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Nephros

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FY2011 Annual Report · Nephros
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549

FORM 10-K

x

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended December 31, 2011

☐

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the Transition Period from                                to

Commission File Number 001-32288

NEPHROS, INC.
(Exact name of registrant specified in its charter)

Delaware
(State or Other Jurisdiction of
Incorporation or Organization)

13-3971809
(I.R.S. Employer
Identification No.)

41 Grand Avenue
River Edge, NJ 07661
(Address of Principal Executive Offices)

(201) 343-5202
(Telephone Number, Including Area Code)

Securities Registered Pursuant to Section 12(b) of the Exchange Act: None

Securities registered under Section 12(g) of the Exchange Act:

(Title of Class)
Common Stock, $.001 par value per share

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes   ☐  No   x

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Exchange Act.    Yes   ☐       No   x

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934
during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days.    Yes   x       No   ☐

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to
be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to
submit and post such files).
Yes ☒   No ☐

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best
of the registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this
Form 10-K.  ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a smaller reporting company. See definitions of “large
accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filer  ☐

  Accelerated filer  ☐   Non-accelerated filer  ☐

  Smaller reporting company  ☒

  (Do not check if a smaller reporting company)

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes  ☐  No    x

The aggregate market value of the voting stock held by non-affiliates of the registrant, as of June 30, 2011, was approximately $4,752,000. Such aggregate
market value was computed by reference to the closing price of the common stock as reported on the Over the Counter Bulletin Board on June 30, 2011.  For
purposes  of  making  this  calculation  only,  the  registrant  has  defined  affiliates  as  including  only  directors  and  executive  officers  and  shareholders  holding
greater than 10% of the voting stock of the registrant as of June 30, 2011.

As of March 13, 2012 there were 10,641,630 shares of the registrant’s common stock, $0.001 par value, outstanding.

DOCUMENTS INCORPORATED BY REFERENCE

Certain portions of the registrant’s Proxy Statement (the “2012 Proxy Statement”) which will be filed with the SEC in connection with the 2012 Annual
Meeting of Stockholders are incorporated by reference into Part III of this Form 10-K. The 2012 Proxy Statement will be filed within 120 days of December
31, 2011.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
NEPHROS, INC. AND SUBSIDIARY

TABLE OF CONTENTS

Item 1.Business
Item 1A. Risk Factors
Item 2.Properties
Item 3.Legal Proceedings
Item 4.Mine Safety Disclosures

PART I

PART II

Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and  Issuer Purchases of Equity Securities
Item 6. Selected Financial Data
Item 7.Management’s Discussion and Analysis of Financial Condition and Results of Operations
Item 7A. Quantitative and Qualitative Disclosures About Market Risk
Item 8.Financial Statements and Supplementary Data
Item 9.Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
Item 9A.Controls and Procedures
Item 9B.Other Information

PART III

Item 10.Directors, Executive Officers and Corporate Governance
Item 11.Executive Compensation
Item 12.Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
Item 13.Certain Relationships and Related Transactions, and Director Independence
Item 14.Principal Accounting Fees and Services
Item 15.Exhibits

Signatures

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FORWARD LOOKING STATEMENTS

This Annual Report on Form 10-K contains certain “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act
of 1995, as amended. Such statements include statements regarding the efficacy and intended use of our technologies under development, the timelines for
bringing  such  products  to  market  and  the  availability  of  funding  sources  for  continued  development  of  such  products  and  other  statements  that  are  not
historical facts, including statements which may be preceded by the words “intends,” “may,” “will,” “plans,” “expects,” “anticipates,” “projects,” “predicts,”
“estimates,”  “aims,”  “believes,”  “hopes,”  “potential”  or  similar  words.  For  such  statements,  we  claim  the  protection  of  the  Private  Securities  Litigation
Reform  Act  of  1995.  Forward-looking  statements  are  not  guarantees  of  future  performance,  are  based  on  certain  assumptions  and  are  subject  to  various
known and unknown risks and uncertainties, many of which are beyond our control. Actual results may differ materially from the expectations contained in
the forward-looking statements. Factors that may cause such differences include the risks that:

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·

·

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we may not be able to continue as a going concern;

we may not be able to obtain funding if and when needed or on terms favorable to us in order to continue operations;

we may not obtain appropriate or necessary regulatory approvals to achieve our business plan or effectively market our products including,
without limitation, FDA approval of our HDF system;

products  that  appeared  promising  to  us  in  research  or  clinical  trials  may  not  demonstrate  anticipated  efficacy,  safety  or  cost  savings  in
subsequent pre-clinical or clinical trials;

we may encounter problems with our suppliers and manufacturers;

we may encounter unanticipated internal control deficiencies or weaknesses or ineffective disclosure controls and procedures;

HDF therapy may not be accepted in the United States and/or our technology and products may not be accepted in current or future target
markets, which could lead to failure to achieve market penetration of our products;

we may not be able to sell our ESRD therapy or water filtration products at competitive prices or profitably;

we may not be able to secure or enforce adequate legal protection, including patent protection, for our products; and

we may not be able to achieve sales growth in Europe and Canada or expand into other key geographic markets.

More detailed information about us and the risk factors that may affect the realization of forward-looking statements, including the forward-looking
statements in this Annual Report on Form 10-K, is set forth in our filings with the SEC, including our other periodic reports filed with the SEC. We urge
investors and security holders to read those documents free of charge at the SEC’s web site at www.sec.gov. We do not undertake to publicly update or revise
our forward-looking statements as a result of new information, future events or otherwise, except as required by law.

3

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
PART I

Item 1. Business

Reverse Stock Split

On  January  10,  2011,  our  stockholders  voted  to  approve  a  1:20  reverse  stock  split  of  our  common  stock.   The  reverse  split  became  effective  on
March 11, 2011.  All of the share and per share amounts discussed in this Annual Report on Form 10-K have been adjusted to reflect the effect of this reverse
split.

Overview

Founded in 1997, we are a Delaware corporation that has been engaged primarily in the development of hemodiafiltration, or HDF, products and
technologies  for  treating  patients  with  End  Stage  Renal  Disease,  or  ESRD.  In  January  2006,  we  introduced  our  Dual  Stage  Ultrafilter  (the  “DSU”)  water
filtration system, which represented a new and complementary product line to our existing ESRD therapy business.

We currently have three products in various stages of development in the HDF modality to deliver improved therapy to ESRD patients:

•            OLpur MDHDF filter series (which we sell in various countries in Europe and currently consists of our MD190 and MD220 diafilters); we

believe that it is the only filter designed expressly for HDF therapy and employs our proprietary Mid-Dilution Diafiltration technology;

•            OLpur H2H, our add-on module designed to allow the most common types of hemodialysis machines to be used for HDF therapy;

•            OLpur NS2000 system, our stand-alone HDF machine and associated filter technology.

We have also developed our OLpur HD 190 high-flux dialyzer cartridge, which incorporates the same materials as our OLpur MD series but does not
employ  our  proprietary  Mid-Dilution  Diafiltration  technology.  Our  OLpur  HD190  was  designed  for  use  with  either  hemodialysis  or  hemodiafiltration
machines, and received its approval from the U.S. Food and Drug Administration, or FDA, under Section 510(k) of the Food, Drug and Cosmetic Act, or the
FDC Act, in June 2005.

OLpur and H2H are among our trademarks for which U.S. registrations are pending. H2H is a registered European Union trademark.

We believe that products in our OLpur MDHDF filter series are more effective than any products currently available for ESRD therapy because they
are  better  at  removing  certain  larger  toxins  (known  in  the  industry  as  “middle  molecules”  because  of  their  heavier  molecular  weight)  from  blood.  The
accumulation of middle molecules in the blood has been related to such conditions as malnutrition, impaired cardiac function, carpal tunnel syndrome, and
degenerative  bone  disease  in  the  ESRD  patient.  We  also  believe  that  OLpur  H2H  will,  upon  introduction,  expand  the  use  of  HDF  as  a  cost-effective  and
attractive alternative for ESRD therapy.

We  believe  that  our  products  will  reduce  hospitalization,  medication  and  care  costs  as  well  as  improve  patient  health  (including  reduced  drug
requirements and improved blood pressure profiles), and therefore, quality of life, by removing a broad range of toxins through a more patient-friendly, better-
tolerated process. In addition, independent studies in Europe have indicated that, when compared with dialysis as it is currently offered in the United States,
HDF can reduce the patient’s mortality risk by up to 35%. We believe that the OLpur MDHDF filter series and the OLpur H2H will provide these benefits to
ESRD patients at competitive costs and without the need for ESRD treatment providers to make significant capital expenditures in order to use our products.
We also believe that the OLpur NS2000 system, if successfully developed, will be the most cost-effective stand-alone hemodiafiltration system available.

In  the  first  quarter  of  2007,  we  received  approval  from  the  FDA  for  our  Investigational  Device  Exemption  (“IDE”)  application  for  the  clinical
evaluation of our OLpūr H2H module and OLpūr MD 220 filter. We completed the patient treatment phase of our clinical trial during the second quarter of
2008. We submitted our data to the FDA with our 510(k) application on these products in November 2008. Following its review of the application, the FDA
requested additional information from us. We replied to the FDA inquiries on March 13, 2009.

4

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
On  June  30,  2010,  we  received  a  final  decision  letter  from  the  FDA  for  our  510(k)  submission  which  stated  that  the  FDA  could  not  reach  a
substantial equivalence determination for our hemodiafiltration (HDF) system. On August 11, 2011, Nephros filed a new 510(k) application with the FDA for
clearance of the Company’s hemodiafiltration (HDF) system for end-stage renal disease. On November 8, 2011 the Company received the initial FDA review
of its new 510(k) application (K112314), which included a request for additional information. The Company provided answers to the FDA’s request in early
February 2012 and awaits further communication from the FDA. We believe that, if approved, our technology would be the first FDA-approved on-line HDF
therapy available in the U.S. The prior decision by the U.S. FDA with regard to our HDF system does not impact our ability to market and sell our mid-
dilution (MD) filters for hemodiafiltration procedures outside of the U.S.

On June 27, 2011, the Company entered into a license agreement, effective as of July 1, 2011, with Bellco S.r.1. as licensee, an Italy-based supplier
of hemodialysis and intensive care products, for the manufacturing, marketing and sale of Nephros’ patented mid-dilution dialysis filters (MD 190, MD 220),
referred to herein as the Products. Under the agreement, Nephros granted Bellco a license to manufacture, market and sell the Products under its own name,
label and CE mark in Italy, France, Belgium, Spain and Canada on an exclusive basis, and to do the same on a non-exclusive basis in the United Kingdom and
Greece and, upon the written approval of Nephros, other European countries where Nephros does not sell the Products as well as non-European countries, all
such countries herein referred to as the Territory. In addition, if requested by Nephros, Bellco will be required to sell the Products to Nephros’ distributors in
the Territory.

We currently have multiple products in various stages of development for the ultrafiltration of water and other fluids:

•            DSU, our Dual Stage Ultrafilters for use in hospital infection control, hemodialysis, and other applications;

•            SSU, our SafeSpout Ultrafilter for endpoint use on sinks;

•            MSU, our large capacity Ultrafilter for commercial applications; and

•            UF-40, our compact Ultrafilter for use in military applications and outdoor activities, such as hiking.

In January 2006, we introduced our DSU water filtration system. Our DSU represents a new and complementary product line to our existing ESRD
therapy business. The DSU incorporates our unique and proprietary dual stage filter architecture and is, to our knowledge, the only water filter that allows the
user to sight-verify that the filter is properly performing its cleansing function. Our research and development work on the OLpur H2H and MD Mid-Dilution
filter technologies for ESRD therapy provided the foundations for a proprietary multi-stage water filter that we believe is cost effective, extremely reliable,
and  long-lasting.  We  believe  our  DSU  can  offer  a  robust  solution  to  a  broad  range  of  contaminated  water  and  disease  prevention  issues.  Hospitals  are
particularly  stringent  in  their  water  quality  requirements;  transplant  patients  and  other  individuals  whose  immune  systems  are  compromised  can  face  a
substantial  infection  risk  in  drinking  or  bathing  with  standard  tap  water  that  would  generally  not  present  a  danger  to  individuals  with  normal  immune
function. The DSU is designed to remove a broad range of bacteria, viral agents and toxic substances, including salmonella, hepatitis, cholera, HIV, Ebola
virus,  ricin  toxin,  legionella,  fungi  and  e-coli.  With  over  5,800  registered  hospitals  in  the  United  States  alone  (as  reported  by  the  American  Hospital
Association in Fast Facts of January 3, 2012), we believe the hospital shower and faucet market can offer us a valuable opportunity as a first step in water
filtration.

On July 1, 2009, we received FDA approval of the DSU to be used to filter biological contaminants from water and bicarbonate concentrate used in
hemodialysis  procedures.  On  May  10,  2011,  we  received  approval  from  the  Therapeutic  Products  Directorate  of  Health  Canada,  the  Canadian  health
regulatory agency, to market our Dual Stage Ultrafilter (DSU) in Canada to filter out biological contaminants from water and bicarbonate solution used in
hemodialysis procedures.

The Association for the Advancement of Medical Instruments' (AAMI) adoption of more stringent water purity standards for dialysis applications as
well as observational studies showing a significant reduction in required erythropoietin dosing when the Nephros DSU is utilized during dialysis therapy has
significantly increased interest in the product. We have filed a special 510(k) application for our SSU and MSU filters to enable these products to be used in
dialysis applications. We expect to realize accelerating product sales to the U.S. dialysis market as a combined result of these driving factors. We also expect
to realize initial sales of DSU products to dialysis markets outside the U.S. in 2012.

We  have  introduced  product  line  extensions  for  the  hospital  infection  control  market  which  include  a  more  durable  filter  design  to  withstand  the
higher  pressures  of  hospital  plumbing,  filter  covers  to  improve  the  aesthetics  of  the  filters  in  hospital  showers,  and  the  SafeSpout  Filter  as  a  convenient
endpoint filter to address acute outbreak scenarios. We are investigating a range of additional commercial, industrial, and military opportunities for our DSU
technology.

5

 
 
 
 
 
 
 
 
 
 
 
 
 
In 2006, the U.S. Defense Department budget included an appropriation for the U.S. Marine Corps for development of a dual stage water ultra filter.
In connection with this Federal appropriation of approximately $1 million, we worked on the development of a personal potable water purification system for
use by warfighters. Work on this project was completed in August 2009 and we billed approximately $900,000 during the twenty months ended August 2009.
In August 2009, we were awarded a new $1.8 million research contract from the Office of Naval Research (ONR) for continued development of a potable
dual-stage military water purifying filter. The research contract is an expansion of our former ONR contract and is being performed as part of the Marine
Corps Advanced Technology Demonstration (ATD) project. The  primary  objective  of  this  expanded  research  program  is  to  select  concepts  and  functional
prototype filter/pump units which were developed during the first phase of the project, and further develop them into smaller field-testable devices that can be
used for military evaluation purposes. An advantage of our ultrafilter is the removal of viruses which are not removed with commercially available off-the-
shelf microfilter devices. Such devices generally rely on a secondary chemical disinfection step to make the water safe to drink. The expanded contract also
includes research geared toward improving membrane performance, improving device durability, developing larger squad-level water purifier devices, and
investigating desalination filter/pump devices for emergency-use purposes. Approximately $1,723,000 of revenue has been recognized on this new project
since September 2009 of which approximately $463,000 and $846,000 has been billed to this second project during the years ended December 31, 2011 and
2010, respectively.

During 2010, in response to a Request For Information (RFI) from the U.S. Army, we submitted its UF-40 ultrafilter for consideration as part of the
standard  issue  hydration  pack  for  soldiers  in  the  field.  We  have  been  informed  by  the  U.S.  Army  Public  Health  Command  that  its  UF-40  filter  has  been
validated to meet the military’s NSF P248 standard for emergency military operations as a microbiological water purifier. We believe that our UF-40 filter is
the only stand-alone filter to date to have met the performance criteria of the NSF P248 standard without secondary disinfection steps. The Army has not to
date issued a Request For Proposal (RFP), and we have no information regarding when or if an RFP applicable to the UF40 ultrafilter may be put forth by the
U.S. Army.

We have also introduced the DSU to various government agencies as a solution to providing potable water in certain emergency response situations.

We have also begun investigating a range of commercial, industrial and retail opportunities for our DSU technology.

In March 2010, we entered into a development agreement with STERIS Corporation to jointly develop filtration-based products for medical device
applications. We received an initial payment upon entering into the agreement of $40,000 and were eligible to receive additional payments upon successful
completion  of  product  development  milestones.  During  2010,  we  completed  the  initial  milestone  under  the  joint  collaboration  agreement  with  STERIS
Corporation and completed the remaining milestones under the agreement during the first three quarters of 2011.  Completion of these milestones resulted in
aggregate payments to us of $100,000 during 2010, of which approximately $67,000 was recognized in 2010 and approximately $33,000 was recognized in
2011. The remaining milestones, when completed, will result in additional payments of $60,000.

On June 27, 2011, the Company entered into a license agreement, effective July 1, 2011, with Bellco S.r.1., as licensee, an Italy-based supplier of
hemodialysis and intensive care products, for the manufacturing, marketing and sale of Nephros’ patented mid-dilution dialysis filters (MD 190, MD 220),
referred to herein as the Products.

Under the agreement, Nephros granted Bellco a license to manufacture, market and sell the Products under its own name, label and CE mark in Italy,
France, Belgium, Spain and Canada on an exclusive basis, and to do the same on a non-exclusive basis in the United Kingdom and Greece and, upon the
written approval of Nephros, other European countries where Nephros does not sell the Products as well as non-European countries, all such countries herein
referred to as the Territory. In addition, if requested by Nephros, Bellco will be required to sell the Products to Nephros’ distributors in the Territory.

In  exchange  for  the  rights  granted  to  it  under  the  agreement  through  December  31,  2014,  Bellco  agreed  to  pay  Nephros  installment  payments  of
€500,000, €750,000, and €600,000 on July 1, 2011, January 15, 2012 and January 15, 2013, respectively. The first payment was received in July 2011. Such
installment  payments,  herein  referred  to  as  the  Installment  Payments,  are  Bellco’s  sole  financial  obligations  through  December  31,  2014.  Beginning  on
January  1,  2015  through  and  including  December  31,  2016,  Bellco  will  pay  to  Nephros  a  royalty  based  on  the  number  of  units  of  Products  sold  in  the
Territory as follows: for the first 103,000 units sold, Bellco will pay €4.50 per unit; thereafter, Bellco will pay €4.00 per unit. Bellco must meet minimum
sales targets of 15,000 units in each quarter of 2015 and 2016. If Bellco fails to meet a quarterly minimum, the license in Italy, France, Belgium, Spain and
Canada will, at the discretion of Nephros, convert to a non-exclusive one. All sums payable under the agreement will be paid in Euros, as adjusted to account
for currency exchange fluctuations between the Euro and the U.S. dollar that occur between July 1, 2011, the effective date of the agreement, and the date of
payment.

In the case where Nephros desires to pursue a Change in Control transaction (as defined in the agreement), Bellco will have a 30-day right of first
offer  with  respect  to  such  acquisition,  and  where  either  party  pursues  a  change  in  control  transaction,  it  will  require  the  acquirer  to  assume  such  party’s
obligations under the agreement.

6

 
 
 
 
 
 
 
 
 
 
If there is an infringement of any of the patents underlying the Products, Nephros will have the first right to decide whether to act to protect such
patents.  Where  Nephros  decides  not  to  act,  Bellco,  upon  the  written  consent  of  Nephros,  will  be  allowed  to  act  to  protect  the  patents  and  Nephros  will
reimburse Bellco the reasonable expenses sustained by Bellco as a credit against royalties due under the agreement.

The term of the agreement is from July 1, 2011 through December 31, 2016, or until earlier terminated by either party as follows. Either party may
terminate immediately after giving notice of a breach of any material obligation or upon the insolvency or bankruptcy of the other party, in each case that
remains uncured after the expiration of a 30-day cure period. In addition, in the event the agreement is terminated by Bellco on or prior to December 31, 2014
due to a material breach by Nephros that causes any of the patents underlying the Products to lapse, Nephros will be required to reimburse Bellco any of the
Installment Payments paid by Bellco prior to the date of termination. Finally, Nephros may terminate the agreement immediately for the following reasons:
Bellco’s failure to cure a monetary default within 30 days of being provided notice of such default; in the event any required permit of Bellco expires, is not
approved, is not issued, or is terminated, revoked, withdrawn or deactivated; and in respect of any calendar year commencing January 1, 2015, if aggregate
royalties payable to Nephros fall below €270,000.The parties are subject to standard indemnification obligations.

On June 27, 2011, Nephros issued a press release announcing its entry into the license agreement. The description of the license agreement set forth
above is not complete and is qualified in its entirety by reference to the agreement, which is attached as Exhibit 10.62 to this report and is incorporated by
reference.

On July 21, 2011 the Company announced that it received 510(k) clearance from the U.S. Food and Drug Administration to market its MSU and

SSU ultrafilters to filter out biological contaminants from water and bicarbonate solution used in hemodialysis procedures.

The Nephros DSU, MSU, and SSU are FDA cleared devices for the filtration of biological contaminants from water and bicarbonate concentrate
used  in  hemodialysis  procedures.  Within  the  U.S.,  there  are  approximately  4,500  clinics  providing  over  50million  dialysis  treatments  to  350,000  patients
annually.  To  perform  hemodialysis,  ultrapure  water  is  crucial  to  the  production  of  dialysate.  Dialysis  clinics  have  water  purification  systems;  however,
microbial contaminants can originate from the water treatment system, the water distribution loop, or the dialysate concentrates. Nephros ultrafilters filter out
substances down to the 0.005 micron level and address dialysate contamination at crucial points: after the reverse osmosis module and at the dialysis machine
entrance from the water distribution loop. Nephros ultrafilters can be used as the last step in the water purification process to ensure that ultrapure water is
used for dialysis procedures. Regular use of Nephros ultrafilters offers an affordable safety measure when utilized with modern water treatment systems and
optimally maintained hemodialysis machines. Recent data have shown that the Nephros DSU, when used as part of the water purification system for dialysis
systems, may reduce the required dosage of erythropoietin stimulating agents, which we believe will provide a unique benefit to patients.

On July 25, 2011, Nephros, Inc. entered into a letter agreement with DHR International, Inc., an international executive search firm, whereby DHR
International will conduct a search to recruit a chief executive officer for Nephros. On July 26, 2011, Nephros issued a press release announcing, among other
things, its entry into the letter agreement.

Under the agreement, Nephros will pay DHR International a retainer consisting of $100,000 in cash and equity worth $25,000. The cash retainer is
due  in  three  equal  installments.  The  first  retainer  payment  was  due  and  paid  on  execution  of  the  agreement.  The  second  retainer  was  due  and  paid  when
Nephros began the first round of interviews during the third quarter and the third retainer is due upon a candidate’s acceptance of an offer from Nephros. The
stock portion of the retainer is in the form of an option for 20,000 shares of common stock with an exercise price of $1.25 per share, which was the closing
price of our common stock on July 25, 2011 as reported on the Over-the-Counter Bulletin Board. The option is fully vested and has a term of 10 years.

In addition to the payments discussed above, Nephros will reimburse DHR International for indirect out-of-pocket expenses related to the executive
search, such as administrative, database management and reproduction costs, which are estimated to run 12% of the aggregate retainer, and are payable in
three equal installments to be billed at the same time as the three retainer installments. Nephros also must reimburse DHR International for any direct out-of-
pocket expenses, such as travel and lodging, which will be billed monthly as incurred. Nephros has paid DHR for all billed indirect and direct out-of-pocket
expenses.

In  the  event  that  Nephros  hires  a  candidate  provided  by  DHR  International  for  any  position  other  than  chief  executive  officer,  Nephros  will  be

obligated to pay DHR International a fee equal to 33% of the individual’s projected first year total cash compensation.

If Nephros hires a candidate presented by DHR International and that individual is terminated, either voluntarily or involuntarily, within two years

from the hiring date, DHR International will, at Nephros’ request, refill the position for no additional fee.

Nephros may cancel the agreement at any time. DHR International continues the search to recruit a chief executive officer for Nephros at this time.

7

 
 
 
 
 
 
 
 
 
 
 
 
 
On July 26, 2011, Nephros issued a press release that reported, among other things, the amount of revenue Nephros has received for the first six
months of 2011 from the Office of Naval Research for work related to an advanced water purification system for military field use that Nephros is developing
using its proprietary dual stage cold sterilization ultrafilter as the basis of the portable system. Nephros has generated approximately $463,000 and $846,000
of revenue during the years ended December 31, 2011 and 2010, respectively, from its U.S. Defense Department project.

On July 26, 2011, Nephros issued a press release that provided a corporate update on its operations and strategy.

On  August  11,  2011  Nephros  submitted  a  new  510(k)  application  to  market  its  leading-edge  hemodiafiltration  (HDF)  system  for  end-stage  renal
disease.  The  application  details  Nephros’  OLpur  MD220  diafilter  and  Nephros’  OLpur  H  2  H  Hemodiafiltration  module.  Nephros’  OLpur  MD220  is  a
dialyzer  designed  expressly  for  HDF  therapy  that  employs  Nephros’  proprietary  Mid-Dilution  diafiltration  technology.  Nephros’  OLpur  H  2  H
Hemodiafiltration  module  enables  the  most  common  types  of  standard  dialysis  machines  to  perform  HDF  therapy.  On  November  8,  2011  the  Company
received  the  initial  FDA  review  of  its  new  510(k)  application  (K112314),  which  included  a  request  for  additional  information.  The  Company  provided
answers to the FDA’s request in early February 2012 and awaits further communication from the FDA. We believe that, if approved, our technology would be
the first FDA-approved on-line HDF therapy available in the U.S. The prior decision by the U.S. FDA with regard to our HDF system does not impact our
ability to market and sell our mid-dilution (MD) filters for hemodiafiltration procedures outside of the U.S.

Going Concern

The accompanying financial statements have been prepared assuming that we will continue as a going concern. Our recurring losses and difficulty in
generating sufficient cash flow to meet our obligations and sustain our operations raise substantial doubt about our ability to continue as a going concern. Our
condensed consolidated interim financial statements do not include any adjustments that might result from the outcome of this uncertainty.

We have incurred significant losses in operations in each quarter since inception. For the years ended December 31, 2011 and 2010, we incurred net
losses of $2,360,000 and $1,933,000, respectively. In addition, we have not generated positive cash flow from operations for the years ended December 31,
2011 and 2010. To become profitable, we must increase revenue substantially and achieve and maintain positive gross and operating margins. If we are not
able  to  increase  revenue  and  gross  and  operating  margins  sufficiently  to  achieve  profitability,  our  results  of  operations  and  financial  condition  will  be
materially and adversely affected.

On October 1, 2010, we issued a senior secured note to Lambda Investors LLC, our largest stockholder, in the principal amount of $500,000. The
note bore interest at the rate of 12% per annum and was to mature on April 1, 2011, at which time all principal and accrued interest was due. However, we
agreed to and did prepay, without penalty, amounts due under the note with the cash proceeds from our rights offering prior to the maturity date. The note was
secured by a first priority lien on all of our property, including our intellectual property.

On March 10, 2011, we completed our rights offering and a private placement that together resulted in gross proceeds of approximately $3.2 million.
The  aggregate  net  proceeds  were  approximately  $2.3  million,  after  deducting  the  estimated  aggregate  expenses  of  these  transactions  which  approximated
$200,000,  the  repayment  of  the  $500,000  note  issued  to  Lambda  Investors,  LLC,  plus  $26,650  of  accrued  interest  thereon,  the  payment  of  an  8%
sourcing/transaction  fee  of  $40,000  in  respect  of  the  note  and  an  aggregate  of  $100,000  for  reimbursement  of  Lambda  Investors’  legal  fees  incurred  in
connection with the loan and the rights offering.

After giving effect to the 1:20 reverse stock split on March 11, 2011, our stockholders subscribed for 4,964,854 units in the rights offering and we
accepted all basic subscription rights and oversubscription privileges. The units were sold at a per unit purchase price of $0.40. Gross proceeds to us from the
sale  of  these  units  in  the  rights  offering  were  approximately  $2.0  million.  We  issued  an  aggregate  of  4,964,854  shares  of  common  stock  and  warrants  to
purchase an aggregate of approximately 4,590,171 million shares of our common stock to stockholders who subscribed.

Simultaneously with the closing of the rights offering, Lambda Investors, LLC purchased in a private placement 3,009,711 units at the same per unit
purchase  price  of  $0.40,  pursuant  to  a  purchase  agreement  between  us  and  Lambda  Investors.  We  issued  to  Lambda  Investors  an  aggregate  of  3,009,711
shares of common stock and warrants to purchase an aggregate of 2,782,577 shares of common stock. Of the $3.2 million in gross proceeds from the rights
offering and the private placement, we received approximately $1.2 million in gross proceeds from the sale of units to Lambda Investors.

We  effected  a  reverse  stock  split,  in  which  every  20  shares  of  our  common  stock  issued  and  outstanding  immediately  prior  to  the  effective  time,
which was 5:00 p.m. on March 11, 2011, were converted into one share of common stock. Fractional shares were not issued and stockholders who otherwise
would have been entitled to receive a fractional share as a result of the reverse stock split received an amount in cash equal to $0.04 per pre-split share for
such  fractional  interests.  The  number  of  shares  of  common  stock  issued  and  outstanding  was  reduced  from  approximately  201,300,000  pre-split  to
approximately 10,100,000 post-split. The reverse stock split was effected in connection with the rights offering and private placement.

8

 
 
 
 
 
 
 
 
 
 
 
 
 
The reverse stock split was approved by our stockholders at the annual meeting held on January 10, 2011. The number of shares of common stock
subject  to  outstanding  stock  warrants  and  options,  and  the  exercise  prices  and  conversion  ratios  of  those  securities,  were  automatically  proportionately
adjusted for the 1-for-20 ratio provided for by the reverse stock split.

On June 27, 2011, we entered into a License Agreement, effective July 1, 2011, with Bellco S.r.l., as licensee (“Bellco”), an Italy-based supplier of
hemodialysis and intensive care products, for the manufacturing, marketing and sale of our patented mid-dilution dialysis filters.  This Agreement provides us
with payments of €500,000, €750,000, and €600,000 on July 1, 2011, January 15, 2012 and January 15, 2013, respectively.  The first two fixed payments have
been received. The remaining fixed payment of €600,000 or approximately $778,000, will take place in January 2013.  Beginning on January 1, 2015 through
and including December 31, 2016, Bellco will pay to us a royalty based on the number of units of products sold per year in the territory as follows: for the
first 103,000 units sold, €4.50 per unit; thereafter, €4.00 per unit.   Anticipated payments from this License Agreement will be a positive source of cash flow
to the Company.

There can be no assurance that the Company’s future cash flow will be sufficient to meet its obligations and commitments. If the Company is unable
to generate sufficient cash flow from operations in the future to service its commitments the Company will be required to adopt alternatives, such as seeking
to raise debt or equity capital, curtailing its planned activities or ceasing its operations. There can be no assurance that any such actions could be effected on a
timely basis or on satisfactory terms or at all, or that these actions would enable the Company to continue to satisfy its capital requirements.

Current ESRD Therapy Options

Current  renal  replacement  therapy  technologies  include  (1)  two  types  of  dialysis,  peritoneal  dialysis  and  hemodialysis,  (2)  hemofiltration  and  (3)
hemodiafiltration, a combination of hemodialysis and hemofiltration. Dialysis can be broadly defined as the process that involves movement of molecules
across a semipermeable membrane by diffusion. In hemodialysis, hemofiltration or hemodiafiltration, the blood is exposed to an artificial membrane outside
of the body. During Peritoneal Dialysis (PD), the exchange of molecules occurs across the membrane lining of the patient’s peritoneal cavity. While there are
variations in each approach, in general, the three major categories of renal replacement therapy in the marketplace today are defined as follows:

·

Dialysis

o

o

Peritoneal  Dialysis,  or  PD,  uses  the  patient’s  peritoneum,  the  membrane  lining  covering  the  internal  abdominal
organs,  as  a  filter  by  introducing  injectable-grade  dialysate  solution  into  the  peritoneal  cavity  through  a  surgically
implanted  catheter.  After  some  period  of  time,  the  fluid  is  drained  and  replaced.  PD  is  limited  in  use  because  the
peritoneal cavity is subject to scarring with repeated episodes of inflammation of the peritoneal membrane, reducing
the effectiveness of this treatment approach. With time, a PD patient’s kidney function continues to deteriorate and
peritoneal toxin removal alone may become insufficient to provide adequate treatment. In such case the patient may
switch to an extracorporeal renal replacement therapy such as hemodialysis or hemodiafiltration.

