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Operator
Good afternoon, and welcome to the Nephros third quarter 2020 earnings conference call. All participants will be in a listen-only mode. (Operator Instructions) After today's presentation, there will be an opportunity to ask a question. (Operator Instructions) Please note this event is being record.
I would now like to turn the conference over Keith (sic) Smith, Investor Relations Officer. Please -- sir, please go ahead.
Kirin Smith - IR
Good afternoon, everyone. This is Kirin Smithwith PCG Advisory. Thank you all for participating in Nephros' third quarter 2020 conference call. Before we begin, I would like to caution that comments made during this conference call by management will contain forward-looking statements regarding the operations and future results of Nephros.
I encourage you to review Nephros' filings with the Securities and Exchange Commission, including without limitation, the company's Forms 10-K and 10-Q, which identify specific factors that may cause actual results or events to differ materially from those described in the forward-looking statements.
Factors that may affect the company's results include, but are not limited to, its ability to successfully, timely, and cost effectively develop, seek, and obtain regulatory clearance for and commercialize its products and service offerings, the rate of adoption of its products and services by hospitals and other healthcare providers, the success of its commercialization efforts, the effect on its business of existing and new regulatory requirements, and other economic and competitive factors.
The content of this conference call contains time-sensitive information that is accurate only as of the date of the live call, today, November 5, 2020. The Company undertakes no obligation to revise or update any statements to reflect events or circumstances after the date of this conference call, except as required by law.
I would now like to turn the call over to Andy Astor, Nephros' CEO. Andy, please go ahead.
Andy Astor - CEO
Thank you, Kirin, and good afternoon, everyone. Welcome to Nephros' third quarter 2020 earnings conference call. This is my first earnings call as CEO, and I'd like to start by thanking Daron Evans, who developed and led our turnaround strategy over the past five and a half years, increasing revenues from about $1 million to more than $10 million annually during that time.
As most of you know, Daron is continuing to help drive our progress on a part-time basis, focused on building the pathogen detection business and also filling the CEO role at our Specialty Renal Products subsidiary, where he is laser-focused on submitting the second-generation FDA product -- I'm sorry, HDF product for FDA clearance.
And of course, I want to thank once again, all the people, providing essential services that keep our country moving and our fellow citizens safe while putting themselves in harm's way. I will now provide a few highlights of our Q3 business performance, and I will also review our financial results for the quarter.
I'm pleased to report that net revenues increased 34% over the prior quarter. While they remain about 30% lower than a year ago, the quarter-over-quarter increase does seem to indicate some level of market stabilization after a challenging second quarter when the pandemic took hold.
Also, while net revenues were down year-over-year, I am pleased to note that recurring installed base revenues in Q3 returned to their 2019 levels after these revenues had contracted somewhat in Q2. We believe this strong demand from our existing customers is an important sign of strength further bolstered by our customer retention rate remaining over 90%.
Our medical water filter business did continue to experience declines in new customer acquisitions and in emergency response business as we had reported last quarter. Our observation is that for the time being customers and potential customers are primarily focused on pandemic related issues and simply don't have time for proactive water testing and remediation, nor for new vendor relationships. Anecdotal evidence from our network seems to confirm that this is a trend throughout the industry.
I'm also pleased to report that Q4 has kicked off relatively strongly, including both our recurring and our emergency response medical filtration businesses. Our commercial water business declined versus last year as our hospitality and food service customers continue to be deeply impacted by the pandemic.
Notably, we continue to believe that we are on track to secure at least one large national contract in the near future, hopefully, within this calendar year.
In our pathogen detection business, we recently released DialyPath, our qPCR-based endotoxin testing system, which will be marketed to dialysis clinics.
As with our filtration business, we are beginning to see increased interest in our pathogen detection products, including PluraPath, SequaPath, and now DialyPath. But the commercial environment is still challenging, and we have somewhat slowed our marketing plans for the moment. We are using this time to build product and marketing infrastructure to support the growth that we expect in 2021 and beyond.
In our subsidiary, Specialty Renal Products, we are getting closer to FDA submission of the next generation HDF product, as I mentioned briefly at the beginning of this call. As reported last quarter, we did experience a few delays in the manufacturing process for HDF, but we are indeed getting close and hope to submit before the end of this year.
I will now provide a look at our financial results for the third quarter ended, September 30, 2020. As many of you know, up until the COVID-19 pandemic, Nephros delivered consistent year-over-year revenue growth for 15 consecutive quarters averaging over 50% through the first quarter of 2020.
