UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-Q
(Mark One)
☒ QUARTERLY REPORT PURSUANT TO SECTION 13
OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30,
2024
☐ TRANSITION REPORT PURSUANT TO SECTION 13
OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from ________ to ________
Commission file number 001-34673
CORMEDIX INC.
(Exact Name of Registrant as Specified in Its Charter)
Delaware 20-5894890
(State or Other Jurisdiction of
Incorporation or Organization) (I.R.S. Employer
Identification No.)
300 Connell Drive , Suite 4200 , Berkeley Heights , NJ 07922
(Address of Principal Executive Offices) (Zip Code)
(908) 517-9500
(Registrant’s Telephone Number, Including
Area Code)
Securities registered pursuant to Section 12(b)
of the Act:
Title of each class Trading Symbol(s) Name of each exchange on which registered
Common stock, $0.001 par value CRMD Nasdaq Global Market
Indicate by check mark whether the registrant:
(1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months
(or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements
for the past 90 days. Yes ☒ No ☐
Indicate by check mark whether
the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T
(§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit
such files). Yes ☒ No ☐
Indicate by check mark whether
the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging
growth company. See the definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting
company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer ☐ Accelerated filer ☐
Non-accelerated filer ☒ Smaller reporting company ☒
Emerging Growth Company ☐
If an emerging growth company,
indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial
accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate by check mark whether
the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒
The number of shares outstanding of the issuer’s
common stock, as of October 28, 2024 was 60,677,204 .
CORMEDIX INC. AND SUBSIDIARIES
INDEX
Page
PART I FINANCIAL INFORMATION
1
Item 1.
Unaudited Condensed Consolidated Financial Statements
1
Condensed Consolidated Balance Sheets as of September 30, 2024 and December 31, 2023
1
Condensed Consolidated Statements of Operations and Comprehensive Loss for the Three and Nine Months Ended September 30, 2024 and 2023
2
Condensed Consolidated Statements of Changes in Stockholders’ Equity for the Three and Nine Months Ended September 30, 2024 and 2023
3
Condensed Consolidated Statements of Cash Flows for the Nine Months Ended September 30, 2024 and 2023
5
Notes to Unaudited Condensed Consolidated Financial Statements
6
Item 2.
Management’s Discussion and Analysis of Financial Condition and Results of Operations
19
Item 3.
Quantitative and Qualitative Disclosure About Market Risk
30
Item 4.
Controls and Procedures
30
PART II OTHER INFORMATION
31
Item 1.
Legal Proceedings
31
Item 1A.
Risk Factors
31
Item 2.
Unregistered Sales of Equity Securities and Use of Proceeds
31
Item 3.
Defaults Upon Senior Securities
31
Item 4.
Mine Safety Disclosure
31
Item 5.
Other Information
31
Item 6.
Exhibits
31
SIGNATURES
32
i
PART I
FINANCIAL INFORMATION
Item 1. Unaudited Condensed Consolidated Financial Statements.
CorMedix
Inc. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
September 30,
2024
(Unaudited)
December 31,
2023
ASSETS
Current assets
Cash and cash equivalents
$ 35,286,138
$ 43,642,684
Restricted cash
-
77,453
Short-term investments
10,743,562
32,388,130
Trade receivables, net
17,387,446
-
Inventories, net
6,649,495
2,106,345
Prepaid research and development expenses
170,739
353,574
Other prepaid expenses and current assets
2,916,889
882,214
Total current assets
73,154,269
79,450,400
Property and equipment, net
1,899,875
1,866,224
License intangible asset, net
1,896,104
-
Restricted cash, long-term
105,084
103,055
Operating lease right-of-use asset
530,862
640,278
TOTAL ASSETS
$ 77,586,194
$ 82,059,957
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities
Accounts payable
$ 1,343,833
$ 4,279,679
Accrued expenses
16,973,677
6,970,217
Operating lease liability, short-term
163,449
150,619
Total current liabilities
18,480,959
11,400,515
Operating lease liability, net of current portion
392,967
517,013
TOTAL LIABILITIES
18,873,926
11,917,528
COMMITMENTS AND CONTINGENCIES (Note 5)
STOCKHOLDERS’ EQUITY
Preferred stock - $ 0.001 par value: 2,000,000 shares authorized; 181,622 shares issued and outstanding at September 30, 2024 and December 31, 2023
182
182
Common stock - $ 0.001 par value: 160,000,000 shares authorized; 57,887,149 and 54,938,258 shares issued and outstanding at September 30, 2024 and December 31, 2023, respectively
57,886
54,938
Accumulated other comprehensive gain
89,120
94,108
Additional paid-in capital
411,659,517
391,693,214
Accumulated deficit
( 353,094,437 )
( 321,700,013 )
TOTAL STOCKHOLDERS’ EQUITY
58,712,268
70,142,429
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY
$ 77,586,194
$ 82,059,957
See Accompanying Notes to Unaudited Condensed Consolidated
Financial Statements.
1
CorMedix
Inc. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
AND COMPREHENSIVE LOSS
(Unaudited)
For the Three Months Ended
September 30,
For the Nine Months Ended
September 30,
2024
2023
2024
2023
Revenue:
Net sales
$ 11,456,115
$ -
$ 12,262,234
$ -
Cost of sales
( 686,598 )
-
( 2,014,975 )
-
Gross profit
10,769,517
-
10,247,259
-
Operating Expenses:
Research and development
( 727,119 )
( 2,663,976 )
( 2,215,551 )
( 10,866,236 )
Selling and marketing
( 6,748,900 )
( 4,058,428 )
( 20,472,961 )
( 9,955,651 )
General and administrative
( 6,580,834 )
( 3,744,879 )
( 22,851,144 )
( 12,467,157 )
Total Operating Expenses
( 14,056,853 )
( 10,467,283 )
( 45,539,656 )
( 33,289,044 )
Loss From Operations
( 3,287,336 )
( 10,467,283 )
( 35,292,397 )
( 33,289,044 )
Other Income (Expense):
Interest income
553,856
765,241
2,068,407
1,761,808
Foreign exchange transaction loss
( 33,325 )
( 29,199 )
( 38,806 )
( 30,222 )
Other income
-
-
500,000
-
Interest expense
( 10,007 )
( 13,113 )
( 26,398 )
( 27,740 )
Total Other Income
510,524
722,929
2,503,203
1,703,846
Loss before income taxes
( 2,776,812 )
( 9,744,354 )
( 32,789,194 )
( 31,585,198 )
Tax benefit
-
-
1,394,770
-
Net Loss
( 2,776,812 )
( 9,744,354 )
( 31,394,424 )
( 31,585,198 )
Other Comprehensive Income (Loss):
Unrealized gain (loss) from investments
5,040
( 4,571 )
( 3,832 )
1,090
Foreign currency translation (loss) gain
( 1,651 )
( 1,727 )
( 1,156 )
566
Total Other Comprehensive Income (Loss)
3,389
( 6,298 )
( 4,988 )
1,656
Comprehensive Loss
$ ( 2,773,423 )
$ ( 9,750,652 )
$ ( 31,399,412 )
$ ( 31,583,542 )
Net Loss Per Common Share – Basic and Diluted
$ ( 0.05 )
$ ( 0.17 )
$ ( 0.54 )
$ ( 0.65 )
Weighted Average Common Shares Outstanding – Basic and Diluted
58,825,221
56,553,174
57,986,190
48,715,585
See Accompanying Notes to Unaudited Condensed Consolidated
Financial Statements.
2
CorMedix
Inc. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CHANGES
IN
STOCKHOLDERS’ EQUITY
(Unaudited)
For the three months ended September 30, 2024
Common
Stock
Preferred
Stock-
Series C-3,
Series E and
Series G
Accumulated
Other
Comprehensive
Additional
Paid-in
Accumulated
Total
Stockholders’
Shares
Amount
Shares
Amount
Income
Capital
Deficit
Equity
Balance at July 1,
2024
55,274,791
$ 55,274
181,622
$ 182
$ 85,731
$ 396,360,369
$ ( 350,317,625 )
$ 46,183,931
Stock issued in connection with
ATM sale of common stock, net
2,290,024
2,290
-
-
-
12,364,191
-
12,366,481
Stock issued in connection with
options exercised
322,334
322
-
-
-
1,707,481
-
1,707,803
Stock-based compensation
-
-
-
-
-
1,227,476
-
1,227,476
Other comprehensive gain
-
-
-
-
3,389
-
-
3,389
Net loss
-
-
-
-
-
-
( 2,776,812 )
( 2,776,812 )
Balance
at September 30, 2024
57,887,149
$ 57,886
181,622
$ 182
$ 89,120
$ 411,659,517
$ ( 353,094,437 )
$ 58,712,268
For the nine months ended September 30, 2024
Common
Stock
Preferred
Stock-
Series C-3,
Series E and
Series G
Accumulated
Other
Comprehensive
Additional
Paid-in
Accumulated
Total
Stockholders’
Shares
Amount
Shares
Amount
Income
Capital
Deficit
Equity
Balance at January
1, 2024
54,938,258
$ 54,938
181,622
$ 182
$ 94,108
$ 391,693,214
$ ( 321,700,013 )
$ 70,142,429
Stock issued in connection with
ATM sale of common stock, net
2,521,121
2,521
-
-
-
13,373,560
-
13,376,081
Stock issued in connection with
options exercised
371,499
371
-
-
-
1,893,914
-
1,894,285
Issuance of vested restricted
stock, net of shares withheld for employee withholding taxes
78,103
78
( 236,693 )
( 236,615 )
Cancellation of shares held in
escrow
( 21,832 )
( 22 )
22
-
Stock-based compensation
-
-
-
-
-
4,935,500
-
4,935,500
Other comprehensive loss
-
-
-
-
( 4,988 )
-
-
( 4,988 )
Net loss
-
-
-
-
-
-
( 31,394,424 )
( 31,394,424 )
Balance
at September 30, 2024
57,887,149
$ 57,886
181,622
$ 182
$ 89,120
$ 411,659,517
$ ( 353,094,437 )
$ 58,712,268
See Accompanying Notes to Unaudited Condensed Consolidated
Financial Statements.