Hemodialysis  uses  an  artificial  kidney  machine  to  remove  certain  toxins  and  fluid  from  the  patient’s  blood  while
controlling external blood flow and monitoring patient vital signs. Hemodialysis patients are connected to a dialysis
machine via a vascular access device. The hemodialysis process occurs in a dialyzer cartridge with a semi-permeable
membrane  which  divides  the  dialyzer  into  two  chambers:  while  the  blood  is  circulated  through  one  chamber,  a
premixed solution known as dialysate circulates through the other chamber. Toxins and excess fluid from the blood
cross the membrane into the dialysate solution through a process known as “diffusion.”

·

Hemofiltration is a cleansing process without dialysate solution where blood is passed through a semi-permeable membrane,
which filters out solute particles through a process known as “convection.”

9

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
·

Hemodiafiltration, or HDF, in its basic form combines the principles of hemodialysis with hemofiltration. HDF uses dialysate
solution with a negative pressure (similar to a vacuum effect) applied to the dialysate solution to draw additional toxins from
the  blood  and  across  the  membrane.  This  process  is  known  as  “convection.”  HDF  thus  combines  diffusion  with  convection,
offering efficient removal of small solutes by diffusion, with improved removal of larger substances (i.e., middle molecules) by
convection.

Hemodialysis is the most common form of extracorporeal renal replacement therapy and is generally used in the United States. Hemodialysis fails, in
our opinion, to address satisfactorily the long-term health or overall quality of life of the ESRD patient. We believe that the HDF process, which is currently
available in our Target European Market and Japan, offers improvement over other dialysis therapies because of better ESRD patient tolerance, superior blood
purification of both small and middle molecules, and a substantially improved mortality risk profile.

Current Dialyzer Technology used with HDF Systems

In our view, treatment efficacy of current HDF systems is limited by current dialyzer technology. As a result of the negative pressure applied in HDF,
fluid is drawn from the blood and across the dialyzer membrane along with the toxins removed from the blood. A portion of this fluid must be replaced with a
man-made injectable grade fluid, known as “substitution fluid,” in order to maintain the blood’s proper fluid volume. With the current dialyzer technology,
fluid is replaced in one of two ways: pre-dilution or post-dilution.

·

·

With  pre-dilution,  substitution  fluid  is  added  to  the  blood  before  the  blood  enters  the  dialyzer  cartridge.  In  this  process,  the
blood can be over-diluted, and therefore more fluid can be drawn across the membrane. This enhances removal of toxins by
convection.  However,  because  the  blood  is  diluted  before  entering  the  device,  it  actually  reduces  the  rate  of  removal  by
diffusion; the overall rate of removal, therefore, is reduced for small molecular weight toxins (such as urea) that rely primarily
on diffusive transport.

With  post-dilution,  substitution  fluid  is  added  to  blood  after  the  blood  has  exited  the  dialyzer  cartridge.  This  is  the  currently
preferred method because the concentration gradient is maintained at a higher level, thus not impairing the rate of removal of
small toxins by diffusion. The disadvantage of this method, however, is that there is a limit in the amount of plasma water that
can be filtered from the blood before the blood becomes too viscous, or thick. This limit is approximately 20% to 25% of the
blood flow rate. This limit restricts the amount of convection, and therefore limits the removal of middle and larger molecules.

The Nephros Mid-Dilution Diafiltration Process

Our  OLpur  MDHDF  filter  series  uses  a  design  and  process  we  developed  called  Mid-Dilution  Diafiltration,  or  MDF.  MDF  is  a  fluid  management
system that we believe optimizes the removal of both small toxins and middle-molecules by offering the advantages of pre-dilution HDF and post-dilution
HDF combined in a single dialyzer cartridge. The MDF process involves the use of two stages: in the first stage, blood is filtered against a dialysate solution,
therefore providing post-dilution hemodiafiltration; it is then overdiluted with sterile infusion fluid before entering a second stage, where it is filtered once
again against a dialysate solution, therefore providing pre-dilution diafiltration. We believe that the MDF process provides improved toxin removal in HDF
treatments, with a resulting improvement in patient health and concurrent reduction in healthcare costs.

Our ESRD Therapy Products

Our products currently available or in development with respect to ESRD Therapy include:

OLpur MDHDF Filter Series

OLpur MD190 and MD220 constitute our dialyzer cartridge series that incorporates the patented MDF process and is designed for use with existing
HDF platforms currently prevalent in our Target European Market and Japan. Our MDHDF filter series incorporates a unique blood-flow architecture that
enhances toxin removal with essentially no cost increase over existing devices currently used for HDF therapy.

Laboratory bench studies have been conducted on our OLpur MD190 by members of our research and development staff and by a third party. We
completed our initial clinical studies to evaluate the efficacy of our OLpur MD190 as compared to conventional dialyzers in Montpellier, France in 2003. The
results from this clinical study support our belief that OLpur MD190 is superior to post-dilution hemodiafiltration using a standard high-flux dialyzer with
respect to 2-microglobulin clearance. In addition, clearances of urea, creatinine, and phosphate met the design specifications proposed for the OLpur MD190
device. Furthermore, adverse event data from the study suggest that hemodiafiltration with our OLpur MD190 device was well tolerated by the patients and
safe.

10

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We  have  completed  a  series  of  longer  term  clinical  studies  in  the  United  Kingdom,  France,  Germany,  Italy  and  Spain  to  further  demonstrate  the
therapeutic benefits of our OLpur MDHDF filter series. A multi-center study was started in March 2005. This study encompassed seven centers in France,
five centers in Germany and one center in Sweden. Also commencing in 2005 were studies in the United Kingdom and in Italy. A three-month study was
conducted in Spain. All enrolled patients in the multi-center and Spain studies completed the investigational period with the Nephros OLpur MDHDF filter
devices. Data was very positive, demonstrating improved low-molecular weight protein removal, improvements in appetite, an overall improved distribution
of fluids and body composition, and optimal toxin removal and treatment tolerance for patients suffering from limited vascular access. Data was presented at
the American Society of Nephrology meeting held in 2006, and the European Dialysis and Transplantation annual meetings held in 2007 and 2008.

We  contracted  with TÜV  Rheinland  of  North  America,  Inc.,  a  worldwide  testing  and  certification  agency  (also  referred  to  as  a  notified  body)  that
performs conformity assessments to European Union requirements for medical devices, to assist us in obtaining the Conformité Européene, or CE mark, a
mark which demonstrates compliance with relevant European Union requirements. We received CE marking on the OLpur MD190 (which also covers other
dialyzers in our MDHDF filter series), as well as certification of our overall quality system, on July 31, 2003. In the fourth quarter of 2006 we received CE
marking on the DSU. During 2010, we replaced TÜV with BSI America, Inc. as our notified body.

In  November  2007,  the  Therapeutic  Products  Directorate  of  Health  Canada,  the  Canadian  health  regulatory  agency,  approved  our  OLpur  MDHDF

filter series for marketing in Canada.

We  initiated  marketing  of  our  OLpur  MD190  in  our  Target  European  Market  in  March  2004.    We  have  established  a  sales  presence  in  countries
throughout  our  Target  European  Market,  mainly  through  distributors,  and  we  have  developed  marketing  material  in  the  relevant  local  languages. We  also
attend trade shows where we promote our product to several thousand people from the industry. Our OLpur MD220 is a newer product that we began selling
in our Target European Market in 2006. The OLpur MD220 employs the same technology as our OLpur MD190, but contains a larger surface area of fiber.
Because of its larger surface area, the OLpur MD220 may provide greater clearance of certain toxins than the OLpur MD190, and is suitable for patients of
larger body mass.

In  the  first  quarter  of  2007,  we  received  approval  from  the  FDA  for  our  Investigational  Device  Exemption  (“IDE”)  application  for  the  clinical
evaluation of our OLpūr H2H module and OLpūr MD 220 filter. We completed the patient treatment phase of our clinical trial during the second quarter of
2008. We submitted our data to the FDA with our 510(k) application on these products in November 2008.  Following its review of the application, the FDA
requested additional information from us.  We replied to the FDA inquiries on March 13, 2009.  Because the FDA had not provided us with any additional
requests for information or rendered a decision on our application, we made additional inquiries to the FDA about the status of our application and, as of
March 10, 2010, were informed that our application was still under their review process.

On June 30, 2010, we received a final decision letter from the FDA for our 510(k) submission which stated that the FDA could not reach a substantial
equivalence determination for our hemodiafiltration (HDF) system. An in-person meeting with the FDA took place on September 10, 2010, where the issues
raised in the current FDA letter were discussed as well as the process for moving forward.  We have engaged King & Spalding LLP as regulatory counsel to
advise us in our interactions with the FDA.  Another in-person meeting with the FDA took place on April 20, 2011 to discuss a proposal for submission of a
new 510(k) application for its on-line HDF system.  On August 11, 2011 Nephros submitted a new 510(k) application to market its hemodiafiltration (HDF)
system for end-stage renal disease.  The application is subject to the FDA’s standard 90-day review period.  The application details Nephros’ OLpur MD220
diafilter  and  Nephros’  OLpur  H2H  Hemodiafiltration  module.  Nephros’  OLpur  MD220  is  a  dialyzer  designed  expressly  for  HDF  therapy  that  employs
Nephros’ proprietary Mid-Dilution diafiltration technology. Nephros’ OLpur H2H Hemodiafiltration module is designed to enable the most common types of
standard  dialysis  machines  to  perform  HDF  therapy.  On  November  8,  2011  the  Company  received  the  initial  FDA  review  of  its  new  510(k)  application
(K112314), which included a request for additional information. The Company provided answers to the FDA’s request in early February 2012 and awaits
further communication from the FDA. Nephros believes that, if approved, its technology would be the first FDA-approved on-line HDF therapy available in
the U.S. The prior decision by the U.S. FDA with regard to our HDF system does not impact our ability to market and sell our mid-dilution (MD) filters for
hemodiafiltration procedures outside of the U.S.

11

 
 
 
 
 
 
  
 
OLpur HD190

OLpur  HD190  is  our  high-flux  dialyzer  cartridge,  designed  for  use  with  either  hemodialysis  or  hemodiafiltration  machines.  The  OLpur  HD190

incorporates the same materials as our OLpur MD190, but lacks our proprietary mid-dilution architecture.

OLpur H 2 H

OLpur  H2H  is  our  add-on  module  that  converts  the  most  common  types  of  hemodialysis  machines  —  that  is,  those  with  volumetric  ultrafiltration
control — into HDF-capable machines allowing them to use our OLpur MDHDF filter. We have completed our OLpur H2H design and laboratory bench
testing, all of which were conducted by members of our research and development staff. Our design verification of the OLpur H2H was completed making
the device ready for U.S. clinical trial. We completed the patient treatment phase of our clinical trial during the second quarter of 2008. We submitted our data
to  the  FDA  with  our  510(k)  application  on  these  products  in  November  2008.    Following  its  review  of  the  application,  the  FDA  requested  additional
information from us.  We replied to the FDA inquiries on March 13, 2009. On June 30, 2010, we received a final decision letter from the FDA for our 510(k)
submission which stated that the FDA could not reach a substantial equivalence determination for our hemodiafiltration (HDF) system. An in-person meeting
with  the  FDA  took  place  on  September  10,  2010,  where  the  issues  raised  in  the  current  FDA  letter  were  discussed  as  well  as  the  process  for  moving
forward.  We have engaged King & Spalding LLP as regulatory counsel to advise us in our interactions with the FDA.  Another in-person meeting with the
FDA took place on April 20, 2011 to discuss a proposal for submission of a new 510(k) application for its on-line HDF system. On August 11, 2011 Nephros
submitted a new 510(k) application to market its hemodiafiltration (HDF) system for end-stage renal disease.  The application is subject to the FDA’s standard
90-day  review  period.    The  application  details  Nephros’  OLpur  MD220  diafilter  and  Nephros’  OLpur  H2H  Hemodiafiltration  module.  Nephros’  OLpur
MD220  is  a  dialyzer  designed  expressly  for  HDF  therapy  that  employs  Nephros’  proprietary  Mid-Dilution  diafiltration  technology.  Nephros’  OLpur  H2H
Hemodiafiltration module is designed to enable the most common types of standard dialysis machines to perform HDF therapy. On November 8, 2011 the
Nephros received the initial FDA review of its new 510(k) application (K112314), which included a request for additional information. Nephros provided
answers to the FDA’s request in early February 2012 and awaits further communication from the FDA. Nephros believes that, if approved, its technology
would be the first approved on-line HDF therapy available in the U.S. The current decision by the U.S. FDA with regard to our HDF system does not impact
our ability to market and sell our mid-dilution (MD) filters for hemodiafiltration procedures outside of the U.S.

OLpur NS2000

OLpur NS2000 is our standalone HDF machine and associated filter technology, which is in the development stage. The OLpur NS2000 will use a

basic HDF platform which will incorporate our H2H technology including our proprietary substitution fluid systems.

We have also designed and developed proprietary substitution fluid filter cartridges for use with the OLpur NS2000, which have been subjected to pre-

manufacturing testing. We will need to obtain the relevant regulatory clearances prior to any market introduction of our OLpur NS2000 in the United States.

Our Water Filtration Product

In January 2006, we introduced our Dual Stage Ultrafilter, or DSU, water filtration system. The DSU incorporates our unique and proprietary dual
stage filter architecture. Our research and development work on the OLpur H2H and MD filter technologies for ESRD therapy provided the foundations for a
proprietary multi-stage water filter that we believe is cost effective, extremely reliable, and long-lasting. We believe our DSU can offer a robust solution to
various  contaminated  water  and  infection  control  issues.  The  DSU  is  designed  to  remove  a  broad  range  of  bacteria,  viral  agents  and  toxic  substances,
including salmonella, hepatitis, cholera, HIV, Ebola virus, ricin toxin, legionella, fungi and e-coli. We believe our DSU offers four distinct advantages over
competitors in the water filtration marketplace:

(1)

(2)

(3)

the DSU is, to our knowledge, the only water filter that has the potential to provide the user with a simple sight verification that
the filter is properly performing its cleansing function due to our unique dual-stage architecture;

the DSU filters finer biological contaminants than other filters of which we are aware in the water filtration marketplace;

the DSU filters relatively large volumes of water before requiring replacement; and

12

 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
(4)

the DSU continues to protect the user even if the flow is reduced by contaminant volumes, because contaminants do not cross
the filtration medium.

With over 5,800 registered hospitals in the United States alone, we believe the hospital shower and faucet market can offer us a valuable opportunity
as a first step in water filtration. We hope to gain a foothold at U.S. and European facilities that seek to become centers of excellence in infection control
through the use of our DSU products.

Due to the ongoing concerns of maintaining water quality, on October 7, 2008, we filed a 510(k) application for approval to market our DSU to
dialysis clinics for in-line purification of dialysate water.  On July 1, 2009, we received FDA approval of the DSU to be used to filter biological contaminants
from water and bicarbonate concentrate used in hemodialysis procedures.

In  2006,  the  U.S.  Defense  Department  budget  included  an  appropriation  for  the  U.S.  Marine  Corps  for  development  of  a  dual  stage  water  ultra
filter.  In connection with this Federal appropriation of approximately $1 million, we worked on the development of a personal potable water purification
system for use by war fighters. Work on this project was completed in August 2009 and we have billed approximately $900,000 during the twenty months
ended August 2009.  In August 2009, we were awarded a new $1.8 million research contract from the Office of Naval Research (ONR) for development of a
potable dual-stage military water purifying filter. The research contract is an expansion of our former ONR contract which is being performed as part of the
Marine  Corps  Advanced  Technology  Demonstration  (ATD)  project.    The  primary  objective  of  this  expanded  research  program  is  to  select  concepts  and
functional prototype filter/pump units which were developed during the first phase of the project, and further develop them into smaller field-testable devices
that  can  be  used  for  military  evaluation  purposes.   An  advantage  of  our  ultrafilter  is  the  removal  of  viruses  which  are  not  removed  with  commercially
available  off-the-shelf  microfilter  devices.  Such  devices  generally  rely  on  a  secondary  chemical  disinfection  step  to  make  the  water  safe  to  drink.  The
expanded contract also includes research geared toward improving membrane performance, improving device durability, developing larger squad-level water
purifier devices, and investigating desalination filter/pump devices for emergency-use purposes. Approximately $463,000 and $846,000 has been billed to this
project during the years ended December 31, 2011 and 2010, respectively. Approximately $1,732,000 of revenue has been recognized on this $1.8 million
project since its beginning in September 2009. 

During 2010, in response to a Request For Information (RFI) from the U.S. Army, Nephros submitted its UF-40 ultrafilter for consideration as part
of the standard issue hydration pack for soldiers in the field.  Nephros has been informed by the U.S. Army Public Health Command that its UF-40 filter has
been validated to meet the military’s NSF P248 standard for emergency military operations as a microbiological water purifier.  Nephros believes that its UF-
40 filter is the only stand-alone filter to date to have met the performance criteria of the NSF P248 standard without secondary disinfection steps.  The Army
has not to date issued a Request For Proposal (RFP), and Nephros has no information regarding when or if an RFP applicable to the UF-40 ultrafilter may be
put forth by the U.S. Army.

In March 2010, we entered into a development agreement with STERIS Corporation to jointly develop filtration-based products for medical device
applications. We received an initial payment upon entering into the agreement of $40,000 and were eligible to receive additional payments upon successful
completion  of  product  development  milestones.  During  2010,  we  completed  the  initial  milestone  under  the  joint  collaboration  agreement  with  STERIS
Corporation and completed the remaining milestones under the agreement during the first three quarters of 2011.  Completion of these milestones resulted in
aggregate payments to us of $100,000 during 2010, of which approximately $67,000 was recognized in 2010 and approximately $33,000 was recognized in
2011. The remaining milestones, when completed, will result in additional payments of $60,000.

The  adoption  by  the Association  for  the  Advancement  of  Medical  Instruments,  or  AAMI,  of  more  stringent  water  purity  standards  for  dialysis
applications  as  well  as  observational  studies  showing  a  significant  reduction  in  required  erythropoietin  dosing  when  the  Nephros  DSU  is  utilized  during
dialysis therapy has significantly increased interest in the product.  We have filed a special 510(k) application for our Small Sterile UltraFilter (also called the
Safe Spout filter) and Mega Sterile UltraFilter to enable these products to be used in dialysis applications.  We expect to realize accelerating product sales to
the U.S. dialysis market as a combined result of these driving factors.  

We have also introduced the DSU to various government agencies as a solution to providing potable water in certain emergency response situations.

We have also begun investigating a range of commercial, industrial and retail opportunities for our DSU technology.

Our Strategy

We  believe  that  current  mortality  and  morbidity  statistics,  in  combination  with  quality  of  life  issues  faced  by  the  ESRD  patient,  have  generated
demand for improved ESRD therapies. We also believe that our products and patented technology offer the ability to remove toxins more effectively than
current dialysis therapy, in a cost framework competitive with currently available, less-effective therapies. We also believe the recent changes resulting from
the Medicare Improvements for Patients and Providers Act (MIPPA), which sets reimbursement for dialysis treatment costs, lab work and IV drugs into a
single “bundled” rate, will have a positive impact toward the adoption of our products as they have the potential to reduce the amount of IV drugs being
administered to dialysis patients. The following are some highlights of our current strategy:

13

 
 
 
 
 
 
 
 
 
  
  
 
 
Showcase Product Efficacy in our Target European Market:  As of March 2004, we initiated marketing in our Target European Market for the OLpur
MD220. There is an opportunity for sales of the OLpur MDHDF filters in our Target European Market because there is an established HDF machine base
using disposable dialyzers. We have engaged in a series of clinical trials throughout our Target European Market to demonstrate the superior efficacy of our
product. We believe that by demonstrating the effectiveness of our MDHDF filter series we will encourage more customers to purchase our products. Our
MDHDF filter series has been applied successfully in over 200,000 treatments to date.

Upgrade Fluid Quality feeding Hemodialysis Machines:   Promote use of our patented Dual Stage Ultrafilter (DSU), which has been cleared by the
FDA for use in hemodialysis applications as a water and bicarbonate concentrate ultrafilter, as a means to achieve a lower overall treatment cost under the
new “bundled” reimbursement system. Based on recent observations, we believe a dialysis clinic can lower costs of erythropoietin stimulating agents (ESA),
such as Epogen® (EPO), by simply installing DSU filters on the incoming water lines feeding their hemodialysis machines.

Convert Existing Hemodialysis Machines to Hemodiafiltration:  We plan to complete our regulatory approval processes in the United States for both
our OLpur MDHDF filter series and our OLpur H2H in 2012. If successfully approved, our OLpur H2H product will enable HDF therapy using the most
common types of hemodialysis machines together with our OLpur MDHDF filters. Our goal is to achieve market penetration by offering the OLpur H2H for
use  by  healthcare  providers  inexpensively,  thus  permitting  the  providers  to  use  the  OLpur  H2H  without  a  large  initial  capital  outlay.  We  do  not  expect  to
generate significant positive margins from sales of OLpur H2H. We believe that, if approved in 2012, our OLpur H2H and MDHDF filters will be the first
and only HDF therapy available in the United States at that time.

Upgrade  Dialysis  Clinics  to  OLpur  NS2000:   We  believe  the  introduction  of  the  OLpur  NS2000  to  the  market  will  represent  a  further  upgrade  in
performance  for  dialysis  clinics  by  offering  a  cost-effective  stand-alone  HDF  solution  that  incorporates  the  benefits  of  our  OLpur  H2H  technology.  We
believe dialysis clinics will entertain OLpur NS2000 as an alternative to their current technology at such dialysis clinic’s machine replacement point.

Develop a Foothold in the Healthcare Arena by Offering our DSU as a Means to Control Environment-Acquired Infections :  We believe our DSU
offers an effective, and cost-effective, solution in conquering certain infection control issues faced by hospitals, nursing homes, assisted living facilities and
other  patient  environments  where  chemical  or  heat  alternatives  have  typically  failed  to  adequately  address  the  problem.  The  DSU  provides  for  simple
implementation without large capital expenses.

Pursue our Military Product Development in Conjunction with Value-Adding Partners:  For our military development, we are engaging with strategic
allies  who  offer  added  value  with  respect  to  both  new  product  and  marketing  opportunities.  One  of  our  goals  in  pursuing  this  project  is  to  maintain  and
expand our new product development pipeline and achieve new products suitable for both military and domestic applications.

Explore Complementary Product Opportunities:  Where appropriate, we are also seeking to leverage our technologies and expertise by applying them
to new markets, such as currently being done under a development contract with STERIS Corporation. Our H2H has potential applications in acute patient
care  and  controlled  provision  of  ultrapure  fluids  in  the  field.  Our  DSU  represents  a  new  and  complementary  product  line  to  our  existing  ESRD  therapy
business; we believe the Nephros DSU can offer a robust solution to a broad range of contaminated water and infection control issues.

Manufacturing and Suppliers

We do not, and do not intend to in the near future, manufacture any of our products and components. With regard to the OLpur MD190 and MD220,
on June 27, 2011, we entered into a license agreement, effective July 1, 2011, with Bellco S.r.l., an Italy-based supplier of hemodialysis and intensive care
products, for the manufacturing, marketing and sale of our patented mid-dilution dialysis filters (MD 190, MD 220), referred to herein as the Products. Under
the agreement, we granted Bellco a license to manufacture, market and sell the Products under its own name, label and CE mark in Italy, France, Belgium,
Spain and Canada on an exclusive basis, and to do the same on a non-exclusive basis in the United Kingdom and Greece and, upon our written approval,
other European countries where we do not sell the Products as well as non-European countries, all such countries herein referred to as the Territory.

In exchange for the rights granted to it under the Bellco license agreement through December 31, 2014, Bellco agreed to pay us installment payments
of €500,000, €750,000, €600,000 on July 1, 2011, January 15, 2012 and January 15, 2013, respectively. Such installment payments, herein referred to as the
Installment Payments, are Bellco’s sole financial obligations through December 31, 2014. Beginning on January 1, 2015 through and including December 31,
2016, Bellco will pay to us a royalty based on the number of units of Products sold per year in the Territory as follows: for the first 103,000 units sold, Bellco
will pay €4.50 per unit; thereafter, Bellco will pay €4.00 per unit. Bellco must meet minimum sales targets of 15,000 units in each quarter of 2015 and 2016.
If Bellco fails to meet a quarterly minimum, the license in Italy, France, Belgium, Spain and Canada will, at our discretion, convert to a non-exclusive one.
All sums payable under the agreement will be paid in Euros, as adjusted to account for currency exchange fluctuations between the Euro and the U.S. dollar
that occur between July 1, 2011, the effective date of the agreement, and the date of payment.

14

 
 
 
 
 
 
 
 
  
 
  
 
A contract manufacturer produces the DSU product(s) as ordered.

Sales and Marketing

We have established a distributor network to sell ESRD products in our Target European Market and, when regulatory approval is obtained, intend to
establish a similar arrangement in the United States. On February 25, 2010, we announced that we signed an exclusive distribution agreement with Bellco
Health  Care  Inc.  (“BHC  Medical”)  to  sell  and  market  Nephros’  OLpurTM  MD  220  filter  for  on-line  HDF  therapy  in  Canada.  Under  the  terms  of  the
Agreement,  Nephros  and  BHC  Medical  will  work  together  to  promote  the  sale  and  distribution  of  Nephros’  OLpurTM  MD  220  filters  through  various
advertising and promotional campaigns and by working with and training BHC’s sales and support staff.

With regard to the OLpur MD190 and MD220, on June 27, 2011, we entered into a license agreement, effective July 1, 2011, with Bellco S.r.l., an
Italy-based supplier of hemodialysis and intensive care products, for the manufacturing, marketing and sale of our patented mid-dilution dialysis filters (MD
190, MD 220), referred to herein as the Products.  Under the agreement, we granted Bellco a license to manufacture, market and sell the Products under its
own name, label and CE mark in Italy, France, Belgium, Spain and Canada on an exclusive basis, and to do the same on a non-exclusive basis in the United
Kingdom and Greece and, upon our written approval, other European countries where we do not sell the Products as well as non-European countries, all such
countries herein referred to as the Territory. In addition, if requested by us, Bellco will be required to sell the Products to our distributors in the Territory.

In exchange for the rights granted to it under the Bellco license agreement through December 31, 2014, Bellco agreed to pay us installment payments
of €500,000, €750,000, €600,000 on July 1, 2011, January 15, 2012 and January 15, 2013, respectively. Such installment payments, herein referred to as the
Installment Payments, are Bellco’s sole financial obligations through December 31, 2014. Beginning on January 1, 2015 through and including December 31,
2016, Bellco will pay to us a royalty based on the number of units of Products sold per year in the Territory as follows: for the first 103,000 units sold, Bellco
will pay €4.50 per unit; thereafter, Bellco will pay €4.00 per unit. Bellco must meet minimum sales targets of 15,000 units in each quarter of 2015 and 2016.
If Bellco fails to meet a quarterly minimum, the license in Italy, France, Belgium, Spain and Canada will, at our discretion, convert to a non-exclusive one.
All sums payable under the agreement will be paid in Euros, as adjusted to account for currency exchange fluctuations between the Euro and the U.S. dollar
that occur between July 1, 2011, the effective date of the agreement, and the date of payment.

Our New Jersey office oversees sales and marketing activity of our DSU products. We are in discussions with several medical products and filtration
products suppliers to act as non-exclusive distributors of our DSU products to medical institutions. For each prospective market for our DSU products, we are
pursuing  alliance  opportunities  for  joint  product  development  and  distribution.  In  July  2010,  we  announced  a  distribution  agreement  with  AmeriWater
Corporation and that AmeriWater had adopted the Nephros DSU as a standard component of its MRO portable reverse osmosis water treatment systems for
dialysis. Our DSU manufacturer in Europe shares certain intellectual property rights with us for one of our DSU designs.

Research and Development

Our research and development efforts continue on several fronts directly related to our current product lines.  We are also working on additional

machine devices, next-generation user interface enhancements and other product enhancements.

In the area of water filtration, we have finalized our initial water filtration product line for the healthcare sector.

In  2006,  the  U.S.  Defense  Department  budget  included  an  appropriation  for  the  U.S.  Marine  Corps  for  development  of  a  dual  stage  water  ultra
filter.  In connection with this Federal appropriation of approximately $1 million, we worked on the development of a personal potable water purification
system for use by warfighters. Work on this project was completed in August 2009 and we have billed approximately $900,000 during the twenty months
ended August 2009.  In August 2009, we were awarded a new $1.8 million research contract from the Office of Naval Research (ONR) for development of a
potable dual-stage military water purifying filter. The research contract is an expansion of our former ONR contract which is being performed as part of the
Marine  Corps  Advanced  Technology  Demonstration  (ATD)  project.    The  primary  objective  of  this  expanded  research  program  is  to  select  concepts  and
functional prototype filter/pump units which were developed during the first phase of the project, and further develop them into smaller field-testable devices
that  can  be  used  for  military  evaluation  purposes.   An  advantage  of  our  ultrafilter  is  the  removal  of  viruses  which  are  not  removed  with  commercially
available  off-the-shelf  microfilter  devices.  Such  devices  generally  rely  on  a  secondary  chemical  disinfection  step  to  make  the  water  safe  to  drink.  The
expanded contract also includes research geared toward improving membrane performance, improving device durability, developing larger squad-level water
purifier devices, and investigating desalination filter/pump devices for emergency-use purposes.  Approximately $463,000 and $846,000 has been billed to
this project during the years ended December 31, 2011 and 2010, respectively. Approximately $1,732,000 of revenue has been recognized on this $1.8 million
project since its beginning in September 2009.

15

 
 
 
 
 
 
 
 
 
 
 
 
During 2010, in response to a Request For Information (RFI) from the U.S. Army, Nephros submitted its UF-40 ultrafilter for consideration as part
of the standard issue hydration pack for soldiers in the field.  Nephros has been informed by the U.S. Army Public Health Command that its UF-40 filter has
been validated to meet the military’s NSF P248 standard for emergency military operations as a microbiological water purifier.  Nephros believes that its UF-
40 filter is the only stand-alone filter to date to have met the performance criteria of the NSF P248 standard without secondary disinfection steps.  The Army
has not to date issued a Request For Proposal (RFP), and Nephros has no information regarding when or if an RFP applicable to the UF-40 ultrafilter may be
put forth by the U.S. Army.

We have also introduced the DSU to various government agencies as a solution to providing potable water in certain emergency response situations.

We have also begun investigating a range of commercial, industrial and retail opportunities for our DSU technology.

In March 2010, we entered into a development agreement with STERIS Corporation to jointly develop filtration-based products for medical device
applications. We received an initial payment upon entering into the agreement of $40,000 and were eligible to receive additional payments upon successful
completion  of  product  development  milestones.  During  2010,  we  completed  the  initial  milestone  under  the  joint  collaboration  agreement  with  STERIS
Corporation and completed the remaining milestones under the agreement during the first three quarters of 2011.  Completion of these milestones resulted in
aggregate payments to us of $100,000 during 2010, of which approximately $67,000 was recognized in 2010 and approximately $33,000 was recognized in
2011. The remaining milestones, when completed, will result in additional payments of $60,000.

Our  research  and  development  expenditures  were  primarily  related  to  development  expenses  associated  with  the  H2H  machine,  STERIS

development work and related salary expense for the years ended December 31, 2011 and 2010 and were $451,000 and $362,000, respectively.

Competition

The dialyzer and renal replacement therapy market is subject to intense competition. Accordingly, our future success will depend on our ability to

meet the clinical needs of physicians and nephrologists, improve patient outcomes and remain cost-effective for payers.

We compete with other suppliers of ESRD therapies, supplies and services. These suppliers include Fresenius Medical Care AG, and Gambro AB,
currently  two  of  the  primary  machine  manufacturers  in  hemodialysis.  At  present,  Fresenius  Medical  Care  AG  and  Gambro  AB  also  manufacture  HDF
machines.

The markets in which we sell our dialysis products are highly competitive. Our competitors in the sale of hemodialysis products include Gambro
AB, Baxter International Inc., Asahi Kasei Medical Co. Ltd., Bellco S.p.A., a subsidiary of the Sorin group, B. Braun Melsungen AG, Nipro Corporation
Ltd., Nikkiso Co., Ltd., Terumo Corporation and Toray Medical Co., Ltd.

Other competitive considerations include pharmacological and technological advances in preventing the progression of ESRD in high-risk patients
such as those with diabetes and hypertension, technological developments by others in the area of dialysis, the development of new medications designed to
reduce the incidence of kidney transplant rejection and progress in using kidneys harvested from genetically-engineered animals as a source of transplants.

We are not aware of any other companies using technology similar to ours in the treatment of ESRD. Our competition would increase, however, if
companies that currently sell ESRD products, or new companies that enter the market, develop technology that is more efficient than ours. We believe that in
order to become competitive in this market, we will need to develop and maintain competitive products and take and hold sufficient market share from our
competitors. Therefore, we expect our methods of competing in the ESRD marketplace to include:

·

·

continuing our efforts to develop, have manufactured and sell products which, when compared to existing products, perform
more efficiently and are available at prices that are acceptable to the market;

displaying our products and providing associated literature at major industry trade shows in the United States;

16

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
·

·

·

·

initiating  discussions  with  dialysis  clinic  medical  directors,  as  well  as  representatives  of  dialysis  clinical  chains,  to  develop
interest in our products;

offering the OLpur H2H at a price that does not provide us with significant positive margins in order to encourage adoption of
this product and associated demand for our dialyzers;

pursuing  alliance  opportunities  in  certain  territories  for  distribution  of  our  products  and  possible  alternative  manufacturing
facilities; and

entering into license agreements similar to the Bellco S.r.l. agreement to expand market share.

