ACORDA THERAPEUTICS INC - 10-Q - Management's Discussion and Analysis of Financial Condition and Results of Operations - Insurance News | InsuranceNewsNet

InsuranceNewsNet — Your Industry. One Source.™

Sign in
  • Subscribe
  • About
  • Advertise
  • Contact
Home Now reading Newswires
Topics
    • Advisor News
    • Annuity Index
    • Annuity News
    • Companies
    • Earnings
    • Fiduciary
    • From the Field: Expert Insights
    • Health/Employee Benefits
    • Insurance & Financial Fraud
    • INN Magazine
    • Insiders Only
    • Life Insurance News
    • Newswires
    • Property and Casualty
    • Regulation News
    • Sponsored Articles
    • Washington Wire
    • Videos
    • ———
    • About
    • Meet our Editorial Staff
    • Advertise
    • Contact
    • Newsletters
  • Exclusives
  • NewsWires
  • Magazine
  • Newsletters
Sign in or register to be an INNsider.
  • AdvisorNews
  • Annuity News
  • Companies
  • Earnings
  • Fiduciary
  • Health/Employee Benefits
  • Insurance & Financial Fraud
  • INN Exclusives
  • INN Magazine
  • Insurtech
  • Life Insurance News
  • Newswires
  • Property and Casualty
  • Regulation News
  • Sponsored Articles
  • Video
  • Washington Wire
  • Life Insurance
  • Annuities
  • Advisor
  • Health/Benefits
  • Property & Casualty
  • Insurtech
  • About
  • Advertise
  • Contact
  • Editorial Staff

Get Social

  • Facebook
  • X
  • LinkedIn
Newswires
Newswires RSS Get our newsletter
Order Prints
November 12, 2021 Newswires
Share
Share
Post
Email

ACORDA THERAPEUTICS INC – 10-Q – Management's Discussion and Analysis of Financial Condition and Results of Operations

Edgar Glimpses

The following discussion and analysis of our consolidated financial condition
and results of operations should be read in conjunction with our unaudited
consolidated financial statements and related notes included in this Quarterly
Report on Form 10-Q.

Background

We are a biopharmaceutical company focused on developing therapies that restore
function and improve the lives of people with neurological disorders. We market
Inbrija (levodopa inhalation powder), which is approved in the U.S. for
intermittent treatment of OFF episodes, also known as OFF periods, in people
with Parkinson's disease treated with carbidopa/levodopa. Inbrija is for as
needed use and utilizes our ARCUS pulmonary delivery system, a technology
platform designed to deliver medication through inhalation that we believe has
potential to be used in the development of a variety of inhaled medicines. We
also market branded Ampyra (dalfampridine) Extended Release Tablets, 10 mg.

Inbrija

Our New Drug Application, or NDA, for Inbrija was approved by the U.S. Food and
Drug Administration
, or FDA, on December 21, 2018. The approval is for a single
dose of 84 mg (administered as two capsules), which may be taken up to five
times per day. Inbrija became commercially available in the U.S. on February 28,
2019
. Currently, Inbrija is available in the U.S. without the need for a medical
exception for approximately 96% of commercial health insurance plans and
approximately 27% of Medicare plan lives. Approximately one million people in
the U.S. and 1.2 million Europeans are diagnosed with Parkinson's; it is
estimated that approximately 40% of people with Parkinson's in the U.S.
experience OFF periods. Net revenue for Inbrija was $7.8 million for the quarter
ended September 30, 2021 and $5.8 million for the quarter ended September 30,
2020
. Due to uncertainties caused by past and potential future impacts of the
COVID-19 pandemic and other factors, we are no longer able to provide projected
peak U.S. annual net revenue of Inbrija. Actual peak U.S. Inbrija net revenue
will likely be lower and could be materially lower than our prior projected peak
sales range if, for example, disruptions to the healthcare system caused by the
COVID-19 pandemic or other prescribing challenges continue into 2022 and beyond.

In September 2019, we announced that the European Commission, or EC, approved
our Marketing Authorization Application, or MAA, for Inbrija. The approved dose
is 66 mg (administered as two capsules) up to five times per day (per European
Union
, or EU, convention, this reflects emitted dose and is equivalent to the 84
mg labelled dose in the U.S.). Under the MAA, Inbrija is indicated in the EU for
the intermittent treatment of episodic motor fluctuations (OFF episodes) in
adult patients with Parkinson's disease treated with a
levodopa/dopa-decarboxylase inhibitor. Following the ratification of the
Withdrawal Agreement between the United Kingdom and the EU, the UK left the EU
on January 31, 2020. Effective January 1, 2021, Acorda was granted a
grandfathered Marketing Authorization (MA) by the Medicines and Healthcare
products Regulatory Agency (MHRA) in the UK subject to completion of an
administrative process that was approved by the MHRA in November 2021.

In July and November 2021, we announced that we entered into distribution and
supply agreements with Esteve Pharmaceuticals to commercialize Inbrija in Spain
and Germany, respectively. Under the terms of the Germany distribution
agreement, we will receive a €5 million upfront payment, and we will receive
additional sales-based milestones. Under the terms of both the Spain and Germany
supply agreements, we will receive a significant double-digit percent of the
selling price of Inbrija in exchange for supply of the product. Esteve will have
the exclusive distribution rights to Inbrija in Spain and Germany and we will
supply the product to Esteve for sale. Esteve expects to launch Inbrija in Spain
in the fourth quarter of 2022, and in Germany by mid-2022. We are in discussions
with potential partners for commercialization of Inbrija in other jurisdictions
outside of the U.S., including in Europe and other countries.

Ampyra

Ampyra became subject to competition from generic versions of Ampyra starting in
late 2018 as a result of an adverse U.S. federal district court ruling that
invalidated certain Ampyra Orange Book-listed patents. We have experienced a
significant decline in Ampyra sales due to competition from several generic
versions of Ampyra. Additional manufacturers may market generic versions of
Ampyra, and we expect our Ampyra sales will continue to decline over time. Net
revenue for Ampyra was $20.0 million for the quarter ended September 30, 2021
and $27.3 million for the quarter ended September 30, 2020.


                                       25

--------------------------------------------------------------------------------

Convertible Notes

In December 2019, we announced the successful completion of a private exchange
of $276 million of our convertible senior notes due in 2021 in exchange for a
combination of approximately $207 million aggregate principal amount of
newly-issued convertible senior secured notes due 2024 and $55.2 million in
cash. The convertible senior secured notes due 2024 have an adjusted conversion
price of approximately $21.00 per share. As a result of the exchange,
approximately $69 million of convertible senior notes due in 2021 remained
outstanding. On June 15, 2021, we repaid the outstanding balance of the 2021
convertible senior notes at their maturity date using cash on hand. More
information about the terms and conditions of the 2024 convertible notes is set
forth in Note 10 to our Consolidated Financial Statements included in this
report as well as in Financing Arrangements in the Management's Discussion and
Analysis of Financial Condition and Results of Operations section of this
report.

Sale of Chelsea, Massachusetts Manufacturing Operations

In February 2021, we completed the sale of our Chelsea, Massachusetts
manufacturing operations to Catalent Pharma Solutions. Pursuant to the
transaction, Catalent paid us $80 million in cash, resulting in net proceeds to
us of approximately $74 million after transaction fees and expenses and
settlement of customary post-closing adjustments. In connection with the sale of
the manufacturing operations, we entered into a long-term, global manufacturing
services agreement with a Catalent affiliate for the supply of Inbrija. As part
of the transaction, Catalent hired substantially all of our prior employees at
the Chelsea facility as well as certain of our other employees at our Waltham,
Massachusetts
facility. We expect to save approximately $10 million in annual
operating expenses related to the operation of the manufacturing facility.

Financial Management

In January 2021 and September 2021, we announced corporate restructurings to
reduce costs, more closely align operating expenses with expected revenue, and
focus our resources on Inbrija. As part of the January 2021 restructuring, we
reduced headcount by approximately 16% through a reduction in force (excluding
the employees that transferred to Catalent at the closing of the sale of our
Chelsea manufacturing operations). As a result, we expect to realize estimated
annualized cost savings related to the January 2021 headcount reduction of
approximately $6 million beginning in the second quarter of 2021. As part of the
September 2021 restructuring, we reduced headcount by approximately 15% through
a reduction in force. Most of this reduction in force took place in September
2021
, and it will be completed in the first quarter of 2022. The company expects
to realize estimated annualized cost savings of approximately $20 million from
the September corporate restructuring beginning in 2022. The Company estimates
that it will incur approximately $5.5 million of pre-tax charges, substantially
all of which are cash expenditures, for severance and other employee
separation-related costs in connection with the restructurings, approximately
$4.6 million of which were incurred during the nine-month period ended September
30, 2021
.

