UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the fiscal year ended December 31, 2020
OR
For the transition period from ____ to _____
Commission File Number 001-36509
AMPHASTAR PHARMACEUTICALS, INC.
(Exact name of registrant as specified in its charter)
Delaware
(State or other jurisdiction of
incorporation or organization)
11570 6th Street
Rancho Cucamonga, CA
(Address of principal executive offices)
33-0702205
(I.R.S. Employer
Identification No.)
91730
(zip code)
(909) 980-9484
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act:
Title of each class
Trading Symbol(s)
Name of each exchange on which registered
Common Stock, par value $0.0001 per share
AMPH
The NASDAQ Stock Market LLC
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ☐ No ☒
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes ☐ No ☒
Securities registered pursuant to Section 12(g) of the Act: None
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such
shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during
the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of
“large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer
Non-accelerated filer
☐
☐
Accelerated filer
Smaller reporting company
Emerging growth company
☒
☐
☐
If an emerging growth company, indicate by check mark if the Registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards
provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial reporting under Section 404(b)
of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report. Yes ☒ No ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes ☐ No ☒
The aggregate market value of the registrant’s common stock held by non-affiliates of the registrant on June 30, 2020 (the last business day of the registrant’s most recently completed second fiscal
quarter), based upon the closing price of Common Stock on such date as reported by Nasdaq Global Select Market, was approximately $566,686,688. Shares of common stock known to be held by
directors, executive officers and holders of 5% or more of the outstanding common stock of the registrant are not included in the computation. No determination has been made that such persons are
“affiliates” of the registrant for any other purpose.
At March 8, 2021, there were 47,432,937 shares of the registrant’s common stock outstanding.
Portions of the registrant’s definitive proxy statement to be filed with the Securities and Exchange Commission within 120 days after the end of its fiscal year to which this report relates in connection
with its 2021 Annual Meeting of Stockholders are incorporated by reference into Part III hereof.
Documents Incorporated by Reference
Table of Contents
AMPHASTAR PHARMACEUTICALS, INC.
TABLE OF CONTENTS
Part I
Business
Risk Factors
Unresolved Staff Comments
Properties
Legal Proceedings
Mine Safety Disclosures
Part II
Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity
Securities
(Reserved)
Management’s Discussion and Analysis of Financial Condition and Results of Operations
Quantitative and Qualitative Disclosures about Market Risk
Financial Statements and Supplementary Data
Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
Controls and Procedures
Other Information
Part III
Directors, Executive Officers and Corporate Governance
Executive Compensation
Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
Certain Relationships and Related Transactions, and Director Independence
Principal Accountant Fees and Services
Exhibits and Financial Statement Schedules
Form 10-K Summary
Part IV
Signatures
Page
No.
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Item 1.
Item 1A.
Item 1B.
Item 2.
Item 3.
Item 4.
Item 5.
Item 6.
Item 7.
Item 7A.
Item 8.
Item 9.
Item 9A.
Item 9B.
Item 10.
Item 11.
Item 12.
Item 13.
Item 14.
Item 15.
Item 16.
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SPECIAL NOTE ABOUT FORWARD-LOOKING STATEMENTS
This Annual Report on Form 10-K, or Annual Report, contains “forward-looking statements” that involve substantial risks
and uncertainties. In some cases, you can identify forward-looking statements by the following words: “may,” “might,”
“will,” “could,” “would,” “should,” “expect,” “intend,” “plan,” “anticipate,” “believe,” “estimate,” “predict,” “project,”
“potential,” “continue,” “ongoing” or the negative of these terms or other comparable terminology, although not all
forward-looking statements contain these identifying words. Forward-looking statements relate to future events or future
financial performance or condition and involve known and unknown risks, uncertainties and other factors that could cause
actual results, levels of activity, performance or achievement to differ materially from those expressed or implied by the
forward-looking statements. These forward-looking statements include, but are not limited to, statements about:
● our expectations regarding the sales and marketing of our products;
● our expectations regarding our manufacturing and production and the integrity of our supply chain for our
products, including the risks associated with our single source suppliers;
● the impact of the COVID-19 pandemic and related responses of business and governments to the pandemic on our
operations and personnel, and on commercial activity and demand across our business operations and results of
operations;
● interruptions to our manufacturing and production as a result of natural catastrophic events or other causes beyond
our control such as power disruptions or widespread disease outbreaks, such as the COVID-19 pandemic;
● global, national and local economic and market conditions, specifically with respect to geopolitical uncertainty,
and the COVID-19 pandemic;
● the timing and likelihood of U.S. Food and Drug Administration, or FDA, approvals and regulatory actions on our
product candidates, manufacturing activities and product marketing activities;
● our ability to advance product candidates in our platforms into successful and completed clinical trials and our
subsequent ability to successfully commercialize our product candidates;
● our ability to compete in the development and marketing of our products and product candidates;
● our expectations regarding the business expansion plans for our Chinese subsidiary, ANP;
● the potential for adverse application of environmental, health and safety and other laws and regulations on our
operations;
● our expectations for market acceptance of our new products and proprietary drug delivery technologies, as well as
those of our active pharmaceutical ingredient, or API, customers;
● the potential for our marketed products to be withdrawn due to patient adverse events or deaths, or if we fail to
secure FDA approval for products subject to the Prescription Drug Wrap-Up program;
● our expectations in obtaining insurance coverage and adequate reimbursement for our products from third-party
payers;
● the amount of price concessions or exclusion of suppliers adversely affecting our business;
● our ability to establish and maintain intellectual property protection for our products and our ability to
successfully defend our intellectual property in cases of alleged infringement;
● the implementation of our business strategies, product development strategies and technology utilization;
● the potential for exposure to product liability claims;
● future acquisitions, divestitures or investments, including the anticipated benefits of such acquisitions, divestitures
or investments;
● our ability to expand internationally;
● economic and industry trends and trend analysis;
● our ability to remain in compliance with laws and regulations that currently apply or become applicable to our
business both in the United States and internationally;
● the impact of trade tariffs, export or import restrictions, or other trade barriers;
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● the impact of Patient Protection and Affordable Care Act (as amended) and other legislative and regulatory
healthcare reforms in the countries in which we operate including the potential for drug price controls;
● the impact of global and domestic tax reforms, including the Tax Cuts and Jobs Act of 2017, or the Tax Act, as
amended by the Coronavirus Aid, Relief and Economic Security Act, or the CARES Act;
● the timing for completion and the validation of the new construction at our ANP and Amphastar facilities;
● the timing and extent of share buybacks; and
● our financial performance expectations, including our expectations regarding our backlog, revenue, cost of
revenue, gross profit or gross margin, operating expenses, including changes in research and development, sales
and marketing and general and administrative expenses, and our ability to achieve and maintain future
profitability.
You should read this Annual Report and the documents that we reference elsewhere in this Annual Report completely and
with the understanding that our actual results may differ materially from what we expect as expressed or implied by our
forward-looking statements. In light of the significant risks and uncertainties to which our forward-looking statements are
subject, you should not place undue reliance on or regard these statements as a representation or warranty by us or any
other person that we will achieve our objectives and plans in any specified timeframe, or at all. In particular, the extent of
COVID-19’s impact on our business will depend on several factors, including the severity, duration and extent of the
pandemic, all of which continue to evolve and remain uncertain at this time. We discuss many of these risks and
uncertainties in greater detail in this Annual Report, particularly in Item 1A. “Risk Factors.” These forward-looking
statements represent our estimates and assumptions only as of the date of this Annual Report regardless of the time of
delivery of this Annual Report, and such information may be limited or incomplete, and our statements should not be read
to indicate that we have conducted an exhaustive inquiry into, or review of, all potentially available relevant information.
Except as required by law, we undertake no obligation to update or revise publicly any forward-looking statements,
whether as a result of new information, future events or otherwise after the date of this Annual Report.
Unless expressly indicated or the context requires otherwise, references in this Annual Report to “Amphastar,” “the
Company,” “we,” “our,” and “us” refer to Amphastar Pharmaceuticals, Inc. and our subsidiaries.
Item 1. Business.
Overview
We are a bio-pharmaceutical company that focuses primarily on developing, manufacturing, marketing and selling
technically-challenging generic and proprietary injectable, inhalation, and intranasal products, as well as insulin active
pharmaceutical ingredient, or insulin API, products. We currently manufacture and sell over 20 products, the overwhelming
majority of which are prescription pharmaceuticals. Since December 2018, we have sold our patented Primatene Mist®
using a new hydrofluoroalkanes, or HFA, formulation as our sole over-the-counter product.
We are currently developing a portfolio of 13 generic abbreviated new drug applications, or ANDAs or NDAs, three
biosimilar insulin product candidates and four proprietary product candidates, which are in various stages of development
and target a variety of indications. Five ANDAs and one NDA are currently on file with the FDA.
For the years ended December 31, 2020, 2019, and 2018, we recorded net revenues of $349.8 million, $322.4 million, and
$294.7 million, respectively. We recorded net income of $1.4 million and $48.9 million for the years ended December 31,
2020 and 2019, respectively. For the year ended December 31, 2018, we recorded a net loss of $5.7 million.
Our largest products by net revenues currently include Primatene Mist®, enoxaparin sodium injection, phytonadione,
lidocaine jelly and sterile solution, epinephrine injection, and naloxone hydrochloride injection. In the fourth quarter of
2018, we launched our over-the-counter product Primatene Mist®. In July 2019, we began a national digital, radio, and
television campaign for our over-the-counter product Primatene Mist®, which will continue throughout 2021. During the
second quarter of 2020, we launched our epinephrine injection, USP 30mg/30mL multiple-dose vial product. In December
2020, the FDA granted approval of our glucagon for injection emergency kit, 1mg, and we launched this product in the first
quarter of 2021.
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Our multiple technological capabilities enable the development of technically challenging products with limited
competition. These capabilities include characterizing complex molecules, analyzing and synthesizing peptides and
proteins, conducting immunogenicity studies, engineering particles and improving drug delivery through sustained-release
technology. These technological capabilities have enabled us to produce bioequivalent versions of complex drugs and
support the development and manufacture of a broad range of dosage formulations, including solutions, emulsions,
suspensions and lyophilized products, as well as products administered via pre-filled syringes, vials, nasal sprays, metered-
dose inhalers, or MDIs, and dry powder inhalers, or DPIs.
Our primary strategic focus is to develop and commercialize products with high technical barriers to market entry. We are
specifically focused on products that:
● leverage our proprietary research and development capabilities;
● require raw materials or APIs for which we believe we have a competitive advantage in sourcing,
synthesizing, or manufacturing; and/or
● improve upon an existing drug’s formulation with respect to drug delivery, safety and/or efficacy.
Not all of our products will include all of these characteristics. Moreover, we may opportunistically develop and
commercialize product candidates with lower technical barriers to market entry if, for example, our existing supply chain
and manufacturing infrastructure allow us to pursue a specific product candidate in a competitive and cost-effective
manner.
To complement our internal growth and expertise, we have made several strategic acquisitions of companies, products and
technologies. These acquisitions collectively have strengthened our core injectable and inhalation product technology
infrastructure by providing additional manufacturing, marketing, and research and development capabilities, including the
ability to manufacture raw materials, APIs and other components for our products.
COVID-19 Pandemic
In March 2020, the World Health Organization declared the outbreak of a novel coronavirus, or COVID-19, as a pandemic,
which continues to spread throughout the world, including locations where we operate, such as the United States, China
and France. We have been actively monitoring the COVID-19 pandemic and its impact globally. Currently, our production
facilities in all of our locations continue to operate as they had prior to the COVID-19 pandemic with few changes, other
than for enhanced safety measures intended to prevent the spread of the virus.
As a result of the COVID-19 pandemic, during the first half of 2020, sales of Primatene Mist® and certain hospital products
increased, while sales of certain products frequently used in elective procedures, such as Cortrosyn® and lidocaine
products, decreased. During the second half of 2020, sales of these products returned to levels closer to those experienced
prior to the COVID-19 pandemic. Also, some of our ongoing clinical trials have experienced short-term interruptions in the
recruitment of patients due to the COVID-19 pandemic, as hospitals prioritize their resources towards the COVID-19
pandemic and governments impose travel restrictions. Additionally, some clinical trials experienced increased expenses due
to new protocols to protect participants from COVID-19.
It is not possible at this time to estimate the complete impact that COVID-19 could have on our business, including our
customers and suppliers, as the impact will depend on future developments, which are highly uncertain and cannot be
predicted. Infections may resurge or become more widespread and the limitation on our ability to travel and timely sell and
distribute our products, as well as any closures or supply disruptions, may be extended for longer periods of time, all of
which would have a negative impact on our business, financial condition and operating results.
The COVID-19 pandemic has and will continue to adversely affect global economies and financial markets, resulting in an
economic downturn that could affect demand for our products and impact our operating results. Even after the COVID-19
pandemic has subsided, we may continue to experience an adverse impact to our business as a result of the continued
global economic impact of the pandemic. We cannot anticipate all of the ways in which health epidemics such as COVID-
19 could adversely impact our business. We will continue to monitor the impact of COVID-19 on all aspects of our
business. See Item 1A, “Risk Factors” for further discussion of the possible impact of the COVID-19 pandemic on our
business.
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Our Markets
We primarily target products with high technical barriers to market entry, with a particular focus on the injectable and
inhalation markets. We also manufacture and sell certain APIs.
● Injectable market. Based on a December 2020 IQVIA National Sales Perspective Report, the U.S. injectable
drug market in 2020 was over $228 billion. Our generic development portfolio is targeting opportunities in
over $20 billion of this market. The injectable market requires highly technical manufacturing capabilities
and compliance with strict current Good Manufacturing Practice, or cGMP, requirements, which create high
barriers to market entry. Due to these high barriers to market entry, there are a limited number of companies
with the technology and experience needed to manufacture injectable products. There have also been a
number of quality issues over the past several years that have disrupted the ability of certain injectable
manufacturers to produce sufficient product quantity to meet market demand. As such, the supply of
injectables has been constrained, even as demand for injectable products has continued to increase.
● Inhalation market. Based on a December 2020 IQVIA National Sales Perspective Report, the U.S. inhalation
drug market in 2020 was approximately $27.0 billion. Our generic development portfolio is targeting
opportunities in over $8 billion of this market. Inhalation drug therapy is used extensively to treat respiratory
conditions such as asthma and chronic obstructive pulmonary disease. The MDI is the most widely used
device to deliver inhalation therapies. It uses pressurized gas, historically chlorofluorocarbons, or CFCs, and
more recently HFAs, to release its dose when the patient activates the device. The DPI, which does not rely
on a propellant, is also widely used. As in the case of injectables, there are significant technical barriers to
manufacturing inhalation products. The evolution of inhalation delivery technologies from nebulizers and
CFCs to HFAs and DPIs has required manufacturers of inhalation products to re-formulate their products,
which in many cases may require technical engineering capabilities, additional regulatory approvals and
modified delivery devices. Additionally, the development of generic HFA and DPI products requires
bioequivalence studies for FDA approval.
Our Strengths
We have built our company by integrating the following capabilities and strengths that we believe enable us to compete
effectively in the pharmaceutical industry:
● Robust portfolio of products and product candidates. We have over 20 commercial products and over 20
product candidates at different stages of development. We also continue to develop our product candidates,
which represent our longer-term growth opportunities.
● Advanced technical capabilities and multiple delivery technologies. We have developed multiple advanced
technical capabilities that we incorporate into the development of our products and product candidates,
including characterization of complex molecules, peptide and protein analysis and synthesis, immunogenicity
studies, particle engineering and sustained-release technology. In addition, we apply these capabilities across
our injectable, inhalation and intranasal delivery technologies. Our injectable delivery technologies enable us
to develop and manufacture generic and proprietary injectables in normal solution, lyophilized, suspension,
jelly and emulsion forms, as well as in pre-filled syringes. Our inhalation technologies cover a variety of
delivery methods, including DPIs and HFA formulations of MDIs. These technical capabilities form the
foundation of our strategy to develop products with high barriers to market entry targeting a wide range of
indications.
● Vertically integrated infrastructure. We are a vertically integrated company with the demonstrated ability to
advance a product candidate from the research and development stage through commercialization. Our
capabilities include strong research and development expertise, sophisticated pharmaceutical engineering
capabilities, comprehensive manufacturing capabilities (including the ability to synthesize and manufacture
our own API), a strict quality assurance system, extensive regulatory and clinical experience and established
marketing and distribution relationships. We believe our vertical integration allows us to achieve better
operating efficiencies, accelerated product development and internal control over product quality.
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● Experienced management team with deep scientific expertise. Our management team has a successful track
record in product development, project management, quality assurance, acquisitions and sales and marketing,
as well as established relationships with our key customers, partners and suppliers. Our research and
development leadership has deep expertise in areas including pharmaceutical formulation, process
development, in vivo and in vitro studies, analytical chemistry, physical chemistry, drug delivery and clinical
research. We believe that our scientific and technical expertise, coupled with our management team’s
business, legal, regulatory, and business development experience will enable us to successfully expand our
position with respect to our current products and establish a meaningful market position for our product
candidates.
Our Strategy
Our goal is to be an industry leader in the development, manufacturing and marketing of technically challenging injectable
and inhalation pharmaceutical products. To achieve this goal, we are pursuing the following key strategies:
● Diversify our revenues by commercializing our product candidates. Assuming we are successful in
developing and obtaining regulatory approvals, we plan to commercialize our product candidates and thereby
diversify our sources of revenues. We have over 20 product candidates in various stages of development,
including 13 generic ANDAs or NDAs, three biosimilar product candidates and four proprietary product
candidates. We also expect to expand our internal sales and marketing capabilities and, in some cases, enter
into strategic alliances with other pharmaceutical companies, to drive market penetration for our product
candidates.
● Focus on high-margin generic product opportunities. We believe that we have significant opportunities for
growth driven by our technical expertise in the development of generic product candidates with high
technical barriers to market entry. We believe that if these product candidates are commercialized, they are
likely to face less competition than less technically challenging generic products, which may enable us to
earn higher margins for a longer period of time. We believe that generic competition for these products is
likely to be limited because of challenges in product development, manufacturing or sourcing of raw
materials or APIs.
● Develop proprietary products. We currently have four proprietary product candidates at various stages of
development targeting a broad range of indications. We believe that proprietary products tend to face less
competition than generic products due to market exclusivity, intellectual property protection and other
barriers to entry. For these reasons, we believe that our proprietary products will provide us with the
opportunity for higher margins and long-term revenue growth.
● Leverage our vertically integrated infrastructure to drive operational efficiencies. We believe our vertically
integrated infrastructure provides significant benefits including better operating efficiencies, accelerated
product development and internal control over product quality. Our ability to manufacture our own API
allows us to develop products that other companies may not focus on due to the uncertainty of API supply. In
addition, our vertically integrated infrastructure, including our research and development capabilities, allows
us to conduct technically challenging studies in-house. We believe this vertically integrated infrastructure has
led, and will continue to lead, to a competitive portfolio of products and product candidates.
● Target and integrate acquisitions of pharmaceutical companies, products and technologies. We have a
demonstrated ability to identify, acquire and integrate pharmaceutical companies, products and technologies
to complement our internal product development capabilities. Companies we have acquired include (1)
International Medication Systems, Limited or IMS, (2) Armstrong Pharmaceuticals, Inc. or Armstrong, (3)
Nanjing Puyan Pharmaceutical Technology Co., Ltd. (which we renamed Amphastar Nanjing
Pharmaceuticals Co., Ltd.), or ANP, (4) Nanjing Letop Medical Technology Co. Ltd. (which we renamed
Nanjing Letop Fine Chemistry Co. Ltd., or Letop, (5) Merck’s API Manufacturing Business in Éragny-sur-
Epte, France, in connection with which, we established our French subsidiary, Amphastar France
Pharmaceuticals, S.A.S., or AFP, and (6) International Medication Systems (UK) Limited, or IMS UK.
Products we have acquired include Cortrosyn® and Epinephrine Mist, as well as trade names such as
Primatene®. We believe that our scientific and managerial expertise and our integration experience have
improved the quality of the product lines and companies that we have acquired, which has had, and we
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believe will continue to have, a positive effect on our results of operations. For example, in 2018, we received
approval from the FDA for the manufacture of semi-purified heparin at our Chinese subsidiary, ANP. We
plan to have ANP manufacture API for certain other products and product candidates.
Our Technical Capabilities
We develop, manufacture, market and sell generic and proprietary products that utilize injectable, inhalation and intranasal
delivery systems. We also manufacture and sell insulin API.
● Injectable. Our injectable product technologies enable us to develop and manufacture generic and
proprietary injectables in liquid, lyophilized, suspension and emulsion forms, as well as the use of pre-filled
syringes to facilitate the safety and conveniences to users. We have multiple injectable manufacturing
facilities that include aseptic filling lines dedicated to the sterile production of injectable products.
Additionally, we maintain compliance with cGMP regulations, which has enabled us to obtain regulatory
approvals and support commercial supply.
● Inhalation and Intranasal. We are focused on developing a broad range of generic and proprietary inhalation
and intranasal products utilizing a variety of delivery technologies. We have expertise in formulating HFA-
based MDIs and DPIs as well as packaging our inhalation drugs in blister packs and other forms which can
be used for loading our products into a variety of inhalation devices. As with our injectable products, we
maintain compliance with cGMP regulations, which we believe will enable us to obtain regulatory approvals
and support commercial supply. Additionally, we have extensive formulation and clinical experience in
developing complex formulations that can be administered by intranasal delivery.
We have advanced capabilities that enable us to focus on developing technically challenging products.
● Characterization of complex molecules. Characterization of complex molecules includes a determination of
physicochemical properties, biological activity, immunochemical properties and purity. Such characterization
is important in the development of a generic product that is considered the same as a reference drug product,
which in turn allows the generic drug developer to demonstrate such “sameness” to the FDA, which
ultimately allows for interchangeability with the reference drug product. Complex drugs typically have large
molecules composed of a mixture of molecules that differ very slightly from one another. These slight
variances make such complex molecules difficult to characterize. We have developed analytical tools that
have enabled us to characterize complex molecules in our products and product candidates. We believe that
we have the technology to develop a variety of additional analytical tools that will enable us to characterize
other complex molecules, including peptide and protein-based products.
● Immunogenicity. The ability of an antigen to elicit immune responses is called immunogenicity. Unwanted
immunogenicity, which is strongly linked with peptide and protein drug products, occurs when a patient
mounts an undesired immune response against a drug therapy. As a result, the FDA has signaled that they
may require immunogenicity studies as part of the new pathway for biosimilars and biogenerics. In the past,
the FDA has required these studies in connection with the approval of products with complex molecules. We
have gained expertise in immunogenicity by performing immunogenicity studies in connection with the FDA
approval process for our enoxaparin product. We believe that our experience in conducting these difficult
immunogenicity studies will be of primary importance in our future efforts to develop complex molecules,
biosimilar and biogeneric product candidates.
● Peptide and protein product development and production. The development of peptide and protein drug
products utilizes our characterization technology and immunogenicity studies, synthetic capabilities, as well
as recombinant DNA, or rDNA, API manufacturing technology. We have experience in the use of rDNA
manufacturing technology, which includes the genetic engineering of host cells, fermentation to promote cell
culture growth and isolation and purification of the desired protein from the cell culture. Testing is required
to ensure that only the desired protein is included in the finished product through each step. We believe that
this technology will allow us to develop protein and peptide drug products. We received the first-ever FDA
approval of a generic version of Glucagon for Injection Emergency Kit. The FDA determined our approved
peptide product to be bioequivalent and therapeutically equivalent to the reference listed drug, which has
rDNA origin.
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● Particle engineering. Particle engineering is important in the field of pulmonary drug delivery as there is a
direct relationship between the properties of a particle and its absorption by the lungs. We believe our
expertise and our technology, which is applicable to both particle engineering and physical chemistry, allows
us to engineer the size, shape, surface smoothness and distribution of particles to develop inhalation products
that are more easily dispersed through targeted areas. We believe this expertise will allow us to formulate
difficult to disperse inhalation products as well as demonstrate to the FDA the sameness to the reference
listed drugs.
● Sustained-release. We have developed technology aimed at improving drug delivery through sustained-
release injectable products. The purpose of our sustained-release technology is to create products that require
less dosing frequency, which we believe can lead to the diminishing of fluctuations of drug concentrations in
a patient’s bloodstream that would otherwise require more frequent dosing. We plan to use our sustained-
release technology to develop both generic and proprietary products.
● Novel formulation. We have the capability to develop novel formulation to enhance drug delivery. For
certain intranasal medications, novel formulation might be required to increase the drug’s absorption rate to
be able to deliver the medication in a safe and efficacious manner. We plan to use our novel formulation with
our intranasal epinephrine product.
Finished Pharmaceutical Products
Our Marketed Products
We currently manufacture and sell over 20 products in our finished pharmaceutical product segment. The following is a
description of products in our existing portfolio.
Primatene Mist®
Primatene Mist®, an over-the-counter epinephrine inhalation product, is indicated for the temporary relief of mild
symptoms of intermittent asthma. We developed an HFA version of Primatene Mist® to replace the over-the-counter CFC
formulation of our Primatene Mist® product which was withdrawn for environmental reasons under the Montreal Protocol.
Enoxaparin
Enoxaparin is a difficult to manufacture injectable form of low molecular weight heparin that is used as an anticoagulant,
which is indicated for multiple indications, including the prevention and treatment of deep vein thrombosis. Enoxaparin is
difficult to produce in part because the API is not easily obtained or manufactured. We manufacture the API for our
enoxaparin product and perform all subsequent manufacturing of the finished product in-house.
Glucagon for Injection Emergency Kit
Glucagon for injection is a difficult to manufacture injectable product. We received the first-ever FDA approval of a
generic version of rDNA Glucagon in the fourth quarter of 2020. Using dedicated process and sophisticated
characterization technology, we demonstrated to the FDA that our highly purified synthetic peptide product is
bioequivalent and therapeutically equivalent to the reference listed drug, or RLD, which is an rDNA product. Glucagon for
injection emergency kit is indicated for the treatment of severe hypoglycemia and for use as a diagnostic aid.
Naloxone
We sell two versions of naloxone injections indicated for the emergency treatment of known or suspected opioid overdose.
Other Marketed Products
Other finished pharmaceutical products that we currently market include the following:
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● Cortrosyn® (cosyntropin for injection), a lyophilized powder that is indicated for use as a diagnostic agent in the
screening of patients with adrenocortical insufficiency;
● Amphadase®, a bovine-sourced hyaluronidase injection that is used as an adjuvant in subcutaneous fluid
administration for achieving hydration, to increase absorption and dispersion of other injected drugs, and in
subcutaneous urography for improving absorption of radiopaque agents;
● Epinephrine injection, indicated for emergency treatment of allergic reactions, including anaphylaxis, and to
increase mean arterial blood pressure in adult patients with hypotension associated with septic shock
● Lidocaine jelly, a local anesthetic product used primarily for urological procedures;
● Lidocaine topical solution, a local anesthetic used for a variety of procedures;
● Phytonadione injection, an injection of Vitamin K1 that is used for newborn babies;
● Our portfolio of emergency syringe products, including critical care drugs such as atropine, calcium chloride,
dextrose, epinephrine, lidocaine, and sodium bicarbonate, that are provided in pre-filled syringes and are designed
for emergency use in hospital settings;
● Morphine injection in prefilled syringe, pain management product indicated for use with Patient Controlled
Analgesia (PCA) pumps;
● Lorazepam injection, a sedative used prior to surgery and medical procedures;
● Procainamide, indicated for the treatment of documented ventricular arrhythmias;
● Neostigmine methylsulfate injection, a cholinesterase inhibitor used in the treatment of myasthenia gravis and to
reverse the effects of muscle relaxants such as gallamine and tubocurarine;
● Medroxyprogesterone acetate injectable suspension, indicated for the prevention of pregnancy; and
● Isoproterenol hydrochloride injection, indicated for multiple uses including mild or transient episodes of heart
block that do not require electric shock or pacemaker therapy.
Our Product Candidates
We seek to develop product candidates with high technical barriers to competitive market entry that leverage our technical
capabilities and other competitive advantages. We are focused on both generic and proprietary product candidates in the
injectable, inhalable and intranasal markets. Our pipeline products are in various stages of development, with a number of
these candidates still in the early stages of development. We currently have over 20 product candidates in our pipeline,
including 13 generic ANDAs, three biosimilar product candidates and four proprietary product candidates.
The following table summarizes our technical capabilities needed for the generic ANDAs, biosimilar product candidates
and proprietary products in development.
Delivery
Technology
Injectable
Inhalation
Characterization
✓
✓
Immunogenicity Engineering
Particle
✓
Sustained-Release
✓
✓
Peptide and
Protein
Technology
✓
The development, regulatory approval for and commercialization of our product candidates are subject to numerous risks.
See “Risk Factors” for additional information.
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Generic Product Candidates
We generally employ a strategy of developing generic product candidates that possess a combination of factors that present
technical barriers to competition, including difficult formulations, which require complex characterizations, difficult
manufacturing requirements and/or limited availability of raw materials. We believe that such factors will make these
product candidates less susceptible to competition and pricing pressure. We currently have 13 generic ANDAs and three
biosimilar product candidates at various development stages that leverage our various technical capabilities, including:
● injectable technologies, which include various delivery methods and sizes of pre-filled syringes, vials in
solution, suspension and lyophilized forms;
● inhalation technologies, which include MDIs and DPIs; and
● sophisticated analytical technologies, including characterization and immunogenicity studies for complex
molecules, particle engineering, sustained-release technology, peptide, protein and DNA analysis and
synthesis.
Proprietary Product Candidates
Our integrated technical skills and expertise provide a strong basis for the development of proprietary drug candidates.
These skills include new chemical entity assessment, peptide and protein synthesis technology, complex formulation
development, characterization analysis and immunogenicity studies, among others.
With respect to our proprietary pipeline strategy, we currently have four proprietary drug candidates at various development
stages that leverage our various technical capabilities. The following paragraph summarizes our proprietary product
candidates for which NDAs have been filed with the FDA.
Intranasal naloxone
Intranasal naloxone, a prescription naloxone nasal spray product candidate, is intended to be used for the emergency
treatment of known or suspected opioid overdose, as manifested by respiratory and/or central nervous system depression.
We filed an NDA for Naloxone Hydrochloride Nasal Spray in April 2016. In February 2017, we received a Complete
Response Letter, or CRL, from the FDA, which identified four primary issues that need to be addressed prior to approval of
our NDA. The four issues are comprised of (1) improving on our human factor validation study, (2) modifying the delivery
accuracy verification method, (3) improving our standards of device reliability, and (4) adjusting the volume per actuation
to account for pediatric use down to birth. We have worked with the FDA to resolve these issues, most recently in 2020
with a Face-to-Face Meeting in which a clear pathway for addressing these issues was created. We intend to continue to
work with the FDA to address their concerns described in the CRL and have received an extension on our response to the
CRL. However, there can be no guarantee that our response to the CRL will result in timely approval of intranasal naloxone
or approval at all.
Intranasal epinephrine
Intranasal epinephrine, a prescription epinephrine nasal spray product candidate, is intended to be used for emergency
treatment of allergic reactions, including anaphylaxis to stinging insects, allergen immunotherapy, foods, drugs and other
allergens.
Other Proprietary Product Candidates
In addition to intranasal naloxone and intranasal epinephrine, we have two other proprietary product candidates in
development. These product candidates incorporate multiple indications utilizing a wide variety of our technical
capabilities.
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APIs
We began to manufacture and sell two API products, RHI API and porcine insulin API, as a result of our acquisition of
Merck Sharpe & Dohme’s, or Merck’s, API manufacturing business in Éragny-sur-Epte, France, or the Merck API
Transaction, in April 2014. The purpose of the acquisition was to enhance our vertical integration strategy as we target
certain finished products for the injectable insulin market. However, we continue to sell RHI API to third parties, which
helps fund our vertical integration strategy, including the ongoing technology transfer and supply arrangement between
Merck and AFP.
Supply Agreement with MannKind Corporation
On July 31, 2014, we entered into a supply agreement with MannKind Corporation, or MannKind, or the Supply
Agreement, pursuant to which we agreed to manufacture for and supply to MannKind certain quantities of RHI API for use
in MannKind’s product Afrezza®. Under the Supply Agreement, MannKind agreed to purchase annual minimum quantities
of RHI API in an aggregate amount of approximately $146.0 million, over five years from calendar years 2015 through
2019.
The MannKind agreement was amended several times between 2014 and 2019. In August 2019, we amended the Supply
Agreement with MannKind whereby MannKind’s aggregate total commitment of RHI API under the Supply Agreement
was modified and extended for an additional two years through 2026, which timeframe would have previously lapsed after
calendar year 2024. As a result of this amendment, MannKind paid us an amendment fee of $2.75 million, which we
recognized in net revenues in our consolidated statement of operations for the year ended December 31, 2019.
For the years ended December 31, 2020, 2019 and 2018, sales of RHI API to MannKind totaled $4.9 million, $4.4 million
and $8.1 million, which fulfilled the 2020, 2019 and 2018 commitment of RHI API under the amended Supply Agreement,
respectively.
Research and Development
As of December 31, 2020, we had 354 employees dedicated to research and development with expertise in areas such as
pharmaceutical formulation, process development, toxicity studies, analytical, synthetic and physical chemistry, drug
delivery, device development, equipment and engineering, clinical research statistical analysis, etc. Our focus on
developing products with high barriers to market entry requires a significant investment in research and development,
including clinical development. In particular, developing proprietary products that are reformulations of existing
proprietary compounds often requires clinical trials to gain regulatory approval, and we have a team dedicated to designing
and managing clinical trials. We have successfully completed several clinical trials for some of our product candidates and
are in the process of planning clinical trials for other product candidates under development.
Backlog
A significant portion of our customer shipments in any fiscal year relate to orders received and shipped in that fiscal year,
generally resulting in low product backlog relative to total shipments at any time. We had no significant backlog as of
December 31, 2020 and 2019. Historically, our backlog has not been a meaningful indicator of our ability to achieve any
particular level of overall revenue or financial performance.
Manufacturing and Facilities
Our manufacturing facilities are located in Rancho Cucamonga and South El Monte, California; Canton, Massachusetts;
Éragny-sur-Epte, France; and Nanjing, China. We own or lease a total of 60 buildings at six locations in the United States,
France and China, that comprise 1.9 million square feet of manufacturing, research and development, distribution,
packaging, laboratory, office and warehouse space. Our facilities are regularly inspected by the FDA in connection with our
product approvals, and we believe that all of our facilities are being operated in material compliance with the FDA’s cGMP
regulations.
We continue to expand our facility in Nanjing, China, and expect further significant investment in this facility.
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Our API manufacturing business in Éragny-sur-Epte, France, which we acquired in April 2014, manufactures porcine
insulin API and RHI API, and we expect to continue the current site activities. We have completed a project to modify our
current facility in France to increase our internal manufacturing capabilities so that we can take over the manufacture of
inclusion bodies, which are our RHI API’s starting material. The project was completed in 2020 with a cost of $40.1
million.
We believe that our current manufacturing capacity is adequate for the near term. In 2019 we completed a project to
increase production and modernize the facilities at our South El Monte, California plant. The project cost was $14.9
million. In February 2020, the FDA approved our supplemental ANDA to transfer production of Sodium Bicarbonate into
this facility and we have begun manufacturing operations there.
Raw Material and Other Suppliers
We depend on suppliers for raw materials, APIs and other components that are subject to stringent FDA requirements. In
some cases, we obtain raw materials, components or APIs used in certain of our products from single sources. Currently,
we obtain API for certain of our other marketed products from single sources. If we experience difficulties acquiring
sufficient quantities of required materials or products from our existing suppliers, or if our suppliers are found to be non-
compliant with the FDA’s quality system regulation, or QSR, cGMPs or other applicable laws or regulations, we would be
required to find alternative suppliers. Obtaining the required regulatory approvals to use alternative suppliers may be a
lengthy and uncertain process during which we could lose sales. If our primary suppliers become unable or unwilling to
perform, we could experience protracted delays or interruptions in the supply of materials that would ultimately delay our
manufacture of products for commercial sale, which could materially and adversely affect our development programs,
commercial activities, operating results and financial condition.
If our suppliers encounter problems during manufacturing, establishing additional or replacement suppliers for these
materials may take a substantial period of time, as suppliers must be approved by the FDA. Further, a significant portion of
our raw materials may be available only from foreign sources, which are subject to the risks of doing business abroad. For
example, heparin USP is the starting material for the production of the API in our enoxaparin product. We have established
a supply chain for heparin that originates in China and have implemented validated technology processes designed to
screen and test incoming starting material, which include methods currently required by the FDA. However, the FDA has
required companies importing heparin to test imported heparin using specific screening methods to detect certain
contaminants and it has increased its scrutiny of Chinese facilities that produce heparin for the U.S. market. For example, in
August 2008, the FDA inspected two facilities in China belonging to suppliers in our heparin supply chain and issued
warning letters, one of which needed to be resolved as a precondition to approving the ANDA for our enoxaparin product
candidate in September 2011. In 2018, we received approval from the FDA for the manufacture of semi-purified heparin at
ANP.
The U.S. Department of Agriculture, or USDA, the Animal and Plant Health Inspection Service, or APHIS, and the
Veterinary Services regulates the importation of animals and animal-derived materials into the U.S. A USDA veterinary
permit is required for importation of materials derived from animals or exposed to animal-source materials. Some of our
raw materials sourced from foreign sources are subject to import regulations and permit requirements, including from the
USDA. Recently, USDA enhanced its African swine fever, or ASF, surveillance efforts, including placing restrictions on
the importation of pork products from affected countries, such as China, where the first cases of ASF were reported in
August 2018. While ASF does not affect human health, it is a highly contagious and deadly disease to pig populations. We
anticipate that our current supply of heparin USP in the United States is useable and sufficient for our manufacturing needs
for the foreseeable future, and we are evaluating the use of heparin USP produced at our ANP facility. If we are unable to
import raw materials, rely upon existing supplies of raw materials or manufacture raw materials in sufficient amounts for
our manufacturing needs, we may be required to find alternative suppliers or sources of such materials, which would
require prior FDA approval for such alternative suppliers or sources of such materials, which would disrupt or delay the
manufacturing of our products.
We plan to have ANP manufacture APIs and starting materials for APIs for certain other products and product candidates,
including isoproterenol and hyaluronidase, which ANP currently manufactures for Amphastar.
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Sales and Marketing
Our products are primarily marketed and sold to institutions such as hospitals, long-term care facilities, alternate care sites,
clinics, and doctors’ offices. Additionally, we also sell to retail pharmacies. Most institutional customers are members of
one or more group purchasing organizations, which negotiate collective purchasing agreements on behalf of their members.
These facilities purchase products through specialty distributors and wholesalers. We have relationships with the major
group purchasing organizations in the United States. We also have relationships with major specialty distributors,
wholesalers and retailers who distribute pharmaceutical products nationwide.
The following table provides information regarding the percentage of our net revenues that is derived from each of our
major customers and partners:
AmerisourceBergen Corporation
McKesson Corporation
Cardinal Health, Inc.
% of Net Revenues
Year Ended
December 31,
2020 2019 2018
23 % 24 % 27 %
22 % 25 % 27 %
17 % 22 % 21 %
Our marketing department is responsible for establishing and maintaining contracts and relationships with the group
purchasing organizations, distributors, retailers, wholesalers and, occasionally, directly with hospitals or long-term care
facilities. One or more of our proprietary product candidates may require deployment of a sales force either directly or
through a strategic partner.
Competition
The majority of our marketed products are generic products. We face and will face significant competition for our products
and product candidates from pharmaceutical companies that focus on the generic injectable and inhalation markets such as
Pfizer, Inc., Sagent Pharmaceuticals, Inc., Akorn, Inc., Sandoz Inc., Viatris Inc., Fresenius Kabi USA, Nexus
Pharmaceuticals, Apotex Corp, Amneal Biosciences, American Regent Inc., Hikma Pharmaceuticals USA, Inc., Par
Pharmaceuticals, Cipla USA Inc., Meitheal Pharmaceuticals, Dr. Reddy’s Laboratories, Inc., Sun Pharmaceuticals, Inc., and
Teva Pharmaceutical Industries Ltd. Competition in the generic pharmaceutical industry has increased as producers of
branded products have entered the business by creating generic drug subsidiaries, purchasing generic drug companies, or
licensing their products to generic manufacturers prior to patent expiration and/or as their patents expire. Therefore, our
competitors also include the innovator companies of our generic drug products. For example, enoxaparin is currently
marketed by Sanofi S.A., or Sanofi, under the brand name Lovenox®. Sanofi also markets its authorized generic enoxaparin
product through its subsidiary, Winthrop, Fresenius Kabi USA, Apotex Corp., and Meithael Pharmaceuticals, Inc. also
market a generic version of enoxaparin. Other companies may have filed an ANDA with the FDA for its generic version of
enoxaparin. The presence of these current and prospective competitive products may have an adverse effect on our market
share, revenue and gross profit from our enoxaparin product.
Similarly, we will face significant competition for our proprietary product candidates. Our competitors vary depending
upon product categories, and within each product category, upon dosage strengths and drug-delivery systems. Based on
total assets, annual revenues and market capitalization, we are smaller than many of our national and international
competitors with respect to both our generic and proprietary products and product candidates. Many of our competitors
have been in business for a longer period of time, have a greater number of products on the market and have greater
financial and other resources than we do. It is also possible that developments by our competitors will make our generic or
proprietary products and product candidates noncompetitive or obsolete.
For pharmaceutical companies, the most important competitive factors are scope of product line, ability to timely develop
new products and relationships with group purchasing organizations, retailers, wholesalers and customers. Sales of generic
pharmaceutical products tend to follow a pattern based on regulatory and competitive factors. As patents for brand-name
products and related exclusivity periods expire, the first generic pharmaceutical manufacturer to receive regulatory
approval for generic versions of products is typically able to achieve significant market penetration and higher margins. As
competing generic manufacturers receive regulatory approval on the same products, market size, revenue and gross profit
typically decline. The level of market share and price will be affected, which will in turn affect the
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revenue and gross profit attributable to a particular generic pharmaceutical product. This impact is normally related to the
number of competitors in that product’s market and the timing of that product’s regulatory approval. We must develop and
introduce new products in a timely and cost-effective manner and identify products with significant barriers to market entry
in order to grow our business.
Government Regulation
In the United States
General
Our operations and many of the products manufactured or sold by the company are subject to extensive regulation by a
number of government agencies, both within and outside the United States. In the United States, the federal agencies that
regulate the company’s facilities, operations, employees, products (including their manufacture, sale, import and export)
and services include: the U.S. Food and Drug Administration, the Drug Enforcement Agency, the Environmental Protection
Agency, the Occupational Health & Safety Administration, the Department of Agriculture, the Department of Labor, the
Department of Defense, Customs and Border Protection, the Department of Commerce, the Department of Treasury and
others. International government agencies also regulate public health, product registration, manufacturing, environmental
conditions, exports, imports, and other aspects of the company’s global operations and products.
Pharmaceutical companies and their prescription brand and generic pharmaceutical products are subject to extensive pre-
and post-market regulation by the FDA under the Federal Food, Drug, and Cosmetic Act, or FFDCA, the Public Health
Service Act of 1944, or PHSA, and regulations implementing those statutes, with regard to the testing, manufacturing,
safety, efficacy, labeling, storage, record-keeping, advertising and promotion of such products, and by comparable agencies
and laws in foreign countries. For many drugs (drugs falling within the definition of “new drug” in the FFDCA), FDA
approval is required before the product can be marketed in the United States. All applications for FDA approval must
contain, among other things, comprehensive and scientifically reliable information relating to pharmaceutical formulation,
stability, manufacturing, processing, packaging, labeling and quality control. These applications must also contain data and
information related to safety, effectiveness, bioavailability and/or bioequivalence.
Many of our activities are subject to the jurisdiction of other federal regulatory and enforcement departments and agencies,
such as the Department of Health and Human Services, or HHS, Office of the Inspector General, or OIG, the Federal Trade
Commission (which also has the authority to regulate the advertising of consumer healthcare products, including over-the-
counter drugs), the Department of Justice, the Drug Enforcement Administration, or DEA, the Veterans Administration, the
Centers for Medicare and Medicaid Services and the Securities and Exchange Commission, or SEC. Individual states,
acting through their attorneys general, have become active as well, seeking to regulate the marketing of prescription drugs
under state consumer protection and false advertising laws.
FDA Approval and Regulatory Considerations
Prescription generic and branded pharmaceutical products are subject to extensive regulation by the FDA under the
FFDCA and PHSA and regulations implementing those statutes, with regard to the testing, manufacturing, safety, efficacy,
labeling, storage, record-keeping, advertising and promotion of such products, and regulation by other state, federal and
foreign agencies under the laws that they enforce. For many drugs (drugs falling within the definition of “new drug” in the
FFDCA), including the drugs in our current drug portfolio, FDA approval is required before marketing in the U.S.
Applications for FDA drug approval must generally contain, among other things, information relating to pharmaceutical
formulation, stability, manufacturing, processing, packaging, labeling, quality control and either safety and effectiveness or
bioequivalence. There are two drug approval processes under the FFDCA — an ANDA approval process for generic drugs
and an NDA approval process for new drugs that cannot be approved in ANDAs. For drugs that are “biological products”
within the meaning of the PHSA, there are two different approval processes — a biological license application, or BLA,
approval process for original biological products and a biosimilar application approval process for biosimilar products that
are approved based on their similarity to biologicals that were previously approved in BLAs.
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The ANDA Approval Process
Our pipeline generic drug product candidates cannot be lawfully marketed unless we obtain FDA approval. The Drug Price
Competition and Patent Term Restoration Act of 1984, commonly known as “the Hatch-Waxman Act,” established
abbreviated FDA approval procedures for drugs that are shown to be bioequivalent to drugs previously approved by the
FDA through its NDA process, which are commonly referred to as the “innovator” or “reference” drugs. Approval to
market and to distribute these bioequivalent drugs is obtained by filing an ANDA with the FDA. An ANDA is a
comprehensive submission that contains, among other things, data and information pertaining to the API, drug product
formulation, specifications, stability, analytical methods, manufacturing process validation data, quality control procedures
and bioequivalence. Rather than demonstrating safety and effectiveness, an ANDA applicant must demonstrate that its
product is bioequivalent to an approved reference drug. In certain situations, an applicant may submit an ANDA for a
product with a strength or dosage form that differs from a reference drug based upon FDA approval of an ANDA
Suitability Petition. The FDA will approve an ANDA Suitability Petition if it finds that the product does not raise questions
of safety and efficacy requiring new clinical data. ANDAs generally cannot be submitted for products that are not
bioequivalent to the referenced drug or that are labeled for a use that is not approved for the reference drug. Applicants
seeking to market such products can submit an NDA under Section 505(b)(2) of the FFDCA with supportive data from
clinical trials.
The Generic Drug User Fee Act, or GDUFA, was enacted by Congress in 2012 and was reauthorized as GDUFA II in 2017.
GDUFA is designed to provide funding to the FDA to expedite timelines for the FDA’s review of ANDA applications.
GDUFA funding is intended to increase the ability of the FDA to perform critical program functions and to reduce costs.
Under the GDUFA, the FDA has specific goals for reviewing ANDA applications. For example, as part of GDUFA II, the
goal of the FDA is to complete the review of 90% of original ANDA applications within 10 months from filing of the
ANDA. Under the previous GDUFA authorization, the average time for sponsors to obtain FDA approval of ANDAs was
32-34 months post-filing.
Upon approval of an NDA or ANDA, the FDA lists the product in a publication entitled “Approved Drug Products with
Therapeutic Equivalence Evaluations,” which is commonly known as the “Orange Book.” In the case of an NDA, the FDA
also lists patents identified by the NDA applicant as claiming the drug or an approved method of using the drug. Any
applicant who files an ANDA must certify to the FDA with regard to each relevant patent that (1) no patent information has
been submitted to the FDA; (2) the patent has expired; (3) the listed patent has not expired, but will expire on a particular
date and approval is sought after patent expiration; or (4) the patent is invalid or will not be infringed upon by the
manufacture, use or sale of the drug product for which the ANDA is submitted. This last certification is known as a
Paragraph IV certification. A notice of the Paragraph IV certification must be provided to each owner of the patent that is
the subject of the certification and to the holder of the approved NDA to which the ANDA refers. If the NDA holder
submits the patent information to the FDA prior to submission of the ANDA and the NDA holder or patent owner(s) sues
the ANDA applicant for infringement within 45 days of its receipt of the certification notice, the FDA is prevented from
approving that ANDA until the earlier of 30 months from the receipt of the notice of the Paragraph IV certification, the
expiration of the patent or such shorter or longer period as may be ordered by a court. This prohibition is generally referred
to as the 30-month stay. An ANDA applicant that is sued for infringement may file a counterclaim to challenge the listing
of the patent or information submitted to the FDA about the patent.
Generally, the ANDA applicant that (1) files a substantially complete ANDA using a Paragraph IV certification on the first
day prior to any other ANDA applicant filing an application with such a certification, based on the same reference drug and
(2) provides appropriate notice to the NDA holder, and all patent owner(s) for a particular generic product, the applicant
may be awarded a delay in the approval of other subsequently filed ANDAs with Paragraph IV certifications based on the
same reference drug. This statutory delay is commonly referred to as 180-day exclusivity. A substantially complete ANDA
is one that contains all the information required by the statute and the FDA’s regulations, including the results of any
required bioequivalence studies. The FDA may refuse to accept the filing of an ANDA that is not substantially complete or
may determine during substantive review of the ANDA that additional information, such as an additional bioequivalence
study, is required to support approval. Such a determination may affect an applicant’s first to file status and eligibility for
180-day exclusivity. The Medicare Prescription Drug Improvement and Modernization Act of 2003, or the MMA, provides
that the 180-day exclusivity delay ends 180 days after the first commercial marketing of the ANDA product. This
exclusivity may be forfeited under a number of different circumstances, including: (1) failure to market within certain
prescribed periods of time following certain events related to submission of the application, approval of the application,
court decisions and settlements and patent withdrawals from the Orange Book; (2) an
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amendment or withdrawal of the Paragraph IV certification or certifications upon which the exclusivity was based;
(3) failure to obtain tentative approval within certain prescribed time periods (30, 36, or 40 months after submission of the
ANDA); (4) an agreement with the NDA holder, patent owner or another ANDA applicant that is determined by a court or
the FTC to violate provisions of antitrust laws; (5) withdrawal of the ANDA; or (6) expiration of patent or patents upon
which exclusivity is based. The 180-day exclusivity provisions described above were passed in the MMA, and do not apply
where the first ANDA with a Paragraph IV certification submitted for the reference drug was filed before December 8,
2003.
ANDA approvals can be delayed by exclusivities awarded to the holder of the NDA for the reference drug. The FFDCA
provides five-year exclusivity to the first applicant to gain approval of an NDA for a new chemical entity, or NCE, meaning
that the FDA has not previously approved any other drug containing the same active moiety. This exclusivity generally
prohibits the submission of an ANDA for any drug product containing the same active moiety during the five-year
exclusivity period. However, submission of an ANDA with a Paragraph IV certification is permitted after four years, and if
a patent infringement lawsuit is brought within 45 days after such certification, FDA approval of the ANDA is delayed
until 7.5 years after the NCE approval date. The FFDCA also provides three-year exclusivity for the approval of new and
supplemental NDAs for product changes that require new clinical investigations (other than bioavailability studies) that
were conducted or sponsored by the applicant. These changes include, among other things, new indications, dosage forms,
routes of administration or strengths of an existing drug and new uses.
ANDA approvals can also be delayed by orphan drug exclusivity, pediatric exclusivity and exclusivity for certain new
antibiotic drugs. The FDA may grant orphan drug designation to a drug intended to treat a rare disease or condition, which
is generally a disease or condition that affects fewer than 200,000 individuals in the U.S. or more than 200,000 individuals
in the U.S. and for which there is no reasonable expectation that the cost of developing and making available in the U.S. a
drug for this type of disease or condition will be recovered from sales in the U.S. for that drug. Seven-year orphan drug
exclusivity is available to a product that has orphan drug designation and that receives the first FDA approval for the
indication for which the drug has such designation. Orphan drug exclusivity prevents approval of another application for
the same drug, for the same orphan indication, for a period of seven years, regardless of whether the application is a full
NDA or an ANDA, except in limited circumstances, such as a showing of clinical superiority to the product with orphan
exclusivity. Pediatric exclusivity, if granted, provides an additional six months to an existing exclusivity or statutory delay
in approval resulting from a patent certification. This six-month exclusivity, which runs from the end of other exclusivity
protection or patent delay, may be granted based on the voluntary completion of a pediatric study in accordance with an
FDA-issued written request for such a study. The FFDCA also provides exclusivity for certain antibiotic drugs for serious
or life-threatening infections that FDA designates as “qualified infectious disease products.” This exclusivity extends other
exclusivities for the same drug by five years, but does not extend patent-related delays in approval.
In 2017, the FDA Reauthorization Act of 2017, or FDARA, was passed, which created a new pathway to allow the FDA to
expedite the development and review of an ANDA for a drug that is designated as a Competitive Generic Therapy, or CGT.
To qualify for the designation, the FDA must confirm that the ANDA is for a generic drug in which there is inadequate
generic competition. Inadequate generic competition is defined to mean, that there is not more than one approved drug in
the active section of the Orange Book.
Once assigned CGT designation by the FDA, the FDA may take various actions to help expedite the development and
review process. This includes priority granting and expediting review during Product Development and Pre-Submission
Meetings, Mid-Review Cycle Meetings and provide for a more coordinated review of ANDA’s with CGT.
As part of the FDARA, a new type of 180-day marketing exclusivity period for ANDA applicants with CGT designation
has been created. Broadly, this exclusivity applies when the ANDA applicant is considered as the first approved applicant,
and there is no other exclusivity period eligibility.
Many of our ANDAs on file and many of the products that we are developing qualify for CGT. Having a generic product
designated as CGT provides for certain actions which the FDA may take in order to expedite the development and review
of an ANDA.
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The NDA Approval Process
The NDA approval process is generally far more demanding than the ANDA process, depending on whether the applicant
is submitting a “full NDA” containing all of the data and information required for approval of a new drug or a
“Section 505(b)(2) NDA” which is a more limited submission that is generally utilized for modifications to previously
approved products.