With  respect  to  the  water  filtration  market,  we  expect  to  compete  with  companies  that  are  well  entrenched  in  the  water  filtration  domain.  These
companies include Pall Corporation, which manufactures end-point water filtration systems, as well as CUNO (a 3M Company) and US Filter (a Siemens
business). Our methods of competition in the water filtration domain include:

developing  and  marketing  products  that  are  designed  to  meet  critical  and  specific  customer  needs  more  effectively  than
competitive devices;

offering unique attributes that illustrate our product reliability, “user-friendliness,” and performance capabilities;

selling products to specific customer groups where our unique product attributes are mission-critical; and

pursuing alliance opportunities for joint product development and distribution.

·

·

·

·

Intellectual Property

Patents

We protect our technology and products through patents and patent applications. In addition to the United States, we also applied for patents in other
jurisdictions, such as the European Patent Office, Canada and Japan, to the extent we deem appropriate. We have built a portfolio of patents and applications
covering our products, including their hardware design and methods of hemodiafiltration.

We believe that our patent strategy will provide a competitive advantage in our target markets, but our patents may not be broad enough to cover our
competitors’ products and may be subject to invalidation claims. Our U.S. patents for the “Method and Apparatus for Efficient Hemodiafiltration” and for the
“Dual-Stage Filtration Cartridge,” have claims that cover the OLpur MDHDF filter series and the method of hemodiafiltration employed in the operation of
the products. Although there are pending applications with claims to the present embodiments of the OLpur H2H and the OLpur NS2000 products, these
products are still in the development stage and we cannot determine if the applications (or the patents that we may issue on them) will also cover the ultimate
commercial embodiment of these products. In addition, technological developments in ESRD therapy could reduce the value of our intellectual property. Any
such reduction could be rapid and unanticipated. We have applied for patents on our DSU water filtration products to cover various applications in residential,
commercial, and remote environments.

As of December 31, 2011, we have sixteen issued U.S. patents; one issued Eurasian patent; five Mexican patents, four South Korean patents, three
Russian patents, six Chinese patents, nine French patents, nine German patents, four Israeli patents, seven Italian patents, three Spanish patents, eight United
Kingdom patents, eleven Japanese patents, three Hong Kong patents, ten Canadian patents, one Australian patent, and one patent in Brazil. Our issued U.S.
patents expire between 2018 and 2026. In addition, we have four pending U.S. patent applications, four pending patent applications in Canada, five pending
patent applications in the European Patent Office, four pending patent applications in Brazil, two pending patent applications in China, one pending patent
application in Japan, two pending patent applications in Mexico, one pending patent application in South Korea, two pending patent applications in India, and
four  pending  patent  applications  in  Israel.  Our  pending  patent  applications  relate  to  a  range  of  dialysis  technologies,  including  cartridge  configurations,
cartridge assembly, substitution fluid systems, and methods to enhance toxin removal. We also have pending patent applications on our DSU water filtration
system, pump/filter applications related to our Office of Naval Research project, and means to test filter integrity as part of a liquid purification system.

17

 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We have filed U.S. and International patent applications for a redundant ultra filtration device that was jointly invented by one of our employees and
an  employee  of  our  contract  manufacturer  (“CM”).  We  and  our  CM  are  negotiating  commercial  arrangements  pertaining  to  the  invention  and  the  patent
applications.

Trademarks

As  of  December  31,  2011,  we  secured  registrations  of  the  trademarks  CENTRAPUR,  H2H,  OLpur  and  the  Arrows  Logo  in  the  European  Union.
Applications for these trademarks are pending registration in the United States. We also have applications for registration of a number of other marks pending
in the United States Patent and Trademark Office.

Governmental Regulation

The research and development, manufacturing, promotion, marketing and distribution of our ESRD therapy products in the United States, our Target
European Market and other regions of the world are subject to regulation by numerous governmental authorities, including the FDA, the European Union and
analogous agencies.

United States

The  FDA  regulates  the  manufacture  and  distribution  of  medical  devices  in  the  United  States  pursuant  to  the  FDC  Act.  All  of  our  ESRD  therapy
products are regulated in the United States as medical devices by the FDA under the FDC Act. Under the FDC Act, medical devices are classified in one of
three classes, namely Class I, II or III, on the basis of the controls deemed necessary by the FDA to reasonably ensure their safety and effectiveness.

·

·

·

Class I devices are medical devices for which general controls are deemed sufficient to ensure their safety and effectiveness.
General  controls  include  provisions  related  to  (1)  labeling,  (2)  producer  registration,  (3)  defect  notification,  (4)  records  and
reports and (5) quality service requirements, or QSR.
Class II devices are medical devices for which the general controls for the Class I devices are deemed not sufficient to ensure
their safety and effectiveness and require special controls in addition to the general controls. Special controls include provisions
related  to  (1)  performance  and  design  standards,  (2)  post-market  surveillance,  (3)  patient  registries  and  (4)  the  use  of  FDA
guidelines.

Class III devices are the most regulated medical devices and are generally limited to devices that support or sustain human life
or are of substantial importance in preventing impairment of human health or present a potential, unreasonable risk of illness or
injury. Pre-market approval by the FDA is the required process of scientific review to ensure the safety and effectiveness of
Class III devices.

Before a new medical device can be introduced to the market, FDA clearance of a pre-market notification under Section 510(k) of the FDC Act or
FDA  clearance  of  a  pre-market  approval,  or  PMA,  application  under  Section  515  of  the  FDC  Act  must  be  obtained.  A  Section  510(k)  clearance  will  be
granted if the submitted information establishes that the proposed device is “substantially equivalent” to a legally marketed Class I or Class II medical device
or  to  a  Class  III  medical  device  for  which  the  FDA  has  not  called  for  pre-market  approval  under  Section  515.  The  Section  510(k)  pre-market  clearance
process is generally faster and simpler than the Section 515 pre-market approval process. We understand that it generally takes four to 12 months from the
date a Section 510(k) notification is accepted for filing to obtain Section 510(k) pre-market clearance, (but has taken much longer in the case of our OLpur
H2H module and OLpur MD 220 filter) and that it could take several years from the date a Section 515 application is accepted for filing to obtain Section 515
pre-market approval, although it may take longer in both cases.

We  expect  that  all  of  our  ESRD  therapy  products  and  our  DSU  will  be  categorized  as  Class  II  devices  and  that  these  products  will  not  require
clearance  of  pre-market  approval  applications  under  Section  515  of  the  FDC  Act,  but  will  be  eligible  for  marketing  clearance  through  the  pre-market
notification process under Section 510(k). We have determined that we are eligible to utilize the Section 510(k) pre-market notification process based upon
our ESRD therapy and DSU products’ substantial equivalence to previously legally marketed devices in the United States. However, we cannot assure you:

·

·

that we will not need to reevaluate the applicability of the Section 510(k) pre-market notification process to our ESRD therapy
and DSU products in the future;

that the FDA will agree with our determination that we are eligible to use the Section 510(k) pre-market notification process; or

18

 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
·

that the FDA will not in the future require us to submit a Section 515 pre-market approval application, which would be a more
costly, lengthy and uncertain approval process.

The  FDA  has  recently  been  requiring  a  more  rigorous  demonstration  of  substantial  equivalence  than  in  the  past  and  may  request  clinical  data  to
support pre-market clearance. As a result, the FDA could refuse to accept for filing a Section 510(k) notification made by us or request the submission of
additional information. The FDA may determine that any one of our proposed ESRD therapy products is not substantially equivalent to a legally marketed
device or that additional information is needed before a substantial equivalence determination can be made. A “not substantially equivalent” determination, or
request for additional data, could prevent or delay the market introduction of our products that fall into this category, which in turn could have a material
adverse effect on our potential sales and revenues. Moreover, even if the FDA does clear one or all of our products under the Section 510(k) process, it may
clear a product for some procedures but not others or for certain classes of patients and not others.

For any devices cleared through the Section 510(k) process, modifications or enhancements that could significantly affect the safety or effectiveness
of  the  device  or  that  constitute  a  major  change  to  the  intended  use  of  the  device  will  require  a  new  Section  510(k)  pre-market  notification  submission.
Accordingly, if we do obtain Section 510(k) pre-market clearance for any of our ESRD therapy and DSU products, we will need to submit another Section
510(k) pre-market notification if we significantly affect that product’s safety or effectiveness through subsequent modifications or enhancements.

If  human  clinical  trials  of  a  device  are  required  in  connection  with  a  Section  510(k)  notification  and  the  device  presents  a  “significant  risk,”  the
sponsor of the trial (usually the manufacturer or distributor of the device) will need to file an IDE application prior to commencing human clinical trials. The
IDE  application  must  be  supported  by  data,  typically  including  the  results  of  animal  testing  and/or  laboratory  bench  testing.  If  the  IDE  application  is
approved, human clinical trials may begin at a specific number of investigational sites with a specific number of patients, as specified in the IDE. Sponsors of
clinical trials are permitted to sell those devices distributed in the course of the study provided such compensation does not exceed recovery of the costs of
manufacture, research, development and handling. An IDE supplement must be submitted to the FDA before a sponsor or investigator may make a change to
the investigational plan that may affect its scientific soundness or the rights, safety or welfare of subjects. We submitted our original IDE application to the
FDA for our OLpur H2H hemodiafiltration module and OLpur MD220 filter in May 2006. The FDA answered our application with additional questions in
June 2006, and we submitted responses to the FDA questions in December 2006. In January 2007, we received conditional approval for our IDE application
from the FDA to begin human clinical trials of our OLpur H2H hemodiafiltration module and OLpur MD220 hemodiafilter. In March 2007, we received full
approval on our IDE application from the FDA to begin human clinical trials of our OLpur H2H hemodiafiltration module and OLpur MD220 hemodiafilter.
We completed the patient treatment phase of our clinical trials during the second quarter of 2008 and filed our 510(k) applications with respect to the OLpur
MDHDF  filter  series  and  the  OLpur  H2H  module  in  November  2008.    No  IDE  was  required  for  our  DSU  product.  On  July  1,  2009,  we  received  FDA
approval  of  the  DSU  to  be  used  to  filter  biological  contaminants  from  water  and  bicarbonate  concentrate  used  in  hemodialysis  procedures.    We  hope  to
achieve U.S. regulatory approval of our OLpūr H2H module and OLpūr MD 220 filter products during 2012.  Following its review of our OLpur MDHDF
filter series and the OLpur H2H module applications, the FDA has requested additional information from us.  We replied to the FDA inquiries on March 13,
2009.

On  June  30,  2010,  we  received  a  final  decision  letter  from  the  FDA  for  our  510(k)  submission  which  stated  that  the  FDA  could  not  reach  a
substantial equivalence determination for our hemodiafiltration (HDF) system. An in-person meeting with the FDA took place on September 10, 2010, where
the issues raised in the current FDA letter were discussed as well as the process for moving forward.  We have engaged King & Spalding LLP as regulatory
counsel  to  advise  us  in  our  interactions  with  the  FDA.   Another  in-person  meeting  with  the  FDA  took  place  on  April  20,  2011  to  discuss  a  proposal  for
submission  of  a  new  510(k)  application  for  its  on-line  HDF  system.  On  August  11,  2011  Nephros  submitted  a  new  510(k)  application  to  market  its
hemodiafiltration (HDF) system for end-stage renal disease.   The application is subject to the FDA’s standard 90-day review period.  The application details
Nephros’ OLpur MD220 diafilter and Nephros’ OLpur H2H Hemodiafiltration module. Nephros’ OLpur MD220 is a dialyzer designed expressly for HDF
therapy that employs Nephros’ proprietary Mid-Dilution diafiltration technology. Nephros’ OLpur H2H Hemodiafiltration module is designed to enable the
most common types of standard dialysis machines to perform HDF therapy. On November 8, 2011 the Company received the initial FDA review of its new
510(k) application (K112314), which included a request for additional information. The Company provided answers to the FDA’s request in early February
2012  and  awaits  further  communication  from  the  FDA.  The  Company  believes  that,  if  approved,  its  technology  would  be  the  first  FDA-approved  on-line
HDF therapy available in the U.S. The prior decision by the U.S. FDA with regard to our HDF system does not impact our ability to market and sell our mid-
dilution (MD) filters for hemodiafiltration procedures outside of the U.S.

The Section 510(k) pre-market clearance process can be lengthy and uncertain. It will require substantial commitments of our financial resources and

management’s time and effort. Significant delays in this process could occur as a result of factors including:

·

·

our inability to timely raise sufficient funds;

the FDA’s failure to schedule advisory review panels;

19

 
 
 
 
 
  
 
 
 
 
 
 
 
·

·

·

changes in established review guidelines;

changes in regulations or administrative interpretations; or

determinations by the FDA that clinical data collected is insufficient to support the safety and effectiveness of one or more of
our products for their intended uses or that the data warrants the continuation of clinical studies.

Delays in obtaining, or failure to obtain, requisite regulatory approvals or clearances in the United States for any of our products would prevent us
from selling those products in the United States and would impair our ability to generate funds from sales of those products in the United States, which in turn
could have a material adverse effect on our business, financial condition, and results of operations.

The  FDC  Act  requires  that  medical  devices  be  manufactured  in  accordance  with  the  FDA’s  current  QSR  regulations  which  require,  among  other

things, that:

·

·

·

·

·

the design and manufacturing processes be regulated and controlled by the use of written procedures;

the  ability  to  produce  medical  devices  which  meet  the  manufacturer’s  specifications  be  validated  by  extensive  and  detailed
testing of every aspect of the process;

any deficiencies in the manufacturing process or in the products produced be investigated;

detailed records be kept and a corrective and preventative action plan be in place; and

manufacturing facilities be subject to FDA inspection on a periodic basis to monitor compliance with QSR regulations.

If violations of the applicable QSR regulations are noted during FDA inspections of our manufacturing facilities or the manufacturing facilities of

our contract manufacturers, there may be a material adverse effect on our ability to produce and sell our products.

Before the FDA approves a Section 510(k) pre-market notification, the FDA is likely to inspect the relevant manufacturing facilities and processes to
ensure their continued compliance with QSR. Although some of the manufacturing facilities and processes that we expect to use to manufacture our ESRD
and  DSU  filters  have  been  inspected  and  certified  by  a  worldwide  testing  and  certification  agency  (also  referred  to  as  a  notified  body)  that  performs
conformity assessments to European Union requirements for medical devices, they have not all been inspected by the FDA. Similarly, although some of the
facilities  and  processes  that  we  expect  to  use  to  manufacture  our  OLpur  H2H  have  been  inspected  by  the  FDA,  they  have  not  all  been  inspected  by  any
notified  body.  A  “notified  body”  is  a  group  accredited  and  monitored  by  governmental  agencies  that  inspects  manufacturing  facilities  and  quality  control
systems  at  regular  intervals  and  is  authorized  to  carry  out  unannounced  inspections.  Even  after  the  FDA  has  cleared  a  Section  510(k)  submission,  it  will
periodically  inspect  the  manufacturing  facilities  and  processes  for  compliance  with  QSR.  In  addition,  in  the  event  that  additional  manufacturing  sites  are
added  or  manufacturing  processes  are  changed,  such  new  facilities  and  processes  are  also  subject  to  FDA  inspection  for  compliance  with  QSR.  The
manufacturing facilities and processes that will be used to manufacture our products have not yet been inspected by the FDA for compliance with QSR. We
cannot assure you that the facilities and processes used by us will be found to comply with QSR and there is a risk that clearance or approval will, therefore,
be delayed by the FDA until such compliance is achieved.

In addition to the requirements described above, the FDC Act requires that:

·

·

·

all  medical  device  manufacturers  and  distributors  register  with  the  FDA  annually  and  provide  the  FDA  with  a  list  of  those
medical devices which they distribute commercially;

information be provided to the FDA on death or serious injuries alleged to have been associated with the use of the products, as
well as product malfunctions that would likely cause or contribute to death or serious injury if the malfunction were to recur;
and

certain medical devices not cleared with the FDA for marketing in the United States meet specific requirements before they are
exported.

20

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
European Union

The European Union began to harmonize national regulations comprehensively for the control of medical devices in member nations in 1993, when it
adopted  its  Medical  Devices  Directive  93/42/EEC.  The  European  Union  directive  applies  to  both  the  manufacturer’s  quality  assurance  system  and  the
product’s technical design and discusses the various ways to obtain approval of a device (dependent on device classification), how to properly CE Mark a
device and how to place a device on the market. We have subjected our entire business in our Target European Market to the most comprehensive procedural
approach in order to demonstrate the quality standards and performance of our operations, which we believe is also the fastest way to launch a new product in
the European Community.

The regulatory approach necessary to demonstrate to the European Union that the organization has the ability to provide medical devices and related
services that consistently meet customer requirements and regulatory requirements applicable to medical devices requires the certification of a full quality
management system by a notified body. Initially, we engaged TÜV Rheinland of North America, Inc. (“TÜV Rheinland”) as the notified body to assist us in
obtaining  certification  to  the  International  Organization  for  Standardization,  or  ISO,  13485/2003  standard,  which  demonstrates  the  presence  of  a  quality
management system that can be used by an organization for design and development, production, installation and servicing of medical devices and the design,
development and provision of related services.

European  Union  requirements  for  products  are  set  forth  in  harmonized  European  Union  standards  and  include  conformity  to  safety  requirements,
physical  and  biological  properties,  construction  and  environmental  properties,  and  information  supplied  by  the  manufacturer.  A  company  demonstrates
conformity to these requirements, with respect to a product, by pre-clinical tests, biocompatibility tests, qualification of products and packaging, risk analysis
and well-conducted clinical investigations approved by ethics committees.

Once a manufacturer’s full quality management system is determined to be in compliance with ISO 13485/2003 and other statutory requirements, and
the manufacturer’s products conform to harmonized European standards, the notified body will recommend and document such conformity. The manufacturer
will  receive  a  CE  marking  and  ISO  certifications,  and  then  may  place  a  CE  mark  on  the  relevant  products.  The  CE  mark,  which  stands  for  Conformité
Européenne,  demonstrates  compliance  with  the  relevant  European  Union  requirements.  Products  subject  to  these  provisions  that  do  not  bear  the  CE  mark
cannot be imported to, or sold or distributed within, the European Union.

In July 2003, we received a certification from TÜV Rheinland that our quality management system conforms to the requirements of the European
Community.  At  the  same  time,  TÜV  Rheinland  approved  our  use  of  the  CE  marking  with  respect  to  the  design  and  production  of  high  permeability
hemodialyzer products for ESRD therapy. In April 2010, we changed our notified body from TÜV Rheinland to BSI America, Inc. and expanded our scope to
include design and development and production of water filters.

With regard to the OLpur MD190 and MD220, on June 27, 2011, we entered into a license agreement, effective July 1, 2011, with Bellco S.r.l., an
Italy-based supplier of hemodialysis and intensive care products, for the manufacturing, marketing and sale of our patented mid-dilution dialysis filters (MD
190, MD 220), referred to herein as the Products.  Under the agreement, we granted Bellco a license to manufacture, market and sell the Products under its
own name, label and CE mark in Italy, France, Belgium, Spain and Canada on an exclusive basis, and to do the same on a non-exclusive basis in the United
Kingdom and Greece and, upon our written approval, other European countries where we do not sell the Products as well as non-European countries, all such
countries herein referred to as the Territory. In addition, if requested by us, Bellco will be required to sell the Products to our distributors in the Territory.

Regulatory Authorities in Regions Outside of the United States and the European Union

We also plan to sell our ESRD therapy products in foreign markets outside the United States which are not part of the European Union. Requirements
pertaining to medical devices vary widely from country to country, ranging from no health regulations to detailed submissions such as those required by the
FDA. We believe the extent and complexity of regulations for medical devices such as those produced by us are increasing worldwide. We anticipate that this
trend will continue and that the cost and time required to obtain approval to market in any given country will increase, with no assurance that such approval
will be obtained. Our ability to export into other countries may require compliance with ISO 13485, which is analogous to compliance with the FDA’s QSR
requirements. In November 2007 and May 2011, the Therapeutic Products Directorate of Health Canada, the Canadian health regulatory agency, approved our
OLpur MDHDF filter series and our Dual Stage Ultrafilter (DSU), respectively for marketing in Canada. Other than the CE marking and Canadian approval
of our OLpur MDHDF filter and DSU products, we have not obtained any regulatory approvals to sell any of our products and there is no assurance that any
such clearance or certification will be issued.

21

 
 
 
 
 
 
 
 
 
 
 
Reimbursement

In both domestic markets and markets outside of the United States, sales of our ESRD therapy products will depend in part, on the availability of
reimbursement from third-party payers. In the United States, ESRD providers are reimbursed through Medicare, Medicaid and private insurers. In countries
other than the United States, ESRD providers are also reimbursed through governmental and private insurers. In countries other than the United States, the
pricing and profitability of our products generally will be subject to government controls. Despite the continually expanding influence of the European Union,
national healthcare systems in its member nations, reimbursement decision-making included, are neither regulated nor integrated at the European Union level.
Each country has its own system, often closely protected by its corresponding national government.

Product Liability and Insurance

The production, marketing and sale of kidney dialysis products have an inherent risk of liability in the event of product failure or claim of harm caused
by product operation. We have acquired product liability insurance for our products in the amount of $5 million. A successful claim in excess of our insurance
coverage  could  materially  deplete  our  assets.  Moreover,  any  claim  against  us  could  generate  negative  publicity,  which  could  decrease  the  demand  for  our
products, our ability to generate revenues and our profitability.

Some  of  our  existing  and  potential  agreements  with  manufacturers  of  our  products  and  components  of  our  products  do  or  may  require  us  (1)  to
obtain product liability insurance or (2) to indemnify manufacturers against liabilities resulting from the sale of our products. If we are not able to maintain
adequate product liability insurance, we will be in breach of these agreements, which could materially adversely affect our ability to produce our products.
Even if we are able to obtain and maintain product liability insurance, if a successful claim in excess of our insurance coverage is made, then we may have to
indemnify some or all of our manufacturers for their losses, which could materially deplete our assets.

Employees

As of December 31, 2011, we employed a total of 7 employees, 6 of whom were full time and 1 who is employed on a part-time basis.  We also have
engaged 2 consultants on an ongoing basis. Of the 9 total employees and consultants, 2 are employed in a sales/marketing/customer support capacity, 3 in
general and administrative and 4 in research and development.

Gerald  Kochanski,  the  Company’s  Chief  Financial  Officer,  served  as  the  acting  Chief  Executive  Officer  from  March  30,  2010  until  April  5,  2010.
Since April 6, 2010, Paul A. Mieyal, a member of the Board of Directors, has served as the acting Chief Executive Officer following the resignation of our
former President and Chief Executive Officer on March 30, 2010. Dr. Mieyal is a Vice President of Wexford Capital LP, the managing member of Lambda
Investors  LLC,  which  is  the  beneficial  owner  of  approximately  56%  of  the  Company’s  outstanding  stock  based  on  common  stock  and  warrants  held  at
December 31, 2011.

Available Information

We make available free of charge on our website (http://www.nephros.com) our annual report on Form 10-K, quarterly reports on Form 10-Q, current
reports on Form 8-K, and all amendments to those reports, as soon as reasonably practicable after such material is electronically filed with or furnished to the
SEC.  We  provide  electronic  or  paper  copies  of  filings  free  of  charge  upon  request.  The  SEC  maintains  an  Internet  site  that  contains  reports,  proxy  and
information statements and other information regarding issuers that file with the SEC at http://www.sec.gov.

22

 
 
 
 
 
 
 
 
 
    
 
 
Item 1.A. Risk Factors

Risks Related to Our Company

Our independent registered public accountants, in their audit report related to our financial statements for the year ended December 31, 2011, expressed
substantial doubt about our ability to continue as a going concern.

Our independent registered public accounting firm has included an explanatory paragraph in their report on our financial statements included in this
Annual Report on Form 10-K expressing doubt as to our ability to continue as a going concern. The accompanying financial statements have been prepared
assuming that we will continue as a going concern, however, there can be no assurance that we will be able to do so. Our recurring losses and difficulty in
generating sufficient cash flow to meet our obligations and sustain our operations, raise substantial doubt about our ability to continue as a going concern, and
our consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty. Based on our current cash flow
projections, we will need to raise additional funds through either the licensing or sale of our technologies or the additional public or private offerings of our
securities. However, there is no guarantee that we will be able to obtain further financing, or do so on reasonable terms. If we are unable to raise additional
funds on a timely basis, or at all, we would be materially adversely affected.

We have a history of operating losses and a significant accumulated deficit, and we may not achieve or maintain profitability in the future.

We have not been profitable since our inception in 1997. As of December 31, 2011, we had an accumulated deficit of approximately $94,268,000
primarily as a result of historical operating losses.  We expect to continue to incur additional losses for the foreseeable future as a result of a high level of
operating expenses, significant up-front expenditures including the cost of clinical trials, production and marketing activities and very limited revenue from
the sale of our products. We began sales of our first product in March 2004, and we may never realize sufficient revenues from the sale of our products or be
profitable. Each of the following factors, among others, may influence the timing and extent of our profitability, if any:

•

•

•

•

•

the completion and success of our regulatory approval processes and additional clinical trials for each of our ESRD therapy products in our
target territories, including specifically our new 510(k) application for our HDF system;

the market acceptance of HDF therapy in the United States and of our technologies and products in each of our target markets;

our ability to effectively and efficiently manufacture, market and distribute our products;

our ability to sell our products at competitive prices which exceed our per unit costs; and

the consolidation of dialysis clinics into larger clinical groups.

If  we  do  not  receive  FDA  approval  for  our  OLpur  H 2  H  hemodiafiltration  module  and  OLpur  MD220  hemodiafilter  our  operations  and  our  future
business prospects will be significantly and adversely harmed.

We have not received approval from the FDA for our OLpur H 2 H hemodiafiltration module and OLpur MD220 hemodiafilter. On June 30, 2010,
we  received  a  final  decision  letter  from  the  FDA  for  our  510(k)  submission,  which  stated  that  the  FDA  could  not  reach  a  substantial  equivalence
determination for our hemodiafiltration, or HDF, system. On August 11, 2011 we submitted a new 510(k) application to market our hemodiafiltration (HDF)
system  for  end-stage  renal  disease.    The  application  is  subject  to  the  FDA’s  standard  90-day  review  period.    The  application  details  our  OLpur  MD220
diafilter and our OLpur H2H Hemodiafiltration module. Our OLpur MD220 is a dialyzer designed expressly for HDF therapy that employs our proprietary
Mid-Dilution diafiltration technology. Our OLpur H2H Hemodiafiltration module is designed to enable the most common types of standard dialysis machines
to perform HDF therapy. On November 8, 2011 the Company received the initial FDA review of its new 510(k) application (K112314), which included a
request for additional information. The Company provided answers to the FDA’s request in early February 2012 and awaits further communication from the
FDA. Nephros believes that, if approved, its technology would be the first FDA-approved on-line HDF therapy available in the U.S. The prior decision by the
U.S.  FDA  with  regard  to  our  HDF  system  does  not  impact  our  ability  to  market  and  sell  our  mid-dilution  (MD)  filters  for  hemodiafiltration  procedures
outside of the U.S.

We can give no assurance when or if our OLpur H 2 H hemodiafiltration module and OLpur MD220 hemodiafilter will be approved by the FDA. If

we fail to ultimately receive FDA approval, our operations and our future business prospects would be significantly and adversely harmed.

23

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We have limited experience selling our DSU water filtration system to dialysis clinics, and we might be unsuccessful in increasing our sales.

Our business strategy depends in part on our ability to sell our DSU water filtration system to hospitals and other healthcare facilities that include
dialysis  clinics.  On  July  1,  2009,  we  received  approval  from  the  FDA  to  market  our  DSU  to  dialysis  clinics.  We  have  limited  experience  at  sales  and
marketing. If we are unsuccessful at manufacturing, marketing and selling our DSU, our operations and potential revenues might be adversely affected.

Certain customers individually account for a large portion of our sales, and the loss of any of these customers could have a material adverse effect on our
sales.

For the year ended December 31, 2011, one of our customers accounted for 50% of our sales and another customer accounted for 21% of our sales.
We believe that the loss of either of these customers would have a material adverse effect on our product sales, at least temporarily, while we seek to replace
such customer and/or self-distribute in the territories currently served by such customer.

We cannot sell our ESRD therapy products, including certain modifications thereto, until we obtain the requisite regulatory approvals and clearances in
the countries in which we intend to sell our products. We have not obtained FDA approval for any of our ESRD therapy products, except for our HD190
filter, and cannot sell any of our other ESRD therapy products in the United States unless and until we obtain such approval. If we fail to receive, or
experience  a  significant  delay  in  receiving,  such  approvals  and  clearances  then  we  may  not  be  able  to  get  our  products  to  market  and  enhance  our
revenues.

Our  business  strategy  depends  in  part  on  our  ability  to  get  our  products  into  the  market  as  quickly  as  possible.  We  obtained  the  Conformité
Européene,  or  CE,  mark,  which  demonstrates  compliance  with  the  relevant  European  Union  requirements  and  is  a  regulatory  prerequisite  for  selling  our
products in the European Union and certain other countries that recognize CE marking (collectively, “European Community”), for our OLpur MDHDF filter
series product in 2003 and received CE marking in November 2006 for our water filtration product, the Dual Stage Ultrafilter (“DSU”). We have not yet
obtained  the  CE  mark  for  any  of  our  other  products.  Similarly,  we  cannot  sell  our  ESRD  therapy  products  in  the  United  States  until  we  receive  FDA
clearance.

In  addition  to  the  pre-market  notification  required  pursuant  to  Section  510(k)  of  the  FDC  Act,  the  FDA  could  require  us  to  obtain  pre-market
approval of our ESRD therapy products under Section 515 of the FDC Act, either because of legislative or regulatory changes or because the FDA does not
agree with our determination that we are eligible to use the Section 510(k) pre-market notification process. The Section 515 pre-market approval process is a
significantly more costly, lengthy and uncertain approval process and could materially delay our products coming to market. If we do obtain clearance for
marketing of any of our devices under Section 510(k) of the FDC Act, then any changes we wish to make to such device that could significantly affect safety
and effectiveness will require clearance of a notification pursuant to Section 510(k), and we may need to submit clinical and manufacturing comparability
data to obtain such approval or clearance. We could not market any such modified device until we received FDA clearance or approval. We cannot guarantee
that  the  FDA  would  timely,  if  at  all,  clear  or  approve  any  modified  product  for  which  Section  510(k)  is  applicable.  Failure  to  obtain  timely  clearance  or
approval for changes to marketed products would impair our ability to sell such products and generate revenues in the United States.

The  clearance  and/or  approval  processes  in  the  European  Community  and  in  the  United  States  can  be  lengthy  and  uncertain  and  each  requires
substantial commitments of our financial resources and our management’s time and effort. We may not be able to obtain further CE marking or any FDA
approval for any of our ESRD therapy products in a timely manner or at all. Even if we do obtain regulatory approval, approval may be only for limited uses
with specific classes of patients, processes or other devices. Our failure to obtain, or delays in obtaining, the necessary regulatory clearance and/or approvals
with respect to the European Community or the United States would prevent us from selling our affected products in these regions. If we cannot sell some of
our products in these regions, or if we are delayed in selling while waiting for the necessary clearance and/or approvals, our ability to generate revenues from
these products will be limited.

If we are successful in our initial marketing efforts in some or all of our Target European Market and the United States, then we plan to market our
ESRD therapy products in several countries outside of our Target European Market and the United States, including Korea and China, Canada and Mexico.
Requirements  pertaining  to  the  sale  of  medical  devices  vary  widely  from  country  to  country.  It  may  be  very  expensive  and  difficult  for  us  to  meet  the
requirements for the sale of our ESRD therapy products in many of these countries. As a result, we may not be able to obtain the required approvals in a
timely  manner,  if  at  all.  If  we  cannot  sell  our  ESRD  therapy  products  outside  of  our  Target  European  Market  and  the  United  States,  then  the  size  of  our
potential market could be reduced, which would limit our potential sales and revenues.

Clinical studies required for our ESRD therapy products are costly and time-consuming, and their outcome is uncertain.

Before obtaining regulatory approvals for the commercial sale of any of our ESRD therapy products in the United States and elsewhere, we must

demonstrate through clinical studies that our products are safe and effective.