In January 2021, we entered into an At The Market (ATM) Offering Agreement with
H.C. Wainwright & Co., LLC as sales agent. Pursuant to the ATM agreement, we may
offer and sell shares of our common stock having an aggregate value of up to
$15.25 million in an at-the-market offering, subject to a 3% sales commission
payable to H.C. Wainwright. If we elect to use the ATM agreement, H.C.
Wainwright would be obligated to use commercially reasonable efforts consistent
with its normal trading and sales practices and applicable law and regulations
to sell shares in accordance with our instructions (including as to price, time
or size limit or other parameters or conditions that we may impose). We have not
yet sold any shares under the ATM agreement.

On September 17, 2021, we sent to BMR-Ardsley Park LLC ("BMR") notice of
exercise of our early termination option (the "Early Termination Option") under
our Lease dated as of June 23, 2011, between us and BMR (as amended, the
"Lease"). The Lease is for the Company's Ardsley, N.Y. corporate headquarters,
which we believe is substantially larger than our needs for the foreseeable
future. Pursuant to the Early Termination Option, the Lease will terminate on
June 22, 2022 (the "Early Termination Date"), subject to the conditions that (a)
on the last business day before the Early Termination Date, we pay an early
termination fee of approximately $4.7 million, (b) on the day immediately prior
to the Early Termination Date, we are not in "Default" under the Lease beyond
applicable cure periods, and (c) as of the Early Termination Date, we have
complied with our end-of-term obligations.

As of September 30, 2021, we had cash, cash equivalents and restricted cash of
approximately $61.9 million. Restricted cash includes $24.8 million in escrow
related to the 6% semi-annual interest portion of the convertible senior secured
notes due 2024, which is payable in cash or stock. As further described in Note
10 to our Consolidated Financial


                                       26

--------------------------------------------------------------------------------

Statements included in this report as well as in Financing Arrangements in the
Management's Discussion and Analysis of Financial Condition and Results of
Operations section of this report, if we are permitted under the notes indenture
and we elect to pay interest due in stock, a corresponding amount of restricted
cash equivalent will be released from escrow. We intend to pay the interest due
on December 1, 2021 in stock.

Reverse Stock Split

On December 31, 2020, we filed an amendment to our Certificate of Incorporation
which effected, as of 4:01 p.m. Eastern Time on December 31, 2020, a 1-for-6
reverse stock split of the shares of our outstanding common stock and
proportionate reduction in the number of authorized shares of our common stock
from 370,000,000 to 61,666,666. Our common stock began trading on a
split-adjusted basis on The Nasdaq Global Select Market commencing upon market
open on January 4, 2021. The common stock continued to trade under the symbol
"ACOR" after the reverse stock split became effective. The reverse stock split
applied equally to all outstanding shares of the common stock and did not modify
the rights or preferences of the common stock. The reverse stock split also
resulted in a corresponding adjustment to outstanding equity awards as well as
shares reserved for future issuance under our incentive compensation plans. All
figures in this report relating to shares of our common stock (such as share
amounts, per share amounts, and conversion rates and prices), including in the
financial statements and accompanying notes to the financial statements, have
been retroactively restated to reflect the 1-for-6 reverse stock split of our
common stock.

COVID-19 Pandemic

Our business and financial condition have been impacted by, and are subject to
risks resulting from, the COVID-19 (novel coronavirus) pandemic. The COVID-19
pandemic has caused significant disruptions in the healthcare industry. The
duration of the pandemic is difficult to predict, and it is likely to have
ongoing impacts as it continues. The travel restrictions, "shelter in place"
orders, quarantine policies, vaccine mandates and general concerns about the
spread of COVID-19 have disrupted the delivery of healthcare to patients, for
example making it more difficult for some patients to visit with their physician
and obtain pharmaceutical prescriptions. Also, healthcare office staffing
shortages may delay the administrative work, and particularly insurance-related
documentation, needed to obtain reimbursement for prescriptions. We believe
these factors contributed to volatility in new Inbrija prescriptions during 2020
and are continuing to impact prescriptions in 2021.

The COVID-related policies, restrictions, mandates, and concerns may disrupt our
operations and those of our customers and suppliers. Also, our operations could
be interrupted if we or our customers or suppliers lose the services of key
employees or consultants who become ill from COVID-19. These types of
disruptions could potentially affect any of our critical business functions, and
thus harm our business, including for example our manufacturing, sales and
marketing operations as well compliance and certain general and administrative
functions. The ultimate impact of the COVID-19 pandemic, or any other health
epidemic, is highly uncertain and subject to change. We do not yet know the full
extent of potential delays or impacts on our business, healthcare systems or the
global economy as a whole. As the pandemic continues, it may result in sustained
impacts on demand for our products and our ability to access capital on
reasonable terms, or at all.

Inbrija (levodopa inhalation powder)/Parkinson's Disease

Inbrija (levodopa inhalation powder) is the first and only inhaled levodopa, or
L-dopa, for intermittent treatment of OFF episodes, also known as OFF periods,
in people with Parkinson's disease treated with carbidopa/levodopa regimen. Our
New Drug Application, or NDA, for Inbrija was approved by the U.S. Food and Drug
Administration
, or FDA, on December 21, 2018. The approval is for a single dose
of 84 mg (administered as two capsules), which may be taken up to five times per
day. Inbrija became commercially available in the U.S. on February 28, 2019.
Currently, Inbrija is available in the U.S. without the need for a medical
exception for approximately 96% of commercial health insurance plans and
approximately 27% of Medicare plan lives. Net revenue for Inbrija was $7.8
million
for the quarter ended September 30, 2021 and $5.8 million for the
quarter ended September 30, 2020. Due to uncertainties caused by past and
potential future impacts of the COVID-19 pandemic and other factors, we are no
longer able to provide projected peak U.S. annual net revenue of Inbrija. Actual
peak U.S. Inbrija net revenue will likely be lower and could be materially lower
than our prior projected peak sales range if, for example, disruptions to the
healthcare system caused by the COVID-19 pandemic or other prescribing
challenges continue into 2022 and beyond.

In September 2019, we announced that the European Commission, or EC, approved
our Marketing Authorization Application, or MAA, for Inbrija. The approved dose
is 66 mg (administered as two capsules) up to five times per day (per


                                       27

--------------------------------------------------------------------------------

European Union, or EU, convention, this reflects emitted dose and is equivalent
to the 84 mg labelled dose in the U.S.). Under the MAA, Inbrija is indicated in
the EU for the intermittent treatment of episodic motor fluctuations (OFF
episodes) in adult patients with Parkinson's disease treated with a
levodopa/dopa-decarboxylase inhibitor. The MAA approved Inbrija for use in what
were then the 27 countries of the EU, as well as Iceland, Norway and
Liechtenstein. Following the ratification of the Withdrawal Agreement between
the United Kingdom and the EU, the UK left the EU on January 31, 2020. Effective
January 1, 2021, Acorda was granted a grandfathered Marketing Authorization (MA)
by the Medicines and Healthcare products Regulatory Agency (MHRA) in the UK
subject to completion of an administrative process that was approved by the MHRA
in November 2021.

In July and November 2021, we announced that we entered into distribution and
supply agreements with Esteve Pharmaceuticals to commercialize Inbrija in Spain
and Germany, respectively. Under the terms of the Germany distribution
agreement, we will receive a €5 million upfront payment, and we will receive
additional sales-based milestones. Under the terms of both the Spain and Germany
supply agreements, we will receive a significant double-digit percent of the
selling price of Inbrija in exchange for supply of the product. Esteve will have
the exclusive distribution rights to Inbrija in Spain and Germany and we will
supply the product to Esteve for sale. Esteve expects to launch Inbrija in Spain
in the fourth quarter of 2022, and in Germany by mid-2022. We are in discussions
with potential partners for commercialization of Inbrija in other jurisdictions
outside of the U.S., including in Europe and other countries.

We market Inbrija in the U.S. using field-based teams supported by our corporate
marketing personnel. Our own neuro-specialty sales representatives work in
combination with sales representatives provided by a contract commercial
organization, and collectively they are currently focused on a priority list of
approximately 2,000 physicians who are high volume prescribers of
levodopa/carbidopa. Our field-based teams also include reimbursement and market
access specialists, who provide information to physicians and payers on our
marketed products, as well as market development specialists who work
collaboratively with field-sales teams and corporate personnel to assist in the
execution of our strategic initiatives. Our Inbrija field-based and marketing
activities are focused on physician awareness and market access as well as
patient awareness, education and training. Inbrija is distributed in the U.S.
primarily through: AllianceRx Walgreens Prime, or Walgreens, a specialty
pharmacy that delivers the medication to patients by mail; and ASD Specialty
Healthcare, Inc.
(an AmeriSource Bergen affiliate).

