Item 9A. Controls and Procedures
Item 9A. Controls and Procedures
As
of the end of the period covered by this Annual Report on Form 10-K, we carried out an evaluation, under the supervision and with the
participation of our management, including our Chief Executive Officer and our Chief Financial Officer, of the effectiveness of the design
and operation of our disclosure controls and procedures (as defined in the Exchange Act Rules 13a-15(e) and 15d-15(e)) (the “Exchange
Act”). Based on the foregoing evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that our disclosure
controls and procedures are effective to ensure that information required to be disclosed by us in the reports we file or submit under
the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the rules and forms of the SEC,
and that such information is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial
Officer, to allow timely decisions regarding required disclosures.
Changes
in Internal Control Over Financial Reporting
There
were no changes in our internal control over financial reporting during our year ended December 31, 2023, or in other factors that could
significantly affect these controls, that materially affected, or are reasonably likely to materially affect, our internal control over
financial reporting.
42
Management’s
Annual Report on Internal Controls Over Financial Reporting
Our
management is responsible for establishing and maintaining adequate internal control over financial reporting and for the assessment
of the effectiveness of internal control over financial reporting. As defined by the Securities and Exchange Commission, internal control
over financial reporting is a process designed by, or under the supervision of, our principal executive and principal financial officers
and effected by our Board of Directors, management and other personnel, to provide reasonable assurance regarding the reliability of
financial reporting and the preparation of the consolidated financial statements in accordance with U.S. generally accepted accounting
principles.
Our internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records
that, in reasonable detail, accurately and fairly reflect our transactions and dispositions of our assets; (2) provide reasonable assurance
that transactions are recorded as necessary to permit preparation of the consolidated financial statements in accordance with generally
accepted accounting principles, and that our receipts and expenditures are being made only in accordance with authorizations of our management
and directors; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition
of our assets that could have a material effect on the consolidated financial statements.
Because
of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of
any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions,
or that the degree of compliance with the policies or procedures may deteriorate.
In
connection with the preparation of our annual consolidated financial statements, management, including, our Principal Executive and Financial
Officer, has undertaken an assessment of the effectiveness of our internal control over financial reporting as of December 31, 2023,
based on the criterial established in Internal Control—Integrated Framework (2013) issued by the Committee of Sponsoring Organizations
of the Treadway Commission (“COSO”). Management’s assessment included an evaluation of the design of our internal control
over financial reporting and testing of the operational effectiveness of those controls.
Based
on this evaluation, management has concluded that our internal control over financial reporting was effective as of December 31,
2023.
Item
9B. Other Information
Not
applicable .
Item
9C. Disclosure Regarding Foreign Jurisdictions that Prevent Inspections
Not
applicable.
43
PART
III
Item 10.
Directors, Executive Officers, and Corporate Governance
We
have adopted a written Code of Conduct and Ethics that applies to our directors, executive officers and all employees. We intend to disclose
any amendments to, or waivers from, our code of ethics and business conduct that are required to be publicly disclosed pursuant to rules
of the SEC by filing such amendment or waiver with the SEC. This code of ethics and business conduct can be found in the “Investors
- Corporate Governance” section of our website, www.cormedix.com .
Directors
The
following table sets forth the name, age and position of each of our directors as of February 15, 2024:
Name
Age
Director Since
Position(s) with CorMedix
Joseph Todisco
48
March 2022
Director and Chief Executive Officer
Janet Dillione
64
August 2015
Director
Gregory Duncan
59
November 2020
Director
Alan W. Dunton
69
March 2019
Director
Myron Kaplan
78
April 2016
Director and Chairman of the Board
Steven Lefkowitz
67
June 2017
Director
Robert Stewart
55
April 2023
Director
Joseph Todisco
became a director of CorMedix in March 2022. He was a senior executive at Amneal Pharmaceuticals for 11 years prior to joining CorMedix.
He held various roles at Amneal Pharmaceuticals, most recently as Executive Vice President, Chief Commercial Officer where he was responsible
for Amneal Specialty, a growing branded products business. During his tenure at Amneal, Mr. Todisco held roles overseeing corporate development
and international operations, leading commercial teams in several international markets including the UK, Australia and Germany, as well
as leading Amneal’s merger integration with Impax Laboratories in 2018. He was previously Co-Founder and managing executive of Gemini
Laboratories, a specialty pharmaceutical company focused on the sales and marketing for niche branded products in the US Market. Gemini
Laboratories was established as an affiliate of Amneal Pharmaceuticals and was subsequently acquired by Amneal in 2018. Prior to joining
Amneal, Mr. Todisco was Vice President, Business Development & Licensing at Ranbaxy, Inc. where he was responsible for developing
and executing Ranbaxy’s North American commercial business strategy. Prior to Ranbaxy, he held various roles at Par Pharmaceutical,
and in his earlier career held positions at Oppenheimer & Company and Marsh & McLennan Companies. Mr. Todisco obtained his MBA
in finance from Fordham Graduate School of Business and his BA in Economics from Georgetown University. Among other qualifications, attributes
and skills, Mr. Todisco’s business expertise and significant executive management experience in the pharmaceutical industry led
to the conclusion of our Board that he should serve as a director of our Company in light of our business and structure.
Janet
Dillione has been a director of CorMedix since August 2015. Since November 2020, Ms. Dillione has served as the Chief Executive
Officer of Connect America, a nationally recognized leader in comprehensive telehealth and remote patient monitoring solutions. Prior
to joining Connect America and starting in May 2014, she served as Chief Executive Officer of Bernoulli Enterprise, Inc., a real-time
connected healthcare information technology company. Previously, she was at Nuance Communications, Inc., a leading provider of voice
and language solutions for businesses and consumers around the world, having joined Nuance in April 2010 as Executive Vice President
and General Manager of the Healthcare Division and serving as an executive officer from March 2010 until May 2014. From June 2000 to
March 2010, Ms. Dillione held several senior level management positions at Siemens Medical Solutions, a global leader in medical imaging,
laboratory diagnostics, and healthcare information technology, including President and CEO of the global healthcare IT division. Ms.
Dillione currently serves as a director of Vizient, Inc., a private health care performance improvement company. Ms. Dillione received
her B.A. from Brown University in 1981 and completed the Executive Program at The Wharton School of Business of the University of Pennsylvania
in 1998. She has over 25 years of experience leading global teams in the development and delivery of healthcare technology and services.
Among other qualifications, attributes and skills, Ms. Dillione’s financial and IT expertise and significant executive management
experience with medical device and healthcare companies led to the conclusion of our Board that she should serve as a director of our
Company in light of our business and structure.
44
Gregory
Duncan has been a director of CorMedix since November 2020. Mr. Duncan currently serves as the Chairman and CEO of Virios Therapeutics,
a clinical-stage biopharmaceutical company developing and commercializing innovative antiviral therapies to treat diseases associated
with a viral triggered abnormal immune response, such as fibromyalgia (FM), and has served since April 2020. From 2014 and prior to joining
his current company, Mr. Duncan served as President and CEO of Celtaxsys, a privately held biotechnology company focused on cystic fibrosis
and other rare, inflammatory diseases. Mr. Duncan has spent the majority of his career in senior leadership roles in commercial stage
pharmaceutical companies. From 2007 to 2013, he served as a senior executive at UCB, including as President of its North America business,
as well as an executive committee member. Prior to his roles with UCB, Mr. Duncan spent approximately 17 years at Pfizer where he gained
significant experience across sales and marketing functions including serving as SVP of US Marketing and later as President of Pfizer’s
Latin America business from 2005 to 2007. Mr. Duncan received his undergraduate degree from the State University of New York, Albany,
and earned an MBA degree from Emory University. Among other experience, qualifications, attributes and skills, Mr. Duncan’s significant
depth of experience in the pharmaceutical industry led to the conclusion of our Board that he should serve as a director of our Company
in light of our business and structure.
Alan
W. Dunton, M.D. has been a director of CorMedix since March 2019. He is the founder and principal consultant of Danerius,
LLC, a biotechnology and pharmaceutical consulting business which he started in 2006. From 1994, he served in senior positions in Research
and Development in the Pharmaceutical Division of Johnson and Johnson including President and Managing Director of the Janssen, the major
research, development and regulatory arm of the pharmaceuticals division at Johnson & Johnson. From January 2007 through March 2009,
Dr. Dunton served as President and Chief Executive Officer of Panacos Pharmaceuticals, Inc. From November 2015 through March 2018, Dr.
Dunton was the Head/Senior Vice President of Research, Development and Regulatory Affairs of Purdue Pharma L.P., a private pharmaceutical
company. In addition to CorMedix, Dr. Dunton currently serves on the boards of three public companies, as a Director at Palatin Technologies,
Inc. and Oragenics, Inc. he chairs the Compensation Committees of both companies. He also serves as a member of the Audit Committees
of these companies. Additionally, Dr. Dunton is a member of the board of Recce Pharma Ltd., an Australian public biotechnology company
focused on developing novel anti-infectives for serious and life-threatening diseases. Dr. Dunton received his Bachelor of Science degree
in biochemistry, magna cum laude, from State University of New York at Buffalo, and received his M.D. from New York University School
of Medicine. Among other qualifications, Dr. Dunton’s significant depth of experience in the pharmaceutical industry, including
service as a director of public pharmaceutical companies, led to the conclusion of our Board that he should serve as a director of our
Company in light of our business and structure.
Myron
Kaplan became a director of CorMedix in April 2016 and became Chairman of the Board in August 2017. He is a founding partner
of Kleinberg, Kaplan, Wolff & Cohen, P.C., a New York City general practice law firm, where he has practiced corporate and securities
law for more than fifty years. In 2012, Mr. Kaplan became a trustee of the Lehman Brothers Plan Holding Trust. Previously, he served
as a member of the board of directors of SAirGroup Finance (USA) Inc., a subsidiary of SAirGroup that had publicly issued debt securities,
Trans World Airlines, Inc. and Kitty Hawk, Inc. Among his business and civic involvements, Mr. Kaplan currently serves on the boards
of directors of a number of private companies and has been active for many years on the boards of trustees and various board committees
of The Children’s Museum of Manhattan and JBI International (formerly The Jewish Braille Institute of America). Mr. Kaplan graduated
from Columbia College and holds a Juris Doctor from Harvard Law School. Among other experience, qualifications, attributes and skills,
Mr. Kaplan’s experience in a broad range of corporate and securities matters and service as a director of public companies led
to the conclusion of our Board that he should serve as a director of our Company in light of our business and structure.
Steven
Lefkowitz was a director of CorMedix from August 2011 to June 2016. He was reappointed to the Board in June 2017. He also served
as our acting Chief Financial Officer from August 2013 to July 2014. Mr. Lefkowitz has been the President and Founder of Wade Capital
Corporation, a financial advisory services company since June 1990. Mr. Lefkowitz has been a director of both public and private companies.
Mr. Lefkowitz received his A.B. from Dartmouth College in 1977 and his M.B.A. from Columbia University in 1985. Among other experience,
qualifications, attributes and skills, Mr. Lefkowitz’s education, experience and financial expertise led to the conclusion of our
Board that he should serve as a director of our Company in light of our business and structure.
45
Robert
Stewart became a director of CorMedix in April 2023. Mr. Stewart is the current Chief Executive Officer of Theramex, a global
specialty pharmaceutical company dedicated to women’s health, and has served in this role since March 2020. Prior to this, Mr.
Stewart served as Chief Executive Officer of Amneal Pharmaceuticals Inc. from 2018 to 2019, and from 2009 through 2018 Mr. Stewart served
in senior roles with Allergan, formerly Watson and Actavis, most notably as Chief Operating Officer (2015 – 2018) and President,
Global Operations (2009 – 2015). Mr. Stewart has also previously held management roles with Abbott Laboratories, Knoll Pharmaceutical
Company, and Hoffmann La Roche, Inc. Mr. Stewart currently sits on the Board of Directors of Cipla Ltd and serves on the Board of Trustees
for Fairleigh Dickinson University. Mr. Stewart obtained his bachelor’s degree in Finance & Business Management from Fairleigh
Dickinson University. Among other qualifications, Mr. Stewarts significant depth of experience in the pharmaceutical industry, including
service as an executive director of other pharmaceutical companies, led to the conclusion of our Board that he should serve as a director
of our Company in light of our business and structure.
Board
Independence
Our
common stock is listed on the Nasdaq Global Market. Under the rules of Nasdaq, independent directors must comprise a majority of a listed
company’s board of directors. In addition, the rules of Nasdaq require that, subject to specified exceptions, each member of a
listed company’s audit, compensation and nominating and corporate governance committees be independent. Under the rules of Nasdaq,
a director will only qualify as an “independent director” if, in the opinion of that company’s board of directors,
that person does not have a relationship that would interfere with the exercise of independent judgment in carrying out the responsibilities
of a director. Additionally, compensation committee members must not have a relationship with us that is material to the director’s
ability to be independent from management in connection with the duties of a compensation committee member.
Audit
committee members must also satisfy the independence criteria set forth in Rule 10A-3 under the Exchange Act. In order to be considered
independent for purposes of Rule 10A-3, a member of an audit committee of a listed company may not, other than in his or her capacity
as a member of the audit committee, the board of directors or any other board of directors committee: (i) accept, directly or indirectly,
any consulting, advisory or other compensatory fee from the listed company or any of its subsidiaries; or (ii) be an affiliated
person of the listed company or any of its subsidiaries.
Our
Board has undertaken a review of the independence of our directors and has determined that (i) all current directors other than Mr. Todisco
are independent within the meaning of Section 5605(b) of the Nasdaq Marketplace Rules, (ii) all members of our Audit Committee meet the
additional test for independence for audit committee members imposed by SEC regulation and Section 5605(c) of the Nasdaq Marketplace
Rules, (iii) all of the members of our Compensation Committee are independent within the meaning of Section 5605(d) of the Nasdaq Marketplace
Rules, and (iv) all of the members of our Nominating and Governance Committee are independent within the meaning of Section 5605(e) of
the Nasdaq Marketplace Rules.
Board
Committees
Our
Board has established an Audit Committee, a Compensation Committee and a Nominating and Governance Committee. Our Audit Committee currently
consists of Mr. Lefkowitz (Chair), Dr. Dunton and Mr. Duncan. Our Compensation Committee currently consists of Ms. Dillione (Chair),
Dr. Dunton and Mr. Duncan. Our Nominating and Governance Committee currently consists of Mr. Kaplan (Chair), Ms. Dillione, and Mr. Stewart.
The membership of these committees may be changed after our next annual meeting.
Each
of the above-referenced committees operates pursuant to a formal written charter. The charters for each committee, which have been adopted
by our Board, contain a detailed description of the respective committee’s duties and responsibilities and are available on our
website at www.cormedix.com under the “Investor Relations—Corporate Governance” tab.
From time to time, the Board
also conducts business through other duly appointed committees, such as the Strategy Committee, that are established on an ad hoc basis.
The Strategy Committee was formed by the Board to evaluate and oversee certain of the Company’s strategic planning activities. In
2023, the Strategy Committee acted by unanimous written consent on one occasion and held no committee meetings. The Strategy Committee
consists of Steve Lefkowitz, Myron Kaplan and Rob Stewart.
46
Audit
Committee
The
Audit Committee assists the Board in its oversight of our corporate financial statements and reporting and our external audits, including,
among other things, our internal controls and audit functions, the results and scope of the annual audit and other services provided
by our independent registered public accounting firm and our compliance with legal matters that have a significant impact on our financial
statements. The Audit Committee also consults with our management and our independent registered public accounting firm prior to the
presentation of financial statements to stockholders and, as appropriate, initiates inquiries into aspects of our financial affairs.
The Audit Committee is responsible for establishing procedures for the receipt, retention and treatment of complaints regarding accounting,
internal accounting controls or auditing matters, and for the confidential, anonymous submission by our employees of concerns regarding
questionable accounting or auditing matters. In addition, the Audit Committee is directly responsible for the appointment, retention,
compensation and oversight of the work of our independent registered public accounting firm, including approving services and fee arrangements.
All related party transactions will be approved by the Audit Committee before we enter into them.
Both
our independent registered public accounting firm and internal financial personnel regularly meet with, and have unrestricted access
to, the Audit Committee.
The
Board has determined that each of Mr. Lefkowitz, Dr. Dunton and Mr. Duncan qualifies as an “audit committee financial expert”
as that term is defined in the rules and regulations of the SEC. The designation of each of Mr. Lefkowitz, Dr. Dunton and Mr. Duncan
as an “audit committee financial expert” does not impose on them any duties, obligations or liability that are greater than
those that are generally imposed on them as a member of the Audit Committee and the Board, and their designation as an “audit committee
financial expert” pursuant to this SEC requirement does not affect the duties, obligations or liability of any other member of
the Audit Committee or the Board.
Compensation
Committee
The
Compensation Committee reviews and approves our compensation policies and all forms of compensation to be provided to our executive officers,
including, among other things, annual salaries, bonuses, and other incentive compensation arrangements. The Compensation Committee also
reviews and makes recommendations to our Board regarding changes in director compensation. In addition, the Compensation Committee administers
our equity compensation plans, including granting stock options to our executive officers. The Compensation Committee also reviews and
approves employment agreements with executive officers and other compensation policies and matters. Pursuant to its charter, the Compensation
Committee has the power to form and delegate authority to subcommittees and to delegate authority to one or more members of the Compensation
Committee.