The Prescription Drug User Fee Act, or PDUFA, was enacted by Congress in 1992. It authorizes the FDA to collect fees
from companies that produce certain new human drug and biological products. The fees collected are designed to play an
important role in expediting the new drug approval process. Like GDUFA, PDUFA must be reauthorized every 5 years. It is
currently authorized as PDUFA VI through September of 2022. As part of the PDUFA, the FDA has specific goals for
reviewing NDA/BLA applications. For example, as part of PDUFA VI, the goal of the FDA is to complete the review of
90% of original NDAs that are not new molecular entities within 10 months of the date of filing the NDA.
The Full NDA
The approval process for a full NDA generally involves:
● completion of preclinical laboratory and animal testing to demonstrate safety, in compliance with the FDA’s
good laboratory practice, or GLP, regulations;
● submission to the FDA of an investigational new drug application, or IND, for human clinical testing that
must satisfy the FDA and become effective before human clinical trials may begin;
● performance of adequate and well-controlled human clinical trials to establish the efficacy of the proposed
drug product for each intended use;
● satisfactory completion of an FDA pre-approval inspection of the facility or facilities at which the product is
produced to assess compliance with the FDA’s cGMP regulations; and
● submission to and approval by the FDA of an NDA.
Before human clinical trials can begin on a new drug, the results of preclinical tests, together with manufacturing
information and analytical data, must be submitted to the FDA as part of an IND and the FDA must permit the IND to
become effective. Each clinical trial under an IND must be reviewed and approved by an independent Institutional Review
Board, or IRB. Human clinical trials are typically conducted in three sequential phases that may overlap. These phases
generally include:
● Phase 1, during which the drug is introduced into healthy human subjects, or on occasion, patients and is
tested for safety, stability, dose tolerance and metabolism;
● Phase 2, during which the drug is introduced into a limited patient population to determine the efficacy of the
product in specific targeted indications, to determine dosage tolerance and optimal dosage and to identify
possible adverse effects and safety risks; and
● Phase 3, during which the clinical trial is expanded to a larger and more diverse patient group at
geographically dispersed clinical trial sites to further evaluate the drug and ultimately to demonstrate
effectiveness.
The IND sponsor, the FDA or the IRB may suspend a clinical trial at any time for various reasons, including failure to
follow appropriate ethical trial protocols, failure to provide adequate protections for trial participants or a belief that the
subjects are being exposed to an unacceptable health risk.
The results of preclinical animal studies and human clinical studies, together with other detailed information (e.g., relating
to pharmaceutical formulation, stability, manufacturing, processing, packaging, labeling, quality control) are submitted to
the FDA in the NDA.
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The Section 505(b)(2) NDA
For modifications to products previously approved by the FDA, an applicant may file an NDA under Section 505(b)(2) of
the FFDCA. This section permits the filing of an NDA where some or all of the data required for approval comes from
studies not conducted by or for the applicant and for which the applicant has not obtained a right of reference. Under this
section, an applicant may rely on the approval of another NDA or on studies published in the scientific literature. The
applicant may be required to conduct additional studies or provide additional information to fully demonstrate the safety
and effectiveness of its modification to the approved product.
Where a Section 505(b)(2) applicant relies on the FDA’s approval of another NDA, the applicant is required to submit the
same types of patent certifications as are required for an ANDA. As in the case of an ANDA, a Paragraph IV certification
challenging one or more of the patents listed for the reference drug will require notice to the patent owner(s) and NDA
holder and will permit a patent infringement suit that may result in a 30-month stay in the approval of the Section 505(b)(2)
NDA. The approval of a Section 505(b)(2) NDA may also be delayed by the NCE, three-year, orphan drug, pediatric and
new antibiotic exclusivities that are applicable to ANDAs as discussed above.
The Biosimilar Application Approval Process
The BPCIA, passed by Congress in 2010, amended the PHSA to create an abbreviated approval pathway for follow-on
biologics. This approval pathway is available for “biosimilar” products, which are products that are highly similar to
biologics that have been approved in BLAs under the PHSA notwithstanding minor differences in clinically inactive
components. A biosimilar application must contain information demonstrating (1) biosimilarity to the reference product,
(2) sameness of strength, dosage form, route of administration and mechanism(s) of action with the reference product
(where known), (3) approval of the reference product for the indication(s) proposed for the biosimilar product and
(4) appropriate manufacturing facilities. FDA will approve the application based on a finding of biosimilarity or
interchangeability with the reference product. A finding of biosimilarity must be based on (1) a demonstration that the
products are “highly similar” notwithstanding minor differences in clinically inactive components, (2) animal studies,
including an assessment of toxicity, and (3) a clinical study or studies (including an assessment of immunogenicity and
pharmacokinetics or pharmacodynamics) sufficient to show the safety, purity and potency of the proposed product for one
or more “appropriate” conditions of use for which licensure is sought and for which the reference product is licensed,
unless FDA waives a specific requirement. The definition of “biosimilar” requires that there be no clinically meaningful
differences between the biosimilar and reference product with regard to safety, purity and potency.
An applicant with a pending or approved biosimilar application may seek an FDA determination that its product is
interchangeable with the reference drug. In addition to demonstrating biosimilarity to the reference product, the biosimilar
applicant must demonstrate that its product can be expected to yield the same clinical result as the reference product in any
given patient. If the biosimilar product may be administered more than once to a patient, the applicant must demonstrate
that the risk in terms of safety or diminished efficacy of alternating or switching between the biosimilar and reference
products is not greater than the risk of continued administration of the reference product. The PHSA provides that a
determination of interchangeability means that the biosimilar product may be substituted for the reference product without
the intervention of the health care provider who prescribed the reference product. The first biosimilar determined to be
interchangeable with a particular reference product for any condition of use is protected by an exclusivity that delays an
FDA determination of interchangeability with regard to any other biosimilar application. The exclusivity delays the
subsequent interchangeability determination until the earlier of: (1) one year after the first commercial marketing of the
first interchangeable product; (2) 18 months after resolution of a patent infringement suit based on a final court decision
regarding all of the patents in the litigation or dismissal of the litigation with or without prejudice; (3) 42 months after
approval of the first interchangeable biosimilar biological product, if an expedited patent action was commenced against
the applicant under section 351(l)(6) and the litigation is still pending; or (4) 18 months after approval of the first
interchangeable product if the reference product sponsor did not sue the biosimilar applicant for infringement under the
patent resolution provisions of the PHSA.
The PHSA provides a number of exclusivity protections for reference products that may delay submission and approval of
biosimilar applications. The PHSA delays submission of a biosimilar application until four years after the date on which the
reference product was first licensed and delays final approval of a biosimilar application until 12 years after the first
licensure of the reference product. The first-licensure requirement precludes an additional period of exclusivity for a
supplement to the original application for the reference product. It also precludes exclusivity for an entirely new BLA in
certain circumstances. A new BLA submitted by a sponsor or manufacturer of a previously approved biologic
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would not be protected by exclusivity for (1) a non-structural change that results in a new indication, route of
administration, dosing schedule, dosage form, delivery system, delivery device or strength or (2) a structural change that
does not result in a change in safety, purity or potency. As in the case of NDAs approved under the FFDCA, BLAs may be
entitled to orphan exclusivity and to pediatric exclusivity.
The BPCIA amended the definition of biological product to include proteins (other than synthetic polypeptides).
Applications for biological products, including proteins, must now be approved under the PHSA rather than under the
FFDCA. The BPCIA provides a grandfather exception for biologics falling within a product class for which FDA has
approved an application under the FFDCA. Applications for approval of these types of proteins may be submitted under the
FFDCA until March 23, 2020, unless there is a biological product licensed under the PHSA that could serve as a reference
product for a biosimilar application.
Under the PHSA, patents are not listed in the Orange Book and companies submitting biosimilar applications are not
required to submit patent certifications. Patent disputes are resolved outside of the FDA regulatory process. The biosimilar
applicant must share the contents of its biosimilar application and information on its manufacturing processes with counsel
for the company holding the BLA for the reference drug. The biosimilar applicant and BLA holder must exchange
information about relevant patents and seek agreement on patents to be litigated under an expedited litigation procedure.
The BLA Approval Process
The BLA approval process is similar to the Full NDA approval process and generally involves:
● completion of preclinical laboratory and animal testing in compliance with the FDA’s GLP regulations;
● submission to the FDA of an IND for human clinical testing, which must satisfy FDA and become effective
before human clinical trials may begin;
● performance of adequate and well-controlled human clinical trials to establish the efficacy of the proposed
drug product for each intended use;
● satisfactory completion of an FDA pre-approval inspection of the facility or facilities at which the product is
produced to assess compliance with the FDA’s cGMP regulations; and
● submission to and approval by the FDA of a BLA.
Combination Products
● A combination product is a product comprising of two or more regulated components (e.g., a drug and
device) that are combined into a single product, co-packaged, or sold separately but intended for co-
administration, as evidenced by the labeling for the products. A drug that is administered using an inhaler is
an example of a combination drug/device product.
● The FDA is divided into various Centers, which each have authority over a specific type of product. NDAs
are reviewed by personnel within the Center for Drug Evaluation and Research, or CDER, while device
applications and premarket notifications are reviewed by the Center for Devices and Radiological Health, or
CDRH. When reviewing a drug/device combination product, the FDA must assign a lead Center to review
the product, based on the combination product's primary mode of action, or PMOA, which is the single mode
of a combination product that provides the most important therapeutic action of the combination product. The
Center that regulates that portion of the product that generates the PMOA becomes the lead evaluator. If there
are two independent modes of action, neither of which is subordinate to the other, the FDA makes a
determination as to which Center to assign the product based on consistency with other combination products
raising similar types of safety and effectiveness questions or to the Center with the most expertise in
evaluating the most significant safety and effectiveness questions raised by the combination product.
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● When evaluating an application, a lead Center may consult other Centers and apply the standards that would
be applicable but still retain complete reviewing authority, or it may collaborate with another Center, by
which the Center assigns review of a specific section of the application to another Center, delegating its
review authority for that section. Typically, the FDA requires a single marketing application submitted to the
Center selected to be the lead evaluator, although the agency has the discretion to require separate
applications to more than one Center. One reason to submit multiple applications is if the applicant wishes to
receive some benefit that accrues only from approval under a particular type of application, like new drug
product exclusivity. If multiple applications are submitted, each may be evaluated by a different lead Center.
● Our inhalers and prefilled syringes, which deliver a specific drug, are regulated by the FDA as combination
products. We believe the combination products will be regulated by the FDA as a drug (and not a device)
because the primary mode of action of the combination will be a drug action. As such, we will need to submit
a marketing application to the CDER for our inhalers or prefilled syringes that deliver a specific drug. CDRH
will provide input to CDER on the device aspects of the combination. We can provide no assurance that any
of our combination products will be approved by FDA in a timely fashion, if at all.
● Like their constituent products—e.g., drugs and devices—combination products are highly regulated and
subject to a broad range of post marketing requirements including cGMPs, adverse event reporting, periodic
reports, labeling and advertising and promotion requirements and restrictions, market withdrawal and recall.
FDA Action on an Application for Approval
If applicable statutory or regulatory requirements are not satisfied, the FDA may deny approval of an NDA, ANDA, BLA,
or biosimilar application, or the FDA may require additional data or information. After approval of the application, the
FDA may suspend or withdraw the approval based on various criteria, including new information related to safety or
effectiveness or failure to comply with post-approval requirements. In addition, the FDA may in some instances require
post-marketing studies on approved products and may take actions to limit marketing of the product based on the results of
those studies.
The new drug and biological product approval processes may take years, and the time may vary substantially based upon
the type of application and the type, complexity and novelty of the product or disease. Government regulation may delay or
prevent marketing of potential products for a considerable period of time and impose costly procedures upon a
manufacturer’s activities. Success in early stage clinical trials does not assure success in later stage clinical trials. Data
obtained from clinical activities are not always conclusive and may be subject to varying interpretations that could delay,
limit or prevent regulatory approval. Even if a product receives regulatory approval, later discovery of previously unknown
problems with a product may result in restrictions on the product or complete withdrawal of the product from the market.
Manufacturing (cGMP) Requirements
We and our suppliers are required to comply with applicable FDA manufacturing requirements contained in the FDA’s
cGMP regulations. These cGMP regulations require among other things, quality control and quality assurance as well as
the corresponding maintenance of records and documentation. The manufacturing facilities for our products must meet
cGMP requirements to the satisfaction of the FDA before the FDA will approve our products and we must continue to meet
these requirements after our products are approved. We and our suppliers are subject to periodic inspections of facilities by
the FDA and other authorities to assess our compliance with applicable regulations.
Other Regulatory Requirements
Maintaining substantial compliance with appropriate federal, state and local statutes and regulations requires the
expenditure of substantial time and financial resources. Drug manufacturers are required to register their establishments
with the FDA and certain state agencies. After approval, the FDA and these state agencies conduct periodic unannounced
inspections to ensure continued compliance with ongoing regulatory requirements.
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In addition, after approval, some types of changes to the approved product, such as adding new indications, manufacturing
changes and additional labeling claims, are subject to further FDA review and approval. The FDA may require post-
approval testing and surveillance programs to monitor safety and effectiveness of approved products that have been
commercialized. Any drug products manufactured or distributed pursuant to FDA approvals are subject to continuing
regulation by the FDA, including:
● record-keeping requirements;
● reporting of adverse experiences with the drug;
● providing the FDA with updated safety and efficacy information;
● reporting on advertisements and promotional labeling;
● drug sampling and distribution requirements; and
● complying with electronic record and signature requirements.
In addition, the FDA strictly regulates labeling, advertising, promotion and other types of information on products that are
placed on the market. There are numerous regulations and policies that govern various means for disseminating information
to health-care professionals, as well as consumers, including industry sponsored scientific and educational activities,
information provided to the media and information provided over the Internet. Drugs may be promoted only for the
approved indications and in accordance with the provisions of the approved label.
FDA Enforcement Authority
The FDA has very broad enforcement authority and the failure to comply with applicable regulatory requirements can
result in administrative or judicial sanctions being imposed on us or on the manufacturers and distributors of our approved
products, including warning letters, refusals of government contracts, clinical holds, civil penalties, injunctions (which may
in some circumstances involve restitution, disgorgement or profits, recalls and/or total or partial suspension of production
or distribution), seizure of products, withdrawal of approvals, refusal to approve pending applications and criminal
prosecution of the company and company officials that may result in fines and incarceration. The FDA has authority to
inspect manufacturing facilities as well as other facilities in which drug products are held, packaged or stored, to determine
compliance with cGMP and other requirements under the FDCA. The FDA and other agencies actively enforce the laws
and regulations prohibiting the promotion of off-label uses, and a company that is found to have improperly promoted off-
label uses may be subject to significant liability. In addition, even after regulatory approval is obtained, later discovery of
previously unknown problems with a product may result in restrictions on the product or even complete withdrawal of the
product from the market.
We are also subject to various laws and regulations regarding laboratory practices, the experimental use of animals and the
use and disposal of hazardous or potentially hazardous substances in connection with our research. In each of these areas,
as above, the FDA has broad regulatory and enforcement powers, including the ability to levy fines and civil penalties,
suspend or delay issuance of approvals, seize or recall products and withdraw approvals, any one or more of which could
have a materially adverse effect on us.
In December 2020, our IMS facility in South El Monte, California was subject to an inspection by the DEA. The inspection
was routine as part of the DEA surveillance program. Due to COVID-19 restrictions, much of the inspection was
performed off-site, by DEA inspectors (i.e. a “paper inspection”). The DEA has completed the inspection, including a
thorough review of the requested documents and has found the facility to be in compliance.
Foreign Regulatory Requirements
Outside the United States, our ability to market a product is contingent upon receiving marketing authorization from the
appropriate regulatory authorities. The requirements governing marketing authorization, pricing and reimbursement vary
widely from country to country. At present, foreign marketing authorizations are applied for at a national level, although
within the European Union registration procedures are available to companies wishing to market a product in more than
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one European Union member state. The regulatory authority generally will grant marketing authorization if it is satisfied
that we have presented it with adequate evidence of safety, quality and efficacy.
Prescription Drug Wrap-Up
When Congress passed the FFDCA in 1938, it required that “new drugs” be approved based on their safety. In 1962,
Congress amended the FFDCA to require that sponsors demonstrate that new drugs are effective, as well as safe, in order to
receive FDA approval. We refer to these provisions as the “1962 Amendments.” The 1962 Amendments also required the
FDA to conduct a retrospective evaluation of the efficacy of the drug products that the FDA approved between 1938 and
1962 on the basis of safety alone. The FDA contracted with the National Academy of Science/National Research Council,
or the NAS/NRC, to make an initial evaluation of the efficacy of many of these drug products. The FDA’s administrative
implementation of the NAS/NRC reports was called the Drug Efficacy Study Implementation, or DESI.
Drugs that were not subject to applications approved between 1938 and 1962 were not subject to DESI review. For a period
of time, the FDA did not challenge the marketing of these drugs without approval. In 1984, however, spurred by serious
adverse reactions to one of these products and concerns expressed by Congress, FDA undertook an assessment of the
products under an initiative known as the “Prescription Drug Wrap-Up.” Most of these drugs contain active ingredients that
were first marketed prior to the enactment of the FFDCA. Several of our marketed pharmaceutical products fall within this
category.
The FDA has asserted that all drugs subject to the Prescription Drug Wrap-Up are on the market illegally unless they fall
within two “grandfather” exceptions to the new drug definition. The first is a provision in the new drug definition
exempting drugs that were on the market prior to the passage of the FFDCA and that contain the same representations
concerning the conditions of use as they did prior to passage of the FFDCA. The 1962 Amendments also exempt drugs that
were not new drugs prior to the passage of the 1962 Amendments and that have the same composition and labeling as they
had prior to the passage of the 1962 Amendments. The FDA and the courts have interpreted these two exceptions very
narrowly. Therefore, the FDA could commence enforcement action at any time regarding any or all of our unapproved
prescription products. The FDA requested us to discontinue the manufacturing and distribution of our epinephrine
injection, USP vial product, which has been marketed under the “grandfather” exception to the FDA’s “Prescription Drug
Wrap-Up” program. We discontinued selling this product in the second quarter of 2017. In April 2020, the FDA granted
approval of our Epinephrine Injection USP 30mg/30mL Multiple Dose Vial.
Additionally, the FDA granted approval of our ANDAs for calcium chloride injection, atropine sulfate injection, and
Glucagon for injection emergency kit in May 2018, October 2020 and December 2020, respectively.
The FDA has adopted a risk-based enforcement policy that prioritizes enforcement of new drug requirements for these and
other unapproved drugs that pose safety concerns, lack evidence of efficacy, prevent patients from pursuing effective
therapies, are marketed fraudulently, violate other provisions of the FFDCA, such as cGMP requirements, or directly
compete with approved drugs. The FDA has indicated that approval of an NDA for one drug within a class of drugs
marketed without FDA approval may trigger agency enforcement of the new drug requirements. Once the FDA issues an
approved NDA for one of the drug products at issue or completes the efficacy review for that drug product, it may require
other manufacturers to also obtain approval for that same drug in order to continue marketing it in the United States. While
the FDA generally provides sponsors a one-year grace period, the agency is not statutorily required to do so.
USDA Animal and Plant Health Inspection Service
USDA-APHIS regulates the importation of certain animals and animal-derived materials into the U.S. In particular, a
USDA veterinary permit is required for importation of materials derived from animals or exposed to animal-source
materials. Recently, USDA enhanced its ASF surveillance efforts, including restrictions on importation of pig-derived
products from affected countries and testing for the ASF virus. While ASF does not affect human health, it is a highly
contagious and deadly disease to local pig populations. ASF is currently widespread and endemic in various parts of Africa
and Sardinia. In recent years, ASF has been reported in parts of the European Union and in China, where the first cases of
ASF were reported in August 2018. Complying with additional requirements, such as additional analytical data and
documentation of processing flow, may be required for obtaining an import permit for certain materials from affected
countries. Changes made to suppliers or sources of raw materials for drug products will require prior FDA approval, which
would disrupt or delay the manufacturing of our products.
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Fraud and Abuse Laws
Because of the significant federal funding involved in Medicare and Medicaid, Congress and the states have enacted, and
actively enforce, a number of laws to eliminate fraud and abuse in federal health care programs. Our business is subject to
compliance with these laws.
Federal False Claims Act
The False Claims Act, or FCA, imposes liability on any person or entity that, among other things, knowingly presents, or
causes to be presented, a false or fraudulent claim for payment by a federal health care program. The qui tam provisions of
the FCA allow a private individual to bring actions on behalf of the federal government alleging that the defendant has
submitted a false claim to the federal government and to share in any monetary recovery. In recent years, the number of
suits brought against health care providers by private individuals has increased dramatically. In addition, various states
have enacted false claims laws analogous to the FCA, and many of these state laws apply where a claim is submitted to any
third-party payer and not merely a federal or other governmental health care program.
When an entity is determined to have violated the FCA, it may be required to pay up to three times the actual damages
sustained by the government, plus civil penalties of between $11,665 and $23,331 for each separate instance of a false
claim, subject to adjustment for inflation. There are many potential bases for liability under the FCA. Liability arises,
primarily, when an entity knowingly submits, or causes another to submit, a false claim for reimbursement to the federal
government. The federal government has used the FCA to assert liability on the basis of inadequate care, kickbacks and
other improper referrals, and improper use of Medicare numbers when detailing the provider of services, in addition to the
more predictable allegations of misrepresentations with respect to the services rendered. In addition, the federal
government has prosecuted companies under the FCA in connection with off-label promotion of products. Our current and
future activities relating to the reporting of wholesale or estimated retail prices of our products, the reporting of discount
and rebate information and other information affecting federal, state and third-party reimbursement of our products, and the
sale and marketing of our products may be subject to scrutiny under these laws. While we are unaware of any current
matters, we are unable to predict whether we will be subject to actions under the False Claims Act or a similar state law, or
the impact of such actions. However, the costs of defending such claims, as well as any sanctions imposed, could
significantly affect our financial performance.
The Open Payment Act
The Physician Payment Sunshine Act, or the Open Payment Act, which was enacted as part of the Affordable Care Act,
requires all pharmaceutical manufacturers that participate in Medicare, Medicaid or the Children’s Health Insurance
Program to report annually to the Secretary of the Department of Health and Human Services payments or other transfers
of value made in the previous year by that entity, or by a third party as directed by that entity, to covered recipients,
including physicians and teaching hospitals, as defined by law, or to third parties on behalf of such covered recipients, as
well as ownership and investment interests held by physicians and their immediate family members. The payments and
transfer of value required to be reported include the cost of meals provided to a physician, travel reimbursements and other
transfers of value provided as part of contracted services, including speaker programs, advisory boards, consultation
services and clinical trial services. Effective January 1, 2022, these reporting obligations will extend to include payments
and transfers of value made during the previous year to certain non-physician covered recipients, such as physician
assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists & anesthesiologist assistants,
and certified nurse-midwives. The statute requires the federal government to make reported information available to the
public. Failure to comply with the reporting requirements can result in significant civil monetary penalties ranging from
$1,176 to $11,766 for each payment or other transfer of value that is not reported (up to a maximum per annual report of
$176,495) and from $11,766 to $107,664 for each knowing failure to report (up to a maximum per annual report of
$1,176,638). Additionally, there are criminal penalties if an entity intentionally makes false statements in such reports. We
are subject to the Open Payment Act and the information we disclose may lead to greater scrutiny, which may result in
modifications to established practices and additional costs. Additionally, similar reporting requirements have also been
enacted on the state level domestically, and an increasing number of countries worldwide either have adopted or are
considering adopting similar laws requiring transparency of interactions with health care professionals.
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The Anti-kickback Statute
As a life sciences company, we are subject to the federal anti-kickback statute, or AKS. The AKS prohibits payments or
providing anything of “value” (remuneration) for the purpose of inducing or rewarding the referral or generation of
healthcare business. The intent is to protect the independence and clinical judgment of providers. There are numerous
exceptions, or safe harbors, the most notable of which are that it is permissible to provide a discount or rebate to a
healthcare provider based upon volume, and that manufacturers can pay administrative fees to GPOs or buying groups.
As a result of the AKS, the company pays particular attention to interactions with healthcare providers and how it
structures sales. Any and all discounts that are offered are appropriately disclosed and documented to promote compliance
with the AKS.
Both consulting relationships with healthcare providers and educational and research activities with healthcare providers
and teaching hospitals receive considerable enforcement scrutiny. As a result, the company also pays particular attention to
these relationships.
Environmental Considerations
We are subject to federal, state and local environmental laws and regulations, both U.S. and foreign, including those
promulgated by the Occupational Safety and Health Administration, the Environmental Protection Agency, the Department
of Health and Human Services and the Air Quality Management District, which govern activities and operations that may
have adverse environmental effects such as discharges to air, soil and water, as well as handling and disposal practices for
solid and hazardous wastes. Because we own and operate real property, these laws impose strict liability for the costs of
cleaning up, and for damages resulting from, sites of past spills, disposals or other releases of hazardous substances and
materials. These laws and regulations may also require us to pay for the investigation and remediation of environmental
contamination at properties operated by us and at off-site locations where we have arranged for the disposal of hazardous
substances. If it is determined that our operations or facilities are not in compliance with current environmental laws, we
could be subject to fines and penalties, the amount of which could be material.
The costs of complying with various applicable environmental requirements, as they now exist or as may be altered in the
future, could adversely affect our financial condition and results of operations. For example, as a result of environmental
concerns about the use of CFCs, the FDA issued a final rule on January 16, 2009 that required the phase-out of the CFC
version of our Primatene® Mist product by December 31, 2011. This phase out caused us to halt sales of the CFC version
of our Primatene® Mist product subsequent to December 31, 2011 and write off our inventory for the product, which had an
adverse effect on our financial results.
We have made and will continue to make expenditures to comply with current and future U.S. and foreign environmental
laws and regulations. We anticipate that we will incur additional capital and operating costs in the future to comply with
existing environmental laws and new requirements arising from new or amended statutes and regulations. We cannot
accurately predict the impact and costs that future regulations will impose on our business.
Other Regulations
We also must comply with data protection and data privacy requirements such as HIPAA, GDPR, and the upcoming CPRA.
Compliance with these laws, rules and regulations regarding privacy, security and protection of employee data could result
in higher compliance and technology costs for us, as well as significant fines, penalties and damage to our global reputation
and our brand as a result of non-compliance.
Intellectual Property
Our success depends on our ability to operate without infringing the patents and proprietary rights of third parties.
However, we cannot determine with certainty whether patents or patent applications of other parties will have a materially
adverse effect on our ability to make, use, or sell any products. A number of pharmaceutical companies, biotechnology
companies, universities and research institutions may have filed patent applications or may have been granted patents that
cover aspects of our, or our licensors’ products, product candidates, or other technologies.
With respect to our existing generic products and generic product candidates, we primarily rely on trade secrets, unpatented
proprietary know-how and continuing technological innovation to protect our products and technologies,
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especially where we do not believe patent protection is appropriate or obtainable. Although in some cases, we seek patent
protection to preserve our competitive position, our current patent portfolio does not cover the majority of our existing
products and product candidates. We own several U.S. and foreign patents covering processes and equipment used in the
manufacture of a few of our products. The expiration dates of these patents range from 2021 to 2036. We also own several
trademarks registered with the USPTO.
We own a U.S. patent covering the HFA version of Primatene Mist®: U.S. Patent Number 8,367,734, which was issued on
February 5, 2013, and expires in January 2026. We have several patent applications that are currently pending. The
majority of our significant products or product candidates are not covered by any U.S. or foreign patents related to
formulations or compositions. Indeed, many of our products and product candidates are generic products, and therefore
may not be eligible for patent protection. For example, our enoxaparin product is a generic product, and as such, our
enoxaparin product is not covered by any U.S. or foreign patents. Other of our products, including Amphadase®, are based
on compounds for which any applicable patents have expired, or which were not patented by Amphastar in the first
instance because they are older compounds. As for the remainder of our product candidates that are not intended to be
generic products, we may seek to obtain patent rights or rely on trade secret protection. In any case, the majority of our
products and product candidates are not currently covered by any U.S. or foreign patents.
We may not be able to obtain patent or other forms of protection for inventions or other intellectual property developed by
our officers, employees, or consultants because we might not have been the first to file or to invent the patentable
technology or others may have independently developed similar or alternative technology.
Despite our efforts to protect our proprietary information through the use of confidentiality and non-disclosure agreements,
unauthorized parties may copy aspects of our products or obtain and use information that we regard as proprietary. Other
parties may also independently develop know-how or obtain unauthorized access to our technologies.
Intellectual property protection is highly uncertain and involves complex legal and factual questions. Our patents and those
for which we have or will license rights may be challenged, invalidated, infringed or circumvented, and the rights granted
in those patents may not provide proprietary protection or competitive advantages to us. We and our licensors may not be
able to develop patentable products. Even if a patent application is filed, some or all of the patent claims may not be
allowed, the patent itself may not issue, or in the event of issuance, the issued claims may not be sufficient to protect the
technology owned by or licensed to us.
Third-party patent applications and patents could reduce the coverage of the patents licensed, or that may be licensed to, or
owned by us. If patents containing competitive or conflicting claims are issued to third parties, we may be enjoined from
the commercialization of products or be required to obtain licenses to these patents or to develop or obtain alternative
technology. In addition, other parties may duplicate, design around or independently develop similar or alternative
technologies to ours or those of our licensors.
Litigation may be necessary to enforce patents issued or licensed to us or to determine the scope or validity of another
party’s proprietary rights. USPTO interference proceedings may be necessary if we and another party both claim to have
invented the same subject matter. Even if we ultimately prevail, we could incur substantial costs and our management’s
attention would be diverted if:
● litigation is required to defend against patent suits brought by third parties;
● we participate in patent suits brought against or initiated by our licensors;
● we initiate suits against third parties who are infringing on our patents; or
● we participate in an interference or other similar USPTO proceeding.
However, even if we pursue litigation or other action to protect our intellectual property rights, we may not prevail in any
of these actions or proceedings.
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Human Capital
As of December 31, 2020, we have 1,980 full-time employees in the United States, China, and France. Of these employees,
24 hold Ph.D.’s, and an additional 153 employees hold a master’s degree or other post-graduate degrees. We consider our
employees’ intellectual capital to be an essential driver of our business and key to our future prospects. None of our U.S.
employees is subject to a collective bargaining agreement or represented by a trade or labor union.
The following table summarizes our employees by category and location:
Manufacturing
QA/QC and Regulatory Affairs
Sales and Marketing
General and administrative
Research and Development
Total employees
Talent Acquisition and Retention
United States
942
166
17
102
232
1,459
China
France
Total
96
104
—
69
117
386
80
26
—
24
5
135
1,118
296
17
195
354
1,980
We recognize that our employees largely contribute to our success. To this end, we support business growth by seeking to
attract and retain best-in-class talent. Our talent acquisition team uses internal and external resources to recruit highly
skilled candidates globally. We continue to attract and retain superior talent as measured by our minimal turnover rate and
high employee service tenure.
Total Rewards
Our total rewards philosophy recognizes the contributions of our workforce by offering competitive compensation and
benefit packages. We provide employees with compensation packages that include base salary, annual incentive bonuses,
and long-term equity awards. We also offer comprehensive employee benefits, which vary by country and region, such as
life and health insurance, health savings accounts, paid time off, an Employee Stock Purchase Program, and a 401(k) plan.
Health, Safety, and Wellness
Our employees’ health, safety, and wellness is a priority in which we have always invested and will continue to do so. We
provide our employees and their families with access to various innovative, flexible, and convenient health and wellness
programs. Program benefits are intended to provide protection and security, so employees can have peace of mind
concerning events that may require time away from work or impact their financial well-being. These programs are
highlighted regularly in our monthly human resources newsletters.
These investments and the prioritization of employee health, safety, and wellness took on particular significance in 2020 in
light of COVID-19. To protect and support our essential team members, we implemented health and safety measures that
included maximizing personal workspaces, changing shift schedules, providing personal protective equipment, or PPE,
implementing heighted cleaning of high contact surfaces, and instituting mandatory screening before accessing buildings.
We are monitoring this rapidly evolving situation and will continue to seek programs to educate and assist employees
whenever possible.
Diversity, Equity, and Inclusion
We believe a diverse workforce is critical to our success. Our mission is to value differences in races, ethnicities, religions,
nationalities, genders, ages, sexual orientations, as well as education, skill sets, and experience. We are focused on inclusive
hiring practices, fair and equitable treatment, organizational flexibility, and training and resources.
Corporate Information
We incorporated in California under the name Amphastar Pharmaceuticals, Inc. in 1996 and merged our California
corporation into Amphastar Pharmaceuticals, Inc., a newly formed Delaware corporation, in 2004. Our corporate offices
are located at 11570 6th Street, Rancho Cucamonga, CA 91730. Our telephone number is (909) 980-9484. Our Annual
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Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and amendments to those reports
filed or furnished pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended, are available free
of charge as soon as reasonably practicable after we electronically file them with, or furnish them to, the SEC. You can
access our filings with the SEC by visiting www.amphastar.com. The information that is contained on or that can be
accessed through our website is not incorporated into this Annual Report on Form 10-K, and the inclusion of our website
address is an inactive textual reference only. Additionally, copies of materials filed by us with the SEC may be accessed at
the SEC’s website at www.sec.gov.
We use our website as a channel of distribution for important company information. Important information, including press
releases, analyst presentations and financial information regarding us, as well as corporate governance information, is
routinely posted and accessible on the “Investors” section of the website, which is accessible by clicking on the tab labeled
“Investors” on our website home page. Information on or that can be accessed through our website is not part of this
Annual Report on Form 10-K, and the inclusion of our website address is an inactive textual reference only.
Item 1A. Risk Factors.
Investing in our common stock involves a high degree of risk. You should carefully consider the risks and uncertainties
described below, together with all of the other information contained in this Annual Report on Form 10-K, including our
consolidated financial statements and the related notes thereto. Our future operating results may vary substantially from
anticipated results due to a number of risks and uncertainties, many of which are beyond our control. The risks and
uncertainties described below are not the only ones we face. Additional risks and uncertainties that we are unaware of, or
that we currently believe are not material, may also become important factors that affect us. The following discussion
highlights some of these risks and uncertainties and the possible impact of these risks on future results of operations. If any
of the following risks occur, our business, financial condition or results of operations could be materially and adversely
affected. In that case, the market value of our common stock could decline substantially and you could lose part or all of
your investment.
Summary of Risk Factors
Our business is subject to numerous risks and uncertainties that you should consider before investing in our company, as
fully described below. The principal factors and uncertainties that make investing in our company risky include, among
others:
● our success depends on our ability to develop and/or acquire and commercialize additional
pharmaceutical products;
● our Primatene Mist®, lidocaine, phytonadione, and enoxaparin products collectively represent a
significant portion of our net revenues; if the sales volume or pricing of our lidocaine, phytonadione, and
enoxaparin products decline, or if we are unable to satisfy market demand for these products, they could
have a material adverse effect on our business, financial position and results of operations;
● our success depends on the integrity of our supply chain, including multiple single source suppliers, the
disruption of which could negatively impact our business;
● our ability to develop new products and additional revenue streams depends upon a variety of factors
including being able to invest ongoing revenue and borrow funds or raise additional capital when
needed;
● we face significant competition in the pharmaceutical industry with respect to both our proprietary and
generic drugs, which may result in others developing or commercializing products before or more
successfully than we do, which could significantly limit our growth and materially and adversely affect
our financial results;
● health care providers may not be receptive to our products, particularly those that incorporate our
proprietary drug delivery platforms;
● sales of our products may be adversely affected by the continuing consolidation of our customer base;
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● our business may be adversely affected by the current COVID-19 pandemic or other epidemics;
● we depend upon our key personnel, the loss of whom could adversely affect our operations. If we fail to
attract and retain the talent required for our business, our business could be materially harmed;
● because a portion of our manufacturing takes place in China, a significant disruption in the construction
or operation of our manufacturing facility in China, political unrest in China, tariffs, impact of outbreaks
of health epidemics, such as the COVID-19 pandemic, or changes in social, political, trade, health,
economic, environmental, or climate-related conditions or in laws, regulations and policies governing
foreign trade could materially and adversely affect our business, financial condition and results of
operations;
● we may be exposed to product liability claims and may not be able to obtain or maintain adequate
product liability insurance;
● our ability to enter the market with a generic product can hinge upon the success of litigation –
challenging existing patents and negotiating favorable settlements or obtaining favorable results. Many
variables can impact litigation and adverse rulings or unfavorable settlements could delay anticipated
market entries and subject us to damages;
● we are exposed to risks related to our international operations and failure to manage these risks may
adversely affect our operating results and financial condition;
● the FDA approval process is time-consuming and complicated, and we may not obtain the FDA approval
required for a product within the timeline we desire, or at all; additionally, we may lose FDA approval
and/or our products may become subject to foreign regulations;
● the novel use of particle engineering or synthetic APIs for any of our product candidates, may not
receive regulatory approval, and without regulatory approval we will not be able to market our product
candidates;
● if clinical studies for our product candidates are unsuccessful or significantly delayed, we will be unable
to meet our anticipated development and commercialization timelines, which would have an adverse
impact on our business;
● if pharmaceutical companies are successful in limiting the use of generics through their legislative,
regulatory and/or other efforts, our sales of generic products may suffer;
● our success depends on our ability to detect, protect, and enforce our intellectual property;
● we have a concentration in our ownership held by a few stockholders, which stockholders will be able to
exert significant control over matters subject to stockholder approval.
Risks Relating to Our Business and Industry
Our success depends on our ability to develop and/or acquire and commercialize additional pharmaceutical products.
Our financial results depend upon our ability to commercialize additional generic and proprietary pharmaceutical products,
and whether our products are accepted by patients and physicians and are reimbursed by payers. Commercialization
requires that we successfully and cost-effectively develop, test and manufacture or otherwise acquire both generic and
proprietary products. All of our products must receive regulatory approval and meet (and continue to comply with)
regulatory standards and requirements, including continued safety and efficacy standards. If health or safety concerns arise
with respect to a product, we may be forced to withdraw it from the market and be exposed to greater liability, including
product liability lawsuits. For example, as a result of environmental concerns over the use of chlorofluorocarbons, or CFCs,
the FDA, issued a final rule on January 16, 2009, that required the phase-out of the CFC formulation of our Primatene
Mist® product by December 31, 2011. As a result, in order to resume selling Primatene Mist® we had to develop a
formulation of the product that uses hydrofluoroalkane, or HFA, as the propellant, and obtain FDA approval for the
modified product, which took a significant amount of time and was not re-launched until
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December 2018. There can be no guarantee that our investment in research and development activities will result in FDA
approval or produce commercially viable new products.
The development and commercialization process, particularly with respect to our proprietary products, is time-consuming,
costly and involves a high degree of business risk. Our products currently under development, if and when fully developed
and tested, may not perform as we expect. Necessary regulatory approvals may not be obtained in a timely manner, if at all,
and we may not be able to produce and market such products successfully and profitably. For example, we filed an ANDA,
for our enoxaparin product in March 2003, but FDA approval was not granted until September 2011 due to delays caused
largely by the FDA’s requirement that we perform immunogenicity studies and the receipt of an FDA warning letter and
FDA Import Alert by the supplier of the starting material for our enoxaparin product. Following FDA approval, we became
involved in litigation with Momenta Pharmaceuticals, Inc. and Sandoz Inc., which further delayed the commercial launch
of our enoxaparin product until January 2012. Delays in any part of the process, or our inability to obtain regulatory
approval of our products, including litigation with competitors and regulatory compliance of our suppliers and contractors,
could adversely affect our operating results by restricting or delaying our introduction of new products, which could
adversely impact our ability to market a prospective product. FDA and similar regulatory agencies may change or impose
new regulatory requirements on our products, which could require us to perform additional studies, expand additional
resources on regulatory compliance, or delay our commercialization plan. To the extent that we expend significant
resources on research and development efforts and are not able, ultimately, to introduce successful new products as a result
of those efforts, our business, financial position and results of operations may be materially and adversely affected, and the
market value of our common stock could decline.
Our ability to introduce new generic products also depends upon our success in challenging patent rights held by third
parties or in developing non-infringing products. Due to the emergence and development of competing products over time,
our overall profitability depends on, among other things, our ability to introduce new products in a timely manner, to
continue to manufacture products cost-effectively and to manage the life cycle of our product portfolio. If we are unable to
cost-effectively maintain an adequate flow of successful generic and proprietary products and new indications and/or
delivery methods for existing products sufficient to cover our substantial research and development costs and the decline in
sales of older products that either become subject to generic competition, or are displaced by competing products or
therapies, it could have a material adverse effect on our business, financial condition or results of operations.
Our Primatene Mist®, lidocaine, phytonadione, and enoxaparin products collectively represent a significant portion of
our net revenues. If the sales volume or pricing of our lidocaine, phytonadione, and enoxaparin products decline, or if
we are unable to satisfy market demand for these products, they could have a material adverse effect on our business,
financial position and results of operations.
Sales from our Primatene Mist® product represented 15%, 6%, and 1% of our total net revenues for the years ended
December 31, 2020, 2019, and 2018, respectively. Sales from our lidocaine products represented 12%, 14%, and 15% of
our total net revenues for the years ended December 31, 2020, 2019, and 2018, respectively. Sales from our phytonadione
product represented 12%, 14%, and 14% of our total net revenues for the years ended December 31, 2020, 2019, and 2018,
respectively, and sales of our enoxaparin product represented 14%, 13%, and 18% of our total net revenues for the years
ended December 31, 2020, 2019, and 2018, respectively. We have experienced declining revenue from enoxaparin and
some of our other existing products in the past and we may operate at a loss in the near term while continuing to invest in
developing new products. If the sales volume or pricing of enoxaparin continues to decline, or if the sales volume or
pricing of lidocaine and phytonadione declines, or if we are unable to satisfy market demand for these products, our
business, financial position and results of operations could be materially and adversely affected, and the market value of
our common stock could decline. For example, our enoxaparin product continues to see increased competition in the
market, which could result in declining per unit prices as well as lower market share due to intense pricing competition in
the pharmaceutical industry. We have experienced significant declines in the per unit pricing and gross margins attributable
to our enoxaparin product since its commercial launch. Our Primatene Mist®, lidocaine, phytonadione, and enoxaparin
products could be rendered obsolete or negatively impacted by numerous factors, many of which are beyond our control,
including:
● decreasing average sales prices;
● development by others of new pharmaceutical products that are more effective than ours;
● entrance of new competitors into our markets;
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● loss of key relationships with suppliers, group purchasing organizations or end-user customers;
● manufacturing or supply interruptions;
● increase in material input costs;
● changes in the prescribing practices of physicians;
● changes in third-party reimbursement practices;
● product liability claims; and
● product recalls or safety alerts.
Any factor adversely affecting the sale of these products may cause our revenues to decline, and we may not be able to
achieve and maintain profitability.
We incurred losses for fiscal 2018 and we may operate at a loss in future years while continuing to invest in developing
new products.
We recorded a net loss of $5.7 million for the year ended December 31, 2018. Although we achieved net income in the
years ended December 31, 2020 and 2019, we may incur operating and net losses and negative cash flow from operations
in the future. Our business may generate operating losses if we do not successfully commercialize our product candidates,
maintain sales of and profits from existing products, and generate sufficient revenues to support our level of operating
expenses, especially as we continue our investment in developing new products. Because of the numerous risks and
uncertainties associated with our commercialization efforts and future product development, we are unable to predict
whether we will be able to maintain profitability.
Our ability to develop new products and additional revenue streams depends upon our ability to invest ongoing revenue,
borrow funds or raise additional capital when needed.
Developing a single product in the pharmaceutical industry is a very expensive proposition with no certainty of regulatory
clearance or commercial success. Considerable amounts are invested into the research and development process. Our
research and development expense was $67.2 million, $68.9 million, and $57.6 million for the years ended December 31,
2020, 2019, and 2018, respectively. As noted elsewhere herein, ongoing revenue from current operations is a critical
component of being able to adequately fund ongoing research and development efforts in our product pipeline. Likewise,
the ability to borrow funds at an attractive rate is another factor in being able to fund research and development activities.
Finally, being able to access the raise additional funds through the capital markets is another factor in being able to fund
research and development. If any one, or all, of these sources become unavailable, our research and development projects
may become delayed or negatively impacted.
Our success depends on the integrity of our supply chain, including multiple single source suppliers, the disruption of
which could negatively impact our business.
Some of our products are the result of complex manufacturing processes, and some require highly specialized raw
materials. Because our business requires outsourcing in some instances, we are subject to inherent uncertainties related to
product safety, availability and security. For some of our key raw materials, components and API used in certain of our
products, we have only a single, external source of supply, and alternate sources of supply may not be readily available.
For example, in 2009, we purchased heparin USP as the starting material for producing our enoxaparin product exclusively
from a single source supplier and, in 2009, this supplier received a warning letter from the FDA and was the subject of an
FDA Import Alert. The resulting shortage of heparin USP resulted in significant delays to the FDA approval process for
our enoxaparin product. There are no guarantees our supplier will not receive warning letters in the future or that we will be
able to replace this single source supplier with an alternate supplier on a commercially reasonable and timely basis, or at
all, to prevent a shortage of heparin USP. Subsequently, we received FDA approval to make heparin USP from crude
heparin using processes at our ANP and IMS facilities. In 2013, our single source supplier of epinephrine API for our
Primatene Mist® product received a warning letter from the FDA, which our supplier has since addressed. In the future, it
is possible that our suppliers will receive warning letters from the FDA and be unsuccessful in their efforts to address the
issues raised in such warning letters on a timely basis, or at all, or may
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discontinue production of raw materials, components or APIs used in our products or product candidates and would result
in delays in commercialization and/or manufacturing of our products or product candidates if FDA approval for such
products or product candidates is received. Furthermore, we may be unable to replace such supplier with an alternate
supplier on a commercially reasonable and timely basis, or at all.
If we fail to maintain relationships with our current suppliers, we may not be able to complete development,
commercialization or marketing of our products, which would have a material and adverse effect on our business. Third-
party suppliers may not perform as agreed, may discontinue production, or may terminate their agreements with us. For
example, because these third parties provide materials to a number of other pharmaceutical companies, they may
experience capacity constraints or choose to prioritize one or more of their other customers over us. Any significant
problem that our suppliers experience could delay or interrupt our supply of materials until the supplier cures the problem
or until we locate, negotiate for, validate and receive FDA approval for an alternative source of supply, if one is available.
In the near term, we do not anticipate that the FDA will approve alternative sources to back up our primary suppliers.
Therefore, if our primary suppliers become unable or unwilling to manufacture or deliver materials, we could experience
protracted delays or interruptions in the supply of materials. This would ultimately delay our manufacture of products for
commercial sale, which could materially and adversely affect our development programs, commercial activities, operating
results and financial condition.
Additionally, any failure by us to forecast demand for, or to maintain an adequate supply of, the raw material and finished
product could result in an interruption in the supply of certain products and a decline in sales of that product.
Underutilization of our manufacturing capacity could negatively impact our gross margins.
We have invested significantly in our manufacturing capacity in order to vertically integrate our business, contain the costs
of raw materials and reduce the risks imposed by relying on third-party single source suppliers. We currently own and
operate facilities that manufacture raw materials and APIs for our products and product candidates and those of our
customers and partners, including insulin API for MannKind. However, if market demand decreases or if market supply
surpasses demand, whether because of macroeconomic factors, pharmaceutical industry volatility, or deficiencies specific
to our customers, we may not be able to reduce manufacturing expenses or overhead costs proportionately. For example, a
significant portion of our manufacturing capacity in our facility in Éragny-sur-Epte, France is utilized for the
manufacturing of insulin API for MannKind, and a significant portion of our manufacturing capacity in Rancho
Cucamonga is utilized for the manufacture of enoxaparin. In November 2016, we amended our supply agreement with
MannKind, or the Supply Agreement and our option purchase agreement with MannKind, or the Option Agreement, to
modify and extend the annual minimum purchase commitments under the Supply Agreement and the Option Agreement to
cover calendar years 2014 through 2023. Additionally, in December 2018, we again amended our supply agreement with
MannKind to modify and extend the annual minimum purchase commitments under the Supply Agreement and the Option
Agreement to cover calendar years 2019 through 2024. In August 2019, we amended the Supply Agreement with
MannKind to modify and extend the annual minimum purchase commitment under the Supply Agreement for an additional
two years through 2026. While the aggregate total purchase commitment remains unchanged, the amendments to the
Supply Agreement and the Option Agreement have resulted and will continue to result in reduced sales of API for
MannKind on an annual basis.
If an increase in supply outpaces the increase in market demand, or if demand decreases, such as a further reduction in sales
of insulin API for MannKind, the resulting oversupply could adversely impact our sales and result in the underutilization of
our manufacturing capacity, high inventory levels, changes in revenue mix and rapid price erosion, which would lower our
margins and adversely impact our financial results. In addition, in order to offset fixed manufacturing overhead costs and
utilize our current facilities and personnel, it may at times be in our best interest to continue to produce and sell products
that are not profitable in the near term, although this would negatively impact our gross margins.
Additionally, we are in the process of building significant capacity to make finished products at our ANP facility. This
capacity is intended to be used to supply finished pharmaceutical products to China and other markets outside of the US.
However, there is no guarantee that we will sell enough finished pharmaceutical products to take advantage of this new
manufacturing capacity.
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We face significant competition in the pharmaceutical industry with respect to both our proprietary and generic drugs,
which may result in others developing or commercializing products before or more successfully than we do, which could
significantly limit our growth and materially and adversely affect our financial results.
The majority of our marketed products are generic products. We face and will face significant competition for our products
and product candidates from pharmaceutical companies that focus on the generic injectable and inhalation markets such as
Pfizer, Inc., Sagent Pharmaceuticals, Inc., Akorn, Inc., Sandoz Inc., Viatris Inc., Fresenius Kabi USA, Nexus
Pharmaceuticals, Apotex Corp., Amneal Biosciences, American Regent, Inc., Hikma Pharmaceuticals USA, Par
Pharmaceuticals, Cipla USA Inc., Meitheal Pharmaceuticals, Dr, Reddy’s Laboratories, Inc. and Teva Pharmaceutical
Industries Ltd. Competition in the generic pharmaceutical industry has increased as producers of branded products have
entered the business by creating generic drug subsidiaries, purchasing generic drug companies, or licensing their products
to generic manufacturers prior to patent expiration and/or as their patents expire.
We face similar competition with respect to our over-the-counter product. Our product competes with other products that
are owned and marketed by companies with much greater financial resources to reach consumers and market their products
to influence end-customer buying decisions. There can be no assurance that we will be able to profitably market our over-
the-counter product and money spent on such marketing efforts may reduce our ability to focus on and develop our
pharmaceutical products.
Our business operates in the pharmaceutical industry, which is an industry characterized by intense competition. Many of
our competitors have longer operating histories and greater financial, research and development, marketing and other
resources than we do. Consequently, many of our competitors may be able to develop products and/or processes
competitive with, or superior to, our own. For example, a competitor has received FDA approval for their intranasal
naloxone product in the markets for which we are currently seeking approval. We are concentrating the majority of our
efforts and resources on developing product candidates utilizing our proprietary technologies. The commercial success of
products utilizing such technologies will depend, in large part, on the intensity of competition, labeling claims approved by
the FDA for our products compared to claims approved for competitive products and the relative timing and sequence for
commercial launch of new products by other companies that compete with our new products. If alternative technologies or
other therapeutic approaches are adopted prior to our new product approvals, then the market for our new products may be
substantially decreased, thus reducing our ability to generate future profits.
This intensely competitive environment requires an ongoing, extensive search for technological innovations and the ability
to market products effectively, including the ability to communicate the effectiveness, safety and value of our products to
healthcare professionals in private practice, group practices and managed care organizations. Our competitors vary
depending upon product categories and, within each product category, upon dosage strengths and upon drug-delivery
systems. Based on total assets, annual revenues and market capitalization, we are smaller than many of our national and
international competitors with respect to both our generic and proprietary pharmaceutical products and product candidates.
Many of our competitors have been in business for a longer period of time than us, have a greater number of products on
the market and have greater financial and other resources than we do. Furthermore, recent trends in this industry are toward
further market consolidation of large drug companies into a smaller number of very large entities, further concentrating
financial, technical and market strength and increasing competitive pressure in the industry. If we directly compete with
large entities for the same markets and/or products, their financial strength could prevent us from capturing a profitable
share of those markets. Smaller companies may also prove to be significant competitors, particularly through collaborative
arrangements with large and established companies. It is possible that developments by our competitors will make our
products or technologies noncompetitive or obsolete.
If we fail to obtain exclusive marketing rights for our generic pharmaceutical products or fail to introduce these generic
products on a timely basis, our revenues, gross margin and operating results may decline significantly.
The Hatch-Waxman amendments to the Federal Food, Drug, and Cosmetic Act, or FFDCA, provide for a period of 180
days of generic marketing exclusivity for any applicant that is first-to-file an ANDA containing a certification of invalidity,
non-infringement or unenforceability related to a patent listed with respect to the corresponding brand drug, which we refer
to as a Paragraph IV certification. The holder of an approved ANDA containing a Paragraph IV certification that is
successful in challenging the applicable brand drug patent(s) is often able to price the applicable generic drug to yield
relatively high gross margins during this 180-day marketing exclusivity period. ANDAs that contain Paragraph IV
certifications challenging patents, however, generally become the subject of patent litigation that can be both lengthy and
costly. There is no certainty that we will prevail in any such litigation, that we will be the first-to-file and granted the 180-
day marketing exclusivity period or, if we are granted the 180-day marketing exclusivity
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period, that we will not forfeit such period. Even where we are awarded marketing exclusivity, we may be required to share
our exclusivity period with other ANDA applicants who submit Paragraph IV certifications. In addition, brand companies
often authorize a generic version of the corresponding brand drug to be sold during any period of marketing exclusivity that
is awarded, which reduces gross margins during the marketing exclusivity period. Brand companies may also reduce the
price of their brand product to compete directly with generics entering the market, which similarly would have the effect of
reducing gross margins. Furthermore, timely commencement of litigation by the patent owner imposes an automatic stay of
ANDA approval by the FDA for 30 months, unless the case is decided in the ANDA applicant’s favor during that period.
Finally, if the court’s decision is adverse to the ANDA applicant, the ANDA approval will be delayed until the challenged
patent expires, and the applicant will not be granted the 180-day marketing exclusivity.
Accordingly, our revenues and future profitability are dependent, in large part, upon our ability or the ability of our
development partners to file ANDAs with the FDA timely and effectively or to enter into contractual relationships with
other parties that have obtained marketing exclusivity. We may not be able to develop and introduce successful products in
the future within the time constraints necessary to be successful. If we or our development partners are unable to continue
to timely and effectively file ANDAs with the FDA or to partner with other parties that have obtained marketing
exclusivity, our revenues, gross margin and operating results may decline significantly, and our prospects and business may
be materially adversely affected.