24

 
 
 
 
 
 
 
 
 
 
 
 
 
On  June  30,  2010,  we  received  a  final  decision  letter  from  the  FDA  for  our  510(k)  submission  which  stated  that  the  FDA  could  not  reach  a
substantial  equivalence  determination  for  our  hemodiafiltration  (HDF)  system.  On  August  11,  2011  we  submitted  a  new  510(k)  application  to  market  our
hemodiafiltration (HDF) system for end-stage renal disease and we recently responded to an FDA request for additional information.  

For products other than those for which we have already received marketing approval, if we do not prove in clinical trials that our ESRD therapy
products are safe and effective, we will not obtain marketing approvals from the FDA and other applicable regulatory authorities. In particular, one or more of
our ESRD therapy products may not exhibit the expected medical benefits, may cause harmful side effects, may not be effective in treating dialysis patients or
may have other unexpected characteristics that preclude regulatory approval for any or all indications of use or limit commercial use if approved. The length
of time necessary to complete clinical trials varies significantly and is difficult to predict. Factors that can cause delay or termination of our clinical trials
include:

•

•

•

•

•

•

•

•

slower than expected patient enrollment due to the nature of the protocol, the proximity of subjects to clinical sites, the eligibility criteria for the
study, competition with clinical trials for similar devices or other factors;

lower than expected retention rates of subjects in a clinical trial;

inadequately trained or insufficient personnel at the study site to assist in overseeing and monitoring clinical trials;

delays in approvals from a study site’s review board, or other required approvals;

longer treatment time required to demonstrate effectiveness;

lack of sufficient supplies of the ESRD therapy product;

adverse medical events or side effects in treated subjects; and

lack of effectiveness of the ESRD therapy product being tested.

Even if we obtain positive results from clinical studies for our products, we may not achieve the same success in future studies of such products.
Data  obtained  from  clinical  studies  are  susceptible  to  varying  interpretations  that  could  delay,  limit  or  prevent  regulatory  approval.  In  addition,  we  may
encounter delays or rejections based upon changes in FDA policy for device approval during the period of product development and FDA regulatory review
of each submitted new device application. We may encounter similar delays in foreign countries. Moreover, regulatory approval may entail limitations on the
indicated uses of the device. Failure to obtain requisite governmental approvals or failure to obtain approvals of the scope requested will delay or preclude our
licensees  or  marketing  partners  from  marketing  our  products  or  limit  the  commercial  use  of  such  products  and  will  have  a  material  adverse  effect  on  our
business, financial condition and results of operations.

In  addition,  some  or  all  of  the  clinical  trials  we  undertake  may  not  demonstrate  sufficient  safety  and  efficacy  to  obtain  the  requisite  regulatory
approvals,  which  could  prevent  or  delay  the  creation  of  marketable  products.  Our  product  development  costs  will  increase  if  we  have  delays  in  testing  or
approvals, if we need to perform more, larger or different clinical trials than planned or if our trials are not successful. Delays in our clinical trials may harm
our financial results and the commercial prospects for our products. Additionally, we may be unable to complete our clinical trials if we are unable to obtain
additional capital.

We may be required to design and conduct additional clinical trials.

We  may  be  required  to  design  and  conduct  additional  clinical  trials  to  further  demonstrate  the  safety  and  efficacy  of  our  ESRD  therapy  product,
which  may  result  in  significant  expense  and  delay.  The  FDA  and  foreign  regulatory  authorities  may  require  new  or  additional  clinical  trials  because  of
inconclusive  results  from  current  or  earlier  clinical  trials,  a  possible  failure  to  conduct  clinical  trials  in  complete  adherence  to  FDA  good  clinical  practice
standards and similar standards of foreign regulatory authorities, the identification of new clinical trial endpoints, or the need for additional data regarding the
safety or efficacy of our ESRD therapy products. It is possible that the FDA or foreign regulatory authorities may not ultimately approve our products for
commercial sale in any jurisdiction, even if we believe future clinical results are positive.

25

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We cannot assure you that our ESRD therapy products will be safe and we are required under applicable law to report any product-related deaths or
serious injuries or product malfunctions that could result in deaths or serious injuries, and such reports could trigger recalls, class action lawsuits and
other events that could cause us to incur expenses and may also limit our ability to generate revenues from such products.

We cannot assure you that our ESRD therapy products will be safe. Under the FDC Act, we are required to submit medical device reports, or MDRs,
to  the  FDA  to  report  device-related  deaths,  serious  injuries  and  product  malfunctions  that  could  result  in  death  or  serious  injury  if  they  were  to  recur.
Depending on their significance, MDRs could trigger events that could cause us to incur expenses and may also limit our ability to generate revenues from
such products, such as the following:

•

•

•

information contained in the MDRs could trigger FDA regulatory actions such as inspections, recalls and patient/physician notifications;

because the reports are publicly available, MDRs could become the basis for private lawsuits, including class actions; and

if we fail to submit a required MDR to the FDA, the FDA could take enforcement action against us.

If any of these events occur, then we could incur significant expenses and it could become more difficult for us to gain market acceptance of our
ESRD  therapy  products  and  to  generate  revenues  from  sales.  Other  countries  may  impose  analogous  reporting  requirements  that  could  cause  us  to  incur
expenses and may also limit our ability to generate revenues from sales of our ESRD therapy products.

Product liability associated with the production, marketing and sale of our products, and/or the expense of defending against claims of product liability,
could materially deplete our assets and generate negative publicity which could impair our reputation.

The production, marketing and sale of kidney dialysis and water-filtration products have inherent risks of liability in the event of product failure or
claim  of  harm  caused  by  product  operation.  Furthermore,  even  meritless  claims  of  product  liability  may  be  costly  to  defend  against.  Although  we  have
acquired product liability insurance in the amount of $5,000,000 for our products, we may not be able to maintain or obtain this insurance on acceptable terms
or at all. Because we may not be able to obtain insurance that provides us with adequate protection against all potential product liability claims, a successful
claim in excess of our insurance coverage could materially deplete our assets. Moreover, even if we are able to obtain adequate insurance, any claim against
us could generate negative publicity, which could impair our reputation and adversely affect the demand for our products, our ability to generate sales and our
profitability.

Some of the agreements that we may enter into with manufacturers of our products and components of our products may require us:

•

•

to obtain product liability insurance; or

to indemnify manufacturers against liabilities resulting from the sale of our products.

For  example,  the  agreement  with  our  contract  manufacturer,  or  CM,  requires  that  we  obtain  and  maintain  certain  minimum  product  liability
insurance coverage and that we indemnify our CM against certain liabilities arising out of our products that they manufacture, provided they do not arise out
of our CM’s breach of the agreement, negligence or willful misconduct. If we are not able to obtain and maintain adequate product liability insurance, then we
could be in breach of these agreements, which could materially adversely affect our ability to produce our products and generate revenues. Even if we are able
to obtain and maintain product liability insurance, if a successful claim in excess of our insurance coverage is made, then we may have to indemnify some or
all of our manufacturers for their losses, which could materially deplete our assets.

If we violate any provisions of the FDC Act or any other statutes or regulations, then we could be subject to enforcement actions by the FDA or other
governmental agencies.

We face a significant compliance burden under the FDC Act and other applicable statutes and regulations which govern the testing, labeling, storage,
record  keeping,  distribution,  sale,  marketing,  advertising  and  promotion  of  our  ESRD  therapy  products.  If  we  violate  the  FDC  Act  or  other  regulatory
requirements at any time during or after the product development and/or approval process, we could be subject to enforcement actions by the FDA or other
agencies, including:

•

•

•

fines;

injunctions;

civil penalties;

26

 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
•

•

•

•

•

•

recalls or seizures of products;

total or partial suspension of the production of our products;

withdrawal of any existing approvals or pre-market clearances of our products;

refusal to approve or clear new applications or notices relating to our products;

recommendations by the FDA that we not be allowed to enter into government contracts; and

criminal prosecution.

Any of the above could have a material adverse effect on our business, financial condition and results of operations.

Significant additional governmental regulation could subject us to unanticipated delays which would adversely affect our sales and revenues.

Our business strategy depends in part on our ability to get our products into the market as quickly as possible. Additional laws and regulations, or
changes to existing laws and regulations that are applicable to our business may be enacted or promulgated, and the interpretation, application or enforcement
of the existing laws and regulations may change. We cannot predict the nature of any future laws, regulations, interpretations, applications or enforcements or
the specific effects any of these might have on our business. Any future laws, regulations, interpretations, applications or enforcements could delay or prevent
regulatory  approval  or  clearance  of  our  products  and  our  ability  to  market  our  products.  Moreover,  changes  that  result  in  our  failure  to  comply  with  the
requirements of applicable laws and regulations could result in the types of enforcement actions by the FDA and/or other agencies as described above, all of
which could impair our ability to have manufactured and to sell the affected products.

Access  to  the  appropriations  from  the  U.S.  Department  of  Defense  regarding  the  development  of  a  dual-stage  water  ultrafilter  could  be  subject  to
unanticipated delays which could adversely affect our potential revenues.

Our business strategy with respect to our DSU products depends in part on the successful development of DSU products for use by the military.
Beginning in January 2008, we contracted with the U.S. Office of Naval Research to develop a personal potable water purification system for warfighters
under a first contract in an amount not to exceed $866,000. In August 2009, we entered into a second contract with a value not to exceed $2 million. These
contracts would utilize the Federal appropriations from the U.S. Department of Defense not to exceed $3 million that have been approved for this purpose. If
there are unanticipated delays in receiving the appropriations from the U.S. Department of Defense, our operations and potential revenues may be adversely
affected.  Further,  if  we  do  not  successfully  complete  the  contract  work  or  renew  the  contract  work  in  the  event  that  the  research  and  development  needs
additional work to reach completion, our operations and potential revenues may be adversely affected.

Protecting our intellectual property in our technology through patents may be costly and ineffective. If we are not able to adequately secure or enforce
protection of our intellectual property, then we may not be able to compete effectively and we may not be profitable.

Our  future  success  depends  in  part  on  our  ability  to  protect  the  intellectual  property  for  our  technology  through  patents.  We  will  only  be  able  to
protect our products and methods from unauthorized use by third parties to the extent that our products and methods are covered by valid and enforceable
patents or are effectively maintained as trade secrets. Our 16 granted U.S. patents will expire at various times from 2018 to 2026, assuming they are properly
maintained.

The protection provided by our patents, and patent applications if issued, may not be broad enough to prevent competitors from introducing similar
products  into  the  market.  Our  patents,  if  challenged  or  if  we  attempt  to  enforce  them,  may  not  necessarily  be  upheld  by  the  courts  of  any  jurisdiction.
Numerous  publications  may  have  been  disclosed  by,  and  numerous  patents  may  have  been  issued  to,  our  competitors  and  others  relating  to  methods  and
devices for dialysis of which we are not aware and additional patents relating to methods and devices for dialysis may be issued to our competitors and others
in the future. If any of those publications or patents conflict with our patent rights, or cover our products, then any or all of our patent applications could be
rejected and any or all of our granted patents could be invalidated, either of which could materially adversely affect our competitive position.

Litigation and other proceedings relating to patent matters, whether initiated by us or a third party, can be expensive and time-consuming, regardless
of whether the outcome is favorable to us, and may require the diversion of substantial financial, managerial and other resources. An adverse outcome could
subject us to significant liabilities to third parties or require us to cease any related development, product sales or commercialization activities. In addition, if
patents that contain dominating or conflicting claims have been or are subsequently issued to others and the claims of these patents are ultimately determined
to be valid, then we may be required to obtain licenses under patents of others in order to develop, manufacture, use, import and/or sell our products. We may
not be able to obtain licenses under any of these patents on terms acceptable to us, if at all. If we do not obtain these licenses, we could encounter delays in, or
be prevented entirely from using, importing, developing, manufacturing, offering or selling any products or practicing any methods, or delivering any services
requiring such licenses.

27

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
If we file patent applications or obtain patents in foreign countries, we will be subject to laws and procedures that differ from those in the United
States.  Such  differences  could  create  additional  uncertainty  about  the  level  and  extent  of  our  patent  protection.  Moreover,  patent  protection  in  foreign
countries  may  be  different  from  patent  protection  under  U.S.  laws  and  may  not  be  as  favorable  to  us.  Many  non-U.S.  jurisdictions,  for  example,  prohibit
patent claims covering methods of medical treatment of humans, although this prohibition may not include devices used for such treatment.

If we are not able to secure and enforce protection of our trade secrets through enforcement of our confidentiality and non-competition agreements, then
our competitors may gain access to our trade secrets, we may not be able to compete effectively and we may not be profitable. Such protection may be
costly and ineffective.

We attempt to protect our trade secrets, including the processes, concepts, ideas and documentation associated with our technologies, through the use
of  confidentiality  agreements  and  non-competition  agreements  with  our  current  employees  and  with  other  parties  to  whom  we  have  divulged  such  trade
secrets. If these employees or other parties breach our confidentiality agreements and non-competition agreements or if these agreements are not sufficient to
protect our technology or are found to be unenforceable, then our competitors could acquire and use information that we consider to be our trade secrets and
we may not be able to compete effectively. Policing unauthorized use of our trade secrets is difficult and expensive, particularly because of the global nature
of our operations. The laws of other countries may not adequately protect our trade secrets.

If our trademarks and trade names are not adequately protected, then we may not be able to build brand loyalty and our sales and revenues may suffer.

Our registered or unregistered trademarks or trade names may be challenged, cancelled, infringed, circumvented or declared generic or determined to
be infringing on other marks. We may not be able to protect our rights to these trademarks and trade names, which we need to build brand loyalty. Over the
long term, if we are unable to establish a brand based on our trademarks and trade names, then we may not be able to compete effectively and our sales and
revenues may suffer.

 If we are not able to successfully scale-up production of our products, then our sales and revenues will suffer.

In order to commercialize our products, we need to be able to produce them in a cost-effective way on a large scale to meet commercial demand,

while maintaining extremely high standards for quality and reliability. If we fail to successfully commercialize our products, then we will not be profitable.

We expect to rely on a limited number of independent manufacturers to produce our OLpur MDHDF filter series and our other products, including
the  DSU.  Our  manufacturers’  systems  and  procedures  may  not  be  adequate  to  support  our  operations  and  may  not  be  able  to  achieve  the  rapid  execution
necessary to exploit the market for our products. Our manufacturers could experience manufacturing and control problems as they begin to scale-up our future
manufacturing  operations,  if  any,  and  we  may  not  be  able  to  scale-up  manufacturing  in  a  timely  manner  or  at  a  commercially  reasonable  cost  to  enable
production  in  sufficient  quantities.  If  we  experience  any  of  these  problems  with  respect  to  our  manufacturers’  initial  or  future  scale-ups  of  manufacturing
operations,  then  we  may  not  be  able  to  have  our  products  manufactured  and  delivered  in  a  timely  manner.  Our  products  are  new  and  evolving,  and  our
manufacturers may encounter unforeseen difficulties in manufacturing them in commercial quantities or at all.

We will not control the independent manufacturers of our products, which may affect our ability to deliver our products in a timely manner. If we are not
able to ensure the timely delivery of our products, then potential customers may not order our products, and our sales and revenues would be adversely
affected.

Independent manufacturers of medical devices will manufacture all of our products and components. We have contracted with our CM to assemble
and produce our products, including the DSU. As with any independent contractor, this manufacturer will not be employed or otherwise controlled by us and
will  be  generally  free  to  conduct  their  business  at  their  own  discretion.  For  us  to  compete  successfully,  among  other  things,  our  products  must  be
manufactured  on  a  timely  basis  in  commercial  quantities  at  costs  acceptable  to  us.  If  one  or  more  of  our  independent  manufacturers  fails  to  deliver  our
products in a timely manner, then we may not be able to find a substitute manufacturer. If we are not or if potential customers believe that we are not able to
ensure timely delivery of our products, then potential customers may not order our products, and our sales and revenues would be adversely affected.

28

 
 
 
 
 
 
 
 
 
 
 
 
The loss or interruption of services of any of our manufacturers could slow or stop production of our products, which would limit our ability to generate
sales and revenues.

Because  we  are  likely  to  rely  on  no  more  than  two  contract  manufacturers  to  manufacture  each  of  our  products  and  major  components  of  our
products, a stop or significant interruption in the supply of our products or major components by a single manufacturer, for any reason, could have a material
adverse effect on us. We expect most of our contract manufacturers will enter into contracts with us to manufacture our products and major components and
that these contracts will be terminable by the contractors or us at any time under certain circumstances. We have not made alternative arrangements for the
manufacture of our products or major components and we cannot be sure that acceptable alternative arrangements could be made on a timely basis, or at all, if
one or more of our manufacturers failed to manufacture our products or major components in accordance with the terms of our arrangements. If any such
failure occurs and we are unable to obtain acceptable alternative arrangements for the manufacture of our products or major components of our products, then
the production and sale of our products could slow down or stop and our cash flow would suffer.

If we are not able to maintain sufficient quality controls, then the approval or clearance of our ESRD therapy products by the European Union, the FDA
or other relevant authorities could be delayed or denied and our sales and revenues will suffer.

Approval  or  clearance  of  our  ESRD  therapy  products  could  be  delayed  by  the  European  Union,  the  FDA  and  the  relevant  authorities  of  other
countries  if  our  manufacturing  facilities  do  not  comply  with  their  respective  manufacturing  requirements.  The  European  Union  imposes  requirements  on
quality control systems of manufacturers, which are inspected and certified on a periodic basis and may be subject to additional unannounced inspections.
Failure by our manufacturers to comply with these requirements could prevent us from marketing our ESRD therapy products in the European Community.
The  FDA  also  imposes  requirements  through  quality  system  requirements,  or  QSR,  regulations,  which  include  requirements  for  good  manufacturing
practices, or GMP. Failure by our manufacturers to comply with these requirements could prevent us from obtaining FDA approval of our ESRD therapy
products and from marketing such products in the United States. Although the manufacturing facilities and processes that we use to manufacture our OLpur
MDHDF filter series have been inspected and certified by a worldwide testing and certification agency (also referred to as a notified body) that performs
conformity  assessments  to  European  Union  requirements  for  medical  devices,  they  have  not  been  inspected  by  the  FDA.  Similarly,  although  some  of  the
facilities and processes that we expect to use to manufacture our OLpur H 2  H  and  OLpur  NS2000  have  been  inspected  by  the  FDA,  they  have  not  been
inspected by any notified body. A “notified body” is a group accredited and monitored by governmental agencies that inspects manufacturing facilities and
quality control systems at regular intervals and is authorized to carry out unannounced inspections. We cannot be sure that any of the facilities or processes we
use will comply or continue to comply with their respective requirements on a timely basis or at all, which could delay or prevent our obtaining the approvals
we need to market our products in the European Community and the United States.

To market our ESRD therapy products in the European Community, the United States and other countries, where approved, manufacturers of such
products must continue to comply or ensure compliance with the relevant manufacturing requirements. Although we cannot control the manufacturers of our
ESRD  therapy  products,  we  may  need  to  expend  time,  resources  and  effort  in  product  manufacturing  and  quality  control  to  assist  with  their  continued
compliance  with  these  requirements.  If  violations  of  applicable  requirements  are  noted  during  periodic  inspections  of  the  manufacturing  facilities  of  our
manufacturers, then we may not be able to continue to market the ESRD therapy products manufactured in such facilities and our revenues may be materially
adversely affected.

If our products are commercialized, we may face significant challenges in obtaining market acceptance of such products, which could adversely affect
our potential sales and revenues.

Our  products  are  new  to  the  market,  and  we  do  not  yet  have  an  established  market  or  customer  base  for  our  products.  Acceptance  of  our  ESRD
therapy products in the marketplace by both potential users, including ESRD patients, and potential purchasers, including nephrologists, dialysis clinics and
other health care providers, is uncertain, and our failure to achieve sufficient market acceptance will significantly limit our ability to generate revenue and be
profitable.  Market  acceptance  will  require  substantial  marketing  efforts  and  the  expenditure  of  significant  funds  by  us  to  inform  dialysis  patients  and
nephrologists, dialysis clinics and other health care providers of the benefits of using our ESRD therapy products. We may encounter significant clinical and
market resistance to our products and our products may never achieve market acceptance. We may not be able to build key relationships with physicians,
clinical groups and government agencies, pursue or increase sales opportunities in Europe or elsewhere, or be the first to introduce hemodiafiltration therapy
in  the  United  States.  Product  orders  may  be  cancelled,  patients  or  customers  currently  using  our  products  may  cease  to  do  so  and  patients  or  customers
expected to begin using our products may not. Factors that may affect our ability to achieve acceptance of our ESRD therapy products in the marketplace
include whether:

•

•

•

•

•

such products will be safe for use;

such products will be effective;

such products will be cost-effective;

we will be able to demonstrate product safety, efficacy and cost-effectiveness;

there are unexpected side effects, complications or other safety issues associated with such products; and

29

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
•

government or third party reimbursement for the cost of such products is available at reasonable rates, if at all.

Acceptance of our water filtration products in the marketplace is also uncertain, and our failure to achieve sufficient market acceptance and sell such
products at competitive prices will limit our ability to generate revenue and be profitable. Our water filtration products and technologies may not achieve
expected reliability, performance and endurance standards. Our water filtration products and technology may not achieve market acceptance, including among
hospitals, or may not be deemed suitable for other commercial, military, industrial or retail applications.

Many of the same factors that may affect our ability to achieve acceptance of our ESRD therapy products in the marketplace will also apply to our

water filtration products, except for those related to side effects, clinical trials and third party reimbursement.

If  we  cannot  develop  adequate  distribution,  customer  service  and  technical  support  networks,  then  we  may  not  be  able  to  market  and  distribute  our
products effectively and/or customers may decide not to order our products, and, in either case, our sales and revenues will suffer.

Our strategy requires us to distribute our products and provide a significant amount of customer service and maintenance and other technical service.
To  provide  these  services,  we  have  begun,  and  will  need  to  continue,  to  develop  a  network  of  distribution  and  a  staff  of  employees  and  independent
contractors in each of the areas in which we intend to operate. We cannot assure you we will be able to organize and manage this network on a cost-effective
basis. If we cannot effectively organize and manage this network, then it may be difficult for us to distribute our products and to provide competitive service
and support to our customers, in which case customers may be unable, or decide not, to order our products and our sales and revenues will suffer.

We may face significant risks associated with international operations, which could have a material adverse effect on our business, financial condition
and results of operations.

We expect to manufacture and to market our products in our Target European Market and elsewhere outside of the United States. We expect that our
revenues from our Target European Market will initially account for a significant portion of our revenues. Our international operations are subject to a number
of risks, including the following:

•

•

•

•

•

•

fluctuations in exchange rates of the United States dollar could adversely affect our results of operations;

we may face difficulties in enforcing and collecting accounts receivable under some countries’ legal systems;

local regulations may restrict our ability to sell our products, have our products manufactured or conduct other operations;

political instability could disrupt our operations;

some governments and customers may have longer payment cycles, with resulting adverse effects on our cash flow; and

some countries could impose additional taxes or restrict the import of our products.

Any one or more of these factors could increase our costs, reduce our revenues, or disrupt our operations, which could have a material adverse effect

on our business, financial condition and results of operations.

If we are unable to keep our key management and scientific personnel, then we are likely to face significant delays at a critical time in our corporate
development and our business is likely to be damaged.

Our  success  depends  upon  the  skills,  experience  and  efforts  of  our  management  and  other  key  personnel  certain  members  of  our  scientific  and
engineering staff and our marketing executives. As a relatively new company, much of our corporate, scientific and technical knowledge is concentrated in
the hands of these few individuals. We do not maintain key-man life insurance on any of our management or other key personnel. The loss of the services of
one or more of our present management or other key personnel could significantly delay the development and/or launch of our products as there could be a
learning curve of several months or more for any replacement personnel. Furthermore, competition for the type of highly skilled individuals we require is
intense and we may not be able to attract and retain new employees of the caliber needed to achieve our objectives. Failure to replace key personnel could
have a material adverse effect on our business, financial condition and operations.

30

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Risks Related to the ESRD Therapy Industry

We expect to face significant competition from existing suppliers of renal replacement therapy devices, supplies and services. If we are not able to compete
with them effectively, then we may not be profitable.

We expect to compete in the ESRD therapy market with existing suppliers of hemodialysis and peritoneal dialysis devices, supplies and services.
Our competitors include Fresenius Medical Care AG and Gambro AB, currently two of the primary machine manufacturers in hemodialysis, as well as B.
Braun  Biotech  International  GmbH,  and  Nikkiso  Corporation  and  other  smaller  machine  manufacturers  in  hemodialysis.  B.  Braun  Biotech  International
GmbH,  Fresenius  Medical  Care  AG,  Gambro  AB  and  Nikkiso  Corporation  also  manufacture  HDF  machines.  These  companies  and  most  of  our  other
competitors have longer operating histories and substantially greater financial, marketing, technical, manufacturing and research and development resources
and experience than we have. Our competitors could use these resources and experiences to develop products that are more effective or less costly than any or
all of our products or that could render any or all of our products obsolete. Our competitors could also use their economic strength to influence the market to
continue to buy their existing products.

We do not have a significant established customer base and may encounter a high degree of competition in further developing one. Our potential
customers  are  a  limited  number  of  nephrologists,  national,  regional  and  local  dialysis  clinics  and  other  healthcare  providers.  The  number  of  our  potential
customers may be further limited to the extent any exclusive relationships exist or are entered into between our potential customers and our competitors. We
cannot assure you that we will be successful in marketing our products to these potential customers. If we are not able to develop competitive products and
take and hold sufficient market share from our competitors, we will not be profitable.

Some of our competitors own or could acquire dialysis clinics throughout the United States, our Target European Market and other regions of the world.
We may not be able to successfully market our products to the dialysis clinics under their ownership. If our potential market is materially reduced in this
manner, then our potential sales and revenues could be materially reduced.

Some of our competitors, including Fresenius Medical Care AG and Gambro AB, manufacture their own products and own dialysis clinics in the
United  States,  our  Target  European  Market  and/or  other  regions  of  the  world.  In  2005,  Gambro  AB  divested  its  U.S.  dialysis  clinics  to  DaVita,  Inc.  and
entered  a  preferred,  but  not  exclusive,  ten-year  supplier  arrangement  with  DaVita,  Inc.,  whereby  DaVita,  Inc.  will  purchase  a  significant  amount  of  renal
products and supplies from Gambro AB Renal Products. Because these competitors have historically tended to use their own products in their clinics, we may
not be able to successfully market our products to the dialysis clinics under their ownership. According to the Fresenius Medical Care AG Form 20-F filed
February  23,  2011,  Fresenius  Medical  Care  AG  provides  treatment  in  its  own  dialysis  clinics  to  214,648  patients  in  its  2,757  facilities  around  the  world
including facilities located in the North America. According to a DaVita, Inc. February 4, 2011 press release, as of September 30, 2010, DaVita, Inc. provided
treatment in 1,598 outpatient dialysis centers serving approximately 124,000 patients in the United States.

We believe that there is currently a trend among ESRD therapy providers towards greater consolidation. If such consolidation takes the form of our
competitors  acquiring  independent  dialysis  clinics,  rather  than  such  dialysis  clinics  banding  together  in  independent  chains,  then  more  of  our  potential
customers would also be our competitors. If our competitors continue to grow their networks of dialysis clinics, whether organically or through consolidation,
and  if  we  cannot  successfully  market  our  products  to  dialysis  clinics  owned  by  these  competitors  or  any  other  competitors  and  do  not  acquire  clinics
ourselves, then our revenues could be adversely affected.

If  the  size  of  the  potential  market  for  our  products  is  significantly  reduced  due  to  pharmacological  or  technological  advances  in  preventative  and
alternative treatments for ESRD, then our potential sales and revenues will suffer.

Pharmacological  or  technological  advances  in  preventative  or  alternative  treatments  for  ESRD  could  significantly  reduce  the  number  of  ESRD

patients needing our products. These pharmacological or technological advances may include:

•

•

•

the  development  of  new  medications,  or  improvements  to  existing  medications,  which  help  to  delay  the  onset  or  prevent  the  progression  of
ESRD in high-risk patients (such as those with diabetes and hypertension);

the development of new medications, or improvements in existing medications, which reduce the incidence of kidney transplant rejection; and

developments in the use of kidneys harvested from genetically-engineered animals as a source of transplants.

If  these  or  any  other  pharmacological  or  technological  advances  reduce  the  number  of  patients  needing  treatment  for  ESRD,  then  the  size  of  the

market for our products may be reduced and our potential sales and revenues will suffer.

31

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
If government and other third party reimbursement programs discontinue their coverage of ESRD treatment or reduce reimbursement rates for ESRD
products, then we may not be able to sell as many units of our ESRD therapy products as otherwise expected, or we may need to reduce the anticipated
prices of such products and, in either case, our potential revenues may be reduced.

Providers of renal replacement therapy are often reimbursed by government programs, such as Medicare or Medicaid in the United States, or other
third-party  reimbursement  programs,  such  as  private  medical  care  plans  and  insurers.  We  believe  that  the  amount  of  reimbursement  for  renal  replacement
therapy under these programs has a significant impact on the decisions of nephrologists, dialysis clinics and other health care providers regarding treatment
methods and products. Accordingly, changes in the extent of coverage for renal replacement therapy or a reduction in the reimbursement rates under any or all
of these programs may cause a decline in recommendations or purchases of our products, which would materially adversely affect the market for our products
and  reduce  our  potential  sales. Alternatively,  we  might  respond  to  reduced  reimbursement  rates  by  reducing  the  prices  of  our  products,  which  could  also
reduce our potential revenues.

As  the  number  of  managed  health  care  plans  increases  in  the  United  States,  amounts  paid  for  our  ESRD  therapy  products  by  non-governmental
programs may decrease and we may not generate sufficient revenues to be profitable.

We expect to obtain a portion of our revenues from reimbursement provided by non-governmental programs in the United States. Although non-
governmental  programs  generally  pay  higher  reimbursement  rates  than  governmental  programs,  of  the  non-governmental  programs,  managed  care  plans
generally pay lower reimbursement rates than insurance plans. Reliance on managed care plans for dialysis treatment may increase if future changes to the
Medicare program require non-governmental programs to assume a greater percentage of the total cost of care given to dialysis patients over the term of their
illness, or if managed care plans otherwise significantly increase their enrollment of these patients. If the reliance on managed care plans for dialysis treatment
increases, more patients join managed care plans or managed care plans reduce reimbursement rates, we may need to reduce anticipated prices of our ESRD
therapy products or sell fewer units, and, in either case, our potential revenues would suffer.

If HDF does not become a preferred therapy for ESRD, then the market for our ESRD therapy products may be limited and we may not be profitable.

A significant portion of our success is dependent on the acceptance and implementation of HDF as a preferred therapy for ESRD. There are several
treatment options currently available and others may be developed. HDF may not increase in acceptance as a preferred therapy for ESRD. If it does not, then
the market for our ESRD therapy products may be limited and we may not be able to sell a sufficient quantity of our products to be profitable.

If the per-treatment costs for dialysis clinics using our ESRD therapy products are higher than the costs of clinics providing hemodialysis treatment, then
we may not achieve market acceptance of our ESRD therapy products in the United States and our potential sales and revenues will suffer.

If the cost of our ESRD therapy products results in an increased cost to the dialysis clinic over hemodialysis therapies and such cost is not separately
reimbursable by governmental programs or private medical care plans and insurers outside of the per-treatment fee, then we may not gain market acceptance
for such products in the United States unless HDF therapy becomes the standard treatment method for ESRD. If we do not gain market acceptance for our
ESRD therapy products in the United States, then the size of our market and our anticipated sales and revenues will be reduced.

Proposals to modify the health care system in the United States or other countries could affect the pricing of our products. If we cannot sell our products
at the prices we plan to, then our margins and our profitability will be adversely affected.

A substantial portion of the cost of treatment for ESRD in the United States is currently reimbursed by the Medicare program at prescribed rates.
Proposals to modify the current health care system in the United States to improve access to health care and control its costs are continually being considered
by the federal and state governments. In March 2010, the U.S. Congress passed landmark healthcare legislation. We cannot predict what impact on federal
reimbursement policies this legislation will have in general or on our business specifically. We anticipate that the U.S. Congress and state legislatures will
continue to review and assess this legislation and possibly alternative health care reform proposals. We cannot predict whether new proposals will be made or
adopted, when they may be adopted or what impact they may have on us if they are adopted. Any spending decreases or other significant changes in the
Medicare program could affect the pricing of our ESRD therapy products. As we are not yet established in our business and it will take some time for us to
begin to recoup our research and development costs, our profit margins are likely initially to be lower than those of our competitors and we may be more
vulnerable to small decreases in price than many of our competitors.

Health administration authorities in countries other than the United States may not provide reimbursement for our products at rates sufficient for us
to  achieve  profitability,  or  at  all.  Like  the  United  States,  these  countries  have  considered  health  care  reform  proposals  and  could  materially  alter  their
government-sponsored health care programs by reducing reimbursement rates for dialysis products.