3
CorMedix
Inc. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CHANGES
IN
STOCKHOLDERS’ EQUITY
(Unaudited)
For the three months ended September 30, 2023
Common
Stock
Preferred
Stock
– Series C-3,
Series E and
Series G
Accumulated
Other
Comprehensive
Additional
Paid-in
Accumulated
Total
Stockholders’
Shares
Amount
Shares
Amount
Income
(Loss)
Capital
Deficit
Equity
Balance at July 1, 2023
45,805,283
$ 45,806
181,622
$ 182
$ 90,697
$ 346,116,054
$ ( 297,201,630 )
$ 49,051,109
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
6,666
7
-
-
-
20,125
-
20,132
Stock-based compensation
-
-
-
-
-
1,002,834
-
1,002,834
Other comprehensive loss
-
-
-
-
( 6,298 )
-
-
( 6,298 )
Net loss
-
-
-
-
-
-
( 9,744,354 )
( 9,744,354 )
Balance at
September 30, 2023
54,812,042
$ 54,813
181,622
$ 182
$ 84,399
$ 390,008,412
$ ( 306,945,984 )
$ 83,201,822
For the nine months ended September 30, 2023
Common
Stock
Preferred
Stock
– Series C-3,
Series E and
Series G
Accumulated
Other
Comprehensive
Additional
Paid-in
Accumulated
Total
Stockholders’
Shares
Amount
Shares
Amount
Income
(Loss)
Capital
Deficit
Equity
Balance at January 1,
2023
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
2,866,421
2,867
-
-
-
12,512,342
-
12,515,209
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
64,041
64
-
-
-
253,924
-
253,988
Issuance of vested restricted stock,
net of shares withheld for employee withholding taxes
66,291
67
-
-
-
( 198,509 )
-
( 198,442 )
Stock-based compensation
-
-
-
-
-
4,276,474
-
4,276,474
Other comprehensive gain
-
-
-
-
1,656
-
-
1,656
Net loss
-
-
-
-
-
-
( 31,585,198 )
( 31,585,198 )
Balance at
September 30, 2023
54,812,042
$ 54,813
181,622
$ 182
$ 84,399
$ 390,008,412
$ ( 306,945,984 )
$ 83,201,822
See Accompanying Notes to Unaudited Condensed Consolidated
Financial Statements.
4
CORMEDIX INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
For the Nine Months Ended
September 30,
2024
2023
CASH FLOWS FROM OPERATING ACTIVITIES:
Net loss
$ ( 31,394,424 )
$ ( 31,585,198 )
Adjustments to reconcile net loss to net cash used in operating activities:
Stock-based compensation
4,935,500
4,276,474
Change in right-of-use assets
109,416
99,970
Depreciation
72,210
52,085
Amortization of intangible
103,896
-
Changes in operating assets and liabilities:
Increase in trade receivables
( 17,387,446 )
-
Increase in inventory
( 4,543,150 )
-
Increase in prepaid expenses and other current assets
( 1,851,748 )
( 1,756,105 )
(Decrease) increase in accounts payable
( 2,935,851 )
183,903
Increase in accrued expenses
8,002,696
1,164,571
Decrease in operating lease liabilities
( 111,216 )
( 99,486 )
Net cash used in operating activities
( 45,000,117 )
( 27,663,786 )
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchase of short-term investments
( 21,475,457 )
( 60,978,108 )
Maturity of short-term investments
43,116,192
43,350,000
Purchase of equipment
( 105,861 )
( 31,369 )
Net cash provided by (used in) investing activities
21,534,874
( 17,659,477 )
CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from sale of common stock from at-the-market program, net
13,376,081
12,515,209
Payment of employee withholding taxes on vested restricted stock units
( 236,615 )
( 198,442 )
Proceeds from public offering of common stock and pre-funded warrants, net
-
42,878,399
Proceeds from exercise of stock options
1,894,285
253,988
Net cash provided by financing activities
15,033,751
55,449,154
Foreign exchange effect on cash
( 478 )
385
NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS
( 8,431,970 )
10,126,276
CASH, CASH EQUIVALENTS AND RESTRICTED CASH - BEGINNING OF PERIOD
43,823,192
43,374,745
CASH, CASH EQUIVALENTS AND RESTRICTED CASH - END OF PERIOD
$ 35,391,222
$ 53,501,021
Cash paid for interest
$ 26,398
$ 27,739
Supplemental Disclosure of Non-Cash Investing Activities:
Liability related to license agreement
$ 2,000,000
-
Unrealized gain (loss) from investments
$ 3,832
$ ( 1,090 )
See Accompanying Notes to Unaudited Condensed Consolidated
Financial Statements.
5
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL
STATEMENTS
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 life-threatening diseases and conditions.
The Company’s primary
focus is on the commercialization of its lead product, DefenCath ® (taurolidine and heparin) in the United States, or U.S.
The Company has 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.
Basis of Presentation
The accompanying unaudited
condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United
States of America, or GAAP, for interim financial information and with the instructions for Quarterly Reports on Form 10-Q and Article
8 of Regulation S-X. Accordingly, the unaudited condensed consolidated financial statements do not include all information and footnotes
required by GAAP for complete annual financial statements. In the opinion of management, the accompanying unaudited condensed consolidated
financial statements reflect all adjustments, consisting of normal recurring adjustments, considered necessary to fairly state the interim
results. Interim operating results are not necessarily indicative of results that may be expected for the full year ending December 31,
2024, or for any subsequent period. These unaudited condensed consolidated financial statements should be read in conjunction with the
audited financial statements and notes thereto of the Company which are included in the Company’s Annual Report on Form 10-K filed
with the Securities and Exchange Commission, or SEC, on March 12, 2024. The accompanying consolidated balance sheet as of December 31,
2023 has been derived from the audited financial statements included in such Annual Report on Form 10-K.
Note 2 - Summary of Significant Accounting Policies and Liquidity
and Uncertainties:
Liquidity and Uncertainties
The condensed consolidated
financial statements have been prepared in conformity with GAAP 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. The Company’s current
commercial and development expenses for DefenCath and its other operating requirements are expected to be funded for at least twelve months
from the issuance of this Quarterly Report on Form 10-Q by the Company’s existing cash, cash equivalents and short-term investments
at September 30, 2024 and its expected liquidity from commercial operations.
The Company may raise additional
capital through various potential sources, such as equity and/or debt financing, 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 September 30, 2024, approximately $ 36,012,000 of the Company’s common stock remains available for sale under
the 2024 ATM program, with $ 100,000,000 of remaining capacity under the 2024 Shelf Registration Statement for the issuance of Company
securities (see Note 6).
The Company’s operations
are subject to a number of other factors that can affect its operating results and cash flow projections over the next twelve months from
the issuance of these financial statements. Such factors include, but are not limited to: the ability to market DefenCath and generate
necessary revenue in the time periods required; 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.
6
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL
STATEMENTS (continued)
Use of Estimates
The preparation of financial
statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the amounts reported in the
financial statements and accompanying notes. The Company bases its estimates and judgments on historical experience and various other
assumptions that it believes are reasonable under the circumstances. The amounts of assets and liabilities and disclosure of contingent
assets and liabilities in the Company’s consolidated balance sheets and the reported amounts of revenue and expenses reported for
each of the periods presented are affected by estimates and assumptions. As future events and their effects cannot be determined with
precision, actual results could differ significantly from those estimates.
Reclassifications
Certain reclassifications
were made to the prior year’s amounts to conform to the 2024 presentation.
Basis of Consolidation
The condensed 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.
Trade Accounts Receivable and Allowances
The Company complies with
ASU 2016-13, Measurement of Credit Losses on Financial Instruments , which requires the Company to recognize an allowance
that reflects a current estimate of credit losses expected to be incurred over the life of a financial asset, including trade receivables.
The allowance for credit losses reflects the best estimate of expected credit losses of the accounts receivable portfolio determined on
the basis of current information, forecasts of future economic conditions, industry knowledge and to some extent our historical experience.
The Company determines its allowance methodology by pooling receivable balances at the customer level. The Company considers various factors,
including individual credit risk associated with each customer, the current and future condition of the general economy and industry knowledge.
These credit risk factors are monitored on a quarterly basis and updated as necessary. To the extent any individual debtor is identified
whose credit quality has deteriorated, the Company establishes allowances based on the individual risk characteristics of such customer.
The Company makes concerted efforts to collect all outstanding balances due, however account balances are charged off against the allowance
when management believes it is probable the receivable will not be recovered. The Company does not have any off-balance sheet credit exposure
related to its customers. There are no significant allowances recorded for credit losses as of September 30, 2024.
Concentrations
The major customers of the
Company are defined as those constituting greater than 10% of its total revenue. In the three and nine months ended September 30, 2024,
the Company had sales to one customer that accounted for 98 % and 92 % of its total revenue of $ 11,456,000 and $ 12,262,000 , respectively.
This customer also accounts for 100 % of the Company’s accounts receivable as of September 30, 2024. The Company currently has one
FDA approved source for each of its two key active pharmaceutical ingredients for DefenCath, taurolidine and heparin sodium.
Financial Instruments
Financial instruments that
potentially subject the Company to concentrations of credit risk consist principally of cash, cash equivalents, short-term investments
and accounts receivable. 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.
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:
September 30,
2024
2023
Cash and cash equivalents
$ 35,286,138
$ 53,313,811
Restricted cash
105,084
187,210
Total cash, cash equivalents and restricted cash
$ 35,391,222
$ 53,501,021
7
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL
STATEMENTS (continued)
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 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 in other comprehensive income. Realized gains and losses, amortization of premiums and
discounts and interest and dividends earned are included in other income (expense). 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 September 30, 2024 or December 31, 2023.