Our generic products face, and our generic product candidates will face, additional competitive pressures that are
specific to the generic pharmaceutical industry.
With respect to our generic pharmaceutical business, revenues and gross profit derived from the sales of generic
pharmaceutical products tend to follow a pattern based on certain regulatory and competitive factors. As patents and
exclusivities protecting a brand name product expire, the first manufacturer to receive regulatory approval for a generic
version of the product is generally able to achieve significant market penetration. Therefore, our ability to increase or
maintain revenues and profitability in our generics business is largely dependent on our success in challenging patents and
developing non-infringing formulations of proprietary products. As competing manufacturers receive regulatory approvals
on generic products or as brand manufacturers launch generic versions of their products (for which no separate regulatory
approval is required), market share, revenues and gross profit typically decline, often significantly and rapidly.
Accordingly, the level of market share, revenue and gross profit attributable to a particular generic product normally is
related to the number of competitors in that product’s market and the timing of that product’s regulatory approval and
launch, in relation to competing approvals and launches. For example, enoxaparin is currently marketed by Sanofi, under
the brand name Lovenox®. Sanofi also markets its authorized generic enoxaparin product through its subsidiary, Winthrop,
Fresenius Kabi USA, Apotex Corp. and Meithael Pharmaceuticals, Inc. also either market or plan to market a generic
version of enoxaparin. Other companies may have received FDA approval of enoxaparin but have not launched the
product, while other companies have filed ANDAs for enoxaparin with the FDA. The presence of these current and
prospective competitive products has had, and may continue to have, an adverse effect on our market share, revenue and
gross profit from our enoxaparin product. Since the commercial launch of our enoxaparin product, we have experienced
significant declines in sales volume, per unit pricing and gross margins attributable to this product. Consequently, we must
continue to develop and introduce new generic products in a timely and cost-effective manner to maintain our revenues and
gross margins. We may have fewer opportunities to launch significant generic products in the future, as the number and
size of proprietary products that are subject to patent challenges is expected to decrease in the next several years compared
to historical levels. Additionally, as new competitors enter the market, there may be increased pricing pressure on certain
products, which may result in lower gross margins. In addition to our enoxaparin product, we have experienced pricing
pressure on many of our other products, including medroxyprogesterone, and we expect this trend to continue in the future.
Competition in the generic drug industry has also increased due to the proliferation of authorized generic pharmaceutical
products. “Authorized generics” are generic pharmaceutical products that are introduced by brand companies, either
directly or through partnering arrangements with other generic companies. Authorized generics are equivalent to the brand
companies’ brand name drugs, but are sold at relatively lower prices than the brand name drugs. An authorized generic
product can be marketed during the 180-day exclusivity granted to the first manufacturer or manufacturers to submit an
ANDA with a Paragraph IV certification for a generic version of the brand product. The sale of authorized generics
adversely impacts the market share of a generic product that has been granted 180-day exclusivity. For example, with
respect to our enoxaparin product, Sanofi currently markets an authorized generic enoxaparin product through its
subsidiary, Winthrop. This is a significant source of competition for us because brand companies do not face any regulatory
barriers to introducing authorized generics of their products. Because authorized generics may be sold during our
exclusivity periods, if any, they can materially decrease the profits that we could otherwise receive as an exclusive
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marketer of a generic alternative. Such actions have the effect of reducing the potential market share and profitability of our
generic products and may inhibit us from developing and introducing generic pharmaceutical products corresponding to
certain brand name drugs.
Such competition can also result from the entry of generic versions of another product in the same therapeutic class as one
of our drugs, or in another competing therapeutic class, or from the compulsory licensing of our products by governments,
or from a general weakening of intellectual property laws in certain countries around the world.
In addition, the goals established under the Generic Drug User Fee Act, and increased funding of the FDA’s Office of
Generic Drugs, have led to more and faster generic approvals, and consequently increased competition for some of our
products. The FDA has stated that it has established new steps to enhance competition, promote access and lower drug
prices and is approving record-breaking numbers of generic applications. While these FDA improvements are expected to
benefit our generic product pipeline, they will also benefit competitors that seek to launch products in established generic
markets where we currently offer products.
If the market for a reference brand product, such as Lovenox®, significantly declines, sales or potential sales of our
generic and biosimilar products and product candidates may suffer and our business would be materially impacted.
Proprietary products face competition on numerous fronts as technological advances are made or new products are
introduced. As new products are approved that compete with the reference proprietary product to our generic products and
generic or biosimilar product candidates, such as Lovenox®, which is the reference brand product for our enoxaparin
product, sales of the reference brand products may be significantly and adversely impacted and may render the reference
brand product obsolete. In addition, brand companies may pursue life cycle management strategies that also impact our
generic products.
If the market for a reference brand product is impacted, we in turn may lose significant market share or market potential for
our generic or biosimilar products and product candidates, and the value for our generic or biosimilar pipeline could be
negatively impacted. As a result, our business, including our financial results and our ability to fund future discovery and
development programs, would suffer.
Health care providers may not be receptive to our products, particularly those that incorporate our proprietary drug
delivery platforms.
The commercial success of our products will depend on acceptance by health care providers and others that such products
are clinically effective, affordable and safe. Our products utilizing our proprietary drug delivery technologies may not be
accepted by health care providers and others. Factors that may materially affect market acceptance of our products include
but are not limited to:
● the relative therapeutic advantages and disadvantages of our products compared to competitive products;
● the relative timing of commercial launch of our products compared to competitive products;
● the relative safety and efficacy of our products compared to competitive products;
● the product labeling approved by the FDA for our products and for competing products;
● the willingness of third-party payers to reimburse for our prescription products and the level of any
reimbursement provided for our prescription products;
● the willingness of pharmacy chains to stock our new products;
● the willingness of consumers to pay for our products; and
● legislative and regulatory efforts implemented by federal, state, or foreign governments to contain health care
costs and prescription drug pricing, including measures that increase our reporting obligations to regulatory
authorities and that impact how our customers purchase our drug products.
Our products, if successfully developed and commercially launched, will compete with both currently marketed products
and new products launched in the future by other companies. Health care providers may not accept or utilize some of our
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products. Physicians and other prescribers may not be inclined to prescribe our prescription products unless our products
demonstrate commercially viable advantages over other products currently marketed for the same indications. Pharmacy
chains may not be willing to stock certain of our new products, and pharmacists may not recommend such products to
consumers. Further, consumers may not be willing to purchase some of our products. If our products do not achieve market
acceptance, we may not be able to generate significant revenues or become profitable.
If we are unable to maintain our group purchasing organization relationships, our revenues could decline and future
profitability could be jeopardized.
Many of the existing and potential customers for our products have combined to form group purchasing organizations in an
effort to lower costs. Group purchasing organizations negotiate pricing arrangements with medical supply manufacturers
and distributors, and these negotiated prices are made available to a group purchasing organization’s affiliated hospitals and
other members. Group purchasing organizations provide end-users access to a broad range of pharmaceutical products from
multiple suppliers at competitive prices and, in certain cases, exercise considerable influence over the drug purchasing
decisions of such end-users. Hospitals and other end-users contract with the group purchasing organization of their choice
for their purchasing needs. We currently derive, and expect to continue to derive, our revenue from end-user customers that
are members of group purchasing organizations. Maintaining our strong relationships with these group purchasing
organizations will require us to continue to be a reliable supplier, offer a broad product line, remain price competitive,
comply with FDA regulations and provide high-quality products. Although our group purchasing organization pricing
agreements are typically multi-year in duration, most of them may be terminated by either party with 60 or 90 days’ notice.
The group purchasing organizations with which we have relationships may have relationships with manufacturers that sell
competing products, and such group purchasing organizations may earn higher margins from these competing products or
combinations of competing products or may prefer products other than ours for other reasons. If we are unable to maintain
our group purchasing organization relationships, sales of our products and revenue could decline.
Consolidation in the health care industry could lead to demands for price concessions or for the exclusion of some
suppliers from certain of our markets, which could have an adverse effect on our business, financial condition or results
of operations.
Because health care costs have risen significantly, numerous initiatives and reforms by legislatures, regulators and third-
party payers to curb these cost increases have resulted in a trend in the health care industry to consolidate product suppliers
and purchasers. As the health care industry consolidates, competition among suppliers to provide products to purchasers
has become more intense. This in turn has resulted and will likely continue to result in greater pricing pressures and the
exclusion of certain suppliers from important market segments as group purchasing organizations and large single accounts
continue to use their market power to influence product pricing and purchasing decisions. As the U.S. payer market
concentrates further and as more drugs become available in generic form, biopharmaceutical companies may face greater
pricing pressure from private third-party payers, who will continue to drive more of their patients to use lower cost generic
alternatives. This drive towards generic alternatives could adversely affect sales of our proprietary products and increase
competition among generic manufacturers.
Sales of our products may be adversely affected by the continuing consolidation of our customer base.
A significant proportion of our sales are made to relatively few U.S. wholesalers and group purchasing organizations.
These customers are continuing to undergo significant consolidation. Sales to three of these customers for the years ended
December 31, 2020, 2019, and 2018, respectively, accounted for approximately 62%, 71%, and 76% of our total net
revenues, respectively. Such consolidation has provided and may continue to provide them with additional purchasing
leverage, and consequently may increase the pricing pressures that we face.
Moreover, we are exposed to a concentration of credit risk as a result of this concentration among our customers. If one or
more of our major customers experienced financial difficulties, the effect on us would be substantial. This could have a
material adverse effect on our business, financial condition and results of operations.
Our net sales and quarterly growth comparisons may also be affected by fluctuations in the buying patterns of retail chains,
major distributors and other trade buyers, whether resulting from seasonality, pricing, wholesaler buying decisions or other
factors. In addition, because a significant portion of our U.S. revenues is derived from relatively few customers, any
financial difficulties experienced by a single customer, or any delay in receiving payments from a single customer, could
have a material adverse effect on our business, financial condition and results of operations.
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At the same time, the traditional model for distribution of pharmaceutical products is also undergoing disruption as a result
of the entry or potential entry of new competitors and significant mergers among key industry participants. For example,
Amazon.com has made initial moves to develop a pharmaceutical distribution business. Also, the consolidation resulting
from the merger between CVS Health and Aetna, if completed, is expected to create a vertically integrated organization
with increased control over the physician and pharmacy networks and, ultimately, over which medicines are sold to
patients. In addition, several major hospital systems in the United States announced a plan to form a nonprofit company
that will provide U.S. hospitals with a number of generic drugs. These changes to the traditional supply chain could lead to
our customers having increased negotiation leverage and to additional pricing pressure and price erosion.
If our business partners do not fulfill their obligations with respect to our distribution or collaboration agreements, our
revenues and our business will suffer.
Pursuant to certain distribution or collaboration agreements, the success of some of our products or product candidates also
depends on the success of the collaboration with our business partners, who are responsible for certain aspects of
researching, developing, marketing, distributing or commercializing our products or product candidates. If any such
agreement were to be terminated in accordance with its terms, including due to a party’s failure to perform its obligations or
responsibilities under the agreement, revenues could be delayed or diminished from these products and our revenues and/or
profit share for these products could be adversely impacted.
We depend upon our key personnel, the loss of whom could adversely affect our operations. If we fail to attract and
retain the talent required for our business, our business could be materially harmed.
We depend to a significant degree on our key management employees, including our Chief Executive Officer and Chief
Science Officer, Jack Y. Zhang, and our Chief Operating Officer and Chief Scientist, Mary Z. Luo. The loss of services
from any of these persons may significantly delay or prevent the achievement of our product development or business
objectives. We do not carry key man life insurance on any key personnel. Competition among pharmaceutical companies
for qualified employees is intense, and the ability to attract and retain qualified individuals is critical to our success. We
have experienced attrition among our executive officers in the past, and any future loss of key members of our organization
or any inability to continue to attract high-quality employees may delay or prevent the achievement of major business
objectives. Our productivity may be adversely affected if we do not integrate or train our new employees quickly and
effectively.
Competition for highly-skilled personnel is often intense, especially in Southern California, where we have a substantial
presence and need for highly-skilled personnel. We may not be successful in attracting, integrating or retaining qualified
personnel to fulfill our current or future needs. Also, to the extent we hire personnel from competitors, we may be subject
to allegations that we have improperly solicited, or that they have divulged proprietary or other confidential information, or
that their former employers own their inventions or work product.
Our business may be adversely affected by the current COVID-19 pandemic or other epidemics.
In March 2020, the World Health Organization declared the outbreak of a novel coronavirus, or COVID-19, as a pandemic,
which continues to spread throughout the world, including locations where we operate, such as the United States, China
and France. We have been actively monitoring the COVID-19 pandemic and its impact globally. In late January 2020,
China implemented extensive curfews and travel restrictions to control the outbreak, and started easing these restrictions in
March. In March 2020, France also implemented a stay-at-home order limiting movement and restricting travel. In March
2020, the Governors of the States of California and Massachusetts declared a health emergency and issued orders to close
all nonessential businesses. As a bio-pharmaceutical company we are deemed to be an essential business. Since then, the
government in the United States, China and France, have re-opened and re-imposed restrictions on travel and business as
the pandemic recedes and grows.
Over the ensuring year, this contagious disease outbreak has continued to impact worldwide economic activity and
financial markets. While two vaccines have received Emergency Use Authorization from the FDA, the COVID-19
pandemic remains a challenge to our business until it is abated. Mass and rapid production of the vaccines, for example, has
placed increased pressure on the availability of supplies that are also used in our products, such as glass and needles. The
COVID-19 pandemic is imposing additional burdens on our business to comply with regulations imposed by the State of
California. The COVID-19 pandemic may also disrupt the operations of our customers, suppliers and partners for an
indefinite period of time, including as a result of travel restrictions and/or business shutdowns, all of which could
negatively impact our business and results of operations, including cash flows. Disruptions to our manufacturing partners
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and suppliers could result in disruption to the production of our products and failure to satisfy demand. More generally, the
outbreak of COVID-19 could adversely affect economies and financial markets globally and nationally, potentially leading
to an economic downturn, which could decrease spending and adversely affect demand for our products and harm our
business and results of operations. Even after the COVID-19 pandemic has subsided, we may continue to experience an
adverse impact to our business as a result of its global economic impact, including any recession that has occurred or may
occur in the future. Specifically, difficult macroeconomic conditions, increased and prolonged unemployment or a decline
in business confidence as a result of the COVID-19 pandemic, could have a continuing adverse effect on the demand for
some of our products. The degree of impact of the COVID-19 pandemic on our business will depend on several factors,
such as the duration and the extent of the pandemic, as well as actions taken by governments, businesses, and consumers in
response to the pandemic, all of which continue to evolve and remain uncertain at this time.
Some of our ongoing clinical trials have experienced short-term interruptions in the recruitment of patients due to the
COVID-19 pandemic, as hospitals prioritize their resources toward the COVID-19 pandemic and governments impose
travel restrictions. Additionally, protocols at certain clinical sites have changed which could slow down the pace of clinical
trials and also increase the costs of conducting clinical Trials. These conditions may in turn delay spending and delay the
results of these trials. Additionally, certain suppliers have delayed shipments to us in 2020. These delays may have been
caused by manufacturing disruptions due to the COVID-19 pandemic. None of these delays caused delays in our
manufacturing to date, but future delays could cause manufacturing disruptions at our factories.
As a result of the consequences of the COVID-19 pandemic, FDA has issued various COVID-19 related guidance
documents applicable to biopharmaceutical manufacturers and clinical trial sponsors. For example, in March 2020, the
FDA issued a guidance, which the FDA subsequently updated, on conducting clinical trials during the pandemic, which
describes a number of considerations for sponsors of clinical trials impacted by the pandemic, including the requirement to
include in the clinical trial report contingency measures implemented to manage the clinical trial, among others. The FDA
also issued a guidance on good manufacturing practice considerations for responding to COVID-19 infection in employees
in drug products manufacturing, and a guidance on review timelines for applicant responses to Complete Response Letters
when a facility assessment is needed during the COVID-19 public health emergency. These and future guidance documents
and regulatory requirements, including future legislation, may require us to develop and implement new policies and
procedures, make significant adjustments to our clinical trials, or increase the amount time and resources needed for
regulatory compliance, which may impact our clinical development plans and timelines.
It is not possible at this time to estimate the complete impact that the COVID-19 pandemic could have on our business, as
the impact will depend on future developments, which are highly uncertain and cannot be predicted. Infections may resurge
or become more widespread and the limitation on our ability to travel and timely sell and distribute our products, as well as
any closures or supply disruptions, may be extended for longer periods of time, all of which would have a negative impact
on our business, financial condition and operating results. We will continue to monitor the impact of the COVID-19
pandemic on all aspects of our business.
We may be exposed to product liability claims and may not be able to obtain or maintain adequate product liability
insurance.
Our business exposes us to potential product liability risks, which are inherent in the testing, manufacturing, marketing and
sale of pharmaceutical products. Product liability claims might be made by patients, health care providers or others who
sell or consume our products. These claims may be made even with respect to those products that possess regulatory
approval for commercial sale.
Our reputation is the foundation of our relationships with physicians, patients, group purchasing organizations and other
customers. If we are unable to effectively manage real or perceived issues that could negatively impact sentiments toward
us, our business could suffer. Our customers may have a number of concerns about the safety of our products whether or
not such concerns have a basis in generally accepted science or peer-reviewed scientific research. These concerns may be
increased by negative publicity, even if the publicity is inaccurate. Any negative publicity, whether accurate or inaccurate,
about the efficacy, safety or side effects of our products or product categories, whether involving us, a competitor or a
reference drug, could materially reduce market acceptance of our products, cause consumers to seek alternatives to our
products, result in product withdrawals and cause our stock price to decline. Negative publicity could also result in an
increased number of product liability claims, whether or not these claims have a basis in scientific fact.
We currently maintain a $10.0 million product liability insurance policy, which covers Amphastar, IMS, Armstrong, and
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AFP, products, but our insurance coverage is subject to deductibles and may not reimburse us or may not be sufficient to
reimburse us for all expenses or losses we may suffer from any product liability claims. Moreover, insurance coverage is
becoming increasingly expensive and, in the future, we may not be able to maintain insurance coverage at a reasonable cost
or in sufficient amounts to protect us against losses. Large judgments have been awarded in class action lawsuits based on
drug products that had unanticipated side effects. A successful product liability claim or series of claims brought against us
could cause our stock price to fall and, if judgments exceed our insurance coverage, could decrease our cash and adversely
affect our business.
If serious adverse events or deaths are identified relating to any of our products once they are on the market, we may be
required to withdraw our products from the market, which would hinder or preclude our ability to generate revenues.
We are required to report to relevant regulatory authorities adverse events or deaths associated with our product candidates
or approved products. Based on such events, regulatory authorities may withdraw their approvals of such products or take
enforcement actions. We may be required to reformulate our products, and/or we may have to recall the affected products
from the market and may not be able to reintroduce them into the market. Furthermore, our reputation in the marketplace
may suffer and we may become the target of lawsuits, including class actions suits. Any of these events could harm or
prevent sales of the affected products and could have a material adverse effect upon our business and financial condition.
Any acquisitions of technologies, products and businesses may be difficult to integrate, could adversely affect our
relationships with key customers and/or could result in significant charges to earnings.
We plan to regularly review potential acquisitions of technologies, products and businesses complementary to our business.
Acquisitions typically entail many risks and could result in difficulties in integrating operations, personnel, technologies
and products. If we are not able to successfully integrate our acquisitions, we may not obtain the advantages and synergies
that the acquisitions were intended to create, which may have a material adverse effect on our business, results of
operations, financial condition and cash flows, our ability to develop and introduce new products and the market price of
our stock. In addition, some acquisitions may require regulatory approvals before products may be sold by us, which may
not be obtained on a timely basis, or at all. For example, in August 2016, our UK subsidiary acquired IMS UK. We are in
the process of transferring the manufacturing of the purchased products to our facility in California. The transfer will
require approval of the UK Medicines and Healthcare products Regulatory Agency and other related agencies before the
products can be sold by us. It is possible that the integration of some acquired technologies, information systems and data
could increase our risk of experiencing a data security or privacy incident. In addition, in connection with acquisitions, we
could experience disruption in our business, technology and information systems, customer or employee base, including
diversion of management’s attention from our continuing operations. There is also a risk that key employees of companies
that we acquire or key employees necessary to successfully commercialize technologies and products that we acquire may
seek employment elsewhere, including with our competitors. Furthermore, there may be overlap between our products or
customers and the companies that we acquire that may create conflicts in relationships or other commitments detrimental to
the integrated businesses. If we are unable to successfully integrate technologies, products, businesses or personnel that we
acquire, we could incur significant impairment charges or other adverse financial consequences.
Identifying, executing and realizing attractive returns on acquisitions is highly competitive and involves a high degree of
uncertainty. We expect to encounter competition for potential target businesses from both strategic and financial buyers.
Some of these competitors may be well established and have extensive experience in identifying and consummating
business combinations. Some of these competitors may possess greater technical, human and other resources than us, and
our financial resources may be relatively limited when contrasted with those of our competitors. We may lose acquisition
opportunities if we do not match our competitors’ pricing, terms and structure criteria for such acquisitions. If we are
forced to match these criteria to make acquisitions, we may not be able to achieve acceptable returns on our acquisitions or
may bear substantial risk of capital loss. In addition, target companies may not be willing to sell assets at valuations which
are attractive to us. Furthermore, the terms of our existing or future indebtedness may hinder or prevent us from making
additional acquisitions of technologies, products or businesses. Because of these factors, we may not be able to
consummate an acquisition on attractive terms, if at all.
We intend to conduct an extensive due diligence investigation for any business we consider acquiring. Intensive due
diligence is often time consuming and expensive due to the operations, finance and legal professionals who may be
involved in the due diligence process. Even if we conduct extensive due diligence on a target business which we acquire,
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we may not identify all material issues that are present inside a particular target business. If our due diligence fails to
discover or identify material issues relating to a target business, industry or the environment in which the target business
operates, we may be forced to later write-down or write-off assets, restructure the target business’ operations or incur
impairment or other charges that could result in losses to us.
Charges to earnings resulting from acquisitions could have a material adverse effect on our business, financial position
and results of operations and could cause the market value of our common stock to decline.
Under U.S. generally accepted accounting principles, or GAAP, business combination accounting standards, we recognize
the identifiable assets acquired, the liabilities assumed and any non-controlling interests in acquired companies generally at
their acquisition date fair values and, in each case, separately from goodwill. Goodwill as of the acquisition date is
measured as the excess amount of consideration transferred, which is also generally measured at fair value, and the net of
the acquisition date amounts of the identifiable assets acquired and the liabilities assumed. Our estimates of fair value are
based upon assumptions believed to be reasonable but which are inherently uncertain. After we complete an acquisition, the
following factors could result in material charges and adversely affect our operating results and may adversely affect our
cash flows:
● costs incurred to combine the operations of companies we acquire, such as transitional employee expenses
and employee retention, redeployment or relocation expenses;
● impairment of goodwill or intangible assets, including acquired in-process research and development;
● amortization of intangible assets acquired;
● a reduction in the useful lives of intangible assets acquired;
● identification of or changes to assumed contingent liabilities, including, but not limited to, contingent
purchase price consideration, income tax contingencies and other non-income tax contingencies, after our
final determination of the amounts for these contingencies or the conclusion of the measurement period
(generally up to one year from the acquisition date), whichever comes first;
● charges to our operating results to eliminate certain duplicative pre-acquisition activities, to restructure our
operations or to reduce our cost structure; and
● charges to our operating results resulting from expenses incurred to effect the acquisition.
A significant portion of these adjustments could be accounted for as expenses that will decrease our net income and
earnings per share for the periods in which those costs are incurred. Such charges could cause a material adverse effect on
our business, financial position and results of operations and could cause the market value of the common stock to decline.
We may evaluate asset dispositions and other transactions that may impact our results of operations, and we may not
achieve the expected results from these transactions.
From time to time, we may enter into agreements to dispose of certain assets. However, we cannot assure you that we will
be able to dispose of any such assets at any anticipated prices, or at all, or that any such sale will occur during any
anticipated time frame. In addition, we may engage in business combinations, purchases of assets or contractual
arrangements or joint ventures. Subject to the agreements governing our existing debt or otherwise, some of these
transactions may be financed with our additional borrowings. We may suffer a loss of key employees, customers or
suppliers, loss of revenues, increases in costs or other difficulties in connection with these transactions. Other transactions
may advance future cash flows from some of our businesses, thereby yielding increased short-term liquidity, but
consequently resulting in lower cash flows from these operations over the longer term. The failure to realize the expected
long-term benefits of any one or more of these transactions could have a material adverse effect on our financial condition
or results of operations.
Significant balances of intangible assets, including goodwill, are subject to impairment testing and may result in
impairment charges, which may materially and adversely affect our results of operations and financial condition.
A significant amount of our total assets is related to goodwill and intangible assets. As of December 31, 2020, the value
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of our goodwill and intangible assets net of accumulated amortization was $40.6 million. Goodwill and other intangible
assets are tested for impairment annually when events occur or circumstances change that could potentially reduce the fair
value of the reporting unit or intangible asset. Impairment testing compares the fair value of the reporting unit or intangible
asset to its carrying amount. Any future goodwill or other intangible asset impairment, if any, would be recorded in
operating income and could have a material adverse effect on our results of operations and financial condition.
Our outstanding loan agreements contain restrictive covenants that may limit our operating flexibility.
Our loan agreements are collateralized by substantially all of our presently existing and subsequently acquired personal
property assets and subject us to certain affirmative and negative covenants, including limitations on our ability to transfer
or dispose of assets, merge with or acquire other companies, make investments, pay dividends, incur additional
indebtedness and liens and conduct transactions with affiliates. We are also subject to certain covenants that require us to
maintain certain financial ratios and are required under certain conditions to make mandatory prepayments of outstanding
principal. As a result of these covenants and ratios, we have certain limitations on the manner in which we can conduct our
business, and we may be restricted from engaging in favorable business activities or financing future operations or capital
needs until our current debt obligations are paid in full or we obtain the consent of our lenders, which we may not be able
to obtain. We may not be able to generate sufficient cash flow or revenue to meet the financial covenants or pay the
principal and interest on our debt, and in the past we have not been in compliance with certain financial covenants. In
addition, upon the occurrence of an event of default, our lenders, among other things, can declare all indebtedness due and
payable immediately, which would adversely impact our liquidity and reduce the availability of our cash flows to fund
working capital needs, capital expenditures and other general corporate purposes. An event of default includes our failure
to pay any amount due and payable under the loan agreements, the occurrence of a material adverse change in our business
as defined in the loan agreements, our breach of any covenant in the loan agreements, subject to a grace period in some
cases, or an involuntary insolvency proceeding. Additionally, a lender could exercise its lien on substantially all of our
assets and our future working capital, borrowings or equity financing may not be available to repay or refinance any such
debt.
Counterfeit versions of our products could harm our patients and reputation.
Our industry has been increasingly challenged by the vulnerability of distribution channels to illegal counterfeiting and the
presence of counterfeit products in a growing number of markets and over the Internet. Counterfeit products are frequently
unsafe or ineffective, and can be potentially life-threatening. To distributors and patients, counterfeit products may be
visually indistinguishable from the authentic version. Reports of adverse reactions to counterfeit drugs or increased levels
of counterfeiting could materially affect patient confidence in the authentic product, and harm the business of companies
such as ours. Additionally, it is possible that adverse events caused by unsafe counterfeit products would mistakenly be
attributed to the authentic product. If a product of ours was the subject of counterfeits, we could incur substantial
reputational and financial harm in the longer term.
Our business and operations have been impacted in the past, and may be impacted in the future, in the event of system
breach or failure.
We, our collaborators, third-party providers, distributors, customers and other contractors utilize information technology
systems and networks, including internet-based system, to transmit, store and otherwise process electronic data in
connection with our business activities, including our supply chain processes, operations and communications. This
includes our clinical data and business proprietary information, Electronic Data Interchange, or EDI, on purchase orders,
invoices, chargebacks, etc. We, and others on our behalf, also collect, transmit, store and otherwise process certain data
relating to individuals, including about our personnel, business partners, and others, which may be subject to applicable
data protection laws and regulations that require adoption of minimum information security standards. The cost of
compliance with applicable data protection laws and regulations have increased and may increase in the future.
Despite our implementation of security measures to protect the confidentiality, integrity, and availability of the systems and
data within our control from various threats (e.g., cyber-attack, insider threat, accidental disclosure, intellectual property
theft and economic espionage, exploitable defects or bugs in our third-party providers’ systems, natural disaster, war,
terrorism, telecommunications and electrical outage), risks remain, and our systems and networks and the systems and
networks of third parties that support us and our services may be breached or disrupted due to these threats. Techniques
used to sabotage or obtain unauthorized access to systems and networks are constantly evolving and, in some instances, are
not identified until or after they are launched against a target. We and our third-party providers may be
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unable to anticipate these techniques, discover threats and react in a timely manner, or implement adequate preventative or
mitigating measures. Further, system breaches, malware, ransomware, computer hacking, and insider threats have become
more prevalent, and experts have warned that the COVID-19 pandemic has resulted in increased threats and malicious
activity.
Potential legal (regulatory or contractual), financial, operational, and reputational harm may arise from the accidental or
unlawful destruction, damage, loss, unavailability, alteration, impairment, misuse, unauthorized disclosure of, or
unauthorized access to (i) our data, which is transmitted, stored or otherwise processed by us or by collaborators, third-
party providers, distributors and other contractors on our behalf (a “data security incident”); and (ii) the systems upon
which we rely for our operations (an “other event”). For example:
● The accidental or unlawful loss, unavailability or alteration of clinical trial data from completed or ongoing
clinical trials for any of our product candidates could affect our ability to operate, result in delays in our
development and regulatory approval efforts, and significantly increase our costs to recover or reproduce the data.
● The size and complexity of our systems may make them potentially vulnerable to breakdown or interruption,
whether due to computer viruses or other causes, which may result in the loss of key information or the
impairment of production and other supply chain processes, adversely affecting our business.
● Any data security incident or other event, either on its own or as a pattern, may require costly response and
remediation efforts, trigger notification obligations under breach notification laws, result in litigation or adverse
regulatory action arising from or related to such an incident or event, damage our reputation, and result in
significant additional expense to implement further data protection measures. Integrating the systems and data of
any acquired entity may increase these risks due to unforeseen threats and vulnerabilities.
● Similarly, any data security incident or other event experienced by our collaborators, third-party providers,
distributors and other contractors may hinder our product development, supply chain, other business operations,
or our regulatory and contractual obligations to others and could also give rise to litigation or adverse regulatory
action.
We have experienced and may continue to experience cyberattacks of varying degrees from time to time. In the second
quarter of 2020, we were subject to a cyber-event that resulted in a temporary disruption to some of our internal computer
systems. In response to this incident, we engaged a third-party forensic expert to investigate, and determined that cyber
criminals illegally obtained certain personal information of certain current and former employees. We notified affected
individuals and regulators, as we deemed was required or appropriate. We have incurred costs to respond to this incident
and may continue to incur costs to support our efforts to enhance our security measures.
There can be no assurance that we will be successful in preventing data security incidents or other events nor that we will
be successful in mitigating their effects, despite the implementation of security measures for systems and data within our
control. Similarly, there can be no assurance that our collaborators, third-party providers, distributors and other contractors
will be successful in protecting our data on their systems or in protecting other systems upon which we may rely.
Furthermore, breach notification laws are not consistent among jurisdictions, and compliance and other measures in the
event of a widespread data security incident could result in a substantial cost and diversion of resources, distract
management and technical personnel. Any such data security incident or other event could have a material adverse effect
on our business and prospects.
Although we maintain cyber liability insurance coverage that may cover certain liabilities in connection with a security
breach or other security incident, we cannot be certain our insurance coverage will be adequate for liabilities actually
incurred, that insurance will continue to be available to us on commercially reasonable terms (if at all) or that any insurer
will not deny coverage as to any future claim. The successful assertion of one or more large claims against us that exceed
available insurance coverage, the occurrence of changes in our insurance policies, including premium increases or the
imposition of large deductible or co-insurance requirements, or denials of coverage, could have a material adverse effect on
our business, including our financial condition, results of operations and reputation
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Risks Relating to Regulatory Matters
The FDA approval process is time-consuming and complicated, and we may not obtain the FDA approval required for a
product within the timeline we desire, or at all. Additionally, we may lose FDA approval and/or our products may
become subject to foreign regulations.
The development, testing, manufacturing, marketing and sale of generic and proprietary pharmaceutical products and
biological products are subject to extensive federal, state and local regulation in the U.S. and other countries. Satisfaction
of all regulatory requirements, which typically takes years for drugs that require regulatory approval in ANDAs, NDAs,
biological license applications, or BLAs, or biosimilar applications is dependent upon the type, complexity and novelty of
the product candidate and requires the expenditure of substantial resources for research (including qualification of suppliers
and their supplied materials), development, in vitro and in vivo (including nonclinical and clinical trials) studies,
manufacturing process development and commercial scale up. Some of our products are drug-device combination products
that are regulated as drug products by the FDA, with consultation from the FDA’s Center for Device and Radiological
Health. These combination products require the submission of drug applications to the FDA. All of our products are subject
to compliance with the FFDCA and/or the Public Health Service Act, or PHSA, and with the FDA’s implementing
regulations. Failure to adhere to applicable statutory or regulatory requirements by us or our business partners would have a
material adverse effect on our operations and financial condition. In addition, in the event we are successful in developing
product candidates for distribution and sale in other countries, we would become subject to regulation in such countries.
Such foreign regulations and product approval requirements are expected to be time consuming and expensive as well.
We may encounter delays or agency rejections during any stage of the regulatory review and approval process based upon a
variety of factors, including without limitation the failure to provide clinical data demonstrating compliance with the FDA’s
requirements for safety, efficacy and quality. Those requirements may become more stringent prior to submission of our
applications for approval or during the review of our applications due to changes in the law or changes in FDA policy or
the adoption of new regulations. After submission of an application, the FDA may refuse to file the application, deny
approval of the application or require additional testing or data. The FDA can convene an Advisory Committee to assist the
FDA in examining specific issues related to the application. For example, we initially filed an NDA, for our Primatene
Mist® product in July 2013, but FDA approval was not granted until November 2018 due to delays caused by the FDA’s
requirement that we provide additional non-clinical information, label revision and follow-up studies (including label
comprehension and behavioral/human factor studies), and that we make packaging and label revisions. Additionally, we
received Complete Response Letters, or CRLs, from the FDA asking for more information before they could approve the
ANDA for our epinephrine vial product. These CRLs have delayed the approval of this product.
Under various user fee enactments, the FDA has committed to timelines for its review of NDAs, ANDAs, BLAs and
biosimilar applications. However, the FDA’s timelines described in its guidance on these statutes are flexible and subject to
changes based on workload and other potential review issues that may delay the FDA’s review of an application. Further,
the terms of approval of any applications may be more restrictive than our expectations and could affect the marketability
of our products.
The FDA also has the authority to revoke or suspend approvals of previously approved products for cause, to debar
companies and individuals from participating in the approval process for ANDAs, to request recalls of allegedly violative
products, to seize allegedly violative products, to obtain injunctions that may, among other things, close manufacturing
plants that are not operating in conformity with cGMP and stop shipments of potentially violative products and to prosecute
companies and individuals for violations of the FFDCA. In the event that the FDA takes any such action relating to our
products or product candidates, such actions would have a material adverse effect on our operations and financial
condition.
Clinical failure can occur at any stage of clinical development. The results of earlier clinical trials are not necessarily
predictive of future results and any product candidate we advance through clinical trials may not have favorable results
in later clinical trials or receive regulatory approval.
Clinical failure can occur at any stage of our clinical development. Clinical trials may produce negative or inconclusive
results, and we may decide, or regulators may require us, to conduct additional clinical trials or preclinical studies. In
addition, data obtained from trials and studies are susceptible to varying interpretations, and regulators may not interpret
our data as favorably as we do, which may delay, limit or prevent regulatory approval. Success in preclinical studies and
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early clinical trials does not ensure that subsequent clinical trials will generate the same or similar results or otherwise
provide adequate data to demonstrate the efficacy and safety of a product candidate. A number of companies in the
pharmaceutical industry, including those with greater resources and experience than us, have suffered significant setbacks
in Phase 3 clinical trials, even after seeing promising results in earlier clinical trials.
In addition, the design of a clinical trial can determine whether its results will support approval of a product and flaws in
the design of a clinical trial may not become apparent until the clinical trial is well-advanced. Further, clinical trials of
potential products often reveal that it is not practical or feasible to continue development efforts. If any of our product
candidates are found to be unsafe or lack efficacy, we will not be able to obtain regulatory approval for them and our
business would be harmed.
In some instances, there can be significant variability in safety and/or efficacy results between different trials of the same
product candidate due to numerous factors, including changes in trial protocols, differences in composition of the patient
populations, adherence to the dosing regimen and other trial protocols and the rate of dropout among clinical trial
participants. Our clinical trials may not demonstrate consistent or adequate efficacy and safety to obtain regulatory
approval to market our product candidates. If we are unable to bring any of our current or future product candidates to
market, or to acquire any marketed, previously approved products, our ability to create long-term stockholder value will be
limited.
If clinical studies for our product candidates are unsuccessful or significantly delayed, we will be unable to meet our
anticipated development and commercialization timelines, which would have an adverse impact on our business.
Some of our new drug candidates must be approved in NDAs based on clinical studies demonstrating safety and/or
effectiveness. For these types of studies, we rely on our investigational teams, who mainly are medical experts working in
multicenter hospitals, to execute our study protocols with our product candidates. As a result, we have less control over our
development program than if we were to perform the studies entirely on our own. Third parties may not perform their
responsibilities according to our anticipated schedule. Delays in our development programs could significantly increase our
product development costs and delay product commercialization.
The commencement of clinical trials on our product candidates may be delayed for several reasons, including but not
limited to delays in demonstrating sufficient pre-clinical safety required to obtain regulatory clearance to commence a
clinical trial, reaching agreements on acceptable terms with prospective contract research organizations, clinical trial sites
and licensees, manufacturing and quality assurance release of a sufficient supply of a product candidate for use in our
clinical trials, delays in recruiting sufficient subjects for a clinical trial and/or obtaining institutional review board approval
to conduct a clinical trial at a prospective clinical site. Once a clinical trial has begun, it may be delayed, suspended or
terminated by us or by regulatory authorities for a variety of reasons, including without limitation ongoing discussions with
regulatory authorities regarding the scope or design of our clinical trials, a determination by us or regulatory authorities that
continuing a trial presents an unreasonable health risk to participants, failure to conduct clinical trials in accordance with
regulatory requirements, lower than anticipated recruitment or retention rate of patients in clinical trials, inspection of the
clinical trial operations or trial sites by regulatory authorities, the imposition of a clinical hold by the FDA, lack of adequate
funding to continue clinical trials and/or negative or unanticipated results of clinical trials.
Patient enrollment, a significant factor in the time required to complete a clinical study, is affected by many factors,
including the size and nature of the study subject population, the proximity of patients to clinical sites, the eligibility
criteria for the study, the design of the clinical study, competing clinical studies and clinicians’ and patients’ perceptions as
to the potential advantages of the drug being studied in relation to available alternatives, including without limitation
therapies being investigated by other companies. Further, completion of a clinical study and/or the results of a clinical study
may be adversely affected by failure to retain subjects who enroll in a study but withdraw due to, among other things,
adverse side effects, lack of efficacy, improvement in condition before treatment has been completed or for personal issues
or who fail to return for or complete post-treatment follow-up.
Changes in governmental regulations and guidance relating to clinical studies may occur and we may need to amend study
protocols to reflect these changes. Protocol amendments may require us to resubmit protocols to institutional review boards
for reexamination or renegotiate terms with contract research organizations and study sites and investigators, all of which
may adversely impact the costs or timing of or our ability to successfully complete a trial.
Clinical trials required by the FDA for approval of our products may not produce the results we need to move forward in
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product development or to submit or obtain approval of an NDA. Success in pre-clinical testing and early phase clinical
trials does not assure that late phase clinical trials will be successful. Even if the results of any future Phase 3 clinical trials
are positive, we may have to commit substantial time and additional resources to conduct further pre-clinical and clinical
studies before we can submit NDAs or obtain FDA approval for our product candidates.
Clinical trials are expensive and at times difficult to design and implement, in part because they are subject to rigorous
regulatory requirements. Further, if participating subjects or patients in clinical studies suffer drug-related adverse reactions
during the course of such trials, or if we or the FDA believes that participating patients are being exposed to unacceptable
health risks, we may suspend the clinical trials. Failure can occur at any stage of the trials, and we could encounter
problems that would cause us to abandon clinical trials and/or require additional clinical studies relating to a product
candidate.
Even if our clinical trials and laboratory testing are completed as planned, their results may fail to provide support for
approval of our products or for label claims that will make our products commercially viable.
Positive results in nonclinical testing and early phase clinical studies do not ensure that late phase clinical studies will be
successful or that our product candidates will be approved by the FDA. To obtain FDA approval of our proprietary product
candidates, we must demonstrate through nonclinical testing and clinical studies that each product is safe and effective for
each proposed indication. Further, clinical study results frequently are susceptible to varying interpretations. Medical
professionals, investors and/or regulatory authorities may analyze or weigh study data differently than we do. In addition,
determining the value of clinical data typically requires application of assumptions and extrapolations to raw data.
Alternative methodologies may lead to differing conclusions, including with respect to the safety or efficacy of our product
candidates.
In addition, if we license rights to third parties to develop our product candidates in other geographic areas or for other
indications, we may have limited control over nonclinical testing or clinical studies that may be conducted by such third-
party licensees in those territories or for those indications. If data from third-party testing identifies a safety or efficacy
concern, such data could adversely affect our or another licensee’s development of such product.
There is significant risk that our products could fail to show anticipated results in nonclinical testing and/or clinical studies
and, as a result, we may elect to discontinue the development of a product for a particular indication or altogether. A failure
to obtain requisite regulatory approvals or to obtain approvals of the scope requested may delay or preclude us from
marketing our products or limit the commercial use of the products, and would have a material adverse effect on our
business, financial condition and results of operations.
The novel use of particle engineering or synthetic APIs for any of our product candidates, may not receive regulatory
approval, and without regulatory approval we will not be able to market our product candidates.
We are engaging in particle engineering for certain product candidates and there is no guarantee that we will obtain
regulatory approval or, upon commercialization, market acceptance of these products.
The development of a product candidate and issues relating to its approval and marketing are subject to extensive
regulations by the FDA in the U.S. and regulatory authorities in other countries, with regulations differing from country to
country. We are not permitted to market our product candidates in the U.S. until we receive approval of an NDA from the
FDA. NDA approvals may require extensive preclinical and clinical data and supporting information to establish the
product candidate’s safety and effectiveness for each desired indication. NDAs must include significant information
regarding the chemistry, manufacturing and controls for the product. Obtaining approval of an NDA is a lengthy, expensive
and uncertain process, and we may not be successful in obtaining approval. If we submit an NDA to the FDA, the FDA
must decide whether to accept or reject the submission for filing. Any submissions may not be accepted for filing and
review by the FDA. Even if a product is approved, the FDA may limit the indications for which the product may be
marketed, require extensive warnings on the product labeling or require additional expensive and time-consuming post-
approval clinical trials or reporting as conditions of approval. Regulators of other countries and jurisdictions have their own
procedures for approval of product candidates with which we must comply prior to marketing in those countries or
jurisdictions. Obtaining regulatory approval for marketing of a product candidate in one country does not necessarily
ensure that we will be able to obtain regulatory approval in any other country.
In addition, delays in approvals or rejections of marketing applications in the U.S. or other countries may be based upon
many factors, including regulatory requests for additional analyses, reports, data, preclinical studies and clinical trials,
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regulatory questions regarding different interpretations of data and results, changes in regulatory policy during the period of
product development and the emergence of new information regarding our product candidates or other products. Also,
regulatory approval for any of our product candidates may be withdrawn.
We also have plans to develop synthetic APIs. Our ongoing trials and studies may not be successful or regulators may not
agree with our conclusions regarding the preclinical studies and clinical trials we have conducted to date or approve the use
of such synthetic APIs.
If we are unable to obtain approval from the FDA or other regulatory agencies for our product candidates or synthetic APIs,
we will not be able to market such product candidates and our ability to achieve profitability may be materially impaired.
A fast track designation by the regulatory agencies, even if granted for any of our product candidates, may not lead to a
faster development or regulatory review or approval process and does not increase the likelihood that our product
candidates will receive marketing approval.
We do not currently have fast track designation for any of our product candidates. If a drug is intended for the treatment of
a serious or life-threatening condition and the drug demonstrates the potential to address unmet medical needs for this
condition, the drug sponsor may apply for fast track designation. The FDA has broad discretion whether or not to grant this
designation. Even if we believe a particular product candidate is eligible for this designation, we cannot assure you that the
FDA would decide to grant it. Even if we do receive fast track designation, we may not experience a faster development
process, review or approval compared to conventional procedures adopted by the FDA. In addition, the FDA may withdraw
fast track designation if they believe that the designation is no longer supported by data from our clinical development
program or if a competitor’s product candidate is approved. For example, we were granted a fast track designation for our
intranasal naloxone product, but this designation was withdrawn after a competitor’s intranasal naloxone was approved.
Many drugs that have received fast track designation have failed to obtain FDA approval.
The commercial success of our NDA product candidates will depend in significant measure on the scope of the
indication(s) and claims that the FDA approves for such products.
The scientific foundation of our NDA product candidates will be based on our various proprietary technologies and the
commercial success of these product candidates will depend in significant measure upon our ability to obtain FDA approval
of labeling describing such products’ indication(s) and expected features or benefits. Failure to achieve FDA approval of
product labeling containing adequate information on features or benefits will prevent or substantially limit our advertising
and promotion of such features in order to differentiate our proprietary technologies from those products that already exist
in the market. This failure would have a material adverse impact on our business.
Our ANDA products are also subject to FDA approval of their labeling and the labeling of the referenced drug products.
Even if we are able to obtain regulatory approval for our generic products, state pharmacy boards or state agencies may
conclude that our products are not substitutable at the pharmacy level for the reference listed drug. If our generic
products are not substitutable at the pharmacy level for their reference listed drugs, or if our drug products do not gain
the acceptance of healthcare providers, payors, and patients, this could materially reduce sales of our products and our
business would suffer.
Although the FDA may determine that a generic product is therapeutically equivalent to a brand product and indicate this
therapeutic equivalence by providing it with an “A” rating in the FDA’s Orange Book, this designation is not binding on
state pharmacy boards or state agencies. As a result, in states that do not deem our product candidates substitutable at the
pharmacy level, physicians may be required to specifically prescribe our product or a generic product alternative in order
for our product to be dispensed. Should this occur with respect to one of our generic product candidates, it could materially
reduce sales in those states, which would substantially harm our business. Further, to the extent patients or their physicians
are slow to adopt our generic products or do not consider our generic products as therapeutically equivalent, physicians
may prescribe the branded products or otherwise instruct pharmacists to not substitute for our generic products, which
would substantially harm our business.
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Our investments in biosimilar products may not result in products that are approved by the FDA or other foreign
regulatory authorities and, even if approved by such authorities, may not result in commercially successful products.
We plan to build on our existing platforms to produce biosimilar products in the future. In 2010, Congress amended the
PHSA to create an abbreviated approval pathway for follow-on biologics. This approval pathway is available for
“biosimilar” products, which are products that are highly similar to previously approved biologics notwithstanding minor
differences in inactive components. The process for bringing a biosimilar product to market is uncertain and may be drawn
out for an extended period of time. The FDA is in the process of publishing regulations governing this process and only 16
biosimilar applications have been approved as of December 31, 2018. Approval of biosimilar applications may be delayed
by exclusivity on the BLA for the reference product for up to 12 years. Biosimilar applicants are also subjected to a patent
resolution process that will require biosimilar applicants to share the contents of their application and information
concerning its manufacturing processes with counsel for the company holding the BLA for the reference drug and to
engage in a patent litigation process that could delay or prevent the commercial launch of a product for many years.
Biosimilar products are not presumed to be substitutable for the reference drug under the Biologics Price Competition and
Innovation Act, or BPCIA. Biosimilar applicants must seek a separate FDA determination that they are “interchangeable”
with the reference drug, meaning that they can be expected to produce the same clinical result in any given patient without
an increase in risk due to switching from the brand product. None of the 16 biosimilar products that have been approved by
the FDA have been approved as “interchangeable” and therefore, are not substitutable for the referenced drug. The
statutory standards for determining biosimilarity and interchangeability are broad and uncertain, and the FDA has broad
discretion to determine the nature and extent of product characterization, nonclinical testing and clinical testing on a
product-by-product basis.
Products approved based on biosimilarity without an FDA determination of interchangeability may not be substitutable at
the retail pharmacy level. Some states have passed laws limiting pharmacy substitution to biosimilar products that the FDA
has determined to be interchangeable, as well as restrictions on the substitution of interchangeable biosimilar products.
These restrictions include, among other things, requirements for informing the patient and the prescribing physician of the
substitution or proposed substitution, authority for the prescribing physician and the patient to preclude substitution and
recordkeeping requirements. There is no certainty that other states will not impose similar restrictions or that states will not
impose further restrictions or preclude substitution of interchangeable biosimilar products entirely.
Our competitive advantage in this area will depend on our success in demonstrating to the FDA that platform technology
provides a level of scientific assurance that facilitates determinations of interchangeability, reduces the need for expensive
clinical or other testing and raises the scientific quality requirements for our competitors to demonstrate that their products
are highly similar to a brand product. Our ability to succeed will depend in part on our ability to invest in new programs
and develop data in a timeframe that enables the FDA to consider our approach as the FDA begins to implement the new
law. BLA holders will develop strategies and precedents for delaying or impeding approvals of biosimilar products and
determinations of interchangeability. For example, the lengthy 12-year exclusivity protection provides the BLA holder for
the reference drug with an opportunity to develop and replace its original product with a modified product that may avoid a
determination of interchangeability and that may qualify for an additional 12-year marketing exclusivity period, reducing
the potential opportunity for substitution at the retail pharmacy level for interchangeable biosimilars. As brand and
biosimilar companies gain greater understanding of and experience with the new regulatory pathway, we expect to see new
and unexpected company strategies, FDA decisions and court decisions that will pose unexpected challenges that will
prevent, delay or make more difficult biosimilar approvals.
In addition, the BPCIA was passed as part of the Affordable Care Act. If the Affordable Care Act is amended or is repealed
with respect to the biosimilar approval pathway, our opportunity to develop biosimilars (including interchangeable
biologics) could be materially impaired and our business could be materially and adversely affected.
Some of our products are used with drug delivery or companion diagnostic devices which have their own regulatory,
manufacturing, reimbursement and other risks.
Some of our products or product candidates may be used in combination with a drug delivery device, such as an injector,
inhaler or other delivery system. Although the drug delivery devices we currently use in our products and product
candidates are provided by third parties, we have entered into collaboration agreements with various medical device
manufacturers to develop drug delivery systems to be used for our pipeline products. These drug-device combination
products are particularly complex, expensive and time-consuming to develop due to the number of variables involved in
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the final product design, including ease of patient and doctor use, establishing clinical efficacy, reliability and cost of
manufacturing, regulatory approval requirements and standards and other important factors. We will be responsible for any
regulatory filings arising from this collaboration and, although we have significant in-house and external regulatory
expertise, we have never prepared or submitted an NDA to the FDA for a drug-device combination product. Our product
candidates intended for use with such drug delivery, or expanded indications that we may seek for our products used with
such devices, may not be approved or may be substantially delayed in receiving approval if the devices do not gain and/or
maintain their own regulatory approvals or clearances. Where approval of the drug product and device is sought under a
single application, the increased complexity of the review process may delay approval.
Some of the drug delivery devices utilized in our products and product candidates are provided by single source unaffiliated
third-party companies. We are dependent on the sustained cooperation and effort of those third-party companies both to
supply the devices and to maintain regulatory compliance with the FDA quality system regulations applicable to medical
device, and, in some cases, to conduct the studies required for approval or other regulatory clearance of the devices. We are
also dependent on those third-party companies continuing to maintain such approvals or clearances once they have been
received. Failure of third-party companies to supply the devices, to successfully complete studies on the devices in a timely
manner, or to obtain or maintain required approvals or clearances of the devices could result in increased development
costs, delays in or failure to obtain regulatory approval and delays in product candidates reaching the market or in gaining
approval or clearance for expanded labels for new indications. We filed a Field Alert Report for enoxaparin in June 2013,
as required by the FDA for certain quality issues with safety implications, because the product did not meet functionality
criteria. The needle-shielding component was breaking during shipping, preventing correct administration of the
medication. While the specific issues related to this Field Alert Report were resolved, we may experience similar issues in
the future. In addition, loss of regulatory approval or clearance of a device that is used with our product may result in the
removal of our product from the market.
The drug delivery devices used with our products are also subject to many of the same reimbursement risks and challenges
to which our products are subject. A reduction in the availability of, or the coverage and/or reimbursement for, drug
delivery devices used with our products could have a material adverse effect on our product sales, business and results of
operations.
If branded pharmaceutical companies are successful in limiting the use of generics through their legislative, regulatory
and/or other efforts, our sales of generic products may suffer.
Many pharmaceutical companies producing proprietary drugs have increasingly used state and federal legislative and
regulatory means to delay, impede and/or prevent generic competition. These efforts have included but are not limited to
the following:
● making changes to the formulation of their product and arguing that potential generic competitors must
demonstrate bioequivalence and/or comparable abuse-resistance to the reformulated brand product;
● pursuing new patents for existing products which may be granted immediately prior to the expiration of
earlier patents, which could extend patent protection for additional years or otherwise delay the launch of
generics;
● selling the brand product as an authorized generic, either by the brand company directly, through an affiliate
or by a marketing partner;
● using the FDA’s Citizen Petition process to request amendments to FDA standards or otherwise delay generic
drug approvals;
● challenging FDA denials of Citizen Petitions in court and seeking injunctive relief to reverse approval of
generic drug applications;
● seeking changes to standards in the U.S. Pharmacopeia/National Formulary, which are compendial drug
standards that are recognized by industry and, in some instances, are enforceable under the FFDCA;
● attempting to use the legislative and regulatory process to have drugs reclassified or rescheduled by the DEA;
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● using the legislative and regulatory process to set standards and requirements for abuse deterrent
formulations that are patented or that will otherwise impede or prevent generic competition;
● seeking special patent-term extensions through amendments to non-related federal legislation;
● engaging in initiatives to enact state legislation that would restrict the substitution of certain generic drugs,
including products that we are developing;
● entering into agreements with pharmacy benefit management companies that block the dispensing of generic
products;
● seeking patents on methods of manufacturing certain API;
● settling patent lawsuits with generic companies in a manner that leaves the patent as an obstacle for approval
of other companies’ generic drugs;
● settling patent litigation with generic companies in a manner that avoids forfeiture of or otherwise protects or
extends the exclusivity period;
● providing medical education or other information to physicians, third-party payers and federal and state
regulators that take the position that certain generic products are inappropriate for approval or for substitution
after approval;
● seeking state law restrictions on the substitution of generic and biosimilar products at the pharmacy level
without the instruction or permission of a physician; and
● seeking federal or state regulatory restrictions on the use of the same non-proprietary name as the reference
brand product for a biosimilar or interchangeable biologic.
