Item 2. Management’s Discussion and Analysis
Item
2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
You
should read the following discussion and analysis of our financial condition and results of operations in conjunction with (i) our unaudited
interim condensed financial statements and the related notes thereto included elsewhere in this Quarterly Report on Form 10-Q and (ii)
our audited financial statements and notes thereto and management’s discussion and analysis of financial condition and results
of operations Included in our Annual Report on Form 10-K for the year ended December 31, 2021 filed with the Securities and Exchange
Commission (the “SEC”) on March 16, 2022 (the “2021 10-K”).
Forward-Looking
Statements
This
Quarterly Report on Form 10-Q contains forward-looking statements within the meaning of Section 27A of the Securities Act and Section
21E of the Securities Exchange Act of 1934 (the “Exchange Act”), including, without limitation, statements regarding our
expectations, beliefs, intentions or future strategies that are signified by the words “expect,” “anticipate,”
“intend,” “believe,” “may,” “plan”, “seek” or similar language. All forward-looking
statements included in this document are based on information available to us on the date hereof, and we assume no obligation to update
any such forward-looking statements. Our business and financial performance are subject to substantial risks and uncertainties. Actual
results could differ materially from those projected in the forward-looking statements. In evaluating our business, you should carefully
consider other matters set forth in our SEC filings including the Risk Factors set forth in Part I, Item 1A of our 2021 10-K.
Overview
We
are a innovative pharmaceutical company focused on developing, acquiring, and commercializing innovative pharmaceutical products that fulfill
an unmet need in patients suffering from rare diseases. The Company currently commercializes two rare disease products, ALKINDI SPRINKLE®
for the treatment of adrenocortical insufficiency and Carglumic Acid for the treatment of acute hyperammonemia due to N-acetylglutamate
synthase (NAGS) deficiency, and has two additional product candidates in late-stage development.
The Company is developing dehydrated alcohol injection, which has received Orphan Drug Designation for the treatment of methanol poisoning,
and the ZENEO® hydrocortisone autoinjector for the treatment of adrenal crisis.
In
addition, the Company is entitled to royalties or milestone payments from six FDA-approved products that the Company developed and out-licensed.
The products include Alaway® Preservative Free, EPRONTIA TM , Cysteine Hydrochloride, Zonisade®, Biorphen®, and
Rezipres®.
Results
of Operations
For
the three months ended June 30, 2022, we had $7,358 in revenue from licensing, product sales and royalties which reflected $5,000 of
revenue from the Dr. Reddy’s agreement and generated a gross profit of $4,613. We had total revenue of $3,067 for the three-month
period ended June 30, 2021 which reflected Azurity milestone revenues of $2,500 plus product sales and royalty revenues which generated
a total gross profit of $2,893 for the period.
For
the six months ended June 30, 2022, we had $9,534 in revenue from licensing, product sales and royalties which generated a gross profit
of $5,940. We had total revenue of $14,964 for the three-month period ended June 30, 2021 which reflected Azurity and Bausch milestone
revenues of $14,000 plus product sales and royalty revenues which generated a total gross profit of $13,163 for the period.
Research
and Development Expenses
For the three months ended June
30, 2022, we incurred $690 of research and development (“R&D”) expenses as compared to the $1,990 for the same period
in 2021. The decrease was primarily due to a $500 fee to Crossject upon execution of the agreement for Zeneo hydrocortisone autoinjector
development in 2021 and decreased development costs for our other new product candidates.
For the six months ended June
30, 2022, we incurred $2,308 of R&D expenses as compared to the $2,876 for the same period in 2021 due to decreased development activities
in 2022.
General and Administrative Expenses
General and administrative (“G&A”)
expenses consist primarily of employee compensation expenses, legal and professional fees, product marketing expenses, distribution expenses,
business insurance, travel expenses and general office expenses.
For the three-month periods ended
June 30, 2022 and 2021, we incurred $5,263 and $3,228, respectively, of G&A expenses. The $2,035 increase in G&A expense was mainly
due to incremental marketing, legal, compensation, and product related expenses to support our product sales growth.
For
the six-month periods ended June 30, 2022 and 2021, we incurred $10,059 and $7,249, respectively, of G&A expenses. The $2,810 increase
in G&A expense was mainly due to incremental legal, compensation, and product related expenses to support our product sales growth.
23
Liquidity
and Capital Resources
As
of June 30, 2022, we had total assets of $23.0 million, cash and cash equivalents of $17.0 million and working capital of $16.0 million.