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 September 30, 2024 and December 31, 2023, all of the Company’s investments had contractual
maturities of less than one year. The following table summarizes the amortized cost, unrealized gains and losses and the fair value at
September 30, 2024 and December 31, 2023:
Amortized
Cost
Gross
Unrealized
Losses
Gross
Unrealized
Gains
Fair Value
September 30, 2024:
Money Market Funds included in Cash Equivalents
$ 23,021,807
$ -
$ -
$ 23,021,807
U.S. Government Agency Securities
9,550,898
( 254 )
4,174
9,554,818
Commercial Paper
1,187,415
-
1,329
1,188,744
Subtotal
10,738,313
( 254 )
5,503
10,743,562
Total September 30, 2024
$ 33,760,120
$ ( 254 )
$ 5,503
$ 33,765,369
December 31, 2023:
Money Market Funds included in Cash Equivalents
$ 32,541,230
$ -
$ -
$ 32,541,230
U.S. Government Agency Securities
29,701,677
-
10,506
29,712,183
Commercial Paper
2,677,372
( 1,425 )
-
2,675,947
Subtotal
32,379,049
( 1,425 )
10,506
32,388,130
Total December 31, 2023
$ 64,920,279
$ ( 1,425 )
$ 10,506
$ 64,929,360
Fair Value Measurements
In accordance with Accounting
Standards Codification (“ASC”) 825, Financial Instruments, disclosures of fair value information about financial instruments
is required, whether or not recognized in the consolidated balance sheet, for which it is practicable to estimate that value. 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.
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. 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. Financial
assets recorded at fair value on the Company’s condensed consolidated balance sheets are categorized as follows:
8
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL
STATEMENTS (continued)
● 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 on a reoccurring basis as of
September 30, 2024 and December 31, 2023:
Carrying
Value
Level 1
Level 2
Level 3
September 30, 2024:
Money Market Funds and Cash Equivalents
$ 23,021,807
$ 23,021,807
$ -
$ -
U.S. Government Agency Securities
9,554,818
9,554,818
-
-
Commercial Paper
1,188,744
-
1,188,744
-
Subtotal
10,743,562
9,554,818
1,188,744
$ -
Total September 30, 2024
$ 33,765,369
$ 32,576,625
$ 1,188,744
$ -
December 31, 2023:
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
$ -
Inventories
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 DefenCath incurred prior to FDA approval in order to support the preparation for commercial launch of
its product were expensed as research and development expenses (“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.
Remaining pre-commercial inventory previously expensed as R&D prior to FDA approval, consists of certain raw materials and inventory
at various stages of completion with a value approximating $ 6,177,000 as of September 30, 2024.
Inventory is valued utilizing
the standard cost method, which approximates costs determined on the first-in first-out basis. The Company records an inventory reserve
for losses associated with dated, expired, excess or obsolete items. This reserve is based on management’s current knowledge with
respect to inventory levels, planned production and sales volume assumptions. As of September 30, 2024 and December 31, 2023, no reserves
were deemed necessary.
Inventories consist of raw
materials (including labeling and packaging), work-in-process, and finished goods for DefenCath. Inventories consist of the following:
September 30,
2024
December 31,
2023
Raw materials
$ 603,545
$ 1,525,420
Work in progress
5,084,583
580,925
Finished goods
961,367
-
Total
$ 6,649,495
$ 2,106,345
9
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL
STATEMENTS (continued)
Revenue Recognition
The Company recognizes
revenue from the sale of its product, DefenCath, in accordance with ASC 606, Revenue from Contracts with
Customers (“ASC 606”). The provisions of ASC 606 require the following steps to determine revenue recognition:
(1) identify the contract(s) with a customer; (2) identify the performance obligations in the contract; (3) determine the
transaction price; (4) allocate the transaction price to the performance obligations in the contract; and (5) recognize revenue when
(or as) the entity satisfies a performance obligation.
The Company recognizes revenue
when it believes that it is probable that it will collect the consideration to which it is entitled in exchange for the goods or services
that will be transferred to the customer. The Company’s product revenue is recognized at a point in time when the performance obligation
is satisfied by transferring control of the promised goods or services to a customer. In accordance with the Company’s contracts
with customers, control of the product is transferred upon the conveyance of title, which occurs when the product is received by a customer.
The Company’s customers are located in the United States and consist primarily of outpatient service providers and wholesale distributors.
Variable Consideration
The Company includes an estimate
of variable consideration in its transaction price at the time of sale when control of the product transfers to the customer. Variable
consideration includes:
●
Distribution service fees;
●
Prompt pay and other discounts;
●
Product returns;
●
Chargebacks;
●
Rebates;
●
Volume incentive rebates;
The Company assesses whether
or not an estimate of variable consideration is constrained based on the probability that a significant reversal in the amount of cumulative
revenue may occur in the future when the uncertainty associated with the variable consideration is subsequently resolved. Actual amounts
of consideration ultimately received may vary from our estimates. If actual results in the future vary from estimates, the Company adjusts
these estimates, which would affect product sales and earnings in the period such variances become known.
The specific considerations
that the Company uses in estimating these amounts related to variable considerations are as follows:
Distribution services fees –
The Company pays distribution service fees primarily to its wholesale distributors. The Company reserves these fees based on actual net
sales and the contractual fee rates negotiated with the customers in the distribution channel. The Company records these fees as contra
accounts receivable on the balance sheet.
Prompt pay and other discounts
– The Company provides customers with prompt pay discounts. The specific prompt pay terms vary by customer and are contractually
fixed. Prompt pay discounts are expected to be taken by the Company’s customers, so an estimate of the discount is recorded at the
time of sale based on the invoice price. Prompt pay discount estimates are recorded as contra accounts receivable on the balance sheet.
Product returns –
Customers have the right to return product that is within six months or less of the labeled expiration date or that is past the expiration
date by no more than six months. The Company determines its estimate for product returns based on: (i) data provided to the Company by
its distributors (including weekly reporting of distributors’ sales and inventory held by distributors that provided the Company
with visibility into the distribution channel in order to determine what quantities were sold to both inpatient and outpatient facilities),
and (ii) the estimated remaining shelf life of DefenCath held by the wholesale distributors and outpatient service providers. Since the
returns primarily consist of expired and short dated products that will not be resold, the Company does not record a return asset for
the right to recover the goods returned by the customer at the time of the initial sale (when recognition of revenue is deferred due to
the anticipated return). Estimated product returns are recorded as accrued expenses on the balance sheet.
10
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL
STATEMENTS (continued)
Chargebacks – Certain
covered entities, group purchasing organizations (“GPO”) and government entities will be able to purchase the product at a
price discounted below wholesaler acquisition cost (“WAC”). The difference between the GPO, government or covered entity purchase
price and the wholesale distributor purchase price of WAC will be charged back to the Company. The Company estimates the amount in chargebacks
based on the expected number of claims and related cost that is associated with the revenue being recognized for product that remains
in the distribution channel at the end of each reporting period. Estimated chargebacks are recorded as contra accounts receivable on the
balance sheet.
Rebates – The Company
is or may become subject to negotiated discount obligations to different GPO, direct purchasers, other commercial organizations or government
programs. The rebate amounts for these programs are determined by statutory requirements or contractual arrangements. Rebates are owed
after the product has been dispensed to an end user and the Company has been invoiced. Rebates are typically invoiced in arrears. The
Company’s liability for these rebates consists of invoices received for claims from prior quarters that have not been paid or for
which an invoice has not yet been received, estimates of claims for the current quarter based on expected product utilization, and estimated
future claims that will be made for product that has been recognized as revenue, but remains in the distribution channel at the end of
each reporting period. Rebate estimates are recorded as accrued expenses on the balance sheet.
Volume Incentive Rebates –
The Company is subject to negotiated volume incentive rebates with certain direct and indirect customers (primarily outpatient service
providers). Rebates are owed based on predetermined volume levels and payable per the terms in the customer contracts. The Company estimates
and records volume incentive rebates based on anticipated purchase volume with specific customers based on communications with the customer.
Volume incentive rebates are recorded as accrued expenses on the balance sheet. See Note 4 – Accrued Expenses.
Provisions for the revenue reserves described above totaled $ 6,598,000 and $ 6,792,000 for the three and nine months ended September 30,
2024, respectively. As of September 30, 2024, total reserves and allowances to accounts receivable on the balance sheet associated with
variable consideration were $ 6,753,000 .
License Agreement
The Company’s rights
under the License and Assignment Agreement with ND Partners, LLP are capitalized and stated at cost and amortizes using the straight-line
method over estimated economic life of the intangible asset. The Company will amortize the intangible asset over its useful life, based
on its assessment of various factors impacting estimated useful lives and cash flows of the acquired rights. Such factors include the
launch date of DefenCath, the strength of the intellectual property protection of DefenCath and various other competitive, developmental
and regulatory considerations, and contractual terms. See Note 5 – Commitments and Contingencies for further discussion.
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, and operating lease liabilities, net of current portion, on the consolidated balance sheet (see
Note 7).
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.
11
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL
STATEMENTS (continued)
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 net 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, potentially dilutive securities are excluded from the calculation of diluted net loss per share because their effect
would be anti-dilutive, and therefore basic and diluted loss per share are the same for all periods presented. 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:
Nine Months Ended
September 30,
2024
2023
(Number of Shares of
Common Stock Issuable)
Series C-3 non-voting preferred stock
4,000
4,000
Series E non-voting preferred stock
391,953
391,953
Series G non-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
7,675,277
5,876,007
Shares underlying restricted stock units
303,994
103,735
Total potentially dilutive shares
13,428,202
11,428,673
Stock-Based Compensation
Stock-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.
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.
12
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL
STATEMENTS (continued)
Recent Accounting Pronouncements
From time to time, new accounting
pronouncements are issued by the Financial Accounting Standards Board (“FASB”) or other standard setting bodies that the Company
adopts as of the specified effective date. Unless otherwise discussed below, the Company does not believe the adoption of recently issued
standards have or may have a material impact on its consolidated financial statements or disclosures.
ASU No. 2023-09
In December 2023, the FASB
issued Accounting Standards Update (“ASU”) No. 2023-09, Income Taxes - Improvements to Income Tax Disclosures
(“Topic 740”). The standard requires disaggregation of the effective rate reconciliation into standard categories, enhances
disclosure of income taxes paid, and modifies other income tax-related disclosures. The standard will be effective for CorMedix beginning
in annual reporting period ending December 31, 2025, with early adoption permitted. CorMedix is currently assessing the impact of adopting
this guidance on its consolidated financial statements.
