in thousands       Unaudited   Geographical markets                   U.S.A and North America.   $ 52,866     $ -     $ 52,866   Israel     3,631       16,702       20,333   Europe     2,192       -       2,192   Latin America     5,301       -       5,301   Asia     2,665       -       2,665   Others     543       -       543       $ 67,198     $ 16,702     $ 83,900       Three months period ended September 30, 2023       Proprietary Products     Distribution     Total       U.S Dollars in thousands       Unaudited   Geographical markets                   U.S.A and North America.   $ 25,294     $ -     $ 25,294   Israel     1,017       6,498       7,515   Europe     3,280       -       3,280   Latin America     328       -       328   Asia     1,479       -       1,479   Others     38       -       38       $ 31,436     $ 6,498     $ 37,934       Three months period ended September 30, 2022       Proprietary Products     Distribution     Total       U.S Dollars in thousands       Unaudited   Geographical markets                   U.S.A and North America.   $ 20,597     $ -     $ 20,597   Israel     1,377       6,637       8,014   Europe     750       -       750   Latin America     1,775       -       1,775   Asia     767       -       767   Others     314       -       314       $ 25,580     $ 6,637     $ 32,217         Year ended December 31, 2022       Proprietary Products     Distribution     Total       U.S Dollars in thousands       Audited   Geographical markets                   U.S.A and North America   $ 75,851     $ -     $ 75,851   Israel     5,290       26,741       32,031   Europe     5,277       -       5,277   Latin America     11,294       -       11,294   Asia     4,581       -       4,581   Others     305       -       305       $ 102,598     $ 26,741     $ 129,339

v3.23.3

Financial Instruments (Tables)	9 Months Ended
	Sep. 30, 2023
Financial Instruments [Abstract]
Schedule of Financial Assets (Liabilities) Measured at Fair Value	Financial assets (liabilities) measured at fair value     Level 1     Level 2     Level 3       U.S Dollars in thousands   September 30, 2023                   Derivatives instruments   $    -     $ (98 )   $ -   Contingent consideration     -       -       (22,326 )                           September 30, 2022                         Derivatives instruments             (180 )         Contingent consideration   $ -     $       $ (23,705 )                           December 31, 2022                         Derivatives instruments   $ -     $ (92 )   $ -   Contingent consideration   $ -     $ -     $ (23,534 )

v3.23.3

Significant Events in the Reporting Period (Details)	Oct. 04, 2023 USD ($) $ / shares shares	Oct. 04, 2023 USD ($) ₪ / shares shares	Sep. 26, 2023 USD ($) $ / shares shares	Sep. 26, 2023 USD ($) ₪ / shares shares	Sep. 25, 2023 USD ($) $ / shares shares	Sep. 19, 2023 USD ($)	Sep. 07, 2023 USD ($) $ / shares shares	Sep. 07, 2023 USD ($) $ / shares ₪ / shares shares	Aug. 30, 2023 USD ($) $ / shares shares	Aug. 21, 2023 USD ($) $ / shares shares	Aug. 21, 2023 USD ($) ₪ / shares shares	Aug. 15, 2023 USD ($) $ / shares shares	Aug. 15, 2023 USD ($) ₪ / shares shares	May 28, 2023 USD ($) $ / shares shares	May 28, 2023 USD ($) ₪ / shares shares	Apr. 23, 2023 USD ($) $ / shares shares	Apr. 23, 2023 USD ($) ₪ / shares shares	Mar. 01, 2023 USD ($) $ / shares shares	Mar. 01, 2023 USD ($) ₪ / shares shares	Feb. 27, 2023 USD ($) $ / shares shares	Feb. 27, 2023 USD ($) ₪ / shares shares	Mar. 02, 2022 USD ($) $ / shares ₪ / shares shares
Significant Events in the Reporting Period (Details) [Line Items]
Option granted | shares										7,500	7,500									3,333	3,333
Exercise price | $ / shares										$ 5.86										$ 4.57
Fair value of options (in Dollars)										$ 18,000	$ 18,000									$ 5,800	$ 5,800
Private placement with fimi opportunity funds (in Dollars)							$ 60,000,000	$ 60,000,000
Issued ordinary shares | shares							12,631,579	12,631,579
Price per share (in Dollars per share) | $ / shares							$ 4.75	$ 4.75
Outstanding shares percentage							38.00%	38.00%
Loan borrowed period						5 years
Outstanding balance value (in Dollars)						$ 20,000,000
Board of Directors [Member]
Significant Events in the Reporting Period (Details) [Line Items]
Option granted | shares										54,650	54,650	20,000	20,000	90,000	90,000					147,000	147,000
Exercise price | (per share)												$ 5.33	₪ 20.07	$ 5.25	₪ 19.46
Fair value of options (in Dollars)												$ 36,800	₪ 36,800	$ 217,000	₪ 217,000
Option [Member]
Significant Events in the Reporting Period (Details) [Line Items]
Option granted | shares	2,500	2,500	9,050	9,050	2,500		32,000	32,000	9,050	24,050	24,050					40,000	40,000	3,333	3,333	60,331	60,331	40,000
Exercise price | (per share)	$ 5.39	₪ 21.51	$ 5.39	₪ 20.6	$ 5.47		$ 5.62	$ 21.63	$ 5.91	$ 5.68	$ 21.54					$ 4.83	₪ 17.67	$ 4.57	₪ 16.63	$ 4.5	$ 16.53	₪ 16.76
Fair value of options (in Dollars)	$ 5,000	₪ 5,000	$ 17,000	₪ 17,000	$ 5,500		$ 45,000	$ 45,000	$ 22,000	$ 48,000	$ 48,000					$ 65,000	₪ 65,000	$ 5,700	₪ 5,700	$ 108,000	$ 108,000	₪ 71,000
Exercise prices for share option (in Dollars per share) | $ / shares																						₪ 4.6