If pharmaceutical companies or other third parties are successful in limiting the use of generic products through these or
other means, our sales of generic products may decline. If we experience a material decline in generic product sales, our
results of operations, financial condition and cash flows will suffer.
Our revenues may be adversely affected if we fail to obtain insurance coverage or adequate reimbursement for our
products from third-party payers and administrators.
Our ability to successfully commercialize our products may depend in part on the availability of reimbursement for and
insurance coverage of our prescription products from government health administration authorities, private health insurers
and other third-party payers and administrators, including Medicaid and Medicare. Third-party payers and administrators,
including state Medicaid programs and Medicare, have been challenging the prices charged for pharmaceutical products.
Government and other third-party payers increasingly are limiting both coverage and the level of reimbursement for new
drugs. Third-party insurance coverage may not be available to patients for some of our products candidates. The continuing
efforts of government and third-party payers to contain or reduce the costs of health care may limit our commercial
opportunity. If government and other third-party payers do not provide adequate coverage and reimbursement for certain of
our products, health care providers may not prescribe them or patients may ask their health care providers to prescribe
competing products with more favorable reimbursement.
Managed care organizations and other private insurers frequently adopt their own payment or reimbursement reductions.
Consolidation among managed care organizations has increased the negotiating power of these entities. Private third-party
payers, as well as governments, increasingly employ formularies to control costs by negotiating discounted prices in
exchange for formulary inclusion. While these approaches generally favor generic products over brands, generic
competition is stronger. Our existing products and our product candidates include proprietary products and generic
products. Failure to obtain timely or adequate pricing or formulary placement for our products or obtaining such pricing or
placement at unfavorable pricing could adversely impact revenue. In addition to formulary tier co-pay differentials, private
health insurance companies and self-insured employers have been raising co-payments required from beneficiaries,
particularly for proprietary pharmaceuticals and biotechnology products. Private health insurance companies also are
increasingly imposing utilization management tools, such as requiring prior authorization for a proprietary product if a
generic product is available or requiring the patient to first fail on one or more generic products
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before permitting access to a proprietary medicine. We do not currently have any managed care organization agreements
and do not intend to have managed care organization agreements in the future.
We must manufacture our drug products at our facilities in conformity with cGMP regulations; failure to maintain
compliance with cGMP regulations may prevent or delay the manufacture or marketing of our products or product
candidates and may prevent us from gaining approval of our products.
All of our products and product candidates for use in clinical studies must be manufactured, packaged, labeled and stored in
accordance with cGMP. For our approved products, modifications, enhancements, or changes in manufacturing processes
and sites may require supplemental FDA approval, which may be subject to a lengthy application process or which we may
be unable to obtain.
All facilities of Amphastar and our subsidiaries are periodically subject to inspection by the FDA and other governmental
entities, and operations at these facilities could be interrupted or halted if the FDA or another governmental entity deems
such inspections as unsatisfactory. For example, our facilities in Rancho Cucamonga, CA, South El Monte, CA and
Nanjing, China were all subject to FDA cGMP inspections during 2019. Products manufactured in our facilities must be
made in a manner consistent with cGMP or similar standards in each territory in which we manufacture. Compliance with
such standards requires substantial expenditures of time, money and effort in such areas as production and quality control
to ensure full technical compliance. Failure to comply with cGMP or with other state, federal, or foreign requirements may
result in unanticipated compliance expenditures, total or partial suspension of production or distribution, suspension of
review of applications submitted for approval of our product candidates, termination of ongoing research, disqualification
of data derived from studies on our products and/or enforcement actions such as recall or seizure of products, injunctions,
civil penalties and criminal prosecutions of the company and company officials. Any suspension of production or
distribution would require us to engage contract manufacturing organizations to manufacture our products or to accept a
hiatus in marketing our products. Any contract manufacturing organization we engage will require time to learn our
methods of production and to scale up to full production of our products in accordance with cGMP requirements. Any
delays caused by the transfer of manufacturing to a contract manufacturing organization may have a material adverse effect
on our results of operations. Additionally, any contract manufacturing organization that we engage will be subject to the
same cGMP regulations as us, and any failure on their part to comply with FDA or other governmental regulations will
result in similar consequences.
Our operations are subject to environmental, health and safety and other laws and regulations, with which compliance
is costly and which exposes us to penalties for non-compliance.
Our business, products and product candidates are subject to federal, state and local laws and regulations relating to the
protection of the environment, natural resources and worker health and safety and the use, management, storage and
disposal of hazardous substances, waste and other regulated materials. Because we own and operate real property, various
environmental laws also may impose liability on us for the costs of cleaning up and responding to hazardous substances
that may have been released on our property, including releases unknown to us. These environmental laws and regulations
also could require us to pay for environmental remediation and response costs at third-party locations where we dispose of
or recycle hazardous substances. The costs of complying with these various environmental requirements, as they now exist
or as may be altered in the future, could adversely affect our financial condition and results of operations. For example, as a
result of environmental concerns about the use of CFCs, the FDA issued a final rule on January 16, 2009 that required the
phase-out of the CFC version of our Primatene Mist® product by December 31, 2011. This phase out caused us to
discontinue sales of the CFC version of our Primatene Mist® product subsequent to December 31, 2011 and write off our
inventory for the product, which had an adverse effect on our financial results.
The Affordable Care Act and certain legislation and regulatory proposals may increase our costs of compliance and
negatively impact our profitability over time.
In March 2010, former President Barack Obama signed the Patient Protection and Affordable Care Act, as amended by the
Health Care and Education Affordability Reconciliation Act, which we refer to collectively as the Affordable Care Act.
The Affordable Care Act made extensive changes to the delivery of health care in the United States. We expect that the
rebates, discounts, taxes and other costs resulting from the Affordable Care Act over time will have a negative effect on our
expenses and profitability in the future. Furthermore, the Independent Payment Advisory Board created by the Affordable
Care Act to reduce the per capita rate of growth in Medicare spending could potentially limit access to certain treatments or
mandate price controls for our products. Moreover, expanded government investigative authority and increased disclosure
obligations may increase the cost of compliance with new regulations and programs.
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Since its enactment, there have been judicial and Congressional challenges to certain aspects of the Affordable Care Act,
and we expect that there will be additional challenges and amendments to the Affordable Care Act in the future, which may
result in the modification, repeal, or invalidation of all or certain provisions of the Affordable Care Act. Most recently, the
Tax Act was enacted, which, among other things, removes penalties for not complying with the individual mandate to carry
health insurance. On December 18, 2019, the U.S. Court of Appeals for the 5th Circuit upheld the District Court ruling that
the individual mandate was unconstitutional and remanded the case to the District Court to determine whether the
remaining provisions of the ACA are invalid. On March 2, 2020, the U.S. Supreme Court granted the petitions for writs of
certiorari to review this case and held oral arguments in November 2020. It is unclear how this decision, subsequent
appeals, other efforts to repeal and replace the ACA, and healthcare measures of the incoming Administration will impact
the ACA and our business. In addition, the Trump administration announced several executive orders related to prescription
drug pricing in 2020. The FDA also released a final rule in September 2020 providing guidance for states to build and
submit importation plans for drugs from Canada. We cannot predict what other health care programs and regulations will
ultimately be implemented at the federal or state level or the effect of any future legislation or regulation in the United
States may have on our business.
In addition, there have been a number of other legislative and regulatory proposals aimed at changing the pharmaceutical
industry. For example, in November 2013, Congress passed the Drug Quality and Security Act, or the DQSA. The DQSA
establishes federal pedigree tracking standards requiring drugs to be labeled and tracked at the lot level, preempts state drug
pedigree requirements, and will eventually require all supply-chain stakeholders to participate in an electronic,
interoperable prescription drug track and trace system. The DQSA also establishes new requirements for drug wholesale
distributors and third party logistics providers, including licensing requirements in states that had not previously licensed
such entities. As a result of these and other new proposals, we may determine to change our current manner of operation,
provide additional benefits or change our contract arrangements, any of which could have a material adverse effect on our
business, financial condition and results of operations.
Former President Barack Obama also signed into law the Food and Drug Administration Safety and Innovation Act. The
law and related agreements make several significant changes to the FFDCA and FDA’s processes for reviewing marketing
applications that could have a significant impact on the pharmaceutical industry, including, among other things, the
following:
● reauthorizes the Prescription Drug User Fee Act, which increases the amount of associated user fees, and, for
certain types of applications, increases the expected time frame for FDA review of NDAs;
● permanently reauthorizes and makes some revisions to the Best Pharmaceuticals for Children Act and the
Pediatric Research Equity Act, which provide for pediatric exclusivity and mandated pediatric assessments for
certain types of applications, respectively;
● revises certain standards and requirements for FDA inspections of manufacturing facilities and the importation of
drug products from foreign countries;
● creates incentives for the development of certain antibiotic drug products;
● modifies the standards for accelerated approval of certain new medical treatments;
● expands the reporting requirements for potential and actual drug shortages;
● requires the FDA to issue a report on, among other things, ensuring the safety of prescription drugs that have the
potential for abuse;
● requires the FDA to hold a public meeting regarding the potential rescheduling of drug products containing
hydrocodone, which was held in October 2012; and
● requires electronic submission of certain marketing applications following the issuance of final FDA regulations.
The full impact on our business of the new laws is uncertain; however, we anticipate that it will have an adverse effect on
our results of operations.
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There has been heightened governmental scrutiny recently over the manner in which drug manufacturers set prices for their
marketed products, which has resulted in several congressional inquiries and proposed and enacted federal and state
legislation designed to, among other things, bring more transparency to product pricing, review the relationship between
pricing and manufacturer patient programs, and reform government program reimbursement methodologies for drug
products. For example, at the federal level, the Trump administration released a “Blueprint” to lower drug prices and
reduce out-of-pocket costs of prescription drugs that contains additional proposals to increase manufacturer competition,
increase the negotiating power of certain federal healthcare programs, incentivize manufacturers to lower the list price of
their products and reduce the out-of-pocket costs of drug products paid by consumers. Additionally, on January 31, 2019,
HHS Office of Inspector General proposed modifications to federal Anti-Kickback Statute safe harbors which, among other
things, may affect rebates paid by manufactures to Medicare Part D plan sponsors, Medicaid managed care organizations,
and those entities’ pharmacy benefit managers, the purpose of which is to further reduce the cost of drug products to
consumers. On October 9, 2019, HHS, OIG and CMS issued two proposed rules that set forth modifications to the Federal
Anti-Kickback Statute, Civil Monetary Penalties Law and Physician Self-Referral Law (or the Stark Law) regulations to
promote value-based and coordinated care arrangements, which were finalized in final rules published in December 2020.
In particular, HHS finalized a regulation removing safe harbor protection for price reductions from pharmaceutical
manufacturers to plan sponsors under Part D, either directly or through pharmacy benefit managers, unless the price
reduction is required by law. The rule also creates a new safe harbor for price reductions reflected at the point-of-sale, as
well as a safe harbor for certain fixed fee arrangements between pharmacy benefit managers and manufacturer. In
December 2020, CMS issued a final rule that sets forth various changes to manufacturer price reporting under the Medicaid
Drug Rebate Program and provisions relating to pharmacy benefit manager accumulator programs, Best Price reporting
related to certain value-based purchasing arrangements, line extensions, and Average Manufacturer Price reporting for
authorized generics.
At the state level, legislatures have increasingly passed legislation and implemented regulations designed to control
pharmaceutical and biological product pricing, including price or patient reimbursement constraints, discounts, restrictions
on certain product access and marketing cost disclosure and transparency measures, and, in some cases, designed to
encourage importation from other countries and bulk purchasing.
Additionally, we encounter similar regulatory and legislative issues in most other countries. In the European Union, or EU,
and some other international markets, the government provides health care at low cost to consumers and regulates
pharmaceutical prices, patient eligibility or reimbursement levels to control costs for the government-sponsored health care
system. This international system of price regulations may lead to inconsistent prices.
If significant additional reforms are made to the U.S. health care system, or to the health care systems of other markets in
which we operate, those reforms could have a material adverse effect on our business, financial position and results of
operations and could cause the market value of our common stock to decline.
Laws in the U.S., Europe, and other jurisdictions impose restrictive regulations addressing the collection, use, and other
processing of personal information.
We also must comply with data protection and privacy requirements. Compliance with these laws, rules and regulations
regarding privacy, security and protection of personal data and personal information, including about our personnel,
business partners, and others, could result in higher compliance and technology costs for us. Significant fines, penalties,
damages and harm to our global reputation and our brand could result from actual or perceived non-compliance.
We may collect, process, use or transfer personal information from individuals located in the European Union in connection
with our business. The collection and use of personal data in the European Union are governed by the provisions of the
General Data Protection Regulation ((EU) 2016/679), or the GDPR. This legislation imposes requirements relating to
having legal bases for processing personal information relating to identifiable individuals and transferring such information
outside of the European Economic Area, including to the United States, providing details to those individuals regarding the
processing of their personal information, keeping personal information secure, having data processing agreements with
third parties who process personal information, responding to individuals’ requests to exercise their rights in respect of
their personal information, reporting security breaches involving personal data to the competent national data protection
authority and affected individuals, appointing data protection officers, conducting data protection impact assessments and
record-keeping. The GDPR imposes significant responsibilities and liabilities in relation to personal data that we process,
and we may be required to put in place additional mechanisms designed to comply with the GDPR. Failure to comply with
the requirements of the GDPR and related national data protection laws of the member states of the European Union may
result in investigations, substantial fines, civil claims, and damages
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being brought against us, which could have a material adverse effect on our business, financial condition and results of
operations.
Further, the United Kingdom exited the EU effective January 31, 2020, subject to a transition period that ended December
31, 2020. Brexit has created uncertainty with regard to the regulation of data protection in the United Kingdom. The United
Kingdom has implemented legislation that substantially implements the GDPR, and the European Commission and the
United Kingdom government announced a EU-UK Trade and Cooperation Agreement on December 24, 2020, providing
for a temporary free flow of personal data between the EU and the United Kingdom, but it remains to be seen how the
United Kingdom’s withdrawal from the EU will impact the manner in which United Kingdom data protection laws or
regulations will develop and how data transfers to and from the United Kingdom will be regulated and enforced by the UK
Information Commissioner’s Office, EU data protection authorities, or other regulatory bodies in the longer term.
In addition, U.S. states are adopting new laws or amending existing laws, requiring attention to frequently changing
regulatory requirements related to personal information. For example, California enacted the California Consumer Privacy
Act, or the CCPA, on June 28, 2018, which took effect on January 1, 2020 and has been dubbed the first “GDPR-like” law
in the United States. The CCPA gives California residents, among other things, expanded rights to access and require
deletion of their personal information, opt out of certain personal information sharing, and receive detailed information
about how their personal information is used. The CCPA also provides for civil penalties for violations, as well as a private
right of action for data breaches that may increase data breach litigation. The CCPA will be expanded substantially on
January 1, 2023 when the California Privacy Rights Act of 2020, or the CPRA, which was approved by California voters in
November 2020, becomes fully operative. The CPRA will, among other things, give consumers the ability to limit use of
information deemed to be sensitive, establish the California Privacy Protection Agency to implement and enforce the
CPRA and impose administrative fines. Aspects of the CCPA and CPRA, and their interpretation and enforcement remain
uncertain. The potential effects of the CCPA and CPRA are far-reaching and may require us to modify our data processing
practices and policies and to incur substantial costs and expenses in an effort to comply.
Additionally, other jurisdictions are considering new or expanded laws or regulations relating to privacy and data
protection. With the GDPR, CCPA, CPRA, and other laws, regulations and other obligations relating to privacy and data
protection imposing new and relatively burdensome obligations, and with substantial uncertainty over the interpretation and
application of these and other obligations, we may face challenges in addressing their requirements, putting in place
additional compliance mechanisms and making necessary changes to our policies and practices, and may incur significant
costs and expenses in an effort to do so. Additionally, if third parties we work with, such as vendors or service providers,
violate applicable laws or regulations or our policies, such violations may also put our data at risk and could in turn have an
adverse effect on our business. Any failure or perceived failure by us or our service providers to comply with our
applicable policies or notices relating to privacy or data protection, our contractual or other obligations to third parties, or
any of our other legal obligations relating to privacy or data protection, may result in governmental investigations or
enforcement actions, litigation, claims and other proceedings, and could result in significant fines, penalties, and other
liability. Additionally, defending against any claims, litigation, regulatory proceedings, or other proceedings can be costly,
time-consuming and may require significant financial and personnel resources. Therefore, even if we are successful in
defending against any such actions or proceedings that may be brought against us, our business may be impaired, and we
may suffer reputational and other harm.
Our products may be subject to federal and state laws and certain initiatives relating to cost control, which may decrease
our profitability.
In the U.S., we expect there may be federal and state proposals for cost controls. We expect that increasing emphasis on
managed care in the U.S. will continue to put pressure on the pricing of pharmaceutical products. In addition, we are
required to pay rebates to states, which are generally calculated based on the prices for our products that are paid by state
Medicaid programs. Cost control initiatives could decrease the price that we charge, and increase the rebate amounts that
we must provide, for any of our products in the future. Further, cost control initiatives could impair our ability to
commercialize our products and our ability to earn significant revenues from commercialization. The continuing efforts of
the government, insurance companies, managed care organizations, and other payors of healthcare services to contain or
reduce costs of healthcare and/or impose price controls may adversely affect:
• the demand for our products, if we obtain regulatory approval;
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• our ability to receive or set a price that we believe is fair for our products;
• our ability to generate revenue and achieve or maintain profitability;
• the level of taxes that we are required to pay; and
• the availability of capital.
In the U.S., all of our pharmaceutical products are subject to increasing pricing pressures. Such pressures have increased as
a result of the Medicare Prescription Drug Improvement and Modernization Act of 2003, or the MMA, due to the enhanced
purchasing power of the private sector plans that negotiate on behalf of Medicare beneficiaries. In 2020, the Trump
administration announced several executive orders related to prescription drug pricing that seek to implement several of the
administration's proposals. The FDA also released a final rule on September 24, 2020 providing guidance for states to build
and submit importation plans for drugs from Canada. Recently, the HHS finalized a regulation removing safe harbor
protection for price reductions from pharmaceutical manufacturers to plan sponsors under Part D, either directly or through
pharmacy benefit managers, unless the price reduction is required by law. The rule also creates a new safe harbor for price
reductions reflected at the point-of-sale, as well as a safe harbor for certain fixed fee arrangements between pharmacy
benefit managers and manufacturers. The likelihood of implementation of any of the other Trump administration reform
initiatives is uncertain, particularly in light of the transition to the incoming Administration. We cannot predict how these
and future federal and state cost control initiatives will impact our business or the pricing of our products. In addition, if the
MMA or the Affordable Care Act were amended to impose direct governmental price controls and access restrictions, it
would have a significant adverse impact on our business. Furthermore, managed care organizations, as well as Medicaid
and other government agencies, continue to seek price discounts. Some states have implemented, and other states are
considering, price controls or patient access constraints under the Medicaid program, and some states are considering price-
control regimes that would affect rebate levels and apply to broader segments of their populations that are not Medicaid-
eligible. Further, there continue to be legislative proposals to amend U.S. laws to allow the importation into the U.S. of
prescription drugs, which can be sold at prices that are regulated by the governments of various foreign countries. In
addition to well-documented safety concerns, such as the increased risk of counterfeit products entering the supply chain,
such importation could impact pharmaceutical prices in the U.S. At the state level, legislatures have increasingly passed
legislation and implemented regulations designed to control pharmaceutical and biological product pricing, including price
or patient reimbursement constraints, discounts, restrictions on certain product access and marketing cost disclosure and
transparency measures, and, in some cases, designed to encourage importation from other countries and bulk purchasing.
Some of our products are marketed without FDA approval and may be subject to enforcement actions by the FDA.
Some of our prescription products are marketed without FDA approval. These products, like many other prescription drugs
on the market that have not been formally evaluated as being effective by the FDA, contain active ingredients that were
first marketed prior to the enactment of the Federal Food, Drug, and Cosmetic Act, or FFDCA. The FDA has assessed
these products in a program known as the “Prescription Drug Wrap-Up” and has stated that these drugs cannot be lawfully
marketed unless they comply with certain “grandfather” exceptions to the definition of “new drug” in the FFDCA. These
exceptions have been strictly construed by FDA and by the courts, and the FDA has stated that it is unlikely that any of the
unapproved prescription drugs on the market, including certain of our drugs, qualify for the exceptions. At any time, the
FDA may require that some or all of our unapproved prescription drugs be submitted for approval and may direct us to
recall these products and/or cease marketing the products until they are approved. The FDA may also take enforcement
actions based on our marketing of these unapproved products, including but not limited to the issuance of an untitled letter
or a warning letter, judicial action seeking an injunction, product seizure and/or civil or criminal penalties. The enforcement
posture could change at any time and our ability to market such drugs could terminate with little or no notice. Moreover, if
our competitors seek and obtain approval and market FDA-approved prescription products that compete against our
unapproved prescription products, we would be subject to a higher likelihood that the FDA may seek to take action against
our unapproved products. Such competitors have brought and may bring claims against us alleging unfair competition or
related claims.
As a result of our meetings with the FDA in 2009, we decided to discontinue all of our products that were subject to the
Prescription Drug Wrap-Up program, with the exception of epinephrine in vial form. These products were all produced at
our subsidiary, IMS. During the third quarter of 2010, the FDA requested that we reintroduce several of the withdrawn
products to help address a national drug shortage, while we prepared and filed applications for approval of the products.
Between August and October 2010, we reintroduced morphine, dextrose, and epinephrine prefilled syringes.
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In February 2017, the FDA requested that we discontinue the manufacturing and distribution of our epinephrine injection,
USP vial product, which had been marketed under the “grandfather” exception to the “FDA’s Prescription Drug Wrap-Up
program”. We discontinued selling this product in the second quarter of 2017. In April 2020, the FDA granted approval of
our Epinephrine Injection USP 30mg/mL Multiple Dose Vial, and we launched the product in May 2020.
The FDA granted approval of our Atropine Sulfate Injection 0.1mg/mL in the 10mL Luer-Jet® Prefilled Syringe in October
2020.
For the years ended December 31, 2020, 2019, and 2018, we recorded net revenues of $23.1 million, $27.1 million, and
$19.1 million, respectively, from our unapproved products. Our unapproved products currently on the market include:
morphine, dextrose and epinephrine prefilled syringes. We have filed two ANDAs and one NDA with respect to our
remaining unapproved products in order to mitigate all risk associated with the marketing of unapproved drug products.
Prior to the approval of our ANDA and NDA submissions, we continue to operate in compliance with the FDA
Compliance Policy Guide, CPG Sec. 440.100 Marketed New Drugs Without Approved NDAs and ANDAs. Recently, the
HHS announced that termination of the FDA Unapproved Drugs Initiative (UDI), citing that the Compliance Policy Guide
(CPG) issued with the UDI was “linked to prescription drug price increases and shortages” and announced its withdrawal.
The long-term impact of this policy and other measures of the incoming Administration on our business remains unclear.
Our reporting and payment obligations under the Medicare and/or Medicaid drug rebate programs and other
governmental purchasing and rebate programs are complex and may involve subjective decisions that could change as a
result of new business circumstances, new regulatory guidance or advice of legal counsel. Any determination of failure
to comply with those obligations could subject us to penalties and sanctions which could have a material adverse effect
on our business, financial position and results of operations and the market value of our common stock could decline.
The regulations regarding reporting and payment obligations with respect to Medicare and/or Medicaid reimbursement and
rebates and other governmental programs are complex. Because our processes for these calculations and the judgments
involved in making these calculations involve, and will continue to involve, subjective decisions and complex
methodologies, these calculations are subject to the risk of errors. In addition, they are subject to review and challenge by
the applicable governmental agencies, and it is possible that such reviews could result in material changes.
In January 2016, the Centers for Medicare and Medicaid Services, or CMS, issued a final rule that helped to clarify many
of the changes made to the Medicaid Drug Rebate Program by the Affordable Care Act. The final rule attempts to provide
drug manufacturers with the regulatory guidance necessary to ensure proper calculation and reporting of drug product and
pricing information. Specifically, the final rule attempts to clarify the definition of what constitutes a manufacturer’s “best
price” and aligns it, where appropriate, to the definition of “Average Manufacturer Price”, which is used to calculate drug
rebates. Notwithstanding the final rule’s guidance, a number of state and federal government agencies will continue to
conduct investigations of manufacturers’ reporting practices with respect to Average Wholesale Prices, or AWP, in which
reports of inflated AWP may lead to excessive payments for prescription drugs. These investigations could have a material
adverse effect on our business, financial position and results of operations. In December 2020, CMS issued a final rule that
sets forth various changes to manufacturer price reporting under the Medicaid Drug Rebate Program and provisions
relating to pharmacy benefit manager accumulator programs, Best Price reporting related to certain value-based purchasing
arrangements, line extensions, and Average Manufacturer Price reporting for authorized generics.
Any governmental agencies that have commenced, or may commence, an investigation of our business relating to the sales,
marketing, pricing, quality or manufacturing of pharmaceutical products could seek to impose, based on a claim of
violation of fraud and false claims laws or otherwise, civil and/or criminal sanctions, including fines, penalties and possible
exclusion from federal health care programs including Medicare and/or Medicaid. Some of the applicable laws may impose
liability even in the absence of specific intent to defraud. Furthermore, should there be ambiguity with regard to how to
properly calculate and report payments — and even in the absence of any such ambiguity — a governmental authority may
take a position contrary to a position we have taken, and may impose civil and/or criminal sanctions. Any such penalties or
sanctions could have a material adverse effect on our business, financial position and results of operations and could cause
the market value of our common stock to decline.
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We may be subject to enforcement action if we engage in the off-label promotion of our products.
Our promotional materials and training methods must comply with the FFDCA and other applicable laws and regulations,
including restraints and prohibitions on the promotion of off-label, or unapproved, use. Physicians may prescribe our
products for off-label use without regard to these prohibitions, as the FFDCA does not restrict or regulate a physician’s
choice of treatment within the practice of medicine. However, if the FDA determines that our promotional materials or
training constitutes promotion of an off-label use, it could request that we modify our training or promotional materials or
subject us to regulatory or enforcement actions, including but not limited to the issuance of an untitled letter or warning
letter, and a judicial action seeking injunction, product seizure and civil or criminal penalties. It is also possible that other
federal, state or non-U.S. enforcement authorities might take action if they consider our promotional or training materials to
constitute promotion of an unapproved use, which could result in significant fines or penalties under other statutory
authorities, such as laws prohibiting false claims for reimbursement. In that event, our reputation could be damaged and
adoption of the products could be impaired. Although our policy is to refrain from statements that could be considered off-
label promotion of our products, the FDA or another regulatory agency could disagree and conclude that we have engaged
in off-label promotion. In addition, the off-label use of our products may increase the risk of product liability claims.
Product liability claims are expensive to defend and could divert our management’s attention, result in substantial damage
awards against us and harm our reputation.
The pharmaceutical industry is highly regulated and pharmaceutical companies are subject to various federal and state
fraud and abuse laws, including, without limitation, the federal Anti-Kickback Statute and the federal False Claims Act.
Healthcare fraud and abuse regulations are complex, and even minor irregularities can potentially give rise to claims that a
statute or prohibition has been violated. The laws that may affect our ability to operate include:
● the federal Anti-kickback statue, which prohibits, among other things, persons from knowingly and willfully
soliciting, receiving, offering or paying remuneration, directly or indirectly, in exchange for or to induce
either the referral of an individual for, or the purchase, order or recommendation of, any good or service for
which payment may be made under federal healthcare programs such as the Medicare and Medicaid
programs;
● federal false claims laws which prohibit, among other things, individuals or entities from knowingly
presenting, or causing to be presented, claims for payment from Medicare, Medicaid, or other third-party
payers that are false or fraudulent;
● the federal Health Insurance Portability and Accountability Act of 1996, or HIPAA, which created new
federal criminal statutes that prohibit knowingly and willfully executing, or attempting to execute, a scheme
to defraud any healthcare benefit program or obtain, by means of false or fraudulent pretenses,
representations, or promises, any of the money or property owned by, or under the custody or control of, any
healthcare benefit program, regardless of the payor (e.g., public or private) and knowingly and willfully
falsifying, concealing, or covering up by any trick or device a material fact or making any materially false
statements in connection with the delivery of, or payment for, healthcare benefits, items or services relating
to healthcare matters;
● HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act of 2009, or
HITECH, and their respective implementing regulations, impose requirements on certain covered healthcare
providers, health plans, and healthcare clearinghouses as well as their respective business associates that
perform services for them that involve the use, or disclosure of, individually identifiable health information,
relating to the privacy, security, and transmission of individually identifiable health information;
● the FFDCA and similar laws regulating advertisement and labeling;
● the federal Physician Payment Sunshine Act, created under the ACA, and its implementing regulations,
require applicable manufacturers of drugs, devices, biologicals, and medical supplies for which payment is
available under Medicare, Medicaid or the Children’s Health Insurance Program to report annually to the
U.S. Department of Health and Human Services under the Open Payments Program, information related to
certain payments or other transfers of value made to physicians, as defined by such law, and teaching
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hospitals, as well as ownership and investment interests held by physicians and their immediate family
members; effective January 1, 2022, reporting obligations of applicable manufacturers will be extended to
include additional covered recipients, including payments and transfers of value made during the previous
year to certain non-physician providers, such as physician assistants and nurse practitioners, among others;
● the U.S. Foreign Corrupt Practices Act, which prohibits corrupt payments, gifts or transfers of value to non-
U.S. officials;
● non-U.S. and U.S. state law equivalents of each of the above federal laws, such as anti-kickback and false
claims laws which may apply to items or services reimbursed by any third-party payer, including commercial
insurers;
● state laws that require pharmaceutical companies to comply with the pharmaceutical industry’s voluntary
compliance guidelines, and the relevant compliance guidance promulgated by the federal government that
otherwise restricts payments that may be made to healthcare providers and other potential referral sources;
● state and local laws that require drug manufacturers to file reports with states regarding pricing and
marketing information, such as the tracking and reporting of gifts, compensations and other remuneration,
and items of value provided to healthcare professionals and entities;
● state and local laws that require the registration of pharmaceutical sales representatives; and
● state and foreign laws also govern the privacy and security of personal information (including health
information) in certain circumstances, many of which differ from each other in significant ways and may not
have the same effect, thus complicating compliance efforts.
The federal false claims laws have been interpreted to apply to arrangements between pharmaceutical manufacturers on the
one hand and prescribers, purchasers or formulary managers on the other. Although there are several statutory exemptions
and regulatory safe harbors protecting certain common activities from prosecution, the exemptions and safe harbors are
drawn narrowly, and practices that involve remuneration intended to induce prescribing, purchasing or recommending may
be subject to scrutiny if they do not qualify for an exemption or safe harbor. Most states also have statutes or regulations
similar to the federal anti-kickback law and federal false claims laws, which apply to items and services covered by
Medicaid and other state programs, or, in several states, apply regardless of the type of payer. Administrative, civil and
criminal sanctions may be imposed under these federal and state laws. In addition, we are also subject to federal and state
consumer protection and unfair competition laws that broadly regulate marketplace activities and activities that potentially
harm consumers.
Further, the Affordable Care Act, among other things, amends the intent requirement of the federal anti-kickback and
criminal healthcare fraud statutes. A person or entity can now be found guilty under the Affordable Care Act without actual
knowledge of the statute or specific intent to violate it. In addition, the Affordable Care Act provides that the government
may assert that a claim including items or services resulting from a violation of the federal anti-kickback statute constitutes
a false or fraudulent claim for purposes of the false claims statutes. Possible sanctions for violation of these anti-kickback
laws include monetary fines, civil and criminal penalties, imprisonment, exclusion from federal health care programs and
forfeiture of amounts collected in violation of such prohibitions. Any violations of these laws, or any action against us for
violation of these laws, even if we successfully defend against it, could result in a material adverse effect on our reputation,
business, results of operations and financial condition.
To enforce compliance with the federal laws, the U.S. Department of Justice, or DOJ, has increased its scrutiny of
interactions between healthcare companies and healthcare providers, which has led to a number of investigations,
prosecutions, convictions and settlements in the healthcare industry. Dealing with investigations can be time- and resource-
consuming and can divert management’s attention from the business. Additionally, if a healthcare provider settles an
investigation with the DOJ or other law enforcement agencies, we may be forced to agree to additional onerous compliance
and reporting requirements as part of a consent decree or corporate integrity agreement. Any such investigation or
settlement could increase our costs or otherwise have an adverse effect on our business.
Over the past few years, a number of pharmaceutical and other healthcare companies have been prosecuted under these
laws for a variety of promotional and marketing activities, such as: providing free trips, free goods, sham consulting fees
and grants and other monetary benefits to prescribers; reporting inflated average wholesale prices that were then used by
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federal programs to set reimbursement rates; engaging in off-label promotion; and submitting inflated best price
information to the Medicaid Rebate Program to reduce liability for Medicaid rebates.
In addition, there has been a trend of increased federal and state regulation of payments made to physicians for marketing.
Some states, such as California, Massachusetts and Vermont, mandate implementation of commercial compliance
programs, along with the tracking and reporting of gifts, compensation and other remuneration to physicians. The shifting
commercial compliance environment and the need to build and maintain robust and expandable systems to comply with
different compliance and/or reporting requirements in multiple jurisdictions increase the possibility that a healthcare
company may run afoul of one or more of the requirements.
If the activities of any of our business partners are found to be in violation of these laws or any other federal and state fraud
and abuse laws, they may be subject to penalties, including civil and criminal penalties, damages, fines and the curtailment
or restructuring of its activities with regard to the commercialization of our products, which could harm the commercial
success of our products and materially affect our business, financial condition and results of operations. While we have
implemented numerous risk mitigation measures to comply with such regulations in this complex operating environment,
we cannot guarantee that we will be able to effectively mitigate all operational risks. While we have developed and
instituted a corporate compliance program, we cannot guarantee that we, our employees, our consultants or our contractors
are or will be in compliance with all potentially applicable U.S. federal and state regulations and/or laws, all potentially
applicable foreign regulations and/or laws and/or all requirements of the corporate integrity agreement. Because of the far-
reaching nature of these laws, we may be required to alter or discontinue one or more of our business practices to be in
compliance with these laws. If we fail to adequately mitigate our operational risks or if we or our agents fail to comply with
any of those regulations, laws and/or requirements, a range of actions could result, including, but not limited to, the
termination of clinical trials, the failure to approve a product candidate, restrictions on our products or manufacturing
processes, withdrawal of our products from the market, significant fines, exclusion from government healthcare programs
or other sanctions or litigation. Such occurrences could have a material and adverse effect on our product sales, business
and results of operations.
The scope and enforcement of these laws is uncertain and subject to rapid change in the current environment of healthcare
reform, especially in light of the lack of applicable precedent and regulations. Federal or state regulatory authorities might
challenge our current or future activities under these laws. Any such challenge could have a material adverse effect on our
reputation, business, results of operations and financial condition. In addition, efforts to ensure that our business
arrangements with third parties will comply with these laws and regulations and will involve substantial costs. Any state or
federal regulatory review of us or the third parties with whom we contract, regardless of the outcome, would be costly and
time-consuming.
Our employees, independent contractors, consultants, commercial partners, and vendors may engage in misconduct or
other improper activities, including noncompliance with regulatory standards and requirements.
We are exposed to the risk of fraud, misconduct, or other illegal activity by our employees, independent contractors,
consultants, commercial partners, and vendors. Misconduct by these parties could include intentional, reckless, and
negligent conduct that fails to:
● comply with the laws of the FDA, EMA, and other comparable foreign regulatory authorities;
● provide true, complete, and accurate information to the FDA, EMA, and other comparable foreign regulatory
authorities;
● comply with manufacturing standards we have established;
● comply with healthcare fraud and abuse laws in the United States and similar foreign fraudulent misconduct
laws; or
● report financial information or data accurately or to disclose unauthorized activities to us.
Our business operations, including research, sales, marketing, education, and other business arrangements, in the healthcare
industry are subject to extensive laws designed to prevent fraud, kickbacks, self-dealing, and other abusive practices. These
laws and regulations may restrict or prohibit a wide range of pricing, discounting, educating, marketing and promotion,
sales and commission, certain customer incentive programs, and other business arrangements generally.
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Activities subject to these laws also involve the improper use of information obtained in the course of patient recruitment
for clinical trials, which could result in regulatory sanctions and cause serious harm to our reputation. While we have a
code of conduct and ethics, it is not always possible to identify and deter misconduct by employees and third parties, and
the precautions we take to detect and prevent this activity may not be effective in controlling unknown or unmanaged risks
or losses or in protecting us from governmental investigations or other actions or lawsuits stemming from a failure to be in
compliance with such laws. If any such actions are instituted against us, and we are not successful in defending ourselves
or asserting our rights, those actions could have a significant impact on our business, including the imposition of significant
fines or other sanctions.
Risks Relating to our International Business
Because a portion of our manufacturing takes place in China, a significant disruption in the construction or operation
of our manufacturing facility in China, political unrest in China, tariffs, impact of outbreaks of health epidemics, such
as the COVID-19 pandemic, or changes in social, political, trade, health, economic, environmental, or climate-related
conditions or in laws, regulations and policies governing foreign trade could materially and adversely affect our
business, financial condition and results of operations.
We currently manufacture the starting material for Amphadase® and enoxaparin as well as the APIs for isoproterenol and
nitroprusside at our manufacturing facility in China, and we plan to use this facility to manufacture several of the APIs for
products in our pipeline. Additionally, we intend to continue to invest in the expansion of this manufacturing facility. Our
manufacturing facility and operations in China involve significant risks, including:
● disruptions in the construction of the manufacturing facility;
● interruptions to our operations in China or the inability of our manufacturing facility to produce adequate
quantities of raw materials or APIs to meet our needs as a result of natural catastrophic events or other causes
beyond our control such as power disruptions or widespread disease outbreaks, including the recent outbreaks
that impact animal-derived products, such as the importation of pig-derived crude heparin from countries
impacted by the African swine flu, and outbreak of the COVID-19 pandemic, which has resulted in and may in
the future result in, business closures, transportation restrictions, import and export complications, and
otherwise cause shortages in the supply of raw materials or cause disruptions in our manufacturing capability;
● product supply disruptions and increased costs as a result of heightened exposure to changes in the policies of
the Chinese government, political unrest or unstable economic conditions in China;
● the imposition of tariffs or other trade barriers as a result of changes in social, political, and economic
conditions or in laws, regulations, and policies governing foreign trade, including the tariffs previously
implemented and additional tariffs that have been proposed by the U.S. government on various imports from
China and by the Chinese government on certain U.S. goods, the scope and duration of which, if implemented,
remain uncertain;
● the nationalization or other expropriation of private enterprises or intellectual property by the Chinese
government, which could result in the total loss of our investment in China; and
● interruptions to our manufacturing or business operations resulting from geo-political actions, including war
and terrorism, natural disasters including earthquakes, typhoons, floods, and fires, or outbreaks of health
epidemics such as coronavirus, or outbreaks in livestock or animals that impact or restrict importation, use, or
distribution of animal-derived products.
Any of these matters could materially and adversely affect our business and results of operations. These interruptions or
failures could impair our ability to operate our business, impede the commercialization of our product candidates or delay
the introduction of new products, impact our product quality, or impair our competitive position.
We are actively monitoring and assessing the potential impact of the COVID-19 pandemic. This includes evaluating the
impact on our employees, suppliers, and logistics providers as well as evaluating governmental actions being taken to
curtail the spread of the virus. While the Chinese government has been relaxing work restrictions, at this time, it is unclear
if the Chinese government will reinstate restrictions or if further restrictions will be put into place by the government. In
addition, many countries have placed significant bans on travel to and from China, with many countries
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and airlines suspending flights to and from mainland China. Any material adverse effect on our employees, suppliers, and
logistics providers could have a material adverse effect on our manufacturing operations in China or the supply of raw
materials or APIs originating from China.
We are exposed to risks related to our international operations and failure to manage these risks may adversely affect
our operating results and financial condition.
We have operations both inside and outside the U.S. For example, we have suppliers in Asia and Europe, and we own
manufacturing facilities in Nanjing, China, and Éragny-sur-Epte, France. As a result, a significant portion of our operations
is conducted by and/or rely on entities outside the markets in which our products are sold, and, accordingly, we import a
substantial number of products into such markets. We may, therefore, be denied access to our customers or suppliers or
denied the ability to ship products from any of our sites as a result of a closing of the borders of the countries in which we
sell our products, or in which our operations are located, due to economic, legislative, political and military conditions in
such countries.
International operations are subject to a number of other inherent risks, and our future results could be adversely affected
by a number of factors, including:
● requirements or preferences for domestic products or solutions, which could reduce demand for our products;
● differing existing or future regulatory and certification requirements, including additional or new U.K. –
specific regulatory requirements for commercialization of our products in the U.K. following the end of
Brexit transition period on December 31, 2020;
● management communication and integration problems resulting from cultural and geographic dispersion;
● greater difficulty in collecting accounts receivable and longer collection periods;
● difficulties in enforcing contracts;
● difficulties and costs of staffing and managing non-U.S. operations;
● difficulty hiring and retaining appropriate personnel due to intense competition for such resources and
resulting wage inflation in the cities where our operations are located;
● different labor regulations, especially in the European Union, where labor laws are generally more
advantageous to employees as compared to the United States, including deemed hourly wage and overtime
regulations in these locations;
● the uncertainty of protection for intellectual property rights in some countries and resulting exposure to
misappropriation of intellectual property or information that is proprietary to us, our customers and other
third parties;
● tariffs and trade barriers, export regulations and other regulatory and contractual limitations on our ability to
sell our products;
● changes in social, political, and economic conditions or in laws, regulations and policies governing foreign
trade, manufacturing, development and investment both domestically as well as in other countries and
jurisdictions into which we manufacture or sell our products;
● exposure to liabilities under both U.S. and foreign laws, including export and antitrust regulations, anti-
corruption and anti-money laundering laws, including the U.S. Foreign Corrupt Practices Act of 1977, as
amended, and similar applicable laws and regulations in other jurisdictions, and any trade regulations
ensuring fair trade practices;
● uneven electricity supply that can negatively impact manufacturing;
● heightened risk of unfair or corrupt business practices in certain geographies and of improper or fraudulent
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sales arrangements that may impact financial results and result in restatements of, or irregularities in,
financial statements;
● fluctuations in currency exchange rates and regulatory compliance;
● delays, inefficiencies, and other challenges inherent to efficiently managing an increased number of
employees over large geographic distances, including the need to implement appropriate systems, policies,
benefits, and compliance programs;
● potentially adverse tax consequences, including multiple and possibly overlapping tax structures; and
● interruptions to our manufacturing or business operations resulting from trade restrictions, political and
economic instability, political unrest, war, terrorism, natural disasters including earthquakes, typhoons,
floods, and fires, or outbreaks of health epidemics such as the coronavirus and African swine flu outbreaks.
Furthermore, weak domestic or global economic conditions or fear or anticipation of such conditions could adversely affect
our business, financial condition, results of operations and prospects in a number of ways, including lower prices for our
products, reduced sales and lower or no growth. For example, the global macroeconomic environment could be negatively
affected by, among other things, instability in global economic markets resulting from increased U.S. trade tariffs and trade
disputes between the U.S. and other countries, instability in the global credit markets, the impact and uncertainty regarding
global central bank monetary policy, rising interest rates and increased inflation, the instability in the geopolitical
environment as a result of the United Kingdom’s “Brexit” decision to withdraw from the European Union, economic
challenges in China and ongoing U.S. and foreign governmental debt concerns. Such challenges have caused, and are likely
to continue to cause, uncertainty and instability in local economies and in global financial markets, particularly if any
future sovereign debt defaults or significant bank failures or defaults occur. Market uncertainty and instability in Europe or
Asia could intensify or spread further, particularly if ongoing stabilization efforts prove insufficient. Continuing or
worsening economic instability could adversely affect sales of our products. Continued turmoil in the geopolitical
environment in many parts of the world may also affect the overall demand for our products. Although we do not believe
that our business, financial condition, results of operations and prospects have been significantly adversely affected by
economic and political uncertainty in Europe, Asia or other countries to date, deterioration of such conditions may harm
our business, financial condition, results of operations and prospects in the future. A prolonged period of economic
uncertainty or a downturn may also significantly affect financing markets, the availability of capital and the terms and
conditions of financing arrangements, including the overall cost of financing. Circumstances may arise in which we need,
or desire, to raise additional capital, and such capital may not be available on commercially reasonable terms, or at all.
In addition, the expansion of our existing international operations, including our facility expansion in Nanjing, China, and
entry into additional international markets, including our acquisition of a manufacturing business in Éragny-sur-Epte,
France, have required and will continue to require significant management attention and financial resources. These and
other factors could harm our ability to gain future revenues and, consequently, materially impact our business, results of
operations and financial condition.
Adverse changes to import restrictions relating to certain animal-derived products or raw materials we use from affected
countries could disrupt our supply chain and result in delays in the manufacturing of our products.
Some of our raw materials, such as certain animal-derived materials, sourced from foreign sources are subject to import
regulations and permit requirements, including from the USDA. The APHIS within the USDA has regulatory oversight
over certain animals and animal-derived products that could pose a risk to domestic agriculture. Recently, USDA has
increased its African swine flu surveillance efforts, including additional testing and enhanced restrictions on importation of
certain porcine products from affected countries, like China. In February 2020, we received a notice of non-renewal of our
permit to import or transport crude heparin USP from one of our third-party heparin supplies in China due to the recent
outbreak of the African swine flu in China, requiring additional information on the processing flow providing all treatment
parameters and times for the porcine heparin material. Accordingly, our import permit has expired as of February 2020, but
we continue to work with APHIS on renewing our import permit for the importation of heparin USP from China. We
anticipate that our current supply of heparin USP in the United States is useable and sufficient for our manufacturing needs
for the foreseeable future, and we are investigating the use of heparin USP produced at ANP. If we are unable to import raw
materials, rely upon existing supplies of raw materials or manufacture raw materials in sufficient amounts for our
manufacturing needs, we may be required to find alternative suppliers or sources of such
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materials, which could disrupt or delay the manufacturing of our products. The success of our business operations and sales
with respect to our heparin products will also depend on our continued efforts to maintain the proper product quality and
safety profile of the crude heparin obtained either from China or an alternative source.
Enhanced trade tariffs, import restrictions, export restrictions, Chinese regulations or other trade barriers may
materially harm our business.
We are continuing to expand our international operations as part of our growth strategy. There is currently significant
uncertainty about the future relationship between the United States and various other countries, most significantly China,
with respect to trade policies, treaties, government regulations and tariffs. There is a possibility that the United States could
continue to impose greater restrictions on international trade and significant increases in tariffs on goods imported into the
United States. In September 2018, the U.S. Trade Representative (the “USTR”) enacted a tariff on the import of other
Chinese products, with a combined import value of approximately $200 billion. Since that time USTR has imposed tariffs
on additional goods. Tariffs on imports of APIs and starting materials used in our products, or retaliatory trade measures
taken by China or other countries, including restricted access to APIs or starting materials used in our products, causing us
to raise prices or make changes to our products, could materially harm our business, financial condition and results of
operations. Further, the continued threats of tariffs, trade restrictions, and trade barriers could have a generally disruptive
impact on the global economy and, therefore, negatively impact our sales. Although the United States and China signed a
phase one trade deal on January 15, 2020, given the relatively fluid regulatory environment in China and the United States
and uncertainty regarding how the U.S. and the incoming Administration or foreign governments will act with respect to
tariffs, international trade agreements and policies, a trade war, further governmental action related to tariffs or
international trade policies, or additional tax or other regulatory changes in the future could occur and could directly and
adversely impact our financial results and results of operations.
We are subject to various governmental export control and trade sanctions laws and regulations that could impair our
ability to compete in international markets or subject us to liability if we violate these controls.
In some cases, our products are subject to export control laws and regulations, including the Export Administration
Regulations administered by the U.S. Department of Commerce, and our activities may be subject to trade and economic
sanctions, including those administered by the United States Department of the Treasury’s Office of Foreign Assets
Control, or OFAC, (collectively, “Trade Controls”). As such, a license may be required to export or re-export our products,
or provide related services, to certain countries and end-users, and for certain end-uses. The process for obtaining necessary
licenses may be time-consuming or unsuccessful, potentially causing delays in sales or losses of sales opportunities.
Trade Controls are complex and dynamic regimes and monitoring and ensuring compliance can be challenging. Although
we have procedures in place designed to ensure our compliance with Trade Controls, any failure to comply could subject us
to both civil and criminal penalties, including substantial fines, possible incarceration of responsible individuals for willful
violations, possible loss of our export or import privileges, and reputational harm. Although we have no knowledge that our
activities have resulted in violations of Trade Controls, any failure by us or our partners to comply with applicable laws and
regulations would have negative consequences for us, including reputational harm, government investigations, and
penalties.
The Chinese government may exert substantial influence over the manner in which we conduct our business operations
in China.
The Chinese government has exercised, and continues to exercise, substantial control over virtually every sector of the
Chinese economy through regulation and state ownership. Our ability to conduct our proposed manufacturing operations in
China may be harmed by changes in its laws and regulations, including those relating to taxation, import and export tariffs,
environmental regulations, land use rights, property ownership and other matters. We believe that our operations in China
are in material compliance with all applicable legal and regulatory requirements. However, the central or local governments
of the jurisdictions in which we operate may impose new, stricter regulations or interpretations of existing regulations that
would require additional expenditures and efforts on our part to ensure our compliance with such regulations or
interpretations. Accordingly, government actions in the future, including any decision not to continue to support economic
reforms and to return to a more centrally planned economy or regional or local variations in the implementation of
economic policies, could have a significant effect on economic conditions in China or particular regions thereof and could
require us to divest ourselves of any interest we then hold in Chinese properties or entities, including our Chinese operating
subsidiary, ANP.
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The Chinese legal system can be uncertain and could limit the legal protections available to us.
Unlike common law systems, such as the United States, the Chinese legal system is based on written statutes and decided
legal cases have little precedential value. Our Chinese operating subsidiary, ANP, is subject to laws and regulations
applicable to foreign investments in China in general and laws and regulations applicable to foreign invested enterprises in
particular. ANP is also subject to laws and regulations governing the formation and conduct of domestic Chinese
companies. Relevant Chinese laws, regulations and legal requirements may change frequently, and their interpretation and
enforcement involve uncertainties. For example, we may have to resort to administrative and court proceedings to enforce
the legal protections under law or contract. However, since Chinese administrative and court authorities have significant
discretion in interpreting and implementing statutory and contract terms, it may be more difficult to evaluate the outcome
of administrative and court proceedings and our level of legal protection in China compared to other legal systems. Such
uncertainties, including the inability to enforce our contracts and intellectual property rights, could materially and adversely
affect our business and operations. In addition, confidentiality protections in China may not be as effective as in the U.S. or
other countries. Accordingly, future developments in the Chinese legal system, including the promulgation of new laws,
changes to existing laws or the interpretation or enforcement thereof, or the preemption of local requirements by national
laws, could limit the legal protections available to us.
Our financial performance is impacted by the financial performance of our Chinese operating subsidiary, ANP.
Because we consolidate ANP’s financial results in our results of operations, our financial performance is impacted by the
financial performance of ANP. ANP’s financial performance may be affected by a number of factors, including, but not
limited to:
● ANP’s ability to execute on its expansion plans;
● the commercial success of ANP’s APIs, starting materials and finished pharmaceutical products;
● results of clinical trials of our product candidates or those of ANP’s customers;
● pricing actions by competitors;
● the timing of orders or any cancellation of orders from ANP’s customers;
● manufacturing or supply interruptions;
● actions taken by current and potential business partners;
● actions by regulatory bodies, such as the FDA or the CFDA;
● changes or developments in laws or regulations;
● disputes or other developments relating to patents or other proprietary rights;
● litigation or investigations involving ANP, our industry, or both; and
● ANP’s ability to control costs, including its operating expenses.
The United Kingdom’s vote to leave the European Union will have uncertain effects and could adversely affect us.
On January 31, 2020, the United Kingdom, or UK, left the European Union, or EU, (commonly referred to as the “Brexit”).
Brexit creates an uncertain political and economic environment in the UK and potentially across other EU member states
for the foreseeable future, including during the transitional period while the UK government continues to negotiate the
terms of the UK’s future relationship with the EU, and such uncertainties could impair or limit our ability to transact
business in the member EU states. In the long term, the UK may develop its own legislation that diverges from that in the
EU. Since the regulatory framework for pharmaceutical products, clinical trials, marketing authorization, commercial sales
and distribution of pharmaceutical products is derived from EU directives and regulations, Brexit will materially impact the
future regulatory regime which applies to products and the approval of product candidates in the
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UK.
Further, Brexit could adversely affect European and worldwide economic or market conditions and could contribute to
instability in global financial markets, and the value of the British pound sterling currency or other currencies, including the
euros. We are exposed to the economic, market and fiscal conditions in the UK and the EU and to changes in any of these
conditions. Depending on the terms reached regarding Brexit, it is possible that there may be adverse operational
implications and disruptions to our commercial and business operations in the UK, including our relationships with
potential customers, distribution partners, suppliers and employees.
A significant amount of the regulatory regime that applies to us in the UK is derived from EU directives and regulations.
No assurance can be given as to the impact of Brexit and, in particular, no assurance can be given that our operating results,
financial condition and prospects would not be adversely impacted by the result.
Risks Relating to our Intellectual Property
Our success depends on our ability to detect, protect, and enforce our intellectual property.