ASU No. 2023-07
In November 2023, the FASB
issued ASU No. 2023-07 Segment Reporting - Improving Reportable Segment Disclosures (“Topic 280”). The standard
requires disclosures to include significant segment expenses that are regularly provided to the chief operating decision maker (“CODM”),
a description of other segment items by reportable segment, and any additional measures of a segment’s profit or loss used by the
CODM when deciding how to allocate resources. The ASU also requires all annual disclosures currently required by Topic 280 to be included
in interim periods. The standard is effective for CorMedix beginning in annual reporting period ending December 31, 2024 and interim periods
beginning in fiscal year 2025, with early adoption permitted and requires retrospective application to all prior periods presented in
the financial statements. CorMedix is currently assessing the impact of adopting this guidance on its consolidated financial statements.
Note 3 – Other Prepaid Expenses and Current Assets:
Other Prepaid Expenses and Current Assets
Other prepaid expenses and
current assets consist of the following:
September 30,
2024
December 31,
2023
API deposit
$ 1,066,987
$ -
FDA filing fee
599,411
-
Commercial
505,627
171,393
Subscriptions
301,291
466,114
Medical affairs
198,048
-
Insurance
94,246
126,616
Other
151,279
118,091
Total
$ 2,916,889
$ 882,214
Note 4 - Accrued Expenses:
Accrued Expenses
Accrued expenses consist of
the following:
September 30,
2024
December 31,
2023
Accrued gross-to-net deductions
$ 6,371,043
$ -
Accrued payroll and payroll taxes
4,788,529
2,718,770
Manufacturing related
3,037,736
1,835,101
License agreement payable (see Note 5 – Commitments and Contingencies)
2,000,000
-
Professional and consulting fees
584,374
2,270,022
Other
191,995
146,324
Total
$ 16,973,677
$ 6,970,217
13
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL
STATEMENTS (continued)
Note 5 - 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 Exchange Act, along with Rule 10b-5 promulgated thereunder, and Sections
11 and 15 of the Securities Act of 1933. On October 10, 2022, the lead plaintiff filed a second amended consolidated complaint that superseded
the original complaints in In re CorMedix Securities Litigation. On March 21, 2024, the court denied Defendant’s motion to dismiss
without prejudice and granted lead plaintiff leave to amend the complaint. On April 22, 2024, lead plaintiff filed a third amended consolidated
complaint that superseded the second amended consolidated complaint. In the third amended complaint, the lead plaintiff seeks to represent
a class of shareholders who purchased or otherwise acquired CorMedix securities between October 16, 2019 and August 8, 2022, inclusive.
The third amended complaint names as defendants the Company and six (6) current and former 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”). The third amended complaint alleges that the CorMedix Defendants violated Section
10(b) of the Exchange Act (and Rule 10b-5) and that the Officer Defendants violated Section 20(a). 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 filed its motion to dismiss the third amended
complaint on June 6, 2024, and received from Plaintiffs their opposition to the Company’s motion to dismiss on July 22, 2024. The
Company filed its response on August 21, 2024.
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, Phoebe Mounts and Joseph Todisco 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.
14
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL
STATEMENTS (continued)
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 individual defendants intend to vigorously contest the claims set forth in the consolidated derivative
action. The provisions of the Order to Stay entered in the Voter Action on January 21, 2022, apply to the consolidated derivative
action. On April 20, 2023, the consolidated derivative action was administratively terminated and removed from the Court’s docket
until the motion to dismiss the class action is resolved and the Private Securities Litigation Reform Act, or PSLRA, stay is lifted. On
April 22, 2024, the lead plaintiff in the class action filed a third amended complaint. The class action remains stayed under the PSLRA.
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 the 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.
License and Assignment Agreement
In 2008, the Company entered
into a License and Assignment Agreement (the “ND License Agreement”) with ND Partners, LLP (“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,
upon execution of the ND License Agreement, 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.
Under the ND License Agreement,
the Company is required to make cash and equity 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. As of December 31, 2022, the shares remaining in escrow were cancelled
in accordance with the terms of the escrow agreement. Under the ND License Agreement, the maximum aggregate amount of cash payments due
upon achievement of milestones was $ 3,000,000 , with the balance being $ 2,000,000 as of September 30, 2024 and December 31, 2023. The initial
licensing fee of $ 325,000 , the fair value of the 5 % equity interest ( 7,996 shares of the Company’s common stock) and an additional
$ 500,000 , as a result of the achievement of one milestone, were recognized on the Company’s statement of operations in R&D in
prior periods, as the related milestones were achieved by the Company prior to the FDA approval. During the three months ended March 31,
2024, the Company determined it was probable that the net sales milestones would be achieved in future periods and, as a result, the Company
recorded a license intangible asset of $ 2,000,000 and a license agreement liability of $ 2,000,000 , which is included within accrued expenses
in the Company’s condensed consolidated balance sheet as of September 30, 2024. These sales milestones were met during the three
month period ended September 30, 2024. The Company anticipates payment will be due in accordance with the agreement terms at the end of
the twelve month period post attainment.
Beginning in the second quarter
of 2024, the license intangible asset is amortized as cost of goods sold over its estimated economic life of approximately 10 years. The
amortization start period correlates with the product launch of DefenCath and the first period in which revenue will be recognized. Amortization
expense of approximately $ 52,000 and $ 104,000 was recorded during the three and nine month periods ending September 30, 2024, respectively.
15
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL
STATEMENTS (continued)
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 the Company materially breaches or defaults under the ND License Agreement and that breach
is not cured within 60 days following the delivery of written notice to the Company, or by the Company on a country-by-country basis upon
60 days prior written notice in the event the Company’s Board determines not to proceed with the development of the NDP Technology.
If the ND License Agreement is terminated by either party, the Company’s rights to the NDP Technology will revert back to NDP.
Note 6 - Stockholders’ Equity:
Common Stock
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. The offering pursuant to the 2021 Shelf Registration Statement 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 . 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 . In October 2024, the pre-funded warrants were exercised resulting in
the issuance of 2,500,625 shares of common stock by the Company. Due to the pricing of the pre-funded warrants, net proceeds related to
this transaction are de minimis.
On May 9, 2024, the Company
filed a shelf registration statement (the “2024 Shelf Registration Statement”) for the issuance of up to $ 150,000,000 of Company
securities. Also on May 9, 2024, the Company entered into an At-The-Market Issuance Sales Agreement with Leerink Partners LLC, as sales
agent, pursuant to which the Company may sell, from time to time, an aggregate of up to $ 50,000,000 of its common stock through the sales
agents under the 2024 Shelf Registration Statement, subject to limitations imposed by the Company and subject to the sales agent’s
acceptance (the “2024 ATM program “). The sales agent is entitled to a commission of up to 3 % of the gross proceeds from the
sale of common stock sold under the 2024 ATM program. As of September 30, 2024, approximately $ 36,012,000 of the Company’s common
stock remains available for sale under its 2024 ATM program, with $ 100,000,000 of capacity remaining under its 2024 Shelf Registration
Statement for the issuance of Company securities.
During the three and nine
months ended September 30, 2024, the Company sold an aggregate of 2,290,024 and 2,521,121 shares of its common stock, respectively, under
the 2024 ATM program and realized an aggregate net proceeds of approximately $ 12,367,000 and $ 13,376,000 , respectively. For the three
months ended September 30, 2023, there were no sales under the Company’s previous at-the-market program, and for the nine months
ended September 30, 2023, the Company sold an aggregate of 2,866,421 shares of its common stock and realized net proceeds of approximately
$ 12,515,000 .
Restricted Stock Units
In January 2024, the
Company granted 283,333 restricted stock units (“RSUs”) to its executive officers under its Amended and Restated 2019
Omnibus Stock Incentive Plan with a weighted average grant date fair value of $ 3.47 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 25 % on the grant date
and 25 % each on the first, second and third anniversaries of the grant date, subject to continued service as an employee or
consultant through the applicable vesting date. During the nine months ended September 30, 2024, the Company issued 42,844 shares
upon the vesting of 25 % of these RSUs on the grant date and 27,989 shares were withheld in lieu of withholding taxes.
16
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL
STATEMENTS (continued)
In May 2024 and 2023, 62,241
and 103,734 RSUs vested, respectively, pursuant to a grant made to the Company’s chief executive officer, of which 35,259 and 66,291
shares of common stock were issued by the Company, respectively, and 26,982 and 37,443 shares, respectively, were withheld in lieu of
withholding taxes.
As of September 30, 2024,
the Company has 303,994 outstanding RSUs. The Company recorded $ 107,000 and $ 583,000 compensation expense for the three and nine months
ended September 30, 2024, respectively, and $ 53,000 and $ 207,000 for the three and nine months ended September 30, 2023, respectively.
As of September 30, 2024, unrecognized compensation expense for these RSUs amounted to $ 778,000 and the expected weighted average period
for the expense to be recognized is 1.6 years.
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 September 30, 2024 and
December 31, 2023
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
Stock Options
During the three and nine
months ended September 30, 2024, the Company granted ten-year qualified and non-qualified stock options covering an aggregate of 132,500
and 2,176,167 shares, respectively, of the Company’s common stock under the Amended and Restated 2019 Omnibus Stock Incentive Plan.
The weighted average exercise price of these options is $ 5.72 and $ 3.75 per share, respectively. For the three and nine months ended September
30, 2023, the Company granted ten-year qualified and non-qualified stock options covering an aggregate of 120,000 and 2,021,200 shares,
respectively, and the weighted average exercise price of these options is $ 3.90 and $ 4.40 per share, respectively.
During the three and nine
months ended September 30, 2024, the Company issued 322,334 and 371,499 shares of common stock, respectively, as a result of the exercise
of stock options. The Company realized net proceeds of $ 1,708,000 and $ 1,894,000 from these exercises for the three and nine months ended
September 30, 2024, respectively. During the three and nine months ended September 30, 2023, the Company issued 6,666 and 64,041 shares
of common stock, respectively, as a result of the exercise of stock options. The Company realized net proceeds of $ 20,000 and $ 254,000
from these exercises for the three and nine months ended September 30, 2023, respectively.
