CorMedix Inc.: Q2 FY2026 earnings call
What management said about Q2 FY2026, from the documents filed with the SEC on 13 August 2026: press release. Guidance figures: 1 raised, 1 kept. The quarter’s numbers.
Key takeaways
- Revenue rose to $101.9 million: Total revenue and grant income was $101.9 million, compared with $39.7 million in the second quarter of 2025, when the Melinta portfolio was not yet owned. Source
- Adjusted EBITDA reached $58.7 million: Adjusted EBITDA was $58.7 million, compared with $22.4 million in the second quarter of 2025. Adjusted EBITDA is a non-GAAP measure. Source
- DefenCath sales reached $66.1 million: DefenCath sales were $66.1 million, which management linked to continued utilization by large outpatient dialysis customers. Source
- New large dialysis operator agreement: The company signed a multi-year DefenCath supply agreement with a Large Dialysis Operator. Its contract footprint now covers all top 5 U.S. dialysis providers. Source
- Adjusted EBITDA guidance raised: Full-year 2026 adjusted EBITDA guidance was raised to $125 to $140 million from $115 to $135 million in the first quarter update. Source
- REZZAYO sNDA filing planned for Q3: With partner Mundipharma, the company anticipates submitting the REZZAYO sNDA for prophylaxis of invasive fungal disease in the third quarter of 2026. Source
- Cash position rose to $256.7 million: Cash and cash equivalents were $256.7 million at June 30, 2026, against $144.8 million at December 31, 2025, excluding restricted cash. Source
“We remain confident in our full-year 2026 outlook and our revenue and adjusted EBITDA guidance as we continue to navigate the post-TDAPA reimbursement environment for DefenCath with discipline and focus.”
Joseph Todisco, CorMedix Chairman & CEO
Guidance
| Area | Period | Figure | Against last quarter |
|---|---|---|---|
| Consolidated revenue Source | full year 2026 | $325 to $345 million | Kept |
| Adjusted EBITDA Source | full year 2026 | $125 to $140 million | Raised from $115 to $135 million |
| Cash operating expenses Source | full year 2026 | $145 to $155 million |
What changed from last quarter
- Guidance raised: Full-year adjusted EBITDA guidance moved from $115 to $135 million to $125 to $140 million. Source
- Guidance kept: Full-year consolidated revenue guidance of $325 to $345 million was maintained. Source
- New: A new multi-year DefenCath supply agreement was signed with a Large Dialysis Operator, covering all top 5 U.S. dialysis providers. Source
Results and growth drivers
- Revenue rose to $101.9 million: Total revenue and grant income was $101.9 million, compared with $39.7 million in the second quarter of 2025, when the Melinta portfolio was not yet owned. Source
- Net income and EPS reported: Net income was $26.0 million, or $0.33 basic and $0.29 diluted per share, compared with $19.8 million, or $0.29 and $0.28, a year earlier. Source
- Adjusted EBITDA reached $58.7 million: Adjusted EBITDA was $58.7 million, compared with $22.4 million in the second quarter of 2025. Adjusted EBITDA is a non-GAAP measure. Source
- Revenue below first quarter level: Revenue was lower than the $127.4 million reported for the first quarter, which included a non-recurring $9.0 million favorable change in estimate for sales allowances.
Products, customers and contracts
- DefenCath sales reached $66.1 million: DefenCath sales were $66.1 million, which management linked to continued utilization by large outpatient dialysis customers. Source
- Melinta revenue in first full quarter: The Melinta portfolio contributed $35.8 million. The acquisition closed in August 2025, so the second quarter of 2025 included DefenCath sales only. Source
- Contract revenue and grant income: Contract revenue was $5.0 million and grant income was $2.6 million in the quarter, reported as lines separate from product sales. Source
- New large dialysis operator agreement: The company signed a multi-year DefenCath supply agreement with a Large Dialysis Operator. Its contract footprint now covers all top 5 U.S. dialysis providers. Source
“We also made meaningful progress across our pipeline and expect the near-term submission of the REZZAYO sNDA for prophylaxis.”