The second, and now the third quarter of 2020, were challenging for the company. Although, the fourth quarter has started strongly, and we are optimistic that quarter-over-quarter growth will continue.
Nephros reported net revenues in the third quarter of $2.1 million, a 31% decrease compared to $3.1 million in the same period last year. The decrease of $1 million was driven by changes due to COVID-19, including a downturn in the emergency response business as well as fewer new customer acquisitions.
Net loss in the water filtration business segment was $0.4 million compared to $0.2 million in 2019. This increased loss was primarily due to the reduced revenue that I just mentioned.
Adjusted EBITDA in the segment was negative $0.3 million compared to a negative $0.4 million in 2019. Please refer to today's press release for more details about the calculation of adjusted EBITDA, and its reconciliation to GAAP net income or loss.
Additional information about our water filtration, pathogen detection, and Renal Products business segments and their operating results can be found in today's filing on Form 10-Q.
On a consolidated basis, net loss for the quarter was $1.0 million compared with $0.7 million in 2019, a 36% increase. Consolidated adjusted EBITDA in the quarter was negative $1.0 million compared with negative $0.2 million in 2019.
Cost of goods sold in the third quarter was $0.9 million compared to $1.3 million in 2019, a decrease of 30%. Gross margins in the third quarter were 58% compared to 59% in 2019. The 1% margin reduction compared to a year ago was primarily due to unfavorable inventory expiration and adjustments of $0.1 million during the three months ended, September 30. As we have said before, margin fluctuations are normal for a company of our size, and we expect future gross margins to remain in the range of 55% to 60%.
Research and development expenses in the third quarter were $0.75 million compared with $0.78 million in 2019, a 3% decrease.
Depreciation and amortization expenses in the third quarter were $49,000 compared with $44,000 in 2019, an 11% increase.
Selling, general and administrative expenses for the third quarter were $1.5 million compared with $1.8 million in 2019, a decrease of approximately 14%, primarily driven by a decrease in travel related and marketing expenses due to the COVID-19 pandemic.
Our cash balance at the end of the third quarter was about $5.2 million. And also, as announced on October 16, Nephros did raise an additional $5 million through a registered direct offering of 833,333 shares of common stock at a price to the public of $6.00 per share.
In closing, I would like to introduce you all to Dan D'Agostino, who's on the call with us today. Dan joined the team a few weeks ago and will be officially assuming the role of Chief Financial Officer beginning tomorrow morning. He will be leading our next discussion on financial results in our year-end earnings call, which we expect will take place in late February 2021.
We will be participating in several financial conferences in the coming weeks, details of which will be announced this Monday, November 9, and we look forward to seeing many of you virtually at these shows. In the meantime, of course, please always feel free to contact me directly at info@nephros.com, and Dan and -- will be on that email address as well.
This concludes our formal presentation remarks. I would like to personally thank all of our investors and other stakeholders for their support through the years as well as during our recent CEO transition. I look forward to speaking with you all again soon. And we will take questions from the audience now. And also, answer emailed questions as appropriate.
Operator, please open the call for questions.
Operator
We will now begin the question-and-answer session. (Operator Instructions) Our first question comes from Howard Halpernfrom Taglich Brothers. Please sir, you may proceed.
Howard Halpern - Analyst
Congratulations on navigating a tough environment out there.
Andy Astor - CEO
Thank you, Howard.
Howard Halpern - Analyst
Did I hear correctly, so far at the start of the fourth quarter that you've gotten some emergency response business compared to the prior quarters, which there really wasn't any?
Andy Astor - CEO
Yes, you did hear correctly. October is one month out of a quarter, so I don't want to set expectations. I don't know what the quarter will look like, but the first month was a very reasonable emergency response. For a normal October, it felt pretty normal. So we'll see if it keeps up. This is an area of our business that we have almost no control of -- well, we have zero control over because it's all inbound. And so we'll see how it goes.
Howard Halpern - Analyst
And any indication for new customers so far in the beginning of the quarter, or is that still going to be a very single digit percentage of the business?
Andy Astor - CEO
It's not a single-digit percentage, it's normally 30%-ish per quarter. And in the last couple of quarters, it's been between 10% and 20%. We -- it's down, but it's not down terribly. It's not down as much as the emergency response business is, that's for sure.
Howard Halpern - Analyst
Okay.