Since
2016, the Company and the Compensation Committee have periodically engaged Frederic W. Cook & Co., an independent compensation consultant,
for input on the compensation of our Named Executive Officers and directors. The Compensation Committee assessed the independence of
Frederic W. Cook & Co., considering the factors required by the Nasdaq Global Market Listing Rules and concluded that no conflict
of interest exists that would prevent Frederic W. Cook & Co. from independently representing our Company. In the future, we, or the
Compensation Committee, may engage or seek the advice of Frederic W. Cook & Co., or another compensation consultant.
Each
member of the Compensation Committee is a non-employee director, as defined pursuant to Rule 16b-3 promulgated under the Exchange Act.
47
Nominating
and Governance Committee
The
Nominating and Governance Committee identifies, evaluates and recommends nominees to the Board and committees of the Board, conducts
searches for appropriate directors and evaluates the performance of the Board and of individual directors. The Nominating and Governance
Committee also is responsible for reviewing developments in corporate governance practices, evaluating the adequacy of our corporate
governance practices and reporting and making recommendations to the Board concerning corporate governance matters.
Executive
Officers
The
following table sets forth the name, age and position of each of our executive officers as of December 31, 2023:
Name
Age
Position(s) with CorMedix
Joseph Todisco
48
Chief Executive Officer
Matthew David
46
Executive Vice President and Chief Financial Officer
Beth Zelnick Kaufman
63
Executive Vice President and Chief Legal Officer and Corporate Secretary
Erin Mistry
42
Executive Vice President and Chief Commercial Officer
Elizabeth Hurlburt
45
Executive Vice President and Head, Clinical and Medical Affairs
Phoebe Mounts
73
Former Executive Vice President and General Counsel and Head of Regulatory, Compliance and Legal
See
the biography for Joseph Todisco under “Directors.”
Matthew
David . M.D ., became our Executive Vice President and Chief Financial Officer in May 2020. From October 4, 2021 through
May 10, 2022, Dr. David also served as our interim Chief Executive Officer in addition to his role as Chief Financial Officer.
Prior to joining us, he most recently served as Head of Strategy at Ovid Therapeutics Inc, a late-stage clinical biopharmaceutical company
focused on developing treatments for rare neurological disorders, where he was responsible for financing strategy and investor relations,
and joined in October 2018. Prior to Ovid, Dr. David was a Strategic Advisor to Frequency Therapeutics, advising on financing, investor
relations and strategic initiatives from 2017 to early 2019. Prior to Frequency, Dr. David spent the majority of his career as an investment
banker specialized in the life sciences sectors, including at Piper Jaffray, Thomas Weisel Partners, Ferghana Partners and most recently
at Bank of America Merrill Lynch. As part of his experience as an investment banker, Dr. David has advised on a broad range of capital
raising and strategic transactions. Earlier in his career, Dr. David was part of the equity research team at Lehman Brothers, focusing
on Large Pharma. Dr. David began his career as a surgical resident at Beth Israel Hospital, after receiving an M.D. from NYU School of
Medicine. Dr. David earned his Bachelor of Arts degree in Chemistry, magna cum laude, from Dartmouth College.
Beth Zelnick Kaufman
became our Executive Vice President and Chief Legal Officer and Corporate Secretary on December 12, 2023. She has more than two decades
of legal, compliance and operations experience in the life sciences industry. Prior to joining CorMedix, she most recently served as Chief
Legal and Administrative Officer and Corporate Secretary of Akorn Pharmaceuticals, a specialty and generic pharmaceuticals company. Ms.
Zelnick Kaufman also served in several roles at Amneal Pharmaceuticals, a publicly traded global generics, biosimilars and branded pharmaceuticals
company, including roles as Assistant General Counsel, Vice President, Legal Affairs, and Head of Government Affairs. During her tenure
at these and other pharmaceutical companies, Ms. Zelnick Kaufman gained deep experience in the pharmaceutical industry across legal, regulatory,
government affairs, and other operational areas. Earlier in her career, Ms. Zelnick Kaufman held roles at Actavis, Alpharma and Topcon
America and spent time as an Associate in the law firm Brown, Rudnick.
Erin
Mistry became our Senior Vice President of Payer Strategy, Government Affairs and Trade in March 2020. Her current role is Executive
Vice President and Chief Commercial Officer, effective January 2023. Prior to joining CorMedix, Erin held roles as VP market access at
Intarcia therapeutics as well as Senior Managing Director of the global Value and Access practice at Syneos Health. During her career,
Erin has worked with emerging, mid-size, and large biopharma companies with a focus on pricing, access and reimbursement. She currently
serves on the boards of Incubate Coalition and the AntiMicrobial Working Group, both in Washington, DC. Erin holds a B.S. in Industrial
Engineering (healthcare) and an M.S. in Biomechanical Engineering from North Carolina State University.
Elizabeth
Hurlburt became our Executive Vice President and Head of Clinical Operations in March 2018. Her current role is Executive Vice
President and Head of Clinical and Medical Affairs, effective May 2022. Prior to her employment, Ms. Hurlburt had been providing us clinical
operations expertise as a consultant since late November 2017. Before she began her consulting career, she held several progressive management
roles in clinical operations, most recently at Gemphire Therapeutics, as a Senior Director, Clinical Operations from April 2015 to October
2016, then as Vice President, Clinical Operations from October 2016 to March 2018. Ms. Hurlburt received her B.A. in Leadership and Organizational
Management from Bay Path College and a M.S. in Management and Leadership from Western Governors University.
On
December 31, 2023, Phoebe Mounts, our former Executive Vice President and General Counsel and Head of Regulatory, Compliance and Legal,
voluntarily resigned effective December 31, 2023. See Item 11, Executive Compensation , for further detail on the terms of Ms.
Mounts’ separation with the Company.
48
Item 11.
Executive Compensation
DIRECTOR
COMPENSATION
Director
Compensation in Fiscal 2023
The
following table shows the compensation earned by each of our non-employee directors for the year ended December 31, 2023:
Name
Fees
Earned or Paid in Cash ($)
Option
Awards (1)(2)
($)
Total
($)
Paulo F. Costa (3)
65,242
69,420
134,662
Janet Dillione
78,000
69,420
147,420
Gregory Duncan
72,000
69,420
141,420
Alan W. Dunton
72,000
69,420
141,420
Myron Kaplan
122,543
69,420
191,963
Steven Lefkowitz
93,000
69,420
162,420
Robert Stewart
43,587
158.995
202,582
(1) The
amounts included in this column are the dollar amounts representing the full grant date fair
value of each stock option award calculated in accordance with FASB ASC Topic 718 and do
not represent the actual value that may be recognized by the directors upon option exercise.
For information on the valuation assumptions used in calculating these amounts, see Note
7 to our audited financial statements included in this Annual Report on Form 10-K.
49
(2) As
of December 31, 2023, the number of shares underlying options held by each non-employee director
was as follows: 83,750 shares for Mr. Costa; 145,000 shares for Ms. Dillione; 82,500 for
Mr. Duncan; 112,500 shares for Dr. Dunton; 126,000 shares for Mr. Kaplan; 108,000 shares
for Mr. Lefkowitz; and 39,200 shares for Mr. Stewart.
(3) Effective
October 15, 2023, Mr. Costa ceased as a member of the Company’s board of directors.
Director
Compensation Plan
The
Board, following the recommendation of the Compensation Committee and, based on advice of Frederic W. Cook & Co., determined that
no adjustment was needed with regard to Board and committee cash compensation for 2023.
The 2023 compensation program
is set forth below in the table. Each year we make an annual grant of stock options to each non-employee director with respect to 20,000
shares and we make an initial grant of stock options to new non-employee directors with respect to 25,000 shares, prorated as appropriate.
On March 5, 2024, the Board approved an increase in the annual and initial grant of stock options to non-employee directors, whereby
such directors will receive an annual option grant with respect to 30,000 shares (from 20,000 shares) and new non-employee directors
will receive an initial option grant with respect to 30,000 shares (from 25,000 shares). All stock options are subject to continued service
on the Board through the vesting date. The exercise price per share of each stock option granted to our non-employee directors is equal
to the fair market value of our common stock as determined based upon the closing sales price for our stock on the date of grant.
Cash
($)
Stock
Options (#)
Annual Fee
55,000
First Election to Board
25,000 (1)
Annual Grant, Prorated in First Year Following Election to the Board
20,000 (2)
Additional Annual Fee - Board Chair
45,000
Additional Annual Fee - Audit Chair
23,000
Additional Annual Fee - Compensation Chair
18,000
Additional Annual Fee - Nomination and Governance Chair
14,000
Additional Annual Fee - Audit Committee Non-Chair Members
10,000
Additional Annual Fee - Compensation Committee Non-Chair Members
7,000
Additional Annual Fee - Nomination and Governance Committee Non-Chair Members
5,000
Additional Annual Fee - Strategic Committee Members
15,000
(1) Vests
one third each on the date of grant and the first and second anniversary date of grant.
(2) Vests
monthly over one year after the grant date.
We
maintain a Deferred Compensation Plan for Directors, pursuant to which our non-employee directors may defer all of their cash director
fees and restricted stock units. Any cash fees due to a participating director will be converted into a number of shares of our common
stock by dividing the dollar amount of fees payable by the closing price of our common stock on the date such fees would be payable,
and the director’s unfunded account is credited with the shares. The shares that accumulate in a director’s account will
be paid to the director on the tenth business day in January following the year in which the director’s service terminates for
whatever reason, other than death, in which case the account will be paid within 30 days of the date of death to the designated beneficiary,
as applicable. In the event of a change in control of our Company, the director would receive cash in an amount equal to the number of
shares in the account multiplied by the fair market value of our common stock on the change in control date, and the payment would be
accelerated to five business days after the effective date of the change in control.
50
EXECUTIVE
COMPENSATION
Summary
Compensation Table
The
following table sets forth information with respect to compensation earned by our Named Executive Officers in the years ended December
31, 2023 and 2022:
Name
and Principal Position
Year
Salary
($)
Stock
Awards (1)
($)
Option
Awards (1)
($)
Non-equity
Incentive Plan Compensation
($)
All
Other Compensation ($)
Total
($)
Joseph
Todisco
2023
616,962
--
1,388,400
401,700
52,370 (2)
2,459,342
Chief
Executive Officer
2022
378,461
701,245
1,273,500
305,760
32,223
2,691,189
Matthew
David
2023
389,135
--
433,875
156,000
52,140 (2)
1,031,150
Chief
Financial Officer
2022
393,462
--
305,900
389,485
47,697
1,136,544
Erin
Mistry (3)
2023
389,577
--
694,200
156,800
--
1,240,577
Executive
Vice President and Chief Commercial Officer
Phoebe
Mounts (4)
2023
375,000
--
433,875
112,500
333,207 (5)
1,254,582
Former
Executive Vice President and General Counsel and Head of Regulatory, Compliance and Legal
2022
375,000
--
428,260
195,075
12,146
1,010,481
(1) The
amounts included in this column are the dollar amounts representing the full grant date fair
value of each award calculated in accordance with FASB ASC Topic 718 and do not represent
the actual value that may be recognized by the Named Executive Officers upon option exercise.
(2) Represents
premiums paid by us for health benefits and 401(k) plan employer match.
(3) Ms.
Mistry became our Chief Commercial Officer on January 15, 2023. Ms. Mistry was not an executive
officer during 2022.
(4) Dr.
Mounts’ service as an executive officer ceased on December 12, 2023, but her employment
continued through December 31, 2023.
(5) Represents
premiums paid by us for health benefits, Dr. Mounts’ 401(k) employer match for 2023,
Dr. Mounts’ cash severance and accrued but unpaid paid time off through her termination
date.
Narrative
Disclosure to Summary Compensation Table
Employment
Agreements with Named Executive Officers
Joseph
Todisco
On
March 16, 2022, we entered into an employment agreement with Mr. Todisco, our Chief Executive Officer. The term of the employment agreement
will automatically renew for additional successive one-year periods on March 16 th of each calendar year, unless either party
notifies the other in writing at least 90 days before the expiration of the then-current term that the term will not be renewed. Mr.
Todisco is entitled to an annual salary of $618,000 (effective January 2023), and his target annual bonus is 65% of his base salary,
with the actual bonus entitlement based on the achievement of specified Company objectives.
Matthew
David
On May 11, 2020, we entered into an employment agreement with Dr. David
to serve as our Executive Vice President and Chief Financial Officer. The term will automatically renew for additional successive one-year
periods on May 11 th of each calendar year, unless either party notifies the other in writing at least 90 days before the expiration
of the then-current term that the term will not be renewed. Dr. David is entitled to an annual salary of $390,000 (effective January 2023),
and his target annual bonus is 40% of his base salary, with the actual bonus entitlement based on the achievement of specified Company
objectives.
51
Erin
Mistry
On
January 15, 2023, we entered into an employment agreement with Ms. Mistry to serve as Executive Vice President and Chief Commercial Officer.
After the initial three-year term of the employment agreement, the term will automatically renew for additional successive one-year periods,
unless either party notifies the other in writing at least 90 days before the expiration of the then-current term that the term will
not be renewed. Ms. Mistry receives an annual salary of $392,000, and her target annual bonus is 40% of her base salary, with the actual
bonus entitlement based on the achievement of specified Company objectives.
Phoebe
Mounts
Until
December 12, 2023, Dr. Mounts served as our Executive Vice President and General Counsel and Head of Regulatory, Compliance and Legal
and received an annual salary of $375,000, with a target annual bonus of 30% of her base salary, with the actual bonus entitlement based
on the achievement of specified Company objectives.
In
connection with her departure, the Company and Dr. Mounts entered into a separation agreement which provided for severance benefits,
including continued payment of her base salary for nine months, payment of her 2023 target annual bonus, and accelerated vesting of her
time-based stock options that were otherwise scheduled to vest on or before the first anniversary of her termination date. For additional
information regarding Dr. Mounts’ separation agreement, please see the section titled “ Potential Payments on a Qualifying
Termination .”
Potential
Payments Upon Termination or Change in Control
The
following provisions of the employment agreements with our Named Executive Officers are identical except where noted.
In the event that a Named
Executive Officer’s employment is terminated during the term of his or her employment agreement by the Company other than for Cause
(other than as a result of death or disability), or by the Named Executive Officer for Good Reason (as defined in the employment agreement),
the Named Executive Officer will, subject to execution of a general release of claims, be entitled to: (i) a continuation of base salary
for a period of nine months; except that Mr. Todisco’s base salary will continue for 12 months (or 18 months if such termination
occurs within 24 months following a corporate transaction (as defined in the employment agreement)); (ii) payment on a prorated basis
for any target bonus for the year of termination based on the actual achievement of the specified bonus objectives (or in the case of
Mr. Todisco only, for 18 months, if such termination occurs within 24 months following a corporate transaction); (iii) subsidized
COBRA premiums for up to nine months (or in the case of Mr. Todisco only, for 18 months, if such termination occurs within 24 months following
a corporate transaction); and (iv) one year of additional time vesting of the Named Executive Officer’s then-outstanding equity
awards (and in the case of Mr. Todisco, accelerated vesting of the restricted stock units granted to him on May 10, 2022), or full
vesting if such termination occurs within 24 months following a corporate transaction.
Dr.
Mounts’ separation agreement provides for severance benefits consistent with the terms of her employment agreement in connection
with a termination without “cause” prior to a corporate transaction. Specifically, in exchange for a general release of claims
in favor of the Company and its affiliates, Dr. Mounts’ cooperation with the transition of her position, and continued compliance
with certain restrictive covenants, the Company agreed to provide Dr. Mounts with (i) a continuation of base salary ($31,250 per
month) for a period of nine months, (ii) payment of her full 2023 target annual bonus (as reflected in the “ Non-equity
Incentive Plan Compensation ” column of the Summary Compensation Table), and (iii) one year of additional time vesting of her
then-outstanding options.
52
Non-Compete
Covenants
Each
of our Named Executive Officers is prohibited from engaging in any business involving the development or commercialization of a preventive
anti-infective product that would be a direct competitor of DefenCath/Neutrolin or a product containing taurolidine or any other product
being actively developed or produced by us within the United States and the European Union (or in the case of Dr. David and Mr. Todisco,
worldwide) on the date of termination of his or her employment for a period of 12 months following any termination of employment.
Equity
Plan
The
Company maintains the CorMedix Inc. Amended and Restated 2019 Omnibus Stock Incentive Plan pursuant to which it has granted equity awards
to the Named Executive Officers, as well as other employees and service providers.
2023
Equity Awards
Mr.
Todisco was granted stock options to purchase 400,000 shares of the Company’s Common Stock on January 14, 2023. The options granted
to Mr. Todisco are scheduled to vest over a period of three years (with the first 25% vesting on the date of the grant, and the remainder
scheduled to vest in equal annual installments over the next three years thereafter, subject to continued employment).
Dr.