We had previously capitalized our operations from the June 2017 private placement of approximately $20.1 million of Series A preferred
stock which converted into shares of our common stock concurrent with our IPO in November 2018 and also the IPO which provided us with
net proceeds of $22.0 million. In addition, we entered into a Credit Agreement with SWK Holdings in November 2019 whereby we drew a $5.0
million loan amount at closing and an additional $2.0 million in August 2020. In March and April 2020, we received net proceeds of approximately
$7.8 million from the sale of shares of our common stock, and in October 2020, we received net proceeds of approximately $21.0 million
from a public offering of our common stock at an offering price of $7.00 per share. We believe that our existing funding, revenues from
our approved products and additional milestone payments expected to be paid in 2022 will be sufficient for at least the next twelve months
of our operations. However, our projected estimates for our product development spending, administrative expenses and our working capital
requirements could be inaccurate, or we may experience growth more quickly or on a larger scale than we expect, any of which could result
in the depletion of capital resources more rapidly than anticipated and could require us to seek additional financing earlier than we
expect to support our operations.
Cash
Flows
The
following table sets forth a summary of our cash flows for the six-month periods ended June 30, 2022 and 2021:
Six months ended
June 30, 2022
Six months ended
June 30, 2021
Net cash provided by operating activities
$ 3,684
$ 3,346
Cash (used in) provided by investing activities
(776 )
697
Cash flows (used in) provided by financing activities
(268 )
464
Change in cash and cash equivalents
$ 2,640
$ 4,507
The
decrease in cash provided by investing activities was mainly a result of a $700 sale of lab equipment in 2021 that combined with a
$750 Rezipres milestone payment to Sintetica in 2022. The 2022 financing activity included an initial $385 payment on our loan
principal (see Note 5) whereas the 2021 financing activity was higher as a result of stock option exercises.
24
Critical
Accounting Policies
Our
condensed financial statements are prepared in accordance with accounting principles generally accepted in the United States
(“GAAP”). The preparation of our condensed financial statements and related disclosures requires us to make estimates and
judgments that affect the reported amounts of assets, liabilities, costs and expenses in our condensed financial statements. We base
our estimates on historical experience, known trends and events and various other factors that we believe are reasonable under the circumstances,
the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent
from other sources. We evaluate our estimates and assumptions on an ongoing basis. Our actual results may differ from these estimates
under different assumptions or conditions.
While
our significant accounting policies are described in more detail in Note 3 to our financial statements included herein, we believe that
the following accounting policies are those most critical to the judgments and estimates used in the preparation of our financial statements.
Revenue
Recognition
We
account for contracts with our customers in accordance with Accounting Standards Codification (“ASC”) 606 — Revenue
from Contracts with Customers. ASC 606 applies to all contracts with customers, except for contracts that are within the scope of other
standards. Under ASC 606, an entity recognizes revenue when its customer obtains control of promised goods or services, in an amount
that reflects the consideration which the entity expects to receive in exchange for those goods or services. To determine revenue recognition
for arrangements that an entity determines are within the scope of ASC 606, the entity performs the following five steps: (i) identify
the contract(s) with a customer; (ii) identify the performance obligations in the contract; (iii) determine the transaction price; (iv)
allocate the transaction price to the performance obligations in the contract; and (v) recognize revenue when (or as) the entity satisfies
a performance obligation.
At
contract inception, once the contract is determined to be within the scope of ASC 606, we assess the goods or services promised within
each contract and determines those that are performance obligations and assesses whether each promised good or service is distinct. We
then recognize as revenue the amount of the transaction price that is allocated to the respective performance obligation when (or as)
the performance obligation is satisfied. Arrangements that include rights to additional goods or services that are exercisable at a customer’s
discretion are generally considered options. We assess whether these options provide a material right to the customer and, if so, they
are considered performance obligations. The exercise of a material right is accounted for as a contract modification for accounting purposes.
We
recognize as revenue the amount of the transaction price that is allocated to the respective performance obligation when (or as) each
performance obligation is satisfied at a point in time or over time, and if over time this is based on the use of an output or input
method. Any amounts received prior to revenue recognition will be recorded as deferred revenue. Amounts expected to be recognized as
revenue within the twelve months following the balance sheet date will be classified as current portion of deferred revenue in our balance
sheets. Amounts not expected to be recognized as revenue within the twelve months following the balance sheet date are classified as
long-term deferred revenue, net of current portion.
