Nephros(NEPH) - 2022 Q3 - Quarterly Report

Company Overview - The company develops and sells high-performance water solutions for medical and commercial markets, focusing on water filtration and pathogen detection products [116]. - The company has FDA 510(k) clearance for its medical device products, including a complete hospital infection control product line [132]. - The company’s ultrafiltration products are positioned to address the growing concerns over waterborne pathogens in both medical and commercial settings [141]. Market and Product Demand - The company expects a net positive impact on product demand as the COVID-19 pandemic subsides, particularly for infection control filtration and pathogen detection products [122]. - The dialysis market includes approximately 6,500 clinics servicing around 468,000 patients annually, with over 100,000 hemodialysis machines in operation in the U.S. [134]. - The acquisition of the AETHER brand aims to enhance access to commercial markets, with a contract secured to provide filtration systems to approximately 3,000 Quick Service Restaurants [139]. - The company anticipates that water safety management programs will migrate from medical to commercial markets, increasing demand for its filtration solutions [140]. - The company’s AETHER products are designed to improve water quality in food service, hospitality, and convenience store markets, combining with NanoGuard ultrafiltration technologies [142]. Financial Performance - Total net revenues for the three months ended September 30, 2022, were $2,409,000, a decrease of 7% compared to $2,578,000 for the same period in 2021 [162]. - Gross margin for the three months ended September 30, 2022, was approximately 32%, down from approximately 53% for the same period in 2021, representing a decrease of 21% [163]. - Total net revenues for the nine months ended September 30, 2022, were $7,417,000, a decrease of 1% compared to $7,504,000 in 2021 [170]. - Gross margin for the nine months ended September 30, 2022, was approximately 43%, down from 55% in 2021, representing a decrease of 12% [171]. - Selling, general and administrative expenses increased by 8% to $5,806,000 for the nine months ended September 30, 2022, from $5,373,000 in 2021 [174]. - Interest expense decreased to approximately $17,000 for the nine months ended September 30, 2022, compared to $34,000 in 2021, primarily due to a lower principal balance [175]. - Other income increased to approximately $94,000 for the nine months ended September 30, 2022, compared to $16,000 in 2021, mainly from foreign currency transactions [177]. - Cash and cash equivalents decreased to $3,940,000 as of September 30, 2022, from $6,973,000 as of December 31, 2021 [179]. - The accumulated deficit as of September 30, 2022, was $142,000,000, with expectations of incurring additional operating losses until product sales increase [179]. - Net cash used in operating activities was $3,000,000 for the nine months ended September 30, 2022, an increase of $1,900,000 from $1,100,000 in 2021 [181]. Research and Development - Research and development expenses decreased by $143,000 to $252,000 for the three months ended September 30, 2022, primarily due to reduced investment across product lines [165]. - Research and development expenses decreased by 23% to $896,000 for the nine months ended September 30, 2022, compared to $1,170,000 in 2021 [173]. Product Development and Launch - The HDF2 system was cleared by the FDA for patient use on May 13, 2022, enabling nephrologists to provide HDF treatment to patients with end-stage renal disease [155]. - The company plans to launch the HDF2 system at 1-3 clinics in late 2022 to establish clinical experience [156]. - The individual water treatment device developed for military applications meets NSF Protocol P248 standards and has been validated for deployment [143]. Future Outlook - The company anticipates that annual results will be impacted by market acceptance of products and progress in achieving positive operating cash flow [161]. - The company believes that HDF therapy has a place in the treatment landscape for patients with end-stage renal disease in the United States, with potential for over 10 million individual treatments if HDF achieves similar penetration as in Europe [158]. - The company plans to implement strategies to control operating costs and increase revenue to improve liquidity and fund operations [180].