David was granted stock options to purchase 125,000 shares of the Company’s Common Stock on January 14, 2023. The options granted
to Dr. David are scheduled to vest over a period of three years (with the first 25% vesting on the date of the grant, and the remainder
scheduled to vest in equal annual installments over the next three years thereafter, subject to continued employment).
Ms. Mistry was granted stock
options to purchase 200,000 shares of the Company’s Common Stock on January 14, 2023. The options granted to Ms. Mistry are scheduled
to vest over a period of three years (with the first 25% vesting on the date of the grant, and the remainder scheduled to vest in equal
annual installments over the next three years thereafter, subject to continued employment).
Dr.
Mounts was granted stock options to purchase 125,000 shares of the Company’s Common Stock on January 14, 2023. The options granted
to Dr. Mounts were scheduled to vest over a period of three years (with the first 25% vesting on the date of the grant, and the remainder
scheduled to vest in equal annual installments over the next three years thereafter, subject to continued employment).
53
Outstanding
Equity Awards at Fiscal Year-End 2023
The
following table contains certain information concerning unexercised options for the Named Executive Officers as of December 31, 2023.
Option
Awards
Stock
Awards
Name
Number
of Shares Underlying Unexercised Options (#)
Exercisable
Number
of Shares Underlying Unexercised Options (#) Unexercisable (1)
Equity
Incentive Plan Awards: Number of Shares Underlying Unexercised Unearned Options
# (2)
Option
Exercise Price
($)
Option
Expiration Date
Equity
Incentive Plan Awards: Number of Unearned Shares, Units or Other Rights That Have Not Vested
#
Equity
Incentive Plan Awards: FMV or Payout Value of Unearned Shares, Units or Other Rights That Have Not Vested
$ (3)
Joseph Todisco
125,000
375,000
--
3.38
05/09/2032
103,735 (4)
390,044
100,000
300,000
--
4.43
01/14/2033
--
--
Matthew David
101,917
20,750
--
5.63
05/11/2030
--
--
101,917
20,750
--
4.08
05/11/2030
--
--
30,000
10,000
--
8.32
01/10/2031
--
--
93,750
31,250
--
5.56
10/31/2031
--
--
50,000
50,000
--
4.03
02/17/2032
--
--
31,250
93,750
--
4,43
01/14/2033
Erin Mistry
77,500
2,500
--
3.57
04/13/2030
--
--
7,500
2,500
--
8.32
01/10/2031
--
--
10,500
10,500
--
4.03
02/17/2032
--
--
60,000
60,000
--
5.45
07/20/2032
--
--
50,000
150,000
--
4.43
01/14/2033
--
--
Phoebe Mounts (5)
60,000
--
--
7.92
12/31/2024
--
--
24,764
--
--
5.63
12/31/2024
--
--
50,000
--
--
4.08
12/31/2024
--
--
50,000
--
--
5.63
12/31/2024
--
--
70,000
--
--
8.32
12/31/2024
--
--
100,000
--
--
5.56
12/31/2024
--
--
105,000
--
--
4.03
12/31/2024
--
--
62,500
--
--
4.43
12/31/2024
(1) Vesting
based on continued employment over four years.
54
(2) Options
vest based on achievement of specific milestones and continued employment and become exercisable
if and when a milestone is achieved.
(3) Fair
market value of the shares that could be acquired based on the closing sale price per share
of our common stock on the Nasdaq Global Market on December 31, 2023, which was $3.76.
(4) Each
restricted stock unit represents the right to receive one share of our common stock. The
restricted stock units vest as follows: 50% on the first anniversary of the grant date, 30%
on the second anniversary of the grant date, and the remaining 20% on the third anniversary
of the grant date, subject to continued service through the applicable vesting date.
(5) Dr.
Mounts ceased serving as our General Counsel and Head of Regulatory, Compliance and Legal
effective December 12, 2023, but her employment continued through December 31, 2023.
Potential
Payments on a Qualifying Termination
If
the severance payments called for in our employment agreements for Mr. Todisco, Dr. David and Ms. Mistry had been triggered on December
31, 2023, we would have been obligated to make the following payments as described in more detail under the “ Potential Payments
Upon Termination or Change in Control ” summary above:
Name
Cash
Severance
($)
COBRA
Subsidy
($)
Accelerated
Equity Vesting
($) (1)
Total
($)
Joseph
Todisco (no Corporate Transaction)
618,000
42,831
437,544
1,098,375
Joseph
Todisco (within 24 months following a Corporate Transaction)
927,000
64,246
532,544
1,230,790
Matthew
David (no Corporate Transaction)
292,500
31,863
0
324,363
Matthew
David (within 24 months following a Corporate Transaction)
292,500
31,863
0
324,363
Erin
Mistry (no Corporate Transaction)
294,003
0
475
294,578
Erin
Mistry (within 24 months following a Corporate Transaction)
294,003
0
475
294,578
(1) With
respect to outstanding stock options, represents the difference between the fair market value
of the shares that could be acquired based on the closing sale price per share of our common
stock on the Nasdaq Global Market on December 31, 2023, which was $3.76, and the exercise
prices of the applicable stock options. With respect to restricted stock units, represents
the fair market value of the shares that could be acquired based on the closing sale price
per share of our common stock on the Nasdaq Global Market on December 31, 2023, which was
$3.76.
Pursuant
to Dr. Mounts’ separation agreement, her departure was treated as a termination by the Company without Cause and she will be entitled
to receive the severance benefits and payments described under the “ Potential Payments Upon Termination or Change in Control ”
summary above. Dr. Mounts is subject to a noncompete covenant that runs through September 30, 2024, consistent with the terms described
above under “ Non-Compete Covenants ”.
55
Item 12.
Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
Beneficial
Ownership
The
following table shows the number of shares of our common stock beneficially owned as of March 7, 2024 by:
● each
person known by us to own beneficially more than 5% of the outstanding shares of our common
stock;
● each
director;
● each
of our Named Executive Officers; and
● all
of our current directors and executive officers as a group.
This
table is based upon the information supplied by our Named Executive Officers, directors and principal stockholders and from
Schedules 13D and 13G filed with the SEC. Except as indicated in footnotes to this table, the persons named in this table have sole
voting and investment power with respect to all shares of common stock shown, and their address is c/o CorMedix Inc., 300 Connell
Drive, Suite 4200, Berkeley Heights, New Jersey 07922. As March 7, 2024 we had 54,981,102 shares of common stock outstanding.
Beneficial ownership in each case also includes shares issuable upon vesting of restricted stock units within 60 days from March 7,
2024 and exercise of outstanding options that can be exercised within 60 days after March 7, 2024 for purposes of computing the
percentage of common stock owned by the person named. Options owned by a person are not included for purposes of computing the
percentage owned by any other person.
Common
Stock
Beneficially Owned (1)
Name and
Address of Beneficial Owner
Shares
%
5% or
Greater Stockholders
Blackrock,
Inc. (2)
3,507,695
6.4 %
Nomura
Global Financial Products, Inc. (3)
2,946,531
5.4 %
Directors:
Janet
Dillione (4)
198,473
*
Gregory
Duncan (5)
82,500
*
Alan
W. Dunton (6)
127,750
*
Myron
Kaplan (7)
307,034
*
Steven
Lefkowitz (8)
215,650
*
Robert
Stewart (9)
41,866
*
Named
Executive Officers:
Joseph
Todisco (10)
527,210
*
Matthew
David (11)
510,518
*
Beth
Kaufman
0
*
Elizabeth
Hurlburt (12)
415,041
*
Erin
Mistry (13)
303,761
*
Phoebe
Mounts (14)
514,464
*
All
executive officers and directors as a group (11 persons) (15)
2,729,803
4.8 %
* Less
than 1%
(1) Based
upon 54,981,102 shares of our common stock outstanding on March 7, 2024 and, with respect
to each individual holder, rights to acquire our common stock exercisable within 60 days
of March 7, 2024.
56
(2) Based
solely on information contained in the Statement on Schedule 13G filed with the SEC
on January 29, 2024 by Blackrock, Inc. Blackrock, Inc. reported has sole voting power with
respect to 3,480,288 shares of our common stock, has shared voting power with respect to
0 shares of our common stock, has sole dispositive power with respect to 3,507,695 shares
of our common stock and has shared dispositive power with respect to 0 shares of our common
stock. The business address of Blackrock, Inc. is 50 Hudson Yards, New York, NY 10001.
(3) Based
solely on information contained in Amendment No. 2 to the Statement on Schedule 13G filed
with the SEC on February 14, 2024 by Nomura Global Financial Products, Inc. (“NGFP”).
NGFP is a wholly owned subsidiary of Nomura Holdings, Inc., which accordingly may be deemed
to beneficially own the shares beneficially owned by NGFP. NGFP reported has sole voting
power with respect to 0 shares of our common stock, shared voting power with respect to 2,946,531
shares of our common stock, sole dispositive power with respect to 0 shares of our common
stock and shared dispositive power with respect to 2,946,531 shares of our common stock.
The business address of NGFP is Worldwide Plaza, 309 West 49th Street, New York, NY 10019.
The business address of Nomura Holdings, Inc. is 13-1, Nihonbashi 1-chome, Chuo-ku, Tokyo
103-8645, Japan.
(4) Consists
of (i) 53,473 shares of our common stock, and (ii) 145,000 shares of our common stock issuable
upon exercise of stock options. Ms. Dillione also holds 48,909 shares of common stock deferred
under Director’s Compensation Plan, which is excluded for purposes of calculating the
number of shares of our common stock beneficially owned as of February 15, 2024.
(5) Consists
of 82,500 shares of our common stock issuable upon exercise of stock options.
(6) Consists
of (i) 15,250 shares of our common stock, and (ii) 112,500 shares of our common stock issuable
upon exercise of stock options.
(7) Consists
of (i) 151,034 shares of our common stock held directly, (ii) 30,000 shares of our common
stock held by Mr. Kaplan’s wife, 20,000 of which are held by her individually and 10,000
of which are held as a custodian for two of Mr. Kaplan’s grandchildren, and (iii) 126,000
shares of our common stock issuable upon exercise of stock options.
(8) Consists
of (i) 75,498 shares of our common stock held directly, (ii) 2,000 shares of our common stock
held by Mr. Lefkowitz’s wife, (iii) 30,152 shares of our common stock held by Wade
Capital Corporation Money Purchase Plan, an entity for which Mr. Lefkowitz has voting and
investment control, and (iv) 108,000 shares of our common stock issuable upon exercise of
stock options.
(9) Consists
of (i) 11,000 shares of our common stock, and (ii) 30,866 shares of our common stock issuable
upon exercise of stock options.
(10) Consists
of (i) 135,543 shares of our common stock, and (ii) 391,667 shares of our common stock issuable
upon exercise of stock options.
(11) Consists
of (i) 10,434 shares of our common stock, (ii) 500,084 shares of our common stock issuable
upon exercise of stock options.
(12) Consists
of (i) 7,897 shares of our common stock, and (ii) 407,144 shares of our common stock issuable
upon exercise of stock options.
(13) Consists
of (i) 13,011 shares of our common stock, and (ii) 290,750 shares of our common stock issuable
upon exercise of stock options.
(14) Consists
(i) 7,200 shares of our common stock, and (ii) 507,264 shares of our common stock issuable
upon exercise of stock options.
(15) Consists of the following held by our directors and executive officers
(i) 535,292 shares of our common stock, and (ii) 2,151,177 shares of our common stock issuable upon exercise of stock options.
Equity
Compensation Plan Information
The
following table provides information as of December 31, 2023 about our common stock that may be issued upon the exercise of options,
warrants and rights under all of our existing equity compensation plans (including individual arrangements):
Plan
Category
Number
of securities to be issued upon exercise of outstanding options, warrants and rights
(a)
Weighted-average
exercise price of outstanding options, warrants and rights
(b)
Number
of
securities remaining available for future issuance under equity compensation plans (excluding securities reflected in column
(a)
(c))
Equity compensation plans approved
by security holders (1)
6,365,243 (2)
$ 5.44 (3)
3,108,929
(1) Our
2013 Stock Incentive Plan was approved by our stockholders on July 30, 2013. Our 2019 Omnibus
Stock Incentive Plan was approved by our stockholders on November 26, 2019. Our Amended and
Restated 2019 Omnibus Stock Incentive Plan was approved by our stockholders on October 13,
2022.
(2) Consist
of 6,211,508 underlying stock options and 153,735 underlying restricted stock units.
(3) Applicable
to shares underlying outstanding stock options only.
57
Item 13.
Certain Relationships and Related Transactions and Director Independence
Related
Party Transactions
No
related party transactions occurred during the fiscal year ended December 31, 2023.
Procedures
for Review and Approval of Transactions with Related Persons
Pursuant
to the Audit Committee Charter, the Audit Committee is responsible for reviewing and approving all related party transactions as defined
under Item 404 of Regulation S-K, after reviewing each such transaction for potential conflicts of interests and other improprieties.
Our policies and procedures for review and approval of transactions with related persons are in writing in our Code of Conduct and Ethics
available on our website at www.cormedix.com under the “Investor Relations—Corporate Governance” tab.
The
information on Board independence is found in Item 10 of this Report under the heading “Board Independence.”
Item 14.
Principal Accounting Fees and Services
Fees
Paid to the Independent Registered Public Accounting Firm
The following table sets forth
fees billed to us by Friedman LLP and Marcum LLP, our independent registered public accounting firms for the years ended December 31,
2023 and 2022, for services relating to: auditing our annual financial statements; reviewing our financial statements included in our
quarterly reports on Form 10-Q; reviewing registration statements during 2023 and 2022; and financing activities in 2023 and 2022.
2023
2022
Audit Fees (Friedman LLP)
$ -
$ 42,400
Audit Fees (Marcum LLP)
$ 225,225
$ 127,000
Audit Related Fees
-
-
Tax Fees
-
-
All Other Fees
$ -
-
Total
$ 225,225
$ 169,400
Audit
Committee Pre-Approval Policies and Procedures
Pursuant
to its charter, the Audit Committee is responsible for reviewing and approving in advance any audit and any permissible non-audit engagement
or relationship between us and our independent registered public accounting firm. The Audit Committee may delegate to one or more designated
members of the Audit Committee the authority to grant pre-approvals, provided such approvals are presented to the Audit Committee at
a subsequent meeting. If the Audit Committee elects to establish pre-approval policies and procedures regarding non-audit services, the
Audit Committee must be informed of each non-audit service provided by our independent registered public accounting firm. Audit Committee
pre-approval of audit and non-audit services will not be required if the engagement for the services is entered into pursuant to pre-approval
policies and procedures, provided the policies and procedures are detailed as to the particular service, the Audit Committee is informed
of each service provided and such policies and procedures do not include delegation of the Audit Committee’s responsibilities under
the Exchange Act to our management. Audit Committee pre-approval of non-audit services (other than review and attestation services) also
will not be required if such services fall within available exceptions established by the SEC. All services performed by our independent
registered public accounting firm during 2023 were pre-approved by the Audit Committee.
58
PART
IV
Item
15. Exhibits, Financial Statement Schedules
1.
Financial Statements . The following consolidated financial statements of CorMedix Inc. are filed as part of this Annual Report
on Form 10-K:
Report
of Independent Registered Public Accounting Firm (PCAOB ID # 688)
F-2
Consolidated Balance Sheets as of December 31, 2023 and 2022
F-3
Consolidated Statements of Operations and Comprehensive Income (Loss) Years Ended December 31, 2023 and 2022
F-4
Consolidated Statements of Changes in Stockholders’ Equity Years Ended December 31, 2023 and 2022
F-5
Consolidated Statements of Cash Flows Years Ended December 31, 2023 and 2022
F-6
Notes to Consolidated Financial Statements
F-7
2.
Financial Statement Schedules. The Financial Statement Schedules have been omitted because of the absence of conditions under which they
are required or because the required information, where material, is shown in the financial statements or notes thereto.
3.
Exhibit Index . The following is a list of exhibits filed as part of this Annual Report on Form 10-K:
Exhibit
Number
Description
of Document
Registrant’s
Form
Dated
Exhibit
Number
Filed
or
Furnished
Herewith
1.1
At-the-Market
Issuance Sales Agreement, dated August 12, 2021, by and among CorMedix Inc., Truist Securities, Inc. and JMP Securities LLC
8-K
08/12/2021
1.1
1.2
Underwriting
Agreement, dated June 28, 2023, by and among CorMedix Inc., BC Capital Markets, LLC and Truist Securities, Inc.