Andy Astor - CEO
Or has been like that, [has been].
Howard Halpern - Analyst
And looking forward with the pathogen detection division, if you could describe what you're anticipating going forward in terms of which one of those three products that you have do you think will be the -- gain the easiest traction, I guess, in terms of revenue? And then which one overtime should be the biggest driver of revenue as the world eases in pandemic conditions?
Andy Astor - CEO
I wish I knew, Howard. But one of the reasons we have three products is because we can't know for sure which one will catch on first. PluraPath is a very straightest line between infection control and infection control prevention. So it may be PluraPath. But dialysis clinics tend to make their decisions more centrally so there may be some traction there.
And then SequaPath, in answer to another part of your question, that could be the biggest of them all by far because it's not -- its applicability is not limited to a medical facility. It can be used in any kind of a building; commercial, residential, et cetera. So we will have to see.
Howard Halpern - Analyst
And lastly, I know we've been -- you've been consistent on moving closer towards getting that commercial contract. Is it just -- is it with the same or do you have a group of them that might come together, or is it in the same potential customer or just moving, as you're just moving forward?
Andy Astor - CEO
It's not just one opportunity and it has a couple of different forms, but it is the main opportunity that we have been talking about for a couple of quarters, is the same main opportunity that we are still talking about.
Howard Halpern - Analyst
Okay. And if and when that happens, that will move the needle?
Andy Astor - CEO
We expect it to, yes.
Howard Halpern - Analyst
Okay. Well, keep up the good work and I will -- well, I guess one more question. Dan, what --
Andy Astor - CEO
Sure.
Howard Halpern - Analyst
What drew you to Nephros and what do you -- basically, what drew you to Nephros?
Dan D'Agostino - CFO
Well, thanks for the question, Howard. I would say that knowing the company for, geez, probably five years now. Andy mentioned briefly, there really has been just an incredible resurgence, Daron coming in, I think, and doing some of the heavy lifting.
And then Andy, the way that I perceived it from an outsider's perspective, putting a lot of the processes in place to take now some interesting products and a real strategy into kind of institutionalizing that. I just see tremendous value in the products that are really just starting to get traction.
Howard Halpern - Analyst
I look forward to talking with you guys in the future. Thanks. Keep up the good work.
Dan D'Agostino - CFO
Thank you, Howard.
Operator
Our next question comes from Todd Eiler, private investor. Please, sir, you may proceed.
Todd Eiler - Private Investor
Hi, Andy. It's Todd Eiler. Good to speak to you, again.
Andy Astor - CEO
You too, Todd. Nice to hear your voice.
Todd Eiler - Private Investor
Two short questions, and then I'll get off the call for others to ask theirs. One of the shortcomings I had when I first started following Nephros years ago was, I thought HDF submittals was simply a paperwork exercise. So could you provide a little bit more color for some of the investors what really goes into the submission to the FDA and why manufacturing is so critical to that submission?
And then my second question is just based on the comment about the commercial contract that we've heard a lot about, the coming commercial contract, the big one, for many quarters now. Is there any further information you can provide about are there multiple RFPs you guys respond to, or is it multiple big customers? Or just some more information about why there's been a delay and why [there's] always seems to be one right around the corner? Thank you. Appreciate it.
Andy Astor - CEO
Sure, Todd. Good questions, both. So on the HDF side, the -- what's going on is we're taking a product that was designed and approved eight years ago in 2012 and dramatically simplifying it. But when you dramatically simplify something and you want to bring it to the FDA for approval, you then have to produce it and test it and write a user manual for it and drop heavy balls on it.
And if something cracks, you've got to fix it, and you've got to have relationships with overseas manufacturers. And packages get lost in Alaska, I kid you not, even though there had nothing to do with -- it had nothing to do with an Alaska shipment. And so it's a complex, many, many dimensional undertaking.
Once the FDA gets our submission, which we will be submitting for a, quote, special 510(k) clearance, unquote, one of two things will happen, either they will except that it is a special 510(k), which means that they have 30 days to comment. And if they don't, we can go ahead and enter the marketplace. Or they will say, no, this has more changed than -- we don't accept that this is a special 510(k), and therefore we will go through a normal 510(k) process, which could take 90 days, and in a pandemic, perhaps even more.
So that's where the complexity comes from. I hope that that relatively brief answer gives you some idea of what's going on behind the scenes.