Milestone
Payments – If a commercial contract arrangement includes development and regulatory milestone payments, we will evaluate whether
the milestone conditions have been achieved and if it is probable that a significant revenue reversal would not occur before recognizing
the associated revenue. Milestone payments that are not within our control or the licensee’s control, such as regulatory approvals,
are generally not considered probable of being achieved until those approvals are received.
Royalties
– For arrangements that include sales-based royalties, including milestone payments based on a level of sales, which are the
result of a customer-vendor relationship and for which the license is deemed to be the predominant item to which the royalties relate,
we will recognize revenue at the later of (i) when the related sales occur, or (ii) when the performance obligation to which some or
all of the royalty has been allocated has been satisfied or partially satisfied.
Significant
Financing Component – In determining the transaction price, we will adjust consideration for the effects of the time value
of money if the expected period between payment by the licensees and the transfer of the promised goods or services to the licensees
will be more than one year.
25
We
sell our Alkindi Sprinkle product to one pharmacy distributor customer which provides order fulfillment and inventory storage/distribution
services. We may sell products in the U.S. to wholesale pharmaceutical distributors, who then sell the product to hospitals and other
end-user customers. Sales to wholesalers are made pursuant to purchase orders subject to the terms of a master agreement, and delivery
of individual shipments of products represent performance obligations under each purchase order. We use a third-party logistics (“3PL”)
vendor to process and fulfill orders and have concluded it is the principal in the sales to wholesalers because it controls access to
the 3PL vendor services rendered and directs the 3PL vendor activities. We have no significant obligations to wholesalers to generate
pull-through sales.
For
our Alkindi Sprinkle product, we bill at the initial product list prices which are subject to offsets for patient co-pay assistance and
potential state Medicaid reimbursements which are recorded as a reduction of net revenues at the date of sale/shipment. Selling prices
initially billed to wholesalers are subject to discounts for prompt payment and subsequent chargebacks when products are sold at negotiated
discounted prices to members of certain group purchasing organizations (“GPOs”) and government programs. In addition, we
pay fees to wholesalers for their distribution services, inventory reporting and chargeback processing. We pay GPOs fees for administrative
services and for access to GPO members and concluded the benefits received in exchange for these fees are not distinct from our sales,
and accordingly we apply these amounts to reduce revenues. Wholesalers also have rights to return eligible, unsold product nearing or
past the expiration date. Because of product shelf life and our lengthy return period, there may be a significant period of time between
when the product is shipped and when we issue credits on returned product.
We
estimate the transaction price when we receive each purchase order, taking into account the expected reductions of the selling price
initially billed to the wholesaler arising from all of the above factors. We have developed estimates for future returns and chargebacks
and the impact of the other discounts and fees we pay. Our sales of Alkindi Sprinkle to our distributor are not subject to returns. When
estimating these adjustments to the transaction price, it is sufficiently reduced to be able to assert that it is probable that there
will be no significant reversal of revenue when the ultimate adjustment amounts are known.
We
store our Alkindi Sprinkle inventory at our pharmacy distributor customer location and sales are recorded when stock is pulled and shipped
to fulfill specific patient orders. We may recognize revenue from other product sales and related cost of sales upon product delivery
to the wholesaler location. At that time, the wholesalers take control of the product as they take title, bear the risk of loss of ownership,
and have an enforceable obligation to pay us. They also have the ability to direct sales of product to their customers on terms and at
prices they negotiate. Although wholesalers have product return rights, we do not believe they have a significant incentive to return
the product to us.
Upon
recognition of revenue from product sales, the estimated amounts of credit for product returns, chargebacks, distribution fees, prompt
payment discounts, state Medicaid and GPO fees are included in sales reserves, accrued liabilities and net accounts receivable. We
monitor actual product returns, chargebacks, discounts and fees subsequent to the sale. If these amounts end up differing from our estimates,
we will make adjustments to these allowances, which are applied to increase or reduce product sales revenue and earnings in the period
of adjustment.
Stock-Based
Compensation
We
account for stock-based compensation under the provisions of Accounting Standards Codification (“ASC”) – 718 Compensation
– Stock Compensation. The guidance under ASC 718 requires companies to estimate the fair value of the stock-based compensation
awards on the date of grant and record expense over the related service periods, which are generally the vesting period of the equity
awards. Compensation expense is recognized over the period during which services are rendered by consultants and non-employees until
completed. At the end of each financial reporting period prior to completion of the service, the fair value of these awards is remeasured
using the then-current fair value of our common stock and updated assumption inputs in the Black-Scholes option-pricing model (“BSM”).