8-K
06/30/2023
1.1
3.1
Form
of Amended and Restated Certificate of Incorporation
S-1/A
3/01/2010
3.3
3.2
Certificate
of Amendment to Amended and Restated Certificate of Incorporation, dated February 24, 2010
S-1/A
3/19/2010
3.5
3.3
Second
Amended and Restated Bylaws as amended October 8, 2020
8-K
10/14/2020
3.1
3.4
Certificate
of Amendment to Amended and Restated Certificate of Incorporation, dated December 3, 2012
10-K
3/27/2013
3.3
3.5
Certificate
of Amendment to Amended and Restated Certificate of Incorporation, dated August 9, 2017
8-K
8/10/2017
3.1
3.6
Certificate
of Amendment to Amended and Restated Certificate of Incorporation, dated March 25, 2019
8-K
3/25/2019
3.1
59
Exhibit
Number
Description
of Document
Registrant’s
Form
Dated
Exhibit
Number
Filed
or
Furnished
Herewith
3.7
Amended
and Restated Certificate of Designation of Series C-3 Non-Voting Convertible Preferred Stock of CorMedix Inc., filed with the Delaware
Secretary of State on September 15, 2014
8-K
9/16/2014
3.16
3.8
Second
Amended and Restated Certificate of Designation of Series E Convertible Preferred Stock of CorMedix Inc., filed with the Delaware
Secretary of State on September 5, 2019
8-K
9/11/2019
3.2
3.9
Certificate
of Designation of Series G Convertible Preferred Stock of CorMedix Inc., filed with the Delaware Secretary of State on September
5, 2019
8-K
9/11/2019
3.1
4.1
Specimen
of Common Stock Certificate
S-1/A
3/19/2010
4.1
4.2
Form
of Warrant issued on January 8, 2014.
8-K
1/09/2014
4.23
4.3
Form
of Series B Warrant to Purchase Common Stock of CorMedix Inc. issued on May 3, 2017
8-K
5/03/2017
4.2
4.4
Form
of Underwriter’s Warrant to Purchase Common Stock of CorMedix Inc., issued May 3, 2017
8-K
5/03/2017
4.3
4.5
Description of Capital Stock of CorMedix Inc.
10-K
03/16/2020
4.5
4.6
Form of Pre-Funded Warrant issued June 28, 2023
8-K
06/30/2023
4.1
10.1*
License and Assignment Agreement, dated as of January 30, 2008, between CorMedix Inc. and ND Partners LLC
10-K
03/16/2020
10.1
10.2+
Form of Indemnification Agreement between CorMedix Inc. and each of its directors and executive officers
10-Q
5/15/2023
10.1
10.3**+
Executive
Employment Agreement, dated and effective May 11, 2020, between CorMedix Inc. and Matthew David
10-K
3/30/2021
10.10
10.4+
Letter
Agreement, dated and effective October 26, 2021, between CorMedix Inc. and Matthew David, M.D.
8-K
10/29/2021
10.1
10.5
Form
of Securities Purchase Agreement, dated November 17, 2017, between CorMedix Inc. and the investors signatory thereto
8-K
11/13/2017
10.1
10.6
Backstop
Agreement, dated November 9, 2017, between CorMedix Inc. and the investor named therein
8-K
11/13/2017
10.2
10.7
Form
of Registration Rights Agreement, dated November 9, 2017, by and between CorMedix Inc. and the investor named therein
8-K
11/13/2017
10.3
10.8
Amendment
No. 1, dated as of December 11, 2017, to Registration Rights Agreement, dated November 9, 2017, by and between CorMedix Inc. and
the investor named therein
8-K
12/11/2017
10.1
10.9**+
Executive
Employment Agreement, dated and effective March 10, 2021, between CorMedix Inc. and Elizabeth Hurlburt
8-K
3/12/2021
10.1
10.10
Securities
Purchase Agreement, dated December 31, 2018, between CorMedix Inc. and the investor named therein
8-K
1/03/2019
10.1
60
Exhibit
Number
Description
of Document
Registrant’s
Form
Dated
Exhibit
Number
Filed
or
Furnished
Herewith
10.11*
Employment
Agreement, dated as of March 19, 2019, between CorMedix Inc. and Phoebe Mounts
10-Q
5/13/19
10.1
10.12
Securities
Exchange Agreement, dated August 14, 2019, by and among CorMedix Inc. and the Existing Security holders listed on the Schedule of
Holders thereto
8-K
8/15/2019
10.1
10.13
Amended
and Restated Registration Rights Agreement, dated as of September 6, 2019, by and among CorMedix Inc. and Manchester Securities Corp.,
and Elliot International, L.P. and Elliot Associates, L.P.
8-K
9/11/2019
10.1
10.14
Amended and Restated 2019 Omnibus Stock Incentive Plan
S-8
10/26/2022
99.1
10.15+
2021 Executive Bonus Plan
8-K
12/23/2021
10.1
10.16+
Executive Employment Agreement, dated March 16, 2022, between CorMedix Inc. and Joseph Todisco.
8-K
03/21/2022
10.2
10.17+
Separation Agreement, effective December 14, 2023, between CorMedix Inc. and Phoebe Mounts.
X
21.1
List
of Subsidiaries
10-K
3/27/2013
21.1
23.1
Consent of Independent Registered Public Accounting Firm
X
31.1
Certification of Principal Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
X
31.2
Certification of Principal Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
X
32.1***
Certification of Principal Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
X
32.2***
Certification of Principal Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
X
97.1
Board Policy on Recouping Incentive Compensation
X
101.INS
Inline XBRL Instance Document
X
101.SCH
Inline
XBRL Taxonomy Extension Schema Document.
X
101.CAL
Inline XBRL Taxonomy Extension Calculation Linkbase Document.
X
101.DEF
Inline XBRL Taxonomy Extension Definition Linkbase Document.
X
101.LAB
Inline XBRL Taxonomy Extension Label Linkbase Document.
X
101.PRE
Inline XBRL Taxonomy Extension Presentation Linkbase Document.
X
104
Cover
Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101).
X
*
Confidential treatment has been granted
for portions of this document. The omitted portions of this document have been filed separately with the SEC.
**
Portions of the exhibit have been omitted
in reliance on Item 601(b)(10)(iv) of Regulation S-K.
***
These certifications are furnished.
+
Indicates management contract or compensation
plan.
Item
16. Form 10-K Summary
Not
applicable.
61
SIGNATURES
Pursuant
to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by
the undersigned thereunto duly authorized.
CORMEDIX INC.
March 12, 2024
By:
/s/
Joseph Todisco
Joseph Todisco
Chief Executive Officer
(Principal Executive Officer)
March 12, 2024
By:
/s/
Matthew David
Matthew David
Chief Financial Officer
(Principal Financial and Accounting Officer)
Pursuant
to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the
Registrant and in the capacities and on the dates indicated:
Signature
Title
Date
/s/ Joseph Todisco
Chief Executive Officer and Director
March 12, 2024
Joseph Todisco
(Principal Executive Officer)
/s/
Matthew David
Executive Vice President and Chief Financial Officer
March 12, 2024
Matthew David
(Principal Financial and Accounting Officer)
/s/ Myron Kaplan
Director and Chairman of the Board
March 12, 2024
Myron Kaplan
/s/ Janet Dillione
Director
March 12, 2024
Janet Dillione
/s/ Gregory Duncan
Director
March 12, 2024
Gregory Duncan
/s/ Alan Dunton
Director
March 12, 2024
Alan Dunton
/s/ Steven Lefkowitz
Director
March 12, 2024
Steven Lefkowitz
/s/
Robert Stewart
Director
March
12, 2024
Robert Stewart
62
CORMEDIX
INC. AND SUBSIDIARIES
FINANCIAL
STATEMENTS
Financial
Statements Index
Report of Independent Registered Public Accounting Firm (PCAOB ID # 688 ) F-2
Consolidated Balance Sheets as of December 31, 2023 and 2022 F-3
Consolidated Statements of Operations and Comprehensive Income (Loss) Years Ended December 31, 2023 and 2022 F-4
Consolidated Statements of Changes in Stockholders’ Equity Years Ended December 31, 2023 and 2022
F-5
Consolidated Statements of Cash Flows Years Ended December 31, 2023 and 2022
F-6
Notes to Consolidated Financial Statements F-7
F- 1
REPORT
OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the Sh areh olders
and Board of Directors of
CorMedix
Inc.
Opinion
on the Financial Statements
We have audited the accompanying
consolidated balance sheets of CorMedix Inc. and Subsidiaries (the “Company”) as of December 31, 2023 and 2022, and the
related consolidated statements of operations and comprehensive income (loss), changes in stockholders’ equity and cash flows
for each of the two years in the period ended December 31, 2023, and the related notes (collectively referred to as the
“financial statements”). In our opinion, the financial statements present fairly, in all material respects, the
financial position of the Company as of December 31, 2023 and 2022, and the results of its operations and its cash flows for each of
the two years in the period ended December 31, 2023, in conformity with accounting principles generally accepted in the United
States of America.
Basis
for Opinion
These
financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s
financial statements based on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board
(United States) (“PCAOB”) and are required to be independent with respect to the Company in accordance with the U.S. federal
securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB.
Those standards require that we plan and perform the audits to obtain reasonable assurance about whether the financial statements are
free of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform, an
audit of its internal control over financial reporting. As part of our audits we are required to obtain an understanding of internal control
over financial reporting but not for the purpose of expressing an opinion on the effectiveness of the Company's internal control over
financial reporting. Accordingly, we express no such opinion.
Our audits included performing procedures to assess the risks of material
misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures
included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits also included
evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation
of the financial statements. We believe that our audits provide a reasonable basis for our opinion.
Critical
Audit Matters
Critical
audit matters are matters arising from the current period audit of the financial statements that were communicated or required to be
communicated to the audit committee and that: (1) relate to accounts or disclosures that are material to the financial statements and
(2) involved our especially challenging, subjective, or complex judgments. We determined that there are no critical audit matters.
/s/ Marcum llp
Marcum llp
We have served as the Company’s auditor
since 2014.
Marlton,
New Jersey
March 12, 2024
F- 2
CorMedix
Inc. And Subsidiaries
CONSOLIDATED
BALANCE SHEETS
December
31, 2023 and 2022
December
31,
2023
2022
ASSETS
Current assets
Cash
and cash equivalents
$ 43,642,684
$ 43,148,323
Restricted
cash
77,453
124,102
Short-term
investments
32,388,130
15,644,062
Inventories,
net
2,106,345
-
Prepaid
research and development expenses
353,574
11,016
Other
prepaid expenses and current assets
882,214
623,672
Total
current assets
79,450,400
59,551,175
Property
and equipment, net
1,866,224
1,609,679
Restricted
cash, long term
103,055
102,320
Operating
lease right-of-use assets
640,278
775,085
TOTAL
ASSETS
$ 82,059,957
$ 62,038,259
LIABILITIES
AND STOCKHOLDERS’ EQUITY
Current
liabilities
Accounts
payable
$ 4,279,679
$ 2,202,149
Accrued
expenses
6,970,217
3,973,941
Operating
lease liabilities, short-term
150,619
134,801
Total
current liabilities
11,400,515
6,310,891
Operating
lease liabilities, net of current portion
517,013
667,632
TOTAL
LIABILITIES
11,917,528
6,978,523
COMMITMENTS
AND CONTINGENCIES (Note 6)
STOCKHOLDERS’
EQUITY
Preferred stock - $ 0.001 par value: 2,000,000 shares authorized; 181,622 shares issued and outstanding at December 31, 2023 and 2022
182
182
Common stock - $ 0.001 par value: 160,000,000 shares authorized at December
31, 2023 and 2022; 54,938,258 and 42,815,196 shares issued and outstanding at December 31, 2023 and 2022, respectively
54,938
42,815
Accumulated
other comprehensive gain
94,108
82,743
Additional
paid-in capital
391,693,214
330,294,782
Accumulated
deficit
( 321,700,013
)
( 275,360,786 )
TOTAL
STOCKHOLDERS’ EQUITY
70,142,429
55,059,736
TOTAL
LIABILITIES AND STOCKHOLDERS’ EQUITY
$ 82,059,957
$ 62,038,259
The
accompanying notes are integral part of these consolidated financial statements.
F- 3
CorMedix
Inc. and Subsidiaries
CONSOLIDATED
STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME (LOSS)
Years
Ended December 31, 2023 and 2022
December 31,
2023
2022
Revenue:
Net sales
$ -
$ 65,408
Cost of sales
-
( 3,734 )
Gross profit
-
61,674
Operating Expenses:
Research and development
( 13,155,125 )
( 10,679,549 )
Selling, general and administrative
( 35,802,663 )
( 20,006,093 )
Total operating expenses
( 48,957,788 )
( 30,685,642 )
Loss From Operations
( 48,957,788 )
( 30,623,968 )
Other Income (Expense):
Interest income
2,681,851
326,016
Foreign exchange transaction (loss) income
( 28,994 )
37,145
Interest expense
( 34,296 )
( 26,515 )
Total other income
2,618,561
336,646
Net Loss Before Income Taxes
( 46,339,227 )
( 30,287,322 )
Tax benefit
-
585,617
Net Loss
( 46,339,227 )
( 29,701,705 )
Other Comprehensive Income (Loss):
Unrealized gain from investments
9,683
5,055
Foreign currency translation gain (loss)
1,682
( 9,442 )
Total other comprehensive gain (loss)
11,365
( 4,387 )
Comprehensive Loss
$ ( 46,327,862 )
$ ( 29,706,092 )
Net Loss Per Common Share – Basic and Diluted
$ ( 0.91 )
$ ( 0.74 )
Weighted Average Common Shares Outstanding – Basic and Diluted
50,902,931
40,274,273
The
accompanying notes are integral part of these consolidated financial statements.
F- 4
CORMEDIX
INC. AND SUBSIDIARY
CONSOLIDATED
STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY (DEFICIENCY)
Years
Ended December 31, 2023 and 2022
Common
Stock
Preferred
Stock – Series C-3, Series E, Series F and Series G
Accumulated
Other Comprehen-sive
Additional
Paid-in
Accumulated
Total
Stockholders’
Shares
Amount
Shares
Amount
Gain (Loss)
Capital
Deficit
Equity
Balance
at December 31, 2021
38,086,437
$ 38,086
181,622
$ 182
$ 87,130
$ 308,331,750
$ ( 245,659,081 )
$ 62,798,067
Stock
issued in connection with ATM sale of common stock, net
4,704,259
4,705
-
-
-
17,764,911
-
17,769,616
Stock
issued in connection with warrants exercised, cash
24,500
24
-
-
-
128,601
-
128,625
Stock-based
compensation
-
-
-
-
-
4,069,520
-
4,069,520
Other
comprehensive loss
-
-
-
-
( 4,387 )
-
-
( 4,387 )
Net
loss
-
-
-
-
-
-
( 29,701,705 )
( 29,701,705 )
Balance
at December 31, 2022
42,815,196
$ 42,815
181,622
$ 182
$ 82,743
$ 330,294,782
$ ( 275,360,786 )
$ 55,059,736
Stock
issued in connection with ATM sale of common stock, net
2,977,637
2,978
-
-
-
12,946,132
-
12,949,110
Stock
and pre-funded warrants issued in connection with public offering, net
9,000,093
9,000
-
-
-
42,869,399
-
42,878,399
Stock
issued in connection with options exercised
79,041
79
-
-
-
287,659
-
287,738
Issuance
of vested restricted stock, net of shares withheld for employee withholding taxes
66,291
66
-
-
-
( 198,509 )
-
( 198,443 )
Stock-based
compensation
-
-
-
-
-
5,493,751
-
5,493,751
Other
comprehensive loss
-
-
-
-
11,365
-
-
11,365
Net
loss
-
-
-
-
-
-
( 46,339,227
)
( 46,339,227
)
Balance
at December 31, 2023
54,938,258
$ 54,938
181,622
$ 182
$ 94,108
$ 391,693,214
$ ( 321,700,013
)
$ 70,142,429
The
accompanying notes are integral part of these consolidated financial statements.
F- 5
CORMEDIX
INC. AND SUBSIDIARIES
CONSOLIDATED
STATEMENTS OF CASH FLOWS
Years
Ended December 31, 2023 and 2022
December
31,
2023
2022
CASH
FLOWS FROM OPERATING ACTIVITIES:
Net
loss
$ ( 46,339,227
)
$ ( 29,701,705 )
Adjustments
to reconcile net loss to net cash used in operating activities:
Stock-based
compensation
5,493,751
4,069,520
Change
in right-of-use assets
134,807
124,420
Depreciation
70,755
84,618
Changes
in operating assets and liabilities:
Decrease
(Increase) in trade receivables
-
42,143
(Increase)
Decrease in inventory
( 2,106,345 )
3,008
(Increase)
Decrease in prepaid expenses and other current assets
( 600,983 )
187,235
Increase
(Decrease) in accounts payable
2,077,479
( 6,566 )
Increase
in accrued expenses
2,995,084
961,963
Decrease
in operating lease liabilities
( 134,801 )
( 121,368 )
Net
cash used in operating activities
( 38,409,480 )
( 24,356,732 )
CASH
FLOWS FROM INVESTING ACTIVITIES:
Purchase
of short-term investments
( 77,084,385 )
( 31,140,004 )
Maturity
of short-term investments
60,350,000
27,650,000
Purchase
of equipment
( 327,300 )
( 219,360 )
Net
cash used in investing activities
( 17,061,685 )
( 3,709,364 )
CASH
FLOWS FROM FINANCING ACTIVITIES:
Proceeds
from sale of common stock from at-the-market program, net
12,949,110
17,769,616
Proceeds
from public offering of common stock and pre-funded warrants, net
42,878,399
-
Payment
of employee withholding taxes on vested restricted stock units
( 198,443 )
-
Proceeds from exercise
of warrants
-
128,625
Proceeds
from exercise of stock options
287,738
-
Net
cash provided by financing activities
55,916,804
17,898,241
Foreign
exchange effects on cash
2,808
( 8,677 )
NET
INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS
448,447
( 10,176,532 )
CASH
AND CASH EQUIVALENTS AND RESTRICTED CASH – BEGINNING OF YEAR
43,374,745
53,551,277
CASH
AND CASH EQUIVALENTS AND RESTRICTED CASH – END OF YEAR
$ 43,823,192
$ 43,374,745
Cash
paid for interest
$ 34,296
$ 26,516
Supplemental
Disclosure of Non-Cash and Investing Activities:
Unrealized
gain (loss) from investments
$ 9,683
$ 5,055
The
accompanying notes are integral part of these consolidated financial statements.