In addition to obtaining FDA approval for our generic and proprietary drug candidates, our success also depends on our
ability to obtain and maintain patent protection for new products developed utilizing our technologies, in the U.S. and in
other countries, and to enforce these patents. The patent positions of pharmaceutical firms, including us, are generally
uncertain and involve complex legal and factual issues. Any of our patent claims in our approved and pending non-
provisional and provisional patent applications relating to our technologies may not be issued or, if issued, any of our
existing and future patent claims may not be held valid and enforceable against third-party infringement. Moreover, any
patent claims relating to our technologies may not be sufficiently broad to protect our products. In addition, issued patent
claims may be challenged, potentially invalidated, or potentially circumvented. Our patent claims may not afford us
protection against our competitors. We currently have a number of U.S. and foreign patents issued. However, issuance of a
patent is not conclusive evidence of its validity or enforceability. We may not be granted patents for any of our pending
patent applications or any patent applications that we may file in the future and our issued patents may not be upheld if
challenged. Further, we may not be able to detect an unauthorized use of our intellectual property rights if a competitor uses
our intellectual property confidentially, in-house, with no public disclosure.
In March 2013, the U.S. transitioned to a first inventor to file system in which, assuming the other requirements for
patentability are met, the first inventor to file a patent application is entitled to receive a patent (rather than the first to
invent as was the case under prior U.S. law). Accordingly, it is possible that potentially invalidating prior art may become
available in between the time that we develop an invention and file a patent application that covers the invention. In
addition, we may be subject to a third-party pre-issuance submission of prior art to the U.S. Patent and Trademark Office,
or USPTO, or become involved in opposition, derivation, reexamination, inter parties review or interference proceedings
challenging our patent rights or the patent rights of others. An adverse determination in any such submission, proceeding or
litigation could reduce the scope of, or invalidate our patent rights, allow third parties to commercialize our technology or
products and compete directly with us, without payment to us, or result in our inability to manufacture or commercialize
products without infringing third party patent rights.
Past enforcement of intellectual property rights in countries outside the U.S., including China in particular, has been limited
or non-existent. Future enforcement of patents and proprietary rights in many other countries will likely be problematic or
unpredictable, particularly in other countries where intellectual property rights are not highly developed or protected.
Moreover, the issuance of a patent in one country does not assure the issuance of a similar patent in another country. Patent
claim interpretation and infringement laws vary by nation, so the extent of any patent protection is uncertain and may vary
in different jurisdictions.
Enforcement of our intellectual property rights may not be pursued in some situations in which an alleged infringer may
have a more dominant intellectual property position or for other business reasons.
We also rely on, or intend to rely on, our trademarks, trade names and brand names to distinguish our products from the
products of our competitors and have registered or applied to register our own trademarks. However, our trademark
applications may not be granted. Third parties may also oppose our trademark applications or otherwise challenge our use
of the trademarks. In the event that our trademarks are successfully challenged, we could be forced to rebrand our product,
which could result in loss of brand recognition and could require us to devote significant resources to advertising and
marketing these new brands. Further, our competitors may infringe our trademarks or we may not have adequate resources
to enforce our trademarks.
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We are currently, have in the past and in the future may become involved in patent litigations or other intellectual
property proceedings relating to our future product approvals, which could result in liability for damages or delay or
stop our development and commercialization efforts.
The pharmaceutical industry has been characterized by significant litigation and other proceedings regarding patents, patent
applications and other intellectual property rights. The situations in which we may become parties to such litigation or
proceedings may include any third parties initiating litigation claiming that our products infringe their patent or other
intellectual property rights; in such case, we will need to defend against such proceedings. For example, the field of generic
pharmaceuticals is characterized by frequent litigation that occurs in connection with generic pharmaceutical companies
filing ANDAs, Paragraph IV certifications and attempting to invalidate the patents of the proprietary reference drug. Any
non-generic products that we successfully develop may be subject to such challenge by third parties. As a generic
pharmaceutical company, we also expect to file ANDAs and Paragraph IV certifications and to attempt to invalidate patents
of third party reference drugs for which we seek to develop generic versions.
The costs of resolving any patent litigation or other intellectual property proceeding, even if resolved in our favor, could be
substantial. Many of our potential competitors will be able to sustain the cost of such litigation and proceedings more
effectively than we can because of their substantially greater resources. Uncertainties resulting from the initiation and
continuation of patent litigation or other intellectual property proceedings could have a material adverse effect on our
ability to compete in the marketplace. Patent litigation and other intellectual property proceedings may also consume
significant management time.
In the event that a competitor infringes upon our patent or other intellectual property rights, enforcing those rights may be
costly, difficult and time-consuming. Even if successful, litigation to enforce our intellectual property rights or to defend
our patents against challenge could be expensive and time-consuming and could divert our management’s attention. We
may not have sufficient resources to enforce our intellectual property rights or to defend our patent or other intellectual
property rights against a challenge. If we are unsuccessful in enforcing and protecting our intellectual property rights and
protecting our products, it could materially harm our business.
For example, we received a complaint on December 20, 2018, related to our ANDA submitted seeking approval to engage
in the commercial manufacture, use and sale of a proposed generic vasopressin injection USP. Additionally, we have also
been involved in patent litigation and antitrust litigation related to our sales of enoxaparin. For further details, see the
section titled Litigation in Note 20 in the accompanying “Notes to Consolidated Financial Statements” in this Annual
Report on Form 10-K. The protracted litigations involved, and may continue to involve, large legal expenses and the
diversion of management’s time and effort away from the business. Any future adverse determinations in a judicial or
administrative proceeding or failure to obtain necessary licenses, whether in these litigations or in other litigations, could
result in substantial monetary damage awards and could prevent us from manufacturing and selling our products, which
could have a material and adverse effect on our financial condition.
There may also be situations where we use our business judgment and decide to market and sell products, notwithstanding
the fact that allegations of patent infringement(s) have not been finally resolved by the courts, which situation is commonly
referred to as an at-risk launch. The risk involved in doing so can be substantial because the remedies available to the
owner of a patent for infringement may include, among other things, damages measured by the profits lost by the patent
owner and not necessarily by the profits earned by the infringer as well as injunctive relief, which would halt our ability to
market and sell such products altogether. In the case of a willful infringement, the definition of which is subjective, such
damages may be increased up to three times. Moreover, because of the discount pricing typically involved with generic
products, patented proprietary products generally realize a substantially higher profit margin than generic products. An
adverse decision in a case such as this or in other similar litigation could have a material adverse effect on our business,
financial position and results of operations and could cause the market value of our common stock to decline.
With respect to our proprietary products, if we fail to adequately protect or enforce our intellectual property rights, we
could lose sales to generic versions of our proprietary products which could cause a material adverse effect on our
business, financial position and results of operations and could cause the market value of our common stock to decline.
The success of our proprietary products depends in part on our ability to obtain, maintain and enforce patents and
trademarks, and to protect trade secrets, know-how and other proprietary information and technologies. Our ability to
commercialize any proprietary product successfully will largely depend upon our ability to obtain and maintain patents
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of sufficient scope to prevent third parties from developing substantially equivalent products. In the absence of patent and
trade secret protection, competitors may adversely affect our proprietary products business by independently developing
and marketing substantially equivalent products. It is also possible that we could incur substantial costs if we are required
to initiate litigation against others to protect or enforce our intellectual property rights.
We have filed patent applications covering compositions of, methods of making and/or methods of using, our proprietary
products and proprietary product candidates. We may not be issued patents based on patent applications already filed or
that we may file in the future, and if patents are issued, they may be insufficient in scope to cover our proprietary products.
The issuance of a patent in one country does not ensure the issuance of a similar patent in any other country, or that we will
even seek patent protection in all countries worldwide. Furthermore, the patent position of companies in the pharmaceutical
industry generally involves complex legal and factual questions and has been and remains the subject of much litigation.
Legal standards relating to scope and validity of patent claims are evolving and may differ in various countries. Any patents
we have obtained, or will obtain in the future, may be challenged, invalidated or circumvented. Moreover, the USPTO or
any other governmental agency, as well as third parties, may commence interference, opposition or other related third party
proceedings involving our patents or patent applications. Any challenge to, or invalidation or circumvention of, our patents
or patent applications would be costly, would require significant time and attention of our management, could cause a
material adverse effect on our business, financial position and results of operations and could cause the market value of our
common stock to decline.
Our unpatented trade secrets, know-how, confidential and proprietary information and technology may be inadequately
protected.
We rely on unpatented trade secrets, know-how and technology. This intellectual property is difficult to protect, especially
in the pharmaceutical industry, where much of the information about a product must be submitted to regulatory authorities
during the regulatory approval process. We seek to protect trade secrets, know-how, confidential or proprietary information
and technologies, in part, by entering into confidentiality and invention assignment agreements with employees, consultants
and others. These parties may breach or terminate these agreements, and we may not have adequate remedies for such
breaches. Furthermore, these agreements may not provide meaningful protection for our trade secrets, know-how, or other
confidential or proprietary information and technologies or result in the effective assignment to us of intellectual property,
and may not provide an adequate remedy in the event of unauthorized use or disclosure of confidential information or other
breaches of the agreements. Despite our efforts to protect our trade secrets, know-how, and our other confidential and
proprietary information and technologies, we or our collaboration partners, board members, employees, consultants,
contractors, or scientific and other advisors may unintentionally or willfully disclose our proprietary information to
competitors. In addition, we may not be able to detect any unauthorized disclosure of our trade secrets, know-how and our
other confidential and proprietary information and technologies if such disclosure was conducted confidentially without
public disclosure.
There is a risk that our trade secrets, know-how, and other confidential and proprietary information and technologies could
have been, or could, in the future, be shared by any of our former employees with, and be used to the benefit of, any
company that competes with us.
If we fail to maintain trade secret protection or fail to protect the confidentiality of our know-how, and other confidential
and proprietary information and technologies, our competitive position may be adversely affected. Enforcement of claims
that a third party has illegally obtained and is using trade secrets, know-how, and other confidential and proprietary
information and technologies, is expensive, time consuming and uncertain. If our competitors independently develop
equivalent knowledge, methods, know-how and trade secrets, we may not be able to prevail in an intellectual property
litigation against them, which could have a material adverse effect on our business.
There can be no assurance of timely patent and trademark review and approval to minimize competition and generate
sufficient revenues.
There can be no assurance that the USPTO will have sufficient resources to review and grant our patent and trademark
applications in a timely manner. Consequently, our patent and trademark applications may be delayed for many years (if
they issue at all), which would prevent intellectual property protection for our products. If we fail to successfully
commercialize our products due to the lack of intellectual property protection, we may be unable to generate sufficient
revenues to meet or grow our business according to our expected goals and this may have a materially adverse effect on our
profitability, financial condition and operations.
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We may be subject to claims that we, our board members, employees or consultants have used or disclosed alleged trade
secrets or other proprietary information belonging to third parties and any such individuals who are currently affiliated
with one of our competitors may disclose our proprietary technology or information.
As is commonplace in the biotechnology and pharmaceutical industries, some of our board members, employees and
consultants are or have been employed at, or associated with, other biotechnology or pharmaceutical companies that
compete with us. While employed at or associated with these companies, these individuals may become exposed to or
involved in research and technology similar to the areas of research and technology in which we are engaged. We may be
subject to claims that we, or our employees, board members or consultants have inadvertently, willfully or otherwise used
or disclosed alleged trade secrets or other proprietary information of those companies. Litigation may be necessary to
defend against such claims.
We have entered into confidentiality agreements with our executives and key consultants. However, we do not have, and
are not planning to enter into, any confidentiality agreements with our non-executive directors because they have a
fiduciary duty of confidentiality as directors. Our former board members, employees or consultants who are currently
employed at, or associated with, one of our competitors may unintentionally or willfully disclose our proprietary
technology or information.
Risks Related to Ownership of Our Common Stock
Sales of substantial amounts of our common stock, or indications of an intent to sell, may cause our stock price to
decline.
If we or our existing stockholders sell, or indicate an intent to sell, substantial amounts of our common stock in the public
market, the trading price of our common stock could decline. We maintain a shelf registration statement on Form S-3
pursuant to which we may, from time to time, sell up to an aggregate of $250 million of our common stock, preferred stock,
depositary shares, warrants, units, or debt securities. We may also issue shares of common stock or securities convertible
into our common stock from time to time in connection with financings, acquisitions, investments or otherwise. Any such
issuances would result in dilution to our existing stockholders and could cause our stock price to fall.
In addition, we have registered approximately 17.3 million shares subject to options and RSUs outstanding or reserved for
future issuance under our equity compensation plans. If these additional shares are sold, or if it is perceived that they will
be sold, in the public market, the trading price of our common stock could decline.
Jack Y. Zhang and Mary Z. Luo, each of whom serves as a director and an executive officer, own a significant
percentage of our stock and will be able to exert significant control over matters subject to stockholder approval.
As of March 1, 2021, Jack Y. Zhang and Mary Z. Luo, or Drs. Zhang and Luo, each of whom serves as one of our directors
and executive officers, and their affiliates beneficially own approximately 25.7% of our outstanding common stock,
including shares of common stock subject to options exercisable within 60 days of March 1, 2021. Our directors, executive
officers and each of our stockholders who own greater than 5% of our outstanding common stock and their affiliates, in the
aggregate, own approximately 28.7% of the outstanding, including shares of our common stock, based on the number of
shares outstanding and shares of our common stock subject to options exercisable within 60 days of March 1, 2021. As a
result, these stockholders, if acting together, will be able to influence or control matters requiring approval by our
stockholders, including the election of directors and the approval of mergers, acquisitions or other extraordinary
transactions. They may also have interests that differ from yours and may vote in a way with which you disagree and which
may be adverse to your interests. This concentration of ownership may have the effect of delaying, preventing or deterring
a change of control of our company, depriving our stockholders of an opportunity to receive a premium for their common
stock as part of a sale of the Company and might ultimately affect the market price of our common stock.
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Jack Y. Zhang and Mary Z. Luo have pledged shares of our common stock to secure funds borrowed under existing
credit lines from three financial institutions. Each of the lenders has varying rights as a lender, including one which has
the right to conduct a forced sale at its sole discretion. An action by one of the lenders could include a sale of certain
shares of the Company’s stock pledged as collateral, the sale of which could cause our stock price to decline. An action
to cure and cover indebtedness by any one of the lender could also have other negative impacts on our business.
Since September 2015, UBS Bank USA, or UBS Utah, has made extensions of credit up to the amount of $8.0 million to
Applied Physics & Chemistry Laboratories, Inc., or APCL, which is controlled by Jack Y. Zhang and Mary Z. Luo. In May
2019, the credit amount was increased to $11.0 million. Since February 2017, UBS AG has also provided an extension of
credit up to the amount of $8.0 million to APCL. In 2021, the outstanding UBS AG credit line was transferred to UBS
Bank USA due to a UBS organizational change. The total UBS combined credit lines are $17.6 million, which is $11.0
million from UBS Utah plus $6.6 million transferred from UBS AG. The credit lines are secured by a pledge of 3,582,898
shares of our common stock currently held by APCL. Interest on the loan accrues at market rates. UBS has an unlimited
and unilateral right to call the credit lines for any reason whatsoever.
In October 2017, East West Bank, or East West, entered into an agreement with Drs. Zhang and Luo whereby East West
would loan them up to $5.0 million. The loan is secured by a pledge of 650,000 shares of our common stock held by Dr.
Zhang and 550,000 shares of our common stock held by Dr. Luo. Interest on the loan accrues at market rates. East West
Bank has acceleration rights to protect it in the event of a default.
In May 2018, Drs. Zhang and Luo entered into a business loan agreement with Cathay Bank, or Cathay, for the extension of
a credit line up $25.0 million. The loan is secured by pledged shares of 3,800,000 our common stock currently held by
APCL or Drs. Zhang and Luo. Interest on the loan accrues at market rates. Cathay received customary fees and expense
reimbursements in connection with this loan. The credit facility with Cathay Bank has a fifteen day cure period in the event
of a default.
We are not a party to these loans, which are full recourse against APCL and each of Drs. Zhang and Luo, respectively, and
are secured by pledges of a portion of the shares of our common stock currently beneficially owned by Drs. Zhang and
Luo.
If the price of our common stock declines, Drs. Zhang and Luo may be forced by these financial institutions to provide
additional collateral for the loans or to sell shares of our common stock held by them in order to remain within the margin
limitations imposed under the terms of their loans. Furthermore, the pledged shares may be acquired and sold by the
lenders. These factors may limit Dr. Zhang and Dr. Luo’s ability to either pledge additional shares of our common stock or
sell shares of our common stock held by them as a means to avoid or satisfy a margin call with respect to their pledged
common stock in the event of a decline in our stock price that is large enough to trigger a margin call. Any significant sales
of our common stock by one or more of these three lenders could cause the price of our common stock to decline further.
We do not intend to pay dividends for the foreseeable future.
The continued operation and expansion of our business will require substantial funding. Accordingly, we do not anticipate
that we will pay any cash dividends on shares of our common stock for the foreseeable future. Any determination to pay
dividends in the future will be at the discretion of our Board of Directors and will depend upon results of operations,
financial condition, contractual restrictions, restrictions imposed by applicable law and other factors our Board of Directors
deems relevant. In addition, our existing loan agreements restrict, and any future indebtedness may restrict, our ability to
pay dividends. Investors seeking cash dividends should not purchase our common stock. Accordingly, realization of a gain
on your investment will depend on the appreciation of the price of our common stock, which may never occur.
While we have engaged in repurchases of our common stock, any future decisions to reduce or discontinue
repurchasing our common stock pursuant to our previously announced repurchase program could cause the market
price for our common stock to decline.
Although our Board has authorized a share repurchase program, and we repurchased approximately 1.4 million of our
shares during 2020 for $24.4 million, any determination to continue to execute our stock repurchase program as planned
will be subject to, among other things, our financial position and results of operations, available cash and cash flow,
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capital requirements, and other factors, as well as our Board's continuing determination that the repurchase program is in
the best interests of our shareholders and is in compliance with all laws and agreements applicable to the repurchase
program. Our stock repurchase program does not obligate us to acquire any specific number of shares. If we fail to meet
any expectations related to stock repurchases, the market price of our stock could decline significantly, and could have a
material adverse impact on investor confidence. Additionally, price volatility of our stock over a given period may cause
the average price at which we repurchase our own stock to exceed the stock market price at a given point in time.
We may further increase or decrease the amount of repurchases of our common stock in the future. Any reduction or
discontinuance by us of repurchases of our common stock pursuant to our current share repurchase authorization program
could cause the market price of our common stock to decline. Moreover, in the event repurchases of our common stock are
reduced or discontinued, our failure or inability to resume repurchasing common stock at historical levels could result in a
lower market valuation of our common stock.
Some provisions of our charter documents and Delaware law may have anti-takeover effects that could discourage an
acquisition of us by others, even if an acquisition would be beneficial to our stockholders, and may prevent attempts by
our stockholders to replace or remove our current management.
Provisions in our amended and restated certificate of incorporation and our amended and restated bylaws, as well as
provisions of the Delaware General Corporation Law, or the DGCL, could depress the trading price of our common stock
by making it more difficult for a third party to acquire us or increase the cost of acquiring us, even if doing so would
benefit our stockholders, including transactions in which stockholders might otherwise receive a premium for their shares.
These provisions include:
● authorizing the issuance of “blank check” preferred stock, the terms of which may be established and shares
of which may be issued without stockholder approval;
● prohibiting stockholder action by written consent, thereby requiring all stockholder actions to be taken at a
meeting of our stockholders;
● eliminating the ability of stockholders to call a special meeting of stockholders;
● establishing advance notice requirements for nominations for election to the Board of Directors or for
proposing matters that can be acted upon at stockholder meetings;
● establishing a classified Board of Directors, whereby only one-third of the members of our Board of
Directors are elected at one time; and
● providing that vacancies on our board of directors may be filled only by a majority of directors then in office,
even though less than a quorum.
These provisions may frustrate or prevent any attempts by our stockholders to replace or remove our current management
by making it more difficult for stockholders to replace members of our Board of Directors, which is responsible for
appointing the members of our management. Furthermore, our amended and restated certificate of incorporation provides
that unless we consent in writing to the selection of an alternative forum, the Court of Chancery of the State of Delaware
will be the sole and exclusive forum for: (i) any derivative action or proceeding brought on our behalf; (ii) any action
asserting a breach of fiduciary duty owed by any of our current or former directors, officers or other employees to us or our
stockholders; (iii) any action asserting a claim arising pursuant to any provision of the DGCL, our amended and restated
certificate of incorporation, or our amended and restated bylaws; or (iv) any action asserting a claim against us that is
governed by the internal affairs doctrine. This provision is not intended to apply to actions arising under the Securities Act
or the Exchange Act, or any claim for which the federal courts have exclusive jurisdiction. Any person or entity purchasing
or otherwise acquiring any interest in shares of our capital stock shall be deemed to have notice of and consented to this
provision. This exclusive-forum provision may discourage lawsuits against us or our directors, officers, and employees. In
addition, we are subject to Section 203 of the DGCL, which generally prohibits a Delaware corporation from engaging in
any of a broad range of business combinations with an interested stockholder for a period of three years following the date
on which the stockholder became an interested stockholder, unless such transactions are approved by our Board of
Directors. This provision could delay or prevent a change of control, whether or not it is desired by or beneficial to our
stockholders, which could also affect the price that some investors are willing to pay for our common stock.
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General Risk Factors
We could be materially and adversely affected by violations of the U.S. Foreign Corrupt Practices Act and similar
worldwide anti-bribery laws.
The U.S. Foreign Corrupt Practices Act of 1977, as amended and similar applicable laws and regulations in other
jurisdictions generally prohibit companies and their intermediaries from making improper payments to non-U.S. officials
for the purpose of obtaining or retaining business. Our policies mandate compliance with these anti-bribery laws, which
often carry substantial penalties. We are currently expanding our operations abroad, including expanding our facilities in
China, a country which has experienced governmental and private sector corruption to some degree, and in certain
circumstances, strict compliance with anti-bribery laws may conflict with certain local customs and practices. Our internal
control policies and procedures may not always protect us from acts committed by our affiliates, employees or agents
which may violate these laws and regulations. Violations of foreign and U.S. laws and regulations could result in fines and
penalties, criminal sanctions against us, our officers or our employees, prohibitions on the conduct of our business and on
our ability to offer our products in one or more countries, and could also materially affect our brand, our international
growth efforts, our ability to attract and retain employees, our business, and our operating results. There can be no
assurance that our partners, our employees, contractors, or agents will not subject us to potential claims or penalties. Any
violations of these laws, or allegations of such violations, could have a material adverse effect on our business, financial
position, and results of operations and could cause the market value of our common stock to decline.
Movements in foreign currency exchange rates could have a material adverse effect on our business, financial position
and results of operations and could cause the market value of our common stock to decline.
A portion of our revenues, indebtedness and other liabilities and our costs are denominated in foreign currencies, including
the Chinese yuan and the euro. We report our financial results in U.S. dollars. Our results of operations and, in some cases,
cash flows may in the future be adversely affected by certain movements in exchange rates. From time to time, we may
implement currency hedges intended to reduce our exposure to changes in foreign currency exchange rates. However, any
such hedging strategies may not be successful, and any of our unhedged foreign exchange exposures will continue to be
subject to market fluctuations. These risks could cause a material adverse effect on our business, financial position and
results of operations and could cause the market value of our common stock to decline.
Global macroeconomic conditions may negatively affect us and may magnify certain risks that affect our business.
Our business is sensitive to general economic conditions, both inside and outside the U.S. Slower global economic growth,
credit market crises, high levels of unemployment, reduced levels of capital expenditures, government deficit reduction,
sequestration and other austerity measures and other challenges affecting the global economy adversely affects us and our
distributors, customers and suppliers. It is uncertain how long these effects will last or whether economic and financial
trends will worsen or improve. Such uncertain economic times may have a material adverse effect on our revenues, results
of operations, financial condition and, if circumstances worsen, our ability to raise capital at reasonable rates. If slower
growth in the global economy or in any of the markets we serve continues for a significant period, if there is significant
deterioration in the global economy or such markets or if improvements in the global economy don’t benefit the markets
we serve, our business and financial statements could be adversely affected.
Additionally, as a result of any future global economic downturn, our third-party payers may delay or be unable to satisfy
their reimbursement obligations. Sales of our principal products are dependent, in part, on the availability and extent of
reimbursement from third-party payers, including government programs such as Medicare and Medicaid and private payer
healthcare and insurance programs. A reduction in the availability or extent of reimbursement from government and/or
private payer healthcare programs could have a material adverse effect on the sales of our products, our business and results
of operations.
Current economic conditions may adversely affect the ability of our distributors, customers, suppliers and service providers
to obtain the liquidity required to pay for our products or to buy necessary inventory or raw materials and to perform their
obligations under agreements with us, which could disrupt our operations, and could negatively impact our business and
cash flow. Although we make efforts to monitor these third parties’ financial condition and their liquidity, our ability to do
so is limited, and some of them may become unable to pay their bills in a timely manner, or may even become insolvent,
which could negatively impact our business and results of operations. These risks may be elevated with respect to our
interactions with third parties with substantial operations in countries where current economic conditions are the most
severe, particularly where such third parties are themselves exposed to sovereign risk from
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business interactions directly with fiscally-challenged government payers.
At the same time, significant changes and volatility in the financial markets, in the consumer and business environment, in
the competitive landscape and in the global political and security landscape make it increasingly difficult for us to predict
our revenues and earnings into the future. As a result, any revenue or earnings guidance or outlook which we have given or
might give may be overtaken by events, or may otherwise turn out to be inaccurate. Though we endeavor to give
reasonable estimates of future revenues and earnings at the time we give such guidance, based on then-current conditions,
there is a significant risk that such guidance or outlook will turn out to be, or to have been, incorrect.
Failure to maintain adequate internal controls or to implement new or improved controls could have a material adverse
effect on our business, financial position and results of operations and could cause the market value of our common
stock to decline.
Ensuring that we have adequate internal financial and accounting controls and procedures in place so that we can produce
accurate financial statements on a timely basis is a costly and time-consuming effort. Our internal control over financial
reporting is designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of
financial statements in accordance with GAAP. We may not be able to complete our evaluation, testing and any required
remediation in a timely fashion. During the evaluation and testing process, if we identify one or more material weaknesses
in our internal control over financial reporting, we will be unable to assert that our internal controls are effective. We have
in the past, identified a material weakness in our internal control over financial reporting, which was remediated; however,
our remediation efforts may not enable us to avoid a material weakness in the future. Ensuring that we have adequate
internal financial and accounting controls and procedures in place to help produce accurate financial statements on a timely
basis is a costly and time-consuming effort that needs to be evaluated frequently.
We are required to disclose changes made in our internal control and procedures on a quarterly basis. Our independent
registered public accounting firm is required to report on the effectiveness of our internal control over financial reporting
pursuant to Section 404 of the Sarbanes-Oxley Act. Our independent registered public accounting firm may issue a report
that is adverse in the event it is not satisfied with the level at which our controls are documented, designed or operating. In
addition, we may encounter problems or delays in completing the implementation of any requested improvements and
receiving a favorable attestation by our independent registered public accounting firm.
In the event that our Chief Executive Officer, Chief Financial Officer, or independent registered public accounting firm
determines that our internal control over financial reporting is not effective as defined under Section 404, we could be
subject to one or more investigations or enforcement actions by state or federal regulatory agencies, stockholder lawsuits,
breaches of the covenants under our credit facilities, or other adverse actions requiring us to incur defense costs, pay fines,
make settlements or seek judgments, which may adversely affect investor perceptions and potentially result in a decline in
our stock price.
Our reported financial results may be adversely affected by changes in accounting principles generally accepted in the
United States.
Generally accepted accounting principles, or U.S. GAAP, in the United States are subject to interpretation by the Financial
Accounting Standards Board, or FASB, the SEC and various bodies formed to promulgate and interpret appropriate
accounting principles. A change in these principles or interpretations could have a significant effect on our reported
financial results and could affect the reporting of transactions completed before the announcement of a change. For
example, in May 2014, the FASB issued ASU No. 2014-09, Revenue From Contracts With Customers (Topic 606), or ASC
606, as subsequently amended, which supersedes nearly all existing revenue recognition guidance under U.S. GAAP. ASC
606 became effective for us beginning the first quarter of fiscal 2018, and we have adopted it using the modified
retrospective transition method. In addition, were we to change our critical accounting estimates, our results of operations
could be significantly impacted. These or other changes in accounting principles could adversely affect our financial
results. See Note 2 of the Notes to Financial Statements in Part II - Item 8 of this Annual Report on Form 10-K for
information regarding the effect of new accounting pronouncements on our financial statements. Any difficulties in
implementing these pronouncements could cause us to fail to meet our financial reporting obligations, which could result in
regulatory discipline and harm investors’ confidence in us.
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There are inherent uncertainties involved in estimates, judgments and assumptions used in the preparation of financial
statements in accordance with GAAP. Any future changes in estimates, judgments and assumptions used or necessary
revisions to prior estimates, judgments or assumptions or changes in accounting standards could lead to a restatement
or revision to previously consolidated financial statements, which could have a material adverse effect on our business,
financial position and results of operations and could cause the market value of our common stock to decline.
The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions
that affect the amounts reported in the consolidated financial statements and accompanying notes. We base our estimates on
historical experience and on various other assumptions that we believe to be reasonable under the circumstances, as
discussed in greater detail in the section titled “Management’s Discussion and Analysis of Financial Condition and Results
of Operations” 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. Our operating results may be adversely affected if our assumptions change
or if actual circumstances differ from those in our assumptions, which could cause our operating results to fall below the
expectations of securities analysts and investors, resulting in a decline in our stock price. Significant assumptions and
estimates used in preparing our consolidated financial statements include those related to revenue recognition, provision for
chargebacks and rebates, accruals for product returns, valuation of inventory, impairment of intangibles and long-lived
assets, accounting for income taxes and share-based compensation. Furthermore, although we have recorded reserves for
litigation related contingencies based on estimates of probable future costs, such litigation related contingencies could
result in substantial further costs. Also, any new or revised accounting standards may require adjustments to previously
issued financial statements. Any such changes could result in corresponding changes to the amounts of liabilities, revenues,
expenses and income. Any such changes could have a material adverse effect on our business, financial position and results
of operations and could cause the market value of our common stock to decline.
Changes in financial accounting standards or practices can have a significant effect on our reported results and may even
affect our reporting of transactions completed before the change is effective. New accounting pronouncements and varying
interpretations of accounting pronouncements have occurred and may occur in the future. Changes to existing rules or the
questioning of current practices may adversely affect our business and financial results.
Changes in income tax laws, tax rulings and other factors may have a significantly adverse impact on our effective tax
rate and tax expense, which could have a material adverse effect on our business, financial position and results of
operations and could cause the market value of our common stock to decline.
On December 22, 2017, the U.S. government enacted the Tax Act, which includes significant changes to the taxation of
business entities. These changes include, among others, a federal statutory rate reduction from 35% to 21% effective
January 1, 2018, the elimination or reduction of certain domestic deductions and credits, limitations on the deductibility of
executive compensation and interest, and a one-time transition tax on earnings of certain foreign subsidiaries that were
previously tax deferred. Our financial statements for the current year now reflect the effects of the Tax Act based on current
guidance, including remeasurement of our deferred tax assets and liabilities, as well as the effects of the reduced rate of the
U.S. corporate income tax and certain other provisions of the Tax Act on our effective tax rate and operating results. The
U.S. Treasury Department, the IRS, and state tax authorities will continue to interpret or issue guidance on how provisions
of the Tax Act will be applied or otherwise administered. As future guidance is issued, we may make adjustments to
amounts that we have previously recorded that may materially impact our financial statements in the period in which the
adjustments are made.
In addition to income taxes in the United States, we are subject to income taxes in many foreign jurisdictions. Significant
judgment is required in determining our worldwide provision for income taxes. In the ordinary course of business, there are
many transactions and calculations where the ultimate tax determination is uncertain. The final determination of any tax
audits or related litigation could be materially different from our historical income tax provisions and accruals.
In addition, tax laws are dynamic and subject to change as evidenced by the Tax Act. As new laws are passed and new
interpretations of the law are issued or applied, our provision for income taxes may be affected. Changes to U.S. tax laws,
including taxation of earnings outside of the U.S., the introduction of a base erosion anti-abuse tax and the disallowance of
tax deductions for certain book expenses, as well as changes to U.S. tax laws that may be enacted in the future, could
impact the tax treatment of our earnings, as well as cash and cash equivalent balances we currently maintain. Furthermore,
due to shifting economic and political conditions, tax policies or rates in various jurisdictions
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may be subject to significant change.
Additionally, increases in our effective tax rate as a result of a change in the mix of earnings in countries with differing
statutory tax rates, changes in our overall profitability, changes in the valuation of deferred tax assets and liabilities, the
results of audits and the examination of previously filed tax returns by various taxing authorities and continuing
assessments of our tax exposures could impact our tax liabilities and affect our income tax expense, which could have a
material adverse effect on our business, financial position and results of operations and could cause the market value of our
common stock to decline.
We or the third parties upon whom we depend may be adversely affected by earthquakes or other natural disasters and
our business continuity and disaster recovery plans may not adequately protect us from a serious disaster.
The facilities we use for our headquarters, laboratory and research and development activities are located in earthquake-
prone areas of California. A significant percentage of the facilities we use for our manufacturing, packaging, warehousing,
distribution and administration offices are also located in these areas. Earthquakes or other natural disasters could severely
disrupt our operations, and have a material adverse effect on our business, results of operations, financial condition and
prospects. If a natural disaster, power outage or other event occurred that prevented us from using all or a significant
portion of our facilities, that damaged critical infrastructure, such as our manufacturing facilities, or that otherwise
disrupted operations, it may be difficult or, in certain cases, impossible for us to continue our business for a substantial
period of time. The disaster recovery and business continuity plans we have in place currently are limited and are unlikely
to prove adequate in the event of a serious disaster or similar event. We may incur substantial expenses as a result of the
limited nature of our disaster recovery and business continuity plans.
Our quarterly and annual operating results may fluctuate significantly or may fall below the expectations of investors or
securities analysts, each of which may cause our stock price to fluctuate or decline.
Our operating results may be subject to quarterly and annual fluctuations as a result of a number of factors, including the
following:
● the commercial success of our key products and those of our customers;
● results of clinical trials of our product candidates or those of our competitors;
● pricing actions by competitors;
● the timing of orders or any cancellation of orders from our customers;
● manufacturing or supply interruptions;
● actions by regulatory bodies, such as the FDA, that have the effect of delaying or rejecting approvals of our
product candidates;
● changes in the prescription practices of physicians;
● changes or developments in laws or regulations applicable to our product candidates;
● introduction of competitive products or technologies;
● failure to meet or exceed financial projections we provide to the public;
● actual or anticipated variations in quarterly operating results;
● failure to meet or exceed the estimates and projections of securities analysts or investors;
● the perception of the pharmaceutical industry by the public, legislatures, regulators and the investment
community;
● announcements by us or our competitors of significant acquisitions, strategic partnerships, joint ventures,
capital commitments or achievement of significant milestones;
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● changes in, or termination of our agreements with our business partners;
● developments concerning our sources of manufacturing supply;
● disputes or other developments relating to patents or other proprietary rights;
● litigation or investigations involving us, our industry, or both;
● additions or departures of key scientific or management personnel;
● announcements or issuances of debt, equity or convertible securities;
● sales of our common stock by our stockholders;
● changes in the market valuations of similar companies;
● major catastrophic events;
● major changes in our Board of Directors or management or departures of key personnel;
● our overall effective tax rate, including impacts caused by any reorganization in our corporate structure, and
any new legislation or regulatory developments, including the Tax Act;
● general economic and market conditions and overall fluctuations in U.S. equity markets; or
● the other factors described in this “Item 1.A Risk Factors” section.
Any one of the factors above, or the cumulative effect of some of the factors referred to above, may result in significant
fluctuations in our quarterly or annual operating results. This variability and unpredictability could result in our failing to
meet our revenue, billings or operating results expectations or those of securities analysts or investors for any period. In
addition, a significant percentage of our operating expenses are fixed in nature and based on forecasted revenue trends.
Accordingly, in the event of revenue shortfalls, we are generally unable to mitigate the negative impact on operating results
in the short term. If we fail to meet or exceed such expectations for these or any other reasons, our business could be
materially adversely affected and our stock price could fluctuate or decline substantially.
In addition, if the market for pharmaceutical company stocks or the stock market in general, experiences a loss of investor
confidence, the trading price of our common stock could decline for reasons unrelated to our business, operating results or
financial condition. The trading price of our common stock might also decline in reaction to events that affect other
companies in our industry even if these events do not directly affect us. Our stock price may also be affected by sales of
large blocks of our stock or an interruption or change in our stock buyback program.
In the past, following periods of volatility in the market price of a company’s securities, securities class action litigation has
often been brought against that company. If our stock price is volatile, we may become the target of securities litigation.
Securities litigation could result in substantial costs and divert our management’s attention and resources from our business,
and this could have a material adverse effect on our business, operating results and financial condition.
The requirements of being a public company may strain our resources, divert management’s attention and affect our
ability to attract and retain executive management and qualified board members.
As a public company, we are subject to the reporting requirements of the Exchange Act, the Sarbanes-Oxley Act, the Dodd-
Frank Act, the listing requirements of the Nasdaq Stock Market LLC and other applicable securities rules and regulations.
Compliance with these rules and regulations will increase our legal and financial compliance costs, make some activities
more difficult, time-consuming or costly and increase demand on our systems and resources. The Sarbanes-Oxley Act
requires, among other things, that we maintain effective disclosure controls and procedures and internal control over
financial reporting. In order to maintain and, if required, improve our disclosure controls and procedures and internal
control over financial reporting to meet this standard, significant resources and management oversight may be required. As
a result, management’s attention may be diverted from other business concerns, which could adversely affect our business
and operating results. Although we have already hired additional employees to comply with these requirements, we may
need to hire more employees in the future or engage outside consultants, which
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will increase our costs and expenses.
In addition, changing laws, regulations and standards relating to corporate governance and public disclosure are creating
uncertainty for public companies, increasing legal and financial compliance costs and making some activities more time
consuming. These laws, regulations and standards are subject to varying interpretations, in many cases due to their lack of
specificity, and, as a result, their application in practice may evolve over time as new guidance is provided by regulatory
and governing bodies. This could result in continuing uncertainty regarding compliance matters and higher costs
necessitated by ongoing revisions to disclosure and governance practices. We intend to invest resources to comply with
evolving laws, regulations and standards, and this investment may result in increased general and administrative expenses
and a diversion of management’s time and attention from revenue-generating activities to compliance activities. If our
efforts to comply with new laws, regulations and standards differ from the activities intended by regulatory or governing
bodies due to ambiguities related to their application and practice, regulatory authorities may initiate legal proceedings
against us and our business may be adversely affected.
Failure to comply with these requirements could also subject us to enforcement actions by the SEC, further increase costs
and divert management’s attention, damage our reputation and adversely affect our business, operating results or financial
condition.
We also believe that being a public company and these rules and regulations make it more expensive for us to obtain
director and officer liability insurance.
As a result of disclosure of information in this Annual Report on Form 10-K and in filings required of a public company,
our business and financial condition are more visible, which we believe may result in threatened or actual litigation by
competitors and other third parties. If such claims are successful, our business and operating results could be adversely
affected. Even if the claims do not result in litigation or are resolved in our favor, these claims, and the time and resources
necessary to resolve them, could divert the resources of our management and adversely affect our business and operating
results.
We may become involved in securities class action litigation that could divert management’s attention from our business
and adversely affect our business and could subject us to significant liabilities.
The stock markets have from time to time experienced significant price and volume fluctuations that have affected the
market prices for the common stock of pharmaceutical companies. These broad market fluctuations as well as a broad
range of other factors, including the realization of any of the risks described in this section, may cause the market price of
our common stock to decline. In the past, securities class action litigation has often been brought against a company
following a decline in the market price of its securities. This risk is especially relevant for us because pharmaceutical
companies generally experience significant stock price volatility. We may become involved in this type of litigation in the
future. Litigation is often expensive and could divert management’s attention and resources from our primary business,
which could adversely affect our business. Any adverse determination in any such litigation or any amounts paid to settle
any such actual or threatened litigation could require that we make significant payments.
We may become involved in litigation that may materially adversely affect us.
From time to time, we may be involved in a variety of claims, lawsuits, investigations and proceedings relating to securities
laws, product liability, patent infringement, contract disputes and other matters relating to various claims that arise in the
normal course of our business in addition to governmental and other regulatory investigations and proceedings. For
example, former employees have filed claims against us under California’s Private Attorneys General Act, or PAGA.
PAGA allows an aggrieved staff member to bring a lawsuit on behalf of other current and former staff members for labor
code violations. In addition, third parties may, from time to time, assert claims against us in the form of letters and other
communications. Such matters can be time-consuming, divert management’s attention and resources, cause us to incur
significant expenses or liability and/or require us to change our business practices. Because of the potential risks, expenses
and uncertainties of litigation, we may, from time to time, settle disputes, even where we have meritorious claims or
defenses, by agreeing to settlement agreements. Because litigation is inherently unpredictable, we cannot assure you that
the results of any of these actions will not have a material adverse effect on our business, financial condition, results of
operations and prospects.
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Item 1B. Unresolved Staff Comments.
None.
Item 2. Properties.
Our manufacturing facilities are located in Rancho Cucamonga and South El Monte, California; Canton, Massachusetts;
Éragny-sur-Epte, France; and Nanjing, China. We own or lease a total of 60 buildings at six locations in the U.S., France
and China, that comprise 1.9 million square feet of manufacturing, research and development, distribution, packaging,
laboratory, office and warehouse space. Our facilities are regularly inspected by the FDA in connection with our product
approvals, and we believe that all of our facilities are being operated in material compliance with the FDA’s cGMP
regulations.
We continue to expand our facility in Nanjing, China and expect further significant investment.
In April 2014, we acquired Merck’s API manufacturing business in Éragny-sur-Epte, France, which manufactures porcine
insulin API and recombinant human insulin API, and expect to continue the current site activities.
The following table provides a summary of our owned properties as of December 31, 2020:
Location
Rancho
Cucamonga,
CA
Éragny-sur-Epte,
France
Aggregate
Facility Size
(in square feet)
Primary Use
Segment
267,674
Headquarters, research and development, laboratories, manufacturing,
packaging, warehousing and administrative offices
Finished pharmaceutical products
251,983 Manufacturing, laboratories, warehousing and administrative offices
API
Canton, MA
251,750
Manufacturing, packaging, warehousing, distribution and administrative
offices
Manufacturing, procurement, research and development, warehousing, and
administrative offices
405,951
57,968 Research and development, and laboratories
Nanjing, China
Chino, CA
South El Monte,
CA
21,200 Manufacturing
Finished pharmaceutical products
Finished pharmaceutical products
Finished pharmaceutical products
Finished pharmaceutical products
The properties leased by us have expiration dates ranging from 2021 to 2030 (including certain renewal options). The
following table provides a summary of our leased properties:
Location
Nanjing,
China
Rancho
Cucamonga,
CA
South El
Monte, CA
Aggregate
Facility Size
(in square feet)
Primary Use
Segment
153,877 Manufacturing, laboratories and administrative offices
Finished pharmaceutical products
180,019 Warehousing, distribution and administrative offices
Finished pharmaceutical products
312,158
Manufacturing, packaging, warehousing, distribution and administrative
offices
Finished pharmaceutical products
We believe that our current manufacturing capacity is adequate for the near term. We have in the past approached capacity
at one of our facilities largely as a result of the FDA’s request that we reintroduce certain previously discontinued products
to help cope with a nationwide shortage of these products. We believe that these capacity issues have been ameliorated as a
result of certain other manufacturers re-entering the market and increasing the production of the products that were subject
to the shortage.
Item 3. Legal Proceedings.
The disclosure under Note 20 of the Notes to the Consolidated Financial Statements included elsewhere in this report is
incorporated by reference in this Part I, Item 3.
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Item 4. Mine Safety Disclosures.
Not applicable.
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PART II
Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity
Securities.
Our common stock is listed on the Nasdaq Global Select Market and has traded under the symbol “AMPH” since our initial
public offering on June 25, 2014. Prior to this date, there was no public market for our common stock.
Dividend Policy
We have not declared or paid any dividends on our common stock since our initial public offering. We currently anticipate
that we will retain future earnings, if any, for the development, operation and expansion of our business and do not
anticipate declaring or paying any dividends in the foreseeable future. Additionally, our ability to pay dividends on our
common stock is limited by restrictions under the terms of our existing credit facilities. Any future determinations related
to dividend policy will be made at the discretion of our Board of Directors.
Holders of Record
At March 8, 2021, we had 47,432,937 shares of common stock outstanding held by approximately 143 stockholders of
record of our common stock. We believe the actual number of stockholders is greater than this number of record holders,
including stockholders who are beneficial owners but whose shares are held in “street” name by brokers and other
nominees. This number of holders of record also does not include stockholders whose shares may be held in trust by other
entities.
Stock Performance Graph
This graph shall not be deemed “soliciting material” or to be “filed” with the Securities and Exchange Commission for
purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or the Exchange Act, or otherwise subject to
the liabilities under that Section, and shall not be deemed to be incorporated by reference into any filing of Amphastar
Pharmaceuticals, Inc. under the Securities Act of 1933, as amended, or the Exchange Act.
The following graph illustrates a comparison of the total cumulative stockholder return on our common stock since
December 31, 2015, with the cumulative stockholder return since December 31, 2015, on two indices: the Nasdaq
Composite Index and the Nasdaq Pharmaceutical Index. The graph assumes an initial investment of $100 on December 31,
2015, both in our common stock and in the stocks comprising each index. It also assumes reinvestment of dividends, if any.
Historical stockholder return shown is not necessarily indicative of future performance, and we do not make or endorse any
predictions as to future stockholder returns.
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Issuer Purchases of Equity Securities During the Quarter Ended December 31, 2020
The table below provides information with respect to repurchases of our common stock.
Period
October 1 – October 31, 2020
November 1 – November 30, 2020
December 1 – December 31, 2020
Purchased as Part of
Total Number of Shares Maximum Number of
Shares that May Yet Be
Purchased Under the Plans
or Programs
Purchased (1)
Average
Total Number of Shares Price Paid Publicly Announced Plans
per Share
52,110 $ 20.24
56,984
66,928
52,110
56,984
66,928
19.11
18.56
or Programs
—
—
—
(1) During the fourth quarter of 2020, we repurchased shares of our common stock as part of the share buyback programs authorized by our Board of
Directors on November 4, 2019 and August 4, 2020. As of December 31, 2020, $17.4 million remained available for repurchase under such
programs.
Recent Sales of Unregistered Securities
There were no sales of unregistered securities during fiscal 2020 other than transactions previously reported in a Quarterly
Report on Form 10-Q or a Current Report on Form 8-K.
Securities Authorized for Issuance Under Equity Compensation Plans
See Item 12, “Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters” for
information regarding securities authorized for issuance.
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Item 6. (Reserved)
Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations.
The following is a discussion and analysis of the consolidated operating results, financial condition, liquidity and cash
flows of our company as of and for the periods presented below. The following discussion and analysis should be read in
conjunction with the audited consolidated financial statements and the related notes thereto included in Item 8 under the
heading “Financial Statements and Supplementary Data.” This discussion contains forward-looking statements that are
based on the beliefs of our management, as well as assumptions made by and information currently available to, our
management. Actual results could differ materially from those discussed in or implied by forward-looking statements. These
risks, uncertainties and other factors include among others, those identified under the “Special Note About Forward-
Looking Statements,” above and described in greater detail elsewhere in this Annual Report on Form 10-K, particularly in
Item 1A, “Risk Factors.”
In this section, we generally discuss the results of our operations for the year ended December 31, 2020 compared to the
year ended December 31, 2019. For a discussion of the year ended December 31, 2019 to the year ended December 31,
2018, please refer to Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of
Operations” in our Annual Report on Form 10-K for the year ended December 31, 2019, filed with the SEC on March 16,
2020, which discussion is hereby incorporated herein by reference.
Overview
We are a bio-pharmaceutical company that focuses primarily on developing, manufacturing, marketing and selling
technically-challenging generic and proprietary injectable, inhalation, and intranasal products as well as insulin API
products. We currently manufacture and sell over 20 products.
We are currently developing a portfolio of 13 generic abbreviated new drug applications, or ANDAs, three biosimilar
insulin product candidates and four proprietary product candidates, which are in various stages of development and target a
variety of indications. Five of the ANDAs and one NDA are currently on file with the FDA.
Our largest products by net revenues currently include Primatene Mist®, enoxaparin sodium injection, phytonadione,
lidocaine jelly and sterile solution, and naloxone hydrochloride injection. In the fourth quarter of 2018, we launched our
over-the-counter product Primatene Mist®. In July 2019, we began a national digital, radio, and television campaign for our
over-the-counter product Primatene Mist®, which will continue throughout 2021. During the second quarter of 2020, we
launched our epinephrine injection, USP 30mg/mL multiple dose vial product. In December 2020, the FDA granted
approval of our glucagon for injection emergency kit, 1mg, and we launched this product in the first quarter of 2021.
To complement our internal growth and expertise, we have made several strategic acquisitions of companies, products and
technologies. These acquisitions collectively have strengthened our core injectable and inhalation product technology
infrastructure by providing additional manufacturing, marketing, and research and development capabilities, including the
ability to manufacture raw materials, API and other components for our products.
Included in these acquisitions are marketing authorizations for 33 products in the UK, Ireland, Australia, and New Zealand,
representing 11 different injectable chemical entities from UCB Pharma GmbH. We are in the process of transferring the
manufacturing of these products to our facilities in California, which will require approvals from the UK Medicines and
Healthcare products Regulatory Agency before we can relaunch the products.
In July 2018, our Chinese subsidiary, ANP, completed a private placement of its common equity interest and received
approximately $56.3 million of cash proceeds. We have retained approximately 58% of the equity interest in ANP
following the private placement. ANP’s net income or loss after July 2, 2018, is attributed to us in accordance with our
equity interest of approximately 58% in ANP.
COVID-19 Pandemic
In March 2020, the World Health Organization declared the outbreak of a novel coronavirus, or COVID-19, as a pandemic,
which continues to spread throughout the world, including locations where we operate, such as the United
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States, China and France. We have been actively monitoring the COVID-19 pandemic and its impact globally. Currently,
our production facilities in all of our locations continue to operate as they had prior to the COVID-19 pandemic with few
changes, other than for enhanced safety measures intended to prevent the spread of the virus.
As a result of the COVID-19 pandemic, during the first half of 2020, sales of Primatene Mist® and certain hospital products
increased, while sales of certain products frequently used in elective procedures, such as Cortrosyn® and lidocaine
products, decreased. During the second half of 2020, sales of these products returned to levels closer to those experienced
prior to the COVID-19 pandemic. Also, some of our ongoing clinical trials have experienced short-term interruptions in the
recruitment of patients due to the COVID-19 pandemic, as hospitals prioritize their resources towards the COVID-19
pandemic and governments impose travel restrictions. Additionally, some clinical trials experienced increased expenses due
to new protocols to protect participants from COVID-19.
It is not possible at this time to estimate the complete impact that COVID-19 could have on our business, including our
customers and suppliers, as the impact will depend on future developments, which are highly uncertain and cannot be
predicted. Infections may resurge or become more widespread and the limitation on our ability to travel and timely sell and
distribute our products, as well as any closures or supply disruptions, may be extended for longer periods of time, all of
which would have a negative impact on our business, financial condition and operating results.
The COVID-19 pandemic has and will continue to adversely affect global economies and financial markets, resulting in an
economic downturn that could affect demand for our products and impact our operating results. Even after the COVID-19
pandemic has subsided, we may continue to experience an adverse impact to our business as a result of the continued
global economic impact of the pandemic. We cannot anticipate all of the ways in which health epidemics such as COVID-
19 could adversely impact our business. We will continue to monitor the impact of COVID-19 on all aspects of our
business. See Item 1A, “Risk Factors” for further discussion of the possible impact of the COVID-19 pandemic on our
business.
Business Segments
As of December 31, 2020, our performance is assessed and resources are allocated based on the following two reportable
segments: (1) finished pharmaceutical products and (2) API products. The finished pharmaceutical products segment
manufactures markets and distributes Primatene Mist®, enoxaparin, naloxone, phytonadione, lidocaine, as well as various
other critical and non-critical care drugs. The API segment manufactures and distributes RHI API and porcine insulin API
for external customers and internal product development. Information reported herein is consistent with how it is reviewed
and evaluated by our chief operating decision maker. Factors used to identify our segments include markets, customers and
products.
For more information regarding our segments, see “Part II – Item 8. Financial Statements and Supplementary Data – Notes
to Consolidated Financial Statements – Segment Reporting Information.”
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Results of Operations
Year ended December 31, 2020 compared to year ended December 31, 2019
Net revenues
Net revenues
Finished pharmaceutical products
API
Total net revenues
Cost of revenues
Finished pharmaceutical products
API
Total cost of revenues
Gross profit
as % of net revenues
Year Ended December 31,
Change
2020
2019
(in thousands)
Dollars
%
$ 331,368
18,478
$ 349,846
$ 179,723
26,783
$ 206,506
$ 143,340
$ 302,000
20,357
$ 322,357
$ 29,368
(1,879)
$ 27,489
10 %
(9)%
9 %
$ 165,424
25,010
$ 190,434
$ 131,923
$ 14,299
1,773
$ 16,072
$ 11,417
9 %
7 %
8 %
9 %
41 %
41 %
The increase in net revenues of finished pharmaceutical products for 2020 was primarily due to the following changes:
Finished pharmaceutical products net revenues
Primatene Mist®
Enoxaparin
Phytonadione
Lidocaine
Naloxone
Epinephrine
Other finished pharmaceutical products
Total finished pharmaceutical products net revenues
Year Ended December 31,
Change
2020
2019
(in thousands)
Dollars
%
$ 51,725
48,681
42,646
41,113
33,416
23,799
89,988
$ 331,368
$ 18,065
42,695
45,786
46,013
34,761
13,885
100,795
$ 302,000
$ 33,660
5,986
(3,140)
(4,900)
(1,345)
9,914
(10,807)
$ 29,368
186 %
14 %
(7)%
(11)%
(4)%
71 %
(11)%
10 %
The increase in sales of Primatene Mist® for the year ended December 31, 2020 was a result of the continued success of
our nationwide digital, television and radio campaign, which will continue throughout 2021. Additionally, sales of
Primatene Mist® increased as we increased our distribution channels, selling online on Amazon and to Kroger, the largest
grocery store chain in the United States starting in the third quarter of 2020. The increase in sales of enoxaparin was
primarily due to an increase in unit volume, as a result of a competitor leaving the market. The increase in sales of
epinephrine was primarily due to the launch of our epinephrine injection, USP 30mg/30mL multiple dose vial product in
the second quarter of 2020. During the second and fourth quarters of 2020, we experienced lower demand for certain
products which are frequently used in elective procedures, including lidocaine products and some products such as
Cortrosyn® which are included in other finished pharmaceutical products. We attribute these declines in products used in
elective procedures to a nationwide decline in such procedures by hospitals and individuals in response to the COVID-19
pandemic. These declines were partially offset by a $5.9 million increase in sales of sodium bicarbonate, included in other
finished pharmaceutical products, as we were able to utilize the new production line approved by the FDA earlier in the
year to meet strong market demand. We saw lower volume of several other finished pharmaceutical products including
calcium chloride, dextrose and atropine, as a competitor who experienced shortages in 2019 returned to the market in 2020.