Any  reduction  in  reimbursement  rates  under  Medicare  or  foreign  health  care  programs  could  negatively  affect  the  pricing  of  our  ESRD  therapy

products. If we are not able to charge a sufficient amount for our products, then our margins and our profitability will be adversely affected.

32

 
 
 
 
 
 
 
 
 
 
 
 
 
 
If patients in our Target European Market were to reuse dialyzers, then our potential product sales could be materially adversely affected.

In the United States, a majority of dialysis clinics reuse dialyzers — that is, a single dialyzer is disinfected and reused by the same patient. However,
the trend in our Target European Market is towards not reusing dialyzers, and some countries (such as France, Germany, Italy and the Netherlands) actually
forbid the reuse of dialyzers. As a result, each patient in our Target European Market can generally be expected to purchase more dialyzers than each United
States patient. The laws forbidding reuse could be repealed and it may become generally accepted to reuse dialyzers in our Target European Market, just as it
currently is in the United States. If reuse of dialyzers were to become more common among patients in our Target European Market, then there would be
demand for fewer dialyzer units and our potential product sales could be materially adversely affected.

Risks Related to Our Common Stock and Warrants

There currently is a limited market for our common stock.

Our  common  stock  is  quoted  on  the  Over-the-Counter,  or  OTC,  Bulletin  Board.  Prior  to  January  22,  2009,  our  common  stock  was  listed  on  the
AMEX. Trading in our common stock on both AMEX and the OTC Bulletin Board has been very limited, which could affect the price of our stock. We have
no plans, proposals, arrangements or understandings with any person with regard to the development of an active trading market for our common stock, and
no assurance can be given that an active trading market will develop.

The prices at which shares of our common stock trade have been and will likely continue to be volatile.

In the two years ended December 31, 2011, our common stock has traded at prices ranging from a high of $2.40 to a low of $0.30 per share, after
giving effect to the 1:20 reverse stock split effected on March 11, 2011.  Due to the lack of an active market for our common stock, you should expect the
prices at which our common stock might trade to continue to be highly volatile. The expected volatile price of our stock will make it difficult to predict the
value of your investment, to sell your shares at a profit at any given time, or to plan purchases and sales in advance. A variety of other factors might also
affect the market price of our common stock. These include, but are not limited to:

•

•

•

•

•

•

•

•

•

•

achievement  or  rejection  of  regulatory  approvals  by  our  competitors  or  us,  including  specifically  our  510(k)  application  to  the  FDA  for  our
HDF system;

publicity regarding actual or potential clinical or regulatory results relating to products under development by our competitors or us;

delays or failures in initiating, completing or analyzing clinical trials or the unsatisfactory design or results of these trials;

announcements of technological innovations or new commercial products by our competitors or us;

developments concerning proprietary rights, including patents;

regulatory developments in the United States and foreign countries;

economic or other crises and other external factors;

period-to-period fluctuations in our results of operations;

changes in financial estimates by securities analysts; and

sales of our common stock.

We are not able to control many of these factors, and we believe that period-to-period comparisons of our financial results will not necessarily be indicative of
our future performance.

In  addition,  the  stock  market  in  general,  and  the  market  for  biotechnology  companies  in  particular,  has  experienced  extreme  price  and  volume
fluctuations in recent years that might have been unrelated or disproportionate to the operating performance of individual companies. These broad market and
industry factors might seriously harm the market price of our common stock, regardless of our operating performance.

33

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The market price of our common stock may fall below the exercise price of the warrants issued in connection with the rights offering.

The warrants are currently exercisable and will expire on March 10, 2016. The market price of our common stock may fall below the exercise price
for  these  warrants  prior  to  their  expiration.  Any  warrants  not  exercised  by  their  date  of  expiration  will  expire  worthless  and  we  will  be  under  no  further
obligation to the holders of warrants.

If an effective registration is not in place and a current prospectus is not available when an investor desires to exercise warrants, such investor may be
unable to exercise his, her or its warrants, causing such warrants to expire worthless.

We will not be obligated to issue shares of common stock upon exercise of warrants unless, at the time such holder seeks to exercise such warrant,
we  have  a  registration  statement  under  the  Securities  Act  in  effect  covering  the  shares  of  common  stock  issuable  upon  the  exercise  of  the  warrants  and  a
current prospectus relating to the common stock. We intend to use our best efforts to keep a registration statement in effect covering shares of common stock
issuable upon exercise of the warrants and to maintain a current prospectus relating to the common stock issuable upon exercise of the warrants until the
expiration of the warrants. However, we cannot assure you that we will be able to do so, and if we do not maintain a current prospectus related to the common
stock issuable upon exercise of the warrants, holders will be unable to exercise their warrants and we will not be required to settle any such warrant exercise.
If the prospectus relating to the common stock issuable upon the exercise of the warrants is not current, the warrants held by public stockholders may have no
value, we will have no obligation to settle the warrants for cash, the market for such warrants may be limited, such warrants may expire worthless and, as a
result, an investor may have paid the full price solely for the shares of common stock included in the Units.

 An investor will only be able to exercise a warrant if the issuance of common stock upon such exercise has been registered or qualified or is deemed
exempt under the securities laws of the state of residence of the holder of the warrants.

No warrants will be exercisable and we will not be obligated to issue shares of common stock unless the shares of common stock issuable upon such
exercise have been registered or qualified or deemed to be exempt under the securities laws of the state of residence of the holder of the warrants. Because the
exemptions from qualification in certain states for resales of warrants and for issuances of common stock by the issuer upon exercise of a warrant may be
different, a warrant may be held by a holder in a state where an exemption is not available for issuance of common stock upon an exercise and the holder will
be precluded from exercise of the warrant. As a result, the warrants may be deprived of any value, the market for the warrants may be limited, the holders of
the warrants may not be able to exercise their warrants and they may expire worthless if the common stock issuable upon such exercise is not qualified or
exempt from qualification in the jurisdictions in which the holders of the warrants reside.

We have never paid dividends and do not intend to pay cash dividends.

We have never paid dividends on our common stock and currently do not anticipate paying cash dividends on our common stock for the foreseeable
future. Consequently, any returns on an investment in our common stock in the foreseeable future will have to come from an increase in the value of the stock
itself.  As  noted  above,  the  lack  of  an  active  trading  market  for  our  common  stock  will  make  it  difficult  to  value  and  sell  our  common  stock.  While  our
dividend policy will be based on the operating results and capital needs of our business, it is anticipated that all earnings, if any, will be retained to finance our
future operations.

Because we are subject to the “penny stock” rules, you may have difficulty in selling our common stock.

Our common stock is subject to regulations of the SEC relating to the market for penny stocks. Penny stock, as defined by the Penny Stock Reform
Act,  is  any  equity  security  not  traded  on  a  national  securities  exchange  that  has  a  market  price  of  less  than  $5.00  per  share.  The  penny  stock  regulations
generally require that a disclosure schedule explaining the penny stock market and the risks associated therewith be delivered to purchasers of penny stocks
and impose various sales practice requirements on broker-dealers who sell penny stocks to persons other than established customers and accredited investors.
The broker-dealer must make a suitability determination for each purchaser and receive the purchaser’s written agreement prior to the sale. In addition, the
broker-dealer must make certain mandated disclosures, including the actual sale or purchase price and actual bid offer quotations, as well as the compensation
to be received by the broker-dealer and certain associated persons. The regulations applicable to penny stocks may severely affect the market liquidity for
your common stock and could limit your ability to sell your securities in the secondary market.

Our fourth amended and restated certificate of incorporation, as amended, limits liability of our directors and officers, which could discourage you or
other stockholders from bringing suits against our directors or officers in circumstances where you think they might otherwise be warranted.

Our  fourth  amended  and  restated  certificate  of  incorporation,  as  amended,  provides,  with  specific  exceptions  required  by  Delaware  law,  that  our
directors are not personally liable to us or our stockholders for monetary damages for any action or failure to take any action. In addition, we have agreed to,
and  our  fourth  amended  and  restated  certificate  of  incorporation,  as  amended,  and  our  second  amended  and  restated  bylaws  provide  for,  mandatory
indemnification of directors and officers to the fullest extent permitted by Delaware law. These provisions may discourage stockholders from bringing suit
against a director or officer for breach of duty and may reduce the likelihood of derivative litigation brought by stockholders on our behalf against any of our
directors or officers.

34

 
 
 
 
 
 
 
 
 
 
 
 
 
 
We may use our financial resources in ways with which you do not agree and in ways that may not yield a favorable return.

Our  management  has  broad  discretion  over  the  use  of  our  financial  resources,  including  the  net  proceeds  from  all  of  our  equity  financings.
Stockholders may not deem such uses desirable. Our use of our financial resources may vary substantially from our currently planned uses. We cannot assure
you that we will apply such proceeds effectively or that we will invest such proceeds in a manner that will yield a favorable return or any return at all.

Several provisions of the Delaware General Corporation Law, our fourth amended and restated certificate of incorporation, as amended, and our second
amended and restated bylaws could discourage, delay or prevent a merger or acquisition, which could adversely affect the market price of our common
stock.

Several  provisions  of  the  Delaware  General  Corporation  Law,  our  fourth  amended  and  restated  certificate  of  incorporation,  as  amended,  and  our
second amended and restated bylaws could discourage, delay or prevent a merger or acquisition that stockholders may consider favorable, and the market
price of our common stock could be reduced as a result. These provisions include:

•

•

•

•

•

•

authorizing our board of directors to issue “blank check” preferred stock without stockholder approval;

providing for a classified board of directors with staggered, three-year terms;

prohibiting  us  from  engaging  in  a  “business  combination”  with  an  “interested  stockholder”  for  a  period  of  three  years  after  the  date  of  the
transaction in which the person became an interested stockholder unless certain provisions are met;

prohibiting cumulative voting in the election of directors;

limiting the persons who may call special meetings of stockholders; and

establishing advance notice requirements for nominations for election to our board of directors or for proposing matters that can be acted on by
stockholders at stockholder meetings.

As a relatively new company with little or no name recognition and with several risks and uncertainties that could impair our business operations, we are
not likely to generate widespread interest in our common stock. Without widespread interest in our common stock, our common stock price may be highly
volatile and an investment in our common stock could decline in value.

Unlike many companies with publicly traded securities, we have little or no name recognition in the investment community. We are a relatively new
company and very few investors are familiar with either our company or our products. We do not have an active trading market in our common stock, and one
might never develop, or if it does develop, might not continue.

Additionally, the market price of our common stock may fluctuate significantly in response to many factors, many of which are beyond our control.
Risks  and  uncertainties,  including  those  described  elsewhere  in  this  “Certain  Risks  and  Uncertainties”  section  could  impair  our  business  operations  or
otherwise cause our operating results or prospects to be below expectations of investors and market analysts, which could adversely affect the market price of
our common stock. As a result, investors in our common stock may not be able to resell their shares at or above their purchase price and could lose all of their
investment.

Securities  class  action  litigation  is  often  brought  against  public  companies  following  periods  of  volatility  in  the  market  price  of  such  company’s
securities.  As  a  result,  we  may  become  subject  to  this  type  of  litigation  in  the  future.  Litigation  of  this  type  could  be  extremely  expensive  and  divert
management’s attention and resources from running our company.

If we fail to maintain an effective system of internal controls over financial reporting, we may not be able to accurately report our financial results, which
could have a material adverse effect on our business, financial condition and the market value of our securities.

Effective internal controls over financial reporting are necessary for us to provide reliable financial reports. If we cannot provide reliable financial

reports, our reputation and operating results may be harmed.

If  management  is  unable  to  express  a  favorable  opinion  on  the  effectiveness  of  our  internal  controls,  we  could  lose  investor  confidence  in  the
accuracy  and  completeness  of  our  financial  reports.   Any  failure  to  achieve  and  maintain  effective  internal  controls  could  have  an  adverse  effect  on  our
business, financial position and results of operations.

35

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Our directors, executive officers and Lambda Investors LLC control a significant portion of our stock and, if they choose to vote together, could have
sufficient voting power to control the vote on substantially all corporate matters.

As of December 31, 2011, our directors, executive officers and Lambda Investors LLC, our largest stockholder, beneficially owned approximately

56% of our outstanding common stock.

As a result of this ownership, Lambda Investors has the ability to exert significant influence over our policies and affairs, including the election of
directors. Lambda Investors, whether acting alone or acting with other stockholders, could have the power to elect all of our directors and to control the vote
on substantially all other corporate matters without the approval of other stockholders. Furthermore, such concentration of voting power could enable Lambda
Investors LLC, whether acting alone or acting with other stockholders, to delay or prevent another party from taking control of our company even where such
change of control transaction might be desirable to other stockholders. The interests of Lambda Investors in any matter put before the stockholders may differ
from those of any other stockholder.

 Future sales of our common stock could cause the market price of our common stock to decline.

The market price of our common stock could decline due to sales of a large number of shares in the market, including sales of shares by Lambda
Investors or any other large stockholder, or the perception that such sales could occur. These sales could also make it more difficult or impossible for us to sell
equity securities in the future at a time and price that we deem appropriate to raise funds through future offerings of common stock.

Prior to our initial public offering we entered into registration rights agreements with many of our existing security holders that entitled them to have
an aggregate of 501,012 shares registered for sale in the public market. Moreover, many of those shares, as well as the 9,213 shares we sold to Asahi Kasei
Medical Co. Ltd., could be sold in the public market without registration once they have been held for one year, subject to the limitations of Rule 144 under
the Securities Act. In addition, we entered into a registration rights agreement with the holders of our New Notes pursuant to which we granted the holders
certain registration rights with respect to the shares of common stock issuable upon conversion of the New Notes and upon exercise of the Class D Warrants.
We also entered into a registration rights agreement with Lambda Investors pursuant to which we will register for resale the 3,009,711 shares of common
stock and 2,782,579 shares of common stock issuable upon the exercise of warrant purchased by Lambda Investors on March 10, 2011 in a private placement.

Item 2. Properties

Our U.S. facilities are located at 41 Grand Avenue, River Edge, New Jersey, 07661 and consist of approximately 4,688 square feet of space.  The
term of the rental agreement is for one year commencing December 1, 2011 with a monthly cost of approximately $7,813. We use our facilities to house our
corporate headquarters and research facilities.

Our facilities in our Target European Market are currently located at A5 Clonlara Avenue, Baldonnell Business Park, Dublin, Ireland, and consist of
approximately  500  square  feet  of  space.   The  lease  agreement  was  entered  into  on  July  1,  2010.   The  lease  term  was  renewed  on  July  1,  2011  and  again
renewed on January 1, 2012 for a term of 6 months. The lease term is renewable for 6 month terms with a 2 month notice to discontinue.  Our monthly cost is
500 Euro (approximately $700).

We  use  our  facilities  to  house  our  accounting,  operations  and  customer  service  departments.  We  believe  this  space  will  be  adequate  to  meet  our

needs. We do not own any real property for use in our operations or otherwise.

Item 3. Legal Proceedings

There are no currently pending legal proceedings and, as far as we are aware, no governmental authority is contemplating any proceeding to which

we are a party or to which any of our properties is subject.

Item 4. Mine Safety Disclosures

Not applicable.

36

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
PART II

Item 5. Market for Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

On January 22, 2009 the AMEX removed our common stock from trading on the AMEX. Until such date, our common stock had been trading on the
AMEX under the symbol NEP. Effective February 4, 2009, our common stock is now quoted on the OTC Bulletin Board under the symbol “NEPH.” The
following table sets forth the high and low bid and ask prices for our common stock as reported on the Over the Counter Bulletin Board for each quarter
listed. All prices have been adjusted to reflect the effect of the reverse split effective March 11, 2011. Such over the counter market quotations reflect inter-
dealer prices, without retail mark-up, mark-down or commission and may not necessarily represent actual transactions.

Quarter Ended
March 31, 2010
June 30, 2010
September 30, 2010
December 31, 2010
March 31, 2011
June 30, 2011
September 30, 2011
December 31, 2011

High

Low

  $
  $
  $
  $
  $
  $
  $
  $

1.30    $
1.14    $
.48    $
.23    $
.53    $
.98    $
2.19    $
1.90    $

.65 
.36 
.16 
.08 
.02 
.30 
.70 
.41 

As of March 13, 2012, there were approximately 20 holders of record and approximately 1,000 beneficial holders of our common stock.

We have neither paid nor declared dividends on our common stock since our inception. We do not anticipate paying any dividends on our common
stock  in  the  foreseeable  future.  We  expect  to  retain  future  earnings,  if  any,  for  use  in  our  development  activities  and  the  operation  of  our  business.  The
payment of any future dividends will be subject to the discretion of our board of directors and will depend, among other things, upon our results of operations,
financial  condition,  cash  requirements,  prospects  and  other  factors  that  our  board  of  directors  may  deem  relevant.  Additionally,  our  ability  to  pay  future
dividends may be restricted by the terms of any debt financing, tax considerations and applicable law.

Recent Sales of Unregistered Securities

Except as previously reported in our Quarterly Reports on Form 10-Q and our Current Reports on Form 8-K, we have not sold any equity security

during the three years ended December 31, 2011 which were not registered under the Securities Act of 1933, as amended.

 Issuer Repurchases of Equity Securities

There were no repurchases of our common stock during the fourth quarter of 2011.

Item 6. Selected Financial Data

Not required.

Item 7. Management’s Discussion and Analysis or Plan of Operation

The  following  discussion  includes  forward-looking  statements  about  our  business,  financial  condition,  and  results  of  operations,  including
discussions  about  management’s  expectations  for  our  business.  These  statements  represent  projections,  beliefs  and  expectations  based  on  current
circumstances and conditions and in light of recent events and trends, and you should not construe these statements either as assurances of performances or
as promises of a given course of action. Instead, various known and unknown factors are likely to cause our actual performance and management’s actions to
vary, and the results of these variances may be both material and adverse. A list of the known material factors that may cause our results to vary, or may
cause management to deviate from its current plans and expectations, is included in Item 1A “Risk Factors.” The following discussion should also be read in
conjunction with the consolidated financial statements and notes included herein.

37

 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
Going Concern

Our independent registered public accounting firm has included an explanatory paragraph in their report on our financial statements included in this
Form 10-K which expressed doubt as to our ability to continue as a going concern. The accompanying financial statements have been prepared assuming that
we  will  continue  as  a  going  concern,  however,  there  can  be  no  assurance  that  we  will  be  able  to  do  so.  Our  recurring  losses  and  difficulty  in  generating
sufficient  cash  flow  to  meet  our  obligations  and  sustain  our  operations  raise  substantial  doubt  about  our  ability  to  continue  as  a  going  concern,  and  our
consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty.

Business Overview

We are a medical device company developing and marketing filtration products for therapeutic applications, infection control, and water purification.
Our hemodiafiltration, or HDF, system is designed to improve the quality of life for the End-Stage Renal Disease, or ESRD, patient while addressing the
critical financial and clinical needs of the care provider. ESRD is a disease state characterized by the irreversible loss of kidney function. The Nephros HDF
system removes a range of harmful substances more effectively, and with greater capacity, than existing ESRD treatment methods, particularly with respect to
substances  known  collectively  as  “middle  molecules.”  These  molecules  have  been  found  to  contribute  to  such  conditions  as  dialysis-related  amyloidosis,
carpal  tunnel  syndrome,  degenerative  bone  disease  and,  ultimately,  mortality  in  the  ESRD  patient.  Nephros  ESRD  products  are  sold  and  distributed
throughout Europe.

We currently have three products in various stages of development in the HDF modality to deliver improved therapy to ESRD patients:

•

•

•

OLpur MDHDF filter series (which we sell in various countries in Europe and currently consists of our MD190 and MD220 diafilters); to our
knowledge, it is the only filter designed expressly for HDF therapy and employs our proprietary Mid-Dilution Diafiltration technology;

OLpur H 2 H, our add-on module designed to allow the most common types of hemodialysis machines to be used for HDF therapy; and

OLpur NS2000 system, our stand-alone HDF machine and associated filter technology.

We have also developed our OLpur HD 190 high-flux dialyzer cartridge, which incorporates the same materials as our OLpur MD series but does not
employ  our  proprietary  Mid-Dilution  Diafiltration  technology.  Our  OLpur  HD190  was  designed  for  use  with  either  hemodialysis  or  hemodiafiltration
machines, and received its approval from the U.S. Food and Drug Administration, or FDA, under Section 510(k) of the Food, Drug and Cosmetic Act, or the
FDC Act, in June 2005.

In  January  2006,  we  introduced  our  new  Dual  Stage  Ultrafilter,  or  DSU,  water  filtration  system.  Our  DSU  represents  a  new  and  complementary
product line to our existing ESRD therapy business. The DSU incorporates our unique and proprietary dual stage filter architecture and is, to our knowledge,
the only water filter that allows the user to sight-verify that the filter is properly performing its cleansing function. Our research and development work on the
OLpur H 2 H and MD Mid-Dilution filter technologies for ESRD therapy provided the foundations for a proprietary multi-stage water filter that we believe is
cost effective, extremely reliable, and long-lasting. The DSU is designed to remove a broad range of bacteria, viral agents and toxic substances, including
salmonella, hepatitis, cholera, HIV, Ebola virus, ricin toxin, legionella, fungi and e-coli. With over 5,800 registered hospitals in the United States alone (as
reported by the American Hospital Association in Fast Facts of January 3, 2012), we believe the hospital shower and faucet market can offer us a valuable
opportunity as a first step in water filtration.

The following trends, events and uncertainties may have a material impact on our potential sales, revenue and income from operations:

1)

2)

3)

4)

5)

6)

receiving regulatory approval for each of our ESRD therapy products and our DSU product in our target territories;

the completion and success of additional clinical trials;

the market acceptance of HDF therapy in the United States and of our technologies and products in each of our target markets;

our ability to effectively and efficiently manufacture, market and distribute our products;

our ability to sell our products at competitive prices which exceed our per unit costs;

the consolidation of dialysis clinics into larger clinical groups; and

38

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
7)

the current U.S. healthcare plan is to bundle reimbursement for dialysis treatment which may force dialysis clinics to change
therapies due to financial reasons.

To the extent we are unable to succeed in accomplishing (1) through (7), our sales could be lower than expected and dramatically impair our ability
to generate income from operations. With respect to (6), the impact could either be positive, in the case where dialysis clinics consolidate into independent
chains, or negative, in the case where competitors acquire these dialysis clinics and use their own products, as competitors have historically tended to use their
own products in clinics they have acquired.

Recently Adopted Accounting Pronouncements

We follow accounting standards set by the Financial Accounting Standards Board (“FASB”). The FASB sets generally accepted accounting

principles (“GAAP”) that we follow to ensure we consistently report our financial condition, results of operations, and cash flows. References to GAAP
issued by the FASB in these footnotes are to the FASB Accounting Standards Codification, TM sometimes referred to as the Codification or “ASC.” In June
2009, the FASB issued ASC Topic 105, Generally Accepted Accounting Principles, which became the single source of authoritative nongovernmental U.S.
GAAP, superseding existing FASB, American Institute of Certified Public Accountants (“AICPA”), Emerging Issues Task Force (“EITF”), and related
accounting literature. This pronouncement reorganizes the thousands of GAAP pronouncements into roughly 90 accounting topics and displays them using a
consistent structure. Also included is relevant SEC guidance organized using the same topical structure in separate sections and has been adopted by us for the
year ended December 31, 2009. This has an impact on our financial disclosures since all future references to authoritative accounting literature will be
referenced in accordance with ASC Topic 105.

In February 2010, the FASB issued an amendment which requires that an SEC filer, as defined, evaluate subsequent events through the date that the
financial statements are issued. The update also removed the requirement for an SEC filer to disclose the date through which subsequent events have been
evaluated. The adoption of this guidance on January 1, 2010 did not have a material effect on our consolidated financial statements.

In  April  2010,  the  FASB  issued  an  ASU,  Revenue  Recognition  –  Milestone  Method,  to  provide  guidance  on  (i)  defining  a  milestone,  and  (ii)
determining  when  it  may  be  appropriate  to  apply  the  milestone  method  of  revenue  recognition  for  research  and  development  transactions.  The  guidance
becomes effective on a prospective basis for research and development milestones achieved in fiscal years beginning on or after June 15, 2010, with early
adoption and retrospective application permitted. The adoption of this amendment did not impact our consolidated financial statements.

In  January  2010,  the  FASB  issued  an  amendment  to  ASC  Topic  820-  Improving  Disclosures  about  Fair  Value  Measurements,  which  amends  the
existing  fair  value  measurement  and  disclosure  guidance  currently  included  in  ASC  Topic  820,  Fair  Value  Measurements  and  Disclosures,  to  require
additional  disclosures  regarding  fair  value  measurements.  Specifically,  the  amendment  to  ASC  Topic  820  requires  entities  to  disclose  the  amounts  of
significant transfers between Level 1 and Level 2 of the fair value hierarchy and the reasons for these transfers, the reasons for any transfer in or out of Level
3 and information in the reconciliation of recurring Level 3 measurements about purchases, sales, issuances and settlements on a gross basis. In addition, this
amendment also clarifies the requirement for entities to disclose information about both the valuation techniques and inputs used in estimating Level 2 and
Level  3  fair  value  measurements.  This  amendment  is  effective  for  interim  and  annual  reporting  periods  beginning  after  December  15,  2009,  except  for
additional disclosures related to Level 3 fair value measurements, which are effective for fiscal years beginning after December 15, 2010. The adoption of this
amendment did not impact our consolidated financial statements.

In  June  2011,  the  FASB  issued  ASU  No.  2011-05,  "Comprehensive  Income  (ASC  Topic  220):  Presentation  of  Comprehensive  Income,"  ("ASU
2011-05")  which  amends  current  comprehensive  income  guidance.  This  accounting  update  eliminates  the  option  to  present  the  components  of  other
comprehensive income as part of the statement of shareholders' equity. Instead, we must report comprehensive income in either a single continuous statement
of  comprehensive  income  which  contains  two  sections,  net  income  and  other  comprehensive  income,  or  in  two  separate  but  consecutive  statements.  ASU
2011-05  will  be  effective  for  public  companies  during  the  interim  and  annual  periods  beginning  after  Dec.  15,  2011  with  early  adoption  permitted.  The
Company does not believe that the adoption of ASU 2011-05 will have a material impact on the Company's consolidated results of operation and financial
condition.

Critical Accounting Policies and Estimates

Our discussion and analysis of our financial condition and results of operations are based on our consolidated financial statements, which have been
prepared  in  accordance  with  accounting  principles  generally  accepted  in  the  United  States.  The  preparation  of  financial  statements  in  accordance  with
generally accepted accounting principles in the United States requires application of management’s subjective judgments, often requiring the need to make
estimates about the effect of matters that are inherently uncertain and may change in subsequent periods. Our actual results may differ substantially from these
estimates  under  different  assumptions  or  conditions.  While  our  significant  accounting  policies  are  described  in  more  detail  in  the  notes  to  consolidated
financial  statements  included  in  this  annual  report  on  Form  10-K,  we  believe  that  the  following  accounting  policies  require  the  application  of  significant
judgments and estimates. 

39

 
 
 
 
 
 
 
 
 
 
 
 
 
Revenue Recognition

Revenue is recognized in accordance with ASC Topic 605. Four basic criteria must be met before revenue can be recognized: (i) persuasive evidence
of an arrangement exists; (ii) delivery has occurred or services have been rendered; (iii) the fee is fixed and determinable; and (iv) collectibility is reasonably
assured.

We recognize revenue related to product sales when delivery is confirmed by our external logistics provider and the other criteria of ASC Topic 605
are met. Product revenue is recorded net of returns and allowances. All costs and duties relating to delivery are absorbed by us. All shipments are currently
received directly by our customers.

Stock-Based Compensation

We account for stock-based compensation in accordance with ASC 718 by recognizing the fair value of stock-based compensation in net income.
The fair value of our stock option awards are estimated using a Black-Scholes option valuation model. This model requires the input of highly subjective
assumptions and elections including expected stock price volatility and the estimated life of each award. In addition, the calculation of compensation costs
requires that we estimate the number of awards that will be forfeited during the vesting period. The fair value of stock-based awards is amortized over the
vesting period of the award. For stock awards that vest based on performance conditions (e.g. achievement of certain milestones), expense is recognized when
it is probable that the condition will be met.

Accounts Receivable

We provide credit terms to our customers in connection with purchases of our products. We periodically review customer account activity in order to
assess the adequacy of the allowances provided for potential collection issues and returns. Factors considered include economic conditions, each customer’s
payment and return history and credit worthiness. Adjustments, if any, are made to reserve balances following the completion of these reviews to reflect our
best estimate of potential losses.

Inventory Reserves

Our inventory reserve requirements are based on factors including the products’ expiration date and estimates for the future sales of the product. If

estimated sales levels do not materialize, we will make adjustments to our assumptions for inventory reserve requirements.

Accrued Expenses

We  are  required  to  estimate  accrued  expenses  as  part  of  our  process  of  preparing  financial  statements.  This  process  involves  identifying  services
which have been performed on our behalf, and the level of service performed and the associated cost incurred for such service as of each balance sheet date in
our  financial  statements.  Examples  of  areas  in  which  subjective  judgments  may  be  required  include  costs  associated  with  services  provided  by  contract
organizations  for  the  preclinical  development  of  our  products,  the  manufacturing  of  clinical  materials,  and  clinical  trials,  as  well  as  legal  and  accounting
services provided by professional organizations. In connection with such service fees, our estimates are most affected by our understanding of the status and
timing  of  services  provided  relative  to  the  actual  levels  of  services  incurred  by  such  service  providers.  The  majority  of  our  service  providers  invoice  us
monthly in arrears for services performed. In the event that we do not identify certain costs, which have begun to be incurred, or we under- or over-estimate
the level of services performed or the costs of such services, our reported expenses for such period would be too low or too high. The date on which certain
services  commence,  the  level  of  services  performed  on  or  before  a  given  date  and  the  cost  of  such  services  are  often  determined  based  on  subjective
judgments. We make these judgments based upon the facts and circumstances known to us in accordance with generally accepted accounting principles.

Results of Operations

Fluctuations in Operating Results

Our results of operations have fluctuated significantly from period to period in the past and are likely to continue to do so in the future. We anticipate
that our annual results of operations will be impacted for the foreseeable future by several factors including the progress and timing of expenditures related to
our  research  and  development  efforts,  marketing  expenses  related  to  product  launches,  timing  of  regulatory  approval  of  our  various  products  and  market
acceptance of our products. Due to these fluctuations, we believe that the period to period comparisons of our operating results are not a good indication of
our future performance.

40

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The Fiscal Year Ended December 31, 2011 Compared to the Fiscal Year Ended December 31, 2010

Revenues

Total revenues for the year ended December 31, 2011 were approximately $2,214,000 compared to approximately $2,938,000 for the year ended
December 31, 2010.  Total revenues decreased approximately $724,000. The decrease of approximately 25% is due to decreased revenue of approximately
$384,000, or 45%, during the year ended December 31, 2011 over the same period in 2010, related to our contract with the Office of U.S. Naval Research, a
$749,000 reduction in direct sales of our MD filters in our Target European Market, and a $73,000 reduction in STERIS project sales.  These decreases were
partially  offset  by  approximately  $117,000  more  DSU  sales,  or  24%,  and  $365,000  in  revenue  related  to  the  Bellco  license  agreement  for  the  year  ended
December 31, 2011 compared to no Bellco license revenue for the year ended December 31, 2010.

Revenues were not significantly impacted by inflation or changing prices for the years ended December 31, 2010 or 2011.

Cost of Goods Sold

Cost of goods sold was approximately $1,346,000 for the year ended December 31, 2011 compared to approximately $1,816,000 for the year ended
December 31, 2010. The decrease of approximately $470,000, or 26%, in cost of goods sold is primarily related to our contract with the Office of U.S. Naval
Research, where the cost of goods sold decreased by approximately $180,000, a $513,000 reduction in cost of sales of our MD filters in our Target European
Market,  and  a  $83,000  reduction  in  costs  related  to  the  STERIS  project.  These  decreases  were  partially  offset  by  increased  cost  of  goods  sold  of
approximately $106,000 related to DSU sales for the year ended December 31, 2011 compared to the same period in 2010. Also included in cost of goods
sold for the year ended December 31, 2011 is a write-down for obsolete inventory of approximately $200,000. The inventory write-down for the year ended
December 31, 2010 was approximately $18,000.

Research and Development

Research  and  development  expenses  were  approximately  $451,000  and  $362,000  respectively,  for  the  years  ended  December  31,  2011  and
December 31, 2010. This increase of approximately $89,000 or 25% is primarily due to an increase in research and development personnel related costs of
approximately $56,000 and an increase in outside testing costs of approximately $26,000 during the year ended December 31, 2011 compared to the year
ended December 31, 2010.

Depreciation and Amortization Expense

Depreciation expense was approximately $91,000 for the year ended December 31, 2011 compared to approximately $129,000 for the year ended
December 31, 2010, a decrease of 29%. The decrease of approximately $38,000 is primarily due to several assets having been fully depreciated as of year-end
2010 resulting in no depreciation expense for those assets during the year ended December 31, 2011. There was one sale of a fully-depreciated asset during
the year ended December 31, 2011, resulting in a gain on the sale of less than $1,000.