F- 6
Note
1 — Organization, Business and Basis of Presentation:
Organization
and Business:
CorMedix
Inc. (“CorMedix” or the “Company”) was incorporated in the State of Delaware on July 28, 2006 . The Company is
a biopharmaceutical company focused on developing and commercializing therapeutic products for the prevention and treatment of infectious
and inflammatory diseases.
The
Company’s primary focus is on the commercialization of our lead product, DefenCath ® in the United States. We have
in-licensed the worldwide rights to develop and commercialize DefenCath. The name DefenCath is the U.S. proprietary name approved by
the U.S. Food and Drug Administration, or FDA.
DefenCath
is an antimicrobial solution (a formulation of taurolidine 13.5 mg/mL, and heparin 1000 USP Units/mL) indicated to reduce the incidence
of catheter-related bloodstream infections (CRBSI) in adult patients with kidney failure receiving chronic hemodialysis (HD) through
a central venous catheter (CVC). It is indicated for use in a limited and specific population of patients. CRBSI can lead to treatment
delays and increased costs to the healthcare system when they occur due to hospitalizations, need for IV antibiotic treatment, long-term
anticoagulation therapy, removal/replacement of the CVC, related treatment costs, as well as increased mortality. We believe DefenCath
can address a significant unmet medical need.
On January 30, 2008, we entered
into a License and Assignment Agreement, or the ND License Agreement, with ND Partners LLC, or NDP. Pursuant to the ND License Agreement,
NDP granted us exclusive, worldwide licenses for certain antimicrobial catheter lock solutions, processes for treating and inhibiting
infections, a biocidal lock system and a taurolidine delivery apparatus, and the corresponding United States and foreign patents and applications
(the “NDP Technology”). NDP also granted us exclusive licenses, with the right to grant sublicenses, to use and display certain
trademarks in connection with the NDP Technology. As consideration in part for the rights to the NDP Technology, we paid NDP an initial
licensing fee of $ 325,000 and granted NDP an equity interest in our Company consisting of 73,107 shares of common stock as of December
31, 2010. In addition, we are required to make cash payments to NDP upon the achievement of certain milestones. The maximum aggregate
amount of cash payments upon achievement of milestones is $ 3,000,000 , with $ 2,000,000 remaining at December 31, 2023.
On November 15, 2023, we announced
that the FDA approved the NDA for DefenCath to reduce the incidence of CRBSI in adult patients with kidney failure receiving chronic hemodialysis
through a CVC. DefenCath is indicated for use in a limited and specific population of patients. DefenCath is the first and only FDA-approved
antimicrobial CLS in the U.S. and was shown to reduce the risk of CRBSI by up to 71 % in a Phase 3 clinical study. As a result of
the November 2023 FDA approval, we are currently preparing for the commercial launch of DefenCath.
DefenCath is listed in the
Orange Book as having NCE exclusivity (5 years) expiring on November 15, 2028, and the Generating Antibiotic Incentives Now or GAIN exclusivity
extension of the NCE exclusivity (an additional 5 years) expiring on November 15, 2033. The GAIN exclusivity extension of 5 years is the
result of the January 2015 designation of DefenCath as a Qualified Infectious Disease Product (“QIDP”).
We announced on April 26,
2023 that following the submission of a duplicate New Technology Add-On Payment (“NTAP”) application in the fourth quarter
of 2022 to CMS, CMS has subsequently issued the Inpatient Prospective Payment System (“IPPS”) 2024 proposed rule that includes
a NTAP of up to $ 17,111 per hospital stay for DefenCath. This NTAP represents reimbursement to inpatient facilities of 75 % of the anticipated
wholesaler acquisition cost price of $ 1,170 per 3 mL vial, and an average utilization of 19.5 vials per hospital stay. The final IPPS
rule was published in early August 2023 and confirmed this payment amount in that final rule. This NTAP was conditioned upon the DefenCath
NDA obtaining final FDA approval prior to July 1, 2024. As the NTAP was calculated by CMS based upon an anticipated WAC price of $ 1,170 ,
and following FDA approval of the DefenCath NDA, an actual WAC of $ 249.99 per 3ml vial was established, we anticipate that CMS will revise
the amount of the NTAP payment to reflect the actual WAC price in the next IPPS rulemaking, effective October 1, 2024. Upon the listing
in the compendia of the actual WAC price of $ 249.99 per 3ml vial, the Company notified CMS of the new lower WAC pricing and recommended
that CMS make an off-cycle adjustment to the NTAP to reflect the current lower WAC pricing amount. CMS subsequently communicated to the
Company that they do not intend to update the NTAP reimbursement amount until the next review cycle in October 2024.
F- 7
On January 25, 2024, CMS determined
that DefenCath should be classified as a renal dialysis service that is subject to the Medicare end-stage renal disease prospective payment
system (“ESRD PPS”). The ESRD PPS provides bundled payment for renal dialysis services, but also affords a transitional drug
add-on payment adjustment, or TDAPA, which provides temporary, additional payments for certain new drugs and biologicals. We submitted
an application for TDAPA on January 26, 2024, and CMS has confirmed receipt. We also submitted a HCPCS application for a J-code to CMS
on December 8, 2023, for DefenCath, which is relevant to billing and the TDAPA application. CMS has confirmed the coding application is
under review. TDAPA reimbursement is calculated based on 100 percent ASP (or 100 percent of wholesale acquisition price or else manufacturers’
list price, respectively, if such data is unavailable). If CMS grants TDAPA and post-TDAPA add-on payment adjustments for DefenCath, collective
payments would be for five years (with such add-on payments applying to all ESRD PPS payments for years three through five). CMS confirmed
to the Company that, assuming a favorable review, CMS is working towards a July 1, 2024 implementation date for TDAPA.
We may pursue additional indications
for DefenCath use as a CLS in populations with unmet medical needs that may also represent potentially significant market opportunities.
While we are continuing to assess these areas, potential future indications may include use as a CLS to reduce CRBSIs in total parenteral
nutrition patients using a central venous catheter and in certain oncology patients using a central venous catheter. In 2024, the company
anticipates discussing with the FDA potential pathways for expanded indications.
We currently have one FDA
approved source for each of our two key APIs for DefenCath, taurolidine and heparin sodium, respectively. With regards to taurolidine,
we have a DMF filed with the FDA. There is a master commercial supply agreement between a third-party manufacturer and us in place from
August 2018. We are currently in the process of identifying and qualifying an alternate third-party manufacturer for taurolidine under
our existing DMF. With respect to heparin sodium API, we have identified an alternate third party supplier and intend to qualify such
supplier under the DefenCath NDA over the next twelve months.
We received FDA approval of
DefenCath with finished dosage production from our European based CMO Rovi Pharma Industrial Services. We believe this CMO has adequate
capacity to produce the volumes needed to meet near term projected demand for the commercial launch of DefenCath.
We previously announced commercial
arrangements with additional finished dosage CMOs, Alcami Corporation and Siegfried Hameln, that provide for the manufacture of commercial
sterile parenteral drug products. The Company anticipates the submission to the FDA of a supplement adding Siegfreid Hameln as an alternate
manufacturing site in the second fiscal quarter of 2024. The Company will also discontinue its relationship with Alcami as a potential
alternate manufacturing site for DefenCath.
We announced on May 1, 2023
that the USPTO allowed our patent application directed to a locking solution composition for treating and reducing infection and flow
reduction in central venous catheters. This application was granted on August 29, 2023 as U.S. Patent No. 11,738,120. Our newly
granted U.S. Patent reflects the unique and proprietary formulation of our product, DefenCath, for which we received FDA approval on November
15, 2023. This patent supplements the coverage of our existing licensed U.S. Patent No. 7,696,182, and has the potential to provide an
additional layer of patent protection for DefenCath through 2042.
As part of the DefenCath approval
letter, the FDA communicated the existence of a required pediatric assessment under the Pediatric Research Equity Act, or PREA. PREA requires
sponsors to conduct pediatric studies for, among other things, NDAs for a new active ingredient, such as taurolidine in DefenCath, unless
a waiver or deferral is obtained from the FDA. A deferral acknowledges that a pediatric assessment is required but permits the applicant
to submit the pediatric assessment after the submission of an NDA. FDA deferred submission of the pediatric study for DefenCath because
the product is ready for approval for use in adults and the pediatric study has not been completed. We are obligated to conduct the study
communicated in the approval letter: an open-label, two-arm (DefenCath vs. standard of care) study to assess safety and time to CRBSI
in subjects from birth to less than 18 years of age with kidney failure receiving hemodialysis via a central venous catheter. Because
this is a required post-marketing study, we must make annual reports to the FDA. Pediatric studies for an approved product conducted under
PREA may qualify for pediatric exclusivity, which, if granted, provides an additional six months of exclusivity that attaches to the end
of existing marketing exclusivity and patent periods for DefenCath. Depending on the timing of final report submission, DefenCath could
potentially receive a total marketing exclusivity period of 10.5 years. However, there are factors that could affect whether this exclusivity
is received or the duration of exclusivity, and DefenCath may or may not ultimately be eligible for the additional 0.5 years of exclusivity
associated with this pediatric study.
F- 8
Neutrolin was previously sold
in the EU and other territories where we received CE-Mark approval for the commercial distribution of Neutrolin as a CLS. The Company
has elected to discontinue sales of Neutrolin for lack of commercial viability. The winding down of our operations in the EU is nearly
complete and Neutrolin sales in both the EU and the Middle East have been discontinued since 2022.
In
addition to DefenCath, we have sponsored a pre-clinical research collaboration for the use of taurolidine as a possible treatment for
rare pediatric tumors. In February 2018, the FDA granted orphan drug designation to taurolidine for the treatment of neuroblastoma in
children. We may seek one or more strategic partners or other sources of capital to help us develop and commercialize taurolidine for
the treatment of neuroblastoma in children.
Note
2 — Liquidity and Uncertainties:
The consolidated financial statements have been
prepared in conformity with generally accepted accounting principles which contemplate continuation of the Company as a going concern.
To date, the Company’s commercial operations have not generated sufficient revenues to enable profitability. As of December 31,
2023, the Company had an accumulated deficit of $ 321.7 million, and incurred net losses of $ 46.3 million and $ 29.7 million for the years
ended December 31, 2023 and 2022, respectively. Based on the Company’s current development plans for DefenCath and its other operating
requirements, the Company’s existing cash and cash equivalents and short-term investments at December 31, 2023 are expected to fund
its operations for at least twelve months from the issuance of this Annual Report on Form 10-K.
The
Company may raise additional capital through various potential sources, such as equity and/or debt financings, strategic relationships,
potential strategic transactions and/or out-licensing. Management can provide no assurances that such financing or strategic relationships
will be available on acceptable terms, or at all. As of December 31, 2023, the Company has $ 104.4 million available under its current
shelf registration for the issuance of equity, debt or equity-linked securities (see Note 7).
The
Company’s operations are subject to a number of other factors that can affect its operating results and financial condition. Such
factors include, but are not limited to: the results of clinical testing and trial activities of the Company’s product candidates;
the ability to market the Company’s products; ability to manufacture successfully; competition from products manufactured and sold
or being developed by other companies; the price of, and demand for, Company products; the Company’s ability to negotiate favorable
licensing or other manufacturing and marketing agreements for its products; and the Company’s ability to raise capital to support
its operations.
Note
3 — Summary of Significant Accounting Policies:
Use
of Estimates
The preparation of financial statements in conformity with accounting
principles generally accepted in the United States of America (“GAAP”) requires
management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets
and liabilities at the date of the financial statements and reported amounts of revenue and expenses during the reporting period. Actual
results could differ from those estimates.
Basis
of Consolidation
The
consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries. All significant intercompany
accounts and transactions have been eliminated in consolidation.
Financial
Instruments
Financial
instruments that potentially subject the Company to concentrations of credit risk consist principally of cash and cash equivalents and
short-term investments. The Company maintains its cash and cash equivalents in bank deposit and other interest-bearing accounts, the
balances of which, at times, may exceed federally insured limits.
F- 9
The
following table is the reconciliation of the accounting standard that modifies certain aspects of the recognition, measurement, presentation
and disclosure of financial instruments as shown on the Company’s consolidated statement of cash flows:
December
31,
2023
2022
Cash and cash equivalents
$ 43,642,684
$ 43,148,323
Restricted cash, short-term
and long-term
180,508
226,422
Total cash, cash equivalents
and restricted cash
$ 43,823,192
$ 43,374,745
The
appropriate classification of marketable securities is determined at the time of purchase and reevaluated as of each balance sheet date.
Investments in marketable debt and equity securities classified as available-for-sale are reported at fair value. Fair value is determined
using quoted market prices in active markets for identical assets or liabilities or quoted prices for similar assets or liabilities or
other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.
Changes in fair value that are considered temporary are reported net of tax in other comprehensive income (loss). Realized gains and
losses, amortization of premiums and discounts and interest and dividends earned are included in income (expense). For declines in the
fair value of equity securities that are considered other-than-temporary, impairment losses are charged to other (income) expense, net.
The Company considers available evidence in evaluating potential impairments of its investments, including the duration and extent to
which fair value is less than cost. There were no deemed permanent impairments at December 31, 2023 or 2022.
The
Company’s marketable securities are highly liquid and consist of U.S. government agency securities, high-grade corporate obligations
and commercial paper with original maturities of more than 90 days. As of December 31, 2023 and 2022, all of the Company’s investments
had contractual maturities which were less than one year. The following table summarizes the amortized cost, unrealized gains and losses
and the fair value at December 31, 2023 and 2022 :
December
31, 2023:
Amortized
Cost
Gross
Unrealized
Losses
Gross
Unrealized
Gains
Fair
Value
Money
Market Funds and Cash Equivalents
$
32,541,862
$
-
$
-
$
32,541,862
U.S. Government
Agency
Securities
29,701,677
-
10,506
29,712,183
Commercial
Paper
2,676,740
( 1,425
)
-
2,675,315
Subtotal
32,378,417
( 1,425
)
10,506
32,387,498
Total
December 31, 2023
$
64,920,279
$
( 1,425
)
$
10,506
$
64,929,360
December 31,
2022:
Money
Market Funds and Cash Equivalents
$
7,311,327
$
-
$
572
$
7,311,899
U.S. Government
Agency
Securities
12,072,127
( 3,184
)
2,056
12,070,999
Corporate Securities
2,684,235
( 183
)
909
2,684,961
Commercial
Paper
888,875
( 773
)
-
888,102
Subtotal
15,645,237
( 4,140
)
2,965
15,644,062
Total
December 31, 2022
$
22,956,564
$
( 4,140
)
$
3,537
$
22,955,961
Fair
Value Measurements
The
Company’s financial instruments recorded in the consolidated balance sheets include cash and cash equivalents, accounts receivable,
investment securities, accounts payable and accrued expenses. The carrying value of certain financial instruments, primarily cash
and cash equivalents, accounts receivable, accounts payable, and accrued expenses approximate their estimated fair values based upon
the short-term nature of their maturity dates.
F- 10
The
Company categorizes its financial instruments into a three-level fair value hierarchy that prioritizes the inputs to valuation techniques
used to measure fair value, which is set out below. The fair value hierarchy gives the highest priority to quoted prices in active markets
for identical assets (Level 1) and the lowest priority to unobservable inputs (Level 3). If the inputs used to measure fair value fall
within different levels of the hierarchy, the category level is based on the lowest priority level input that is significant to the fair
value measurement of the instrument.
● Level
1 inputs—Observable
inputs that reflect quoted prices (unadjusted) for identical assets or liabilities in active
markets.
● Level
2 inputs—
Significant other observable inputs (e.g., quoted prices for similar items in active markets,
quoted prices for identical or similar items in markets that are not active, inputs other
than quoted prices that are observable such as interest rate and yield curves, and market-corroborated
inputs).
● Level
3 inputs—Unobservable
inputs for the asset or liability, which are supported by little or no market activity and
are valued based on management’s estimates of assumptions that market participants
would use in pricing the asset or liability.