In terms of the commercial contract, we have several opportunities, but we have been pretty close on one particular one for a couple of quarters now. And that is the one that we keep talking about being very close to, and frankly, it hasn't changed. And we are -- we thought we were very close two quarters ago, we thought we were much closer a quarter ago, and I will tell you that we're much closer now.
But when you're dealing with national contracts of large companies that all of us have heard of, they proceed at a pace that is defined by the customer. And you can push but you can only push so hard. And this is a new area for us and we're -- it will develop at its -- it will drive its timing, we will not. And I do hope that it will happen this year. I believe there's a good possibility that it will. But it's not something that we control. But as Howard put it, it definitely will move the needle. We're talking about a division in that sub-$1 million today, and we're talking about a contract that should be at least $2 million, if not more.
Todd Eiler - Private Investor
Thank you, Andy. Just one follow-up. Do you send the fully packaged machine, the HDF 2.0 machine, to the FDA as part of the submission?
Andy Astor - CEO
No, we send documentation.
Todd Eiler - Private Investor
Thank you.
Andy Astor - CEO
You're welcome. Thank you.
Operator
Our next question comes from Jeremy Pearlmanfrom Maxim Group, LLC. Please sir, you may proceed.
Jeremy Pearlman - Analyst
Hi Andy. This is Jeremy Pearlman, I'm on the line for Anthony Vendetti. He had another call. I had couple of questions.
Andy Astor - CEO
Hey, [Jez].
Jeremy Pearlman - Analyst
Hey, how's it going? So I know in the past you've mentioned the COVID environment really pretty much shut down outside vendors to engage with hospitals. Is there any -- has hospitals opened up at all to outside vendors? Have you been able to get any face-to-face commercial contacts to pitch your filters?
Andy Astor - CEO
Yes, absolutely. We have -- I would say that Q2 was -- I call it, a ghost quarter. It's a quarter that almost didn't happen, right? In the April to June timeframe, the world was very surprised by what was happening and there wasn't anything going on in terms of a face-to-face contact.
That's changed. It's normalized into a time where I think we all know how to operate in a pandemic, but it's still difficult. And so yes, it's changing, but it's changing slowly and it's going to continue to change slowly overtime, in my opinion.
Jeremy Pearlman - Analyst
Okay. And just a follow-up, if you think we're hearing a lot of uptick resurgence of COVID throughout the country. If stricter lockdowns go into place, do you think you'll be able to still interact with hospitals maybe through digital means or it would sort of pull you back to the second quarter like you just mentioned?
Andy Astor - CEO
No, I don't think -- well, I think face-to -- I think if there are lockdowns and if there are full emergency rooms and ICUs and lots of ventilators and so forth, then I think it will be more difficult, of course, because people will be even busier than they are today. But I don't think we're going to go back to Q2. I think -- as I said, I think that the world kind of knows how to operate with a pandemic going on, which was not the case in Q2.
Jeremy Pearlman - Analyst
Okay. And then just to switch past one last question. So what has the reception been like from your customers for DialyPath as it's the most recently released product. And then is it the same customers that you had -- that you're marketing DialyPath or you're interacting with as your filters, or is it a separate customer base and have you been trying to cross-sell at all?
Andy Astor - CEO
We definitely are cross-selling. And in our filter business, there are three main customer bases. There's infection control for hospitals. There's dialysis clinic for water purification -- well, there's dialysis clinics, and then there's commercial and other. And the three pathogen detection products align perfectly with those three, or they align with those three categories.
DialyPath is largely targeted at infection control teams and hospitals. The Dia -- I'm sorry, that's PluraPath. DialyPath is targeted primarily at dialysis clinics and SequaPath is primarily a commercial product, although it's really applicable to all potential -- all building managements, both medical and non-medical. So definitely cross selling and definitely overlapping customer base. I hope that answers your question.
Jeremy Pearlman - Analyst
Okay. And then the reception has been positive so far?
Andy Astor - CEO
Yes.
Jeremy Pearlman - Analyst
Okay, great. Thank you so much for your time.
Andy Astor - CEO
You're welcome, Jeremy. Thank you.
Operator
(Operator Instructions) This concludes our question-and-answer session. I'd like to turn the conference back over to Kirin Smithfor any closing remarks.
Kirin Smith - IR
Great. Thank you, everyone, and have a wonderful day.
Andy Astor - CEO
Thanks, everybody. Take care. See you soon.
Operator
The conference has now concluded. Thank you for attending today's presentation. You may now disconnect.