Selling, General and Administrative Expenses

Selling,  general  and  administrative  expenses  were  approximately  $2,636,000  for  the  year  ended  December  31,  2011  compared  to  approximately
$2,520,000 for the year ended December 31, 2010, an increase of $116,000 or 5%. The increase is primarily due to $158,000 of bonus expense, an increase in
stock compensation expense of $164,000, and $86,000 of recruiting fees during the year ended December 31, 2011 compared to the year ended December 30,
2010. These increases were partially offset by a reduction in U.S. salary expense of $97,000, a reduction in severance expense of $50,000, a reduction in
marketing expense of $106,000, a reduction in legal fees of $17,000, and a reduction in U.S. insurance costs of $20,000 during the year ended December 31,
2011 compared to the year ended December 31, 2010.

Interest Income

Interest income was approximately $4,000 for the year ended December 31, 2011 compared to approximately $1,000 for the year ended December
31, 2010. The increase of $3,000 reflects the impact of having more cash on hand in 2011 compared to 2010 and, therefore, more investments to generate
interest income.

Interest Expense

Interest expense was approximately $12,000 for the year ended December 31, 2011 compared to $15,000 for the year ended December 31, 2010. For

both years, this interest relates to interest accrued on the $500,000 senior secured note issued to Lambda Investors LLC, which was paid in March 2011.

41

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Amortization of Debt Issuance Costs

We account for debt issuance costs in accordance with ASC 835, which requires that these costs be reported in the balance sheet as deferred charges
and amortized over the term of the associated debt. Amortization of debt issuance costs of $40,000 and $50,000 for the years ended December 31, 2011 and
2010, respectively, were associated with the senior secured note issued to Lambda Investors LLC. The note was paid in March 2011 and these capitalized
costs were fully amortized by the first quarter of 2011.

Other Income/Expense

Other expense in the amount of approximately $2,000 for the year ended December 31, 2011 was due to foreign currency loss on invoices paid to an
international supplier.  Other income in the amount of approximately $20,000 for the year ended December 31, 2010 primarily resulted from the reversal of a
prior year’s accrual determined to no longer be necessary.

Off-Balance Sheet Arrangements

We did not engage in any off-balance sheet arrangements during the periods ended December 31, 2011 and December 31, 2010.

Liquidity and Capital Resources

Our future liquidity sources and requirements will depend on many factors, including:

·

·

·

·

·

·

·

the  cost,  timing  and  results  of  our  efforts  to  obtain  regulatory  approval  of  our  products,  including  specifically  our  510(k)
application for our HDF system;

the availability of additional financing, through the sale of equity securities or otherwise, on commercially reasonable terms or
at all;

the market acceptance of our products, and our ability to effectively and efficiently produce and market our products;

the timing and costs associated with obtaining United States regulatory approval or the Conformité Européene, or CE, mark,
which demonstrates compliance with the relevant European Union requirements and is a regulatory prerequisite for selling our
ESRD therapy products in the European Union and certain other countries that recognize CE marking (for products other than
our OLpur MDHDF filter series, for which the CE mark was obtained in July 2003);

the continued progress in and the costs of clinical studies and other research and development programs;

the costs involved in filing and enforcing patent claims and the status of competitive products; and

the cost of litigation, including potential patent litigation and any other actual or threatened litigation.

We expect to put our current capital resources to the following uses:

·

·

·

·

·

for the marketing and sales of our products;

to  obtain  appropriate  regulatory  approvals  and  expand  our  research  and  development  with  respect  to  our  ESRD  therapy
products;

to continue our ESRD therapy product engineering;

to pursue business opportunities with respect to our DSU water-filtration product; and

for working capital purposes.

42

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
In response to liquidity issues experienced with our auction rate securities, and in order to facilitate greater liquidity in our short-term investments,
on March 27, 2008, our board of directors adopted an Investment, Risk Management and Accounting Policy. Such policy limits the types of instruments or
securities in which we may invest our excess funds in the future to: U.S. Treasury Securities; Certificates of Deposit issued by money center banks; Money
Funds by money center banks; Repurchase Agreements; and Eurodollar Certificates of Deposit issued by money center banks. This policy provides that our
primary  objectives  for  investments  shall  be  the  preservation  of  principal  and  achieving  sufficient  liquidity  to  meet  our  forecasted  cash  requirements.  In
addition, provided that such primary objectives are met, we may seek to achieve the maximum yield available under such constraints.

In June 2006, we entered into subscription agreements with certain investors who purchased an aggregate of $5,200,000 principal amount of our 6%
Secured Convertible Notes due 2012 (the “Old Notes”). The Old Notes were secured by substantially all of our assets. However, as of September 19, 2007,
the Old Notes were exchanged for New Notes as further described in the paragraphs below.

We entered into a Subscription Agreement (“Subscription Agreement”) with Lambda Investors LLC (“Lambda”) on September 19, 2007 (the “First
Closing  Date”),  GPC  76,  LLC  on  September  20,  2007,  Lewis  P.  Schneider  on  September  21,  2007  and  Enso  Global  Equities  Partnership  LP  (“Enso”)  on
September 25, 2007 (collectively, the “New Investors”) pursuant to which the New Investors purchased an aggregate of $12,677,000 principal amount of our
Series A 10% Secured Convertible Notes due 2008 (the “Purchased Notes”), for the face value thereof (the “Offering”). Concurrently with the Offering, we
entered into an Exchange Agreement (the “Exchange Agreement”) with each of Southpaw Credit Opportunities Master Fund LP, 3V Capital Master Fund
Ltd., Distressed/High Yield Trading Opportunities, Ltd., Kudu Partners, L.P. and LJHS Company (collectively, the “Exchange Investors” and together with
the  New  Investors,  the  “Investors”),  pursuant  to  which  the  Exchange  Investors  agreed  to  exchange  the  principal  and  accrued  but  unpaid  interest  in  an
aggregate amount of $5,600,000 under our Old Notes, for our new Series B 10% Secured Convertible Notes due 2008 in an aggregate principal amount of
$5,300,000  (the  “Exchange  Notes”,  and  together  with  the  Purchased  Notes,  the  “New  Notes”)  (the  “Exchange”,  and  together  with  the  Offering,  the
“Financing”).

We obtained the approval of our stockholders representing a majority of our outstanding shares to the issuance of shares of our common stock upon
conversion  of  our  New  Notes  and  exercise  of  our  Class  D  Warrants  (as  defined  below)  issuable  upon  such  conversion,  as  further  described  below.  The
stockholder approval became effective on November 13, 2007, and the New Notes converted into shares of our common stock on November 14, 2007.

All  principal  and  accrued  but  unpaid  interest  (the  “Conversion  Amount”)  under  our  New  Notes  automatically  converted  into  (i)  shares  of  our
common stock at a conversion price per share of our common stock (the “Conversion Shares”) equal to $0.706 and (ii) in the case of our Purchased Notes, but
not our Exchange Notes, Class D Warrants (the “Class D Warrants”) for purchase of shares of our common stock (the “Warrant Shares”) in an amount equal
to 50% of the number of shares of our common stock issued to the New Investors in accordance with clause (i) above with an exercise price per share of our
common stock equal to $18.00 (subject to anti-dilution adjustments). The Class D Warrants have a term of five years and are non-callable by us.

National Securities Corporation (“NSC”) and Dinosaur Securities, LLC (“Dinosaur” and together with NSC, the “Placement Agent”) acted as co-
placement agents in connection with the Financing pursuant to an Engagement Letter, dated June 6, 2007 and a Placement Agent Agreement dated September
18, 2007. The Placement Agent received (i) an aggregate cash fee equal to 8% of the face amount of the Lambda Purchased Note and the Enso Purchased
Note allocated and paid 6.25% to NSC and 1.75% to Dinosaur, and (ii) warrants (“Placement Agent Warrant”) with a term of five years from the date of
issuance  to  purchase  10%  of  the  aggregate  number  of  shares  of  our  common  stock  issued  upon  conversion  of  the  Lambda  Purchased  Note  and  the  Enso
Purchased Note with an exercise price per share of our common stock equal to $18.00.

In connection with the sale of the New Notes, we entered into a Registration Rights Agreement with the Investors, dated as of the First Closing Date
(the “Registration Rights Agreement”), pursuant to which we agreed to file an initial resale registration statement (“Initial Resale Registration Statement”)
with the SEC no later than 60 days after we file a definitive version of our Information Statement on Schedule 14C with the SEC, and we filed such Initial
Resale Registration Statement on December 20, 2007. We also agreed to use our commercially reasonable best efforts to have the Initial Resale Registration
Statement declared effective within 240 days after filing of a definitive version of our Information Statement on Schedule 14C. The Initial Resale Registration
Statement was declared effective on May 5, 2008.

On  July  24,  2009,  we  raised  gross  proceeds  of  $1,251,000  through  the  private  placement  to  eight  accredited  investors  of  an  aggregate  of  67,258
shares of our common stock and warrants to purchase an aggregate of 33,629 shares of its common stock, representing 50% of the shares of common stock
purchased  by  each  investor.    We  sold  the  shares  to  investors  at  a  price  per  share  equal  to  $18.60.    The  warrants  have  an  exercise  price  of  $22.40,  are
exercisable immediately and will terminate on July 24, 2014. For the year ended December 31, 2010, $72,000 of cash was also provided by the exercise of
stock options. No cash was provided by the exercise of stock options for the year ended December 31, 2011.

43

 
 
 
 
 
 
 
 
 
 
On October 1, 2010, we issued a senior secured note to Lambda Investors LLC in the principal amount of $500,000.  The note bore interest at the
rate of 12% per annum and was to mature on April 1, 2011, at which time all principal and accrued interest would be due.  However, we agreed to and did
prepay,  without  penalty,  amounts  due  under  the  note  with  the  cash  proceeds  from  our  rights  offering  prior  to  the  maturity  date.    On  March  10,  2011  in
connection with the completion of the rights offering as discussed below, we repaid in full the $500,000 of principal and $26,650 of accrued interest on the
senior secured note issued to Lambda Investors LLC on October 1, 2010.

On March 10, 2011 we completed our rights offering and private placement that together resulted in gross proceeds of approximately $3.2 million to
Nephros.  Our  stockholders  subscribed  for  4,964,854  units  in  its  previously  announced  rights  offering  and  we  accepted  all  basic  subscription  rights  and
oversubscription privileges. The units were sold at a per unit purchase price of $0.40. Gross proceeds from the sale of these units in the rights offering was
approximately $2.0 million. We issued an aggregate of 4,964,854 shares of common stock and warrants to purchase an aggregate of approximately 4,590,171
million shares of common stock to stockholders who subscribed.

Simultaneously with the closing of the rights offering, Lambda Investors, LLC purchased in a private placement 3,009,711 units at the same per unit
purchase  price  of  $0.40,  pursuant  to  a  purchase  agreement  between  us  and  Lambda  Investors.  We  issued  to  Lambda  Investors  an  aggregate  of  3,009,711
shares  of  common  stock  and  warrants  to  purchase  an  aggregate  of  2,782,577  shares  of  common  stock.  We  received  approximately  $1.2  million  in  gross
proceeds from its sale of units to Lambda Investors.

The  aggregate  net  proceeds  received  by  us  from  the  rights  offering  and  private  placement  were  approximately  $2.3  million,  after  deducting  the
estimated aggregate expenses of these transactions, the repayment of the $500,000 note, plus all accrued interest thereon, issued to Lambda Investors, LLC,
the payment of an 8% sourcing/transaction fee ($40,000) in respect of the note and an aggregate of $100,000 for reimbursement of Lambda Investors’ legal
fees incurred in connection with the loan and the rights offering.

On March 11, 2011, we effected a reverse stock split, in which every 20 shares of our common stock issued and outstanding immediately prior to the
effective time, which was 5:00 p.m. on March 11, 2011, were converted into one share of common stock. Fractional shares were not issued and stockholders
who otherwise would have been entitled to receive a fractional share as a result of the reverse stock split received an amount in cash equal to $0.04 per pre-
split share for such fractional interests. The number of shares of common stock issued and outstanding was reduced from approximately 201,300,000 pre-split
to approximately 10,100,000 post-split. The reverse stock split was effected in connection with the rights offering and private placement.

At December 31, 2011, we had an accumulated deficit of $94,268,000, and we expect to incur additional losses in the foreseeable future at least until
such  time,  if  ever,  that  we  are  able  to  increase  product  sales  or  licensing  revenue.  We  have  financed  our  operations  since  inception  primarily  through  the
private placements of equity and debt securities and our initial public offering in September 2004, from licensing revenue received from Asahi Kasei Medical
Co., Ltd. (“Asahi”) in March 2005, a private placement of convertible debenture in June 2006, a private investment in public equity in September 2007, a
private placement in July 2009, and the October 2010 issuance of a senior secured note. In March 2011, the rights offering and concurrent private placement
to Lambda Investors provided additional capital.

On June 27, 2011, the Company entered into a License Agreement,  effective July 1, 2011, with Bellco, as licensee.  This Agreement provides the
Company  with  payments  of  €500,000,  €750,000,  and  €600,000  on  July  1,  2011,  January  15,  2012  and  January  15,  2013,  respectively.  The  first  two  fixed
payments have been received. The remaining fixed payment of €600,000 or approximately $778,000, will take place in January 2013. Beginning on January
1,  2015  through  and  including  December  31,  2016,  Bellco  will  pay  to  Nephros  a  royalty  based  on  the  number  of  units  of  Products  sold  per  year  in  the
Territory as follows: for the first 103,000 units sold,  €4.50 per unit; thereafter, €4.00 per unit.  Anticipated payments from this License Agreement will be a
positive source of cash flow to the Company.

As of the date of this report, we estimate that these cash flows would allow us to keep operating only into the second quarter of 2013. Our cash flow
currently is not, and historically has not been, sufficient to meet our obligations and commitments. We must seek and obtain additional financing to fund our
operations. If we cannot raise sufficient capital, we will be forced to curtail our planned activities and operations or cease operations entirely and you will lose
all of your investment in our Company. There can be no assurance that we could raise sufficient capital on a timely basis or on satisfactory terms or at all.

Net cash used in operating activities was approximately $1,296,000 for the year ended December 31, 2011 compared to approximately $1,292,000
for  the  year  ended  December  31,  2010.  The  most  significant  items  contributing  to  this  net  increase  of  approximately  $4,000  in  cash  used  in  operating
activities during the year ended December 31, 2011 compared to the year ended December 31, 2010 are highlighted below:

·

·

·

during 2011, our net loss increased by approximately $427,000, compared to 2010;

during 2011, depreciation expense decreased by approximately $38,000, compared to 2010;

our accounts receivable increased by approximately $832,000 during 2011 compared to 2010;

44

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
·

·

·

·

·

our long-term assets increased by approximately $778,000 during 2011 compared to 2010;

our accounts payable and accrued expenses decreased by approximately $357,000 in the aggregate during 2011 compared to 2010;

during 2011, we recorded amortization of debt issuance costs of $40,000, whereas amortization of debt issuance costs in 2010 were $50,000;

during 2011, we recorded non-cash interest of $12,000, whereas non-cash interest was $15,000 in 2010; and

our inventory decreased by approximately $295,000 during 2011 compared to an increase of approximately $98,000 during 2010.

Offsetting the above changes are the following items:

·

·

·

·

during 2011, our stock-based compensation expense, a non-cash expense, increased by approximately $164,000 compared to 2010;

during 2011, our deferred revenue increased by approximately $2,061,000 compared to 2010;

our prepaid expenses and other assets decreased by approximately $76,000 during 2011 compared to 2010; and

during 2011, we recorded an inventory reserve of $200,000, whereas there was no inventory reserve in 2010.

There  was  no  cash  used  or  provided  by  investing  activities  during  the  year  ended  December  31,  2011.  Net  cash  used  by  investing  activities  was

$30,000 for the year ended December 31, 2010, which was for the purchase of equipment.

Net cash provided by financing activities was approximately $2,723,000 for the year ended December 31, 2011, resulting from the issuance of stock
and from the exercise of warrants, providing cash of $3,189,000 and $174,000, respectively, which was partially offset by the payment of debt of $500,000
and the payment of deferred financing costs of $140,000.  Financing activities provided net cash of approximately $572,000 for the year ended December 31,
2010 resulting from the exercise of stock options of $72,000 and proceeds from short-term borrowings of $500,000.

Net cash provided by financing activities was $572,000 for the year ended December 31, 2010 resulting from the issuance of a short-term note of
$500,000 and proceeds from the exercise of stock options of $72,000. Net cash provided by financing activities was $1,336,000 for the year ended December
31, 2009 resulting from the sale of common stock of $1,251,000 and proceeds from the exercise of stock options of $85,000.

Contractual Obligations and Commercial Commitments

The following tables summarize our approximate minimum contractual obligations and commercial commitments as of December 31, 2011:

Total

Within 
1 Year

Payments Due in Period
Years 
1 – 3

Years 
3 – 5

More than 
5 Years

Leases
Employment Contracts
Total

$

$

112,000   
450,000   
562,000   

$

$

92,000   
200,000   
292,000   

$

$

18,000    $

200,000   
218,000    $

2,000    $
50,000   
52,000    $

— 
— 
— 

Item 7A. Quantitative and Qualitative Disclosures About Market Risk

Not required.

45

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
 
 
 
 
   
 
   
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 8. Financial Statements

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Board of Directors and Stockholders of
Nephros, Inc.

We have audited the accompanying consolidated balance sheets of Nephros, Inc. and Subsidiary (collectively, “the Company”) as of December 31,
2011  and  2010,  and  the  related  consolidated  statements  of  operations,  stockholders’  equity  and  cash  flows  for  each  of  the  years  then  ended.  These
consolidated  financial  statements  are  the  responsibility  of  the  Company’s  management.  Our  responsibility  is  to  express  an  opinion  on  these  consolidated
financial statements based on our audits.

We  conducted  our  audits  in  accordance  with  the  standards  of  the  Public  Company  Accounting  Oversight  Board  (United  States).  Those  standards
require  that  we  plan  and  perform  audits  to  obtain  reasonable  assurance  about  whether  the  financial  statements  are  free  of  material  misstatement.  The
Company is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. Our audits included consideration
of  internal  control  over  financial  reporting  as  a  basis  for  designing  audit  procedures  that  are  appropriate  in  the  circumstances,  but  not  for  the  purpose  of
expressing an opinion on the effectiveness of the Company’s internal control over financial reporting. Accordingly, we express no such opinion. An audit also
includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and
significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable
basis for our opinion.

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of Nephros, Inc.
and Subsidiary as of December 31, 2011 and 2010, and the results of their operations and their cash flows for each of the years then ended, in conformity with
accounting principles generally accepted in the United States of America.

The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. As discussed
in  Note  2  to  the  consolidated  financial  statements,  the  Company  has  incurred  negative  cash  flow  from  operations  and  net  losses  since  inception.  These
conditions,  among  others,  raise  substantial  doubt  about  its  ability  to  continue  as  a  going  concern.  Management’s  plans  in  regard  to  these  matters  are  also
described  in  Note  2.  The  accompanying  consolidated  financial  statements  do  not  include  any  adjustments  that  might  result  from  the  outcome  of  this
uncertainty.

/s/ ROTHSTEIN KASS

Roseland, New Jersey
March 22, 2012

46

 
 
 
 
 
 
 
 
 
 
 
NEPHROS, INC. AND SUBSIDIARY

CONSOLIDATED BALANCE SHEETS

(In Thousands, Except Share Amounts)

Current assets:

ASSETS

Cash and cash equivalents
Accounts receivable
Inventory, less allowances of $218 and $18 at December 31, 2011 and 2010, respectively
Prepaid expenses and other current assets

Total current assets
Property and equipment, net
Long-term receivable
Total assets

LIABILITIES AND STOCKHOLDERS’ EQUITY

Current liabilities:

Short-term borrowings
Accounts payable
Accrued expenses
Deferred revenue

Total current liabilities

Commitments and Contingencies (Note 10)

Stockholders’ equity:

Preferred stock, $.001 par value; 5,000,000 shares authorized at December 31, 2011 and 2010; no

shares issued and outstanding at December 31, 2011 and  2010

Common stock, $.001 par value; 90,000,000 authorized at December 31, 2011 and 2010; 10,501,477
and 2,090,552 shares issued and outstanding at December 31, 2011 and 2010, respectively

Additional paid-in capital
Accumulated other comprehensive income
Accumulated deficit
Total stockholders’ equity
Total liabilities and stockholders’ equity

  December 31, 2011    December 31, 2010 

  $

  $

1,669    $
1,170   
247   
113   
3,199   
17   
778   
3,994    $

  $

-    $

284   
195   
2,094   
2,573   

-   

10   
95,630   
49   
(94,268)  
1,421   
3,994    $

  $

240 
326 
726 
190 
1,482 
108 
- 
1,590 

500 
441 
481 
33 
1,455 

- 

2 
92,019 
22 
(91,908)
135 
1,590 

The accompanying notes are an integral part of these consolidated financial statements.

47

 
 
 
 
 
 
 
 
    
 
  
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
    
 
  
 
 
 
    
 
  
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
    
 
  
 
 
 
    
 
  
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NEPHROS, INC. AND SUBSIDIARY

CONSOLIDATED STATEMENTS OF OPERATIONS

(In Thousands, Except Share and Per Share Amounts)

Product revenues
Licensing revenues
Total net revenues
Cost of goods sold
Gross margin
Operating expenses:

Research and development
Depreciation and amortization
Selling, general and administrative

Total operating expenses
Loss from operations
Interest income
Interest expense
Amortization of debt issuance costs
Other income (expense)
Net loss
Net loss per common share, basic and diluted

Years Ended December 31,

2011

2010

$

$
$

1,849    $
365   
2,214   
1,346   
868   

451   
91   
2,636   
3,178   
(2,310)  
4   
(12)  
(40)  
(2)  
(2,360)   $
(0.27)   $

2,938 
- 
2,938 
1,816 
1,122 

362 
129 
2,520 
3,011 
(1,889)
1 
(15)
(50)
20 
(1,933)
(0.93)

Weighted average common shares outstanding, basic and diluted

8,644,962   

2,087,068 

The accompanying notes are an integral part of these consolidated financial statements.

48

 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
NEPHROS, INC. AND SUBSIDIARY

CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS’ EQUITY

(In Thousands, Except Share Amounts)

Balance, December 31, 2009

    2,080,239    $

2    $

91,855    $

76    $

(89,975)   $

1,958 

Common Stock

Shares

    Amount     Capital

Other
    Income (Loss)   

    Accumulated   
Deficit

Total

    Additional    Accumulated    
    Paid-in    

Comprehensive income:

Net loss
Net unrealized losses on foreign currency translation
Comprehensive loss
Exercise of stock options

Noncash stock-based compensation
Balance, December 31, 2010

Comprehensive income:

Net loss
Net unrealized gains on foreign currency translation
Comprehensive loss
Private placement sale of common stock
Shareholder rights offering
Fractional shares not issued
Exercise of warrants

Noncash stock-based compensation
Balance, December 31, 2011

10,313     

    2,090,552    $

2    $

72     
92     
92,019    $

(1,933)    

(54)    

22    $

(91,908)   $

(2,360)    

27     

    3,009,711     
    4,964,854     
(308)    
436,668     

3     
5     

1,201     
1,980     

    10,501,477    $

10    $

174     
256     
95,630    $

49    $

(94,268)   $

(1,933)
(54)
(1,987)
72 
92 
135 

(2,360)
27 
(2,333)
1,204 
1,985 

174 
256 
1,421 

The accompanying notes are an integral part of these consolidated financial statements.

49

 
 
 
 
 
 
 
 
   
 
 
   
 
 
 
 
 
 
 
 
   
 
 
   
      
      
      
      
      
  
   
      
      
      
      
      
  
   
      
      
      
      
   
      
      
      
      
   
      
      
      
      
      
   
      
      
      
   
      
      
      
      
 
   
      
      
      
      
      
  
   
      
      
      
      
      
  
   
      
      
      
      
   
      
      
      
      
   
      
      
      
      
      
      
      
      
      
   
      
      
      
      
  
   
      
      
      
   
      
      
      
      
 
 
NEPHROS, INC. AND SUBSIDIARY
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In Thousands)

Operating activities
Net loss
Adjustments to reconcile net loss to net cash used in operating activities:

Depreciation of property and equipment
Non-cash stock-based compensation
Amortization of debt issuance costs
Noncash interest
Inventory reserve

(Increase) decrease in operating assets:

Accounts receivable
Inventory
Prepaid expenses and other current assets
Other assets

Increase (decrease) in operating liabilities:
Accounts payable and accrued expenses
Deferred revenue
Net cash used in operating activities

Investing activities

Purchase of property and equipment
Net cash provided by (used in) investing activities

Financing activities
Repayment of debt
Payment of financing costs
Proceeds from exercise of warrants
Proceeds from short-term borrowings
Proceeds from stock options exercised
Proceeds from issuance of common stock
Net cash provided by financing activities

Effect of exchange rates on cash and cash equivalents
Net increase (decrease) in cash and cash equivalents
Cash and cash equivalents, beginning of year
Cash and cash equivalents, end of year

Supplemental disclosure of cash flow information

Cash paid for taxes

Years Ended December 31,

2011

2010

$

(2,360)   $

(1,933)

91   
256   
40   
12   
200   

(832)  
295   
76   
(778)  

(357)  
2,061   
(1,296)  

-   
-   

(500)  
(140)  
174   
-   
-   
3,189   
2,723   
2   
1,429   
240   
1,669    $

129 
92 
50 
15 
- 

283 
(98)
(55)
21 

171 
33 
(1,292)

(30)
(30)

- 
- 
- 
500 
72 
- 
572 
(14)
(764)
1,004 
240 

5    $

2 

$

$

The accompanying notes are an integral part of these consolidated financial statements.

50

 
 
 
 
 
 
 
 
   
 
 
 
 
   
 
 
 
 
    
 
  
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
NEPHROS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Note 1 — Organization and Nature of Operations

Nephros, Inc. (“Nephros” or the “Company”) was incorporated under the laws of the State of Delaware on April 3, 1997. Nephros was founded by
health  professionals,  scientists  and  engineers  affiliated  with  Columbia  University  to  develop  advanced  End  Stage  Renal  Disease  (“ESRD”)  therapy
technology and products. The Company has three products in various stages of development in the hemodiafiltration, or HDF, modality to deliver improved
therapy for ESRD patients. These are the OLpur  TM   MDHDF filter series or “dialyzers,” designed expressly for HDF therapy, the OLpur  TM   H2H  TM,
an add-on module designed to allow the most common types of hemodialysis machines to be used for HDF therapy, and the OLpur  TM NS2000 system, a
stand-alone  hemodiafiltration  machine  and  associated  filter  technology.    In  2006,  the  Company  introduced  its  Dual  Stage  Ultrafilter  (“DSU”)  water  filter
system, which represents a new and complementary product line to the Company’s existing ESRD therapy business. The DSU incorporates the Company’s
unique and proprietary dual stage filter architecture.

On  June  4,  2003,  Nephros  International  Limited  was  incorporated  under  the  laws  of  Ireland  as  a  wholly-owned  subsidiary  of  the  Company.    In

August 2003, the Company established a European Customer Service and financial operations center in Dublin, Ireland.

Note 2 — Summary of Significant Accounting Policies

On January 10, 2011, the Company’s stockholders voted to implement a 1:20 reverse stock split of the Company’s common stock.  The reverse split
became effective on March 11, 2011.  All of the share and per share amounts discussed in these financial statements on Form 10-K have been adjusted to
reflect the effect of this reverse split.

Principles of Consolidation and Basis of Presentation

The accompanying consolidated financial statements include the accounts of the Company and its wholly owned subsidiary, Nephros International

Limited.  All intercompany accounts and transactions have been eliminated in consolidation.

These  financial  statements  were  approved  by  management  and  the  Board  of  Directors  and  are  available  for  issuance  as  of  the  date  of  the  audit

opinion.  Subsequent events have been evaluated through this date.

Use of Estimates in the Preparation of Financial Statements

The  preparation  of  financial  statements  in  conformity  with  accounting  principles  generally  accepted  in  the  United  States  of  America  requires
management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities, at
the date of the financial statements, and the reported amount of revenues and expenses, during the reporting period. Actual results could differ materially from
those estimates.

Going Concern and Management’s Response

The accompanying financial statements have been prepared assuming that the Company will continue as a going concern. The Company’s recurring
losses and difficulty in generating sufficient cash flow to meet its obligations and sustain its operations raise substantial doubt about its ability to continue as a
going concern. The Company’s condensed consolidated interim financial statements do not include any adjustments that might result from the outcome of this
uncertainty.

The Company has incurred significant losses in operations in each quarter since inception. For the years ended December 31, 2011 and 2010, the
Company has incurred net losses of $2,360,000 and $1,933,000, respectively. In addition, the Company has not generated positive cash flow from operations
for the years ended December 31, 2011 and 2010. To become profitable, the Company must increase revenue substantially and achieve and maintain positive
gross and operating margins. If the Company is not able to increase revenue and gross and operating margins sufficiently to achieve profitability, its results of
operations and financial condition will be materially and adversely affected.

On  October  1,  2010,  the  Company  issued  a  senior  secured  note  to  Lambda  Investors  LLC,  its  largest  stockholder,  in  the  principal  amount  of
$500,000. The note bore interest at the rate of 12% per annum and was to mature on April 1, 2011, at which time all principal and accrued interest was due.
However, the Company agreed to and did prepay, without penalty, amounts due under the note with the cash proceeds from its rights offering prior to the
maturity date. The note was secured by a first priority lien on all of the Company’s property, including its intellectual property.

51

 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NEPHROS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Note 2 — Summary of Significant Accounting Policies (continued)

On March 10, 2011 the Company completed its rights offering and a private placement that together resulted in gross proceeds of approximately $3.2
million.  The  aggregate  net  proceeds  were  approximately  $2.3  million,  after  deducting  the  estimated  aggregate  expenses  of  these  transactions  which
approximated $200,000, the repayment of the $500,000 note issued to Lambda Investors, LLC, plus $26,650 of accrued interest thereon, the payment of an
8% sourcing/transaction fee of $40,000 in respect of the note and an aggregate of $100,000 for reimbursement of Lambda Investors’ legal fees incurred in
connection with the loan and the rights offering.

After  giving  effect  to  the  1:20  reverse  stock  split  on  March  11,  2011,  the  Company’s  stockholders  subscribed  for  4,964,854  units  in  the  rights
offering and the Company accepted all basic subscription rights and oversubscription privileges. The units were sold at a per unit purchase price of $0.40.
Gross proceeds to the Company from the sale of these units in the rights offering were approximately $2.0 million. The Company issued an aggregate of
4,964,854 shares of common stock and warrants to purchase an aggregate of approximately 4,590,171 million shares of its common stock to stockholders
who subscribed.

Simultaneously with the closing of the rights offering, Lambda Investors, LLC purchased in a private placement 3,009,711 units at the same per unit
purchase  price  of  $0.40,  pursuant  to  a  purchase  agreement  between  the  Company  and  Lambda  Investors.  The  Company  issued  to  Lambda  Investors  an
aggregate of 3,009,711 shares of common stock and warrants to purchase an aggregate of 2,782,577 shares of common stock. Of the $3.2 million in gross
proceeds from the rights offering and the private placement, the Company received approximately $1.2 million in gross proceeds from the sale of units to
Lambda Investors.

The Company effected a reverse stock split, in which every 20 shares of our common stock issued and outstanding immediately prior to the effective
time,  which  was  5:00  p.m.  on  March  11,  2011,  were  converted  into  one  share  of  common  stock.  Fractional  shares  were  not  issued  and  stockholders  who
otherwise would have been entitled to receive a fractional share as a result of the reverse stock split received an amount in cash equal to $0.04 per pre-split
share for such fractional interests. The number of shares of common stock issued and outstanding was reduced from approximately 201,300,000 pre-split to
approximately 10,100,000 post-split. The reverse stock split was effected in connection with the rights offering and private placement.

On June 27, 2011, the Company entered into a License Agreement,  effective July 1, 2011, with Bellco S.r.l., as licensee (“Bellco”), an Italy-based
supplier  of  hemodialysis  and  intensive  care  products,  for  the  manufacturing,  marketing  and  sale  of  Nephros’  patented  mid-dilution  dialysis  filters.    This
Agreement  provides  the  Company  with  payments  of  €500,000,  €750,000,  and  €600,000  on  July  1,  2011,  January  15,  2012  and  January  15,  2013,
respectively.   The  first  two  fixed  payments  have  been  received.  The  remaining  fixed  payment  of  €600,000  or  approximately  $778,000,  will  take  place  in
January 2013.  Beginning on January 1, 2015 through and including December 31, 2016, Bellco will pay to Nephros a royalty based on the number of units of
products sold per year in the territory as follows: for the first 103,000 units sold,  €4.50 per unit; thereafter, €4.00 per unit.   Anticipated payments from this
License Agreement will be a positive source of cash flow to the Company.