We anticipate that sales of naloxone and enoxaparin will continue to fluctuate in the future as a result of changing levels of
competition.
Sales of API primarily depend on the timing of customer purchases. We anticipate that sales of API will continue to
fluctuate and may decrease due to the inherent uncertainties related to sales to MannKind Corporation pursuant to our
supply agreement with them. In addition, most of our API sales are denominated in euros, and the fluctuation in the
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value of euros versus the U.S. dollar has had, and will continue to have, an impact on API sales revenues in the near term.
A significant portion of our customer shipments in any period relate to orders received and shipped in the same period,
generally resulting in low product backlog relative to total shipments at any time. We had no significant backlog as of
December 31, 2020. Historically, our backlog has not been a meaningful indicator in any given period of our ability to
achieve any particular level of overall revenue or financial performance.
Gross Margins
Gross margins remained approximately the same compared to the prior period. We saw an increase in sales of Primatene
Mist® and launched epinephrine injection multiple dose vial, which are both higher-margin products. These increases in
gross margins were offset by charges included in cost of revenue to adjust our inventory and related purchase commitments
to their net realizable value. Additionally, the gross margin in 2019 benefited from a one-time $2.8 million amendment fee
paid by MannKind, which temporarily increased gross margin as a percentage of revenue in 2019.
The cost of heparin, which is the starting material for enoxaparin, has increased and is expected to increase further, putting
downward pressure on our gross margins. However, we believe that this trend will be offset by sales of our higher-margin
products, such as Primatene Mist®, and epinephrine multi dose vials, which were launched over the past few years and by
glucagon which was launched in 2021. Additionally, we have not seen significant supply disruption due to the COVID-19
pandemic at this time, but we are carefully monitoring for any potential problems.
Selling, distribution, and marketing, and general and administrative
Year Ended December 31,
Change
2020
2019
Dollars
%
(in thousands)
Selling, distribution, and marketing
General and administrative
$ 14,780 $ 12,830 $ 1,950 15 %
0 %
50,377
50,279
98
The increase in selling, distribution, and marketing expenses was primarily due to marketing and distribution expenses
related to Primatene Mist®, including the cost of a national digital, television and radio marketing campaign which began in
July 2019. The increase in general and administrative expense was primarily due to an expense of $4.9 million relating to
cash compensation and share-based compensation expense in connection with a separation agreement with a former
executive during the second quarter of 2020. This was partially offset by a decrease in legal expenses as a result of the
enoxaparin patent and antitrust litigation settlement reached in the second quarter of 2019.
We expect that selling, distribution and marketing expenses will increase due to the increase in marketing expenditures for
Primatene Mist®. We expect that general and administrative expenses will increase on an annual basis due to increased
costs associated with ongoing compliance with public company reporting obligations. Legal fees may fluctuate due to the
timing of patent challenges and other litigation matters.
Research and development
Salaries and personnel-related expenses
Clinical trials
FDA fees
Testing, operating and lab supplies
Depreciation
Other expenses
Total research and development expenses
Year Ended December 31,
Change
2020
2019
Dollars
%
$ 27,156
6,975
370
13,630
10,119
8,979
$ 67,229
(in thousands)
$ 27,503
8,707
860
15,640
8,591
7,552
$ 68,853
$
(347)
(1,732)
(490)
(2,010)
1,528
1,427
$ (1,624)
(1)%
(20)%
(57)%
(13)%
18 %
19 %
(2)%
Clinical trial expense decreased due to the completion of one of our external studies in 2020 and the delay in other studies
caused by COVID-19. The decrease in testing, operating and lab supplies was primarily due to a decrease in expenses at
our ANP facility.
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Research and development costs consist primarily of costs associated with the research and development of our product
candidates including the cost of developing APIs. We expense research and development costs as incurred.
We have made, and expect to continue to make, substantial investments in research and development to expand our product
portfolio and grow our business. We expect that research and development expenses will increase on an annual basis due to
increased clinical trial costs related to our biosimilar and inhalation product candidates. These expenditures will include
costs of APIs developed internally as well as APIs purchased externally, the cost of purchasing reference listed drugs and
the costs of performing the clinical trials. As we undertake new and challenging research and development projects, we
anticipate that the associated costs will increase significantly over the next several quarters and years. Some of our ongoing
clinical trials have experienced short term interruptions in the recruitment of patients due to the COVID-19 pandemic, as
hospitals prioritize their resources towards the COVID-19 pandemic and governments impose travel restrictions. These
conditions may in turn delay spending and delay the results of these trials.
Other income (expense), net
Other income (expenses), net
Year Ended December 31,
Change
2020
2019
(in thousands)
Dollars
%
$ (6,585) $ 59,389 $ (65,974) NM
In June 2019, we recognized a gain of $59.9 million relating to our settlement of the enoxaparin patent and antitrust
litigation with Momenta Pharmaceuticals, Inc. and Sandoz Inc. In December 2020, we recorded $12.8 million of expense in
connection with the Aventis litigation. For more information regarding our litigations matters, see Note 20 to the
consolidated financial statements. This was partially offset by $5.1 million relating to foreign currency gains in 2020.
Income tax provision
Income tax provision
Effective tax rate
Year Ended December 31,
Change
2020
$ 3,540
2019
(in thousands)
$ 13,723
76 %
23 %
Dollars
%
$ (10,183) NM
Our tax rate is affected by recurring items, such as tax rates in non-U.S. jurisdiction as compared to notional U.S. federal
statutory tax rate, and the relative amount of income or loss in those various jurisdictions. It is also impacted by certain
items that may occur in any given period, but are not consistent from period to period.
For additional information on our income taxes, including information about the impact of the CARES Act, refer to Note
15 to the consolidated financial statements.
Liquidity and Capital Resources
Cash Requirements and Sources
We need capital resources to maintain and expand our business. We expect our cash requirements to increase significantly
in the foreseeable future as we sponsor clinical trials for, seek regulatory approvals of, and develop, manufacture and
market our current development-stage product candidates and pursue strategic acquisitions of businesses or assets. Our
future capital expenditures include projects to upgrade, expand, and improve our manufacturing facilities in the United
States, China, and France. Our cash obligations include the principal and interest payments due on our existing loans and
lease payments, as described below and throughout this Annual Report on Form 10-K.
As of December 31, 2020, our foreign subsidiaries collectively held $20.1 million in cash and cash equivalents. Cash or
cash equivalents held at foreign subsidiaries are not available to fund the parent company’s operations in the United States.
We believe that our cash reserves, operating cash flows, and borrowing availability under our credit facilities will be
sufficient to fund our operations for at least the next 12 months. We expect additional cash flows to be generated in the
longer term from future product introductions, although there can be no assurance as to the receipt of regulatory
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approval for any product candidates that we are developing or the timing of any product introductions, which could be
lengthy or ultimately unsuccessful.
We maintain a shelf registration statement on Form S-3 pursuant to which we may, from time to time, sell up to an
aggregate of $250 million of our common stock, preferred stock, depositary shares, warrants, units, or debt securities. If we
require or elect to seek additional capital through debt or equity financing in the future, we may not be able to raise capital
on terms acceptable to us or at all. To the extent we raise additional capital through the sale of equity or convertible debt
securities, the issuance of such securities will result in dilution to our stockholders. If we are required and unable to raise
additional capital when desired, our business, operating results and financial condition may be adversely affected.
Working capital increased $2.3 million to $167.5 million at December 31, 2020, compared to $165.2 million at December
31, 2019.
Cash Flows from Operations
The following table summarizes our cash flows from operating, investing, and financing activities for the years ended
December 31, 2020 and 2019.
Statement of Cash Flow Data:
Net cash provided by (used in)
Operating activities
Investing activities
Financing activities
Effect of exchange rate changes on cash
Net increase (decrease) in cash, cash equivalents, and restricted cash
Sources and Use of Cash
Operating Activities
Year Ended December 31,
2020
2019
(in thousands)
$ 57,266
(36,415)
(2,246)
352
$ 18,957
$ 41,762
(50,527)
(3,783)
(104)
$ (12,652)
Net cash provided by operating activities was $57.3 million for the year ended December 31, 2020, which included net
income of $1.1 million. Non-cash items comprised primarily of $21.5 million of depreciation and amortization, and $20.5
million of share-based compensation expense.
Additionally, for the year ended December 31, 2020, there was a net cash inflow from changes in operating assets and
liabilities of $9.1 million, which resulted from an increase in accounts payable and accrued liabilities and a decrease in
inventory, which was partially offset by an increase in accounts receivable. Accounts payable and accrued liabilities
increased primarily due to the timing of payments. The decrease in inventory was a result of strong sales throughout the
year and a decrease in purchases of raw materials of enoxaparin. The increase in accounts receivable was due to the timing
of sales.
Net cash provided by operating activities was $41.8 million for the year ended December 31, 2019, which included net
income of $46.5 million, primarily as a result of the receipt of the $59.9 million relating to the litigation settlement with
Momenta Pharmaceuticals, Inc. and Sandoz Inc. Non-cash items were primarily comprised of $18.1 million of depreciation
and amortization, and $17.3 million of share-based compensation expense.
Additionally, there was a net cash outflow from changes in operating assets and liabilities of $51.7 million which resulted
from the decrease in accounts receivable, offset by an increase in inventory, as well as a decrease in accounts payable and
accrued liabilities. The decrease in accounts receivable was due to the timing of sales. The increase in inventory was
primarily due to increased purchases of raw materials and the production of finished goods for enoxaparin and Primatene
Mist® with an impact of $29.2 million and $9.3 million, respectively. We utilized deferred tax credits to offset a significant
portion of the tax liability related to our 2019 U.S. federal and California state taxable income,
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resulting in only $4.6 million tax payments. Accounts payable and accrued liabilities decreased primarily due to the timing
of payments.
Investing Activities
Net cash used in investing activities was $36.4 million for the year ended December 31, 2020, primarily as a result of $33.9
million in purchases of property, plant, and equipment, which included $11.5 million incurred in the United States, $2.9
million in France, and $19.5 million in China. Additionally, we purchased $1.1 million in short-term investments in 2020.
Net cash used in investing activities was $50.5 million for the year ended December 31, 2019, primarily as a result of $41.6
million in purchases of property, plant, and equipment, which included $11.3 million incurred in the United States, $6.8
million in France, and $23.5 million in China. Additionally, we purchased $8.8 million in short-term investments in 2019.
Financing Activities
Net cash used in financing activities was $2.2 million for the year ended December 31, 2020, primarily as a result of $24.4
million used to purchase treasury stock offset by $23.2 million in net proceeds from the settlement of share-based
compensation awards under our equity plans. Additionally, we also made $8.4 million in principal payments on our long-
term debt and received $7.5 million from borrowings on our lines of credit, of which $3.1 million was converted into an
equipment loan during the year.
Net cash used in financing activities was $3.8 million for the year ended December 31, 2019, primarily as a result of $22.3
million used to purchase treasury stock, which was partially offset by the receipt of $18.3 million for the ANP private
placement, and $3.4 million in net proceeds received from our equity plans. Additionally, we received $3.6 million from
borrowings on an equipment line of credit, and made $6.8 million in principal payments on our long-term debt and lines of
credit.
Debt and Borrowing Capacity
Our outstanding debt obligations are summarized as follows:
December 31,
Short-term debt and current portion of long-term debt
Long-term debt
Total debt
2020
$ 12,263
34,186
$ 46,449
2019
(in thousands)
$ 7,741
39,394
$ 47,135
Change
$ 4,522
(5,208)
(686)
$
As of December 31, 2020, we had $56.0 million in unused borrowing capacity under revolving lines of credit and
equipment lines of credit with Cathay Bank, East West Bank, and China Merchant Bank.
Lines of credit bear variable interest rates and are secured by inventory, accounts receivable, intangible assets, and
equipment. The weighted average interest rates on lines of credit as of December 31, 2020 and 2019 were 3.8% and 4.0%,
respectively. We have also entered into or refinanced certain mortgage and equipment loans with Cathay Bank and East
West Bank, which bear variable or fixed interest rates and are secured by buildings and equipment. On certain loans with
East West Bank, we have entered into fixed interest rate swap contracts to exchange the variable interests for fixed interest
rates without the exchange of underlying notional debt amounts.
For more information regarding our outstanding indebtedness, see “Part II – Item 8. Financial Statements and
Supplementary Data – Notes to Consolidated Financial Statements – Debt.”
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Operating Lease Obligations
As discussed in Note 18 to the consolidated financial statements, as of December 31, 2020 we had a total of $26.2 million
of minimum rental payments under operating leases. Of that amount, $4.4 million is due within 12 months as of December
31, 2020.
Purchase obligations
We have certain purchase obligations under which we are required to make minimum payments for items including, but not
limited to, inventory and pharmaceutical manufacturing and laboratory equipment. As of December 31, 2020, we had an
aggregate amount of approximately $48.8 million. We anticipate that most of these commitments with a remaining term in
excess of one year will be fulfilled by 2022.
Critical Accounting Policies
We prepare our consolidated financial statements in accordance with accounting principles generally accepted in the United
States, or GAAP. The preparation of consolidated financial statements in conformity with GAAP requires management to
make estimates and assumptions that affect the amounts reported in the consolidated financial statements and
accompanying notes. Actual results could differ from those estimates. In some cases, changes in the accounting estimates
are reasonably likely to occur from period to period. Accordingly, actual results could differ materially from our estimates.
To the extent that there are material differences between these estimates and actual results, our financial condition and
results of operations will be affected. We base our estimates on past experience and other assumptions that we believe are
reasonable under the circumstances, and we evaluate these estimates on an ongoing basis. We refer to accounting estimates
of this type as critical accounting policies, which we discuss further below. While our significant accounting policies are
more fully described in Note 2 to our audited consolidated financial statements, we believe that the following accounting
policies are critical to the process of making significant judgments and estimates in the preparation of our audited
consolidated financial statements.
Revenue Recognition
In 2018, we adopted ASC 606, Revenue from Contracts with Customers, or ASC 606, using the modified retrospective
transition method. The adoption of ASC 606 did not have a material impact on our revenues recognition or on the
consolidated financial statements and related disclosures. According to ASC 606, revenue is recognized at the time that our
customers obtain control of the promised goods. Revenues derived from contract manufacturing services are recognized
when third-party products are shipped to customers, after customers have accepted test samples of the products to be
shipped. The results for the reporting period beginning after January 1, 2018, are presented in accordance with the new
standard, although comparative information continues to be reported under the accounting standards and policies in effect
for those periods.
Our net revenues consist principally of revenues generated from the sale of our pharmaceutical products. We also generate
a small amount of revenues from contract manufacturing services. Generally, we recognize revenues at the time of product
delivery to our customers. In some cases, revenues are recognized at the time of shipment when stipulated by the terms of
the sale agreements. Revenues derived from contract manufacturing services are recognized when third-party products are
shipped to customers, after the customer has accepted test samples of the products to be shipped.
The consideration we receive in exchange for our goods or services is only recognized when it is probable that a significant
reversal will not occur. The consideration to which we expect to be entitled includes a stated list price, less various forms of
variable consideration. We make significant estimates for related variable consideration at the point of sale, including
chargebacks, rebates, product returns, other discounts and allowances.
Provision for estimated chargebacks, rebates, discounts, product returns and credit losses is made at the time of sale and is
analyzed and adjusted, if necessary, at each balance sheet date.
If actual future payments for the discounts, returns, fees, rebates and chargebacks exceed the estimates we made at the time
of sale, our financial position, results of operations and cash flows would be negatively impacted. As discussed under
“Accrual for Product Returns” below, we are generally obligated to accept from our customers the return of
pharmaceuticals that have reached or will soon reach their expiration dates. We establish reserves for such amounts
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based on historical experience and other information available at the time of sale, but the actual returns will not occur until
several years after the sale. Although we believe that our estimates and assumptions are reasonable as of the date when
made, actual results may differ significantly from these estimates. Our financial position, results of operations and cash
flows may be materially and negatively impacted if actual returns exceed our estimated allowances for returns.
We establish allowances for estimated chargebacks, rebates and product returns based on a number of qualitative and
quantitative factors, including:
● contract pricing and return terms of our agreements with customers;
● wholesaler inventory levels and turnover;
● historical chargeback and product return rates;
● shelf lives of our products, which is generally two years, as is the case with enoxaparin;
● direct communication with customers;
● anticipated introduction of competitive products or authorized generics; and
● anticipated pricing strategy changes by us and/or our competitors.
Provision for Chargebacks and Rebates
The provision for chargebacks and rebates is a significant estimate used in the recognition of revenue. Wholesaler
chargebacks relate to sales terms under which we agree to reimburse wholesalers for differences between the gross sales
prices at which we sell our products to wholesalers and the actual prices of such products that wholesalers resell them
under our various contractual arrangements with third parties such as hospitals and group purchasing organizations in the
United States. Rebates include primarily amounts paid to retailers, payers, and providers in the United States, including
those paid to state Medicaid programs, and are based on contractual arrangements or statutory requirements. We estimate
chargebacks and rebates using the expected value method at the time of sale to wholesalers based on wholesaler inventory
stocking levels, historic chargeback and rebate rates, and current contract pricing.
The provision for chargebacks and rebates is reflected as a component of net revenues. The following table is an analysis of
the chargeback and rebate provision:
Beginning balance
Provision for chargebacks and rebates
Credits and payments issued to third parties
Ending balance
Year Ended
December 31,
2020
2019
(in thousands)
$
21,644
158,152
(159,416)
20,380
$
$
22,423
131,524
(132,303)
21,644
$
Changes in the chargeback provision from period to period are primarily dependent on our sales to wholesalers, the level of
inventory held by wholesalers, and the wholesalers’ customer mix. Changes in the rebate provision from period to period
are primarily dependent on retailer’s and other indirect customers’ purchases. The approach that we use to estimate
chargebacks and rebates has been consistently applied for all periods presented. Variations in estimates have been
historically small. We continually monitor the provision for chargebacks and rebates and make adjustments when we
believe that the actual chargebacks and rebates may differ from the estimates. The settlement of chargebacks and rebates
generally occurs within 30 days to 60 days after the sale to wholesalers. Accounts receivable and/or accounts payable and
accrued liabilities are reduced and/or increased by the chargebacks and rebate amounts depending on whether we have the
right to offset with the customer. Of the provision for chargebacks and rebates as of December 31, 2020 and 2019, $16.4
million and $15.4 million were included in accounts receivable, net, on the consolidated balance sheets, respectively. The
remaining provision as of December 31, 2020 and 2019, was $4.0 million and $6.2 million,
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which were included in accounts payable and accrued liabilities, respectively.
Accrual for Product Returns
We offer most customers the right to return qualified excess or expired inventory for partial credit; however, API product
sales are generally non-returnable. Our product returns primarily consist of the returns of expired products from sales made
in prior periods. Returned products cannot be resold. At the time product revenue is recognized, we record an accrual for
product returns estimated using the expected value method. The accrual is based, in part, upon the historical relationship of
product returns to sales and customer contract terms. We also assess other factors that could affect product returns including
market conditions, product obsolescence and the introduction of new competition. Although these factors do not normally
give our customers the right to return products outside of the regular return policy, we realize that such factors could
ultimately lead to increased returns. We analyze these situations on a case-by-case basis and make adjustments to the
product return reserve as appropriate.
The provision for product returns is reflected as a component of net revenues. The following table is an analysis of the
product return liability:
Beginning balance
Provision for product returns
Credits issued to third parties
Ending balance
Year Ended
December 31,
2020
2019
(in thousands)
$ 10,339
11,810
(7,945)
$ 14,204
$ 8,030
7,305
(4,996)
$ 10,339
Of the provision for product returns as of December 31, 2020 and 2019, $10.2 million and $7.1 million were included in
accounts payable and accrued liabilities on the consolidated balance sheets, respectively. The remaining provision as of
December 31, 2020 and 2019, of $4.0 million and $3.2 million were included in other long-term liabilities, respectively.
For the years ended December 31, 2020 and 2019, our aggregate product return rate was 1.4% and 1.1% of qualified sales,
respectively.
Inventory
Inventories consist of currently marketed products and products manufactured under contract. Inventories are stated using
the first-in, first-out method, on a consistent basis. Inventory is stated at the lower of cost and net realizable value. We
adjust inventories to their net realizable value: (i) if a launch of a new product is delayed and inventory may not be fully
utilized and could be subject to impairment, (ii) when a product is close to expiration and not expected to be sold,
(iii) when a product has reached its expiration date, (iv) when a product is not expected to be sellable, and (v) when the
estimated net realizable value is below cost. In determining the estimated net realizable value of an inventory item, we
consider factors such as the forecasted average net selling price, the amount of inventory on hand, its remaining shelf life,
its regulatory approval status, and current and expected market conditions, including management forecasts and levels of
competition.
The largest adjustment to the net realizable value of our inventory has historically been related to enoxaparin. The
adjustment of enoxaparin inventory to its net realizable value has been driven primarily by increases in the prices of
heparin, the starting material for the production of the API in our enoxaparin product. Other cost increases relate to labor
and overhead also impacted the cost of producing enoxaparin. Additionally, fluctuations in the forecasted average net
selling price impact this estimate. The average net selling price has fluctuated due to competitor entries and exits from the
market.
Impairment of Intangible and Long-Lived Assets
We review long-lived assets and definite-lived identifiable intangible assets or asset groups for impairment whenever
events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Such events and
circumstances include decisions by the FDA regarding evidence of effectiveness of proprietary drug candidates or
bioequivalence (sameness) of our generic product candidates as compared to the reference drug, communication with the
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regulatory agencies regarding the safety and efficacy of our products under review, the use of the asset in current research
and development projects, any potential alternative uses of the asset in other research and development projects in the
short-to-medium term, clinical trial results and research and development portfolio management options. Determination of
recoverability is based on an estimate of undiscounted future cash flows resulting from the use of the asset or asset groups
and its eventual disposition. If the sum of the expected future undiscounted cash flows is less than the carrying amount of
the asset or asset groups, further impairment analysis is performed. An impairment loss is measured as the amount by
which the carrying amount exceeds the fair value of the asset or asset groups (assets to be held and used) or fair value less
cost to sell (assets to be disposed of). All of our impairments relate primarily to the isolated write-off of certain
manufacturing equipment related to abandoned projects. Since we periodically assess our product candidates and make
changes to product development plans, we incur impairment charges from time to time which can fluctuate significantly
from period to period.
The indefinite-lived intangible asset, the Primatene® trademark acquired in June 2008, and goodwill are tested for
impairment annually, in the fourth quarter, or more frequently if indicators of impairment are present. An impairment loss
is recorded if the asset’s fair value is less than its carrying value. We also periodically review the Primatene® trademark to
determine if events and circumstances continue to support an indefinite useful life. When we choose to perform a
qualitative assessment, we evaluate economic, industry and company-specific factors as an initial step. If we determine it is
more likely than not that the Primatene® trademark is impaired or the fair value of a reporting unit is less than its carrying
amount, further quantitative impairment process is then performed; otherwise, no further testing is required. If the life is no
longer indefinite, the asset is tested for impairment, and the carrying value, after recognition of any impairment loss, is
amortized over its remaining useful life. No impairment of indefinite-lived intangible asset and goodwill was recorded
during the years ended December 31, 2020, 2019, or 2018, respectively.
Deferred Income Taxes
We utilize the liability method of accounting for income taxes under which deferred taxes are determined based on the
temporary differences between the financial statements and the tax basis of assets and liabilities using enacted tax rates. A
valuation allowance is recorded when it is more likely than not that the deferred tax assets will not be realized.
A number of years may elapse before an uncertain tax position for which we have established a tax reserve is audited and
finally resolved. The number of years for which we can be subject to audit varies depending on the tax jurisdiction. While it
is often difficult to predict the final outcome or the timing of the resolution of an audit, we believe that our reserves for
uncertain tax benefits reflect the outcome of tax positions that is more likely than not to occur. The resolution of a matter
could be recognized as an adjustment to our provision for income taxes and our effective tax rate in the period of
resolution, and may also require a use of cash.
Share-Based Compensation
Options issued under our 2015 Equity Incentive Award Plan, or the 2015 Plan, and our Amended and Restated 2005 Equity
Incentive Award Plan, or 2005 Plan, are granted at exercise prices equal to or greater than the fair value of the underlying
common shares on the date of grant and vest based on continuous service. There have been no awards with performance
conditions and no awards with market conditions. The options have a contractual term of five to ten years and generally
vest over a three- to five-year period.
For awards issued prior to the listing of our common stock on The Nasdaq Global Select Market, or Nasdaq, the fair value
of the common stock utilized in the fair value estimation of award arrangements has been determined by our board of
directors, utilizing contemporaneous third-party valuations. Following the listing of our common stock on Nasdaq, we use
the closing stock price as reported on Nasdaq on the grant date for the fair value of its stock.
We use the Black-Scholes option pricing model to determine the fair value of options awards. The Black-Scholes option
pricing model has various inputs such as the common share price on the date of grant, exercise price, the risk-free interest
rate, volatility, expected life and dividend yield, all of which are estimates. We used the risk free rate on U.S. Treasury
securities at the time of grant for instruments with maturities commensurate with the expected term of the stock option.
Starting in 2020, our volatility estimate was based on the weighted average historical volatility of our stock price since IPO.
Prior to 2020, our volatility estimate was based on the weighted average historical volatility of our stock price and the stock
price from a set of peer companies, since our shares did not have sufficient trading history. We consider factors such as
stage of life cycle, competitors, size, market capitalization and financial leverage in the selection of
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similar entities. Our dividend yield was assumed to be 0%, because we have no plans to pay dividends. We estimate the
expected term of options with consideration of vesting date, contractual term, and historical experience for employee
exercise and post-vesting employment termination behavior after our common stock has been publicly traded. The
expected term of “plain vanilla” options is estimated based on the midpoint between the vesting date and the end of the
contractual term under the simplified method.
The fair value of each share-based compensation award is amortized into compensation expense on a straight-line basis
between the grant date for the option and the vesting date net of expected forfeitures. We estimate forfeitures at the time of
grant and revise those estimates in subsequent periods if actual numbers differ from such estimates. The change of any of
these inputs could significantly impact the determination of the fair value of our options as well as significantly impact our
results of operations.
Recent Accounting Pronouncements
In December 2019, the Financial Accounting Standards Board, or FASB, issued Accounting Standard Update, or ASU, No.
2019-12 Simplifying the Accounting for Income Taxes (Topic 740), which simplifies various aspects related to accounting
for income taxes. The amendment also improves consistent application of and simplify GAAP for other areas of Topic 740
by clarifying and amending existing guidance. The guidance is effective for our interim and annual reporting periods during
the year ended December 31, 2021, with early adoption permitted. We are currently evaluating the impact that the adoption
of this guidance will have on our consolidated financial statements and related disclosures.
Non-GAAP Financial Measures
We report our financial results in accordance with accounting principles generally accepted in the United States, or GAAP.
Off-Balance Sheet Arrangements
We do not have any relationships or financial partnerships with unconsolidated entities, such as entities often referred to as
structured finance or special purpose entities, which would have been established for the purpose of facilitating off-balance
sheet arrangements or other contractually narrow or limited purposes. In addition, we do not engage in trading activities
involving non-exchange traded contracts.
Investment in China
In accordance with certain agreements between ANP and the Chinese government, in January 2010 and November 2012,
we acquired certain land-use rights for $1.2 million and $1.3 million, respectively. As required by these agreements, we
were committed to spend approximately $15.0 million in the related land development, which primarily included the
construction of fixed assets according to a specific timetable. As of December 31, 2020, we have spent $19.5 million on
such construction, fulfilling our commitment.
Government Regulation
Our products and facilities are subject to regulation by a number of federal and state governmental agencies. The FDA in
particular, maintains oversight of the formulation, manufacture, distribution, packaging, and labeling of all of our products.
The Drug Enforcement Administration, or DEA, maintains oversight over our products that are considered controlled
substances.
In December 2020, our IMS facility in South El Monte, California was subject to an inspection by the DEA. The inspection
was routine as part of the DEA surveillance program. Due to COVID-19 restrictions, much of the inspection is being
performed off-site, by DEA inspectors (i.e. a “paper inspection”). The DEA has completed the inspection, including a
thorough review of the requested documents and have found the facility to be in compliance.
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Item 7A. Quantitative and Qualitative Disclosures about Market Risk.
The following discussion provides forward-looking quantitative and qualitative information about our potential exposure to
market risk. Market risk represents the potential loss arising from adverse changes in the value of financial
instruments. The risk of loss is assessed based on the likelihood of adverse changes in fair values, cash flows or future
earnings. We are exposed to market risk for changes in the market values of our investments (Investment Risk), the impact
of interest rate changes (Interest Rate Risk), and the impact of foreign currency exchange changes (Foreign Currency
Exchange Risk).
Investment Risk
We regularly review the carrying value of our investments and identify and recognize losses, for income statement
purposes, when events and circumstances indicate that any declines in the fair values of such investments below our
accounting basis are other than temporary. As of December 31, 2020, none of our investments experienced any declines in
fair value that are other than temporary. We do not enter into investments for trading or speculative purposes.
As of December 31, 2020, we had $15.0 million deposited in seven banks located in China, $4.7 million deposited in one
bank located in France, and $0.4 million deposited in one bank located in the United Kingdom. We also maintained $58.7
million in cash equivalents that include money market accounts as of December 31, 2020. Additionally, we maintain
approximately $3.9 million in investment grade corporate bonds as of December 31, 2020. The remaining amounts of our
cash equivalent as of December 31, 2020, are in non-interest bearing accounts.
As of December 31, 2019, we had $27.6 million deposited in seven banks located in China, $3.0 million deposited in one
bank located in France, and $0.8 million deposited in one bank located in the United Kingdom. We also maintained $44.2
million in cash equivalents that include money market accounts as of December 31, 2019. Additionally, we maintain
approximately $2.8 million in investment grade corporate bonds as of December 31, 2019. The remaining amounts of our
cash equivalent as of December 31, 2019, are in non-interest bearing accounts.
Interest Rate Risk
Our primary exposure to market risk is interest-rate-sensitive investments and credit facilities, which are affected by
changes in the general level of U.S. interest rates. Due to the nature of our short-term investments, we believe that we are
not subject to any material interest rate risk with respect to our short-term investments.
As of December 31, 2020, we had $46.4 million in long-term debt and finance leases outstanding. Of this amount, $13.2
million had variable interest rates which were not locked-in through fixed interest rate swap contracts. The debt with
variable interest rate exposure had a weighted-average interest rate of 4.4% at December 31, 2020. An increase in the index
underlying these rates of 1% (100 basis points) would increase our annual interest expense on the debt with variable
interest rate exposure by approximately $0.1 million per year.
As of December 31, 2019, we had $47.1 million in long-term debt and finance leases outstanding. Of this amount, $14.5
million had variable interest rates which were not locked-in through fixed interest rate swap contracts. The debt with
variable interest rate exposure had a weighted-average interest rate of 4.7% at December 31, 2019.
Foreign Currency Exchange Risk
Our finished pharmaceutical products are primarily sold in the U.S. domestic market, and have little exposure to foreign
currency price fluctuations. Our API manufacturing business in France is exposed to market risk related to changes in
foreign currency exchange rates, because our insulin sales contracts are frequently denominated in euros, which are subject
to fluctuations relative to the USD.
Our Chinese subsidiary, ANP, maintains its books of record in Chinese yuan. These books are remeasured into the
functional currency of USD, using the current or historical exchange rates. The resulting currency remeasurement
adjustments and other transactional foreign exchange gains and losses are reflected in our statement of operations.
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Our French subsidiary, AFP, maintains its books of record in euros. ANP’s Chinese subsidiaries maintain their book of
record in Chinese yuan. AUK’s subsidiary, IMS UK, maintains its books of record in British pounds. These books of
records are translated into USD using average exchange rates during the period. Assets and liabilities are translated at the
rate of exchange prevailing on the balance sheet date. Equity is translated at the prevailing exchange rate at the date of the
equity transactions. Translation adjustments are reflected in stockholders’ equity and are included as a component of other
comprehensive income (loss).
We are also exposed to the potential earnings effects from intercompany foreign currency assets and liabilities that arise
from normal trade receivables and payables and other intercompany loans.
As of December 31, 2020, a 10% unfavorable change in the exchange rate of the U.S. dollar strengthening against the
foreign currencies to which we have exposure would result in approximately $4.8 million reduction of foreign currency
gains, and approximately $5.6 million reduction in other comprehensive income.
As of December 31, 2020 and 2019, our foreign subsidiaries had cash balances denominated in foreign currencies in the
amount of $10.1 million and $5.2 million, respectively.
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Item 8. Financial Statements and Supplementary Data.
Index to Amphastar Pharmaceuticals, Inc. Consolidated Financial Statements
Report of Independent Registered Public Accounting Firm
Consolidated Balance Sheets
Consolidated Statements of Operations
Consolidated Statements of Comprehensive Income (Loss)
Consolidated Statements of Stockholders’ Equity
Consolidated Statements of Cash Flows
Notes to Consolidated Financial Statements
95
98
99
100
101
102
103
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Report of Independent Registered Public Accounting Firm
To the Stockholders and the Board of Directors of Amphastar Pharmaceuticals, Inc.
Opinion on the Financial Statements
We have audited the accompanying consolidated balance sheets of Amphastar Pharmaceuticals, Inc. (the Company) as of
December 31, 2020 and 2019, the related consolidated statements of operations, comprehensive income (loss),
stockholders' equity and cash flows for each of the three years in the period ended December 31, 2020, and the related
notes (collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial
statements present fairly, in all material respects, the financial position of the Company at December 31, 2020 and 2019,
and the results of its operations and its cash flows for each of the three years in the period ended December 31, 2020, in
conformity with U.S. generally accepted accounting principles.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United
States) (PCAOB), the Company's internal control over financial reporting as of December 31, 2020, based on criteria
established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the
Treadway Commission (2013 framework) and our report dated March 15, 2021 expressed an unqualified opinion thereon.
Basis for Opinion
These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion
on the Company’s financial statements based on our audits. We are a public accounting firm registered with the PCAOB
and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the
applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and
perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement,
whether due to error or fraud. Our audits included performing procedures to assess the risks of material misstatement of the
financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures
included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits
also included evaluating the accounting principles used and significant estimates made by management, as well as
evaluating the overall presentation of the financial statements. We believe that our audits provide a reasonable basis for our
opinion.
Critical Audit Matters
The critical audit matters communicated below are matters arising from the current period audit of the financial statements
that were communicated or required to be communicated to the audit committee and that: (1) relate to accounts or
disclosures that are material to the financial statements and (2) involved our especially challenging, subjective or complex
judgments. The communication of critical audit matters does not alter in any way our opinion on the consolidated financial
statements, taken as a whole, and we are not, by communicating the critical audit matters below, providing separate
opinions on the critical audit matters or on the accounts or disclosures to which they relate.
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Provision for chargebacks estimate
Description of the
Matter
The Company’s provision for chargebacks estimate totaled $16.4 million at December 31, 2020. As
described in Note 2 to the consolidated financial statements, a provision for chargebacks is made at
the time of sale and is analyzed and adjusted, if necessary, at each balance sheet date.
Auditing the provision for chargebacks estimate, the resulting impact of which is netted on the
statement of operations against product sales, is complex, requires significant judgment, and the
amounts involved are material to the financial statements taken as a whole. The significant judgment
primarily relates to the estimation of the future wholesale customer mix and related contract pricing,
which determine the rates at which future chargebacks on current sales will be paid. Revenue from
product sales is recognized upon transfer of control of a product to a customer, generally upon
delivery, and is based on an amount that reflects the consideration to which the Company expects to
be entitled, which represents an amount that is net of the estimated provision for chargebacks, among
other deductions. The estimated provision for chargebacks is based on wholesaler inventory levels,
historic chargeback rates, and current contract pricing and wholesaler customer mix.
How We Addressed
the Matter in Our
Audit
We obtained an understanding, evaluated the design and tested the operating effectiveness of internal
controls over the provision for chargebacks estimation process. This included testing controls over
management’s review of significant assumptions and inputs used in the provision for chargebacks
estimate, including actual sales, historical experience; and wholesaler inventory levels, customer mix
and contract pricing.
To test the provision for chargebacks estimate, we obtained management’s calculations and performed
the following procedures, among others. We evaluated the appropriateness of the Company’s models
and methodology, including recalculating the estimate using those models and testing the
completeness and accuracy of the inputs by comparing to internal and external data. We evaluated the
reasonableness of significant assumptions (e.g., estimated wholesale customer mix and related
contract pricing) by comparing rates at different time periods, including historical and subsequent
periods, obtaining an understanding of the facts supporting the selected rates, and performing
sensitivity analyses over those rates. We assessed subsequent events to determine whether there was
any new information that would require adjustment to the initial provision.
Inventory lower of cost or net realizable value estimate
Description of the
Matter
The Company's inventories totaled $96.8 million as of December 31, 2020 which is net of, amongst
other things, provisions to reduce the value of enoxaparin inventory to the lower of its cost and net
realizable value. Total charges of $9.4 million related to enoxaparin inventory and related purchase
commitments were included in cost of revenues in the Company’s consolidated statement of
operations for the year ended December 31, 2020. As explained in Note 2 to the consolidated
financial statements, the Company states inventory at the lower of cost and net realizable value. Net
96
Table of Contents
realizable value is determined using the estimated selling price, in the ordinary course of
business, less estimated costs to complete and dispose of the inventory.
Auditing management's estimate in determining the net realizable value of enoxaparin
inventory involved subjective auditor judgment because the estimation of the average
selling price relies on a number of factors that are affected by market conditions outside
the Company's control. In particular, the estimated selling price forecast is sensitive to
significant assumptions, including demand for the Company’s products, customer mix,
and expected competition.
How We
Addressed the
Matter in Our
Audit
We obtained an understanding, evaluated the design, and tested the operating
effectiveness of internal controls over the Company's lower of cost or net realizable
value estimate process. This included controls over management's assessment of
assumptions such as future demand, customer mix and expected competition and data
underlying the estimate, including but not limited to the completeness of the underlying
inventory.
Our substantive audit procedures included, among others, evaluating the significant
assumptions stated above and the accuracy and completeness of the underlying data
management used to value enoxaparin inventory. We compared the cost of on-hand
enoxaparin inventory and related purchase commitments to the estimated net realizable
value estimated based on selling price forecasts and evaluated adjustments to the
estimated selling price for specific considerations, such as new significant customers,
competitors, or planned price changes. We evaluated the reasonableness of
management’s forecasted selling price and whether expected changes in demand,
competition, or customer mix were appropriate in comparison with the Company’s
experience. We also assessed the historical accuracy of management's estimates by
performing retrospective reviews over prior periods' forecasted average selling prices
and performed sensitivity analyses over the significant assumptions to evaluate the
changes in the selling price forecast that would result from changes in the underlying
assumptions.
/s/ Ernst & Young LLP
We have served as the Company’s auditor since 1998.
Irvine, California
March 15, 2021
97
AMPHASTAR PHARMACEUTICALS, INC.
CONSOLIDATED BALANCE SHEETS
(in thousands, except share data)
ASSETS
Table of Contents
Current assets:
Cash and cash equivalents
Restricted cash
Short-term investments
Restricted short-term investments
Accounts receivable, net
Inventories
Income tax refunds and deposits
Prepaid expenses and other assets
Total current assets
Property, plant, and equipment, net
Finance lease right-of-use assets
Operating lease right-of-use assets
Goodwill and intangible assets, net
Other assets
Deferred tax assets
Total assets
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
Accounts payable and accrued liabilities
Income taxes payable
Current portion of long-term debt
Current portion of operating lease liabilities
Total current liabilities
Long-term reserve for income tax liabilities
Long-term debt, net of current portion
Long-term operating lease liabilities, net of current portion
Deferred tax liabilities
Other long-term liabilities
Total liabilities
Commitments and contingencies
Stockholders’ equity:
Preferred stock: par value $0.0001; 20,000,000 shares authorized; no shares issued and outstanding
Common stock: par value $0.0001; 300,000,000 shares authorized; 54,760,922 and 47,495,439
shares issued and outstanding as of December 31, 2020 and 52,495,483 and 46,576,968 shares
issued and outstanding as of December 31, 2019, respectively
Additional paid-in capital
Retained earnings
Accumulated other comprehensive loss
Treasury stock
Total Amphastar Pharmaceuticals, Inc. stockholders’ equity
Non-controlling interests
Total equity
Total liabilities and stockholders’ equity
See accompanying notes to consolidated financial statements.
98
December 31,
December 31,
2020
2019
$
$
$
$
92,642
1,865
12,977
2,200
66,005
96,831
385
6,777
279,682
260,055
612
20,042
40,615
5,250
24,980
631,236
95,504
1,077
12,263
3,357
112,201
4,709
34,186
17,464
741
13,212
182,513
$
$
$
73,685
1,865
11,675
2,290
45,376
110,501
311
9,538
255,241
233,856
887
18,805
41,153
11,156
25,873
586,971
77,051
2,042
7,741
3,175
90,009
3,425
39,394
16,315
867
9,433
159,443
—
—
5
410,061
117,773
(3,721)
(121,812)
402,306
46,417
448,723
631,236
5
367,305
116,370
(4,687)
(97,627)
381,366
46,162
427,528
586,971
$
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AMPHASTAR PHARMACEUTICALS, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share data)
Net revenues
Cost of revenues
Gross profit
Operating expenses:
Selling, distribution, and marketing
General and administrative
Research and development
Total operating expenses
Income (loss) from operations
Non-operating (expenses) income:
Interest income
Interest expense
Other (expenses) income, net
Total non-operating (expenses) income, net
Income (loss) before income taxes
Income tax provision (benefit)
Net income (loss)
Net loss attributable to non-controlling interests
Net income (loss) attributable to Amphastar Pharmaceuticals, Inc.
Net income (loss) per share attributable to Amphastar Pharmaceuticals, Inc.
stockholders:
Basic
Diluted
Weighted-average shares used to compute net income (loss) per share attributable to
Amphastar Pharmaceuticals, Inc. stockholders:
Basic
Diluted
2020
$ 349,846
206,506
143,340
Year Ended December 31,
2019
$ 322,357
190,434
131,923
2018
$ 294,666
187,681
106,985
14,780
50,377
67,229
132,386
12,830
50,279
68,853
131,962
8,156
49,888
57,564
115,608
10,954
(39)
(8,623)
642
(374)
(6,585)
(6,317)
4,637
3,540
997
(119)
59,389
60,267
60,228
13,723
456
(243)
(1,516)
(1,303)
(9,926)
(3,266)
1,097
$
46,505
$
(6,660)
(306) $
(2,434) $
(922)
1,403
$
48,939
$
(5,738)
0.03
0.03
$
$
1.04
0.98
$
$
(0.12)
(0.12)
47,038
46,982
46,395
49,124
49,907
46,395
$
$
$
$
$
See accompanying notes to consolidated financial statements.
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Table of Contents
AMPHASTAR PHARMACEUTICALS, INC.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(in thousands)
Net income (loss) attributable to Amphastar Pharmaceuticals, Inc.
Other comprehensive income (loss) attributable to Amphastar Pharmaceuticals, Inc.,
net of income taxes
Year Ended December 31,
2019
$ 48,939
2018
$ (5,738)
2020
$ 1,403
Foreign currency translation adjustment
Change in pension obligations
Total other comprehensive income (loss) attributable to Amphastar
Pharmaceuticals, Inc.
1,121
(155)
(576)
(98)
(1,957)
44
966
(674)
(1,913)
Total comprehensive income (loss) attributable to Amphastar Pharmaceuticals, Inc.
$ 2,369
$ 48,265
$ (7,651)
See accompanying notes to consolidated financial statements.
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Table of Contents
AMPHASTAR PHARMACEUTICALS, INC.
CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY
(in thousands, except share data)
Balance as of December 31, 2017
50,039,212 $
5 $ 313,891 $
72,642 $
(2,100)
(3,415,631)$ (50,702) $
333,736 $
— $ 333,736
Common Stock
Additional
Accumulated
Other
Treasury Stock
Paid-in Retained Comprehensive
Total
Amphastar
Stockholders' controlling
Non-
Shares Amount Capital Earnings
Income (loss)
Shares
Amount
Equity
Interest
Total
Balance as of December 31, 2018
51,438,675
Beginning balance adjustment as a result of
the adoption of new accounting standards
Net loss attributable to Amphastar
Pharmaceuticals, Inc.
Other comprehensive loss attributable to
Amphastar Pharmaceuticals, Inc.
Proceeds from the private placement of
ANP
Net loss attributable to non-controlling
interest
Purchase of treasury stock
Issuance of treasury stock in connection
with the Company's equity plans
Issuance of common stock in connection
with the Company's equity plans
Share-based compensation expense
Beginning balance adjustment as a result of
the adoption of new accounting standards
Net income attributable to Amphastar
Pharmaceuticals, Inc.
Other comprehensive loss attributable to
Amphastar Pharmaceuticals, Inc.
Proceeds from the private placement of
ANP
Net loss attributable to non-controlling
interest
Purchase of treasury stock
Issuance of treasury stock in connection
with the Company's equity plans
Issuance of common stock in connection
with the Company's equity plans
Share-based compensation expense
Net income attributable to Amphastar
Pharmaceuticals, Inc.
Other comprehensive income attributable to
Amphastar Pharmaceuticals, Inc.
Acquisition of additional ownership interest
in ANP
Net loss attributable to non-controlling
interest
Purchase of treasury stock
Issuance of treasury stock in connection
with the Company's equity plans
Issuance of common stock in connection
with the Company's equity plans
Share-based compensation expense
—
—
—
582
— —
—
(5,738)
—
—
— —
—
—
(1,913)
—
—
5,190
—
—
—
—
—
—
—
582
—
582
—
(5,738)
—
(5,738)
—
(1,913)
—
(1,913)
—
5,190
32,846
38,036
—
— —
—
—
—
—
—
—
—
—
(1,414,924)
—
(25,047)
—
(25,047)
(922)
—
(922)
(25,047)
—
—
(273)
—
—
22,998
273
—
1,399,463 —
— —
8,946
16,680
344,434
—
—
67,485
—
(54)
5
—
—
— —
—
48,939
—
—
(4,013)
—
—
— —
—
—
(674)
—
—
2,588
—
—
—
—
—
—
(4,807,557)
(75,476)
8,946
16,680
332,435
—
—
—
31,924
—
8,946
16,680
364,359
—
—
—
—
—
(54)
—
(54)
—
48,939
—
48,939
—
(674)
—
(674)
—
2,588
16,378
18,966
—
— —
—
—
—
—
—
—
—
—
(1,122,781)
—
(22,291)
—
(22,291)
(2,434)
—
(2,434)
(22,291)
—
—
(140)
—
—
11,823
140
—
—
—
— —
—
1,403
— —
—
—
—
—
—
— —
—
—
—
—
—
—
—
—
—
(4,687)
—
966
—
—
—
—
—
(5,918,515)
(97,627)
3,421
17,001
381,366
—
294
46,162
3,421
17,295
427,528
—
—
—
—
—
—
1,403
—
1,403
966
—
—
966
(106)
(106)
—
—
—
(1,366,915)
—
(24,425)
—
(24,425)
(306)
—
(306)
(24,425)
— —
(240)
—
—
19,947
240
—
—
—
Balance as of December 31, 2020
54,760,922 $
2,265,439 —
— —
23,165
19,831
—
—
5 $ 410,061 $ 117,773 $
—
—
(3,721)
—
—
—
—
(7,265,483)$ (121,812)$
23,165
19,831
402,306 $
—
667
23,165
20,498
46,417 $ 448,723
Balance as of December 31, 2019
52,495,483
5
1,056,808 —
— —
3,421
17,001
367,305
—
—
116,370
See accompanying notes to consolidated financial statements.
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AMPHASTAR PHARMACEUTICALS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)
Cash Flows From Operating Activities:
Net income (loss)
Reconciliation to net cash provided by operating activities:
Loss on impairment and disposal of assets
Depreciation of property, plant, and equipment
Amortization of product rights, trademarks, and patents
Operating lease right-of-use asset amortization
Share-based compensation expense
Changes in reserve for uncertain tax positions
Changes in deferred taxes, net
Changes in operating assets and liabilities:
Accounts receivable, net
Inventories
Prepaid expenses and other assets
Income tax refunds, deposits, and payable, net
Operating lease liabilities
Accounts payable and accrued liabilities
Net cash provided by operating activities
Cash Flows From Investing Activities:
Purchases and construction of property, plant, and equipment
Proceeds from the sale of property, plant and equipment
Sale of intangible assets
Purchase of short-term investments
Maturity of short-term investments
Payment of deposits and other assets
Net cash used in investing activities
Cash Flows From Financing Activities:
Proceeds from the private placement of ANP
Acquisition of additional ownership interest in ANP
Proceeds from equity plans, net of withholding tax payments
Purchase of treasury stock
Proceeds from borrowing under lines of credit
Repayments under lines of credit
Proceeds from issuance of long-term debt
Principal payments on long-term debt
Net cash (used in) provided by financing activities
Year Ended December 31,
2019
2018
2020
$
1,097
$
46,505
$
(6,660)
240
20,491
1,036
3,653
20,498
1,285
(162)
(20,160)
15,297
(2,049)
(972)
(3,597)
20,609
57,266
(33,855)
—
—
(13,557)
12,411
(1,414)
(36,415)
—
(106)
23,165
(24,425)
1,238
—
6,283
(8,401)
(2,246)
1,036
17,073
1,037
3,011
17,295
3,010
4,542
6,702
(41,103)
(3,604)
591
(2,613)
(11,720)
41,762
(41,555)
—
—
(8,815)
—
(157)
(50,527)
18,298
—
3,421
(22,291)
—
(347)
3,570
(6,434)
(3,783)
1,429
14,529
1,987
—
16,680
(464)
(1,414)
(16,295)
(5,984)
1,375
3,849
—
29,159
38,191
(46,808)
245
4,400
(308)
91
198
(42,182)
38,036
—
8,946
(25,047)
347
—
8,431
(5,705)
25,008
Effect of exchange rate changes on cash
352
(104)
(274)
Net increase (decrease) in cash, cash equivalents, and restricted cash
18,957
(12,652)
20,743
Cash, cash equivalents, and restricted cash at beginning of period
75,550
88,202
67,459
Cash, cash equivalents, and restricted cash at end of period
$
94,507
$
75,550
$
88,202
Noncash Investing and Financing Activities:
Capital expenditure included in accounts payable
Operating lease right-of-use assets
Equipment acquired under finance leases
Supplemental Disclosures of Cash Flow Information:
Interest paid, net of capitalized interest
Income taxes paid
$
$
$
$
$
11,136
4,819
61
2,199
3,411
$
$
$
$
$
10,622
7,978
143
2,435
5,717
$
$
$
$
$
8,386
—
14
2,376
339
See accompanying notes to consolidated financial statements
102
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Note 1. Business
AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Amphastar Pharmaceuticals, Inc., a Delaware corporation (together with its subsidiaries, hereinafter referred to as the
“Company”) is a bio-pharmaceutical company that develops, manufactures, markets, and sells generic and proprietary
injectable, inhalation, and intranasal products, including products with high technical barriers to market entry. Additionally,
the Company sells insulin active pharmaceutical ingredient, or API, products. Most of the Company’s products are used in
hospital or urgent care clinical settings and are primarily contracted and distributed through group purchasing organizations
and drug wholesalers. The Company’s insulin API products are sold to other pharmaceutical companies for use in their own
products and are being used by the Company in the development of injectable finished pharmaceutical products. The
Company’s inhalation product, Primatene Mist® is primarily distributed through drug retailers.
Note 2. Summary of Significant Accounting Policies
Basis of Presentation
The accompanying consolidated financial statements include the accounts of the Company and its subsidiaries, and are
prepared in accordance with United States generally accepted accounting principles, or GAAP. All intercompany activity
has been eliminated in the preparation of the consolidated financial statements. In the opinion of management, the
accompanying consolidated financial statements include all adjustments necessary to present fairly the consolidated
financial position, results of operations, and cash flows of the Company.
The Company’s subsidiaries include: (1) International Medication Systems, Limited, or IMS, (2) Armstrong
Pharmaceuticals, Inc., or Armstrong, (3) Amphastar Nanjing Pharmaceuticals Inc., or ANP, (4) Nanjing Letop Biological
Technology Co., Ltd., or Letop, (5) Nanjing Hanxin Pharmaceutical Technology Co., Ltd., or Hanxin, (6) Nanjing Hanxin
Biomedical Testing Service Co., Ltd., or Hanxin Biomedical, (7) Nanjing Baixin Trading Co., Ltd., or Baixin, (8)
Amphastar France Pharmaceuticals, S.A.S., or AFP, (9) Amphastar UK Ltd., or AUK, and (10) International Medication
Systems (UK) Limited, or IMS UK.
In July 2018, the Company’s Chinese subsidiary, ANP, completed a private placement of its common equity interest to
accredited investors and received approximately $56.3 million of cash proceeds, a portion of which was received in 2019.
The Company has retained approximately 58% of the equity interest in ANP following the private placement and continues
to consolidate the financial results of ANP with the Company’s results of operations. ANP’s net income after July 2, 2018,
was attributed to the Company in accordance with the Company’s equity interest of approximately 58% in ANP.
COVID-19 Pandemic
The Company is subject to risks and uncertainties as a result of the novel coronavirus pandemic, or COVID-19. The
complete extent of the impact of the COVID-19 pandemic on the Company’s business is highly uncertain and difficult to
predict, as the information is constantly evolving. The Company considered the impact of COVID-19 on the assumptions
and estimates used to determine the results reported and asset valuations as of December 31, 2020.