We have established Prescription Support Services for Inbrija, which we
sometimes refer to as the Inbrija hub. Prescription Support Services is designed
to help patients navigate their insurance coverage and offer reimbursement
support services, when appropriate. Services fall into one of these categories:
insurance verification, to research patient insurance benefits and confirm
insurance coverage; prior authorization support, to identify prior authorization
requirements; and appeals support. For patients that may need assistance paying
for their medication, Prescription Support Services offers several support
options, including: a program that provides no cost medication to patients who
meet specific program eligibility requirements; co-pay support, which may help
commercially insured (non-government funded) patients lower their out-of-pocket
costs; and a bridge program, for federally-insured patients who experience a
delay in coverage determination. We have a no-cost sample program, available at
physician offices, to enable patients and their physicians to assess the value
of Inbrija before the patient incurs out-of-pocket co-pay or co-insurance costs.
In addition, we have a first dispense zero-dollar copay program for
commercially-insured patients (which has replaced our previous free trial
program) to enable those patients to assess the value of Inbrija before
incurring out-of-pocket co-pay or co-insurance costs.

Parkinson's disease is a progressive neurodegenerative disorder resulting from
the gradual loss of certain neurons in the brain. These neurons are responsible
for producing dopamine and that loss causes a range of symptoms including
impaired movement, muscle stiffness and tremors. The standard baseline treatment
of Parkinson's disease is oral carbidopa/levodopa, but oral medication can be
associated with wide variability in the timing and amount of absorption and
there are significant challenges in creating a regimen that consistently
maintains therapeutic effects. As Parkinson's progresses, people are likely to
experience OFF periods, which are characterized by the return of Parkinson's
symptoms that result from low levels of dopamine between doses of oral
carbidopa/levodopa. OFF periods are often highly disruptive to people with
Parkinson's. Approximately one million people in the U.S. and 1.2 million
Europeans are diagnosed with Parkinson's; it is estimated that approximately 40%
of people with Parkinson's in the U.S. experience OFF periods.

Inbrija is for as needed use and utilizes our ARCUS platform for inhaled
therapeutics. ARCUS is a dry-powder pulmonary drug delivery technology that we
believe has potential to be used in the development of a variety of inhaled
medicines. The ARCUS platform allows systemic delivery of medication through
inhalation, by transforming molecules into a light, porous dry powder. This
allows delivery of substantially higher doses of medication than can be
delivered via conventional dry powder technologies. We acquired the ARCUS
technology platform as part of our 2014 acquisition of Civitas Therapeutics. We
have worldwide rights to our ARCUS drug delivery technology, which is protected
by extensive


                                       28

--------------------------------------------------------------------------------

know-how and trade secrets and various U.S. and foreign patents, including
patents that protect the Inbrija dry powder capsules beyond 2030. We have
several patents listed in the Orange Book for Inbrija, including patents
expiring between 2022 and 2032, and Inbrija is entitled to three years of new
product exclusivity, through December 2021, as posted in the Orange book. We
have patents in Europe for Inbrija expiring between 2022 and 2033. One of our
European patents, EP 3090773B, has been opposed by an unnamed party. Inbrija
also has 10 years of market exclusivity in Europe that is set to expire in 2029.

FDA and European Commission approvals of Inbrija were based on a clinical
program that included approximately 900 people with Parkinson's on a
carbidopa/levodopa regimen experiencing OFF periods. The Phase 3 pivotal trial
for Inbrija - SPAN-PD - was a 12-week, randomized, placebo controlled, double
blind study evaluating the effectiveness of Inbrija in patients with mild to
moderate Parkinson's experiencing OFF periods. In January 2019, we announced
that The Lancet Neurology published results from the SPAN-PD clinical trial.

The SPAN-PD trial met its primary endpoint, with patients showing a
statistically significant improvement in motor function at the week 12 visit, as
measured by a reduction in Unified Parkinson's Disease Rating Scale (UPDRS) Part
III score for Inbrija 84 mg (n=114) compared to placebo (n=112) at 30 minutes
post-dose (-9.83 points and -5.91 points respectively; p=0.009). Onset of action
was seen as early as 10 minutes. Maintenance of effect continued to 60 minutes
post-dose, which is the longest time point assessed in the trial. UPDRS III is a
validated scale, which measures Parkinson's disease motor impairment.

The most common adverse reactions with Inbrija (at least 5% and greater than
placebo) in the pivotal trial were cough (15% vs. 2%), upper respiratory tract
infection (6% vs. 3%), nausea (5% vs. 3%) and discolored sputum (5% vs. 0%).

Inbrija was also studied in a Phase 3 long-term, active-controlled, randomized,
open-label study (N=398) assessing safety and tolerability over one year. This
study showed the average reduction in FEV1 (forced expiratory volume in 1
second) from baseline was the same (-0.1 L) for the Inbrija and observational
cohorts. Patients with chronic obstructive pulmonary disease (COPD), asthma, or
other chronic respiratory disease within the last five years were excluded from
this study.

Inbrija is not to be used by patients who take or have taken a nonselective
monoamine oxidase inhibitor such as phenelzine or tranylcypromine within the
last two weeks.

It is not known if Inbrija is safe or effective in children.

Ampyra

Ampyra was approved by the FDA in January 2010 to improve walking in adults with
multiple sclerosis. To our knowledge, Ampyra is the first drug approved for this
indication. Efficacy was shown in people with all four major types of MS
(relapsing remitting, secondary progressive, progressive relapsing and primary
progressive). Ampyra became subject to competition from generic versions of
Ampyra starting in late 2018 as a result of an adverse U.S. federal district
court ruling that invalidated certain Ampyra Orange Book-listed patents. We have
experienced a significant decline in Ampyra sales due to competition from
several generic versions of Ampyra. Additional manufacturers may market generic
versions of Ampyra, and we expect our Ampyra sales will continue to decline over
time. Net revenue for Ampyra was $20.0 million for the quarter ended September
30, 2021
and $27.3 million for the quarter ended September 30, 2020.

License and Collaboration Agreement with Biogen

Ampyra is marketed as Fampyra outside the U.S. by Biogen International GmbH, or
Biogen, under a license and collaboration agreement that we entered into in June
2009
. Fampyra has been approved in a number of countries across Europe, Asia and
the Americas. In May 2021, Biogen announced that Fampyra was approved by the
National Medical Products Administration in China, and Biogen is evaluating
commercial launch options in that country. Under our agreement with Biogen, we
are entitled to receive double-digit tiered royalties on net sales of Fampyra
and we are also entitled to receive additional payments based on achievement of
certain regulatory and sales milestones. In November 2017, we announced a $40
million
Fampyra royalty monetization transaction with HealthCare Royalty
Partners
, or HCRP. In return for the payment to us, HCRP obtained the right to
receive these Fampyra royalties up to an agreed-upon threshold. Until this
threshold is met, we will not receive Fampyra royalties although we retained the
right to receive any potential future


                                       29

--------------------------------------------------------------------------------

milestone payments. The HCRP transaction is accounted for as a liability, as
described in Note 9 to our Consolidated Financial Statements included in this
report.

Ampyra Patent Update

There are no patents listed in the Orange Book for Ampyra. Ampyra became subject
to competition from generic versions of Ampyra starting in late 2018 as a result
of an adverse U.S. federal district court ruling that invalidated certain Ampyra
Orange Book-listed patents.

There are two European patents, EP 1732548 and EP 2377536, with claims directed
to use of a sustained release dalfampridine composition (known under the trade
name Fampyra in the European Union) to increase walking speed in a patient with
multiple sclerosis. Both European patents are set to expire in 2025, absent any
additional exclusivity granted based on regulatory review timelines. Nullity
actions have been filed in Germany against both of the German national patents
derived from EP 1732548 and EP 2377536 by ratiopharm GmbH, a generic
manufacturer affiliated with Teva. Fampyra had 10 years of market exclusivity in
the European Union that expired in July 2021.

We will vigorously defend our intellectual property rights.

ARCUS Product Development

We have been exploring opportunities for other proprietary products in which
inhaled (pulmonary) delivery of medicine using our ARCUS drug delivery
technology can provide a significant therapeutic benefit to patients. We believe
there are potential opportunities with central nervous system, or CNS, as well
as non-CNS, disorders.