Subsequent to September 30, 2024, through the filing of this Quarterly Report on Form 10-Q for the period ended September 30, 2024, the
Company issued 289,430 shares of common stock as a result of the exercise of stock options, from which the Company realized net proceeds
of approximately $ 2,123,000 .
During the three and nine
months ended September 30, 2024, stock-based compensation expense for stock options issued to employees, directors, officers and consultants
was $ 1,120,000 and $ 4,352,000 , respectively, and $ 950,000 and $ 4,069,000 for the three and nine months ended September 30, 2023, respectively.
As of September 30, 2024,
there was approximately $ 7,470,000 in total unrecognized compensation expense related to stock options granted, which will be recognized
over an expected remaining weighted average period of 1.4 years.
17
CORMEDIX INC. AND SUBSIDIARIES
NOTES TO UNAUDITED CONDENSED CONSOLIDATED FINANCIAL
STATEMENTS (continued)
The fair value of each stock
option award estimated on the grant date is determined using the Black-Scholes option pricing model. The following assumptions were used
for the Black-Scholes option pricing model for the stock options granted during the nine months ended September 30, 2024:
Expected term (in years) 5.99
Volatility weighted average 98.85 %
Dividend yield weighted average 0 %
Risk-free interest rate weighted average 4.15 %
Weighted average grant date fair value of options granted during the period $ 3.00
The Company uses the simplified
method to calculate the expected term which takes into account the vesting term and the expiration date of the stock options. The expected
term of the stock options granted to consultants, if any, 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 stock
price for the expected term. The expected dividend yield of 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.
Note 7 - 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 its office space in Germany that began in July 2017 and terminated in June 2024. The agreement had a monthly cost
of 400 Euros.
Operating lease expense in
the Company’s condensed consolidated statements of operations and comprehensive loss for the three and nine months ended September
30, 2024 was approximately $ 51,000 and $ 153,000 , respectively, and $ 52,000 and $ 155,000 for the three and nine months ended September
30, 2023, respectively, which includes costs associated with leases for which ROU assets have been recognized as well as short-term leases.
At September 30, 2024, the
Company has a total operating lease liability of $ 556,000 , of which $ 163 ,000 was classified as operating lease liabilities, short-term
and $ 393 ,000 was classified as operating lease liabilities, net of current portion, on the condensed consolidated balance sheet. At December
31, 2023, the Company’s total operating lease liability was $ 668,000 , of which $ 151 ,000 was classified as operating lease liabilities,
short-term and $ 517 ,000 was classified as operating lease liabilities, net of current portion, on the condensed consolidated balance sheet.
Operating ROU assets as of September 30, 2024 and December 31, 2023 were $ 531 ,000 and $ 640 ,000, respectively.
For each of the three and
nine months ended September 30, 2024, cash paid for amounts included in the measurement of lease liabilities in operating cash flows from
operating leases was $ 51,000 and $ 153,000 , respectively, and $ 50,000 and $ 150,000 for the three and nine months ended September 30, 2023,
respectively.
The weighted average remaining
lease term as of September 30, 2024 and 2023 was 3.0 and 4.1 years, respectively, and the weighted average discount rate for operating
leases was 9 % at September 30, 2024 and 2023.
As of September 30, 2024, maturities of lease liabilities
were as follows:
2024 (excluding the nine months ended September 30, 2024)
$
51,000
2025
208,000
2026
211,000
2027
169,000
Total future minimum lease payments
639,000
Less imputed interest
( 83,000
)
Total
$
556,000
18
Item 2. Management’s Discussion and Analysis of Financial
Condition and Results of Operations.
The following discussion
and analysis of our financial condition and results of operations should be read in conjunction with the unaudited financial information
and the notes thereto included in this Quarterly Report on Form 10-Q and our audited 2023 Annual Report on Form 10-K, filed with the Securities
and Exchange Commission, or the SEC, on March 12, 2024.
Forward Looking Statements
This Quarterly Report on Form
10-Q contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, Section
27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, that are subject to
risks and uncertainties. Forward-looking statements are often identified by the use of words such as, but not limited to, “anticipate,”
“believe,” “can,” “continue,” “could,” “estimate,” “expect,” “intend,”
“may,” “will,” “plan,” “project,” “seek,” “should,” “target,”
“will,” “would,” and similar expressions or variations intended to identify forward-looking statements. All statements,
other than statements of historical facts, regarding management’s expectations, beliefs, goals, plans or CorMedix’s prospects
should be considered forward-looking statements. Readers are cautioned that actual results may differ materially from projections or estimates
due to a variety of important factors, and readers are directed to the Risk Factors identified in Part II, Item 1A of this Quarterly Report
on Form 10-Q and in CorMedix’s other filings with the SEC, including its most recent Annual Report on Form 10-K, copies of which
are available free of charge at the SEC’s website at www.sec.gov or upon request from CorMedix, and a summary of which is copied
below. CorMedix may not actually achieve the goals or plans described in its forward-looking statements, and such forward-looking statements
speak only as of the date of this Quarterly Report on Form 10-Q. Investors should not place undue reliance on these statements. CorMedix
assumes no obligation and does not intend to update these forward-looking statements, except as required by law.
Risks Related to our
Financial Position and Need for Additional Capital
●
We have a history of operating losses, may incur additional operating losses in the future and may never be profitable.
●
We may need to finance our future cash needs through public or private equity offerings, debt financings or corporate collaboration and licensing arrangements, which may not be on terms favorable to us or our stockholders and may require us to relinquish valuable rights.
Risks Related
to the Commercialization of DefenCath
●
We are highly dependent on the successful commercialization of our only approved product, DefenCath.
●
The successful commercialization of DefenCath will depend on obtaining coverage and reimbursement for use of DefenCath from third-party payors.
●
Our current sales of DefenCath
is highly concentrated with one customer. We have signed additional agreements with new customers that have not yet begun
purchasing DefenCath. The failure of one or more of these customers to purchase the product may adversely impact the commercial
success of DefenCath. See the risk factor under the heading “ We have significant customer concentration, with a limited
number of customers accounting for a large portion of our revenues” in Part II, Item 1A of this Quarterly Report on Form 10-Q
for additional information.
●
If we are unable to effectively retain and equip our sales force, our ability to successfully commercialize DefenCath will be harmed.
Risks Related
to the Development and Commercialization of our Other Products
●
Successful development and commercialization of our product candidates is uncertain.
●
Final approval by regulatory authorities of our product candidates for commercial use may be delayed, limited or prevented, any of which would adversely affect our ability to generate operating revenues.
19
Risks
Related to Healthcare Regulatory and Legal Compliance Matters
●
DefenCath, and our product candidates (if approved), will be subject to extensive post-approval regulation.
●
Current healthcare laws and regulations in the U.S. and future legislative or regulatory reforms to the U.S. healthcare system may affect our ability to commercialize DefenCath and future marketed products profitably.
●
We are subject to laws and regulations relating to privacy, data protection and the collection and processing of personal data. Failure to maintain compliance with these regulations could create additional liabilities for us.
●
Clinical trials required for our new product candidates or for expanded uses of DefenCath will be expensive and time-consuming, and their outcome is uncertain.
Risks Related
to Our Business and Industry
●
Healthcare institutions, physicians and patients may not accept or use our products.
●
Competition and technological change may make our products and technologies less attractive or obsolete.
●
Healthcare policy changes, including reimbursement policies for drugs and medical devices, may have an adverse effect on our business, financial condition and results of operations.
●
If we lose key management or scientific personnel, cannot recruit qualified employees, directors, officers, or other personnel or experience increases in compensation costs, our business may materially suffer.
●
Changes in funding for the FDA and other government agencies or future government shutdowns or disruptions could cause delays in the submission and regulatory review of marketing applications, including supplements, which could negatively impact our business or prospects.
●
If we are unable to hire additional qualified personnel or maintain existing personnel, our ability to grow our business may be harmed.
●
We may not successfully manage our growth.
●
We face the risk of product liability claims and the amount of insurance coverage we hold now or in the future may not be adequate to cover all liabilities we might incur.
●
We may be exposed to liability claims associated with the use of hazardous materials and chemicals.
●
If we fail to comply with environmental, health and safety laws and regulations, we could become subject to fines or penalties or incur costs that could harm our business.
●
Negative U.S. and global economic conditions may pose challenges to our business strategy, which relies on funding from the financial markets or collaborators.
Risks Related
to Our Intellectual Property
●
If we materially breach or default under the ND License Agreement with NDP, NDP would have the right to terminate the ND License Agreement, which would materially harm our business.
●
If we do not obtain protection for and successfully defend our respective intellectual property rights, competitors may be able to take advantage of our research and development efforts to develop competing products.
●
Intellectual property disputes could require us
to spend time and money to address such disputes and could limit our intellectual property rights.
20
●
If we infringe the rights of third parties, we could be prevented from selling products and forced to pay damages and defend against litigation.
Risks Related
to Dependence on Third Parties
●
If we or our collaborators are unable to manufacture our products in sufficient quantities or experience quality or manufacturing problems, we may be unable to meet demand for our products and we may lose potential revenues.
●
We depend on third party suppliers and contract manufacturers for the manufacturing of DefenCath and all key active pharmaceutical ingredients (“APIs”), which subjects us to potential cost increases and manufacturing delays that are not within our control.
●
We currently have one FDA approved supplier for each of our key APIs, taurolidine and heparin, respectively, as well as two currently FDA approved manufacturing sites for DefenCath finished dosage.
●
Corporate and academic collaborators may take actions that delay, prevent, or undermine the success of new development products or expanded uses of DefenCath. As our product is a new chemical entity (“NCE”) and the first and only in its class, we may depend on nationally-recognized disease management guidelines to assist in the adoption and implementation of DefenCath.
●
Data provided by collaborators and others upon which we rely that has not been independently verified could turn out to be false, misleading or incomplete.
●
We may rely on third parties to conduct our clinical trials and pre-clinical studies. If those parties do not successfully carry out their contractual duties or meet expected deadlines, our product candidates may not advance in a timely manner or at all.
Risks Related
to Our Common Stock
●
Our executive officers and directors may sell shares of their stock, and these sales could adversely affect our stock price.
●
Our common stock price has fluctuated considerably and is likely to remain volatile, and you could lose all or a part of your investment.