Joseph Todisco, CorMedix Chairman & CEO
Costs, margins and other items
- Operating expenses rose on Melinta: Total operating expenses were $34.2 million, up about 87% from $18.3 million, mainly from a full quarter of Melinta operating expenses. Source
- G&A net of insurance credit: General and administrative expense was $15.1 million. It includes a $4.2 million credit for expected insurance reimbursement of legal fees, of which $2.7 million related to prior periods. Source
- Gross profit and cost of sales: Gross profit was $77.1 million, after cost of sales of $14.5 million and amortization of intangibles of $10.3 million. Source
- Other expense from contingent consideration: Total other expense was $4.2 million, including a $6.7 million change in contingent consideration, partly offset by a $2.5 million unrealized gain on an equity security. Source
Full-year 2026 guidance
- Adjusted EBITDA guidance raised: Full-year 2026 adjusted EBITDA guidance was raised to $125 to $140 million from $115 to $135 million in the first quarter update. Source
- Revenue guidance maintained: Full-year 2026 consolidated revenue guidance of $325 to $345 million was maintained. Source
- Cash operating expense range narrowed: Cash operating expense guidance was narrowed to $145 to $155 million for 2026. Source
“we believe CorMedix is well positioned to support our commercial priorities, advance high-value development programs, and create sustainable long-term value for shareholders.”
Joseph Todisco, CorMedix Chairman & CEO
Pipeline and REZZAYO filing
- REZZAYO sNDA filing planned for Q3: With partner Mundipharma, the company anticipates submitting the REZZAYO sNDA for prophylaxis of invasive fungal disease in the third quarter of 2026. Source
- ReSPECT topline reported in April: The Phase III ReSPECT study of REZZAYO for prophylaxis in allogeneic stem cell transplant patients produced topline results announced on April 27, 2026.
- TPN study completion trending 2028: The Phase 3 TPN study continues to enroll patients and is trending to completion in 2028. Enrollment steps include new sites and a protocol amendment submitted to FDA.
Cash, balance sheet and share count
- Cash position rose to $256.7 million: Cash and cash equivalents were $256.7 million at June 30, 2026, against $144.8 million at December 31, 2025, excluding restricted cash. Source
- Six-month operating cash flow higher: Operating activities provided $128.6 million for the six months, against $49.7 million a year earlier. Financing activities used $19.2 million. Source
- Sufficient resources for twelve months: Management believes resources are sufficient to fund operations for at least twelve months from the issuance of the Form 10-Q. Source
- Diluted share count rose: Weighted average diluted shares were 92.5 million in the quarter, against 71.9 million a year earlier. Basic weighted shares were 78.4 million. Source
Coming up, as management said on 13 August 2026
- Large dialysis pilot starts Q3: The Large Dialysis Operator has commenced ordering DefenCath and will begin a pilot in the third quarter of 2026. Source
- FDA action on REZZAYO expected H1 2027: If the FDA accepts the sNDA for review, the company expects agency action on the expanded indication in the first half of 2027. Source
Figures management reported
| Figure | Reported |
|---|---|
| DefenCath net revenue Source | $66.1 million |
| Melinta portfolio revenue Source | $35.8 million |
| Product sales, net Source | $94.3 million |
| Research and development expense Source | $6.7 million |
| REZZAYO sNDA submission timing Source | third quarter 2026 |
| TPN Phase 3 study completion | 2028 |
Risks management discussed
- External: Management said it is navigating the reimbursement environment for DefenCath after TDAPA expiration, applying discipline and focus. Source
- Regulatory: Timing of FDA action on the REZZAYO sNDA depends on the FDA accepting the application for review. Source
- Regulatory: Legal fees for ongoing securities litigation are partly covered by expected insurance reimbursement, recorded as a $4.2 million credit in the quarter. Source
Earlier plans management reported on
- Not stated: The earlier second-half 2026 submission timing was later given as the third quarter of 2026.
- Not stated: The first quarter update targeted a potential commercial launch in 2027. The second quarter update gives agency action timing in H1 2027.
- Not stated: The first quarter update said the TPN study was trending to completion in 2028. The second quarter documents do not update this.
- Not stated: Management said it maintains the full-year 2026 consolidated revenue guidance of $325 to $345 million. Source
Other quarters
Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.