The
following table provides the carrying value and fair value of the Company’s financial assets measured at fair value as of December
31, 2023 and 2022:
December 31, 2023:
Carrying Value
Level
1
Level
2
Level
3
Money Market
Funds and Cash Equivalents
$ 32,541,230
$ 32,541,230
$ -
$ -
U.S. Government Agency
Securities
29,712,183
29,712,183
-
-
Commercial Paper
2,675,947
-
2,675,947
-
Subtotal
32,388,130
29,712,183
2,675,947
-
Total December 31, 2023
$ 64,929,360
$ 62,253,413
$ 2,675,947
$ -
December 31, 2022:
Money Market Funds and
Cash Equivalents
$ 7,311,899
$ 7,311,899
$ -
$ -
U.S. Government Agency
Securities
12,070,999
12,070,999
-
-
Corporate Securities
2,684,961
-
2,684,961
-
Commercial Paper
888,102
-
888,102
-
Subtotal
15,644,062
12,070,999
3,573,063
-
Total
December 31, 2022
$ 22,955,961
$ 19,382,898
$ 3,573,063
$ -
Foreign
Currency Translation and Transactions
The
consolidated financial statements are presented in U.S. Dollars (USD), the reporting currency of the Company. For the financial statements
of the Company’s foreign subsidiaries, whose functional currency is the EURO, foreign currency asset and liability amounts, if
any, are translated into USD at end-of-period exchange rates. Foreign currency income and expenses are translated at average exchange
rates in effect during the year. Translation gains and losses are included in other comprehensive income (loss). The Company had a foreign
currency translation gain of $ 1,682 and a loss of $ 9,442 for the year ended December 31, 2023 and 2022, respectively.
Foreign
currency exchange transaction gain (loss) is the result of re-measuring transactions denominated in a currency other than the functional
currency of the entity recording the transaction.
F- 11
Restricted
Cash
As of December 31, 2023, and 2022 the Company has restricted cash in
connection with the patent and utility model infringement proceedings against TauroPharm (see Note 6). The Company was required
by the District Courts of Mannheim to provide security deposit to cover legal fees in the event TauroPharm is entitled to reimbursement
of these costs. The Company furthermore had to provide a deposit for the first and second instances, respectively, in connection with
the unfair competition proceedings in Cologne. During the year ended December 31, 2023, approximately a total of $ 47,000 was released
by the court for the reimbursement of legal fees and other costs which was removed from restricted cash. As of December 31, 2023 and 2022,
restricted cash in connection with the patent and utility model infringement proceedings were approximately
$ 77,000 and approximately $ 124,000 , respectively.
As of December 31, 2023 and 2022, the Company had $ 103,000 in long-term
restricted cash for a lease security deposit.
Prepaid
Research and Development and Other Prepaid Expenses
Prepaid
expenses consist of payments made in advance to vendors relating to service contracts for clinical trial development, manufacturing,
pre-clinical development and insurance policies. These advanced payments are amortized to expense either as services are performed or
over the relevant service period using the straight-line method.
Inventories,
net
The Company engages third parties to manufacture and package inventory
held for sale and warehouse such goods until packaged for final distribution and sale. Costs related to the manufacturing of the product
incurred prior to FDA approval in order to support the preparation for commercial launch of its product were expensed as R&D as incurred.
Upon FDA approval, costs related to the manufacturing of inventory are stated at the lower of cost or net realizable value with cost determined
on a first-in, first-out basis. Inventories previously expensed as R&D prior to FDA approval amounted to $ 6,407,266 .
Inventories
consist of raw materials (including labeling and packaging), work-in-process, and finished goods, if any, for the DefenCath product.
Inventories consist of the following:
December
31,
2023
2022
Raw materials
$ 1,525,420
$ -
Work in progress
580,925
-
Total
$ 2,106,345
$ -
Property
and Equipment
Property
and equipment consist primarily of furnishings, fixtures, leasehold improvements, office equipment and computer equipment all of
which are recorded at cost. Depreciation is provided for by the straight-line method over the estimated useful lives of the related
assets. Leasehold improvements are amortized using the straight-line method over the remaining lease term or the life of
the asset, whichever is shorter. Property and equipment, as of December 31, 2023 and 2022 were $ 1,866,224 and $ 1,609,679 ,
respectively, net of accumulated depreciation of $ 520,542 and $ 449,787 , respectively. Depreciation and amortization of property and
equipment is included in selling, general and administrative expenses.
Description
Estimated
Useful Life
Office equipment and furniture
5 years
Leasehold improvements
7 years or remaining
term of the lease
Computer equipment
5 years
Computer software
3 years
Leases
The
Company determines if an arrangement is a lease at inception. Operating leases are included in operating lease right-of-use (“ROU”)
assets, current portion of operating lease liabilities (included in accrued expenses), and operating lease liabilities, net of current
portion, on the consolidated balance sheet (see Note 8).
F- 12
Operating
lease ROU assets and operating lease liabilities are recognized based on the present value of the future minimum lease payments over
the lease term at commencement date. As the Company’s leases do not provide an implicit rate, the Company uses its incremental
borrowing rate based on the information available at commencement date in determining the present value of future payments. The Company’s
lease terms may include options to extend or terminate the lease when it is reasonably certain that the Company will exercise that option.
Lease expense for minimum lease payments is recognized on a straight-line basis over the lease term.
The
Company has elected, as an accounting policy, not to apply the recognition requirements in ASC 842 to short-term leases. Short-term leases
are leases that have a term of 12 months or less and do not include an option to purchase the underlying asset that the
Company is reasonably certain to exercise. The Company recognizes the lease payments for short-term leases on a straight-line basis
over the lease term.
The
Company has also elected, as a practical expedient, by underlying class of asset, not to separate lease components from non-lease components
and, instead, account for them as a single component.
Revenue
Recognition
The
Company uses Accounting Standards Codification (“ASC”) 606, “ Revenue from Contracts with Customers,” issued
by the Financial Accounting Standards Board (“FASB”), that prescribes a five-step model for recognizing revenue which includes
(i) identifying contracts with customers; (ii) identifying performance obligations; (iii) determining the transaction price; (iv) allocating
the transaction price; and (v) recognizing revenue.
The
Company recognizes net sales upon shipment of product to the dialysis centers and upon meeting the five-step model prescribed by ASC
606 outlined above.
Loss
Per Common Share
Basic
loss per common share excludes dilution and is computed by dividing net loss by the weighted average number of common shares outstanding
during the period. The weighted average number of common shares outstanding during the period included 2,500,625 shares underlying outstanding
pre-funded warrants. Diluted loss per common share reflects the potential dilution that could occur if securities or other contracts
to issue common stock were exercised or converted into common stock or resulted in the issuance of common stock that then shared in the
earnings of the Company.
The
Company’s outstanding shares of Series E preferred stock entitle the holders to receive dividends on a basis equivalent to the
dividends paid to holders of common stock. As a result, the Series E preferred stock meet the definition of participating securities
requiring the application of the two-class method. Under the two-class method, earnings available to common shareholders, including both
distributed and undistributed earnings, are allocated to each class of common stock and participating securities according to dividends
declared and participating rights in undistributed earnings, which may cause diluted earnings per share to be more dilutive than the
calculation using the treasury stock method. No loss has been allocated to these participating securities since they do not have contractual
obligations that require participation in the Company’s losses.
Since
the Company has only incurred losses, basic and diluted loss per share are the same as potentially dilutive shares have been excluded
from the calculation of diluted net loss per share as their effect would be anti-dilutive. The shares outstanding at the end of the respective
periods presented below were excluded from the calculation of diluted net loss per share due to their anti-dilutive effect :
Number
of Shares of
Common Stock Issuable At
December
31,
2023
2022
Series C non-voting preferred stock
4,000
4,000
Series E voting preferred stock
391,953
391,953
Series G voting preferred stock
5,004,069
5,004,069
Shares issuable for payment of deferred board
compensation
48,909
48,909
Shares underlying outstanding stock options
6,211,508
4,454,369
Restricted stock units
153,735
207,469
Total potentially dilutive
shares
11,814,174
10,110,769
F- 13
Stock-Based
Compensation
Share-based
compensation cost is measured at grant date, based on the estimated fair value of the award using the Black-Scholes option pricing model
for options with service or performance-based conditions. Stock-based compensation is recognized as expense over the requisite service
period on a straight-line basis or when the achievement of the performance condition is probable. For options with market-based vesting,
share-based compensation cost is measured at grant date using the Monte Carlo option pricing model and the expense is recognized over
the derived service period.
Research
and Development
Research
and development costs are charged to expense as incurred. Research and development include fees associated with operational consultants,
contract clinical research organizations, contract manufacturing organizations, clinical site fees, contract laboratory research organizations,
contract central testing laboratories, licensing activities, and allocated executive, human resources and facilities expenses. The Company
accrues for costs incurred as the services are being provided by monitoring the status of the trial and the invoices received from its
external service providers. As actual costs become known, the Company adjusts its accruals in the period when actual costs become known.
Costs related to the acquisition of technology rights and patents for which development work is still in process are charged to operations
as incurred and considered a component of research and development expense.
Income
Taxes
Deferred
tax assets and liabilities are recognized for the future tax consequences attributable to temporary differences between the financial
statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are
measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to
be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period
that includes the enactment date. Valuation allowances are established when it is more likely than not that some or all of the deferred
tax assets will not be realized.
Legal
Costs
The
Company records legal costs associated with loss contingencies when they are probable and reasonably estimable.
Recent
Authoritative Pronouncements
In
October 2023, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2023-06,
“ Codification Amendments in Response to the SEC’s Disclosure Update and Simplification Initiative ,” which modifies
the disclosure or presentation requirements of various FASB topics in the Codification. The date on which this guidance is effective
for the Company will be the date on which the SEC’s removal of that related disclosure from Regulation S-X or Regulation S-K becomes
effective, with early adoption prohibited. The Company does not expect the adoption of this guidance to have an impact on its consolidated
financial statements.
In November 2023, the FASB
issued ASU 2023-07, “ Improvements to Reportable Segment Disclosures ,” which improves reportable segment disclosure
requirements, primarily through enhanced disclosures about significant segment expenses. The guidance is effective for the Company beginning
in the annual reporting period ending December 31, 2024 and interim periods beginning in fiscal year 2025. Early adoption is permitted.
The Company is assessing the impact of adopting this guidance on its consolidated financial statements.
In December 2023, the FASB issued ASU
2023-09, “ Improvements to Income Tax Disclosures ,” which enhances the transparency and decision usefulness of income
tax disclosures. The guidance is effective for the Company’s annual reporting period ending December 31, 2025. Early adoption is
permitted. The Company is assessing the impact of adopting this guidance on its consolidated financial statements.
Note
4 — Accrued Expenses:
Accrued
Expenses
Accrued
expenses consist of the following:
December
31,
2023
2022
Professional and consulting fees
$ 2,270,022
$ 514,354
Accrued payroll and payroll taxes
2,718,770
2,180,581
Manufacturing related
1,835,101
1,214,550
Other
146,324
64,456
Total
$ 6,970,217
$ 3,973,941
F- 14
Note 5 — Income
Taxes:
The
Company’s U.S. and foreign loss before income taxes are set forth below:
December 31,
2023
2022
United States
$
( 45,946,020
)
$
( 29,973,763
)
Foreign
( 393,207
)
( 313,559
)
Total
$
( 46,339,227
)
$
( 30,287,322
)
There
were no current or deferred income tax provision for the years ended December 31, 2023 and 2022 because the Company has incurred operating
losses since inception.
The
Company’s deferred tax assets consist of the following:
December 31,
2023
2022
Net operating loss carryforwards – Federal
$
53,614,000
$
47,683,000
Net operating loss carryforwards – State
4,603,000
1,592,000
Net operating loss carryforwards – Foreign
6,000
10,000
Capitalized licensing fees
165,000
304,000
Stock-based compensation
6,151,000
5,270,000
Accrued compensation
720,000
172,000
Section 174 capitalization
5,522,000
2,702,000
Other
( 4,000
)
28,000
Totals
70,777,000
57,761,000
Less valuation allowance
( 70,777,000
)
( 57,761,000
)
Deferred tax assets
$
-
$
-
A
valuation allowance is provided when it is more likely than not that some portion or all of the deferred tax assets will not be realized.
The net change in the total valuation allowance for the year ended December 31, 2023 was $ 13,016,000 .
The
Company had the following potentially utilizable net operating loss tax carryforwards:
December
31,
2023
2022
Federal
$ 255,306,000
$ 227,068,000
State
$ 64,738,000
$ 23,389,000
Foreign
$ 25,000
$ 38,000
Approximately $ 113,600,000 of net operating losses generated will expire
in 2026 through 2037 for Federal purposes whereas the operating losses for state purposes will expire between 2039 and 2044. The Tax Cuts
and Jobs Act of 2017 (the “Act”) limits the net operating loss deduction to 80 % of taxable income for losses arising in tax
years beginning after December 31, 2017. However, the net operating losses now have an indefinite carryforward as opposed to the
former 20-year carryforward. The foreign net operating loss tax carryforwards do not expire. Our federal and state operating loss
carryforwards include windfall tax deductions from stock option exercises.
The Company’s foreign
net operating loss carryforward relates to the Company’s Spanish subsidiary.
During 2021, the Company’s
German subsidiary was audited by the German taxing authorities for the years 2013-2015. It was determined that the amount of German income
was not sufficient, so the taxing authorities made adjustments accordingly. Further, amended returns were filed for the subsequent years
to provide the German subsidiary sufficient income. As a result of these changes, the German subsidiary’s net operating losses were
fully utilized and no longer have a carryforward attribute. Such adjustments do not have a material effect on the Company’s financial
statements.
The Company’s foreign
earnings are derived from its German and Spanish subsidiaries. The Company does not expect any foreign earnings to be repatriated in
the U.S. in the near future. The winding down of its operations in the EU is ongoing and there was no income during the year ended December
31, 2023.
F- 15
The
Company’s effective tax rate varied from the statutory rate as follows:
December
31,
2023
2022
Statutory federal tax rate
21.0 %
21.0 %
State income tax rate (net of federal)
8.7 %
( 4.3 ) %
Change in foreign NOL
( 0.2 )%
( 0.2 )%
NJ NOL adjustment
0.0 %
1.9 %
Other permanent differences
( 1.4 )%
( 0.8 )%
Effect of valuation
allowance
( 28.1 )%
( 15.7 )%
Effective
tax rate
0.0 %
1.9 %
In
assessing the realizability of deferred tax assets, management considers whether it is more-likely-than-not that some portion or all
of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of
future taxable income of the appropriate character during the periods in which those temporary differences become deductible and the
loss carryforwards are available to reduce taxable income. In making its assessment, the Company considered all sources of taxable income
including carryback potential, future reversals of existing deferred tax liabilities, prudent and feasible tax planning strategies, and
lastly, objectively verifiable projections of future taxable income exclusive of reversing temporary differences and carryforwards. At
December 31, 2023 and 2022, the Company maintained a full valuation allowance against its net deferred tax assets. The Company will continue
to assess all available evidence during future periods to evaluate the realization of its deferred tax assets.
The
following table presents the changes in the deferred tax asset valuation allowance for the periods indicated:
Year Ended
Balance at
Beginning of
Year
Increase
(Decrease)
Charged
(Credited) to
Income Taxes
(Benefit)
Increase
(Decrease)
Charged
(Credited)
to OCI
Balance at
End of Year
December 31, 2023
$
57,761,000
$
13,050,000
$
( 34,000
)
$
70,777,000
December 31, 2022
$
52,989,000
$
4,804,000
$
( 32,000
)
$
57,761,000
Accounting
for uncertainty in income taxes requires uncertain tax positions to be classified as non-current income tax liabilities unless they are
expected to be paid within one year. The Company has concluded that there are no uncertain tax positions requiring recognition in its
consolidated financial statements as of December 31, 2023 and 2022. The Company recognizes interest and penalties related to uncertain
tax positions if any as a component of income tax expense.
The Company files U.S. federal and state returns. The Company’s
foreign subsidiary also files a local tax return in their local jurisdiction. From a U.S. federal, state and local perspective the years
that remain open to examination are consistent with each jurisdiction’s statute of limitations. From a foreign perspective, tax
years 2016 to 2022 remain open to examination.
During
the year ended December 31, 2023 the Company did not sell any of its unused New Jersey net operating losses (“NOL”) eligible
for sale under the State of New Jersey’s Economic Development Authority’s New Jersey Technology Business Tax Certificate
Transfer program (“NJEDA Program”). The NJEDA Program allowed the Company to sell $ 626,000 of its total $ 626,000 in available
NOL tax benefits for the state fiscal year 2021, which the Company received net proceeds of approximately $ 586,000 during the year ended
December 31, 2022.
F- 16
Note
6 — Commitments and Contingencies:
Contingency
Matters
In
re CorMedix Inc. Securities Litigation, Case No. 2:21-cv-14020 (D.N.J.)