There can be no assurance that the Company’s future cash flow will be sufficient to meet its obligations and commitments. If the Company is unable
to generate sufficient cash flow from operations in the future to service its commitments the Company will be required to adopt alternatives, such as seeking
to raise debt or equity capital, curtailing its planned activities or ceasing its operations. There can be no assurance that any such actions could be effected on a
timely basis or on satisfactory terms or at all, or that these actions would enable the Company to continue to satisfy its capital requirements.

Cash and Cash Equivalents

The Company invests its excess cash in bank deposits and money market accounts.  The Company considers all highly liquid investments purchased
with  original  maturities  of  three  months  or  less  from  the  date  of  purchase  to  be  cash  equivalents.    Cash  equivalents  are  carried  at  fair  value,  which
approximate cost, and primarily consist of money market funds maintained at major U.S. financial institutions.

Accounts Receivable

The  Company  provides  credit  terms  to  customers  in  connection  with  purchases  of  the  Company’s  products.  Management  periodically  reviews
customer account activity in order to assess the adequacy of the allowances provided for potential collection issues and returns. Factors considered include
economic  conditions,  each  customer’s  payment  and  return  history  and  credit  worthiness.  Adjustments,  if  any,  are  made  to  reserve  balances  following  the
completion of these reviews to reflect management’s best estimate of potential losses.  There were no allowances for doubtful accounts at December 31, 2011
or 2010.  There was no allowance for sales returns at December 31, 2011 or 2010.  There were no write offs of accounts receivable to bad debt expense during
2011 or 2010.

52

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NEPHROS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Note 2 — Summary of Significant Accounting Policies (continued)

Inventory

The  Company  engages  third  parties  to  manufacture  and  package  inventory  held  for  sale,  takes  title  to  certain  inventory  once  manufactured,  and
warehouses such goods until packaged for final distribution and sale. Inventory consists of finished goods and raw materials (fiber) held at the manufacturers’
facilities, and are valued at the lower of cost or market using the first-in, first-out method.

Patents

The Company has filed numerous patent applications with the United States Patent and Trademark Office and in foreign countries. All costs and

direct expenses incurred in connection with patent applications have been expensed as incurred.

Property and Equipment, net

Property and equipment, net is stated at cost less accumulated depreciation.  These assets are depreciated over their estimated useful lives of three to

seven years using the straight line method.

Impairment for Long-Lived Assets

The Company adheres to ASC Topic 360 and periodically evaluates whether current facts or circumstances indicate that the carrying value of its
depreciable  assets  to  be  held  and  used  may  be  recoverable.  If  such  circumstances  are  determined  to  exist,  an  estimate  of  undiscounted  future  cash  flows
produced by the long-lived assets, or the appropriate grouping of assets, is compared to the carrying value to determine whether impairment exists. If an asset
is determined to be impaired, the loss is measured based on the difference between the asset’s fair value and its carrying value. An estimate of the asset’s fair
value is based on quoted market prices in active markets, if available. If quoted market prices are not available, the estimate of fair value is based on various
valuation techniques, including a discounted value of estimated future cash flows. The Company reports an asset to be disposed of at the lower of its carrying
value or its estimated net realizable market value. There were no impairment losses for long-lived assets recorded for the years ended December 31, 2011 and
December 31, 2010.

Fair Value of Financial Instruments

The carrying amounts of cash and cash equivalents, accounts receivable, accounts payable and accrued expenses approximate fair value due to the

short-term maturity of these instruments.

Revenue Recognition

Revenue  is  recognized  in  accordance  with  ASC  Topic  605.    Four  basic  criteria  must  be  met  before  revenue  can  be  recognized:  (i)  persuasive
evidence of an arrangement exists; (ii) delivery has occurred or services have been rendered; (iii) the fee is fixed or determinable; and (iv) collectability is
reasonably assured.

The Company recognizes revenue related to product sales when delivery is confirmed by its external logistics provider and the other criteria of ASC
Topic  605  are  met.  Product  revenue  is  recorded  net  of  returns  and  allowances.    All  costs  and  duties  relating  to  delivery  are  absorbed  by  Nephros.  All
shipments are currently received directly by the Company’s customers.

Deferred revenue on the accompanying 2011 consolidated balance sheet is approximately $2,094,000 and is related to the License Agreement with
Bellco, effective July 1, 2011.  The total payments to be received as a result of this agreement approximate $2,459,000 and the Company has recognized
approximately $365,000 of revenue related to this license agreement during the year ended December 31, 2011 resulting in $2,094,000 being deferred over
the  remainder  of  the  fixed  payment  period.  The  Company  amortizes  the  deferred  revenue  monthly  over  the  expected  obligation  period  which  ends  on
December 31, 2014. This will result in expected recognized revenue of approximately $698,000 in each of the three years ended December 31, 2014.

The  Company  received  cash  payments  before  revenue  recognition  of  approximately  $709,000  in  July  2011.    In  addition,  current  trade  accounts
receivable  includes  approximately  $971,000,  which  represents  a  fixed  payment  received  in  January  2012  and  the  final  guaranteed  fixed  payment  of
approximately $778,000 is due in January 2013 and is included in long-term receivable on the accompanying 2011 consolidated balance sheet.

53

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NEPHROS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Note 2 — Summary of Significant Accounting Policies (continued)

Shipping and Handling Costs

Shipping and handling costs are recorded as cost of goods sold and are approximately $26,000 and $25,000 for the years ended December 31, 2011

and 2010, respectively.

Research and Development Costs

Research and development costs are expensed as incurred.

Stock-Based Compensation

The Company accounts for stock-based compensation in accordance with ASC Topic 718 by recognizing the fair value of stock-based compensation
in the statement of operations.  The fair value of the Company’s stock option awards are estimated using a Black-Scholes option valuation model. This model
requires the input of highly subjective assumptions and elections including expected stock price volatility and the estimated life of each award. In addition,
the calculation of compensation costs requires that the Company estimate the number of awards that will be forfeited during the vesting period. The fair value
of stock-based awards is amortized over the vesting period of the award.  For stock-based awards that vest based on performance conditions (e.g. achievement
of certain milestones), expense is recognized when it is probable that the condition will be met.

Amortization of Debt Issuance Costs

The  Company  accounts  for  debt  issuance  costs  in  accordance  with  ASC  835,  which  requires  that  these  costs  be  reported  in  the  balance  sheet  as
deferred  charges  and  amortized  over  the  term  of  the  associated  debt.     Amortization  of  debt  issuance  costs  of  $40,000  and  $50,000  for  the  years  ended
December 31, 2011 and 2010, respectively, are associated with the senior secured note issued to Lambda Investors LLC.  These capitalized costs were fully
amortized by the first quarter of 2011. 

Other Income

Other expense in the amount of approximately $2,000 for the year ended December 31, 2011 was due to foreign currency loss on invoices paid to an
international supplier.  Other income in the amount of approximately $20,000 for the year ended December 31, 2010 primarily resulted from the reversal of a
prior year’s accrual determined to no longer be necessary.

Income Taxes

The Company accounts for income taxes in accordance with ASC Topic 740, which requires accounting for deferred income taxes under the asset
and  liability  method.  Deferred  income  taxes  are  recognized  for  the  tax  consequences  of  temporary  differences  by  applying  enacted  statutory  tax  rates
applicable in future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities.

For  financial  reporting  purposes,  the  Company  has  incurred  a  loss  in  each  period  since  its  inception.  Based  on  available  objective  evidence,
including  the  Company’s  history  of  losses,  management  believes  it  is  more  likely  than  not  that  the  net  deferred  tax  assets  will  not  be  fully  realizable.
Accordingly, the Company provided for a full valuation allowance against its net deferred tax assets at December 31, 2011 and December 31, 2010.

ASC  Topic  740  prescribes,  among  other  things,  a  recognition  threshold  and  measurement  attributes  for  the  financial  statement  recognition  and
measurement of uncertain tax positions taken or expected to be taken in a company’s income tax return.  ASC 740 utilizes a two-step approach for evaluating
uncertain tax positions.  Step one, or recognition, requires a company to determine if the weight of available evidence indicates a tax position is more likely
than not to be sustained upon audit, including resolution of related appeals or litigation processes, if any.  Step two, or measurement, is based on the largest
amount of benefit, which is more likely than not to be realized on settlement with the taxing authority.  The Company is subject to income tax examinations
by major taxing authorities for all tax years subsequent to 2008.  The adoption of the provisions of ASC 740 did not have a material impact on the Company’s
consolidated financial statements.  During the years ended December 31, 2011 and 2010, the Company recognized no adjustments for uncertain tax positions. 
However, management’s conclusions regarding this policy may be subject to review and adjustment at a later date based on factors including, but not limited
to, on-going analyses of and changes to tax laws, regulation and interpretations, thereof.

54

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NEPHROS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Note 2 — Summary of Significant Accounting Policies (continued)

Loss per Common Share

In  accordance  with ACS  260-10,  net  loss  per  common  share  amounts  (“basic  EPS”)  are  computed  by  dividing  net  loss  attributable  to  common
stockholders  by  the  weighted-average  number  of  common  shares  outstanding  and  excluding  any  potential  dilution.  Net  loss  per  common  share  amounts
assuming dilution (“diluted EPS”) is generally computed by reflecting potential dilution from conversion of convertible securities and the exercise of stock
options and warrants. The following securities have been excluded from the dilutive per share computation as they are antidilutive.

Stock options
Warrants

Foreign Currency Translation

2011

747,164     
    16,452,368     

2010

44,664 
409,591 

Foreign currency translation is recognized in accordance with ASC Topic 830.  The functional currency of Nephros International Limited is the Euro
and  its  translation  gains  and  losses  are  included  in  accumulated  other  comprehensive  income.  The  balance  sheet  is  translated  at  the  year-end  rate.  The
statement of operations is translated at the weighted average rate for the year.

Comprehensive Income (Loss)

Comprehensive  income  (loss),  as  defined  in  ASC  220,    is  the  total  of  net  income  (loss)  and  all  other  non-owner  changes  in  equity  (or  other
comprehensive income (loss)) such as unrealized gains or losses on securities classified as available-for-sale and foreign currency translation adjustments. For
the years ended December 31, 2011 and 2010, the comprehensive loss was approximately $2,333,000 and $1,987,000, respectively.

New Accounting Pronouncements

In December 2011, the FASB issued an update on comprehensive income, which pertains to the deferral of the effective date for amendments to the
presentation  of  reclassification  of  items  out  of  accumulated  other  comprehensive  income  in  a  previous  accounting  standard  update  that  pertained  to  the
presentation  of  comprehensive  income.  The  update  defers  the  presentation  on  the  face  of  the  financial  statements  the  effects  of  reclassifications  out  of
accumulated  other  comprehensive  income  on  the  components  of  net  income  and  other  comprehensive  income  for  all  periods.  All  other  requirements  the
previous  accounting  standard  on  the  presentation  of  comprehensive  income,  issued  in  June  2011,  are  not  affected.  The  previous  presentation  related
comprehensive income standard requires entities to report components of comprehensive income in either a continuous statement of comprehensive income
or two separate but consecutive statements. Under the continuous statement approach, the statement would include the components and total of net income,
the components and total of other comprehensive income and the total of comprehensive income. Under the two statement approach, the first statement would
include the components and total of net income and the second statement would include the components and total of other comprehensive income and the
total  of  comprehensive  income.  It  does  not  change  the  items  that  must  be  reported  in  other  comprehensive  income  and  it  is  effective  retrospectively  for
interim and annual periods beginning after December 15, 2011, with early adoption permitted. We have evaluated the guidance and expect it to impact only
the presentation and note disclosures in our financial statements.

55

 
 
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
NEPHROS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Note 3 — Inventory

The Company’s inventory components as of December 31, 2011 and 2010 were as follows:

Raw Materials
Finished Goods
Total Gross Inventory
Less: Inventory reserve
Total Inventory

Note 4 — Prepaid Expenses and Other Current Assets

Prepaid expenses and other current assets as of December 31, 2011 and 2010 were as follows:

Prepaid insurance premiums
Deferred debt issuance costs
Security deposit
Other
Prepaid expenses and other current assets

 Note 5 — Property and Equipment, Net

Property and equipment as of December 31, 2011 and 2010 was as follows:

December 31,

2011

2010

-    $
465,000     
465,000     
(218,000)    
247,000    $

264,000 
480,000 
744,000 
(18,000)
726,000 

December 31,

2011

2010

88,000    $
-     
21,000     
4,000     
113,000    $

120,000 
40,000 
21,000 
9,000 
190,000 

  $

  $

  $

  $

Manufacturing equipment
Research equipment
Computer equipment
Furniture and fixtures
Property and equipment, gross
Less: accumulated depreciation
Property and equipment, net

Life
  3-5 years
  5 years
  3-4 years
  7 years

December 31,

2011
1,998,000    $
37,000     
42,000     
39,000     
2,116,000     
2,099,000     
17,000    $

2010
2,029,000 
91,000 
60,000 
39,000 
2,219,000 
2,111,000 
108,000 

    $

    $

Depreciation  expense  for  the  years  ended  December  31,  2011  and  2010  was  approximately  $91,000  and  $129,000,  respectively,  including

amortization expense relating to research and development assets.

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NEPHROS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Note 6 — Accrued Expenses

Accrued expenses as of December 31, 2011 and 2010 were as follows:

Accrued Management Bonus
Accrued Directors’ Compensation
Accrued Accounting
Accrued Legal
Accrued Debt Issuance Costs and Rights Offering fees
Accrued Interest
Accrued Proxy and Annual Report fees
Accrued Other
 Accrued Expenses

  Note 7 — Income Taxes

December 31,

2011

2010

79,000    $
30,000     
15,000     
52,000     
—     
—     
—     
19,000     
195,000    $

— 
77,000 
40,000 
127,000 
140,000 
15,000 
42,000 
40,000 
481,000 

  $

  $

A reconciliation of the income tax provision computed at the statutory tax rate to the Company’s effective tax rate is as follows:

U.S. federal statutory rate
State & local taxes
Tax on foreign operations
State research and development credits
Other
Valuation allowance
Effective tax rate

2011

2010

35.00%    
(0.06)%   
(1.27)%   
1.11%    
(3.07)%   
(31.71)%   
— 

35.00%
(0.07)%
1.24%
1.02%
5.05%
(42.24)%
— 

Significant components of the Company’s deferred tax assets as of December 31, 2011 and 2010 are as follows:

2011

2010

Deferred tax assets:
Net operating loss carry forwards
Research and development credits
Nonqualified stock option compensation expense
Other temporary book – tax differences
Total deferred tax assets
Valuation allowance for deferred tax assets
Net deferred tax assets

  $ 24,714,000    $ 23,706,000 
994,000 
1,566,000 
112,000 
26,378,000 
(26,378,000)
— 

1,019,000     
1,586,000     
331,000     
27,650,000     
(27,650,000)    
—    $

  $

A valuation allowance has been recognized to offset the Company’s net deferred tax asset as it is more likely than not that such net asset will not be
realized. The Company primarily considered its historical loss and potential Internal Revenue Code Section 382 limitations to arrive at its conclusion that a
valuation allowance was required.

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NEPHROS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Note 7 — Income Taxes (continued)

At December 31, 2011, the Company had Federal and New Jersey income tax net operating loss carryforwards of $76,774,000 and foreign income
tax net operating loss carryforwards of $8,135,000. The Company also had Federal research tax credit carryforwards of $1,020,000 at December 31, 2011 and
$994,000  at  December  31,  2010.  The  Federal  net  operating  loss  and  tax  credit  carryforwards  will  expire  at  various  times  between  2012  and  2026  unless
utilized.

Implementation of ASC 740 did not result in a cumulative effect adjustment to the accumulated deficit.

It is the Company’s policy to report interest and penalties, if any, related to unrecognized tax benefits in income tax expense.

Note 8 — Stock Plans, Share-Based Payments and Warrants

Stock Plans

In  2000,  the  Company  adopted  the  Nephros  2000  Equity  Incentive  Plan.  In  January  2003,  the  Board  of  Directors  adopted  an  amendment  and
restatement of the plan and renamed it the Amended and Restated Nephros 2000 Equity Incentive Plan (the “2000 Plan”), under which 106,538 shares of
common stock had been authorized for issuance upon exercise of options granted.

As of December 31, 2011 and 2010, 2,053 options had been issued to non-employees under the 2000 Plan and were outstanding. Such options expire
at various dates through March 15, 2014, all of which are fully vested. As of December 31, 2011 and 2010, 7,230 options had been issued to employees under
the 2000 Plan and were outstanding. Such options expire at various dates between January 22, 2013 and March 15, 2014, all of which are fully vested.

The Board retired the 2000 Plan in June 2004, and thereafter no additional awards may be granted under the 2000 Plan.

In 2004, the Board of Directors adopted and the Company’s stockholders approved the Nephros, Inc. 2004 Stock Incentive Plan, and, in June 2005,
the  Company’s  stockholders  approved  an  amendment  to  such  plan  (as  amended,  the  “2004  Plan”),  that  increased  to  40,000  the  number  of  shares  of  the
Company’s common stock that are authorized for issuance by the Company pursuant to grants of awards under the 2004 Plan. In May 2007, the Company’s
stockholders approved an amendment to the 2004 Plan that increased to 65,000 the number of shares of the Company’s common stock that are authorized for
issuance by the Company pursuant to grants of awards under the 2004 Plan. In June 2008, the Company’s stockholders approved an amendment to the 2004
Plan that increased to 134,849 the number of shares of the Company’s common stock that are authorized for issuance by the Company pursuant to grants of
awards under the 2004 Plan. In January 2011, the Company’s stockholders approved an amendment to the 2004 Plan that increased to 1,990,717 the number
of shares of the Company’s common stock that are authorized for issuance by the Company pursuant to grants of awards under the 2004 Plan.

As of December 31, 2010, 22,129 options had been issued to employees under the 2004 Plan and were outstanding. The options expire on various
dates between January 5, 2016 and December 31, 2019, and vest upon a combination of the following: immediate vesting or straight line vesting of two or
four years. At December 31, 2010, there were 82,535 shares available for future grants under the 2004 Plan. As of December 31, 2010, 13,253 options had
been issued to non-employees under the 2004 Plan and were outstanding. Such options expire at various dates between November 11, 2014 and January 8,
2020, and vest upon a combination of the following: immediate vesting or straight line vesting of two or four years.

As of December 31, 2011, 443,129 options had been issued to employees under the 2004 Plan and were outstanding. The options expire on various
dates between March 24, 2014 and December 31, 2019, and vest upon a combination of the following: immediate vesting or straight line vesting of two or
four years. At December 31, 2011, there were 1,235,905 shares available for future grants under the 2004 Plan. As of December 31, 2011, 294,753 options
had been issued to non-employees under the 2004 Plan and were outstanding. Such options expire at various dates between November 18, 2012 and January
8, 2020, and vest upon a combination of the following: immediate vesting or straight line vesting of two or four years.

Share-Based Payment

Prior  to  the  Company’s  initial  public  offering,  options  were  granted  to  employees,  non-employees  and  non-employee  directors  at  exercise  prices
which were lower than the fair market value of the Company’s stock on the date of grant. After the date of the Company’s initial public offering, stock options
are granted to employees, non-employees and non-employee directors at exercise prices equal to the fair market value of the Company’s stock on the date of
grant. Stock options granted have a life of 10 years. 

58

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NEPHROS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Note 8 — Stock Plans, Share-Based Payments and Warrants (continued)

Unvested options as of December 31, 2011 currently vest upon a combination of the following: immediate vesting or straight line vesting of two or

four years.

Expense  is  recognized,  net  of  expected  forfeitures,  over  the  vesting  period  of  the  options.  For  options  that  vest  upon  the  achievement  of  certain
milestones,  expense  is  recognized  when  it  is  probable  that  the  condition  will  be  met.  Stock  based  compensation  expense  recognized  for  the  years  ended
December 31, 2011 and 2010 was approximately $256,000 or less than $0.03 per share and approximately $92,000 or less than $0.05 per share, respectively.

The  fair  value  of  each  option  grant  is  estimated  on  the  date  of  grant  using  the  Black-Scholes  option  pricing  model  with  the  below  assumptions

related to risk-free interest rates, expected dividend yield, expected lives and expected stock price volatility.

Grant Year 
Stock Price Volatility
Risk-Free Interest Rates
Expected Life (in years)
Expected Dividend Yield

Option Pricing Assumptions

2011
 121.96 – 130.06%    
 1.08 – 2.42%    

 5.00-5.50 

0%    

2010

96%
2.85%
5.75 

0%

Expected volatility is based on historical volatility of the Company’s common stock at the time of grant. The risk-free interest rate is based on the
U.S. Treasury yields in effect at the time of grant for periods corresponding with the expected life of the options. For the expected life, the Company is using
the simplified method as described in the SEC Staff Accounting Bulletin 107. This method assumes that stock option grants will be exercised based on the
average of the vesting periods and the option’s life.

The total fair value of options vested during the fiscal year ended December 31, 2011 was approximately $249,000. The total fair value of options

vested during the fiscal year ended December 31, 2010 was approximately $87,000.

The following table summarizes information about stock options outstanding and exercisable at December 31, 2011:

Range of Exercise
Price

$0.13
$0.41 – $0.51
$0.75 – $2.32
$2.39 – $4.80

Options Outstanding
Weighted 
Average 
Remaining 
Contractual 
Life in 
Years

Number 
Outstanding as 
of December 
31, 2011

Options Exercisable

Weighted 
Average 
Exercise 
Price

Number 
Exercisable as 
of 
December 31, 
2011

Weighted 
Average 
Exercise Price 

1,650     
682,500     
50,138     
12,876     

7.02    $
9.30    $
7.80    $
1.97    $

0.13     
0.51     
1.06     
2.57   

825    $
250,834    $
42,411    $
12,876    $

0.13 
0.51 
1.10 
2.57 

0.68 

Total Outstanding

747,164     

     $

0.58     

306,946    $

The number of new options granted in 2011 and 2010 is 702,500 and 4,125 respectively. The weighted-average fair value of options granted in 2011

and 2010 is $0.45 and $0.73, respectively.

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NEPHROS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Note 8 — Stock Plans, Share-Based Payments and Warrants (continued)

The following table summarizes the option activity for the years ended December 31, 2011 and 2010:

Outstanding at December 31, 2010
Options granted
Options exercised
Options forfeited
Outstanding at December 31, 2011
Expected to vest at December 31, 2011
Exercisable at December 31, 2011

Weighted 
Average 
Exercise 
 Price

27.40 
0.53 
0.00 
0.00 
0.58 
0.58 
0.68 

Shares

44,664    $
702,500     
0     
0     
747,164     
701,631    $
306,947    $

The  aggregate  intrinsic  value  of  stock  options  outstanding  at  December  31,  2011  is  $126,000  and  the  stock  options  vested  or  expected  to  vest  is
$121,000. A stock option has intrinsic value, at any given time, if and to the extent that the exercise price of such stock option is less than the market price of
the underlying common stock at such time. The weighted-average remaining contractual life of options vested or expected to vest is 9.1 years.

The aggregate intrinsic value of stock options outstanding at December 31, 2010 and the stock options vested or expected to vest is $0. A stock
option has intrinsic value, at any given time, if and to the extent that the exercise price of such stock option is less than the market price of the underlying
common stock at such time. The weighted-average remaining contractual life of options vested or expected to vest is 6.3 years.

As of December 31, 2011, the total remaining unrecognized compensation cost related to non-vested stock options amounted to $199,000 and will be

amortized over the weighted-average remaining requisite service period of 1.7 years.

Warrants

The following table summarizes certain terms of all of the Company’s outstanding warrants at December 31, 2011 and 2010:

Total Outstanding Warrants at December 31, 2011

Title of Warrant

Date Issued

Expiry Date

  Exercise Price    

Class D Warrants – Lambda
Class D Warrants – Other
Placement Agent Warrants
July 2009 Warrants
Shareholder Rights Offering Warrants
March 2011 Lambda Warrants
Warrants Exercised in 2011

11/14/2007   
11/14/2007   
11/14/2007   
7/24/2009   
3/10/2011   
3/10/2011   

3/10/2016  $
11/14/2012  $
11/14/2012  $
7/24/2014  $
3/10/2016  $
3/10/2016  $

0.40     
0.40     
0.40     
22.40     
0.40     
0.40     

Total Common 
Shares Issuable

2011
8,806,575     
447,197     
228,887     
33,629     
4,590,171     
2,782,577     
(436,668)    
16,452,368     

2010

359,541 
9,937 
6,484 
33,629 
- 
- 

409,591 

The weighted average exercise price of the outstanding warrants was $0.45 and $14.84 for December 31, 2011 and 2010, respectively.

Class D Warrants

The Company issued Class D Warrants in 2007 to purchase an aggregate of 455,628 shares of the Company’s common stock to the Investors upon
conversion of the purchased notes. The Company recorded the issuance of the Class D Warrants at their approximate fair market value of $3,763,000. The
value of the Class D Warrants was computed using the Black-Scholes option pricing model. Our largest stockholder, Lambda Investors LLC, received Class
D Warrants in 2007 to purchase 359,541 shares of the Company’s common stock and Other Investors received Class D Warrants in 2007 to purchase 96,087
shares of the Company’s common stock. A Class D warrant holder elected to exercise 86,150 of the 455,628 Class D Warrants outstanding as of June 2009
pursuant  to  the  cashless  exercise  provision  of  the  warrant  which  is  described  below.  See  Issuance  of  Common  Stock  due  to  Class  D  Warrants’  Cashless
Exercise Provision. 

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NEPHROS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Note 8 — Stock Plans, Share-Based Payments and Warrants (continued)

Effect of Shareholders’ Rights Offering in 2011

The  Class  D  Warrants  have  full-ratchet  anti-dilution  provisions  that  were  activated  by  the  Shareholders’  Rights  Offering  in  2011.  Following  the
closing of the rights offering in 2011, and after giving effect to the anti-dilution provisions, Lambda Investors agreed to surrender for cancellation warrants to
purchase 7,372,348 shares of our common stock. In addition, following the closing of the rights offering, Lambda Investors’ existing warrants to purchase
8,806,575 shares that remain outstanding were amended to expire at the same time as the warrants issued in the rights offering, which is March 10, 2016. The
Other Investor’s Class D Warrants retain their original expiration date of November 14, 2012.

The following table summarizes the Class D outstanding warrants at December 31, 2011 and 2010:

As of December 31, 2010
Anti-dilution ratcheting provision
Surrendered – rights’ offering
As of December 31, 2011

  Lambda Investors    Other Investors    Total Shares to be issued 
369,478 
16,256,642 
(7,372,348)
9,253,772 

359,541     
15,819,382     
(7,372,348)    
8,806,575     

9,937     
437,260     
0     
447,197     

Issuance of Common Stock due to Class D Warrants’ Cashless Exercise Provision

The Series D warrants have a cashless exercise provision which states, “If, and only if, at the time of exercise pursuant to this Section 1 there is no
effective registration statement registering, or no current prospectus available for, the sale of the Warrant Shares to the Holder or the resale of the Warrant
Shares by the Holder and the VWAP (as defined below) is greater than the Per Share Exercise Price at the time of exercise, then this Warrant may also be
exercised at such time and with respect to such exercise by means of a “cashless exercise” in which the Holder shall be entitled to receive a certificate for the
number of Warrant Shares equal to the quotient obtained by dividing (i) the result of (x) the difference of (A) minus (B), multiplied by (y) (C), by (ii) (A),
where:

(A) =

the VWAP (as defined below) on the Trading Day (as defined below) immediately preceding the date of such election;

(B) =

the Per Share Exercise Price of this Warrant, as adjusted; and

(C) =

the  number  of  Warrant  Shares  issuable  upon  exercise  of  this  Warrant  in  accordance  with  the  terms  of  this  Warrant  by  means  of  a  cash
exercise rather than a cashless exercise.

“VWAP” means, for any date, the price determined by the first of the following clauses that applies: (a) if the Common Stock is then listed or quoted for
trading on the New York Stock Exchange, American Stock Exchange, NASDAQ Capital Market, NASDAQ Global Market, NASDAQ Global Select Market
or the OTC Bulletin Board, or any successor to any of the foregoing (a “ Trading Market ”), the daily volume weighted average price of the Common Stock
on the Trading Market on which the Common Stock is then listed or quoted for trading as reported by Bloomberg L.P. for such date if such date is a date on
which the Trading Market on which the Common Stock is then listed or quoted for trading (a “ Trading Day ”) or the nearest preceding Trading Date (based
on a Trading Day from 9:30 a.m. (New York City time) to 4:02 p.m. (New York City time); (b) if the Common Stock is not then listed or quoted for trading
on a Trading Market and if prices for the Common Stock are then reported in the “Pink Sheets” published by Pink Sheets, LLC (or a similar organization or
agency succeeding to its functions of reporting prices), the most recent bid price per share of the Common Stock so reported; or (c) in all other cases, the fair
market value of a share of Common Stock as determined by an independent appraiser selected in good faith by the Holder and reasonably acceptable to the
Company.”

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NEPHROS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Note 8 — Stock Plans, Share-Based Payments and Warrants (continued)

The Company did not have an effective registration statement or a current prospectus available for the sale of the warrant shares to the holder or the
resale of the warrant shares by the holder and the VWAP (as defined above) was greater than the per share exercise price from June 8, 2009 through August
26, 2009.

A Class D warrant holder elected to exercise 86,150 of the 455,628 Class D Warrants outstanding as of June 2009 pursuant to the cashless exercise
provision  of  the  warrant.  As  a  result,  54,561  shares  of  common  stock  were  issued  to  this  Class  D  warrant  holder  in  August  2009. The  number  of  shares
outstanding in the December 31, 2011 balance sheet and the number of shares outstanding used in the earnings per share calculation for the twelve months
ended December 31, 2011 include these shares.

Placement Agent Warrants

The  Company  issued  placement  agent  warrants  in  2007  to  purchase  an  aggregate  of  87,819  shares  of  the  Company’s  common  stock  to  the
Company’s  placement  agents  in  connection  with  their  roles  in  the  Company’s  fall  2007  financing  (“the  2007  Financing”).  The  Company  recorded  the
issuance  of  the  placement  agent  warrants  at  their  approximate  fair  market  value  of  $1,047,000.  The  value  of  the  placement  agent  warrants  was  computed
using the Black-Scholes option pricing model.

Placement Agents elected to exercise 67,435 of the 87,819 Placement Agent Warrants outstanding in June 2009. All elected the Cashless Exercise

provision of their warrants. As a result, 29,725 shares of common stock were issued to the Placement Agents in June 2009.

Placement Agents elected to exercise 13,900 of the 20,384 Placement Agent Warrants outstanding in June 2009. All elected the cashless exercise

provision of their warrants. As a result, 7,188 shares of common stock were issued to the Placement Agents.

Effect of Shareholders’ Rights Offering in 2011

The  Placement  Agent  Warrants  have  full-ratchet  anti-dilution  provisions  that  were  activated  by  the  shareholders’  rights  offering  in  2011.  The

Placement Agent Warrants retain their original expiration date of November 12, 2012.

As of December 31, 2011 there were Placement Agent Warrants outstanding to issue 228,887 common shares of the Company.

Issuance of Common Stock due to Placement Agent Warrants’ Cashless Exercise Provision

National Securities Corporation (“NSC”) and Dinosaur Securities, LLC (“Dinosaur” and together with NSC, the “Placement Agents”) acted as co-
placement  agents  in  connection  with  the  2007  Financing  pursuant  to  an  Engagement  Letter,  dated  June  6,  2007  and  a  Placement  Agent  Agreement  dated
September 18, 2007. The Placement Agents received (i) an aggregate cash fee equal to 8% of the face amount of the notes purchased in the 2007 Financing
(“the Purchased Notes”) and paid 6.25% to NSC and 1.75% to Dinosaur, and (ii) warrants (“Placement Agent Warrant”) with a term of five years from the
date of issuance to purchase 10% of the aggregate number of shares of the Company’s common stock issued upon conversion of the Purchased Notes with an
exercise  price  per  share  of  the  Company’s  common  stock  equal  to  $14.10.  The  Company  issued  Placement  Agents  Warrants  to  purchase  an  aggregate  of
87,819 shares of the Company’s common stock to the Placement Agent in November 2007 in connection with their roles in the 2007 Financing.

The Placement Agent Warrants have a cashless exercise provision identical to that in the Series D Warrants.

The Company did not have an effective registration statement or a current prospectus available for the sale of the warrant shares to the holders or the
resale of the warrant shares by the holders and the VWAP (as defined above) was greater than the per share exercise price from June 8 through August 26,
2009. Several Placement Agents elected to exercise the cashless exercise provision of their warrants.

