greeksoup/ stock research

CorMedix Inc.: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 12 November 2026: press release. Guidance figures: 1 lowered, 1 narrowed, 4 new, 1 kept. The quarter’s numbers.

Key takeaways

  • Revenue fell on DefenCath pricing: Consolidated revenue was $54.5 million, against $104.3 million a year earlier. DefenCath sales fell after the July 1 transition, partly offset by the full-quarter Melinta portfolio. Source
  • Net loss and adjusted EBITDA: Net loss was $14.7 million, or $(0.19) per share, including $11.5 million of non-cash contingent consideration remeasurement. Adjusted EBITDA was $3.1 million, against $71.9 million a year earlier. Source
  • Cash of $355.2 million: Cash and cash equivalents, excluding restricted cash, were $355.2 million at September 30, 2026, up from $144.8 million at December 31, 2025. Source
  • Heron asset purchase agreed: CorMedix agreed to acquire substantially all of Heron's assets, which add four commercial products used in institutional settings of care. Source
  • Dialysis utilization held, price fell: Large outpatient dialysis customers largely maintained DefenCath utilization after TDAPA, which reduced the price the company received. Source
  • CMS sets Q1 2027 Add-on: The CMS final rule set a Q1 2027 Add-on of $8.32 per dialysis session, against $2.37 in effect for Q3 and Q4 2026.

“CorMedix will be entering 2027 with two meaningful potential growth drivers.”

Joseph Todisco, Chairman & Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
Total revenue SourceFY2026$325 to $345 millionKept
Adjusted EBITDA SourceFY2026$130 to $140 millionNarrowed, low end up from $125 to $140 million
Cash-based operating expenses SourceFY2026$140 to $145 millionLowered from $145 to $155 million
Heron revenue contribution SourceFY2027$125 million to $150 millionNew
Term loan draw SourceAt Heron closing$75 million of up to $150 millionNew
Q1 2027 DefenCath Add-onQ1 2027$8.32 per dialysis sessionNew
DefenCath Add-on, full-year 2027 averageFY2027Average more than 2x the current $2.37 rateNew

What changed from last quarter

  • Guidance kept: FY2026 total revenue guidance of $325 million to $345 million was reaffirmed, the same range given in August 2026.
  • Guidance raised: FY2026 adjusted EBITDA guidance was narrowed, with the low end raised from $125 million to $130 million. Source
  • Guidance lowered: FY2026 cash-based operating expense guidance was reduced to $140 to $145 million from $145 to $155 million. Source
  • Guidance withdrawn: Previously issued 2027 DefenCath revenue guidance was suspended, and guidance is deferred until early 2027. Source
  • New: Definitive asset purchase agreement announced on November 9, 2026 to acquire substantially all of the assets of Heron Therapeutics. Source
  • New: A term loan agreement was entered in connection with the Heron acquisition, providing up to $150 million of non-dilutive capital. Source
  • New: FDA accepted the sNDA for an expanded REZZAYO indication, filed with partner Mundipharma, and granted Priority Review. Source
  • New: CMS released the 2027 ESRD PPS final rule on October 28, 2026, which set a post-TDAPA Add-on for DefenCath and a new quarterly process for Add-on adjustments.
  • Ended: DefenCath moved into the post-TDAPA period on July 1, 2026, which the company said resulted in lower net pricing. Source

Quarterly results and drivers

  • Revenue fell on DefenCath pricing: Consolidated revenue was $54.5 million, against $104.3 million a year earlier. DefenCath sales fell after the July 1 transition, partly offset by the full-quarter Melinta portfolio. Source
  • Net loss and adjusted EBITDA: Net loss was $14.7 million, or $(0.19) per share, including $11.5 million of non-cash contingent consideration remeasurement. Adjusted EBITDA was $3.1 million, against $71.9 million a year earlier. Source
  • Prior-year tax benefit lifted earnings: Prior-year third-quarter net income of $108.6 million included a one-time tax benefit of $59.7 million from deferred tax assets. Source
  • Revenue above street consensus: Revenue of $54.5 million was above the street consensus of $51.2 million. The company tied the result to third-quarter execution despite post-TDAPA headwinds. Source

Products and portfolio

  • Remaining portfolio brought $37.3M: Revenue from the portfolio outside DefenCath was $37.3 million in the quarter. Source
  • Contract and grant income detail: Contract revenue was $2.6 million and grant income $3.3 million in the quarter. Nine-month grant income was $8.3 million. Source
  • REZZAYO sNDA has Priority Review: The FDA granted Priority Review to the expanded REZZAYO indication, with a PDUFA date in the first quarter of 2027. Source

“With an anticipated revenue contribution of between $125 million and $150 million for the full-year 2027, we expect the Heron transaction to effectively double the Company’s non-DefenCath annual product revenue.”