Our ARCUS development had previously been focused on a program for acute
treatment of migraine. We had been evaluating therapeutic candidates for their
suitability to move forward with this program. Due to several corporate
restructurings since 2017 and associated cost-cutting measures, including the
corporate restructurings we announced in January and September 2021, we deferred
consideration of further investment into potential new ARCUS applications in
migraine or any other indication pending additional progress with the Inbrija
commercial launch in the U.S. Although we have deferred internal investment in
ARCUS programs, we are discussing potential collaborations with other companies
that have expressed interest in formulating their novel molecules for pulmonary
delivery with ARCUS, and feasibility studies are ongoing for a number of these
opportunities.

Should we decide to proceed with any ARCUS development programs, we would be
reliant on Catalent or another third party supplier for the manufacture of
product for that program. Our global supply agreement with Catalent does not
provide for the terms and conditions under which Catalent would supply any
product or product candidate other than Inbrija. We would be unable to advance
the development of any ARCUS inhaled therapeutic candidate unless Catalent is
willing to manufacture the candidate for us on commercially reasonable terms, or
we could identify another third party manufacturer that would be capable and
willing to manufacture the candidate for us on commercially reasonable terms.
Also, due to reductions in force, employee attrition and the 2021 sale of our
Chelsea manufacturing operations, we believe we lack certain personnel needed
for, and would need to hire replacements before continuing with, this research
and development work.

Financial Guidance for 2021

We are providing the following guidance with respect to our 2021 financial
performance:

     •   Net revenue from the sale of Ampyra in 2021 is expected to range from $75
         million to $85 million.


     •   Operating expenses in 2021 are expected to range from $130 million to
         $140 million. This is a non-GAAP projection that excludes restructuring
         costs and share-based compensation charges, as more fully described
         below.

The projected range of operating expenses in 2021 specified above was not
prepared in accordance with accounting principles generally accepted in the
United States
(GAAP) because this guidance excludes restructuring costs and
share-based compensation charges. Due to the forward looking nature of this
information, the amount of compensation charges needed to reconcile this measure
to the most directly comparable GAAP financial measure is dependent on future
changes in the market price of our common stock and is not available at this
time. Non-GAAP financial measures are not an alternative for financial


                                       30

--------------------------------------------------------------------------------

measures prepared in accordance with GAAP. However, we believe that the
presentation of this non-GAAP financial measure, when viewed in conjunction with
actual GAAP results, provides investors with a more meaningful understanding of
our ongoing and projected operating performance because it excludes (i) expenses
that pertain to corporate restructurings that are not routine to the operation
of our business, and (ii) non-cash charges that are substantially dependent on
changes in the market price of our common stock. We believe this non-GAAP
financial measure helps indicate underlying trends in our business and is
important in comparing current results with prior period results and
understanding expected operating performance. Also, our management uses this
non-GAAP financial measure to establish budgets and operational goals, and to
manage our business and to evaluate its performance.

Results of Operations

Three-Month Period Ended September 30, 2021 Compared to September 30, 2020

Net Product Revenues

Inbrija

For the three-month period ended September 30, 2020 we recognized product sales
of Inbrija following receipt of product by companies in our distribution
network, which primarily includes specialty pharmacy providers and ASD Specialty
Healthcare, Inc.
During the three-month period ended December 31, 2020, we
completed the transition from a network of several specialty pharmacies to
AllianceRx Walgreens Prime, or Walgreens, as the sole specialty pharmacy for
U.S. sales of Inbrija, which we believe has potential benefits to patients and
our business. We recognized net revenue from the sale of Inbrija of $7.8 million
and $5.8 million for the three-month periods ended September 30, 2021 and 2020,
respectively, an increase of $2.0 million or 34.4%. The increase in Inbrija net
revenue was due to an increase in net volume of $3.3 million partially offset by
discount and allowance adjustments of $1.3 million for the three-month period
ended September 30, 2021.

Discounts and allowances which are included as an offset in net revenue consist
of allowances for customer credits, including estimated chargebacks, rebates,
returns and discounts. Discounts and allowances are recorded following shipment
of our products to our customers. Adjustments are recorded for estimated
chargebacks, rebates, and discounts. Discounts and allowances also consist of
discounts provided to Medicare beneficiaries whose prescription drug costs cause
them to be subject to the Medicare Part D coverage gap (i.e., the "donut hole").
Payment of coverage gap discounts is required under the Affordable Care Act, the
health care reform legislation enacted in 2010. Discounts and allowances may
increase as a percentage of sales as we enter into new managed care contracts in
the future.

We believe that first and fourth quarter revenue for our products is subject to
certain recurring seasonal factors relating to the commencement of a new
calendar year. For example, some patients refill their prescriptions earlier
ahead of the new year, in the fourth quarter, in anticipation of the year-end
reset of health plan deductibles and the Medicare donut hole, or a year-end
switch of their insurance plans or pharmacy benefit providers. Also, we believe
that AllianceRx Walgreens Prime, the specialty pharmacy that we use for Inbrija
distribution, may increase their Inbrija stock, within contractual limits, in
anticipation of the holidays and new year. These factors may seasonally have a
positive impact on fourth quarter revenues and a negative impact on first
quarter revenues. Also, discounts and allowances typically are highest in the
first quarter, and lowest in the fourth quarter, and when this occurs this
increases fourth quarter revenues, and decreases first quarter revenues, on a
relative basis.

Ampyra

We recognize product sales of Ampyra following receipt of product by companies
in our distribution network, which primarily includes specialty pharmacy
providers. We recognized net revenue from the sale of Ampyra of $20.0 million
and $27.3 million for the three-month periods ended September 30, 2021 and 2020,
respectively, a decrease of $7.3 million, or 26.7%. The net revenue decrease is
due primarily to a decrease in net volume of $10.8 million partially offset by
discount and allowance adjustments of $3.5 million for the three-month period
ended September 30, 2021.

Discounts and allowances which are included as an offset in net revenue consist
of allowances for customer credits, including estimated chargebacks, rebates,
returns and discounts. Discounts and allowances are recorded following shipment
of our products to our customers. Adjustments are recorded for estimated
chargebacks, rebates, and discounts. Discounts and


                                       31

--------------------------------------------------------------------------------

allowances also consist of discounts provided to Medicare beneficiaries whose
prescription drug costs cause them to be subject to the Medicare Part D coverage
gap (i.e., the "donut hole"). Payment of coverage gap discounts is required
under the Affordable Care Act, the health care reform legislation enacted in
2010. Discounts and allowances may increase as a percentage of sales as we enter
into managed care contracts in the future.

We believe that first and fourth quarter revenue for our products is subject to
certain recurring seasonal factors relating to the commencement of a new
calendar year. For example, some patients refill their prescriptions earlier
ahead of the new year, in the fourth quarter, in anticipation of the year-end
reset of health plan deductibles and the Medicare donut hole, or a year-end
switch of their insurance plans or pharmacy benefit providers. Also, we believe
specialty pharmacies may increase their Ampyra stock in anticipation of the
holidays and new year. These factors may seasonally have a positive impact on
fourth quarter revenues and a negative impact on first quarter revenues. Also,
discounts and allowances typically are highest in the first quarter, and lowest
in the fourth quarter, and when this occurs this increases fourth quarter
revenues, and decreases first quarter revenues, on a relative basis.

Other Product Revenue

We recognized negligible revenue from the sale of other products for the
three-month period ended September 30, 2021 as compared to $1.5 million for the
three-month period ended September 30, 2020, a decrease of $1.5 million, or
98.6%.

Milestone Revenue

We recognized $0 million and $15 million in milestone revenue for the
three-month periods ended September 30, 2021 and 2020, respectively.

Royalty Revenue

We recognized $3.6 million and $3.4 million in royalty revenue for the
three-month periods ended September 30, 2021 and 2020, respectively, an increase
of $0.2 million, or 5.9%.

Cost of Sales

We recorded cost of sales of $13.3 million for the three-month period ended
September 30, 2021 as compared to $12.2 million for the three-month period ended
September 30, 2020. Cost of sales for the three-month period ended September 30,
2021
consisted primarily of $13.0 million in inventory costs related to
recognized revenues and $0.3 million in royalty fees based on net product
shipments. Cost of sales for the three-month period ended September 30, 2020
consisted primarily of $8.8 million in inventory costs related to recognized
revenues and $3.3 million in royalty fees based on net product shipments.

Amortization of intangibles

We recorded amortization of intangible asset related to Inbrija of $7.7 million
for the three-month periods ended September 30, 2021 and 2020.

Research and Development

Research and development expenses for the three-month period ended September 30,
2021
were $1.9 million as compared to $5.7 million for the three-month period
ended September 30, 2020, a decrease of approximately $3.8 million, or 66.7%.
The decrease was primarily due to reductions in Civitas spending of $2.3 million
due to the commercialization of Inbrija, reductions of $1.6 million due to
restructuring and decrease in several programs to shift focus on Inbrija launch,
partially offset by an increase of $0.1 million in research and development
expenses.

