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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

AreaPeriodFigureAgainst last quarter
Consolidated revenue Sourcefull year 2026$325 to $345 millionKept
Adjusted EBITDA Sourcefull year 2026$125 to $140 millionRaised from $115 to $135 million
Cash operating expenses Sourcefull 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

FigureReported
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 Sourcethird quarter 2026
TPN Phase 3 study completion2028

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.