 July 2009 Private Placement

On July 24, 2009, the Company raised gross proceeds of $1,251,000 through the private placement to eight accredited investors of an aggregate of
67,258 shares of its common stock and warrants to purchase an aggregate of 33,629 shares of its common stock, representing 50% of the shares of common
stock  purchased  by  each  investor.  The  Company  sold  the  shares  to  investors  at  a  price  per  share  equal  to  $18.60.  The  warrants  have  an  exercise  price  of
$22.40,  are  exercisable  immediately  and  will  terminate  on  July  24,  2014.  The  warrants  have  no  anti-dilution  ratcheting  provision  therefore,  they  did  not
increase as a result of the 2011 Shareholders’ Rights Offering.

62

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NEPHROS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Note 8 — Stock Plans, Share-Based Payments and Warrants (continued)

2011 Shareholders’ Rights Offering

On  March  10,  2011,  Nephros  announced  the  completion  of  its  rights  offering  and  private  placement  that  together  resulted  in  gross  proceeds  of
approximately $3.2 million and estimated net proceeds of approximately $2.3 million to Nephros after deducting the payments to Lambda Investors LLC and
after estimated expenses of the rights offering. In the rights offering, Nephros sold 4,964,854 units at $0.40 per unit for gross proceeds of approximately $2.0
million, resulting in the issuance of 4,964,854 shares of common stock and warrants to purchase an aggregate of 4,590,171 shares of common stock. The
warrants expire on March 10, 2016 and have an exercise price of $0.40 per share.

On March 10, 2011, based on the completion of the rights offering Lambda Investors LLC, the Company’s largest stockholder, purchased in a private
placement 3,009,711 units at a per unit purchase price of $0.40 for aggregate gross proceeds of approximately $1.2 million, pursuant to a purchase agreement
between Nephros and Lambda Investors LLC. Each unit consisted of one share of common stock and a warrant to purchase 0.924532845 shares of common
stock at an exercise price of $0.40 per share for a period of five years following the issue date of the warrant, resulting in Lambda Investors LLC acquiring
3,009,711 shares of common stock and a warrant to purchase 2,782,577 shares of common stock. Net proceeds, after deducting the aggregate of $666,650 in
payments due Lambda Investors LLC were approximately $537,000.

Warrants exercised during 2011

Shareholders exercised 472,422 warrants in the fourth quarter of 2011 resulting in 436,668 shares of common stock being issued.

Note 9 — 401(k) Plan

The  Company  has  established  a  401(k)  deferred  contribution  retirement  plan  (the  “401(k)  Plan”)  which  covers  all  employees.  The  401(k)  Plan
provides for voluntary employee contributions of up to 15% of annual earnings, as defined. As of January 1, 2004, the Company began matching 100% of the
first 3% and 50% of the next 2% of employee earnings to the 401(k) Plan. The Company contributed and expensed $28,000 and $24,000 in 2011 and 2010,
respectively.

Note 10 — Commitments and Contingencies

Manufacturing and Suppliers

The Company has not and does not intend in the near future, to manufacture any of its products and components. With regard to the OLpur MD190
and  MD220,  on  June  27,  2011,  the  Company  entered  into  a  license  agreement,  effective  July  1,  2011,  with  Bellco  S.r.l.,  an  Italy-based  supplier  of
hemodialysis and intensive care products, for the manufacturing, marketing and sale of our patented mid-dilution dialysis filters (MD 190, MD 220), referred
to herein as the Products. Under the agreement, Nephros granted Bellco a license to manufacture, market and sell the Products under its own name, label and
CE mark in Italy, France, Belgium, Spain and Canada on an exclusive basis, and to do the same on a non-exclusive basis in the United Kingdom and Greece
and, upon our written approval, other European countries where the Company does not sell the Products as well as non-European countries, all such countries
herein referred to as the Territory.

In exchange for the rights granted to it under the Bellco license agreement through December 31, 2014, Bellco agreed to pay Nephros installment
payments of €500,000, €750,000, €600,000 on July 1, 2011, January 15, 2012 and January 15, 2013, respectively. Such installment payments, herein referred
to  as  the  Installment  Payments,  are  Bellco’s  sole  financial  obligations  through  December  31,  2014.  Beginning  on  January  1,  2015  through  and  including
December 31, 2016, Bellco will pay Nephros a royalty based on the number of units of Products sold per year in the Territory as follows: for the first 103,000
units sold, Bellco will pay €4.50 per unit; thereafter, Bellco will pay €4.00 per unit. Bellco must meet minimum sales targets of 15,000 units in each quarter of
2015 and 2016. If Bellco fails to meet a quarterly minimum, the license in Italy, France, Belgium, Spain and Canada will, at our discretion, convert to a non-
exclusive one. All sums payable under the agreement will be paid in Euros, as adjusted to account for currency exchange fluctuations between the Euro and
the U.S. dollar that occur between July 1, 2011, the effective date of the agreement, and the date of payment.

63

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NEPHROS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Note 10 — Commitments and Contingencies (continued)

A contract manufacturer produces the DSU product(s) as ordered.

Contractual Obligations

At December 31, 2011, the Company had an operating lease that will expire on November 30, 2012 for the rental of its U.S. office and research and

development facilities. The term of the rental agreement is for one year commencing December 1, 2011 with a monthly cost of approximately $7,813.

Rent expense for the years ended December 31, 2011 and 2010 totaled $104,000 and $101,000, respectively.

Contractual Obligations and Commercial Commitments

The following tables summarize our approximate minimum contractual obligations and commercial commitments as of December 31, 2011:

Total    

Within 
1 Year

Payments Due in Period
Years 
1 – 3

Years 
3 – 5

More than 
5 Years

Leases
Employment Contracts
Total

  $

  $

112,000    $
450,000     
562,000    $

92,000    $
200,000     
292,000    $

18,000    $
200,000     
218,000    $

2,000    $
50,000   
52,000    $

— 

— 

Note 11 — Concentration of Credit Risk

Cash and cash equivalents are financial instruments which potentially subject the Company to concentrations of credit risk. The Company deposits
its cash in financial institutions. At times, such deposits may be in excess of insured limits. To date, the Company has not experienced any impairment losses
on its cash and cash equivalents.

Major Customers

For the year ended December 31, 2011 and 2010, two customers accounted for 71% and 79%, respectively, of the Company’s sales.  In addition, as

of December 31, 2011 and 2010, those customers accounted for 85% and 84%, respectively, of the Company’s accounts receivable.

64

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
 
 
 
 
   
 
   
 
   
 
   
 
 
   
 
  
 
 
 
 
 
Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

There have been no changes in or disagreements with our accountants during 2011 or 2010.

Item 9A. Controls and Procedures

Evaluation of Disclosure Controls and Procedures

We maintain a system of disclosure controls and procedures, as defined in Exchange Act Rule 13a-15(e),which is designed to provide reasonable
assurance  that  information,  which  is  required  to  be  disclosed  in  our  reports  filed  pursuant  to  the  Securities  and  Exchange  Act  of  1934,  as  amended  (the
“Exchange Act”), is accumulated and communicated to management in a timely manner. At the end of the period covered by this report, we carried out an
evaluation, under the supervision and with the participation of our management, including our acting Chief Executive Officer and our Chief Financial Officer,
of  the  effectiveness  of  the  design  and  operation  of  our  disclosure  controls  and  procedures  pursuant  to  Exchange  Act  Rule  13a-15(b).  Based  upon  that
evaluation,  our  acting  Chief  Executive  Officer  and  our  Chief  Financial  Officer  concluded  that  our  disclosure  controls  and  procedures  as  of  the  end  of  the
period covered by this report were effective.

Changes in Internal Control Over Financial Reporting

There were no changes in the fourth quarter of 2011 in our internal control over financial reporting that have materially affected, or are reasonably

likely to materially affect, our internal control over financial reporting. 

Management’s Report on Internal Control Over Financial Reporting

Our management is responsible for establishing and maintaining adequate internal control over financial reporting. Internal control over financial
reporting, as defined in Exchange Act Rule 13a-15(f), is a process designed by, or under the supervision of, our principal executive and principal financial
officers  and  effected  by  our  Board  of  Directors,  management  and  other  personnel,  to  provide  reasonable  assurance  regarding  the  reliability  of  financial
reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles and includes those
policies and procedures that:

·

·

·

pertain to the maintenance of records that in reasonable detail accurately and fairly reflect the transactions and dispositions of our
assets;

provide  reasonable  assurance  that  transactions  are  recorded  as  necessary  to  permit  preparation  of  financial  statements  in
accordance  with  generally  accepted  accounting  principles,  and  that  our  receipts  and  expenditures  are  being  made  only  in
accordance with authorizations of our management and directors; and

provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of our assets
that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Projections of any evaluation of
effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance
with the policies or procedures may deteriorate. All internal control systems, no matter how well designed, have inherent limitations. Therefore, even those
systems  determined  to  be  effective  can  provide  only  reasonable  assurance  with  respect  to  financial  statement  preparation  and  presentation.  The  scope  of
management’s assessment of the effectiveness of internal control over financial reporting includes all of our consolidated subsidiaries.

Management  assessed  the  effectiveness  of  our  internal  control  over  financial  reporting  as  of  December  31,  2011.    In  making  this  assessment,
management used the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in “Internal Control-Integrated
Framework.”  Based  on  this  assessment,  management  believes  that,  as  of  December  31,  2011,  our  internal  control  over  financial  reporting  was  operating
effectively.

This annual report does not include an attestation report by our registered public accounting firm regarding internal control over financial reporting. 
Management’s report was not subject to attestation by our registered public accounting firm pursuant to rules of the Securities and Exchange Commission that
require a management assessment in this annual report.

Item 9B. Other Information  

Not applicable.

65

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
PART III

Certain information required by Part III is omitted from this Annual Report on Form 10-K because we will file a definitive proxy statement within
one  hundred  twenty  (120)  days  after  the  end  of  the  fiscal  year  pursuant  to  Regulation  14A  (the  “2012  Proxy  Statement”)  for  our  Annual  Meeting  of
Stockholders currently scheduled for April 23, 2012, and the information included in the Proxy Statement is incorporated herein by reference.

Item 10. Directors, Executive Officers, Promoters, Control Persons and Corporate Governance

The  information  set  forth  under  the  captions  "Proposal  No.  1  -  Election  of  Directors",  "Corporate  Governance”  and  “Section  16(a)  Beneficial

Ownership Reporting Compliance” in the 2012 Proxy Statement is incorporated herein by reference.

Item 11. Executive Compensation

The information set forth under the caption "Compensation Matters" in the 2012 Proxy Statement is incorporated herein by reference.

Item 12.  Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

The information set forth under the caption "Stock Ownership of Management and Principal Shareholders" and "Compensation Matters" in the 2012

Proxy Statement is incorporated herein by reference.

Item 13. Certain Relationships and Related Transactions, and Director Independence

The  information  set  forth  under  the  captions  “Corporate  Governance”  and  "Certain  Relationships  and  Related  Transactions"  in  the  2012  Proxy

Statement is incorporated herein by reference.

Item 14. Principal Accounting Fees and Services

The information set forth under the caption "Proposal No. 2 - Ratification of Selection of Independent Registered Public Accounting Firm" in the

2012 Proxy Statement is incorporated herein by reference.

66

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 15. Exhibits 

Exhibit
No.
3.1
3.2
3.3
3.4

3.5

3.6

3.7

3.8
4.1
4.2
4.3

4.4
4.5
4.6
4.7
4.8
4.9
4.10
4.11
10.1 
10.2 
10.3 
10.4 
10.5 

EXHIBIT INDEX

Description

  Fourth Amended and Restated Certificate of Incorporation of the Registrant. (5)
  Certificate of Amendment to the Fourth Amended and Restated Certificate of Incorporation of the Registrant. (13)
  Certificate of Amendment to the Fourth Amended and Restated Certificate of Incorporation of the Registrant. (13)
  Certificate of Amendment to the Fourth Amended and Restated Certificate of Incorporation of the Registrant as filed with the Delaware

Secretary of State on November 13, 2007. (14)

  Certificate of Amendment to the Fourth Amended and Restated Certificate of Incorporation of the Registrant as filed with the Delaware

Secretary of State on October 26, 2009. (23)

  Certificate of Amendment to the Fourth Amended and Restated Certificate of Incorporation of the Registrant as filed with the Delaware

Secretary of State on March 10, 2011. (24)

  Certificate of Amendment to the Fourth Amended and Restated Certificate of Incorporation of the Registrant as filed with the Delaware

Secretary of State on March 11, 2011. (24)

  Second Amended and Restated By-Laws of the Registrant. (16)
  Specimen of Common Stock Certificate of the Registrant. (1)
  Form of Underwriter’s Warrant. (1)
  Warrant for the purchase of shares of common stock dated January 18, 2006, issued to Marty Steinberg, Esq., as Court-appointed Receiver

for Lancer Offshore, Inc. (17)

  Form of Series A 10% Secured Convertible Note due 2008 convertible into Common Stock and Warrants. (15)
  Form of Series B 10% Secured Convertible Note due 2008 convertible into Common Stock. (15)
  Form of Class D Warrant. (15)
  Form of Placement Agent Warrant. (15)
  Form of Investor Warrant issued on July 24, 2009. (22)
  Form of Warrant Certificate. (27)
  Form of Warrant Agreement between Nephros, Inc. and Continental Stock Transfer & Trust Company. (27)
  Form of Subscription Rights Certificate. (27)
  Amended and Restated 2000 Nephros Equity Incentive Plan. (1)(2)

2004 Nephros Stock Incentive Plan. (1)(2)

  Amendment No. 1 to 2004 Nephros Stock Incentive Plan. (2)(5)
  Amendment No. 2 to the Nephros, Inc. 2004 Stock Incentive Plan. (14)
  Form of Subscription Agreement dated as of June 1997 between the Registrant and each Purchaser of Series A Convertible Preferred

Stock. (1)

10.6 

  Amendment and Restatement to Registration Rights Agreement, dated as of May 17, 2000 and amended and restated as of June 26, 2003,

10.7 
10.8 
10.9 
10.10
10.11
10.12
10.13
10.14
10.15
10.16

between the Registrant and the holders of a majority of Registrable Shares (as defined therein). (1)

  Employment Agreement dated as of November 21, 2002 between Norman J. Barta and the Registrant.  (1)(2)
  Amendment to Employment Agreement dated as of March 17, 2003 between Norman J. Barta and the Registrant. (1)(2)
  Amendment to Employment Agreement dated as of May 31, 2004 between Norman J. Barta and the Registrant. (1)(2)
  Employment Agreement effective as of July 1, 2007 between Nephros, Inc. and Norman J. Barta. (14)
  Form of Employee Patent and Confidential Information Agreement. (1)
  Form of Employee Confidentiality Agreement. (1)
  Settlement Agreement and Mutual Release dated June 19, 2002 between Plexus Services Corp. and the Registrant. (1)
  Settlement Agreement dated as of January 31, 2003 between Lancer Offshore, Inc. and the  Registrant. (1)
  Settlement Agreement dated as of February 13, 2003 between Hermitage Capital Corporation and the Registrant. (1)
  Supply Agreement between Nephros, Inc. and Membrana GmbH, dated as of December 17, 2003. (1)(3)

67

 
 
 
 
 
 
Exhibit
No.
10.17
10.18
10.19

10.20
10.21
10.22
10.23
10.24
10.25
10.26
10.27
10.28
10.29
10.30
10.31
10.32
10.33
10.34
10.35
10.36
10.37
10.38
10.39
10.40
10.41
10.42
10.43
10.44
10.45
10.46
10.47
10.48
10.49
10.50
10.51
10.52
10.53
10.54

Description

  Amended Supply Agreement between Nephros, Inc. and Membrana GmbH dated as of June 16, 2005. (3)(7)
  Manufacturing and Supply Agreement between Nephros, Inc. and Medica s.r.l., dated as of May 12, 2003. (1)(3)
  Manufacturing and Supply Agreement between Nephros, Inc. and Medica s.r.l., dated as of March 22, 2005. Supersedes prior Agreement

dated May 12, 2003. (3)(8)

  HDF-Cartridge License Agreement dated as of March 2, 2005 between Nephros, Inc. and Asahi Kasei Medical Co., Ltd. (4)

Subscription Agreement dated as of March 2, 2005 between Nephros, Inc. and Asahi Kasei Medical Co., Ltd. (4)

  Non-employee Director Compensation Summary. (2)(6)
  Named Executive Officer Summary of Changes to Compensation. (2)(6)

Stipulation of Settlement Agreement between Lancer Offshore, Inc. and Nephros, Inc. approved on November 18, 2005. (8)

  Consulting Agreement, dated as of January 11, 2006, between the Company and Bruce Prashker. (2)(8)

Summary of Changes to Chief Executive Officer’s Compensation. (2)(8)

  Offer of Employment Agreement, dated as of February 24, 2006, between the Company and Mark W. Lerner. (2)(8)

Form of 6% Secured Convertible Note due 2012 for June 1, 2006 Investors. (9)
Form of Common Stock Purchase Warrant. (9)
Form of Subscription Agreement, dated as of June 1, 2006. (9)
Form of Registration Rights Agreement, dated as of June 1, 2006. (9)
Form of 6% Secured Convertible Note due 2012 for June 30, 2006 Investors. (10)
Form of Subscription Agreement, dated as of June 30, 2006. (10)
Employment Agreement between Nephros, Inc. and William J. Fox, entered into on August 2, 2006. (2)(11)

  Addendum to Commercial Contract between Nephros, Inc. and Bellco S.p.A, effective as of January 1, 2007. (3)(12)

Form of Subscription Agreement between Nephros and Subscriber. (15)
Exchange Agreement, dated as of September 19, 2007, between Nephros and the Holders. (15)

  Registration Rights Agreement, dated as of September 19, 2007, among Nephros and the Holders. (15)

Investor Rights Agreement, dated as of September 19, 2007, among Nephros and the Covered Holders as defined therein. (15)
Placement Agent Agreement, dated as of September 18, 2007, among Nephros, NSC and Dinosaur. (15)
License Agreement, dated October 1, 2007, between the Trustees of Columbia University in the City of New York, and Nephros. (17)
Employment Agreement, dated as of April 1, 2008, between Nephros, Inc. and Gerald Kochanski. (2)(18)
Separation Agreement and Release, dated as of April 28, 2008, between Nephros, Inc. and Mark W. Lerner. (2)(18)
Separation Agreement and Release, dated as of September 15, 2008, between Nephros, Inc. and Norman J. Barta. (2) (19)
Employment Agreement, dated as of September 15, 2008, between Nephros, Inc. and Ernest A. Elgin III. (2)(19)
Lease Agreement between Nephros, Inc. and 41 Grand Avenue, LLC dated as of November 20, 2008. (20)

  Distribution Agreement between Nephros, Inc. and OLS, dated as of November 26, 2008. (21)

Lease Agreement between Nephros International LTD and Coldwell Banker Penrose & O’Sullivan dated November 30, 2008. (21)

  Distribution Agreement between Nephros, Inc. and Aqua Sciences, Inc., dated as of December 3, 2008. (21)

Sales Management Agreement between Nephros, Inc. and Steve Adler, dated as of December 16, 2008. (2)(21)

  Amendment No. 3 to the Nephros, Inc. 2004 Stock Incentive Plan. (2)(21)

Form of Subscription Agreement between Nephros, Inc. and various investors , dated July 24, 2009. (22)

  Consulting Agreement between Nephros, Inc. and John Shallman, dated as of January 2, 2009. (25)
  Authorized Representative Services Agreement between Nephros, Inc. and Donawa Lifescience Consulting Srl, dated as of June 1, 2009.

(25)

10.55

  Consulting Agreement between Nephros, Inc. and Barry A. Solomon, PhD., dated as of December 8, 2009. (25)

68

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
10.56
10.57
10.58
10.59
10.60
10.61
10.62
10.63
14.1
21.1
24.1
31.1
31.2
32.1

  Separation, Release and Consulting Agreement between Nephros, Inc. and Ernest A. Elgin III. (26)
  Senior Secured Note dated October 1, 2010 issued to Lambda Investors LLC. (27)
  Form of Registration Rights Agreement, dated as of September 30, 2010, by and between the Registrant and Lambda Investors LLC. (27)
  Purchase Agreement, dated as of October 1, 2010, by and between the Registrant and Lambda Investors LLC. (28)
  Amendment No. 4 to the Nephros, Inc. 2004 Stock Incentive Plan. (2)(29)
  Employment Agreement between Nephros, Inc. and Gerald J. Kochanski dated April 1, 2011. (2)(30)
  License Agreement, entered into as of July 1, 2011 by and between Nephros, Inc. and Bellco S.r.l. (31)
  Letter Agreement, dated June 27, 2011, between Nephros, Inc. and DHR International, Inc., entered into as of July 25, 2011. (32)
  Code of Ethics and Business Conduct, as amended on April 2, 2007. (33)
  Subsidiaries of Registrant. (12)
  Power of Attorney. (included on the signature page)
  Certification by the Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. *
  Certification by the Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. *
  Certification by the Chief Executive Officer Pursuant to 18 U.S.C. Section 1350, as adopted  pursuant to Section 906 of the Sarbanes-

Oxley Act of 2002. *

32.2

  Certification by the Chief Financial Officer Pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley

101

Act of 2002. *
Interactive Data File. *

Filed herewith.

Incorporated by reference to Nephros, Inc.’s Registration Statement on Form S-1, File No. 333-116162.

Management contract or compensatory plan arrangement.

Portions omitted pursuant to a request for confidential treatment.

Incorporated by reference to Nephros, Inc.’s Current Report on Form 8-K Filed with the Securities and Exchange Commission on March 3, 2005.

Incorporated by reference to Nephros, Inc.’s Registration Statement on Form S-8 (No. 333-127264), as filed with the Securities and Exchange
Commission on August 5, 2005.

Incorporated by reference to Nephros, Inc.’s Quarterly Report on Form 10-QSB, filed with the Securities and Exchange Commission on May 16,
2005.

Incorporated by reference to Nephros, Inc.’s Quarterly Report on Form 10-QSB, filed with the Securities and Exchange Commission on August 15,
2005.

Incorporated by reference to Nephros, Inc.’s Annual Report on Form 10-KSB, filed with the Securities and Exchange Commission on April 20,
2006.

*

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

Incorporated by reference to Nephros, Inc.’s Current Report on Form 8-K filed with the Securities and Exchange Commission on June 2, 2006.

(10)

Incorporated by reference to Nephros, Inc.’s Current Report on Form 8-K filed with the Securities and Exchange Commission on July 7, 2006.

(11)

Incorporated by reference to Nephros, Inc.’s Current Report on Form 8-K filed with the Securities and Exchange Commission on August 4, 2006.

(12)

Incorporated by reference to Nephros, Inc.’s Annual Report on Form 10-KSB for the year ended December 31, 2006, filed with the Securities and
Exchange Commission on April 10, 2007.

69

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(13)

(14)

(15)

Incorporated by reference to Nephros, Inc.’s Quarterly Report on Form 10-QSB for the quarter ended June 30, 2007, filed with the Securities and
Exchange Commission on August 13, 2007.

Incorporated by reference to Nephros, Inc.’s Quarterly Report on Form 10-QSB for the quarter ended September 30, 2007, filed with the Securities
and Exchange Commission on November 13, 2007.

Incorporated by reference to Nephros, Inc.’s Current Report on Form 8-K filed with the Securities and Exchange Commission on September 25,
2007.

(16)

Incorporated by reference to Nephros, Inc.’s Current Report on Form 8-K filed with the Securities and Exchange Commission on December 3, 2007.

(17)

(18)

(19)

(20)

(21)

(22)

(23)

Incorporated by reference to Nephros, Inc.’s Annual Report on Form 10-KSB for the year ended December 31, 2007, filed with the Securities and
Exchange Commission on March 31, 2008.

Incorporated by reference to Nephros, Inc.’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2008, filed with the Securities and
Exchange Commission on May 15, 2008.

Incorporated by reference to Nephros, Inc.’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2008, filed with the Securities and
Exchange Commission on November 14, 2008.

Incorporated by reference to Nephros, Inc. ’s Current Report on Form 8-K filed with the Securities and Exchange Commission on November 20,
2008.

Incorporated by reference to Nephros, Inc.’s Annual Report on Form 10-K for the year ended December 31, 2008, filed with the Securities and
Exchange Commission on March 31, 2009.

Incorporated by reference to Nephros, Inc.’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2009, filed with the Securities and
Exchange Commission on August 14, 2009.

Incorporated by reference to Nephros, Inc.’s Registration Statement on Form S-1 (No. 333-162781), as filed with the Securities and Exchange
Commission on October 30, 2009.

(24)

Incorporated by reference to Nephros, Inc.’s Current Report on Form 8-K filed with the Securities and Exchange Commission on March 16, 2011.

(25)

Incorporated by reference to Nephros, Inc’s Annual Report on Form 10-K for the year ended December 31, 2009, filed with the Securities and
Exchange Commission April 2, 2010.

(26)

Incorporated by reference to Nephros, Inc.’s Current Report on Form 8-K filed with the Securities and Exchange Commission on March 30, 2010.

(27)

(28)

(29)

Incorporated by reference to Nephros, Inc.’s Registration statement on Form S-1 (No. 333-169728), as filed with the Securities and Exchange
Commission on October 1, 2010.

Incorporated by reference to Nephros, Inc.’s Registration statement on Form S-1 (No. 333-169728), as filed with the Securities and Exchange
Commission on December 22, 2010.

Incorporated by reference to Nephros, Inc.’s 2011 Proxy Statement (Exhibit A) filed with the Securities and Exchange Commission on December 2,
2010.

(30)

Incorporated by reference to Nephros, Inc.’s Current Report on Form 8-K filed with the Securities and Exchange Commission on March 31, 2011.

(31)

Incorporated by reference to Nephros, Inc.’s Current Report on Form 8-K filed with the Securities and Exchange Commission on June 27, 2011.

70

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(32)

Incorporated by reference to Nephros, Inc.’s Current Report on Form 8-K filed with the Securities and Exchange Commission on July 26, 2011.

(33)

Incorporated by reference to Nephros, Inc.’s Current Report on Form 8-K filed with the Securities and Exchange Commission on April 6, 2007.

71

 
 
 
 
In accordance with Section 13 or 15(d) of the Exchange Act, the Registrant caused this report to be signed on its behalf by the undersigned,

SIGNATURES

thereunto duly authorized.

Date: March 22, 2012

NEPHROS, INC.

By:

/s/ Paul A. Mieyal

Name: Paul A. Mieyal
Title: Acting Chief Executive Officer

POWER OF ATTORNEY

We,  the  undersigned  directors  and  officers  of  Nephros,  Inc.,  hereby  severally  constitute  and  lawfully  appoint  Paul  A.  Mieyal  and  Gerald  J.
Kochanski,  and  each  of  them  singly,  our  true  and  lawful  attorneys-in-fact  with  full  power  to  them  and  each  of  them  to  sign  for  us,  in  our  names  in  the
capacities  indicated  below,  the  Annual  Report  on  Form  10-K  for  the  fiscal  year  ended  December  31,  2011  of  Nephros,  Inc.  and  any  and  all  amendments
thereto,  and  to  file  the  same  with  all  exhibits  thereto,  and  all  other  documents  in  connection  therewith,  with  the  Securities  and  Exchange  Commission,
granting  unto  said  attorneys-in-fact  and  agents,  and  each  of  them,  full  power  and  authority  to  do  and  perform  each  and  every  act  and  thing  requisite  and
necessary to be done, as fully to all intents and purposes as such person might or could do in person, hereby ratifying and confirming all that said attorneys-in-
fact and agents, or any of them, or their or his or her substitute or substitutes, may lawfully do or cause to be done by virtue hereof.

In accordance with the Exchange Act, this report has been signed below by the following persons on behalf of the Registrant and in the capacities

and on the dates indicated.

Signature
/s/ Paul A. Mieyal

Paul A. Mieyal

/s/ Gerald J. Kochanski

Gerald J. Kochanski

Acting Chief Executive Officer  (Principal Executive
Officer)

Title

Chief Financial Officer (Principal Financial and
Accounting Officer)

/s/ Arthur H. Amron

Director

Arthur H. Amron

/s/ Lawrence J. Centella

Director

Lawrence J. Centella

/s/ Paul A. Mieyal

Director

Paul A. Mieyal

/s/ James S. Scibetta

Director

James S. Scibetta

72

Date
March 22, 2012

March 22, 2012

March 22, 2012

March 22, 2012

March 22, 2012

March 22, 2012

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION OF THE CHIEF EXECUTIVE OFFICER PURSUANT TO
SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 31.1

I, Paul A. Mieyal, certify that:

(1) I have reviewed this annual report on Form 10-K of Nephros, Inc.;

(2) Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the
statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this
report;

(3) Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects, the

financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

(4) The  registrant’s  other  certifying  officer  and  I  are  responsible  for  establishing  and  maintaining  disclosure  controls  and  procedures  (as  defined  in
Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-
15(f)) for the registrant and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to
ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those
entities, particularly during the period in which this report is being prepared;

(b) Designed  such  internal  control  over  financial  reporting,  or  caused  such  internal  control  over  financial  reporting  to  be  designed  under  our
supervision,  to  provide  reasonable  assurance  regarding  the  reliability  of  financial  reporting  and  the  preparation  of  financial  statements  for
external purposes in accordance with generally accepted accounting principles;

(c) Evaluated  the  effectiveness  of  the  registrant’s  disclosure  controls  and  procedures  and  presented  in  this  report  our  conclusions  about  the

effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent
fiscal  quarter  (the  registrant’s  fourth  fiscal  quarter  in  the  case  of  the  annual  report)  that  has  materially  affected,  or  is  reasonably  likely  to
materially affect, the registrant’s internal control over financial reporting; and

(5) The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the

registrant’s auditors and the audit committee of registrant’s board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably

likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control

over financial reporting.

Dated:  March 22, 2012

/s/ Paul A. Mieyal
Paul A. Mieyal
Acting Chief Executive Officer (Principal Executive Officer)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION OF THE CHIEF FINANCIAL OFFICER PURSUANT TO
SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 31.2

I, Gerald J. Kochanski, certify that:

(1) I have reviewed this annual report on Form 10-K of Nephros, Inc.;

(2) Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the
statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this
report;

(3) Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects, the

financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

(4) The  registrant’s  other  certifying  officer  and  I  are  responsible  for  establishing  and  maintaining  disclosure  controls  and  procedures  (as  defined  in
Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-
15(f)) for the registrant and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to
ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those
entities, particularly during the period in which this report is being prepared;

(b) Designed  such  internal  control  over  financial  reporting,  or  caused  such  internal  control  over  financial  reporting  to  be  designed  under  our
supervision,  to  provide  reasonable  assurance  regarding  the  reliability  of  financial  reporting  and  the  preparation  of  financial  statements  for
external purposes in accordance with generally accepted accounting principles;

(c) Evaluated  the  effectiveness  of  the  registrant’s  disclosure  controls  and  procedures  and  presented  in  this  report  our  conclusions  about  the

effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent
fiscal  quarter  (the  registrant’s  fourth  fiscal  quarter  in  the  case  of  the  annual  report)  that  has  materially  affected,  or  is  reasonably  likely  to
materially affect, the registrant’s internal control over financial reporting; and

(5) The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the

registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably

likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control

over financial reporting.

Dated:  March 22, 2012

/s/  Gerald J. Kochanski
Gerald J. Kochanski
Chief Financial Officer (Principal Financial Officer and Principal Accounting Officer)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION OF THE CHIEF EXECUTIVE OFFICER
PURSUANT TO 18 U.S. C. SECTION 1350
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 32.1

In connection with the annual report on Form 10-K of Nephros, Inc. (the “Company”) for the fiscal year ended December 31, 2011 as filed with the Securities
and  Exchange  Commission  on  the  date  hereof  (the  “Report”),  I,  Paul  A.  Mieyal,  Acting  Chief  Executive  Officer  (Principal  Executive  Officer)  of  the
Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that, to my knowledge:

(1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The  information  contained  in  the  Report  fairly  presents,  in  all  material  respects,  the  financial  condition  and  results  of  operations  of  the

Company.

Dated:  March 22, 2012

/s/ Paul A. Mieyal
Paul A. Mieyal
Acting Chief Executive Officer (Principal Executive Officer)

 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION OF THE CHIEF FINANCIAL OFFICER
PURSUANT TO 18 U.S. C. SECTION 1350
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 32.2

In connection with the annual report on Form 10-K of Nephros, Inc. (the “Company”) for the fiscal year ended December 31, 2011 as filed with the Securities
and  Exchange  Commission  on  the  date  hereof  (the  “Report”),  I,  Gerald  J.  Kochanski,  Chief  Financial  Officer  (Principal  Financial  Officer  and  Principal
Accounting Officer) of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that,
to my knowledge:

(1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The  information  contained  in  the  Report  fairly  presents,  in  all  material  respects,  the  financial  condition  and  results  of  operations  of  the

Company.

Dated: March 22, 2012

/s/ Gerald J. Kochanski
Gerald J. Kochanski
Chief Financial Officer (Principal Financial Officer and Principal Accounting Officer)