Joseph Todisco, Chairman & Chief Executive Officer

Operating costs

  • Operating expenses down about 12%: Total operating expenses were $36.6 million, against $41.7 million a year earlier. The prior-year base included Melinta merger-related costs. Source
  • G&A fell on prior-year deal costs: General and administrative expense fell about 30% to $17.9 million, mainly because of Melinta transaction and integration costs in the prior-year quarter. Source
  • R&D rose on clinical programs: R&D expense rose to $7.0 million from $5.1 million, driven by personnel and clinical trial services for ongoing programs. Source
  • Cost of sales and amortization rose: Cost of sales was $14.2 million, against $7.6 million, and amortization of intangibles was $10.3 million, against $3.6 million. Source

Cash flow and balance sheet

  • Cash of $355.2 million: Cash and cash equivalents, excluding restricted cash, were $355.2 million at September 30, 2026, up from $144.8 million at December 31, 2025. Source
  • Nine-month operating cash flow higher: Nine-month operating cash flow was $218.3 million, against $80.6 million. The company tied the increase to higher earnings and the timing of rebate payments. Source
  • Funding seen for twelve months: The company believes it has sufficient resources to fund operations for at least twelve months from the issuance of its 10-Q. Source

“We continue to execute on our strategy to generate value from DefenCath in the post-TDAPA era as well as deploy our capital in a disciplined manner to drive future growth.”

Joseph Todisco, Chairman & Chief Executive Officer

Heron acquisition and financing

  • Heron asset purchase agreed: CorMedix agreed to acquire substantially all of Heron's assets, which add four commercial products used in institutional settings of care. Source
  • Accretion expected at closing: The company believes the transaction will be immediately accretive to earnings and free cash flow upon closing, which it expects in the first quarter of 2027. Source
  • Pharmakon financing supports the deal: The term loan from Pharmakon provides non-dilutive capital for the Heron integration and for other investment. Source

DefenCath post-TDAPA pricing and CMS add-on

  • Dialysis utilization held, price fell: Large outpatient dialysis customers largely maintained DefenCath utilization after TDAPA, which reduced the price the company received. Source
  • Sales allowance estimate added revenue: A $5.0 million favorable change in estimate related to certain sales allowances added to DefenCath net revenue in the quarter. Source
  • CMS sets Q1 2027 Add-on: The CMS final rule set a Q1 2027 Add-on of $8.32 per dialysis session, against $2.37 in effect for Q3 and Q4 2026.
  • Quarterly Add-on pattern expected: The company anticipates the Add-on will decline in Q2 2027 versus Q1, then increase in Q3 and/or Q4, subject to how CMS applies utilization data.
  • Third-party projections disputed: The company has not given any party past or forecast utilization or pricing data, and calls third-party projections of quarterly Add-on changes uncertain.

Coming up, as management said on 12 November 2026

  • Heron closing expected Q1 2027: Closing is expected in the first quarter of 2027, subject to Heron stockholder approval, regulatory clearance and customary conditions. Source
  • REZZAYO agency action Q1 2027: The company expects FDA action on the REZZAYO sNDA in the first quarter of 2027. Source
  • REZZAYO promotion planned H2 2027: If the REZZAYO expanded indication is approved, the company plans to start promotional efforts in the second half of 2027. Source
  • DefenCath 2027 guidance update early 2027: The company will defer future DefenCath 2027 guidance until early 2027, when it expects better visibility into utilization and pricing. Source

Figures management reported

FigureReported
DefenCath net revenue, Q3 2026 Source$17.2 million
Product sales, net, Q3 2026 Source$48.6 million
REZZAYO sNDA regulatory status SourceAccepted for review; PDUFA date in Q1 2027
Research and development expense, Q3 2026 Source$7.0 million

Risks management discussed

  • Regulatory: Changes to the CMS reimbursement framework led the company to suspend previously issued 2027 DefenCath revenue guidance. Source
  • External: Third-party projections of quarterly 2027 Add-on payments are uncertain, according to the company, without utilization and pricing data.
  • Financial: A non-cash $11.5 million remeasurement of contingent consideration from the Melinta acquisition reduced net income in the quarter. Source
  • Operational: Completion of the Heron acquisition depends on Heron stockholder approval, regulatory clearance and other closing conditions. Source

Earlier plans management reported on

  • Not stated: The company reaffirmed its August 2026 full-year revenue range of $325 million to $345 million in the November 2 update.
  • Met: The company said the $8.32 Q1 2027 Add-on falls within the 3x to 5x range it had previously guided.

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.