Selling, General and Administrative

Sales and marketing expenses for the three-month period ended September 30, 2021
were $14.5 million compared to $21.9 million for the three-month period ended
September 30, 2020, a decrease of approximately $7.4 million, or 33.8%. The


                                       32

--------------------------------------------------------------------------------

decrease was primarily due to a decrease in marketing related spending of $5.9
million
due to launch activities for Inbrija, and a decrease in overall salaries
and benefits of $2.9 million, partially offset by a reclassification of
departmental costs from general and administrative expenses of $1.4 million due
to a change in the overhead expense allocation method.

General and administrative expenses for the three-month period ended September
30, 2021
were $15.1 million compared to $18.1 million for the three-month period
ended September 30, 2020, a decrease of approximately $3.0 million, or 16.6%.
The decrease was primarily due to an increase in legal expenses of $0.7 million
and an increase of $2.2 million in restructuring costs, partially offset by a
decrease in overall salaries and benefit costs of $3.7 million, a decrease in
Civitas spending of $2.0 million due to the sale of the Chelsea facility
manufacturing operations, and a decrease in other departmental spending of $0.2
million
.

Change in Fair Value of Derivative Liability

A derivative liability was recorded in December 2019 as a result of the issuance
of the 6.00% Convertible Senior Secured Notes due 2024. The derivative liability
is measured at fair value on a quarterly basis and changes in the fair value are
recorded in the consolidated statement of operations. We recorded income of $0.3
million
due to the change in the fair value of the derivative liability for the
three-month period ended September 30, 2021.

Changes in Fair Value of Acquired Contingent Consideration

As a result of the original spin out of Civitas from Alkermes, part of the
consideration to Alkermes was a future royalty to be paid to Alkermes on
Inbrija. Acorda acquired this contingent consideration as part of the Civitas
acquisition. The fair value of that future royalty is assessed quarterly. We
recorded a loss pertaining to changes in the fair value of our acquired
contingent consideration of $2.2 million for the three-month period ended
September 30, 2021 as compared to income of $23.6 million for the three-month
period ended September 30, 2020. The changes in the fair-value of the acquired
contingent consideration were primarily due to updates to certain revenue and
expense forecast assumptions.

Other Expense, Net

Other expense, net was $7.2 million for the three-month periods ended September
30, 2021
and 2020, respectively.

Benefit/(Provision) from Income Taxes

For the three-month periods ended September 30, 2021 and 2020, the Company
recorded a benefit from income taxes of $3.1 million and a provision of $(1.5)
million
, respectively. The effective income tax rates for the Company for the
three-month periods ended September 30, 2021 and 2020 were 10.2% and 16.6%,
respectively.

The variance in the effective tax rates for the three-month period ended
September 30, 2021 as compared to the three-month period ended September 30,
2020
was due primarily to an increase in the valuation allowance offset by the
benefit of net operating loss carryback under the CARES Act recorded at 21% to
recover taxes paid at the previous statutory rate of 35%.

The Company continues to evaluate the realizability of its deferred tax assets
on a quarterly basis and will adjust such amounts in light of changing facts and
circumstances including, but not limited to, future projections of taxable
income, tax legislation, rulings by relevant tax authorities, the progress of
ongoing tax audits and the regulatory approval of products currently under
development. Any changes to the valuation allowance or deferred tax assets and
liabilities in the future would impact the Company's income taxes.

The Company has ongoing state examinations in Massachusetts and New Jersey which
cover multiple years. There have been no proposed adjustments at this stage of
the examination.

The Minnesota examinations for 2016 and 2017 were closed during the quarter with
no changes.


                                       33

--------------------------------------------------------------------------------

Nine-Month Period Ended September 30, 2021 Compared to September 30, 2020


Net Product Revenues



Inbrija


We recognize product sales of Inbrija following receipt of product by companies
in our distribution network, which primarily includes specialty pharmacy
providers and ASD Specialty Healthcare, Inc. We recognized net revenue from the
sale of Inbrija of $19.2 million and $14.9 million for the nine-month periods
ended September 30, 2021 and September 30, 2020, respectively, an increase of
$4.3 million, or 28.9%. The increase in Inbrija net revenue was due to an
increase in net volume of $6.1 million partially offset by discount and
allowance adjustments of $1.8 million for the nine-month period ended September
30, 2021
.

Discounts and allowances which are included as an offset in net revenue consist
of allowances for customer credits, including estimated chargebacks, rebates,
returns and discounts. Discounts and allowances are recorded following shipment
of our products to our customers. Adjustments are recorded for estimated
chargebacks, rebates, and discounts. Discounts and allowances also consist of
discounts provided to Medicare beneficiaries whose prescription drug costs cause
them to be subject to the Medicare Part D coverage gap (i.e., the "donut hole").
Payment of coverage gap discounts is required under the Affordable Care Act, the
health care reform legislation enacted in 2010. Discounts and allowances may
increase as a percentage of sales as we enter into managed care contracts in the
future.

We believe that first and fourth quarter revenue for our products is subject to
certain recurring seasonal factors relating to the commencement of a new
calendar year. For example, some patients refill their prescriptions earlier
ahead of the new year, in the fourth quarter, in anticipation of the year-end
reset of health plan deductibles and the Medicare donut hole, or a year-end
switch of their insurance plans or pharmacy benefit providers. Also, we believe
that AllianceRx Walgreens Prime, the specialty pharmacy that we use for Inbrija
distribution, may increase their Inbrija stock, within contractual limits, in
anticipation of the holidays and new year. These factors may seasonally have a
positive impact on fourth quarter revenues and a negative impact on first
quarter revenues. Also, discounts and allowances typically are highest in the
first quarter, and lowest in the fourth quarter, and when this occurs this
increases fourth quarter revenues, and decreases first quarter revenues, on a
relative basis.


Ampyra



We recognize product sales of Ampyra following receipt of product by companies
in our distribution network, which primarily includes specialty pharmacy
providers. We recognized net revenue from the sale of Ampyra of $62.0 million
and $73.5 million for the nine-month periods ended September 30, 2021 and 2020,
respectively, a decrease of $11.5 million, or 15.6%. The net revenue decrease is
due primarily to decreased net volume of $17.6 million partially offset by
discount and allowance adjustments of $6.4 million. Net revenue from sales of
Ampyra decreased for the nine-month period ended September 30, 2021 compared to
the nine-month period ended September 30, 2020 due to the entry of generic
versions of Ampyra as a result of the invalidation of certain of our Ampyra
patents in 2017.

Discounts and allowances which are included as an offset in net revenue consist
of allowances for customer credits, including estimated chargebacks, rebates,
returns and discounts. Discounts and allowances are recorded following shipment
of our products to our customers. Adjustments are recorded for estimated
chargebacks, rebates, and discounts. Discounts and allowances also consist of
discounts provided to Medicare beneficiaries whose prescription drug costs cause
them to be subject to the Medicare Part D coverage gap (i.e., the "donut hole").
Payment of coverage gap discounts is required under the Affordable Care Act, the
health care reform legislation enacted in 2010. Discounts and allowances may
increase as a percentage of sales as we enter into managed care contracts in the
future.

We believe that first and fourth quarter revenue for our products is subject to
certain recurring seasonal factors relating to the commencement of a new
calendar year. For example, some patients refill their prescriptions earlier
ahead of the new year, in the fourth quarter, in anticipation of the year-end
reset of health plan deductibles and the Medicare donut hole, or a year-end
switch of their insurance plans or pharmacy benefit providers. Also, we believe
specialty pharmacies may increase their Ampyra stock in anticipation of the
holidays and new year. These factors may seasonally have a positive impact on
fourth quarter revenues and a negative impact on first quarter revenues. Also,
discounts and allowances typically are highest in the first quarter, and lowest
in the fourth quarter, and when this occurs this increases fourth quarter
revenues, and decreases first quarter revenues, on a relative basis.


                                       34

--------------------------------------------------------------------------------




Other Product Revenues


We recognized negligible revenue from the sale of other products for the
nine-month period ended September 30, 2021 as compared to $1.7 million for the
nine-month period ended September 30, 2020.



Milestone Revenue


We recognized $0 million and $15 million in milestone revenue for the nine-month
periods ended September 30, 2021 and 2020, respectively.



Royalty Revenue


We recognized $10.8 million and $9.7 million in royalty revenue for the
nine-month periods ended September 30, 2021 and 2020, respectively related to
ex-U.S. sales of Fampyra by Biogen.