We
estimate the fair value of stock-based option awards to our using the BSM. The BSM requires the input of subjective assumptions, including
the expected stock price volatility, the calculation of expected term, forfeitures and the fair value of the underlying common stock
on the date of grant, among other inputs. The risk-free interest rate was determined from the implied yields for zero-coupon U.S. government
issues with a remaining term approximating the expected life of the options or warrants. Dividends on common stock are assumed to be
zero for the BSM valuation of the stock options. The expected term of stock options granted is based on vesting periods and the contractual
life of the options. Expected volatilities are based on comparable companies’ historical volatility along with a limited weighting
included for our own volatility subsequent to our IPO, which we believe represents the most accurate basis for estimating expected future
volatility under the current conditions. We account for forfeitures as they occur.
26
Prior
to our initial public offering in November 2018, the fair value of the shares of common stock underlying our stock-based awards was determined
by our board of directors, with input from management. Because there had been no public market for our common stock prior to the IPO,
our board of directors had determined the fair value of the common stock on the grant-date of the stock-based award by considering a
number of objective and subjective factors, including enterprise valuations of our common stock performed by an unrelated third-party
specialist, valuations of comparable companies, sales of our convertible preferred stock to unrelated third parties, operating and financial
performance, the lack of liquidity of our capital stock, and general and industry-specific economic outlook. Following our IPO, we use
the closing stock price on the date of grant for the fair value of the common stock.
Research
and Development Expenses
R&D
expenses include both internal R&D activities and external contracted services. Internal R&D activity expenses include salaries,
benefits and stock-based compensation and other costs to support our R&D operations. External contracted services include product
development efforts including certain product licensor milestone payments, clinical trial activities, manufacturing and control-related
activities and regulatory costs. R&D expenses are charged to operations as incurred. We review and accrue R&D expenses based
on services performed and rely upon estimates of those costs applicable to the stage of completion of each project. Significant judgments
and estimates are made in determining the accrued balances at the end of any reporting period. Actual results could differ from our estimates.
Upfront
payments and milestone payments made for the licensing of technology for products that are not yet approved by the FDA are expensed as
R&D in the period in which they are incurred. Nonrefundable advance payments for goods or services to be received in the future for
use in R&D activities are recorded as prepaid expenses and are expensed as the related goods are delivered or the services are performed.
Off
Balance Sheet Transactions
We
do not have any off-balance sheet transactions.
27
JOBS
Act Transition Period
In
April 2012, the Jumpstart Our Business Startups Act of 2012 (the “JOBS Act”), was enacted. Section 107 of the JOBS Act provides
that an “emerging growth company” can take advantage of the extended transition period provided in Section 7(a)(2)(B) of
the Securities Act for complying with new or revised accounting standards. Thus, an emerging growth company can delay the adoption of
certain accounting standards until those standards would otherwise apply to private companies. We have irrevocably elected not to avail
ourselves of this extended transition period and, as a result, we will adopt new or revised accounting standards on the relevant dates
on which adoption of such standards is required for other public companies.
We
are in the process of evaluating the benefits of relying on other exemptions and reduced reporting requirements under the JOBS Act. Subject
to certain conditions, as an emerging growth company, we may rely on certain of these exemptions, including without limitation, (i) providing
an auditor’s attestation report on our system of internal controls over financial reporting pursuant to Section 404(b) of the Sarbanes-Oxley
Act and (ii) complying with any requirement that may be adopted by the Public Company Accounting Oversight Board regarding mandatory
audit firm rotation or a supplement to the auditor’s report providing additional information about the audit and the financial
statements, known as the auditor discussion and analysis. We will remain an emerging growth company until the earlier to occur of (1)
the last day of the fiscal year (a) December 31, 2023, which is the end of the fiscal year following the fifth anniversary of the completion
of our IPO, (b) in which we have total annual gross revenues of at least $1.07 billion or (c) in which we are deemed to be a “large
accelerated filer” under the rules of the SEC, which means the market value of our common stock that is held by non-affiliates
exceeds $700 million as of the prior June 30th, and (2) the date on which we have issued more than $1.0 billion in non-convertible debt
during the prior three-year period.
Text extracted from the filing as submitted to EDGAR. Formatting, tables and exhibits are simplified for reading; the original document is authoritative for anything you rely on.