In March 2020, the World Health Organization declared the outbreak of a novel coronavirus, or COVID-19, as a pandemic,
which continues to spread throughout the world, including locations where the Company operates, such as the United
States, China and France. The Company has been actively monitoring the COVID-19 pandemic and its impact globally. In
late January 2020, China implemented extensive curfews and travel restrictions to control the outbreak, and started easing
these restrictions in March. Our business operations in China experienced a temporary disruption but resumed full
operation in February 2020. In March 2020, France also implemented a stay-at-home order limiting movement and
restricting travel, however, the Company was deemed to be an essential business and was not significantly impacted by the
restrictions. In March 2020, the Governors of the States of California and Massachusetts declared a health emergency and
issued orders to close all nonessential business; as a bio-pharmaceutical company, the
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AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Company was deemed to be an essential businesses. Subsequently, some but not all of the restrictions were lifted in China,
France, and states where the Company operates, and most businesses were allowed to reopen. All of the Company’s
production facilities continued to operate during the remainder of the year as they had prior to the COVID-19 pandemic
with very little change, other than for enhanced safety measures intended to prevent the spread of the virus.
It is not possible at this time to estimate the complete impact that COVID-19 could have on the Company’s business,
including its customers and suppliers, as the impact will depend on future developments, which are highly uncertain and
cannot be predicted. Infections may resurge or become more widespread and the limitation on the Company’s ability to
travel and timely sell and distribute its products, as well as any closures or supply disruptions, may be extended for longer
periods of time, all of which would have a negative impact on the Company’s business, financial condition and operating
results. The Company will continue to monitor the impact of COVID-19 on all aspects of its business.
Use of Estimates
The preparation of consolidated financial statements in accordance with GAAP requires management to make estimates
and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual
results could differ from those estimates. The principal accounting estimates include: determination of allowances for credit
losses, allowance for discounts, provision for chargebacks and rebates, provision for product returns, adjustment of
inventory to their net realizable values, impairment of long-lived and intangible assets and goodwill, workers’
compensation liabilities, litigation reserves, stock price volatilities for share-based compensation expense, valuation
allowances for deferred tax assets, and liabilities for uncertain income tax positions.
Foreign Currency
The functional currency of the Company, its domestic subsidiaries, its Chinese subsidiary ANP, and its U.K. subsidiary,
AUK, is the USD. ANP maintains its books of record in Chinese yuan. These books are remeasured into the functional
currency of USD using the current or historical exchange rates. The resulting currency remeasurement adjustments and
other transactional foreign currency exchange gains and losses are reflected in the Company’s consolidated statements of
operations.
The Company’s French subsidiary, AFP, maintains its book of record in euros. ANP’s other Chinese subsidiaries, maintain
their books of record in Chinese yuan. AUK’s subsidiary, IMS UK, maintains its book of record in British pounds. These
local currencies have been determined to be the subsidiaries’ respective functional currencies. These books of record are
translated into USD using average exchange rates during the period. Assets and liabilities are translated at the rate of
exchange prevailing on the balance sheet date. Equity is translated at the prevailing rate of exchange at the date of the
equity transactions. Translation adjustments are reflected in stockholders’ equity and are included as a component of other
accumulated comprehensive income (loss). The unrealized gains or losses of intercompany foreign currency transactions
that are of a long-term investment nature are reported in other accumulated comprehensive income (loss). The unrealized
gains and losses of intercompany foreign currency transactions that are of a long-term investment nature for the years
ended December 31, 2020, 2019, and 2018 were a $3.0 million gain, a $0.7 million loss, and a $1.5 million loss,
respectively.
Comprehensive Income (Loss)
For the years ended December 31, 2020, 2019 and 2018, the Company included its foreign currency translation gain (loss)
and change in pension obligation of its defined benefit pension plan as part of its comprehensive income (loss). Income tax
expense of $0.9 million was allocated to other comprehensive income for the year ended December 31, 2020. There was no
material income tax provision (benefit) allocated to other comprehensive loss for the years ended December 31, 2019 and
2018.
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AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Shipping and Handling Costs
For the years ended December 31, 2020, 2019, and 2018, the Company included shipping and handling costs of
approximately $4.3 million, $4.3 million, and $3.7 million, respectively, in selling, distribution and marketing expenses in
the accompanying consolidated statements of operations.
Advertising Expense
Advertising expenses, primarily associated with Primatene Mist® are recorded as they are incurred, except for expenses
related to the development of a major commercial or media campaign, which are expensed in the period in which
commercial or campaign is first presented, and is reflected as a component of selling, distribution and marketing in the
Company’s consolidated statement of operations. For the years ended December 31, 2020, 2019, and 2018, advertising cost
was $5.8 million, $4.3 million, and $0.4 million, respectively.
Research and Development Costs
Research and development costs are charged to expense as incurred and consist of costs incurred to further the Company’s
research and development activities. These include salaries and related employee benefits, costs associated with clinical
trials, nonclinical research and development activities, regulatory activities, research-related overhead expenses and fees
paid to external service providers.
The Company may produce or purchase inventories prior to or with the expectation of receiving marketing authorization in
the near term, based on operational decisions about the most effective use of existing resources. This inventory is referred
to as pre-launch inventory. It is the Company’s accounting policy that the pre-launch inventory is capitalized if it has a
probable future economic benefit. If marketing authorization is received and previously expensed pre-launch inventory is
sold, such sales may contribute up to a 100% margin to the Company’s operating results. Pre-launch inventory costs
include cost of work in process, materials, and finished drug products. As of December 31, 2020, 2019, and 2018, the
Company did not have material capitalized pre-launch inventory.
Financial Instruments
The carrying amounts of cash and cash equivalents, short-term investments, restricted cash and short-term investments,
accounts receivable, accounts payable, accrued expenses, and short-term borrowings approximate fair value due to the
short maturity of these items. The majority of the Company’s long-term obligations consist of variable rate debt, and their
carrying value approximates fair value as the stated borrowing rates are comparable to rates currently offered to the
Company for instruments with similar maturities. The Company at times enters into fixed interest rate swap contracts to
exchange the variable interest rates for fixed interest rates without the exchange of the underlying notional debt amounts.
Such interest rate swap contracts are recorded at their fair values.
Cash and Cash Equivalents
Cash and cash equivalents consist of cash, money market accounts, certificates of deposit and highly liquid investments
purchased with original maturities of three months or less.
Short-Term Investments
Short-term investments as of December 31, 2020 and 2019 consisted of certificates of deposit and investment grade
corporate bonds with original expiration dates within 12 months.
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Restricted Cash
AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Restricted cash is collateral required for the Company to guarantee certain vendor payments in France. As of December 31,
2020 and 2019, the restricted cash balance was $1.9 million.
Restricted Short-Term Investments
Restricted short-term investments consist of certificates of deposit that are collateral for standby letters of credit to qualify
for workers’ compensation self-insurance. The certificates of deposit have original maturities greater than three months, but
less than one year. As of December 31, 2020 and 2019, the balance of restricted short-term investments was $2.2 million
and $2.3 million, respectively.
Allowance for Credit Losses
The Company evaluates the collectability of accounts receivable based on a combination of factors. When the Company is
aware of circumstances that may impair a customer’s ability to pay subsequent to the original sale, the Company records a
specific allowance to reduce the amounts receivable to the amount that the Company reasonably believes to be collectable.
For all other customers, the Company recognizes an allowance for credit losses based on factors that include the length of
time the receivables are past due, industry and geographic concentrations, the current economic conditions and historical
collection experience. As of December 31, 2020 and 2019, the Company's allowance for credit losses was $1.3 million and
$1.1 million, respectively.
Inventories
Inventories consist of currently marketed products and products manufactured under contract. Inventories are stated using
the first-in, first-out method, on a consistent basis. The Company states inventory at the lower of cost and net realizable
value. Provisions are made for slow-moving, unsellable, or obsolete items. Net realizable value is determined using the
estimated selling price, in the ordinary course of business, less estimated costs to complete and dispose.
Property, Plant and Equipment
Property, plant and equipment are stated at cost or, in the case of assets acquired in a business combination, at fair value on
the purchase date. Depreciation and amortization expense is computed using the straight-line method over the estimated
useful lives of the related assets as follows:
Buildings
Machinery and equipment
Furniture and fixtures
Automobiles
Leasehold improvements
20 - 31 years
3 - 12 years
3 - 7 years
4 - 5 years
Lesser of remaining lease term or useful life
Intangible Assets
Intangible assets with finite lives are amortized using the straight-line method over the period the asset is expected to
contribute directly or indirectly to the future cash flows of the Company as follows:
Product rights
Patents
Land-use rights
10 - 15 years
10 - 20 years
37 - 50 years
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Impairment of Long-Lived Assets, including Identifiable Definite-Lived Intangible Assets
The Company reviews long-term and identifiable definite-lived intangible assets or asset groups for impairment when
events or changes in circumstances indicate that the carrying amount of an asset or asset group may not be recoverable. If
the sum of the expected future undiscounted cash flows is less than the carrying amount of the asset or an asset group,
further impairment analysis is performed. An impairment loss is measured as the amount by which the carrying amount of
the asset or asset groups exceeds the fair value (assets to be held and used) or fair value less cost to sell (assets to be
disposed of). The Company also reviews the useful lives of its assets periodically to determine whether events and
circumstances warrant a revision to the remaining useful life. Changes in the useful life are adjusted prospectively by
revising the remaining period over which the asset is amortized.
Deferred Income Taxes
The Company utilizes the liability method of accounting for income taxes, under which deferred taxes are determined
based on the temporary differences between the financial statements and the tax basis of assets and liabilities using enacted
tax rates. A valuation allowance is recorded when it is more likely than not that the deferred tax assets will not be realized.
Impairment of Indefinite-Lived Intangible Asset and Goodwill
The Company reviews indefinite-lived intangible asset and goodwill for impairment in the fourth quarter of each year or
more frequently if indicators of impairment are present. When the Company chooses to perform a qualitative assessment, it
evaluates economic, industry and company-specific factors as an initial step. If the Company determines it is more likely
than not that the indefinite-lived intangible asset is impaired or the fair value of a reporting unit is less than its carrying
amount, further quantitative impairment testing is then performed; otherwise, no further testing is required. An impairment
loss is recorded if the asset’s fair value is less than its carrying value. The Company also periodically reviews the
indefinite-lived intangible asset to determine if events and circumstances continue to support an indefinite useful life. If the
life is no longer indefinite, the asset is tested for impairment. The carrying value, after recognition of any impairment loss,
is amortized over its remaining useful life.
Self-Insured Claims
The Company is primarily self-insured, up to certain limits, for workers’ compensation claims. The Company has
purchased stop-loss insurance, which will reimburse the Company for individual claims in excess of $350,000 annually or
aggregate claims exceeding $3.5 million annually. Operations are charged with the cost of claims reported and an estimate
of claims incurred but not reported. A liability for unpaid claims and the associated claim expenses, including incurred but
not reported losses, is actuarially determined and reflected in accrued liabilities in the accompanying consolidated balance
sheets. Total expense under the program was approximately $0.5 million, $0.4 million, and $2.6 million, for the years
ended December 31, 2020, 2019 and 2018, respectively. The self-insured claims liability was $4.5 million and $4.9 million
at December 31, 2020 and 2019, respectively. The determination of such claims and expenses and the appropriateness of
the related liability is reviewed periodically and updated, as necessary. Changes in estimates are recorded in the period
identified.
Business Combinations
Business combinations are accounted for using the acquisition method of accounting, which requires an acquirer to
recognize the assets acquired and the liabilities assumed at the acquisition date measured at their fair values as of that date.
Fair value determinations are based on discounted cash flow analyses or other valuation techniques. In determining the fair
value of the assets acquired and liabilities assumed in a material acquisition, the Company may utilize appraisals from third
party valuation firms to determine fair values of some or all of the assets acquired and liabilities assumed, or may complete
some or all of the valuations internally. In either case, the Company takes full responsibility for the
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
determination of the fair value of the assets acquired and liabilities assumed. The value of goodwill reflects the excess of
the fair value of the consideration conveyed to the seller over the fair value of the net assets received.
Acquisition-related costs that the Company incurs to effect a business combination are expensed in the periods in which the
costs are incurred. When the operations of the acquired businesses were not material to the Company’s consolidated
financial statements, no pro forma presentations were disclosed.
Recent Accounting Pronouncements
In June 2016, the Financial Accounting Standards Board, or FASB, issued Accounting Standard Update, or ASU, No.
2016-13 Financial Instruments – Credit Losses, which is aimed at providing financial statement users with more useful
information about the expected credit losses on financial instruments and other commitments to extend credit. The standard
update changes the impairment model for financial assets measured at amortized cost, requiring presentation at the net
amount expected to be collected. The measurement of expected credit losses requires consideration of a broader range of
reasonable and supportable information to inform credit loss estimates. Available-for-sale debt securities with unrealized
losses will be recorded through an allowance for credit losses. The ASU and the related clarifications subsequently issued
by FASB are effective for the Company’s interim and annual reporting periods during the year ending December 31, 2020.
This new guidance applies to the Company’s held-to-maturity investments and trade receivables. The adoption of this
accounting guidance did not have a material impact on the Company’s consolidated financial statements and related
disclosures.
In January 2017, the FASB issued ASU No. 2017-04 Simplifying the Test for Goodwill Impairment, which eliminates the
requirement to calculate the implied fair value of goodwill. An entity should perform its annual, or interim, goodwill
impairment test by comparing the fair value of a reporting unit with its carrying amount. An entity should recognize an
impairment charge for the amount by which the carrying amount exceeds the reporting unit’s fair value; however, the loss
recognized should not exceed the total amount of goodwill allocated to that reporting unit. The update also eliminated the
requirements for any reporting unit with a zero or negative carrying amount to perform a qualitative assessment and, if it
fails that qualitative test, to perform Step 2 of the goodwill impairment test. An entity is required to disclose the amount of
goodwill allocated to each reporting unit with a zero or negative carrying amount of net assets. The guidance is effective
for the Company’s interim and annual reporting periods during the year ending December 31, 2020. The adoption of this
accounting guidance did not have a material impact on the Company’s consolidated financial statements and related
disclosures.
In August 2018, the FASB issued ASU No. 2018-13 Disclosure Framework – Changes to the Disclosure Requirements for
Fair Value Measurement, which removes, modifies, and adds certain disclosure requirements to Accounting Standard
Codification, or ASC, 820, Fair Value Measurement. The guidance is effective for the Company’s interim and annual
reporting periods during the year ending December 31, 2020. The adoption of this accounting guidance did not have a
material impact on the Company’s consolidated financial statements and related disclosures.
In August 2018, the FASB issued ASU No. 2018-14 Disclosure Framework – Changes to the Disclosure Requirements for
Defined Benefit Plans, which removes, modifies, and adds certain disclosure requirements to ASC 715-20, Defined Benefit
Plans. The guidance is effective for the Company’s interim and annual reporting periods during the year ending December
31, 2020. The adoption of this accounting guidance did not have a material impact on the Company’s consolidated financial
statements and related disclosures.
In August 2018, the FASB issued ASU No. 2018-15 Customer’s Accounting for Implementation Cost Incurred in a Cloud
Computing Arrangement that is a Service Contract, which aligns the requirements for capitalizing implementation costs
incurred in a hosting arrangement that is a service contract with the requirements for capitalized implementation cost
incurred to develop or obtain internal-use software (and hosting arrangements that include an internal use software license).
The guidance also requires the entity to expense the capitalized implementation cost of a hosting arrangement that is a
service contract over the term of the hosting arrangement, which includes reasonably certain renewals. This guidance is
effective for the Company’s interim and annual reporting periods during the year ended December 31, 2020.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
The adoption of the guidance did not have a material impact on the Company’s consolidated financial statements and
related disclosures.
In October 2018, the FASB issued ASU No. 2018-17 Targeted Improvements to Related Party Guidance for Variable
Interest Entities, which requires indirect interests held through related parties in common control arrangements be
considered on a proportional basis for determining whether fees paid to decision makers and service providers are variable
interests. The guidance is effective for the Company’s interim and annual reporting periods during the year ending
December 31, 2020. The adoption of this accounting guidance did not have a material impact on the Company’s
consolidated financial statements and related disclosures.
In November 2018, the FASB issued ASU No. 2018-18 Clarifying the Interaction between Topic 808 and Topic 606, which
requires transactions in collaborative arrangements to be accounted for under ASC 606, Revenue from Contracts with
Customers, or ASC 606, if the counterparty is a customer for a good or service that is a distinct unit of account. The
amendments also preclude entities from presenting consideration from transactions with a collaborator that is not a
customer together with revenue recognized from contracts with customers. The guidance is effective for the Company’s
interim and annual reporting periods during the year ending December 31, 2020. The adoption of this guidance did not
have a material impact on the Company’s consolidated financial statements and related disclosures.
In December 2019, the FASB issued ASU No. 2019-12 Simplifying the Accounting for Income Taxes (Topic 740), which
simplifies various aspects related to accounting for income taxes. The amendment also improves consistent application of
and simplify GAAP for other areas of Topic 740 by clarifying and amending existing guidance. The guidance is effective
for the Company’s interim and annual reporting periods during the year ended December 31, 2021, with early adoption
permitted. The Company is currently evaluating the impact that the adoption of this guidance will have on its consolidated
financial statements and related disclosures.
In April 2020, the FASB issued ASU No. 2020-04 Reference Rate Reform (Topic 848), Facilitation of the Effects of
Reference Rate Reform on Financial Reporting, which provides optional expedients and exceptions for applying GAAP to
contracts, hedging relationships, and other transactions affected by reference rate reform if certain criteria are met. The
amendments in this update apply only to contracts, hedging relationships, and other transactions that reference LIBOR or
another reference rate expected to be discontinued because of reference rate reform. The adoption of this guidance did not
have a material impact on the Company’s consolidated financial statements and related disclosures.
Note 3. Business Acquisitions
Acquisition of fourteen injectable products from Hikma Pharmaceuticals PLC
In March 2016, the Company acquired 14 abbreviated new drug applications, or ANDAs, representing 11 different
injectable chemical entities from Hikma Pharmaceuticals PLC, or Hikma, for $4.0 million. This transaction was accounted
for as a business combination in accordance with ASC 805. The ANDAs were estimated to have a fair value of $4.0
million, and were subject to a straight-line amortization over a useful life of approximately 15 years.
In February 2017, the Company sold these products to an unrelated party. (See note 10)
Note 4. Revenue Recognition
In accordance with ASC 606 Revenue from Contracts with Customers, revenue is recognized at the time that the
Company’s customers obtain control of the promised goods.
Generally, revenue is recognized at the time of product delivery to the Company’s customers. In some cases, revenue is
recognized at the time of shipment when stipulated by the terms of the sale agreements.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
The consideration the Company receives in exchange for its goods or services is only recognized when it is probable that a
significant reversal will not occur. The consideration to which the Company expects to be entitled includes a stated list
price, less various forms of variable consideration. The Company makes significant estimates for related variable
consideration at the point of sale, including chargebacks, rebates, product returns, other discounts and allowances.
The Company’s payment terms vary by types and locations of customers and the products or services offered. Payment
terms differ by jurisdiction and customer, but payment is generally required in a term ranging from 30 to 75 days from date
of shipment or satisfaction of the performance obligation. For certain products or services and certain customer types, we
may require payment before products are delivered or services are rendered to customers.
Provisions for estimated chargebacks, rebates, discounts, product returns and credit losses are made at the time of sale and
are analyzed and adjusted, if necessary, at each balance sheet date.
Revenues derived from contract manufacturing services are recognized when third-party products are shipped to customers,
and after the customer has accepted test samples of the products to be shipped.
The Company’s accounting policy is to review each agreement involving contract development and manufacturing services
to determine if there are multiple revenue-generating activities that constitute more than one unit of accounting. Revenues
are recognized for each unit of accounting based on revenue recognition criteria relevant to that unit. The Company does
not have any revenue arrangements with multiple performance obligations.
Provision for Chargebacks and Rebates
The provision for chargebacks and rebates is a significant estimate used in the recognition of revenue. Wholesaler
chargebacks relate to sales terms under which the Company agrees to reimburse wholesalers for differences between the
gross sales prices at which the Company sells its products to wholesalers and the actual prices of such products that
wholesalers resell under the Company’s various contractual arrangements with third parties such as hospitals and group
purchasing organizations in the United States. Rebates include primarily amounts paid to retailers, payers, and providers in
the United States, including those paid to state Medicaid programs, and are based on contractual arrangements or statutory
requirements. The Company estimates chargebacks and rebates using the expected value method at the time of sale to
wholesalers based on wholesaler inventory stocking levels, historic chargeback and rebate rates, and current contract
pricing.
The provision for chargebacks and rebates is reflected as a component of net revenues. The following table is an analysis of
the chargeback and rebate provision:
Year Ended December 31,
2020
2019
(in thousands)
Beginning balance
Provision for chargebacks and rebates
Credits and payments issued to third parties
Ending balance
$
21,644 $
158,152
(159,416)
20,380
$
22,423
131,524
(132,303)
21,644
$
Changes in the chargeback provision from period to period are primarily dependent on the Company’s sales to its
wholesalers, the level of inventory held by wholesalers, and the wholesalers’ customer mix. Changes in the rebate
provision from period to period are primarily dependent on retailer’s and other indirect customers’ purchases. The approach
that the Company uses to estimate chargebacks has been consistently applied for all periods presented. Variations in
estimates have been historically small. The Company continually monitors the provision for chargebacks and rebates and
makes adjustments when it believes that the actual chargebacks and rebates may differ from the estimates. The settlement
of chargebacks and rebates generally occurs within 30 days to 60 days after the sale to wholesalers. Accounts receivable
and/or accounts payable and accrued liabilities are reduced and/or increased by the
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AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
chargebacks and rebate amounts depending on whether the Company has the right to offset with the customer. Of the
provision for chargebacks and rebates as of December 31, 2020 and 2019, $16.4 million and $15.4 million were included in
accounts receivable, net, on the consolidated balance sheets, respectively. The remaining provision as of December 31,
2020 and 2019 was $4.0 million and $6.2 million, respectively, which were included in accounts payable and accrued
liabilities, respectively.
Accrual for Product Returns
The Company offers most customers the right to return qualified excess or expired inventory for partial credit; however,
API product sales are generally non-returnable. The Company’s product returns primarily consist of the returns of expired
products from sales made in prior periods. Returned products cannot be resold. At the time product revenue is recognized,
the Company records an accrual for product returns estimated using the expected value method. The accrual is based, in
part, upon the historical relationship of product returns to sales and customer contract terms. The Company also assesses
other factors that could affect product returns including market conditions, product obsolescence, and the introduction of
new competition. Although these factors do not normally give the Company’s customers the right to return products outside
of the regular return policy, the Company realizes that such factors could ultimately lead to increased returns. The
Company analyzes these situations on a case-by-case basis and makes adjustments to the product return reserve as
appropriate.
The provision for product returns is reflected as a component of net revenues. The following table is an analysis of the
product return liability:
Beginning balance
Provision for product returns
Credits issued to third parties
Ending balance
Year Ended December 31,
2020
2019
(in thousands)
$ 10,339 $
11,810
(7,945)
$ 14,204
8,030
7,305
(4,996)
$ 10,339
Of the provision of product returns as of December 31, 2020 and 2019, $10.2 million and $7.1 million were included in
accounts payable and accrued liabilities on the consolidated balance sheets, respectively. The remaining provision as of
December 31, 2020 and 2019, of $4.0 million and $3.2 million were included in other long-term liabilities, respectively.
For the years ended December 31, 2020 and 2019, the Company’s aggregate product return rate was 1.4% and 1.1% of
qualified sales, respectively.
Note 5. Income (Loss) per Share Attributable to Amphastar Pharmaceuticals, Inc. Stockholders
Basic net income (loss) per share attributable to Amphastar Pharmaceuticals Inc. stockholders is calculated based upon the
weighted-average number of shares outstanding during the period. Diluted net income (loss) per share attributable to
Amphastar Pharmaceuticals, Inc. stockholders gives effect to all potential dilutive shares outstanding during the period,
such as stock options, non-vested restricted stock units, and shares issuable under the Company’s Employee Stock Purchase
Plan, or ESPP, and the reallocation of net income attributable to non-controlling interest from the assumed dilutive effect of
stock options issued under the 2018 ANP Equity Incentive Plan, or the 2018 Plan.
For the year ended December 31, 2020, options to purchase 1,917,437 shares of stock with a weighted-average exercise
price of $20.85 per share, and the reallocation of net income attributable to non-controlling interest were excluded in the
computation of diluted net income per common share attributable to Amphastar Pharmaceuticals, Inc. stockholders because
the effect would be anti-dilutive.
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AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
For the year ended December 31, 2019, options to purchase 803,257 shares of stock with a weighted-average exercise price
of $21.99 per share, and the reallocation of net income attributable to non-controlling interest were excluded in the
computation of diluted net income per common share attributable to Amphastar Pharmaceuticals, Inc. stockholders because
the effect would be anti-dilutive.
As the Company reported a net loss for the year ended December 31, 2018, the diluted net loss per share attributable to
Amphastar Pharmaceuticals, Inc. stockholders, as reported, equals the basic net loss per share attributable to Amphastar
Pharmaceuticals, Inc. stockholders since the effect of the assumed exercise of stock options, vesting of non-vested RSUs,
and issuance of common shares under the Company’s ESPP are anti-dilutive. Total stock options, non-vested RSUs, and
shares issuable under the Company’s ESPP excluded from the year ended December 31, 2018, net loss per share were
10,105,565 stock options, 1,206,661 non-vested RSUs, and 51,792 shares issuable under the ESPP.
The following table provides the calculation of basic and diluted net income (loss) per share attributable to Amphastar
Pharmaceuticals, Inc. shareholders for each of the periods presented:
Basic and dilutive numerator:
Net income (loss) attributable to Amphastar Pharmaceuticals, Inc.
Denominator:
Weighted-average shares outstanding — basic
Net effect of dilutive securities:
Incremental shares from equity awards
Weighted-average shares outstanding — diluted
Net income (loss) per share attributable to Amphastar Pharmaceuticals, Inc.
stockholders — basic
Net income (loss) per share attributable to Amphastar Pharmaceuticals, Inc.
stockholders — diluted
Note 6. Segment Reporting
Year Ended December 31,
2020
2018
2019
(in thousands, except per share data)
$
1,403
$ 48,939
$ (5,738)
47,038
46,982
46,395
2,086
49,124
2,925
49,907
—
46,395
$
$
0.03
0.03
$
$
1.04
0.98
$
$
(0.12)
(0.12)
The Company’s business is the development, manufacture, and marketing of pharmaceutical products. The Company has
identified two reporting segments that each report to the Chief Operating Decision Maker, or CODM, as defined in ASC
280, Segment Reporting. The Company’s performance is assessed and resources are allocated by the CODM based on the
following two reportable segments:
● Finished pharmaceutical products
● API
The finished pharmaceutical products segment manufactures, markets and distributes Primatene Mist®, enoxaparin,
naloxone, phytonadione, lidocaine, epinephrine, as well as various other critical and non-critical care drugs. The API
segment manufactures and distributes recombinant human insulin API and porcine insulin API for external customers and
internal product development.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Selected financial information by reporting segment is presented below:
Net revenues:
Finished pharmaceutical products
API
Total net revenues
Gross profit (loss):
Finished pharmaceutical products
API
Total gross profit
Operating expenses
Income from operations
Non-operating (expense) income
2020
Year Ended December 31,
2019
(in thousands)
2018
$ 331,368
18,478
349,846
$ 302,000
20,357
322,357
$ 271,059
23,607
294,666
151,645
(8,305)
143,340
136,576
(4,653)
131,923
113,220
(6,235)
106,985
132,386
131,962
115,608
10,954
(6,317)
(39)
60,267
(8,623)
(1,303)
Income (loss) before income taxes
$
4,637
$
60,228
$
(9,926)
The Company manages its business segments to the gross profit level and manages its operating and other costs on a
company-wide basis. The Company does not identify total assets by segment for internal purposes, as the Company’s
CODM does not assess performance, make strategic decisions, or allocate resources based on assets.
The amount of net revenues in the finished pharmaceutical product segment is presented below:
Finished pharmaceutical products net revenues:
Primatene Mist®
Enoxaparin
Phytonadione
Lidocaine
Naloxone
Epinephrine
Other finished pharmaceutical products
Total finished pharmaceutical products net revenues
2020
Year Ended December 31,
2019
(in thousands)
2018
$
51,725
48,681
42,646
41,113
33,416
23,799
89,988
$ 331,368
$
18,065
42,695
45,786
46,013
34,761
13,885
100,795
$ 302,000
$
3,574
53,371
41,897
43,328
37,195
10,055
81,639
$ 271,059
The amount of depreciation and amortization expense included in cost of revenues, by reporting segments is presented
below:
Depreciation and amortization expense
Finished pharmaceutical products
API
Total depreciation and amortization expense
113
2020
Year Ended December 31,
2019
(in thousands)
2018
$ 5,766
3,264
$ 9,030
$ 5,581
1,477
$ 7,058
$ 4,872
1,181
$ 6,053
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AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Net revenues and carrying values of long-lived assets by geographic regions are as follows:
United States
China
France
Total
Net Revenue
Year Ended December 31,
2019
Long-Lived Assets
December 31,
2020
2018
(in thousands)
$ 333,093 $ 304,896 $ 279,122 $ 129,401 $ 126,383
81,428
45,737
$ 253,548
98,538
52,770
$ 280,709
1,481
15,980
$ 322,357
3,161
13,592
$ 349,846
15,544
$ 294,666
—
2020
2019
Note 7. Customer and Supplier Concentration
Customer Concentrations
Three large wholesale drug distributors, AmerisourceBergen Corporation, or AmerisourceBergen, Cardinal Health, Inc., or
Cardinal, and McKesson Corporation, or McKesson, are all distributors of the Company’s products, as well as suppliers of
a broad range of health care products. The Company considers these three customers to be its major customers, as each
individually and these customers collectively, represented a significant percentage of the Company’s net revenue for the
years ended December 31, 2020, 2019, and 2018, and accounts receivable as of December 31, 2020 and 2019, respectively.
The following table provides accounts receivable and net revenue information for these major customers:
% of Total Accounts
Receivable
% of Net
Revenue
December 31,
2020
December 31,
2019
Year Ended December 31,
2018
2019
2020
AmerisourceBergen
McKesson
Cardinal Health
Supplier Concentrations
9 %
24 %
17 %
13 %
34 %
17 %
23 %
22 %
17 %
24 %
25 %
22 %
27 %
27 %
21 %
The Company depends on suppliers for raw materials, APIs, and other components that are subject to stringent FDA
requirements. Some of these materials may only be available from one or a limited number of sources. Establishing
additional or replacement suppliers for these materials may take a substantial period of time, as suppliers must be approved
by the FDA. Furthermore, a significant portion of raw materials may only be available from foreign sources. If the
Company is unable to secure, on a timely basis, sufficient quantities of the materials it depends on to manufacture and
market its products, it could have a materially adverse effect on the Company’s business, financial condition, and results of
operations.
Note 8. Fair Value Measurements
GAAP defines fair value as the price that would be received to sell an asset or paid to transfer a liability in an orderly
transaction between market participants in the principal or most advantageous market for the asset or liability at the
measurement date (an exit price). These standards also establish a hierarchy that prioritizes observable and unobservable
inputs used in measuring fair value of an asset or liability, as described below:
● Level 1 – Inputs to measure fair value are based on quoted prices (unadjusted) in active markets on identical
assets or liabilities;
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● Level 2 – Inputs to measure fair value are based on the following: a) quoted prices in active markets on similar
assets or liabilities, b) quoted prices for identical or similar instruments in inactive markets, or c) observable
(other than quoted prices) or collaborated observable market data used in a pricing model from which the fair
value is derived; and
● Level 3 – Inputs to measure fair value are unobservable and the assets or liabilities have little, if any, market
activity; these inputs reflect the Company’s own assumptions about the assumptions that market participants
would use in pricing the assets or liabilities based on best information available in the circumstances.
As of December 31, 2020, cash equivalents include money market accounts. Short-term investments consist of certificates
of deposit as well as investment-grade corporate bonds with original expiration dates within 12 months. The certificates of
deposit are carried at amortized cost in the Company’s consolidated balance sheet, which approximates their fair value
determined based on Level 2 inputs. The corporate bonds are classified as held-to-maturity and are carried at amortized
cost net of allowance for credit losses, which approximates their fair value determined based on Level 2 inputs. The
restrictions on restricted cash and short-term investments have a negligible effect on the fair value of these financial assets.
The fair value of the Company’s financial assets and liabilities measured on a recurring basis as of December 31, 2020 and
2019, are as follows:
Total
(Level 1)
(Level 2)
(Level 3)
Cash equivalents - money market
Restricted cash - money market
Short-term investments - certificates of deposit
Restricted short-term investments - certificates of deposit
Corporate bonds
Interest rate swaps related to variable rate loans
Fair value measurement as of December 31, 2020
Cash equivalents - money market
Restricted cash - money market
Short-term investments - certificates of deposit
Restricted short-term investments - certificates of deposit
Corporate bonds
Interest rate swaps related to variable rate loans
Fair value measurement as of December 31, 2019
$ 58,710
1,865
9,089
2,200
1,307
(902)
$ 72,269
$ 29,521
1,865
8,867
2,290
2,789
(364)
$ 44,968
$
$
$
$
(in thousands)
$
58,710
1,865
—
—
—
—
60,575
$
— $
—
9,089
2,200
1,307
(902)
11,694
$
$
29,521
1,865
—
—
—
—
31,386
$
— $
—
8,867
2,290
2,789
(364)
13,582
$
—
—
—
—
—
—
—
—
—
—
—
—
—
—
The Company does not hold any Level 3 instruments that are measured at fair value on a recurring basis.
Nonfinancial assets and liabilities are not measured at fair value on a recurring basis but are subject to fair value
adjustments in certain circumstances. These items primarily include long-lived assets, goodwill, and intangible assets for
which the fair value of assets is determined as part of the related impairment test. As of December 31, 2020 and 2019, there
were no significant adjustments to fair value for nonfinancial assets or liabilities.
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Note 9. Investments
AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
A summary of the Company’s investments that are classified as held-to-maturity are as follows:
Corporate bonds
Total investments as of December 31, 2020
Corporate bonds
Total investments as of December 31, 2019
Gross
Gross
Amortized
Cost
Unrealized
Gains
Unrealized
Losses
Fair
Value
$
$
$
$
1,307
1,307
2,790
2,790
$
$
$
$
(in thousands)
— $
— $
— $
— $
1,307
1,307
— $
— $
(1)
(1)
$
$
2,789
2,789
The Company believes that the unrealized gains and losses disclosed above were primarily driven by interest rate change
rather than by unfavorable changes in the credit ratings associated with these securities and as a result, the Company
continues to expect to collect the principal and interest due on its debt securities that have an amortized cost in excess of
fair value. At each reporting period, the Company evaluates securities for impairment when the fair value of the investment
is less than its amortized cost. The Company evaluated the underlying credit quality and credit ratings of the issuers, noting
neither a significant deterioration since purchase nor any other factors that would indicate a material credit loss.
The Company measures expected credit losses on held-to-maturity investments on a collective basis. All the Company’s
held-to-maturity investments were considered to be one pool. The estimate for credit losses considers historical loss
information that is adjusted for current conditions and reasonable and supportable forecasts. Expected credit losses on held-
to-maturity investments were not material to the consolidated financial statements.
Note 10. Goodwill and Intangible Assets
The table below shows the weighted-average life, original cost, accumulated amortization, and net book value by major
intangible asset classification:
Definite-lived intangible assets
IMS (UK) international product rights
Patents
Land-use rights
Subtotal
Indefinite-lived intangible assets
Trademark
Goodwill - Finished pharmaceutical products
Subtotal
As of December 31, 2020
Weighted-Average
Life (Years)
Accumulated
Original Cost Amortization Net Book Value
(in thousands)
10
12
39
12
*
*
*
*
$
9,561
486
2,540
12,587
29,225
3,940
33,165
45,752
$
$
$
$
4,223
297
617
5,137
—
—
—
$
5,137
5,338
189
1,923
7,450
29,225
3,940
33,165
40,615
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AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Definite-lived intangible assets
IMS (UK) international product rights
Patents
Land-use rights
Other intangible assets
Subtotal
Indefinite-lived intangible assets
Trademark
Goodwill - Finished pharmaceutical products
Subtotal
As of December 31, 2019
*
Intangible assets with indefinite lives have an indeterminable average life.
Sale of Fourteen Injectable ANDAs
Weighted-Average
Life (Years)
Accumulated
Original Cost Amortization Net Book Value
(in thousands)
10
12
39
4
12
*
*
*
*
$
$
9,226
486
2,540
69
12,321
29,225
3,634
32,859
45,180
$
$
$
3,152
255
551
69
4,027
—
—
—
$
4,027
6,074
231
1,989
—
8,294
29,225
3,634
32,859
41,153
In February 2017, the Company sold the 14 ANDAs it acquired in March 2016 from Hikma to an unrelated party. The
consideration included a purchase price of $6.4 million of which $1.0 million was received upon closing, $1.0 million was
received in the second quarter of 2017 and the remaining $4.4 million was received in January 2018. In addition to the
purchase price, the purchaser agreed to pay the Company a royalty fee equal to 2% of net sales derived from purchaser’s
sales of the products for the period from February 2017 through February 2027. The Company has not recognized any
royalty fee revenue.
Goodwill
The changes in the carrying amounts of goodwill were as follows:
Beginning balance
Currency translation
Ending balance
Primatene® Trademark
December 31,
2020
2019
(in thousands)
$ 3,634 $ 3,951
(317)
$ 3,634
306
$ 3,940
In January 2009, the Company acquired the exclusive rights to the trademark, domain name, website and domestic
marketing, distribution and selling rights related to Primatene Mist®, an over-the-counter bronchodilator product, recorded
at the allocated fair value of $29.2 million, which is its carrying value as of December 31, 2020.
The trademark was determined to have an indefinite life. In determining its indefinite life, the Company considered the
following: the expected use of the intangible; the longevity of the brand; the legal, regulatory and contractual provisions
that affect their maximum useful life; the Company’s ability to renew or extend the asset’s legal or contractual life without
substantial costs; effects of the regulatory environment; expected changes in distribution channels; maintenance
expenditures required to obtain the expected future cash flows from the asset; and considerations for obsolescence,
demand, competition and other economic factors.
As a result of environmental concerns about chlorofluorocarbons, or CFCs, the FDA required the CFC formulation of
Primatene Mist® to be phased out on December 31, 2011.
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AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
In 2013, the Company filed a new drug application, or NDA, for Primatene Mist®, which utilizes a non-CFC propellant. In
November 2018, the FDA granted over-the-counter approval of the NDA for Primatene Mist®, and the Company re-
launched this product in December 2018.
Amortization
Included in cost of revenues for the years ended December 31, 2020, 2019 and 2018 is product rights amortization expense
of $1.2 million, $1.0 million, and $1.8 million, respectively.
As of December 31, 2020, the expected amortization expense for all amortizable intangible assets during the next five
fiscal years ended December 31 and thereafter is as follows:
2021
2022
2023
2024
2025
Thereafter
Total amortizable intangible assets
Indefinite-lived intangibles
Total intangibles (net of accumulated amortization)
Note 11. Inventories
Inventories consist of the following:
Raw materials and supplies
Work in process
Finished goods
Total inventories
(in thousands)
$
$
1,064
1,045
1,035
1,035
1,035
2,236
7,450
33,165
40,615
December 31,
2020
2019
(in thousands)
$ 47,051 $
37,257
12,523
$ 96,831
59,233
35,548
15,720
$ 110,501
Charges of $13.9 million, $9.4 million, and $12.9 million were included in the cost of revenues in the Company’s
consolidated statements of operations for the years ended December 31, 2020, 2019, and 2018, respectively, to adjust the
Company’s inventory and related purchase commitments to their net realizable value. For the year ended December 31,
2020, the charge included $9.4 million as a result of an increase in the price of heparin as well as a decrease in the
forecasted average selling price. For the year ended December 31, 2019, the charge included $5.8 million as a result of an
increase in purchases of higher price heparin. For the year ended December 31, 2018, the charge included $9.1 million
related to enoxaparin inventory due to a decrease in the forecasted average selling price.
Losses on firm purchase commitments related to raw materials on order were $1.2 million, $1.3 million and $5.2 million as
of December 31, 2020, 2019 and 2018, respectively.
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AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Note 12. Property, Plant, and Equipment
Property, plant, and equipment consist of the following:
Buildings
Leasehold improvements
Land
Machinery and equipment
Furniture, fixtures, and automobiles
Construction in progress
Total property, plant, and equipment
Less accumulated depreciation
Total property, plant, and equipment, net
December 31,
2020
2019
(in thousands)
$ 124,326 $ 117,928
29,531
7,603
164,802
22,043
56,354
398,261
(164,405)
$ 233,856
30,028
7,719
211,666
26,482
43,981
444,202
(184,147)
$ 260,055
The Company incurred depreciation expense of $20.5 million, $17.1 million, and $14.5 million for the years ended
December 31, 2020, 2019, and 2018, respectively.
Interest expense capitalized was approximately $1.8 million, $2.3 million, and $2.2 million, for the years ended
December 31, 2020, 2019, and 2018, respectively.
Note 13. Accounts Payable and Accrued Liabilities
Accounts payable and accrued liabilities consisted of the following:
Accrued customer fees and rebates
Accrued payroll and related benefits
Accrued product returns, current portion
Accrued loss on firm purchase commitments
Accrued litigation settlements
Other accrued liabilities
Total accrued liabilities
Accounts payable
Total accounts payable and accrued liabilities
119
2020
December 31,
(in thousands)
2019
$
$
9,029
24,597
10,190
1,223
13,780
12,328
71,147
24,357
95,504
$
$
9,633
21,872
7,126
3,352
—
10,007
51,990
25,061
77,051
Table of Contents
AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Note 14. Debt
Debt consists of the following:
Line of Credit Facilities
December 31,
2020
2019
(in thousands)
Line of credit facility with China Everbright Bank due June 2021
Line of credit facility with China Merchant Bank due August 2021
Line of credit facility with Bank of Nanjing due October 2021
Line of credit facility with Cathay Bank due May 2022
Line of credit facility with East West Bank due December 2022
Equipment line of credit facility with East West Bank due September 2025
$
$
764
382
153
—
—
3,216
Mortgage Loans
Mortgage payable with East West Bank due May 2021
Mortgage payable with East West Bank due October 2026
Mortgage payable with East West Bank due June 2027
Mortgage payable with Cathay Bank due August 2027
Equipment Loans
Equipment loan with East West Bank due June 2021
Equipment loan due with East West Bank December 2022
Equipment loan with East West Bank due February 2024
Other Loans and Payment Obligations
Acquisition loan with Cathay Bank due June 2024
French government loan paid off June 2020
French government loan due July 2021
French government loans due December 2026
Payment Obligation to Merck
Equipment under Finance Leases
Total debt
Less current portion of long-term debt
Long-term debt, net of current portion
—
—
—
—
—
—
3,401
3,400
8,659
7,452
1,837
6,000
3,570
3,306
3,334
8,510
7,268
612
4,000
5,254
8,710
—
64
350
—
10,928
28
114
374
561
526
46,449
12,263
$ 34,186
811
47,135
7,741
$ 39,394
Line of Credit Facilities
Line of Credit Facility with China Everbright Bank – Due June 2021
In June 2020, the Company entered into a line of credit facility with China Everbright bank for $0.7 million. The loan bears
interest at a fixed rate of 4.05%. Interest payments are due quarterly and repayment of the principle amount is due in June
2021. As of December 31, 2020, the Company had $0.8 million outstanding under this loan.
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AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Line of Credit Facility with China Merchant Bank – Due August 2021
In March 2020, the Company entered into a credit agreement with China Merchant Bank. The credit agreement allows the
Company to borrow up to $14.6 million secured by buildings and land use rights held by ANP. The interest rate and other
terms will be determined at the time of the borrowing, depending on the type of loan requested. The credit period is for 36
months and expires in March 2023.
In August 2020, the Company borrowed $0.4 million under the credit agreement. The loan bears interest at a fixed rate of
4.35%. Interest payments are due quarterly and repayment of the principle amount is due in August 2021. As of December
31, 2020, the Company had $0.4 million outstanding under this loan.
Line of Credit Facility with Bank of Nanjing – Due October 2021
In October 2020, the Company entered into a line of credit facility with Bank of Nanjing for $0.2 million. The loan bears
interest at a fixed rate of 4.6%. Interest payments are due monthly and repayment of the principle amount is due in October
2021. As of December 31, 2020, the Company had $0.2 million outstanding under this loan.
Line of Credit Facility with Cathay Bank — Due May 2022
In April 2012, the Company entered into a $20.0 million revolving line of credit facility with Cathay Bank. Borrowings
under the facility are secured by inventory, accounts receivable, and intangibles held by the Company. The facility bears a
variable interest rate at the prime rate as published by The Wall Street Journal with a minimum interest rate of 4.00%. In
June 2020, the Company amended the facility to extend the maturity date from May 2020 to May 2022. As of December
31, 2020, the Company did not have any amounts outstanding under this facility.
Line of Credit Facility with East West Bank — Due December 2022
In March 2012, the Company entered into a $10.0 million line of credit facility with East West Bank, which bears a
variable interest rate at the prime rate as published by The Wall Street Journal. Borrowings under the facility are secured by
inventory and accounts receivable. In March 2016, the facility was amended to increase the line of credit to $15.0 million.
This facility matured in December 2020.
In December 2020, the Company amended the facility to extend the maturity date to December 2022. As of December 31,
2020, the Company did not have any amounts outstanding under this facility.
Equipment Line of Credit with East West Bank — Due September 2025
In September 2020, the Company entered into a $10.0 million equipment credit line with a 12-month draw down period
with East West Bank. Interest payments are due monthly through September 2021 at the prime rate as published by The
Wall Street Journal minus 0.5%. After the draw down period, the outstanding principal balance converts into a 48-month
term loan that bears a variable interest rate at the prime rate as published by The Wall Street Journal minus 0.5%. The loan
matures in September 2025, and the principal and interest payments are due monthly. Borrowings under the facility are
secured by equipment. As of December 31, 2020, the Company had $3.2 million outstanding under the equipment line of
credit.
Mortgage Loans
Mortgage Payable with East West Bank — Due May 2021
The Company refinanced the mortgage term loan with East West Bank in January 2016, which had an outstanding principal
balance of $3.7 million at December 31, 2015, and had a maturity date of February 2021. The refinanced loan is payable in
monthly installments with a final balloon payment of $3.3 million. The refinanced loan is secured by one of
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AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
the buildings at the Company’s Rancho Cucamonga, California, headquarters complex. The refinanced loan has a variable
interest rate at the prime rate as published by The Wall Street Journal. As of December 31, 2020, the fair value of the loan
approximates its book value. The interest rate used in the fair value estimation was determined to be a Level 2 input. The
Company has entered into a fixed interest rate swap contract on this loan to exchange the variable interest rate for a fixed
interest rate of 4.39% over the life of the loan without the exchange of the underlying notional debt amount.
In December 2020, the Company extended the maturity date to May 2021, with no changes to the monthly principle
payments during the extension. The Company treated the extension as a modification for accounting purposes.
Mortgage Payable with East West Bank — Due October 2026
In September 2006, the Company entered into a mortgage term loan with East West Bank in the principal amount of $2.8
million, which matured in September 2016. The Company refinanced the mortgage term loan in September 2016, which
increased the principal amount to $3.6 million and extended the maturity date to October 2026. The refinanced loan is
payable in monthly installments with a final balloon payment of $2.9 million. The refinanced loan was secured by one of
the buildings at the Company’s Rancho Cucamonga, California, headquarters complex. The refinanced loan bears a
variable interest rate at the one-month LIBOR rate plus 2.75%. As of December 31, 2020, the fair value of the loan
approximates its book value. The interest rate used in the fair value estimation was determined to be a Level 2 input.
Subsequently, the Company entered into a fixed interest rate swap contract on this loan to exchange the variable interest
rate for a fixed interest rate of 4.15% until October 2021 without the exchange of the underlying notional debt amount.
Mortgage Payable with East West Bank — Due June 2027
In May 2017, the Company entered into a mortgage term loan with East West Bank in the principal amount of $9.0 million,
which matures in June 2027. The loan is payable in monthly installments with a final balloon payment of $7.4 million plus
interest. The loan is secured by one of the buildings at the Company’s Rancho Cucamonga, California, headquarters
complex and two buildings at the Company’s Chino, California, facility. The loan bears a variable interest rate at the one-
month LIBOR rate plus 2.5%. As of December 31, 2020, the fair value of the loan approximates its book value. The
interest rate used in the fair value estimation was determined to be a Level 2 input. The Company entered into a fixed
interest rate swap contract on this loan to exchange the variable interest rate for a fixed interest rate of 4.79% until June
2024 without the exchange of the underlying notional debt amount.
Mortgage Payable with Cathay Bank — Due August 2027
In August 2017, the Company refinanced the mortgage term loan with Cathay Bank that had been entered into on April
2014, with a principal balance outstanding of $7.9 million. The loan is payable in monthly installments and is secured by
the building at the Company’s Canton, Massachusetts location. The loan bears interest at a fixed rate of 4.70% for the first
five years of the loan; thereafter, the loan bears a variable interest rate at the prime rate as published by The Wall Street
Journal and matures in June 2027. As of December 31, 2020, the fair value of the loan approximates its book value. The
interest rate used in the fair value estimation was determined to be a Level 2 input.
Equipment Loans
Equipment Loan with East West Bank – Due June 2021
In March 2016, the Company entered into a $5.0 million equipment credit facility with East West Bank. In May 2017, the
Company converted the outstanding balance of $5.0 million into a term equipment loan that matures in June 2021.
Borrowings under the loan are secured by equipment. The loan bears a variable interest rate at the prime rate as published
by The Wall Street Journal. As of December 31, 2020, the fair value of the loan approximates its book value. The interest
rate used in the fair value estimation was determined to be a Level 2 input. The Company has entered into a fixed interest
rate swap contract on this facility to exchange the variable interest rate for a fixed interest rate of 4.86%
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AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
over the life of the facility without the exchange of the underlying notional debt amount.
Equipment Loan with East West Bank — Due December 2022
In June 2017, the Company entered into an $8.0 million equipment credit line with an 18-month draw down period with
East West Bank. Interest payments are due monthly through December 2018 at the prime rate as published by The Wall
Street Journal. After the draw down period, the outstanding principal balance converts into a 48-month term loan which
bears a variable interest rate at the prime rate as published by The Wall Street Journal. The loan matures in December 2022,
and the principal and interest payments are due monthly. Borrowings under the facility are secured by equipment.
In June 2018, the Company drew down $8.0 million on the equipment credit line and in December 2018, the credit line
converted into an equipment loan. As of December 31, 2020, the fair value of the loan approximates its book value. The
interest rate used in the fair value estimation was determined to be a Level 2 input. The Company entered into a fixed
interest rate swap contract on this facility to exchange the variable interest rate for a fixed interest rate of 5.87% over the
life of the facility without the exchange of the underlying notional debt amount.
Equipment loan with East West Bank — Due February 2024
In January 2019, the Company entered into a $10.0 million equipment credit line with East West Bank which has a 12-
month draw down period. Interest payments are due monthly through February 2020 at the prime rate as published by The
Wall Street Journal minus 1%. After the draw down period, the outstanding principal balance converts into a 48-month
term loan which bears a variable interest rate at the prime rate as published by The Wall Street Journal minus 1%. The loan
matures in February 2024, and the principal and interest payments are due monthly. Borrowings under the facility are
secured by equipment. As of December 31, 2019, the Company has drawn $3.6 million from the equipment line of credit.
Subsequently, in January 2020, the Company drew an additional $3.0 million on the equipment credit line and in February
2020, the credit line converted into a $6.6 million equipment loan. As of December 31, 2020, the fair value of the loan
approximates its book value. The Company entered into a fixed interest rate swap contract on this facility to exchange the
variable interest rate for a fixed interest rate of 3.85% over the life of the facility without the exchange of the underlying
notional debt amount.
Other Loans and Payment Obligations
Acquisition Loan with Cathay Bank — Due June 2024
On April 22, 2014, in conjunction with the Merck API Transaction, the Company entered into a secured term loan with
Cathay Bank as lender. The principal amount of the loan was $21.9 million and had a variable interest rate at the prime rate
as published by The Wall Street Journal, with a minimum interest rate of 4.00%. The loan was secured by 65% of the
issued and outstanding shares of stock in AFP and certain assets of the Company, including accounts receivable, inventory,
certain investment property, goods, deposit accounts, and general intangibles but not including the Company’s equipment
and real property.
In July 2019, the Company amended the acquisition loan relating to the AFP acquisition. The amendment was effective in
June 2019. Under the amended loan agreement, the maturity date was extended to June 2024. The acquisition loan bears a
variable interest rate at the prime rate as published by The Wall Street Journal, with a minimum interest rate of 5.00%.
Beginning in August 2019, and through the maturity date, the Company must make monthly payments of principal and
interest based on the then outstanding amount of the loan amortized over a 60-month period. As of December 31, 2020, the
fair value of the loan approximates its book value. The interest rate used in the fair value estimation was determined to be a
Level 2 input.
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AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
The loan includes customary restrictions on, among other things, the Company’s ability to incur additional indebtedness,
pay dividends in cash or make other distributions in cash, make certain investments, create liens, sell assets, and make
loans. The loan also includes customary events of defaults, the occurrence and continuation of any of which provide Cathay
Bank the right to exercise remedies against the Company and the collateral securing the loan. These events of default
include, among other things, the Company’s failure to pay any amounts due under the loan, the Company’s insolvency, the
occurrence of any default under certain other indebtedness or material agreements, and a final judgment against the
Company that is not discharged in 30 days.
Loans with Seine-Normandie Water Agency
In January 2015, the Company entered into three French government loans with the Seine-Normandie water agency in the
aggregate amount of $0.7 million. The loans have maturities that range between three to six years, include annual equal
payments and bears no interest.
In December 2018, the Company entered into two additional French government loans with the Seine-Normandie water
agency in the aggregate amount $0.5 million. The loans have 8 year lives, and include annual equal payments and bear no
interest.