Cost of Sales


We recorded cost of sales of $36.6 million for the nine-month period ended
September 30, 2021 as compared to $22.7 million for the nine-month period ended
September 30, 2020. Cost of sales for the nine-month period ended September 30,
2021
consisted primarily of $34.4 million in inventory costs related to
recognized revenues, $0.8 million in royalty fees based on net product
shipments, idle capacity costs of $0.1 million, and $1.3 million in period costs
related to expired inventory, freight, stability testing, and packaging. Cost of
sales for the nine-month period ended September 30, 2020 consisted primarily of
$18.6 million in inventory costs related to recognized revenues and $3.8 million
in royalty fees based on net product shipments.



Amortization of intangibles


We recorded amortization of intangible asset related to Inbrija of $23.1 million
for the nine-month periods ended September 30, 2021 and September 30, 2020.



Research and Development


Research and development expenses for the nine-month period ended September 30,
2021
were $9.1 million as compared to $18.7 million for the nine-month period
ended September 30, 2020, a decrease of approximately $9.6 million, or 51.3%.
The decrease was due primarily to reductions in Civitas spending of $4.9 million
due to the commercialization of Inbrija, reductions of $4.6 million due to
restructuring and decrease in several programs to shift focus on Inbrija launch,
and reductions of $0.1 million in research and development expenses.

Selling, General and Administrative

Sales and marketing expenses for the nine-month period ended September 30, 2021
were $44.4 million compared to $65.2 million for the nine-month period ended
September 30, 2020, a decrease of approximately $20.8 million, or 31.9%. The
decrease was attributable primarily to a decrease in overall salaries and
benefits of $7.9 million, a decrease in Inbrija spending of $13.2 million, and a
decrease in marketing for Ampyra of $1.1 million, partially offset by a
reclassification of departmental costs from general and administrative expenses
of $1.4 million due to a change in the overhead expense allocation method.

General and administrative expenses for the nine-month period ended September
30, 2021
were $51.6 million compared to $54.5 million for the nine-month period
ended September 30, 2020, a decrease of $2.9 million, or 5.3%. The decrease was
primarily due to an increase in legal expenses of $4.9 million, an increase in
restructuring costs of $4.0 million, and an increase of $1.3 million in other
departmental spending, partially offset by a decrease in overall salaries and
benefit costs of $7.3 million and a decrease in Civitas spending of $5.8 million
due to the sale of the Chelsea facility manufacturing operations.

Change in Fair Value of Derivative Liability

A derivative liability was recorded in December 2019 as a result of the issuance
of the 6.00% Convertible Senior Secured Notes due 2024. The derivative liability
is measured at fair value on a quarterly basis and changes in the fair value


                                       35

--------------------------------------------------------------------------------

are recorded in the consolidated statement of operations. We recorded income of
$0.9 million due to the change in the fair value of the derivative liability for
the nine-month period ended September 30, 2021.

Changes in Fair Value of Acquired Contingent Consideration

As a result of the original Civitas spin out of Alkermes, part of the
consideration to Alkermes was a future royalty to be paid to Alkermes on
Inbrija. Acorda acquired this contingent consideration as part of the Civitas
acquisition. The fair value of that future royalty is assessed quarterly. We
recorded an income pertaining to changes in the fair-value of acquired
contingent consideration of $4.2 million for the nine-month period ended
September 30, 2021 as compared to $33.5 million for the nine-month period ended
September 30, 2020. The changes in the fair-value of the acquired contingent
consideration were primarily due to updates to certain product revenue and
expense forecast assumptions.



Other Expense, Net


Other expense, net was $22.7 million for the nine-month period ended September
30, 2021
as compared to $21.8 million for the nine-month period ended September
30, 2020
. The change was due primarily to a decrease in gain on disposal of
property and equipment of $0.2 million and a reduction in interest income of
$0.8 million, partially offset by a decrease in amortization of debt discount
expense of $0.1 million.




Benefit from Income Taxes



For the nine-month periods ended September 30, 2021 and 2020, the Company
recorded a benefit of $6.8 million and a benefit of $5.0 million for income
taxes, respectively. The effective income tax rates for the Company for the
nine-month periods ended September 30, 2021 and 2020 were 7.53% and 23.07%,
respectively. The variance in the effective tax rates for the nine-month period
ended September 30, 2021 as compared to the nine-month period ended September
30, 2020
was due primarily to the valuation allowance recorded on deferred tax
assets for which no tax benefit can be recognized, forfeitures of equity based
awards and the benefit recorded on the net operating loss carryback under the
CARES Act recorded at 21% to recover taxes paid at the previous statutory rate
of 35%.

The Company continues to evaluate the realizability of its deferred tax assets
on a quarterly basis and will adjust such amounts in light of changing facts and
circumstances including, but not limited to, future projections of taxable
income, tax legislation, rulings by relevant tax authorities, the progress of
ongoing tax audits and the regulatory approval of products currently under
development. Any changes to the valuation allowance or deferred tax assets and
liabilities in the future would impact the Company's income taxes.

The Company has ongoing state examinations in Massachusetts and New Jersey which
cover multiple years. There have been no proposed adjustments at this stage of
the examination.

The Minnesota examinations for 2016 and 2017 were closed during the quarter with
no changes.

Liquidity and Capital Resources

Since our inception, we have financed our operations primarily from: private
placements and public offerings of our capital stock; borrowing money through
loans and the issuance of debt instruments; payments received under our
collaboration and licensing agreements; revenue from sales of Ampyra, Fampyra,
and Inbrija, as well as our former products, Zanaflex and Qutenza; royalty
monetizations and our revenue interest financing arrangement; and, to a lesser
extent, funding from government grants. Also, in February 2021, we obtained
additional capital from the sale of our Chelsea manufacturing operations.

At September 30, 2021, we had $36.2 million of cash and cash equivalents,
compared to $71.4 million at December 31, 2020. Our September 30, 2021 cash and
cash equivalents balance does not include restricted cash, currently held in
escrow under the terms of our convertible senior secured notes due 2024, further
described below under Financing Arrangements, which may potentially be released
from escrow if we pay interest on those notes using shares of our common stock.
We incurred a net loss of $83.4 million and $99.6 million for the nine-month
period ended September 30, 2021 and the year ended December 31, 2020.

Our future capital requirements will depend on a number of factors, including:

  • the amount of revenue generated from sales of Inbrija and Ampyra;


                                       36

--------------------------------------------------------------------------------




  • our ability to manage operating expenses;


       •  the amount and timing of purchase price, milestone or other payments
          that we may owe or have a right to receive under collaboration, license,
          asset sale, acquisition, or other agreements or transactions; and the
          extent to which the terms and conditions of our convertible senior
          secured notes due 2024 restrict or direct our use of proceeds from such
          transactions;


       •  our ability to make required payments relating to our convertible senior
          secured notes due 2024 (the "2024 Notes"), as described below under
          Financing Arrangements, using shares of our common stock rather than
          cash;


       •  the costs involved in preparing, filing, prosecuting, maintaining,
          defending and enforcing patent claims and other intellectual property
          rights; and


       •  capital required or used for future acquisitions, to in-license new
          products, programs or compounds, or for research and development
          relating to existing or future acquired or in-licensed programs or
          compounds.

Our ability to meet our future operating requirements, repay our liabilities,
and meet our other obligations are dependent upon a number of factors, including
our ability to generate cash from product sales, reduce planned expenditures,
and obtain additional financing. If we are unable to generate sufficient cash
flow from the sale of our products, we may be required to adopt one or more
alternatives, subject to the restrictions contained in the indenture governing
our 2024 Notes, such as further reducing expenses, selling assets, restructuring
debt, or obtaining additional equity capital on terms that may be onerous and
which are likely to be highly dilutive. Also, our ability to raise additional
capital and repay or restructure our indebtedness will depend on the capital
markets and our financial condition at such time, among other factors. In
addition, financing may not be available when needed, at all, on terms
acceptable to us or in accordance with the restrictions described above.

Financing Arrangements

Convertible Senior Secured Notes Due 2024

On December 24, 2019, the Company completed the private exchange of $276.0
million
aggregate principal amount of then-outstanding 1.75% Convertible Senior
Notes due 2021 (the "2021 Notes") for a combination of newly-issued 6.00%
Convertible Senior Secured Notes due 2024 (the "2024 Notes") and cash. For each
$1,000 principal amount of exchanged 2021 Notes, the Company issued $750
principal amount of the 2024 Notes and made a cash payment of $200 (the
"Exchange"). In the aggregate, the Company issued approximately $207.0 million
aggregate principal amount of the 2024 Notes and paid approximate $55.2 million
in cash to participating holders. The Exchange was conducted with a limited
number of institutional holders of the 2021 Notes pursuant to Exchange
Agreements dated as of December 20, 2019 (each, an "Exchange Agreement").