v3.23.3

Operating Segments (Details) - Schedule of Reporting on Operating Segments - USD ($)	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Operating Segments (Details) - Schedule of Reporting on Operating Segments [Line Items]
Revenues	$ 37,934	$ 32,217	$ 106,087	$ 83,900	$ 129,339
Gross profit	14,803	12,870	41,078	31,412	46,703
Unallocated corporate expenses	(10,435)	(10,308)	(33,790)	(30,898)	(42,171)
Finance expenses, net	(1,072)	(2,068)	(3,883)	(5,719)	(6,791)
Income before taxes on income	3,296	494	3,405	(5,205)	(2,259)
Proprietary Products [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments [Line Items]
Revenues	31,436	25,580	86,437	67,198	102,598
Gross profit	13,989	12,429	38,574	29,342	44,369
Distribution [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments [Line Items]
Revenues	6,498	6,637	19,650	16,702	26,741
Gross profit	$ 814	$ 441	$ 2,504	$ 2,070	$ 2,334

v3.23.3

Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region - USD ($)	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Total	$ 37,934	$ 32,217	$ 106,087	$ 83,900	$ 129,339
U.S.A and North America [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Total	25,294	20,597	62,150	52,866	75,851
Israel [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Total	7,515	8,014	22,769	20,333	32,031
Europe [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Total	3,280	750	6,724	2,192	5,277
Latin America [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Total	328	1,775	10,365	5,301	11,294
Asia [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Total	1,479	767	3,958	2,665	4,581
Others [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Total	38	314	121	543	305
Proprietary Products [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Proprietary Products	31,436	25,580	86,437	67,198	102,598
Proprietary Products [Member] | U.S.A and North America [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Proprietary Products	25,294	20,597	62,150	52,866	75,851
Proprietary Products [Member] | Israel [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Proprietary Products	1,017	1,377	3,119	3,631	5,290
Proprietary Products [Member] | Europe [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Proprietary Products	3,280	750	6,724	2,192	5,277
Proprietary Products [Member] | Latin America [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Proprietary Products	328	1,775	10,365	5,301	11,294
Proprietary Products [Member] | Asia [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Proprietary Products	1,479	767	3,958	2,665	4,581
Proprietary Products [Member] | Others [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Proprietary Products	38	314	121	543	305
Distribution [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Distribution	6,498	6,637	19,650	16,702	26,741
Distribution [Member] | U.S.A and North America [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Distribution
Distribution [Member] | Israel [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Distribution	6,498	6,637	19,650	16,702	26,741
Distribution [Member] | Europe [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Distribution
Distribution [Member] | Latin America [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Distribution
Distribution [Member] | Asia [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Distribution
Distribution [Member] | Others [Member]
Operating Segments (Details) - Schedule of Reporting on Operating Segments Geographic Region [Line Items]
Distribution

v3.23.3

Financial Instruments (Details) - Schedule of Financial Assets (Liabilities) Measured at Fair Value - USD ($)	Sep. 30, 2023	Dec. 31, 2022	Sep. 30, 2022
Level 1 [Member]
Financial Instruments (Details) - Schedule of Financial Assets (Liabilities) Measured at Fair Value [Line Items]
Derivatives instruments
Contingent consideration
Level 2 [Member]
Financial Instruments (Details) - Schedule of Financial Assets (Liabilities) Measured at Fair Value [Line Items]
Derivatives instruments	(98)	(92)	(180)
Contingent consideration
Level 3 [Member]
Financial Instruments (Details) - Schedule of Financial Assets (Liabilities) Measured at Fair Value [Line Items]
Derivatives instruments
Contingent consideration	$ (22,326)	$ (23,534)	$ (23,705)

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