●
A significant number of additional shares of our common stock may be issued at a later date, and their sale could depress the market price of our common stock.
●
Provisions in our corporate charter documents and under Delaware law could make an acquisition of us, which may be beneficial to our stockholders, more difficult.
●
If we fail to comply with the continued listing standards of the Nasdaq Global Market, it may result in a delisting of our common stock from the exchange.
●
Laws, rules and regulations relating to public companies may be costly and impact our ability to attract and retain directors and executive officers.
●
Our internal control over financial reporting and our disclosure controls and procedures may not prevent all possible errors that could occur.
●
Security breaches and other disruptions could compromise our information and expose us to liability, which would cause our business and reputation to suffer.
●
We do not currently pay dividends on our common stock so any returns on our common stock may be limited to the value of our common stock.
●
We are a “smaller reporting company” and we cannot be certain if the reduced reporting requirements applicable to such companies could make our common stock less attractive to investors.
21
Overview
CorMedix Inc. (collectively,
with our wholly owned subsidiaries, referred to herein as “we,” “us,” “our” or the “Company”)
is a biopharmaceutical company focused on developing and commercializing therapeutic products of life-threatening diseases and conditions.
Our primary focus is on commercializing
our lead product, DefenCath ® (taurolidine and heparin), in the U.S. The name DefenCath is the U.S. proprietary name approved
by the FDA.
DefenCath is an antimicrobial
catheter lock solution (“CLS”) (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 through a central venous catheter (“CVC”). It is indicated for use in a limited and specific population of patients.
CRBSIs 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 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, CorMedix launched the product commercially in April 2024 in the inpatient setting and July 2024 in the
outpatient hemodialysis setting.
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 Centers for Medicare and Medicaid Services (“CMS”), CMS has subsequently issued the Inpatient Prospective Payment
System (“IPPS”) 2024 proposed rule that includes a NTAP per hospital stay for DefenCath. This NTAP represents reimbursement
to inpatient facilities of 75% of the wholesaler acquisition cost (“WAC”) price 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 subsequently amended as of October 1, 2024
to reflect the current WAC of $249.99 per 3ml vial.
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 received confirmation that our application was approved on April 18, 2024. 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. The
HCPCS J-code for DefenCath was published by CMS on April 2, 2024. TDAPA reimbursement is calculated based on 100 percent ASP (or 100 percent
of wholesale acquisition price or manufacturers’ list price, respectively, if such data is unavailable). TDAPA and post-TDAPA add-on
payment adjustments for DefenCath apply for five years (with such add-on payments applying to all ESRD PPS payments for years three through
five). CMS confirmed a July 1, 2024 implementation date for HCPCS and TDAPA.
We announced on June 6, 2024
that the CMS has determined that DefenCath qualified for pass-through status under the hospital Out-Patient Prospective Payment System
(“OPPS”). Pass-through status provides for separate payment under Medicare Part B for the utilization of DefenCath in the
outpatient ambulatory setting for a period of at least two years, and up to a maximum of three years. While vascular access for hemodialysis
can be initiated in an inpatient setting, ambulatory surgical centers or vascular access centers offer a less-invasive, outpatient-based
alternative for patients. We estimate that up to 100,000 HD-CVC placements occur each year, and pass-through status offers providers a
separate reimbursement mechanism in this setting of care administration of DefenCath.
22
Subsequent to the launch of
DefenCath in April 2024, the Company announced U.S.-based multi-year commercial supply agreements consisting of a large and several mid-sized
dialysis organizations. Each provider has customized an implementation plan to provide access to patients based on a variety of clinical
and other factors. The Company believes the currently contracted customer base represents roughly 60% of the outpatient dialysis centers
in the U.S.
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 June 2024, we announced that the FDA provided feedback to our request to discuss development plans for additional
indications for DefenCath. In response to these comments, we created and submitted three clinical protocols specifically, the post-marketing
requirement of a pediatric hemodialysis (“HD”) study as an obligation under the Pediatric Research Equity Act (“PREA”)
a Phase 3 study protocol to reduce the risk of central-line associated bloodstream infections (“CLABSI”) for adult patients
receiving total parenteral nutrition (“TPN”) through a CVC and Expanded Access Program (“EAP”) to FDA that allows
for pediatric and adult patients, utilizing a CVC for the treatment or maintenance of many serious illness, to access DefenCath to protect
their central line from serious infection. The Company expects the EAP to be available to patients at the end of 2024 and to begin enrollment
for the adult TPN and pediatric HD studies in early 2025.
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 drug master file (“DMF”) filed with the FDA. There is a master commercial supply agreement between a third-party
manufacturer which has been in place since August 2018. We are currently in the process of identifying potential alternate third-party
manufacturers for taurolidine under our existing DMF. In addition, we are working with our existing manufacture to source sufficient quantities
of taurolidine API to cover at least 24 months of potential future demand. 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 contract manufacturing organization (“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 have also qualified Siegfried Hameln as an alternate finished dosage manufacturing site.
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 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 currently 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. We announced in June 2024 that
the FDA confirmed its requirement that we conduct a study in pediatric HD patients under the PREA. Because this is a required post-marketing
study, we would be required to 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.
We previously marketed and
sold Neutrolin, a CLS product where we received CE-Mark approval for commercial distribution in the EU and other territories. We previously
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.
23
Financial Operations Overview
Revenues
Our ability to continue to
generate revenue and become profitable depends on our ability to successfully commercialize DefenCath and achieve gross profits from DefenCath
sales that are greater than our ongoing operating costs. If we fail to successfully commercialize DefenCath, or any other product candidates
we advance in a timely manner or obtain regulatory approval for them, our ability to generate future revenue, and our results of operations
and financial position, could be adversely affected. Through September 30, 2024, we have funded our operations primarily through equity
financings.
Cost of Revenues
Cost of revenues include direct
and indirect costs related to the manufacturing and distribution of DefenCath, including product cost, packaging services, freight,
amortization of the license intangible asset and an allocation of overhead costs that are primarily fixed such as salaries, benefits and
insurance.
Research and Development Expense
Research and development,
or R&D, expense consists of: (i) internal costs associated with our development activities; (ii) payments we make to third party contract
research organizations, contract manufacturers, investigative sites, and consultants; (iii) technology and intellectual property license
costs; (iv) manufacturing development costs; (v) personnel related expenses, including salaries, stock–based compensation expense,
benefits, travel and related costs for the personnel involved in drug development; (vi) activities relating to regulatory filings and
pre-clinical studies and clinical trials; (vii) facilities and other allocated expenses, which include direct and allocated expenses for
rent, facility maintenance, as well as laboratory and other supplies; and (viii) comparative period costs include certain pre-NDA manufacturing-related
costs expensed as R&D. All R&D is expensed as incurred.
The process of conducting
pre-clinical studies and clinical trials necessary to obtain regulatory approval is costly and time consuming. The probability of success
for each product candidate and clinical trial may be affected by a variety of factors, including, among others, the quality of the product
candidate’s early clinical data, investment in the program, competition, manufacturing capabilities and commercial viability. As
a result of the uncertainties associated with clinical trial enrollments and the risks inherent in the development process, we are unable
to determine the duration and completion costs of future clinical stages of our product candidates or when, or to what extent, we will
generate revenues from the commercialization and sale of any of our future product candidates.
Development timelines, probability
of success and development costs vary widely. We are currently focused on the commercialization of DefenCath in the U.S.
Selling and Marketing Expense
Selling and marketing, or
S&M, expense includes the cost of salaries and related costs for personnel in sales and marketing, brand building, advocacy, market
research and consulting. Selling and marketing expenses are expensed as incurred.
General and Administrative Expense
General and administrative,
or G&A, expenses consist principally of salaries and related costs for personnel in executive, finance and administrative functions
including payroll taxes and health insurance, stock-based compensation and travel expenses. Other general and administrative expenses
include facility-related costs, insurance and professional fees for legal, patent review, consulting, and accounting services. General
and administrative expenses are expensed as incurred.
Foreign Currency Exchange Transaction Gain
(Loss)
Foreign currency exchange
transaction gain (loss) is the result of re-measuring transactions denominated in a currency other than our functional currency and is
reported in the consolidated statement of operations as a separate line item within other income (expense). The intercompany loans outstanding
between our New Jersey-based company and our subsidiaries will not be repaid and the nature of the funding advanced was of a long-term
investment nature. As such, unrealized foreign exchange movements related to long-term intercompany loans are recorded in other comprehensive
income (loss).
24
Interest Income
Interest income consists of
interest earned on our cash and cash equivalents and short-term investments.
Interest Expense
Interest expense consists
of interest incurred on financing of expenditures.
Results of Operations
Comparison of the Three and Nine Months Ended September 30, 2024
and 2023
The following is a tabular
presentation of our consolidated operating results for the three months ended September 30, 2024 and 2023 (in thousands) :
For the Three Months Ended
September 30,
%
Increase
For the Nine Months Ended
September 30,
%
Increase
2024
2023
(Decrease)
2024
2023
(Decrease)
Revenue
$ 11,456
$ -
-
$ 12,262
$ -
-
Cost of sales
(686 )
-
-
(2,015 )
-
-
Gross profit
10,770
-
-
10,247
-
-
Operating Expenses:
Research and development
(727 )
(2,664 )
(73 )%
(2,215 )
(10,866 )
(80 )%
Selling and marketing
(6,749 )
(4,058 )
66 %
(20,473 )
(9,956 )
106 %
General and administrative
(6,581 )
(3,745 )
76 %
(22,851 )
(12,467 )
83 %
Total operating expenses
(14,057 )
(10,467 )
34 %
(45,539 )
(33,289 )
37 %
Loss from operations
(3,287 )
(10,467 )
(69 )%
(35,292 )
(33,289 )
6 %
Interest income
553
765
(28 )%
2,068
1,762
17 %
Foreign exchange transaction loss
(33 )
(29 )
14 %
(39 )
(30 )
28 %
Other Income
-
-
-
500
-
-
Interest expense
(10 )
(13 )
(24 )%
(26 )
(28 )
(5 )%
Total other income
510
723
(29 )%
2,503
1,704
47 %
Loss before income taxes
(2,777 )
(9,744 )
(72 )%
(32,789 )
(31,585 )
4 %
Tax benefit
-
-
-
1,395
-
-
Net loss
(2,777 )
(9,744 )
(72 )%
(31,394 )
(31,585 )
(1 )%
Other comprehensive (loss) income
4
(6 )
(154 )%
(5 )
2
(401 )%
Comprehensive loss
$ (2,773 )
$ (9,750 )
(72 )%
$ (31,399 )
$ (31,583 )
(1 )%
Revenues. Revenue increased
by $11.5 million and $12.3 million for the three and nine months ended September 30, 2024. Revenue consists of sales of DefenCath, which
was approved by the FDA in November 2023 and launched in the U.S in April 2024 and reflects the shipment of DefenCath to direct customers
and specialty distributors, net of estimates for applicable variable consideration, which consists primarily of distribution service fees,
prompt pay and other discounts, product returns, chargebacks, rebates and volume incentive rebates.