On
October 13, 2021, the United States District Court for the District of New Jersey consolidated into In re CorMedix Inc. Securities Litigation,
Case No. 2:21-cv 14020-JXN-CLW, two putative class action lawsuits filed on or about July 22, 2021 and September 13, 2021, respectively,
and appointed lead counsel and lead plaintiff, a purported stockholder of the Company. The lead plaintiff filed a consolidated amended
class action complaint on December 14, 2021, alleging violations of Sections 10(b) and 20(a) of the Securities Exchange Act of 1934,
as amended, or the Exchange Act, along with Rule 10b-5 promulgated thereunder, and Sections 11 and 15 of the Securities Act of 1933,
as amended, or the Securities Act. On October 10, 2022, the lead plaintiff filed a second amended consolidated complaint that superseded
the original complaints in In re CorMedix Securities Litigation. In the second amended complaint, the lead plaintiff seeks to represent
two classes of shareholders: (i) shareholders who purchased or otherwise acquired CorMedix securities between October 16, 2019 and August
8, 2022, inclusive; and (ii) shareholders who purchased CorMedix securities pursuant or traceable to the Company’s November 27,
2020 offering pursuant to CorMedix’s Form S-3 Registration Statement, its Prospectus Supplement, dated November 27, 2020, and its
Prospectus Supplement, dated August 12, 2021. The second amended complaint names as defendants the Company and twelve (12) current and
former directors and officers of CorMedix, namely Khoso Baluch, Robert Cook, Matthew David, Phoebe Mounts, John L. Armstrong, and Joseph
Todisco (the “Officer Defendants” and collectively with CorMedix, the “CorMedix Defendants”) as well as Janet
Dillione, Myron Kaplan, Alan W. Dunton, Steven Lefkowitz, Paulo F. Costa, Greg Duncan (the “Director Defendants”). The second
amended complaint alleges that the CorMedix Defendants violated Section 10(b) of the Exchange Act (and Rule 10b-5), the Officer Defendants
violated Section 20(a), the Director Defendants, CorMedix, Baluch, and David violated Section 11 of the Securities Act, and that the
Director Defendants, Baluch, and David violated Section 15. In general, the purported bases for these claims are allegedly false and
misleading statements and omissions related to the NDA submissions to the FDA for DefenCath, subsequent complete response letters, as
well as communications from the FDA related and directed to the Company’s contract manufacturing organization and heparin supplier.
The Company intends to vigorously contest such claims. The Company and the other Defendants filed their motion to dismiss the second
amended complaint on November 23, 2022 and briefing was complete as of February 6, 2023. The motion to dismiss is currently pending.
In re
CorMedix Inc. Derivative Litigation, Case No. 2:21-cv-18493-JXN-LDW (D.N.J.)
On
or about October 13, 2021, a purported shareholder, derivatively and on behalf of the Company, filed a shareholder derivative complaint
in the United States District Court for the District of New Jersey, in a case entitled Voter v. Baluch, et al., Case No. 2:21-cv-18493-JXN-LDW
(the “Derivative Litigation”). The complaint names as defendants Khoso Baluch, Janet Dillione, Alan W. Dunton, Myron Kaplan,
Steven Lefkowitz, Paulo F. Costa, Greg Duncan, Matthew David, and Phoebe Mounts along with the Company as Nominal Defendant. The complaint
alleges breaches of fiduciary duties, abuse of control, and waste of corporate assets against the defendants and a claim for contribution
for purported violations of Sections 10(b) and 21D of the Exchange Act against certain defendants. The individual defendants intend to
vigorously contest such claims. On January 21, 2022, pursuant to a stipulation between the parties, the Court entered an order staying
the case while the motion to dismiss the class action lawsuit described in the foregoing paragraph is pending. The stay may be terminated
before the motion to dismiss is resolved according to certain circumstances described in the stipulation available on the Court’s
public docket.
On
or about January 13, 2023, another purported shareholder, derivatively and on behalf of the Company, filed a shareholder derivative complaint
in the United States District Court for the District of New Jersey, in a case entitled DeSalvo v. Costa, et al. , Case No. 2:23-cv-00150-JXN-CLW.
Defendants Paulo F. Costa, Janet D. Dillione, Greg Duncan, Alan Dunton, Myron Kaplan, Steven Lefkowitz, Joseph Todisco, Khoso Baluch,
Robert Cook, Matthew David, Phoebe Mounts, and John L. Armstrong along with the Company as Nominal Defendant. The complaint alleges breaches
of fiduciary duty and unjust enrichment against the individual defendants.
On
or about January 25, 2023, another purported shareholder, derivatively and on behalf of the Company, filed a shareholder derivative complaint
in the United States District Court for the District of New Jersey, in a case entitled Scullion v. Baluch, et al. , Case No. 2:23-cv-00406-ES-ESK.
Defendants Khoso Baluch, Janet Dillione, Alan W. Dunton, Myron Kaplan, Steven Lefkowitz, Paulo F. Costa, Gregory Duncan, Matthew David,
and Phoebe Mounts, along with the Company as Nominal Defendant. The complaint alleges breaches of fiduciary duties.
On
or about April 18, 2023, the Court entered an order consolidating the above-mentioned shareholder derivative complaints for all purposes,
including pretrial proceedings, trial and appeal. The consolidated derivative action is entitled, In re CorMedix Inc. Derivative Litigation ,
C.A. No. 2:21-cv-18493-JXN-LDW. The provisions of the Order to Stay entered in the Voter Action on January 21, 2022, apply to
the consolidated derivative action. The consolidated derivative action was then administratively terminated and removed from the Court’s
docket until the motion to dismiss the class action is resolved. The individual defendants intend to vigorously contest the claims set
forth in the consolidated derivative action when the case moves forward.
F- 17
Demand
Letter
On
or about June 23, 2022, the Company’s Board received a letter demanding it investigate and pursue causes of action, purportedly
on behalf of Company, against certain current and former directors, officers, and/or other employees of the Company (the “Letter”),
which the Board believes are duplicative of the claims already asserted in the Derivative Litigation. As set forth in the Board’s
response to the Letter, the Board will consider the Letter at an appropriate time, as circumstances warrant, as it continues to monitor
the progress of the Derivative Litigation.
Commitments
In-Licensing
In
2008, the Company entered into the ND License Agreement with NDP. Pursuant to the ND License Agreement, NDP granted the Company exclusive,
worldwide licenses for certain antimicrobial catheter lock solutions, processes for treating and inhibiting infections, a biocidal lock
system and a taurolidine delivery apparatus, and the corresponding United States and foreign patents and applications(the “NDP
Technology”). As consideration in part for the rights to the NDP Technology, the Company paid NDP an initial licensing fee of $ 325,000
and granted NDP a 5 % equity interest in the Company, consisting of 7,996 shares of the Company’s common stock.
The Company is required to make cash payments to NDP upon the achievement
of certain milestones. In 2014, a certain milestone was achieved resulting in the release of 7,277 shares held in escrow. The maximum
aggregate amount of cash payments due upon achievement of milestones is $ 3,000,000 , with the balance being $ 2,000,000 as of December 31,
2023 and 2022. Events that trigger milestone payments include achieving certain worldwide net sales amounts. There were no milestones
achieved during the years ended December 31, 2023 and 2022.
The ND License Agreement will expire on a country-by-country basis
upon the earlier of (i) the expiration of the last patent claim under the ND License Agreement in a given country, or (ii) the payment
of all milestone payments. Upon the expiration of the ND License Agreement in each country, we will have an irrevocable, perpetual, fully
paid-up, royalty-free exclusive license to the NDP Technology in such country. The ND License Agreement also may be terminated by NDP
if we materially breach or default under the ND License Agreement and that breach is not cured within 60 days following the delivery of
written notice to us, or by us on a country-by-country basis upon 60 days prior written notice. If the ND License Agreement is terminated
by either party, our rights to the NDP Technology will revert back to NDP.
Other
The
Company entered into a seven-year operating lease agreement in March 2020 for an office space at 300 Connell Drive, Berkeley Heights,
New Jersey 07922. The lease agreement, with a monthly average cost of approximately $ 17,000 , commenced on September 16, 2020.
Note
7 — Stockholders’ Equity:
Common
Stock:
In
November 2020, the Company filed a shelf registration statement, (the “2020 Shelf Registration”), under which the Company
could issue and sell up to an aggregate of $ 100,000,000 of shares of its common stock, $ 0.001 par value per share. In November 2020,
the Company allocated to its at-the-market program (“ATM program”), an aggregate of $ 50,000,000 out of the $ 100,000,000 total
under the 2020 Shelf Registration, which has been fully sold.
In
August 2021, the Company entered into an at-the-market issuance sales agreement with Truist Securities, Inc. and JMP Securities LLC,
as sales agents, pursuant to which the Company may sell, from time to time, an aggregate of up to $ 50,000,000 , which was the remaining
balance under the 2020 Shelf Registration, of its common stock through the sales agents under its ATM program, subject to limitations
imposed by the Company and subject to the sales agents’ acceptance, such as the number or dollar amount of shares registered under
the 2020 Shelf Registration to which the offering relates. The sales agents are entitled to a commission of up to 3 % of the gross proceeds
from the sale of common stock sold under the ATM program. During the year ended December 31, 2023 and 2022, the Company sold 2,977,637
and 4,704,259 shares of its common stock under the ATM program, respectively, and realized net proceeds of $ 12,900,000 and $ 17,800,000 ,
respectively. The remaining balance of approximately $ 18,300,000 under the ATM program related to the 2020 Shelf Registration expired
in November 2023.
Also,
in August 2021, the Company filed a new shelf registration statement (the “2021 Shelf Registration”) for the issuance of
up to $ 150,000,000 of shares of its common stock of which $ 104,400,000 is currently available for the issuance of equity, debt or equity-linked
securities.
On
June 28, 2023, the Company entered into an underwriting agreement (the “Underwriting Agreement”) with RBC Capital Markets,
LLC and Truist Securities, Inc., as representatives of the several underwriters named therein, relating to the issuance and sale of an
aggregate of 7,500,000 shares of the Company’s common stock, and, in lieu of common stock to certain investors, pre-funded warrants
to purchase 2,500,625 shares of common stock to the underwriters. Pursuant to the Underwriting Agreement, the Company also granted the
underwriters a 30-day option to purchase up to 1,500,093 additional shares of common stock.
F- 18
The
offering, pursuant to the 2021 Shelf Registration, closed on July 3, 2023. Upon closing, the Company issued and sold an aggregate of
7,500,000 shares of its common stock at a public offering price of $ 4.00 per share and, in lieu of common stock to certain investors,
pre-funded warrants to purchase up to an aggregate of 2,500,625 shares of its commons stock at a price of $ 3.999 per pre-funded warrant
(see Pre-Funded Warrants below). The Company realized net proceeds of approximately $ 37,300,000 from the sale of its common stock and
the pre-funded warrants. On July 26, 2023, the underwriters’ representatives fully exercised the option to purchase additional
shares of the Company’s common stock, and on July 28, 2023, the Company issued and sold an aggregate of 1,500,093 shares of its
common stock at the public offering price of $ 4.00 per share, less underwriting discounts and commissions, and the Company realized net
proceeds of approximately $ 5,600,000 .
During
the year ended December 31, 2023, the Company issued an aggregate of 79,041 shares of its common stock upon exercise of stock options,
resulting in net proceeds to the Company of approximately $ 288,000 .
During
the year ended December 31, 2022, the Company issued an aggregate of 24,500 shares of its common stock, upon cash exercise of warrants,
resulting in net proceeds to the Company of approximately $ 129,000 .
Restricted
Stock Units
In
May 2022, the Company granted 207,469 restricted stock units (“RSUs”) to its Chief Executive Officer under its Amended and
Restated 2019 Omnibus Stock Incentive Plan with a weighted average grant date fair value of $ 3.38 per share. The fair market value of
the RSUs was estimated to be the closing price of the Company’s common stock on the date of grant. These RSUs vest as to 50 % on
the first anniversary of the grant date, as to 30 % on the second anniversary of the grant date, and as to 20 % on the third anniversary
of the grant date, subject to continued service as an employee or consultant through the applicable vesting date.
In
May 2023, 103,734 RSUs vested pursuant to a grant made to its Chief Executive Officer, of which 66,291 shares of common stock were issued
by the Company and 37,443 shares were withheld in lieu of withholding taxes.
In December 2023, the Company granted 50,000 RSUs to its Chief Legal
Officer under its Amended and Restated 2019 Omnibus Stock Incentive Plan with a weighted average grant date fair value of $ 3.30 per share.
The fair market value of the RSUs was estimated to be the closing price of the Company’s common stock on the date of grant. These
RSUs vest over four years in four equal installments on the first four anniversaries of the applicable grant date, subject to continued
service as an employee or consultant through the applicable vesting date.
During
the year ended December 31, 2023 and 2022, compensation expense recorded for the RSUs was $ 262,000 and $ 226,000 , respectively. Unrecognized
compensation expense for these RSUs amounted to $ 378,000 . The expected weighted average period for the expense to be recognized is 1.6
years. As of December 31, 2023, the Company had 153,735 outstanding RSUs.
Preferred
Stock
The
Company is authorized to issue up to 2,000,000 shares of preferred stock in one or more series without stockholder approval. The Company’s
board of directors has the discretion to determine the rights, preferences, privileges and restrictions, including voting rights, dividend
rights, conversion rights, redemption privileges and liquidation preferences, of each series of preferred stock. Of the 2,000,000 shares
of preferred stock authorized, the Company’s board of directors has designated (all with par value of $ 0.001 per share) the following:
As of December 31, 2023 and 2022
Preferred
Shares
Outstanding Liquidation
Preference
(Per Share) Total
Liquidation
Preference
Series C-3 2,000 $ 10.00 $ 20,000
Series E 89,623 $ 49.20 $ 4,409,452
Series G 89,999 $ 187.36 $ 16,862,213
Total 181,622 $ 21,291,665
F- 19
The
following rights, privileges, terms and condition apply to the outstanding preferred stock at December 31, 2023:
Series
C-3 Non-Voting Preferred Stock
Rank.
The Series C-3 non-voting preferred stock will rank senior to our common stock; senior to any class or series of capital
stock created after the issuance of the Series C-3 non-voting preferred stock; and junior to the Series E voting convertible preferred
stock in each case, as to dividends or distributions of assets upon our liquidation, dissolution or winding up whether voluntarily or
involuntarily.
Conversion.
Each share of Series C-3 preferred stock is convertible into 2 shares of our common stock (subject to adjustment in the event of
stock dividends and distributions, stock splits, stock combinations, or reclassifications affecting our common stock) at a per share
price of $ 5.00 at any time at the option of the holder, except that a holder will be prohibited from converting shares of Series C-3
preferred stock into shares of common stock if, as a result of such conversion, such holder, together with its affiliates, would beneficially
own more than 9.99 % of the total number of shares of our common stock then issued and outstanding.
Liquidation
Preference. In the event of our liquidation, dissolution or winding up, holders of Series C-3 preferred stock will receive a payment
equal to $ 10.00 per share of Series C-3 preferred stock before any proceeds are distributed to the holders of our common stock. After
the payment of this preferential amount, and subject to the rights of holders of any class or series of our capital stock hereafter created
specifically ranking by its terms senior to the Series C-3 preferred stock and holders of Series C-3 preferred stock will participate
ratably in the distribution of any remaining assets with the common stock and any other class or series of our capital stock hereafter
created that participates with the common stock in such distributions.
Voting
Rights. Shares of Series C-3 preferred stock will generally have no voting rights, except as required by law and except that the
consent of holders of two thirds of the outstanding Series C-3 preferred Stock will be required to amend the terms of the Series C-3
preferred stock or the certificate of designation for the Series C-3 preferred stock.
Dividends.
Holders of Series C-3 preferred stock are entitled to receive, and we are required to pay, dividends on shares of the Series C-3
preferred stock equal (on an as-if-converted-to-common-stock basis) to and in the same form as dividends (other than dividends in the
form of common stock) actually paid on shares of the common stock when, as and if such dividends (other than dividends in the form of
common stock) are paid on shares of the common stock.
Redemption.
We are not obligated to redeem or repurchase any shares of Series C-3 preferred stock. Shares of Series C-3 preferred stock are not
otherwise entitled to any redemption rights, or mandatory sinking fund or analogous fund provisions.
Listing.
There is no established public trading market for the Series C-3 preferred stock, and we do not expect a market to develop. In addition,
we do not intend to apply for listing of the Series C-3 preferred stock on any national securities exchange or trading system.
Fundamental
Transactions. If, at any time that shares of Series C-3 preferred stock are outstanding, we effect a merger or other change of control
transaction, as described in the certificate of designation and referred to as a fundamental transaction, then a holder will have the
right to receive, upon any subsequent conversion of a share of Series C-3 preferred stock (in lieu of conversion shares) for each issuable
conversion share, the same kind and amount of securities, cash or property as such holder would have been entitled to receive upon the
occurrence of such fundamental transaction if such holder had been, immediately prior to such fundamental transaction, the holder of
a share of common stock.
Series
E Voting Convertible Preferred Stock
Rank.
The Series E voting preferred stock will rank senior to our common stock; senior to any class or series of capital stock created
after the issuance of the Series E voting convertible preferred stock; senior to the Series C-3 non-voting convertible preferred stock;
and on parity with the Series G voting convertible preferred stock in each case, as to dividends or distributions of assets upon our
liquidation, dissolution or winding up whether voluntarily or involuntarily.
Conversion.
Each share of Series E preferred stock is convertible into 4.3733 shares of our common stock (subject to adjustment as provided in
the certificates of designation for the Series E preferred stock) at a per share price of $ 3.75 at any time at the option of the holder,
except that a holder will be prohibited from converting shares of Series E preferred stock into shares of common stock if, as a result
of such conversion, such holder, together with its affiliates, would beneficially own more than 4.99 % of the total number of shares of
our common stock then issued and outstanding.