The 2024 Notes were issued pursuant to an Indenture, dated as of December 23,
2019
, among the Company, its wholly owned subsidiary, Civitas Therapeutics, Inc.
(along with any domestic subsidiaries acquired or formed after the date of
issuance, the "Guarantors"), and Wilmington Trust, National Association, as
trustee and collateral agent (the "2024 Indenture"). The 2024 Notes are senior
obligations of the Company and the Guarantors, secured by a first priority
security interest in substantially all of the assets of the Company and the
Guarantors, subject to certain exceptions described in the Security Agreement,
dated as of December 23, 2019, between the grantors party thereto and Wilmington
Trust, National Association
, as collateral agent (the "Security Agreement").

The 2024 Notes will mature on December 1, 2024 unless earlier converted in
accordance with their terms prior to such date. Interest on the 2024 Notes is
payable semi-annually in arrears at a rate of 6.00% per annum on each June 1 and
December 1, beginning on June 1, 2020. The Company may elect to pay interest in
cash or shares of the Company's common stock, subject to the satisfaction of
certain conditions. If the Company elects to pay interest in shares of common
stock, such common stock will have a per share value equal to 95% of the daily
volume-weighted average price for the 10 trading days ending on and including
the trading day immediately preceding the relevant interest payment date. In
June 2021, the Company issued 1,635,833 shares of common stock in satisfaction
of the interest payable to holders of the 2024 Notes on June 1, 2021. In
connection with this stock-based interest payment approximately $6.2 million of
accrued interest was released from restricted case and became available to the
Company for other purposes.


                                       37

--------------------------------------------------------------------------------

The 2024 Notes are convertible at the option of the holder into shares of common
stock of the Company at any time prior to the close of business on the second
scheduled trading day immediately preceding the maturity date. The adjusted
conversion rate for the 2024 Notes is 47.6190 shares of the Company's common
stock per $1,000 principal amount of 2024 Notes, representing an adjusted
conversion price of approximately $21.00 per share of common stock. The
conversion rate was adjusted to reflect the 1-for-6 reverse stock split effected
on December 31, 2020 and is subject to additional adjustments in certain
circumstances as described in the 2024 Indenture.

The Company may elect to settle conversions of the 2024 Notes in cash, shares of
the Company's common stock or a combination of cash and shares of the Company's
common stock. Holders who convert their 2024 Notes prior to June 1, 2023 (other
than in connection with a make-whole fundamental change) will also be entitled
to an interest make-whole payment equal to the sum of all regularly scheduled
stated interest payments, if any, due on such 2024 Notes on each interest
payment date occurring after the conversion date for such conversion and on or
before June 1, 2023. In addition, the Company will have the right to cause all
2024 Notes then outstanding to be converted automatically if the volume-weighted
average price per share of the Company's common stock equals or exceeds 130% of
the adjusted conversion price for a specified period of time and certain other
conditions are satisfied.

Holders of the 2024 Notes will have the right, at their option, to require the
Company to purchase their 2024 Notes if a fundamental change (as defined in the
2024 Indenture) occurs, in each case, at a repurchase price equal to 100% of the
principal amount of the 2024 Notes to be repurchased, plus accrued and unpaid
interest, if any, to, but excluding, the applicable repurchase date. If a
make-whole fundamental change occurs, as described in the 2024 Indenture, and a
holder elects to convert its 2024 Notes in connection with such make-whole
fundamental change, such holder may be entitled to an increase in the adjusted
conversion rate as described in the 2024 Indenture.

Subject to a number of exceptions and qualifications, the 2024 Indenture
restricts the ability of the Company and certain of its subsidiaries to, among
other things, (i) pay dividends or make other payments or distributions on their
capital stock, or purchase, redeem, defease or otherwise acquire or retire for
value any capital stock, (ii) make certain investments, (iii) incur indebtedness
or issue preferred stock, other than certain forms of permitted debt, which
includes, among other items, indebtedness incurred to refinance the 2021 Notes,
(iv) create liens on their assets, (v) sell their assets, (vi) enter into
certain transactions with affiliates or (vii) merge, consolidate or sell of all
or substantially all of their assets. The 2024 Indenture also requires the
Company to make an offer to repurchase the 2024 Notes upon the occurrence of
certain asset sales.

The 2024 Indenture provides that a number of events will constitute an event of
default, including, among other things, (i) a failure to pay interest for 30
days, (ii) failure to pay the 2024 Notes when due at maturity, upon any required
repurchase, upon declaration of acceleration or otherwise, (iii) failure to
convert the 2024 Notes in accordance with the 2024 Indenture and the failure
continues for five business days, (iv) not issuing certain notices required by
the 2024 Indenture within a timely manner, (v) failure to comply with the other
covenants or agreements in the 2024 Indenture for 60 days following the receipt
of a notice of non-compliance, (vi) a default or other failure by the Company to
make required payments under other indebtedness of the Company or certain
subsidiaries having an outstanding principal amount of $30.0 million or more,
(vii) failure by the Company or certain subsidiaries to pay final judgments
aggregating in excess of $30.0 million, (viii) certain events of bankruptcy or
insolvency and (ix) the commercial launch in the United States of a product
determined by the U.S. FDA to be bioequivalent to Inbrija. In the case of an
event of default arising from certain events of bankruptcy or insolvency with
respect to the Company, all outstanding 2024 Notes will become due and payable
immediately without further action or notice. If any other event of default
occurs and is continuing, the trustee or the holders of at least 25% in
aggregate principal amount of the then outstanding 2024 Notes may declare all
the notes to be due and payable immediately.

The 2021 Notes received by the Company in the Exchange were cancelled in
accordance with their terms. Accordingly, upon completion of the Exchange, $69.0
million
of the 2021 Notes remained outstanding.

The Company assessed all terms and features of the 2024 Notes in order to
identify any potential embedded features that would require bifurcation. As part
of this analysis, the Company assessed the economic characteristics and risks of
the 2024 Notes, including the conversion, put and call features. The Company
concluded the conversion features required bifurcation as a derivative. The fair
value of the conversion feature derivative was determined based on the
difference between the fair value of the 2024 Notes with the conversion options
and the fair value of the 2024 Notes without the conversion options using a
binomial model. The Company determined that the fair value of the derivative
upon issuance of the 2024 Notes was $59.4 million and recorded this amount as a
derivative liability with an offsetting amount as a debt discount as a reduction
to the carrying value of the 2024 Notes on the closing date, or December 24,
2019
. There are several embedded features within the 2024 Notes which, upon
issuance, did not meet the conditions for equity classification. As a


                                       38

--------------------------------------------------------------------------------

result, these features were aggregated together and recorded as the derivative
liability conversion option. The conversion feature is measured at fair value on
a quarterly basis and the changes in the fair value of the conversion feature
for the period will be recognized in the consolidated statements of operations.

The Company received stockholder approval on August 28, 2020 to increase the
number of authorized shares of the Company's common stock from 13,333,333 shares
to 61,666,666 shares. As a result of the share approval, the Company determined
that multiple embedded conversion options met the conditions for equity
classification. The Company performed a valuation of these conversion options as
of September 17, 2020, which was the date the Company completed certain
securities registration obligations. The resulting fair value of these
conversion options was $18.3 million, which was reclassified to equity and
presented in the statement of stockholder's equity as of September 30, 2020, net
of the $4.4 million tax impact. The equity component is not re-measured as long
as it continues to meet the conditions for equity classification. The Company
performed a valuation of the derivative liability related to certain embedded
conversion features that are precluded from equity classification. The fair
value of these conversion features was calculated to be $0.3 million,
representing a change of $0.9 million that is recognized in the consolidated
statement of operations for the nine-month period ended of September 30, 2021.


The outstanding 2024 Note balance as of September 30, 2021 consisted of the
following:



(In thousands)                                      September 30, 2021
Liability component:
Principal                                          $            207,000
Less: debt discount and debt issuance costs, net                (59,553 )
Net carrying amount                                $            147,447
Equity component                                   $             18,257
Derivative liability-conversion Option             $                325


Convertible Senior Notes Due 2021

In June 2014, the Company issued $345 million aggregate principal amount of
1.75% Convertible Senior Notes due 2021 (the "2021 Notes"). On December 24,
2019
, the Company completed the private exchange of $276.0 million aggregate
principal amount of then-outstanding 2021 Notes for a combination of
newly-issued 6.00% Convertible Senior Secured Notes due 2024 and cash.
Accordingly, upon completion of the exchange, $69.0 million of the 2021 Notes
remained outstanding. On June 15, 2021, the Company repaid the outstanding
balance of the 2021 Notes at their maturity date using cash on hand.