Cost of Revenues. Cost of revenues include direct and indirect costs related to the manufacturing and distribution of DefenCath, including product cost,
packaging services, freight, amortization of the license intangible asset and an allocation of overhead costs that are primarily fixed
such as salaries, benefits and insurance. We expect these relatively fixed costs to become less significant as a percentage of net sales
with anticipated sales volume increases. Direct costs of product sales during the three and nine months ended September 30, 2024 are minimal
as DefenCath sold to date, represents validation lot units previously expensed as R&D. The pre-approval validation batch product previously
expensed as R&D will positively impact margins throughout 2024 or until such inventory is depleted. Indirect costs of approximately
$0.6 million for the three months and $1.9 million for the nine months ended September 30, 2024, respectively, represent the proportion
of salaries, benefits and insurance expenses representing excess capacity pertaining to pre-launch related activities. Included in the
indirect costs previously expensed as a component of R&D were $0.2 million and $0.7 million of personnel expenses for the three and
nine months ended September 30, 2023, respectively.
25
Research
and Development Expense . R&D expense was $0.7 million for the three months ended September 30, 2024, a decrease of $2.0 million,
or 73%, from $2.7 million for the same period in 2023. For the nine months ended September 30, 2024, R&D expense was $2.2 million,
compared to $10.9 million for the nine months ended September 30, 2023, a decrease of $8.7 million, or 80%. The decrease for both comparison
periods was driven by the approval of DefenCath. As a result of the post FDA approval commercial operations, costs related to medical
affairs and certain personnel expenses that supported R&D efforts prior to the FDA approval of DefenCath have been recognized in
cost of revenue or general and administrative expense during the three and nine months ended September 30, 2024, as compared to the same
period last year that were recognized in R&D. In the prior three and nine month periods, there were $0.1 million and $1.5 million,
respectively, of costs related to the manufacturing of DefenCath validation batches previously expensed as a component of R&D prior
to the FDA approval. These types of costs are now capitalized in inventory as DefenCath is a commercialized product. Additionally, there
were $1.9 million and $5.8 million in personnel and consulting expenses for the three and nine months ended September 30, 2023, respectively,
previously expensed as a component of R&D prior to FDA approval, are now expensed in cost of revenue and G&A.
Selling and Marketing Expense.
S&M expense was $6.7 million for the three months ended September 30, 2024, an increase of $2.7 million, or 66%. For the nine
months ended September 30, 2024, S&M expense increased $10.5 million to $20.5 million, an increase of 106%. The increase in both periods
was due primarily to increased marketing efforts and new personnel, inclusive of our sales force and support for the commercial launch
of DefenCath in the third quarter of 2024.
General and Administrative
Expense . G&A expense was $6.6 million for the three months ended September 30, 2024, an increase of $2.9 million, or 76%, from
$3.7 million for the same period in 2023. For the nine months ended September 30, 2024, G&A expense was $22.9 million, compared to
$12.5 million for the nine months ended September 30, 2023, an increase of $10.4 million, or 83%. The increase for both comparison periods
was driven by the approval of DefenCath. As a result of the post FDA approval commercial operations, certain personnel and consulting
expenses that supported R&D efforts prior to the FDA approval of DefenCath have been recognized in G&A expense during the three
months and nine months ended September 30, 2024, as compared to the same period last year that were recognized in R&D. In the prior
three and nine month periods, certain personnel and consulting expenses previously expensed as a component of R&D prior to the FDA
approval of $1.7 million and $5.1 million, respectively, are now expensed in G&A. Additionally, there were increases in personnel
expenses of $0.7 million and $2.6 million for the three and nine months ended September 30, 2024, respectively, in preparation for support
activities pertaining to commercial launch, as well as increases in legal and compliance of $0.2 million and $1.5 million and, consulting
fees of $0.1 million and $0.6 million for the three and nine month periods ended September 30, 2024, respectively.
Interest Income . Interest
income for the three months ended September 30, 2024 was $0.6 million a decrease of $0.2 million, or 28%, compared to $0.8 million for
the same period last year, due to lower short-term investments. For the nine months ended September 30, 2024, interest income was $2.1
million compared to $1.8 million for the same period last year, an increase of $0.3 million, or 17%, attributable to higher interest rates
in short-term investments during this period as compared to the same period last year.
Foreign Exchange Transaction
Loss . Foreign exchange transaction losses were due to the re-measuring of transactions denominated in a currency other than our functional
currency. Balances and changes were immaterial for all periods presented.
Other Income. Other
income relates to a settlement with a previously utilized vendor, occurring during the nine month period ended September 30, 2024.
Interest Expense . Interest
expense pertains to certain liabilities we chose to finance. Balances and changes were immaterial for all periods presented.
Other Comprehensive (Loss)
Income . Unrealized foreign exchange movements related to long-term intercompany loans, the translation of the foreign affiliate financial
statements to U.S. dollars and unrealized movements related to short-term investment are recorded in other comprehensive (loss) income.
Income and (loss) is considered immaterial for all periods presented.
26
Liquidity and Capital Resources
Sources of Liquidity
As a result of our R&D,
S&M and G&A expenditures and the lack of substantial product sales revenue, our ongoing operations have not been profitable since
our inception. During the nine months ended September 30, 2024, we received net proceeds of $13.4 million from the issuance of 2,521,121
shares of common stock under our at-the-market-issuance sales agreement, or ATM program, as compared to $12.5 million net proceeds for
the same period in 2023 from the issuance of 2,866,421 shares of common stock. Also, for the same period in 2023, we received net proceeds
of $42.0 million from the issuance of 9,000,093 shares of common stock and pre-funded warrants to purchase 2,500,625 shares of common
stock in connection with the public offering. We may continue to be reliant on external sources of cash until we are able to generate
sufficient working capital to fund operations.
In March 2024, we received
$1.4 million, net of expenses, from the sale of our unused New Jersey net operating losses (“NOL”), that was 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 us to sell our available NOL tax benefits for the state fiscal year 2023
in the amount of approximately $1.5 million.
Net Cash Used in Operating Activities
Net cash used in operating
activities for the nine months ended September 30, 2024, was $45.0 million compared to $27.7 million for the same period in 2023, an increase
of $17.3 million. The increase is primarily driven by an increase in trade receivables of $17.4 million and inventories of $4.5 million
offset by a net increase in the change of accrued expenses and accounts payable of $3.7 million.
Net Cash Provided by (Used in) Investing
Activities
Net cash provided by investing
activities for the nine months ended September 30, 2024, was $21.5 million as compared to $17.7 million of net cash used in investing
activities for the same period in 2023. The net cash provided during the nine months ended September 30, 2024, was mainly driven by an
increase in maturity of the amount invested in short-term investments to help fund operations, partially offset by lower purchase of short-term
investments in 2024 as compared to the same period in 2023.
Net Cash Provided by Financing Activities
Net cash provided by financing
activities for the nine months ended September 30, 2024, was $15.0 million as compared to $55.4 million for the same period in 2023, a
decrease of $40.4 million. The decrease was mainly attributable to $42.9 million of net proceeds from a public offering completed in the
three month period ended September 30, 2023 offset by increased ATM net proceeds of $0.9 million and increases in proceeds from the exercise
of stock options of $1.6 million during the nine month period ended September 30, 2024.
Funding Requirements and Liquidity
Our total cash, cash equivalents
and short-term investments as of September 30, 2024, was $46.0 million, excluding restricted cash of $0.1 million, compared with $76.0
million for the year ended December 31, 2023, excluding restricted cash of $0.2 million. As of September 30, 2024, $36.0 million of the
Company’s common stock remains available for sale under the ATM program. Additionally, we have $100 million of remaining capacity
available under our 2024 Shelf Registration Statement for the issuance of Company securities.
Because our business has not
generated positive operating cash flow, we may need to raise additional capital in order to continue to fund our research and development
activities, as well as to fund operations generally. Our continued operations are focused on the commercial launch of DefenCath and we
can provide no assurances that financing or strategic relationships will be available on acceptable terms, or at all, if additional funds
are needed.
We expect to continue to fund
operations from cash collections from accounts receivable, plus cash, cash equivalents and short-term investments and through capital
raising sources as previously described, which may be dilutive to existing stockholders. In May 2024, we implemented an ATM program, which
may be utilized to support our ongoing funding requirements. Additionally, we may enter into a credit facility in case necessary to support
ongoing working capital needs. We may seek to sell additional equity or debt securities through one or more discrete transactions, or
enter into a strategic alliance arrangement, but can provide no assurances that any such financing or strategic alliance arrangement will
be available on acceptable terms, or at all. Moreover, the incurrence of indebtedness would result in increased fixed obligations and
could contain covenants that would restrict our operations. Raising additional funds through strategic alliance arrangements with third
parties may require significant time to complete and could force us to relinquish valuable rights to our technologies, future revenue
streams, research programs or product candidates, or to grant licenses on terms that may not be favorable to us or our stockholders. Our
actual cash requirements may vary materially from those now planned due to a number of factors, including any change in the timing of
the commercial launch of DefenCath or the focus and direction of our research and development programs, any acquisition or pursuit of
development of new product candidates, competitive and technical advances, the costs of commercializing any of our product candidates,
and costs of filing, prosecuting, defending and enforcing any patent claims and any other intellectual property rights.