F- 20
Liquidation
Preference. In the event of our liquidation, dissolution or winding up, holders of Series E preferred stock will receive a payment
equal to $ 49.20 per share of Series E preferred stock on parity with the payment of the liquidation preference due the Series G preferred
stock, but before any proceeds are distributed to the holders of common stock, and the Series C-3 non-voting convertible preferred stock.
After the payment of this preferential amount, holders of Series E preferred stock will participate ratably in the distribution of any
remaining assets with the common stock and any other class or series of our capital stock that participates with the common stock in
such distributions.
Voting
Rights. Shares of Series E preferred stock are entitled to vote on an as-converted basis, based upon an assumed conversion price
of $ 7.93 .
Dividends.
Holders of Series E preferred stock are entitled to receive, and we are required to pay, dividends on shares of the Series E preferred
stock equal (on an as-if-converted-to-common-stock basis) to and in the same form as dividends (other than dividends in the form of common
stock) actually paid on shares of the common stock when, as and if such dividends (other than dividends in the form of common stock)
are paid on shares of the common stock.
Redemption.
We are not obligated to redeem or repurchase any shares of Series E preferred stock. Shares of Series E preferred stock are not otherwise
entitled to any redemption rights, or mandatory sinking fund or analogous fund provisions.
Listing.
There is no established public trading market for the Series E preferred stock, and we do not expect a market to develop. In addition,
we do not intend to apply for listing of the Series E preferred stock on any national securities exchange or trading system.
Fundamental
Transactions. If, at any time that shares of Series E preferred stock are outstanding, we effect a merger or other change of control
transaction, as described in the certificate of designation and referred to as a fundamental transaction, then a holder will have the
right to receive, upon any subsequent conversion of a share of Series E preferred stock (in lieu of conversion shares) for each issuable
conversion share, the same kind and amount of securities, cash or property as such holder would have been entitled to receive upon the
occurrence of such fundamental transaction if such holder had been, immediately prior to such fundamental transaction, the holder of
a share of common stock.
Debt
Restriction. As long as any of the Series E preferred stock is outstanding, we cannot create, incur, guarantee, assume or suffer
to exist any indebtedness, other than (i) trade payables incurred in the ordinary course of business consistent with past practice, and
(ii) up to $ 10 million aggregate principal amount of indebtedness with a maturity less than twelve months outstanding at any time, which
amount may include up to $ 5 million of letters of credit outstanding at any time.
Other
Covenants. In addition to the debt restrictions above, as long as any of the Series E preferred stock is outstanding, we cannot,
among others things: create, incur, assume or suffer to exist any encumbrances on any of our assets or property; redeem, repurchase or
pay any cash dividend or distribution on any of our capital stock (other than as permitted, which includes the dividends on the Series
E preferred stock and Series G preferred stock); redeem, repurchase or prepay any indebtedness (other than as permitted); or engage in
any material line of business substantially different from our current lines of business.
Purchase
Rights. In the event we issue any options, convertible securities or rights to purchase stock or other securities pro rata to the
holders of common stock, then a holder of Series E preferred stock will be entitled to acquire, upon the same terms a pro rata amount
of such stock or securities as if the Series E preferred stock had been converted to common stock.
Series
G Voting Convertible Preferred Stock
Rank .
The Series G voting convertible preferred stock will rank senior to our common stock; senior to any class or series of capital stock
created after the issuance of the Series G voting convertible preferred stock; junior to the Series C-3 non-voting convertible preferred
stock, pending the consent of the holders of such series to the subordination thereof; and on parity with the Series E voting convertible
preferred stock in each case, as to dividends or distributions of assets upon our liquidation, dissolution or winding up whether voluntarily
or involuntarily.
F- 21
Conversion .
Each share of Series G preferred stock is convertible into approximately 55.5978 shares of our common stock (subject to adjustment as
provided in the certificate of designation for the Series G preferred stock) at a per share price of $ 3.37 at any time at the option
of the holder, except that a holder will be prohibited from converting shares of Series G preferred stock into shares of common stock
if, as a result of such conversion, such holder, together with its affiliates, would beneficially own more than 4.99 % of the total number
of shares of our common stock then issued and outstanding.
Liquidation
Preference . In the event of our liquidation, dissolution or winding up, holders of Series E preferred stock will receive a payment
equal to $ 187.36452 per share of Series G preferred stock on parity with the payment of the liquidation preference due the Series E preferred
stock, but before any proceeds are distributed to the holders of Series C-3 preferred stock (pending the consent of the holders of such
series to the subordination thereof) and any proceeds are distributed to the holders of common stock. After the payment of this preferential
amount, holders of Series G preferred stock will participate ratably in the distribution of any remaining assets with the common stock
and any other class or series of our capital stock that participates with the common stock in such distributions.
Voting
Rights . Shares of Series G preferred stock are entitled to vote on an as-converted basis, based upon an assumed conversion price
of $ 7.93 .
Dividends .
Holders of Series G Preferred stock are entitled to receive, and we are required to pay, dividends on shares of the Series G preferred
stock equal (on an as-if-converted-to-common-stock basis) to and in the same form as dividends (other than dividends in the form of common
stock) actually paid on shares of the common stock when, as and if such dividends (other than dividends in the form of common stock)
are paid on shares of the common stock.
Redemption .
We are not obligated to redeem or repurchase any shares of Series G preferred stock. Shares of Series G preferred stock are not otherwise
entitled to any redemption rights, or mandatory sinking fund or analogous fund provisions.
Listing .
There is no established public trading market for the Series G preferred stock, and we do not expect a market to develop. In addition,
we do not intend to apply for listing of the Series G preferred stock on any national securities exchange or trading system.
Fundamental
Transactions . If, at any time that shares of Series G preferred stock are outstanding, we effect a merger or other change of control
transaction, as described in the certificate of designation and referred to as a fundamental transaction, then a holder will have the
right to receive, upon any subsequent conversion of a share of Series G preferred stock (in lieu of conversion shares) for each issuable
conversion share, the same kind and amount of securities, cash or property as such holder would have been entitled to receive upon the
occurrence of such fundamental transaction if such holder had been, immediately prior to such fundamental transaction, the holder of
a share of common stock.
Debt
Restriction . As long as any of the Series G preferred stock is outstanding, we cannot create, incur, guarantee, assume or suffer
to exist any indebtedness, other than (i) trade payables incurred in the ordinary course of business consistent with past practice, and
(ii) up to $ 10 million aggregate principal amount of indebtedness with a maturity less than twelve months outstanding at any time, which
amount may include up to $ 5 million of letters of credit outstanding at any time.
Other
Covenants . In addition to the debt restrictions above, as long as any of the Series G preferred stock is outstanding, we cannot,
among others things: create, incur, assume or suffer to exist any encumbrances on any of our assets or property; redeem, repurchase or
pay any cash dividend or distribution on any of our capital stock (other than as permitted, which includes the dividends on the Series
E preferred stock and the Series G preferred stock); redeem, repurchase or prepay any indebtedness (other than as permitted); or engage
in any material line of business substantially different from our current lines of business.
Purchase
Rights . In the event we issue any options, convertible securities or rights to purchase stock or other securities pro rata to the
holders of common stock, then a holder of Series G preferred stock will be entitled to acquire, upon the same terms a pro rata amount
of such stock or securities as if the Series G preferred stock had been converted to common stock.
F- 22
Stock
Options:
On
October 13, 2022, the Company’s shareholders approved the CorMedix Inc. Amended and Restated 2019 Omnibus Stock Incentive Plan
(the “2022 Plan”), pursuant to which the Company may issue as additional 4,800,000 shares of its common stock, plus any shares
that remain available for grant under its existing plan as of the effective date, as long-term equity incentives to the Company’s
employees, consultants, and directors. The long-term incentives may be in the form of stock options, stock appreciation rights, restricted
stock, restricted stock units, dividend equivalent rights, or other rights or benefits (collectively, “stock rights”) to
employees, consultants, and directors of the Company or a related entity (collectively, “participants”). The Company believes
that the effective use of long- term equity incentives is essential to attract, motivate, and retain employees, consultants and directors,
to further align participants’ interests with those of the Company’s stockholders, and to provide participants incentive
compensation opportunities that are competitive with those offered by other companies in the same industry and locations as the Company.
The 2022 Plan amends and
restates the 2019 Stock Incentive Plan. The 2013 Stock Incentive Plan and the Amended and Restated 2006 Stock Incentive Plan are referred
to collectively as the “Prior Plans”. No further awards will be granted under the Prior Plans. Awards outstanding under the
Prior Plans will remain outstanding in accordance with their terms and the Prior Plans.
During
the years ended December 31, 2023 and 2022, the Company granted ten-year qualified and non-qualified stock options to its officers, directors,
employees and consultants covering an aggregate of 2,536,200 and 1,627,850 shares of the Company’s common stock under the 2019
Plan, respectively. The weighted average exercise price of these options is $ 4.18 and $ 3.83 per share, respectively.
During
the year ended December 31, 2023, the Company issued 79,041 shares of common stock as a result of the exercise of stock options. The
Company realized net proceeds of $ 288,000 from the exercise of stock options with a weighted average exercise price of $ 3.64 per share.
During the years ended December 31, 2023 and 2022, total compensation
expense for stock options issued to employees, directors, officers and consultants was $ 5,232,000 and $ 3,843,000 , respectively. As of
December 31, 2023, there was $ 6,145,000 total unrecognized compensation expense related to unvested stock options granted which expense
is expected to be recognized over an expected remaining weighted average period of 1.6 years. All share-based awards are recognized on
a straight-line method, assuming all awards granted will vest. Forfeitures of share-based awards are recognized in the period in which
they occur.
The
fair value at grants dates of the grants issued subject to service and performance-based vesting conditions were determined using the
Black-Scholes option pricing model with the following assumptions:
Year
Ended December 31,
2023
2022
Risk-free
interest rate
3.45 % - 4.81 %
1.76 % - 4.31 %
Expected
volatility
92.2 % - 105.7 %
89.68 % - 107.2 %
Expected
term (years)
5 years
2.75 – 5 years
Expected
dividend yield
0.0 %
0.0 %
Weighted-average
grant date fair value of options granted during the period
$ 3.24
$ 2.90
The Company estimated the
expected term of the stock options granted based on anticipated exercises in future periods. The expected term of the stock options granted
to consultants is based upon the full term of the respective option agreements. The expected stock price volatility for the Company’s
stock options is calculated based on the historical volatility of the Company’s common stock. The expected dividend yield of 0.0 %
reflects the Company’s current and expected future policy for dividends on the Company’s common stock. To determine the risk-free
interest rate, the Company utilized the U.S. Treasury yield curve in effect at the time of grant with a term consistent with the expected
term of the Company’s awards which is 5 years for employees and 10 years for non-employees.
F- 23
The following table summarizes
the Company’s stock options activity and related information for the year ended December 31, 2023:
Shares
Underlying
Stock
Options
Weighted-
Average
Exercise
Price
Weighted-
Average
Remaining
Contractual
Term
(Years)
Aggregate
Intrinsic
Value
Outstanding at December 31, 2022
4,454,369
$ 6.21
6.6
$ 1,113,050
Granted
2,536,200
$ 4.18
-
$ 231,850
Exercised
( 79,041 )
$ 3.64
-
$ 27,583
Expired/Canceled
( 287,900 )
$ 6.40
-
$ 3,820
Forfeited
( 412,120 )
$ 5.74
-
$ 35,592
Outstanding at December 31, 2023
6,211,508
$ 5.44
6.4
$ 700,241
Vested at December 31, 2023
3,645,020
$ 6.41
4.7
$ 281,080
Expected to vest in the
future
2,566,488
$ 4.06
9.0
$ 419,161
The
aggregate intrinsic value is calculated as the difference between the exercise prices of the underlying options and the quoted closing
price of the common stock of the Company at the end of the reporting period for those options that have an exercise price below the quoted
closing price.
Warrants
During the year ended December
31, 2022, the Company issued an aggregate of 24,500 shares of its common stock upon cash exercise of warrants, resulting in net proceeds
to the Company of $ 129,000 . Except for the pre-funded warrants described below, there were no outstanding warrants at December 31, 2023
and 2022.
Pre-Funded
Warrants
On July 3, 2023, pursuant to the Underwriting Agreement, the Company’s
issued pre-funded warrants to purchase 2,500,625 shares of its common stock to certain investors. The pre-funded warrants to purchase
up to an aggregate of 2,500,625 shares of the Company’s commons stock had a price of $ 3.999 per pre-funded warrant, which represents
the per share public offering price for the common stock less the $ 0.001 per share exercise price for each such pre-funded warrant pursuant
to the Underwriting Agreement. The Company realized net proceeds of approximately $ 9,400,000 from the sale of the pre-funded warrants.
Stock-based
Deferred Compensation Plan for Non-Employee Directors
In 2014, the Company established an unfunded stock-based deferred compensation
plan, providing non-employee directors the opportunity to defer up to one hundred percent of fees and compensation, including restricted
stock units. The amount of fees and compensation deferred by a non-employee director is converted into stock units, the number of
which is determined based on the closing price of the Company’s common stock on the date such compensation would have otherwise
been payable. At all times, the plan participants are one hundred percent vested in their respective deferred compensation accounts.
On the tenth business day of January in the year following a director’s termination of service, the director will receive a number
of common shares equal to the number of stock units accumulated in the director’s deferred compensation account. The Company
accounts for this plan as stock-based compensation under ASC 718. During the years ended December 31, 2023 and 2022 no compensation
was deferred under this plan.
Note
8 — Leases:
The
Company entered into a seven-year operating lease agreement in March 2020 for an office space at 300 Connell Drive, Berkeley Heights,
New Jersey 07922. The lease agreement, with a monthly average cost of approximately $ 17,000 commenced on September 16, 2020.
The
Company entered into an operating lease for office space in Germany that began in July 2017. The rental agreement has a three-month term
which automatically renews and includes a monthly cost of 400 Euros. The Company elected to apply the short-term practical expedient
to the office lease. The Company also has an operating lease for office equipment.
F- 24
Operating
lease expense in the Company’s consolidated statements of operations and comprehensive loss for the year ended December 31, 2023
and 2022 was approximately $ 207,000 and $ 208,000 , respectively, which includes costs associated with leases for which ROU assets have
been recognized as well as short-term leases.
At
December 31, 2023, the Company has a total operating lease liability of $ 668,000 , of which approximately $ 151 ,000 and $ 517 ,000 were classified
as operating lease liabilities, short-term and operating lease liabilities, net of current portion, respectively, on the consolidated
balance sheet. At December 31, 2022, the Company’s total operating lease liability was $ 803,000 , of which $ 135 ,000 was classified
as operating lease liabilities, short-term and $ 668 ,000 was classified as operating lease liabilities, net of current portion, on the
condensed consolidated balance sheet. Operating ROU assets as of December 31, 2023 and 2022 are $ 640 ,000 and $ 775 ,000, respectively.
For
the year ended December 31, 2023 and 2022, cash paid for amounts included in the measurement of lease liabilities in operating cash flows
from operating leases was $ 201,000 and $ 199,000 , respectively.
As
of December 31, 2023 and 2022, the weighted average remaining lease term were 3.8 years and 4.8 years, respectively and the weighted
average discount rate of 9 % and 9 % at December 31, 2023 and 2022, respectively.
As
of December 31, 2023, maturities of lease liabilities were as follows:
2024
$ 205,000
2025
208,000
2026
211,000
2027 and thereafter
169,000
Total future minimum lease payments
793,000
Less imputed interest
( 125,000 )
Total
$ 668,000
Note
9 — Subsequent Events:
TDAPA . On January 25,
2024 CMS notified the Company that the agency has determined DefenCath will be eligible for reimbursement in accordance with the ESRD
PPS, allowing the Company to submit a TDAPA application, which currently allows for two years of additional payment for certain products
to outpatient renal dialysis providers, and CMS recently adopted a three-year post-TDAPA add-on payment adjustment. The Company
submitted its TDAPA application on January 26, 2024 after receiving the CMS notification. As a result of CMS’ determination
that DefenCath is within the scope of the ESRD PPS and eligible for TDAPA, the Company established a WAC of $ 249.99 per 3ml vial, to account
for the market dynamics and functionality of the TDAPA framework. In addition, as discussed above, the Company previously applied for
and received conditional NTAP from CMS for inpatient reimbursement of DefenCath for the FY 2024 IPPS. As a result of the Company having
established a WAC price for commercialization, the NTAP reimbursement payment to inpatient facilities may also be adjusted. NTAP was conditioned
upon the DefenCath NDA obtaining final FDA approval prior to July 1, 2024. The Company intends to work closely with CMS on obtaining TDAPA
and the TDAPA implementation process.
NOLs . On March 6,
2024, the Company received net proceeds of approximately $ 1,395,000 from the sale of its remaining unused New Jersey state NOL that was
eligible for sale under the NJEDA Program for the state fiscal year 2023. The NJEDA Program allowed the Company to sell approximately
$ 1,529,000 of its total $ 1,529,000 in available NOL tax benefits for state fiscal year 2023.
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