Non-Convertible Capital Loans

Non-convertible capital loans were granted by Business Finland (formerly Tekes),
with an adjusted acquisition-date fair value of $20.5 million (€18.2 million)
and a carrying value of $28.0 million as of September 30, 2021. The loans are
composed of fourteen non-convertible loans. The loans bear interest based on the
greater of 3% or the base rate set by Finland's Ministry of Finance minus one
(1) percentage point. The maturity dates for these loans range from eight to ten
years from the date of issuance, however, according to certain terms and
conditions of the loans, the Company may repay the principal and accrued and
unpaid interest of the loans only when the consolidated retained earnings of
Biotie is sufficient to fully repay the loans.

Research and Development Loans

Research and Development Loans ("R&D Loans") were granted by Business Finland
with an acquisition-date fair value of $2.9 million (€2.6 million) and a
carrying value of $0.0 million as of September 30, 2021. The R&D Loans bear
interest based on the greater of 1% or the base rate set by Finland's Ministry
of Finance minus three (3) percentage points. The repayment of these loans began
in January 2017. The loan principal is paid in equal annual installments over a
5 year period, which ended January 2021.


                                       39

--------------------------------------------------------------------------------

Cash, Cash Equivalents and Investments

At September 30, 2021, cash and cash equivalents were approximately $36.2
million
, as compared to $71.4 million at December 31, 2020. Our cash equivalents
consist of highly liquid investments with original maturities of three months or
less at date of purchase and consist of investments in a Treasury money market
fund. Also, we maintain cash balances with financial institutions in excess of
insured limits. We do not anticipate any losses with respect to such cash
balances. Our September 30, 2021 cash and cash equivalents balance does not
include restricted cash, currently held in escrow under the terms of our
convertible senior secured notes due 2024, further described above under
Financing Arrangements, which may potentially be released from escrow if we pay
interest on those notes using shares of our common stock.

Net Cash Used in Operations

Net cash used in operations was $44.6 million for the nine-month period ending
September 30, 2021. Cash used by operations for the nine-month period ended
September 30, 2021 was primarily due to net loss of $83.4 million, a change in
acquired contingent consideration obligation of $4.2 million, non-cash royalty
revenue of $8.9 million, deferred tax benefit of $6.8 million, a decrease in
other non-current liabilities of $1.0 million, and a change in the derivative
liability of $0.9 million. This was partially offset by share based compensation
expense of $2.5 million, amortization of debt discount and debt issuance costs
of $12.7 million, depreciation and amortization of $25.5 million, an increase in
accounts payable, accrued expenses and other current liabilities of $4.9
million
, a decrease in accounts receivable of $6.6 million, a decrease in
inventory of $5.8 million, and a decrease in prepaid expenses and other assets
of $2.6 million.

Net Cash Used in Investing

Net cash used in investing activities for the nine-month period ended September
30, 2021
was $0.2 million, which was due primarily to purchases of property and
equipment and intangible assets of $0.2 million.

Net Cash Provided by Financing

Net cash provided by financing activities for the nine-month period ended
September 30, 2021 was $4.3 million, which was primarily due to net proceeds
from the sale of the Chelsea facility of $74.0 million, partially offset by the
repayment of Convertible Senior Notes due in June 2021 of $69.0 million, and the
repayment of loans payable of $0.7 million.

Contractual Obligations and Commitments

A summary of our minimum contractual obligations related to our material
outstanding contractual commitments is included in Note 13 of our Annual Report
on Form 10-K for the year ended December 31, 2020. Our long-term contractual
obligations include commitments and estimated purchase obligations entered into
in the normal course of business.

Under certain agreements, we are required to pay royalties or license fees and
milestones for the use of technologies and products in our research and
development activities and in the commercialization of products. The amount and
timing of any of the foregoing payments are not known due to the uncertainty
surrounding the successful research, development and commercialization of the
products. As of September 30, 2021, we have inventory-related purchase
commitments of approximately $0.7 million, as compared to $2.5 million as of
September 31, 2020. Under our agreement with Catalent, we are obligated to make
minimum purchase commitments for Inbrija through the expiration of the agreement
on December 31, 2030. As of September 30, 2021, the minimum remaining purchase
commitment to Catalent was $4 million through December 31, 2021, and $18 million
annually each year thereafter.

Critical Accounting Policies and Estimates

Our critical accounting policies are detailed in our Annual Report on Form 10-K
for the year ended December 31, 2020. Effective January 1, 2021, the Company
adopted ASU 2019-12, "Simplifying the Accounting for Income Taxes" (Topic 740).
Other than the adoption of the new accounting guidance, our significant
accounting policies have not changed materially from December 31, 2020.


                                       40

--------------------------------------------------------------------------------

Older

PROTECTIVE LIFE INSURANCE CO – 10-Q – Management's Discussion and Analysis of Financial Condition and Results of Operations

Newer

The National Security Group, Inc. Releases Financial Results

Advisor News

  • Your client’s $3 million portfolio doesn’t tell you their insurance needs
  • How life insurance can provide liquidity for wealthy families
  • Retirement providers turn to digital engagement to retain assets
  • Looking out for clients with diminished mental capacity
  • House panel advances CLEAR Forms Act backed by IRI
More Advisor News

Annuity News

  • What lower interest rates mean to annuity payouts
  • AM Best downgrades A-Cap insurers amid financial and regulatory troubles
  • Lawsuit claims Delaware Life hid billions in insurer-linked investments
  • AM Best to Deliver Presentation at 2026 ACLI Annual Conference
  • Global Atlantic Announces Launch of ForeLifetime Income, a New Fixed Index Annuity
More Annuity News

Health/Employee Benefits News

  • Conn. can halt Diamantis' pension, but can't revoke his health insurance
  • Idaho lawmakers hope to ensure timely doctor payments, treatment approvals in Medicaid transition
  • Warner calls for low-cost public health coverage Warner calls for low-cost public health coverage
  • Healthcare Budgeting: Health Savings Account or Flexible Spending Account
  • What's changed for Sacramento social services 15 months after Trump's Big Beautiful Bill?
Sponsor
More Health/Employee Benefits News

Life Insurance News

  • Life insurance protects dependent loved ones
  • AM Best Affirms Credit Ratings of Horace Mann Educators Corporation and Its Subsidiaries
  • Abacus Global Management Completes Landmark $400 Million Securitization
  • New Rules: This bill could help cannabis companies finally get insurance coverage
  • Time to revisit your clients’ life insurance coverage
Sponsor
More Life Insurance News

NEWS INSIDE

  • Companies
  • Earnings
  • Economic News
  • INN Magazine
  • Insurtech News
  • Newswires Feed
  • Regulation News
  • Washington Wire
  • Videos

FEATURED OFFERS

Press Releases

  • Lauren Sinnott Named to Ragan’s Top Women in Marketing Awards, Class of 2026 
  • Classic Car Insurer OpenRoad Insurance Expands to 40 U.S. States in Two Years
  • How Aspire General Turned an Early Technology Bet Into Claims Automation at Scale with Kyber
  • Adjusto launches AI-Native contents claims services powered by its technology platform
  • URL Insurance Group Celebrates 40 Years of Service, Growth, and Industry Leadership
More Press Releases > Add Your Press Release >

How to Write For InsuranceNewsNet

Find out how you can submit content for publishing on our website.
View Guidelines

Topics

  • Advisor News
  • Annuity Index
  • Annuity News
  • Companies
  • Earnings
  • Fiduciary
  • From the Field: Expert Insights
  • Health/Employee Benefits
  • Insurance & Financial Fraud
  • INN Magazine
  • Insiders Only
  • Life Insurance News
  • Newswires
  • Property and Casualty
  • Regulation News
  • Sponsored Articles
  • Washington Wire
  • Videos
  • ———
  • About
  • Meet our Editorial Staff
  • Advertise
  • Contact
  • Newsletters

Top Sections

  • AdvisorNews
  • Annuity News
  • Health/Employee Benefits News
  • InsuranceNewsNet Magazine
  • Life Insurance News
  • Property and Casualty News
  • Washington Wire

Our Company

  • About
  • Advertise
  • Contact
  • Meet our Editorial Staff
  • Magazine Subscription
  • Write for INN

Sign up for our FREE e-Newsletter!

Get breaking news, exclusive stories, and money- making insights straight into your inbox.

select Newsletter Options
Facebook Linkedin Twitter
© 2026 InsuranceNewsNet.com, Inc. All rights reserved.
  • Terms & Conditions
  • Privacy Policy
  • InsuranceNewsNet Magazine

Sign in with your Insider Pro Account

Not registered? Become an Insider Pro.