27
We expect to generate product
sales for DefenCath in the U.S. In the absence of significant revenue, we may continue generating operating cash flow deficits. We will
continue to use cash as we increase other activities relating to the commercialization of DefenCath and pursue business development activities.
We currently estimate that
as of September 30, 2024, we have sufficient cash, cash equivalents and short-term investments to fund operations for at least twelve
months from the issuance of this Quarterly Report on Form 10-Q. These estimates are based upon the Company’s base case assumptions
for market penetration, average selling price, gross-to-net discounts, research and development expense and commercial infrastructure
cost. Additional financing may be needed to build out our commercial infrastructure and to continue our operations. If we are unable to
raise additional funds when needed, we may be forced to slow or discontinue the commercial launch of DefenCath. We may also be required
to delay, scale back or eliminate some or all of our anticipated research and development programs. Each of these alternatives would likely
have a material adverse effect on our business.
Contractual Obligations
We entered into a seven-year
operating lease agreement in March 2020 for our 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.
Critical Accounting Estimates
Our
management’s discussion and analysis of our financial condition and results of operations is based on our condensed consolidated
financial statements, which have been prepared in accordance with U.S. GAAP. The preparation of these condensed consolidated financial
statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenue and expenses.
On an ongoing basis, we evaluate these estimates and judgments. We base our estimates on our historical experience and on various other
assumptions that we believe to be reasonable under the circumstances. These estimates and assumptions form the basis for making judgments
about the carrying values of assets and liabilities, and revenues and expenses that are not readily apparent from other sources. Actual
results and experiences may differ materially from these estimates. While our significant accounting policies are described in more detail
in “Note 2 – Summary of Significant Accounting Policies and Liquidity and Uncertainties,” to our consolidated financial
statements included in Item 1, “Unaudited Condensed Consolidated Financial Statements,” of this Quarterly Report on Form 10-Q,
we believe that the following accounting policies require the application of significant judgments and estimates.
For the nine months period
ended September 30, 2024, there were no significant changes to our critical accounting estimates as identified in our Annual Report on
Form 10-K for the year ended December 31, 2023, except as noted below:
●
Litigation contingencies are assessed to determine if an unfavorable outcome is reasonably possible, and if so, the contingency is disclosed along with an estimate of the possible loss or range of loss. If a liability is possible or probable, but no reasonable estimation of loss can be made, we will disclose the nature of the contingency and state that such an estimate cannot be made.
●
The assessment of going concern uncertainty in our consolidated financial statements to determine if we have sufficient cash and cash equivalents on hand and working capital, including available loans or lines of credit, if any, to operate for a period of at least one year from the date our condensed consolidated financial statements are issued (the “look-forward period”). As part of this assessment, based on conditions that are known and reasonably knowable to us, we consider various scenarios, forecasts, projections, and estimates, and we make certain key assumptions, including the uptake of our product in the inpatient and outpatient settings and commercial contract terms that align with our internal assumptions. Based on this assessment, as necessary or applicable, we make certain assumptions around revenue, gross profit, operating expenses, inventory build and working capital needs to the extent we deem probable those implementations can be achieved within the look-forward period. For additional information, refer to Note 2 to our condensed consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q.
28
●
We account for product revenue from the sale of our product, DefenCath, in accordance with ASC 606, Revenue from Contracts with Customers (“ASC 606”). The provisions of ASC 606 require the following steps to determine revenue recognition: (1) identify the contract(s) with a customer; (2) identify the performance obligations in the contract; (3) determine the transaction price; (4) allocate the transaction price to the performance obligations in the contract; and (5) recognize revenue when (or as) the entity satisfies a performance obligation. We only recognize revenue when we believe that it is probable that we will collect the consideration to which we are entitled in exchange for the goods or services that will be transferred to the customer. In accordance with ASC 606, revenue is recognized at a point in time when the performance obligation is satisfied by transferring control of the promised goods or services to a customer. In accordance with our contracts with customers, control of the product is transferred upon the conveyance of title, which occurs when the product is received by a customer. Our customers are located in the United States and consist primarily of wholesale distributors and outpatient service providers.
We include an estimate
of variable consideration in our transaction price at the time of sale when control of the product transfers to the customer. Variable
consideration includes:
● Distribution
service fees;
● Prompt
pay and other discounts;
● Product
returns;
● Chargebacks;
● Rebates;
● Volume
incentive rebates.
We
assess whether or not an estimate of our variable consideration is constrained based on the probability that a significant reversal in
the amount of cumulative revenue may occur in the future when the uncertainty associated with the variable consideration is subsequently
resolved. Actual amounts of consideration ultimately received may vary from our estimates. If actual results in the future vary from
our estimates, we will adjust these estimates, which would affect product sales and earnings in the period such variances become known.
The
specific considerations that we use in estimating certain amounts related to variable considerations are as follows:
Distribution
services fees – We pay distribution service fees primarily to our wholesale distributors. We reserve these fees based on actual
net sales and the contractual fee rates negotiated with the customers in the distribution channel.
Prompt
pay and other discounts – We provide customers with prompt pay discounts. The specific prompt pay terms vary by customer and are
contractually fixed. Prompt pay discounts are expected to be taken by our customers, so an estimate of the discount is recorded at the
time of sale based on the invoice price.
Product
returns – Customers have the right to return the product that is within six months or less of the labeled expiration date
or that is past the expiration date by no more than six months. An estimate for product returns is made based on: (i) data provided to
us from our distributors and (ii) the estimated remaining shelf life of DefenCath previously shipped and currently being shipped to distributors.
Chargebacks –
Certain covered entities, group purchasing organizations (“GPO”) and government entities will be able to purchase the product
at a discounted price. The difference between the GPO, government or covered entity purchase price and the wholesale distributor purchase
price will be charged back to us. We estimate the amount in chargebacks based on the expected number of claims and related cost that
is associated with the revenue being recognized for product that remains in the distribution channel at the end of each reporting period.
Rebates –
We are subject to negotiated discount obligations to different GPO’s, direct purchasers, other commercial organizations or government
programs. The rebate amounts for these programs are determined by statutory requirements or contractual arrangements. Our liability for
these rebates consists of invoices received for claims that have not been paid or for which an invoice has not yet been received, estimates
of claims for the current quarter are based on expected product utilization, and estimated future claims that will be made for product
that has been recognized as revenue, but remains in the distribution channel at the end of each reporting period.
29
Volume
Incentive Rebates – Volume incentive rebates are provided to certain customers. Rebates are owed based on predetermined volume
levels and payable per the terms in the customer contracts. We estimate and record volume incentive rebates based on anticipated purchase
volume with specific customers based on communications with the customer.
Item
3. Quantitative and Qualitative Disclosure about Market Risk.
The
Company is not required to provide the information called for in this item due to its status as a Smaller Reporting Company.
Item
4. Controls and Procedures.
Disclosure
controls and procedures are designed only to provide reasonable assurance that information to be disclosed in our Exchange Act reports
is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms. Under the supervision
and with the participation of our management, including our Chief Executive Officer and our Chief Financial Officer, we carried out an
evaluation of the effectiveness of the design and operation of our disclosure controls and procedures (as defined in Rules 13a-15(f)
and 15d-15(f) under the Exchange Act) as of September 30, 2024. Based on the foregoing evaluation, our Chief Executive Officer and our
Chief Financial Officer 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 our 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 that occurred during the period covered by this report, that have materially
affected, or are reasonably likely to materially affect, our internal control over financial reporting.
30
PART
II
OTHER INFORMATION
Item
1. Legal Proceedings.
For
information regarding our legal proceedings, see Note 5, Commitments and Contingencies, included in Part I, Item 1, Financial Statements,
in this Quarterly Report on Form 10-Q, which is incorporated into this item by reference.
Item
1A. Risk Factors.
We
have significant customer concentration, with a limited number of customers accounting for a large portion of our revenues.
We
derive a large portion of our revenues from a few major customers. These customers have no purchase commitments and may cancel, change
or delay purchases with little or no notice or penalty. As a result of these customer concentrations, our revenue could fluctuate materially
and could be materially and disproportionately impacted by purchasing decisions of these customers or any other significant customer.
These customers may decide to purchase less DefenCath from us than management anticipates, may alter purchasing patterns at any time
with limited notice, or may decide not to continue to purchase DefenCath at all, any of which could cause our revenue to decline materially
and materially harm our financial condition and results of operations. If we are unable to diversify and grow our customer base, we will
continue to be susceptible to risks associated with customer concentration.
See
Part I, Item 1A “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2023.
Item
2. Unregistered Sales of Equity Securities and Use of Proceeds.
None.
Item
3. Default Upon Senior Securities.
None.
Item
4. Mine Safety Disclosures.
Not
applicable.
Item
5. Other Information.
None .
Item
6. Exhibits.
The
exhibit index set forth below is incorporated by reference in response to this Item 6.
Exhibit
Number
Description
31.1*
Certification
of Principal Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2*
Certification
of Principal Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32.1*
Certification
of Principal Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
32.2*
Certification
of Principal Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101.INS
Inline XBRL Instance Document.
101.SCH
Inline XBRL Taxonomy Extension
Schema Document.
101.CAL
Inline XBRL Taxonomy Extension
Calculation Linkbase Document.
101.DEF
Inline XBRL Taxonomy Extension
Definition Linkbase Document.
101.LAB
Inline XBRL Taxonomy Extension
Label Linkbase Document.
101.PRE
Inline XBRL Taxonomy Extension
Presentation Linkbase Document.
104
Cover Page Interactive
Data File (formatted as Inline XBRL and contained in Exhibit 101).
*
Filed herewith.
+
Indicates management contract
or compensation plan.
31
SIGNATURES
Pursuant
to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its
behalf by the undersigned thereunto duly authorized.
CORMEDIX INC.
Date: October 30, 2024
By:
/s/
Joseph Todisco
Name:
Joseph Todisco
Title:
Chief Executive Officer
(Principal Executive Officer)
32
Text extracted from the filing as submitted to EDGAR. Formatting, tables and exhibits are simplified for reading; the original document is authoritative for anything you rely on.