As of December 31, 2020, the payment obligation had an aggregate book value of $0.4 million, which approximates fair
value. The fair value of the payment obligation was determined by using the interest rate associated with the Company’s
acquisition loan with Cathay Bank that bears a variable interest rate at the prime rate as published by The Wall Street
Journal, with a minimum interest rate of 4.00%. Such interest rate is deemed to be a Level 2 input for measuring fair value.
Payment Obligation to Merck
On April 30, 2014, in conjunction with the Company’s acquisition of Merck Sharpe & Dohme’s, API manufacturing
business in Éragny-sur-Epte, France, or the Merck API Transaction, the Company entered into a commitment obligation
with Merck, in the principal amount of $16.0 million. The terms of the purchase price include annual payments over four
years and beard a fixed interest rate of 3.00%. In February 2020, the Company repaid all outstanding amounts due under
this obligation.
Covenants
At December 31, 2020 and 2019, the Company was in compliance with its debt covenants.
Long-Term Debt Maturities
As of December 31, 2020, the principal amounts of long-term debt maturities during each of the next five fiscal years
ending December 31 are as follows:
2021
2022
2023
2024
2025
Thereafter
124
$
Long-term
Debt
(in thousands)
11,950
7,450
5,666
3,069
1,273
16,515
45,923
$
Table of Contents
Note 15. Income Taxes
AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
The Company’s income (loss) before income taxes generated from its United States and foreign operations were:
Income (loss) before income taxes:
United States
Foreign
Total income (loss) before taxes
2020
Year Ended December 31,
2019
(in thousands)
2018
$ 15,634
(10,997)
4,637
$
$ 77,092
(16,864)
$ 60,228
$
3,580
(13,506)
(9,926)
$
The Company’s provision (benefit) for income taxes consisted of the following:
2020
Year Ended December 31,
2019
(in thousands)
2018
Current provision:
Federal
State
Foreign
Total current provision
Deferred provision (benefit):
Federal
State
Foreign
Total deferred provision (benefit)
Total provision (benefit) for income taxes
$ 1,803
541
279
2,623
$
4,283
430
1,514
6,227
$
32
343
773
1,148
1,770
(1,489)
636
917
$ 3,540
9,825
499
(2,828)
7,496
$ 13,723
(687)
(3,900)
173
(4,414)
$ (3,266)
A reconciliation of the statutory federal income tax rate to the Company’s effective tax rate is as follows:
Statutory federal income tax (benefit)
State tax expense, net of federal tax benefit
Foreign tax rate differences
Foreign valuation allowance
Research and development credits
Share-based compensation
Executive compensation
Deferred tax remeasurement
Employee-related expenses
Other
Effective tax rate (benefit)
Year Ended December 31,
2018
2019
2020
21.0 % 21.0 % 21.0 %
(16.2)
1.2
(20.1)
1.2
89.5
2.5
(65.1)
(4.8)
18.7
(1.5)
48.1
2.9
—
—
1.7
0.2
(1.3)
0.1
76.3 % 22.8 % 32.9 %
28.3
4.0
(42.0)
28.0
5.1
(12.4)
1.0
(0.4)
0.3
The Company’s effective tax rate for 2020 increased in comparison to 2019 primarily due to differences in pre-tax income
positions and the recording of a valuation allowance on Hanxin deferred tax assets.
Deferred Tax Assets and Liabilities
Deferred income taxes reflect the tax effects of temporary differences between the carrying amounts of assets and
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liabilities for financial reporting purposes and the amounts used for income tax purposes, tax credit carryforwards, and the
tax effects of net operating loss carryforwards.
The significant components of the Company’s deferred tax assets and liabilities are as follows:
Deferred tax assets:
Research and development credits
Net operating loss carryforward
Inventory capitalization and reserve
Share-based compensation
Operating leases
Accrued expenses
Accrued chargebacks
Product return allowance
Intangibles
Other
Total deferred tax assets
Deferred tax liabilities:
Depreciation/amortization
Intangibles
Operating leases
Federal impact of state deferred taxes
Total deferred tax liabilities
Valuation allowance
Net deferred tax assets
December 31,
2020
2019
(in thousands)
$ 18,531
16,187
7,744
5,564
4,999
4,340
3,927
3,798
2,124
2,633
69,847
$ 18,603
10,782
8,518
6,390
4,741
4,153
3,729
2,835
2,124
85
61,960
13,735
7,298
4,808
3,987
29,828
(15,780)
$ 24,239
11,528
6,743
4,571
3,674
26,516
(10,438)
$ 25,006
Net Operating Loss Carryforwards and Tax Credits
At December 31, 2020, the Company had approximately $1.6 million California net operating loss carryforwards, or NOL
carryforwards, and no material U.S. federal or other state NOL carryforwards. The California NOL carryforwards begin to
expire in 2032. The Company had France, United Kingdom, and China foreign NOL carryforwards of approximately $55.6
million, $1.4 million, and $12.4 million, respectively. The France and United Kingdom NOL carryforward can be used
annually with certain limitations and have an indefinite carryforward period while the China NOL carryforward begins to
expire in 2024.
At December 31, 2020, the Company had federal and California research and development tax credit carryforwards of
approximately $2.1 million and $21.9 million, respectively. The federal research and development tax credit begins to
expire in 2041. The California research and development tax credit has an indefinite carryforward period.
The utilization of NOL and credit carryforwards and other tax attributes could be subject to an annual limitation under
Sections 382 and 383 of the Internal Revenue Code of 1986, or the Code, whereby they could be limited in the event a
cumulative change in ownership of more than 50% occurs within a three-year period as defined in the Code.
Valuation Allowance
In assessing the need for a valuation allowance, management considers whether it is more likely than not that some portion
or all of the deferred tax assets will be realized. Ultimately, the realization of deferred tax assets depends on the existence
of future taxable income. Management considers sources of taxable income such as income in prior carryback
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periods, future reversal of existing deferred taxable temporary differences, tax-planning strategies, and projected future
taxable income.
The Company continues to record a full valuation allowance on AFP’s net deferred income tax assets and will continue to
do so until AFP generates sufficient taxable income to realize its deferred income tax assets. However, a tax benefit is
included in the annual effective tax rate computation due to AFP reporting a year-to-date foreign exchange gain in other
comprehensive income. As of December 31, 2020 and 2019, the Company had a full valuation allowance against the net
deferred tax assets of AFP, which totaled $13.7 million and $10.4 million, respectively.
For the year ended December 31, 2020, the Company also determined that Hanxin more likely than not would not realize
the benefit of its deferred tax assets due to recent operating losses. Therefore, the Company recorded a full valuation
allowance of $2.1 million against Hanxin’s deferred tax assets.
Undistributed Earnings from Foreign Operations
As of December 31, 2020 and 2019, deferred income taxes have not been provided for any undistributed earnings from
foreign operations. The foreign subsidiaries have accumulated losses of approximately $51.6 million and $44.9 million,
respectively, and as such there are no earnings in which to provide taxes. It is the Company’s plan not to repatriate future
foreign earnings to the U.S. and indefinitely reinvest such earnings in the foreign jurisdiction.
CARES Act
On March 27, 2020, the Coronavirus Aid, Relief, and Economic Security Act, or the CARES Act, was signed into law in
the U.S. to provide certain relief as a result of the COVID-19 pandemic. In addition, governments around the world have
enacted or implemented various forms of tax relief measures in response to the economic conditions in the wake of
COVID-19. As of December 31, 2020, neither the CARES Act nor changes to income tax laws or regulations in other
jurisdictions had a significant impact on the Company’s effective tax rate.
Uncertain Income Tax Positions
A reconciliation of the beginning and ending balances of unrecognized tax benefits is as follows:
Balance at the beginning of the year
Deductions based on tax positions related to prior years
Additions based on tax positions related to the current year
Deductions based on tax audit settlement
Deductions based on statute of limitations
Balance at the end of the year
2020
December 31,
2019
(in thousands)
$
8,331 $ 6,994 $
—
1,815
—
(93)
$ 10,053
—
1,382
(45)
—
$
$ 8,331
2018
7,438
(1,566)
1,304
(126)
(56)
6,994
Included in the balance of unrecognized tax benefits as of December 31, 2020 and 2019, was $9.9 million and $8.1 million,
respectively that represents the portion that would impact the effective income tax rate if recognized. During the year ended
December 31, 2018, the Company reduced unrecognized tax benefits for tax positions related to prior years by $1.6 million
and for tax audit settlement by $0.1 million as the result of a state tax audit resolution.
The Company recognizes interest and penalties related to unrecognized tax benefits in its income tax provision. For the
years ended December 31, 2020, 2019 and 2018, the Company accrued interest of approximately $0.2 million, $0.3 million
and $0.1 million, respectively, related to its uncertain tax positions.
The Company and/or one or more of its subsidiaries filed income tax returns in the U.S. federal jurisdiction and various
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U.S. states and foreign jurisdictions. In February 2018, the IRS completed an examination of the Company’s 2015 income
tax return resulting in no changes to reported tax. In June 2018, the Franchise Tax Board completed an examination of the
Company’s 2007, 2008, and 2009 tax return resulting in no material tax liability. As of December 31, 2020, the Company
does not have a tax examination in progress for federal, state, or foreign jurisdictions. The Company is subject to income
tax audit by tax authorities for tax years 2017 to 2019 for federal, 2016 to 2019 for states and 2010 to 2019 for foreign.
Note 16. Stockholders' Equity
Common and Preferred Stock
The Company’s Certificate of Incorporation authorizes the Company to issue 300,000,000 shares of common stock,
$0.0001 par value per share, and 20,000,000 shares of preferred stock, $0.0001 par value per share. As of December 31,
2020 and 2019, there were no shares of preferred stock issued or outstanding.
Equity Plans
As of December 31, 2020, the Company has two equity plans: the Amended and Restated 2015 Equity Incentive Plan, or
2015 Plan, and the 2014 Employee Stock Purchase Plan or ESPP. Prior to the adoption of these plans, the Company granted
options pursuant to the Amended and Restated 2005 Equity Incentive Award Plan. Upon termination of the predecessor
plans, the shares available for grant at the time of termination, and shares subsequently returned to the plans upon forfeiture
or option termination, were transferred to the successor plan in effect at the time of share return. The Company issues new
shares of common stock upon exercise of stock options, vesting of restricted stock units, or RSU, and settlement of ESPP,
with the exception of the awards granted to employees at AFP, which are settled through re-issuance of the Company’s
treasury shares.
Amended and Restated 2015 Equity Incentive Plan
In March 2015, the Board of Directors adopted the Company’s 2015 Equity Incentive Plan, or the 2015 Plan, which was
approved by the Company’s stockholders in May 2015 and is set to expire in March 2025. The 2015 Plan is designed to
meet the needs of a publicly traded company, including the requirements for granting “performance based compensation”
under Section 162(m) of the Internal Revenue Code. The 2015 Plan provides for the grant of incentive stock options,
nonstatutory stock options, restricted stock, restricted stock units, stock appreciation rights, performance units, performance
shares, and other stock or cash awards to employees of the Company and its subsidiaries, members of the Board of
Directors and consultants.
In November 2020, the Board of Directors approved the Amendment and Restated 2015 Equity Incentive Plan to provide
that at least 95% of the shares awarded under the plan will be subject to a minimum vesting requirement of at least one
year.
The Company initially reserved 5,000,000 shares of common stock for issuance under the 2015 Plan. This number will be
increased by the number of shares available for issuance under the Company’s prior equity incentive plans or arrangements
that are not subject to options or other awards, plus the number of shares of common stock related to options or other
awards granted under the Company’s prior equity incentive plans or arrangements that are repurchased, forfeited, expired,
or cancelled on or after the effective date of the 2015 Plan. The 2015 Plan also contains an “evergreen provision” that
allows for an annual increase in the number of shares available for issuance on January 1 of each year during the 10 year
term of the 2015 Plan, beginning January 1, 2016. The annual increase in the number of shares shall be the lesser of (i)
3,000,000 shares, (ii) two and one-half percent ( 2.5% ) of the outstanding shares on the last day of the immediately
preceding fiscal year, or (iii) such number of shares as determined by the Board of Directors. As of the effective date, there
were 5,300,296 shares available for grant under the 2015 Plan.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
As of December 31, 2020, the Company reserved an aggregate of 6,386,666 shares of common stock for future issuance
under the 2015 Plan. In January 2021, an additional 1,187,386 shares were reserved under the 2015 Plan pursuant to the
evergreen provision.
Amended and Restated 2005 Equity Incentive Award Plan
The Amended and Restated 2005 Equity Incentive Award Plan, or 2005 Plan, provided for the grant of incentive stock
options, or ISOs, nonqualified stock options, or NQSOs, restricted stock awards, restricted stock unit awards, stock
appreciation rights, or SARs, dividend equivalents and stock payments to the Company’s employees, members of the Board
of Directors and consultants. Stock options under the 2005 Plan were granted with a term of up to ten years and at prices no
less than the fair market value of the Company’s common stock on the date of grant. To date, stock options granted to
existing employees generally vest over three to five years and stock options granted to new employees vest over four
years. Stock options granted to Board of Directors and consultants generally vested over one year.
As of March 2015, consequent to the 2015 Plan becoming effective, awards were no longer granted under the 2005 Plan.
2014 Employee Stock Purchase Plan
In June 2014, the Company adopted the ESPP in connection with its initial public offering. A total of 2,000,000 shares of
common stock are reserved for issuance under this plan. The Company’s ESPP permits eligible employees to purchase
common stock at a discount through payroll deductions during defined offering periods. Under the ESPP, the Company
may specify offerings with durations of not more than 27 months, and may specify shorter purchase periods within each
offering. Each offering will have one or more purchase dates on which shares of its common stock will be purchased for
employees participating in the offering. An offering may be terminated under certain circumstances. The price at which the
stock is purchased is equal to 85% of the lower of the fair market value of the common stock at the beginning of an offering
period or on the date of purchase.
As of December 31, 2020, the Company has issued 807,550 shares of common stock under the ESPP and 1,192,450 shares
of its common stock remains available for issuance under the ESPP.
For the year ended December 31, 2020, 2019, and 2018, the Company recorded ESPP expense of $0.8 million, $0.7
million, and $0.7 million, respectively.
Share Buyback Program
As of December 31, 2020, the Company’s Board of Directors have authorized a total of $140.0 million. The primary goal
of the program is to offset dilution created by the Company’s equity compensation programs. The Company’s share
buyback program is expected to continue for an indefinite period of time.
Purchases are made through open market and private block transactions pursuant to Rule 10b5-1 plans, privately negotiated
transactions or other means as determined by the Company’s management and in accordance with the requirements of
the SEC. The timing and actual number of treasury share purchases will depend on a variety of factors including price,
corporate and regulatory requirements, and other conditions. These treasury share purchases are accounted for under the
cost method and are included as a component of treasury stock in the Company’s consolidated balance sheets.
Pursuant to the Company’s share buyback program, the Company purchased 1,366,384 shares, 1,122,781 shares, and
1,414,924, shares of its common stock during the years ended December 31, 2020, 2019 and 2018, totaling $24.4 million,
$22.3 million, and $25.0 million, respectively.
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Share-Based Award Activity and Balances (excluding the ANP Equity Plan)
The Company accounts for share-based compensation payments in accordance with ASC 718, which requires measurement
and recognition of compensation expense at fair value for all share-based payment awards made to employees and
directors. Under these standards, the fair value of option awards and the option components of the ESPP awards are
estimated at the grant date using the Black-Scholes option-pricing model. The fair value of RSUs is estimated at the grant
date using the Company’s common share price. Prior to the adoption of ASU No. 2018-07, Improvements to Non-
employees Share-Based Payment Accounting, non-vested stock options held by non-employees are revalued at each
balance sheet date. As a result of the Company’s early adoption of the guidance on July 1, 2018, stock options held by non-
employees are no longer revalued after grant. The portion that is expected to vest is amortized and recognized in
compensation expense on a straight-line basis over the requisite service period, generally from the grant date to the vesting
date.
Options issued under the Company’s 2015 Plan and 2005 Plan, are granted at exercise prices equal to or greater than the
fair value of the underlying common shares on the date of grant and vest based on continuous service. There have been no
awards with performance conditions and no awards with market conditions. The options have a contractual term of five to
ten years and generally vest over a three- to five-year period. The Black-Scholes option pricing model has various inputs
such as the common share price on the date of grant, exercise price, the risk-free interest rate, volatility, expected life and
dividend yield, all of which are estimates. The Company records share-based compensation expense net of expected
forfeitures. The change of any of these inputs could significantly impact the determination of the fair value of the
Company’s options as well as significantly impact its results of operations.
The significant assumptions used in the Black-Scholes option-pricing are as follows:
● Determination of Fair Value of the Underlying Common Stock. For options and ESPP awards granted, the
fair value for its underlying common stock is determined using the closing price on the date of grant as
reported on the Nasdaq Global Select Market, or Nasdaq. Following the listing of our common stock on
Nasdaq, we use the closing stock price as reported on Nasdaq on the grant date for the fair value of its stock.
● Expected Volatility. Starting in 2020, the Company estimates its volatility based on the weighted-average
historical volatility of its stock price since IPO. Prior to that, the Company had limited data regarding
company-specific historical or implied volatility of its share price. Consequently, the Company estimated its
volatility based on the weighted average historical volatility of its stock price since IPO and the stock price
from a set of peer companies, since our shares did not have sufficient trading history. Management
considered factors such as stage of life cycle, competitors, size, market capitalization and financial leverage
in the selection of similar entities.
● Expected Term. The expected term represents the period of time in which the options granted are expected to
be outstanding. The Company estimates the expected term of options with consideration of vesting date,
contractual term, and historical experience for exercise and post-vesting employment or contractual
termination behavior after its common stock has been publicly traded. The expected term of “plain vanilla”
options is estimated based on the midpoint between the vesting date and the end of the contractual term under
the simplified method permitted by the SEC implementation guidance. The weighted-average expected term
of the Company’s options is approximately five years.
● Risk-Free Rate. The risk-free interest rate is selected based upon the implied yields in effect at the time of
the option grant on U.S. Treasury zero-coupon issues with a term approximately equal to the expected life of
the option being valued.
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● Dividends. The Company does not anticipate paying cash dividends in the foreseeable future. Consequently,
the Company uses an expected dividend yield rate of zero.
The Company estimates forfeitures at the time of grant and revises those estimates in subsequent periods if actual
experience differs from those estimates. For the years ended December 31, 2020, 2019 and 2018, the Company estimated
an average overall forfeiture rate of approximately 5%, based on historical experience. Forfeiture rates are separately
estimated for its (1) directors and officers, (2) management personnel and (3) other employees. Share-based compensation
is recorded net of expected forfeitures. The Company periodically assesses the forfeiture rate and the amount of expense
recognized based on estimated historical forfeitures as compared to actual forfeitures. Changes in estimates are recorded in
the period they are identified.
Tax benefits resulting from tax deductions in excess of the share-based compensation cost recognized (excess tax benefits)
are recorded in the statements of cash flows as financing activities.
The weighted-averages for key assumptions used in determining the fair value of options granted during the years ended
December 31, 2020, 2019, and 2018 are as follows:
Average volatility
Average risk-free interest rate
Weighted-average expected life in years
Dividend yield rate
Stock Options
Year Ended December 31,
2020 2019 2018
43.1 % 42.5 % 39.9 %
2.7 %
2.4 %
0.8 %
5.7
5.7
5.7
— % — % — %
A summary of option activity under all plans for the year ended December 31, 2020, is presented below:
Weighted-Average
Exercise
Price
Weighted-Average
Remaining
Contractual
Term (Years)
Options
Aggregate
Intrinsic
Value(1)
(in thousands)
Outstanding as of December 31, 2019
Options granted
Options exercised
Options cancelled
Options expired
Outstanding as of December 31, 2020
Exercisable as of December 31, 2020
9,763,485 $
1,803,048
(1,761,104)
(112,180)
(1,112,774)
8,580,475
5,754,823
$
$
15.26
13.57
13.96
16.42
16.45
15.00
14.41
5.20
3.93
$
$
45,392
33,548
(1)
The aggregate intrinsic value is calculated as the difference between the exercise price of the underlying awards and the Company’s common stock
for those awards that have an exercise price below the estimated fair value at December 31, 2020.
During the years ended December 31, 2020, 2019, and 2018, the Company recorded expense of $9.1 million, $8.1 million,
and $8.2 million, respectively, related to stock options granted under all plans.
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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Information relating to option grants and exercises is as follows:
Weighted-average grant date fair value per option share
Intrinsic value of options exercised
Cash received from options exercised
Total fair value of the options vested during the year
2020
Year Ended December 31,
2019
(in thousands, except per share data)
$
2018
$
5.51
9,169
24,357
9,978
$
8.48
7,718
7,761
7,613
7.80
7,372
11,753
7,972
A summary of the status of the Company’s non-vested options as of December 31, 2020, and changes during the year
ended December 31, 2020, are presented below:
Non-vested as of December 31, 2019
Options granted
Options vested
Options forfeited
Non-vested as of December 31, 2020
Weighted-Average
Grant Date
Fair Value
$
6.99
5.51
6.19
7.09
6.50
Options
2,747,133
1,803,048
(1,612,349)
(112,180)
2,825,652
As of December 31, 2020, there was $11.2 million of total unrecognized compensation cost, net of forfeitures, related to
non-vested stock option based compensation arrangements granted under all plans. The cost is expected to be recognized
over a weighted-average period of 2.2 years and will be adjusted for future changes in estimated forfeitures.
In April 2020, Jason Shandell resigned from his position as the Company’s President and General Counsel and as a
member of the Company’s board of directors. In connection with his resignation, the Company and Mr. Shandell entered
into a separation agreement. As part of the separation agreement, the Company agreed to accelerate 80% of his unvested
stock options and extended the expiration date of certain vested stock option awards. As a result of this modification, the
Company incurred share-based compensation expense of $0.7 million, which is included within general and administration
expenses in the consolidated statement of operations for the year ended December 31, 2020.
Restricted Stock Units
The Company grants restricted stock units, or RSUs, to certain employees and members of the Board of Directors with a
vesting period of up to five years. The grantee receives one share of common stock at a specified future date for each RSU
awarded. The RSUs may not be sold or otherwise transferred until certificates of common stock have been issued,
recorded, and delivered to the participant. The RSUs do not have any voting or dividend rights prior to the issuance of
certificates of the underlying common stock. The share-based expense associated with these grants was based on the
Company’s common stock fair value at the time of grant and is amortized over the requisite service period, which generally
is the vesting period, using the straight-line method. During the years ended December 31, 2020, 2019, and 2018, the
Company recorded expenses of $10.0 million, $8.2 million, and $7.7 million, respectively, related to RSU awards granted
under all plans.
As part of the separation agreement with Mr. Shandell, the Company agreed to accelerate the vesting of 80% of his RSU
awards. As a result of this modification, the Company incurred share-based compensation expense of $1.6 million, which is
included within general and administrative expenses in the consolidated statement of operations for the year ended
December 31, 2020.
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As of December 31, 2020, there was $12.0 million of total unrecognized compensation cost, net of forfeitures, related to
non-vested RSU-based compensation arrangements granted under all plans. The cost is expected to be recognized over a
weighted-average period of 2.2 years and will be adjusted for future changes in estimated forfeitures.
Information relating to RSU grants and deliveries is as follows:
RSUs outstanding at December 31, 2019
RSUs granted
RSUs forfeited
RSUs vested(2)
RSUs outstanding at December 31, 2020
Total Fair Market
Value of RSUs
Issued
as
Compensation(1)
(in thousands)
Total RSUs
Issued
$
9,926
1,099,496
733,566
(48,490)
(628,054)
1,156,518
The total FMV is derived from the number of RSUs granted times the current stock price on the date of grant.
(1)
(2) Of the vested RSUs, 240,318 shares of common stock were surrendered to fulfil tax withholding obligations
The 2018 ANP Equity Incentive Plan
In December 2018, ANP’s board of directors approved the 2018 Plan, which is set to expire in December 2023. The 2018
Plan permits the grant of stock options and other equity awards in ANP shares to ANP employees. During the year ended
December 31, 2020, ANP has granted 2,433,445 stock options to its employees under the 2018 Plan. In 2019, 3,648,932
stock options were granted to its employees under the 2018 Plan. As of December 31, 2020, the number of stock options
outstanding was 5,709,977. The options vest over a period of approximately four years and have up to a 10 year contractual
term. For the years ended December 31, 2020 and 2019, the Company recorded expense of $0.7 million and $0.3 million
related to stock options issued by ANP under the 2018 Plan, respectively.
Share-based Compensation Expense
The Company recorded share-based compensation expense under all plans and is included in the Company’s consolidated
statement of operations as follows:
2020
Year Ended December 31,
2019
(in thousands)
2018
Cost of revenues
Operating expenses:
Selling, distribution, and marketing
General and administrative
Research and development
Total share-based compensation
$
4,248 $
3,819 $
3,923
456
14,089
1,705
$ 20,498
387
11,538
1,551
$ 17,295
383
10,853
1,521
$ 16,680
Note 17. Employee Benefits
401(k) Plan
The Company has a defined contribution 401(k) plan, or the Plan, whereby eligible employees voluntarily contribute up to
a defined percentage of their annual compensation. The Company matches contributions at a rate of 50% on the first
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6% of employee contributions, and pays the administrative costs of the Plan. Total employer contributions for the years
ended December 31, 2020, 2019, and 2018 were approximately $1.9 million, $1.5 million, and $1.3 million, respectively.
Defined Benefit Pension Plan
The Company’s subsidiary, AFP, has an obligation associated with a defined-benefit plan for its eligible employees. This
plan provides benefits to the employees from the date of retirement and is based on the employee’s length of time
employed by the Company. The calculation is based on a statistical calculation combining a number of factors that include
the employee’s age, length of service, and AFP employee turnover rate.
The liability under the plan is based on a discount rate of 0.30% and 0.90% as of December 31, 2020 and 2019,
respectively. The liability is included in accrued liabilities in the accompanying consolidated balance sheets. The plan is
currently unfunded, and the benefit obligation under the plan was $3.0 million and $2.4 million at December 31, 2020 and
2019, respectively. Expense under the plan was $0.2 million, $0.2 million, and $0.3 million for the years ended December
31, 2020, 2019, and 2018, respectively. Gain or loss due to change in actuarial valuation of the Company’s defined benefit
pension plan is recorded in other comprehensive income (loss).
Deferred Compensation Plan
In December 2019, the Company established a non-qualified deferred compensation plan. The deferred compensation plan
allows certain eligible participants to defer a portion of their cash compensation and provides a matching contribution at the
discretion of the Company. The plan obligations are payable upon retirement, termination of employment and/or certain
other times in a lump-sum distribution or in installments, as elected by the participant in accordance with the plan.
Participants can allocate their deferred compensation amongst various investment options with earnings accruing to the
participant. The Company has established a Rabbi Trust to fund the plan obligations and to hold the plan assets. Eligible
participants began contributing to the plan in January 2020. As of December 31, 2020, the plan assets and liabilities were
valued at approximately $1.6 million and $1.7 million, respectively.
Note 18. Commitments and Contingencies
Lease Liabilities
On January 1, 2019, the Company adopted ASC 842, which resulted in the recognition of right-of-use, or ROU, assets of
approximately $13.9 million and related lease liabilities of approximately $14.1 million in the consolidated balance sheet as
of December 31, 2019, related to its operating lease commitments. ROU assets represent the Company’s right to control an
underlying asset for the lease term and lease liabilities represent the Company’s obligation to make lease payments arising
from the lease. ROU assets and liabilities are recognized at the commencement date based on the present value of lease
payments over the lease term. Lease terms are generally based on their initial non-cancelable terms, unless there is a
renewal option that is reasonably certain to be exercised. Various factors, including economic incentives, intent, past
history and business needs are considered to determine if a renewal option is reasonably certain to be exercised. As most of
its leases do not provide an implicit rate, the Company used its incremental borrowing rate based on the information
available at the commencement date in determining the discount rate used to present value the lease payments. The
Company has lease agreements with both lease and non-lease components, which are accounted for as a single component
for all asset classes. The Company leases real and personal property, in the normal course of business, under various non-
cancelable operating leases. The Company, at its option, can renew a substantial portion of its leases, at the market rate, for
various renewal periods ranging from one to six years.
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AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
The components of lease costs for the years ended December 31, 2020 and 2019 were as follows:
Operating lease costs
Short-term lease costs
Finance lease costs
Amortization of right-of-use assets
Interest on lease liabilities
Total finance lease costs
Total lease costs
Other information pertaining to leases is as follows:
Cash paid for amounts included in the measurement of lease liabilities
Operating cash flows from operating leases
Operating cash flows from finance leases
Financing cash flows from finance leases
$
Right-of use assets obtained in exchange for lease liabilities
Operating leases
Finance leases
Weighted-average remaining lease term (years)
Operating leases
Finance leases
Weighted-average discount rate
Operating leases
Finance leases
135
Year Ended
December 31,
2020
2019
(in thousands)
$
4,462 $
3,981
649
351
33
384
5,495
$
$
613
351
46
397
4,991
$
$
Year Ended
December 31,
2020
2019
(in thousands, except lease term and
discount rate)
$
4,491
33
369
4,819
61
8.7
2.3
3,531
46
354
7,978
143
8.1
2.8
5.2 %
5.0 %
5.9 %
4.6 %
Table of Contents
AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Future minimum rental payments under leases that have initial or remaining non-cancelable lease terms in excess of 12
months as of December 31, 2020, are as follows:
Operating
Leases
Finance
Leases
(in thousands)
Total
$
$
$
4,362
4,071
2,819
2,308
1,976
10,691
26,227
5,406
20,821
$
$
$
250
210
50
38
18
—
566
40
526
$
$
$
4,612
4,281
2,869
2,346
1,994
10,691
26,793
5,446
21,347
2021
2022
2023
2024
2025
Thereafter
Total lease payments
Less: interest
Total
Purchase Commitments
As of December 31, 2020, the Company has entered into commitments to purchase equipment and raw materials for an
aggregate amount of approximately $48.8 million. The Company anticipates that most of these commitments with a
remaining term in excess of one year will be fulfilled by 2022.
In accordance with certain agreements between ANP and the Chinese government, in January 2010 and November 2012,
the Company acquired certain land-use rights for $1.2 million and $1.3 million, respectively. As required by these
agreements, the Company was committed to spend approximately $15.0 million in the related land development, which
primarily includes the construction of fixed assets according to a specific timetable. As of December 31, 2020, the
Company has spent $19.5 million on such construction, fulfilling its commitment.
Note 19. Related-Party Transactions
ANP Private Placement
As discussed in footnote 2, in July 2018, ANP completed a private placement of its common equity interest and received
approximately $56.3 million of cash proceeds. In connection with the private placement, all of the executive officers of the
Company, Stephen Shohet, Howard Lee, and Richard Koo, directors of the Company, certain relatives of Dr. Jack Zhang
and Dr. Mary Luo, and certain employees of ANP entered into subscription agreements (each, a “Subscription Agreement”)
for the indirect investment in ANP. These Subscription Agreements were transacted either through an investment in
Amphastar Cayman, a Cayman Islands limited liability company, or Qianqia or Zhongpan, Chinese partnerships. The
aggregate gross proceeds received as of December 31, 2020, from such executive officers, directors and related parties
were approximately $36.4 million.
Retirement of James Luo
In December 2020, James Luo retired from his position as the Company’s Senior Vice President of Engineering and
President of AFP. Mr. Luo is a relative of the Company’s Chief Operating Officer, Dr. Mary Luo. In connection with his
retirement, the Company and Mr. Luo entered into a retirement agreement where the Company agreed to pay Mr. Luo
approximately $1.0 million in cash compensation over a period of three years as well as provide health insurance coverage
for a six year period beginning in 2021. As a result, the Company recorded a total of $1.1 million in general and
administrative expense in the fourth quarter of 2020 related to this agreement.
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AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Note 20. Litigation
Momenta/Sandoz Enoxaparin Patent and Antitrust Litigation
In September 2011, Momenta Pharmaceuticals, Inc., or Momenta, a Boston based pharmaceutical company, and Sandoz
Inc., or Sandoz, the generic division of Novartis, initiated litigation against the Company for alleged patent infringement of
two patents related to testing methods for batch release of enoxaparin, which the Company refers to as the “’886 patent”
and the “’466 patent.”
On September 17, 2015, the Company initiated an antitrust lawsuit by filing a complaint in the California District Court
against Momenta and Sandoz. This lawsuit was subsequently transferred to the Massachusetts District Court.
On May 20, 2019, the Company and Momenta and Sandoz entered into a Settlement Agreement to settle the patent
litigation and antitrust litigation. On June 27, 2019, Momenta and Sandoz paid the Company $59.9 million. The Company
recorded the settlement amount as other income (expenses), in its consolidated statements of operations.
Amphastar Pharmaceuticals, Inc. v Aventis Pharma, SA
In January 2009, the Company filed a qui tam complaint in the U.S. District Court for the Central District of California,
alleging that Aventis Pharma S.A., or Aventis, through its acquisition of a patent through false and misleading statements to
the U.S. Patent and Trademark Office, as well as through false and misleading statements to the FDA, overcharged the
federal and state governments for its Lovenox® product.
On May 11, 2017, the Company’s lawsuit against Aventis was dismissed for lack of jurisdiction. On July 14, 2017, Aventis
filed an application with the District Court for entitlement to attorneys’ fees and expenses. On November 20, 2017, the
District Court issued its order granting Aventis’ application for fees.
On November 13, 2020, the Court issued an Opinion and Order (“Fee Order”) awarding Aventis $12.1 million in attorneys’
fees and $0.7 million in costs and expenses, and ordered Aventis to submit updated calculations on accrued interest.
On December 14, 2020, Aventis submitted a supplemental application to the Court seeking interest for the time between the
case’s inception and April 30, 2018, and fees, expenses, and interest for the period between May 1, 2018 and November 13,
2020. The Supplemental Application also identified a mathematical error in the Court’s Fee Order and requested that the
Court revise the Fee Order to $12.2 million to correct the error.
On December 14, 2020, the Company filed an appeal of the Fee Order to the United States Court of Appeals for the Ninth
Circuit. On January 12, 2021, the Company submitted an opposition to the Supplemental Application identifying several
issues with the Supplemental Application including Aventis’ incorrect calculation of fees based on the Fee Order, incorrect
calculation of interest, among other procedural and factual arguments. The Court has not yet ruled on the Supplemental
Application and has not provided a timeline by which the parties should expect a ruling.
The Company has accrued $12.8 million relating to this litigation as of December 31, 2020 in other income (expenses) in
the consolidated statement of operations. This amount represents management’s best estimate of the probable loss at this
time. The final fee award could be higher and the final amount cannot be reasonably estimated at this time. The Company
intends to continue to vigorously defend against any imposition of attorneys’ fees and expenses in this case.
Regadenoson (0.4 mg/5 mL, 0.08 mg/mL) Patent Litigation
On February 25, 2020, Astellas US LLC, Astellas Pharma US, Inc., and Gilead Sciences, Inc. (collectively, “Astellas-
Gilead”) filed a Complaint in the United States District Court for the District of Delaware against IMS for infringement
137
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AMPHASTAR PHARMACEUTICALS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
of U.S. Patent Nos. 8,106,183 (the “‘183 patent”), RE47,301 (the “‘301 patent”), and 8,524,883 (the “‘883 patent”)
(collectively, “Astellas-Gilead Patents”) with regard to IMS’s ANDA No. 214,252 for approval to manufacture and sell 0.4
mg/5 mL (0.08 mg/mL) intravenous solution of Regadenoson. On March 4, 2020, IMS filed its Answer and Counterclaims.
On March 30, 2020, the Court issued an Order allowing the Company to join pending consolidated litigation with five other
generic Regadenoson ANDA filers involving similar claims. Trial is currently scheduled for June 14, 2021. The Company’s
30-month FDA stay expires August 10, 2022. The Company intends to vigorously defend this patent lawsuit.
Employee Litigations
Brenes v. International Medication Systems, Limited
On September 11, 2019, a former employee, Raquel Brenes, (“Brenes”), initiated an employment litigation against IMS et
al. by filing a Complaint in the Superior Court of California, Los Angeles County alleging individual and class action
claims for alleged violations of various California labor laws pertaining to wage and hour, and other state laws. On
September 18, 2019, Brenes filed a First Amended Complaint maintaining the individual and class action claims. On
January 21, 2020, Brenes filed a Second Amended Complaint that alleges only Private Attorney General Act, or PAGA,
claims and omitted the individual and class action claims. On February 9, 2021, the Company was able to successfully
resolve these claims, as well as Brenes’ personal employment claims at mediation for $1.0 million. The agreement is still
subject to approval by the court. The Company accrued the amount of $1.0 million as of December 31, 2020.
Navarrette v. International Medication Systems, Limited
On January 30, 2020, a former employee, Robert Navarrette, (“Navarrette”), provided written notice, through his counsel to
IMS that he intends to file a PAGA lawsuit for alleged violations of various California labor laws pertaining to wage and
hour. On April 7, 2020, Navarrete filed his PAGA lawsuit against IMS and Amphastar Pharmaceuticals, Inc. in the Superior
Court of California, Los Angeles County, Central District. As to IMS, the Brenes settlement subsumes the claims of
Navarrette.
Ramirez v. Amphastar Pharmaceuticals, Inc.
On May 29, 2020, Priscilla Ramirez, (“Ramirez”), a former employee filed a PAGA lawsuit for alleged violations of
various California labor laws pertaining to wage and hour against the Company. The parties have agreed to a mediation
scheduled in April 2021. At this time, neither potential liability nor a reasonable and calculable estimate of exposure can be
determined as initial evaluation is ongoing. The Company intends to vigorously defend this lawsuit.
Other Litigation
The Company is also subject to various other claims, arbitrations, and lawsuits from time to time arising in the ordinary
course of business, including contractual employment matters.
The Company records a provision for contingent losses when it is both probable that a liability has been incurred and the
amount of the loss can be reasonably estimated. In the opinion of management, the ultimate resolution of any such matters
is not expected to have a material adverse effect on its financial position, results of operations, or cash flows; however, the
results of litigation and claims are inherently unpredictable and the Company’s view of these matters may change in the
future. Regardless of the outcome, litigation can have an adverse impact on the Company because of defense and
settlement costs, diversion of management resources, and other factors.
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Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure.
None.
Item 9A. Controls and Procedures.
Evaluation of Disclosure Controls and Procedures
Our management, under the supervision and with the participation of our Chief Executive Officer and our Chief Financial
Officer, our principal executive and principal financial officers, respectively, conducted an evaluation of the effectiveness
of the design and operation of our disclosure controls and procedures, as defined in Rules 13a-15(e) and 15d-15(e) under
the Exchange Act of 1934, as amended, as of the end of the period covered by this Annual Report on Form 10-K. Based on
this evaluation, our Chief Executive Officer and our Chief Financial Officer have concluded that our disclosure controls
and procedures were effective (a) to ensure that information that we are required to disclose in reports that we file or submit
under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in SEC rules
and forms and (b) to include, without limitation, controls and procedures designed to ensure that information required to be
disclosed by us in reports filed or submitted under the Exchange Act is accumulated and communicated to our
management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions
regarding required disclosure.
Management’s Report on Internal Control Over Financial Reporting
Our management is responsible for establishing and maintaining adequate internal control over financial reporting, as such
term is defined in Rule 13a-15(f) under the Exchange Act. Under the supervision and with the participation of senior
management, including our Chief Executive Officer and Chief Financial Officer, we evaluated the effectiveness of our
internal control over financial reporting based on the framework in Internal Control-Integrated Framework issued by the
Committee of Sponsoring Organizations of the Treadway Commission in 2013. Based on the evaluation under that
framework and applicable SEC rules, our management concluded that our internal control over financial reporting was
effective as of December 31, 2020.
Our internal control over financial reporting as of December 31, 2020 has been audited by Ernst & Young, LLP, an
independent registered public accounting firm, as stated in their report appearing below.
Changes in Internal Control Over Financial Reporting
There have been no changes in our internal control over financial reporting that occurred during the quarter ended
December 31, 2020, that have materially affected, or are reasonably likely to materially affect, our internal control over
financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act).
Inherent Limitations of Internal Controls
Our management, including our Chief Executive Officer and Chief Financial Officer, does not expect that our disclosure
controls and procedures or our internal controls over financial reporting will prevent or detect all errors and all fraud. A
control system, no matter how well designed and operated, can provide only reasonable, not absolute, assurance that the
objectives of the control system are met. Because of the inherent limitations in all control systems, no evaluation of
controls can provide absolute assurance that all control issues and instances of fraud, if any, within the Company have been
detected. These inherent limitations include the realities that judgments in decision-making can be faulty, and that
breakdowns can occur because of a simple error or mistake. Additionally, controls can be circumvented by the individual
acts of some persons, by collusion of two or more people, or by management overriding of the controls. The design of any
system of controls also is based in part upon certain assumptions about the likelihood of future events, and there can be no
assurance that any design will succeed in achieving its stated goals under all potential future conditions. Over time, controls
may become inadequate because of changes in conditions, or the degree of compliance with the policies or procedures may
deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may
occur and not be detected.
139
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Report of Independent Registered Public Accounting Firm
To the Stockholders and the Board of Directors of Amphastar Pharmaceuticals, Inc.
Opinion on Internal Control Over Financial Reporting
We have audited Amphastar Pharmaceuticals, Inc. internal control over financial reporting as of December 31, 2020, based
on criteria established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of
the Treadway Commission (2013 framework), (the COSO criteria). In our opinion, Amphastar Pharmaceuticals, Inc. (the
Company) maintained, in all material respects, effective internal control over financial reporting as of December 31, 2020,
based on the COSO criteria.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United
States) (PCAOB), the consolidated balance sheets of the Company as of December 31, 2020 and 2019, the related
consolidated statements of operations, comprehensive income (loss), stockholders’ equity and cash flows for each of the
three years in the period ended December 31, 2020, and the related notes and our report dated March 15, 2021 expressed an
unmodified opinion thereon.
Basis for Opinion
The Company’s management is responsible for maintaining effective internal control over financial reporting and for its
assessment of the effectiveness of internal control over financial reporting included in the accompanying Management’s
Report on Internal Control Over Internal Reporting. Our responsibility is to express an opinion on the Company’s internal
control over financial reporting based on our audit. We are a public accounting firm registered with the PCAOB and are
required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the
applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform
the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in
all material respects.
Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material
weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk,
and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides
a reasonable basis for our opinion.
Definition and Limitations of Internal Control Over Financial Reporting
A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the
reliability of financial reporting and the preparation of financial statements for external purposes in accordance with
generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and
procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the
transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded
as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and
that receipts and expenditures of the company are being made only in accordance with authorizations of management and
directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized
acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also,
projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate
because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
/s/ Ernst & Young LLP
Irvine, California
March 15, 2021
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Item 9B. Other Information.
None.
141
Table of Contents
Item 10. Directors, Executive Officers and Corporate Governance.
PART III
Information required by this item will be included in our Proxy Statement for our 2021 Annual Meeting of Stockholders to
be filed within 120 days after our fiscal year end of December 31, 2020, or 2021 Proxy Statement, and is incorporated by
reference into this Annual Report on Form 10-K.
Item 11. Executive Compensation.
Information required by this item will be included in our 2021 Proxy Statement and is incorporated by reference into this
Annual Report on Form 10-K.
Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters.
Information required by this item will be included in our 2021 Proxy Statement and is incorporated by reference into this
Annual Report on Form 10-K.
Item 13. Certain Relationships and Related Transactions, and Director Independence.
Policies and Procedures for Related Party Transactions
RELATED PERSON TRANSACTIONS
As set forth in our audit committee charter, our audit committee is primarily responsible for reviewing and approving
related-party transactions, which consist of all transactions and series of similar transactions to which we were a party or
will be a party and in which any of our directors, executive officers and holders of more than 5% of our voting securities
and their respective affiliates has a direct or indirect material interest. As used in this section, the terms “related person”
and “transaction” have the meanings set forth in Item 404(a) of Regulation S-K under the Securities Act. In the course of
its review and approval of transactions with related persons, the audit committee considers:
● the nature of the related person’s interest in the transaction;
● the material terms of the transaction, including the amount involved and the type of the transaction;
● the importance of the transaction to the related person and to Amphastar;
● whether the transaction would impair the judgment of a director or executive officer to act in our best interest and
the best interest of our stockholders; and
● any other matters the audit committee deems appropriate.
Any member of the audit committee or, if applicable, our board of directors, who is a related person with respect to a
transaction under review will not be able to participate in the discussions or vote on the approval or ratification of the
transaction, other than to provide all material information regarding the transaction, including information regarding the
extent of the member’s interest in the transaction, to the audit committee. Any material changes to the terms of, or any
renewal of, any of these transactions will also require the same approval. If a related party transaction will be ongoing, the
audit committee may establish guidelines or other parameters or conditions relating to our participation in the transaction.
The audit committee may from time to time pre-approve types or categories of transactions by related persons.
Related Person Transactions
We describe below transactions and series of similar transactions, since the beginning of our last fiscal year, or not
142
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previously disclosed, to which we were a party or will be a party, in which:
● the amounts involved exceeded or will exceed $120,000; and
● any of our directors, nominees for director, executive officers or holders of more than 5% of our outstanding
capital stock, or any immediate family member of, or person sharing the household with, any of these individuals
or entities, had or will have a direct or indirect material interest.
Employment of Related Persons
James Luo
James Luo, the brother of Dr. Mary Luo, our Chairman of the Board, Chief Operating Officer and Chief Scientist, and the
brother-in-law of Dr. Jack Zhang, our Chief Executive Officer, President, Chief Scientific Officer and director, was
employed by us from 2003 until his retirement in 2020, most recently as our Senior Vice President of New Engineering
Research Center, and President of Amphastar France Pharmaceuticals. In connection with his retirement in 2020, Mr. Luo
received a retirement package that included $992,000 of cash payments over a three year period beginning in 2021 as well
as $118,000 of health insurance payments over a six year period. In addition, Mr. Luo’s total compensation since 2014, the
year of our initial public offering, was as follows:
Year
2020
2019
2018
2017
2016
2015
2014
Salary
Bonus
Restricted
Stock
Awards(1)
Option
Awards(1)
All Other
Compensation(2)
Total
$
$
$
$
$
$
$
347,000
385,000
368,300
352,000
338,500
322,400
313,000
$
$
$
$
$
$
$
— $
$
$
$
$
$
$
$62,300
$76,200
$94,000
$64,900
$69,400
$56,200
150,500
144,000
121,500
149,500
108,500
96,500
49,700
$
$
$
$
$
$
$
150,500
144,000
121,500
111,500
108,500
96,500
92,300
$
$
$
$
$
$
$
50,400
8,300
8,200
8,000
7,700
5,300
5,200
$
$
$
$
$
$
$
698,400
743,600
695,700
715,000
628,100
590,100
516,400
(1)
(2)
This amount reflects the aggregate grant fair value computed in accordance with ASC Topic 718.
All years include a company contribution under our 401(K) plan. In addition, 2020 includes a payment of $40,800 for travel incentives in
accordance with our travel policy, which had been earned but not paid during the previous five years.
We believe that Mr. Luo’s compensation, including his retirement payment, is comparable with compensation paid to other
employees with similar levels of responsibility and years of experience.
Henry Zhang
Henry Zhang (Haoning Zhang), the son of Dr. Jack Zhang and Dr. Mary Luo, is employed by us as the General Manager of
Amphastar Nanjing Pharmaceuticals (ANP) and has been employed in that role since 2009. Mr. Zhang’s compensation
since 2014, the year of our initial public offering, was as follows:
Year
2020
2019
2018
2017
2016
2015
2014
Salary
Bonus
Restricted Stock
Awards(1)
Option
Awards(1)
Total
$
$
$
$
$
$
$
192,600
180,000
150,000
114,800
113,800
108,000
102,900
$
$
$
$
$
$
$
104,300
141,300
99,200
74,700
62,900
60,700
44,500
$
$
$
$
$
$
$
— $
— $
$
$
$
$
— $
79,500
66,000
60,500
55,500
617,400
535,000
422,100
66,000
60,500
55,500
101,000
$
$
$
$
$
$
$
914,300
856,300
750,800
321,500
297,700
279,700
248,400
(1)
This amount reflects the aggregate grant fair value computed in accordance with ASC Topic 718.
143
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Mr. Zhang’s compensation was approved by the board of directors of ANP beginning in 2018. Prior to that it was set by our
management and was comparable with compensation paid to other general managers of our facilities.
Other Employment Relationships
Qingqing Chen, who married Henry Zhang in 2012, was employed by ANP until January 2015, when she resigned. Ms.
Chen served in an administrative role and her total annual compensation never exceeded $10,000.
Chongqing Zhang, the brother of Dr. Jack Zhang and the brother-in-law of Dr. Mary Luo, has worked for ANP since 2009,
initially as a facilities manager, then as a support manager, and more recently, serving as labor union chairman. At no time
has his total annual compensation exceeded $80,000.
ANP Private Placement
As previously disclosed, in July 2018, ANP completed a private placement of its equity to accredited investors for
aggregate gross proceeds of approximately $56.3 million. In connection with the private placement, all of our executive
officers at that time, including current executive officers Dr. Mary Luo, Dr. Jack Zhang, Bill Peters, Rong Zhou, and Jacob
Liawatidewi, and our independent directors Howard Lee and Richard Koo and former director Stephen Shohet, entered into
subscription agreements for the indirect investment in ANP (the “ANP Private Placement”). Both Mr. Lee and Mr. Koo
invested, in whole or in part, through other immediate family members. These subscription agreements were transacted
either through an investment in Amphastar Cayman LLC, a Cayman Islands limited liability company, or Qianqia, a
Chinese partnership.
In addition, certain immediate family members of Dr. Jack Zhang and Dr. Mary Luo invested indirectly in the ANP Private
Placement as set forth below:
Investor
Henry Zhang and Qingqing Chen
Chongqing Zhang
Bill Zhang
Lu Zhang
James Luo
Relationship to Dr. Jack Zhang and Dr. Mary Luo
Son and daughter-in-law, respectively
$
Brother of Dr. Jack Zhang, brother-in-law of Dr. Mary Luo $
$
Son
Daughter
$
Brother of Dr. Mary Luo, brother-in-law of Dr. Jack Zhang $
Investment
9,956,000
400,000
3,200,000
2,500,000
100,000
The total aggregate gross proceeds received from such executive officers, directors and related parties were approximately
$36.4 million. After the private placement, we retained approximately 58% of the equity interest of ANP immediately after
the private placement.
Huilu Health Products LLC
Lu Zhang and Guohui Zhang, the daughter and son-in-law of Dr. Jack Zhang and Dr. Mary Luo, are the owners of Huilu
Health Products LLC, or Huilu. In 2020, Huilu resold our Primatene Mist product on Amazon.com pursuant to a
distribution arrangement on terms consistent with those we have entered into with other similar-sized distribution partners.
In connection with this arrangement, we recognized revenue of $224,000 in 2020 relating to Huilu’s purchase of our
Primatene Mist product, the pricing of which was negotiated in good faith and was consistent with the price at which we
sold to other distribution partners.
Nanjing Baiziya Biotechnology Co., Ltd.
Henry Zhang, the son of Dr. Jack Zhang and Dr. Mary Luo, holds a majority interest in Baiziya, which was formed and
organized in 2019. In 2020, Baiziya entered into a series of transactions with ANP through which ANP supplied non-
prescription healthcare products and cosmetics to Baiziya. We believe that the pricing agreed to with Baiziya was
negotiated in good faith. The net total of the transactions in 2020, after giving effect to certain cancellations, was $90,000.
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Other Transactions
We have granted stock options and RSUs to our executive officers and certain of our directors.
We have entered into employment agreements with certain of our executive officers that, among other things, provides for
certain severance and change in control benefits.
Additional information related to these transactions will be set forth in our 2021 Proxy Statement which is incorporated by
reference in Part III, Item 11 of this Annual Report on Form 10-K.
Indemnification Agreements
We have entered into indemnification agreements with each of our directors and executive officers. The indemnification
agreements, our amended and restated certificate of incorporation and our amended and restated bylaws require us to
indemnify our directors to the fullest extent permitted by Delaware law.
Item 14. Principal Accountant Fees and Services.
Information required by this item will be included in our 2021 Proxy Statement and is incorporated by reference into this
Annual Report on Form 10-K.
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Item 15. Exhibits and Financial Statement Schedules.
(a)
(1) Financial Statements filed as part of this report are listed in Part II, Item 8 of this report.
PART IV
(2) No other financial schedules have been included because they are not applicable, not required or because required
information is included in the consolidated financial statements or notes thereto.
(b) The following exhibits are filed as part of, or incorporated by reference into, this Annual Report on Form 10-K.
HIDDEN ROW
Exhibit
No.
3.1
3.2
4.1
4.2
10.1+
10.2+
10.3+
10.4
10.5
10.6◊
10.7◊
10.8◊
10.9+
10.10
Description
Amended and Restated Certificate of Incorporation (incorporated by reference to Exhibit 3.1 to the
Company’s Current Report on Form 8-K filed with the SEC on July 1, 2014)
Amended and Restated Bylaws (incorporated by reference to Exhibit 3.4 to the Company’s Registration
Statement on Form S-1 filed with the SEC on May 20, 2014)
Specimen common stock certificate (incorporated by reference to Exhibit 4.1 to Amendment No. 1 to the
Company’s Registration Statement on Form S-1 filed with the SEC on June 5, 2014)
Description of Securities Registered Under Section 12 of the Exchange Act
Amended and Restated 2005 Equity Incentive Award Plan (incorporated by reference to Exhibit 10.4 to the
Company’s Registration Statement on Form S-1 filed with the SEC on May 20, 2014)
Form of Stock Option Grant Notice and Stock Option Agreement under the Amended and Restated 2005
Equity Incentive Award Plan (incorporated by reference to Exhibit 10.5 to the Company’s Registration
Statement on Form S-1 filed with the SEC on May 20, 2014)
Form of Deferred Stock Unit Notice of Grant and Deferred Stock Unit Agreement under the Amended and
Restated 2005 Equity Incentive Award Plan (incorporated by reference to Exhibit 10.6 to the Company’s
Registration Statement on Form S-1 filed with the SEC on May 20, 2014)
Business Loan Agreement, dated December 31, 2010, between International Medication Systems, Limited
and East West Bank, as amended (incorporated by reference to Exhibit 10.8 to the Company’s Registration
Statement on Form S-1 filed with the SEC on May 20, 2014)
Revolving Loan and Security Agreement, dated April 10, 2012, between Amphastar Pharmaceuticals, Inc.
and Cathay Bank (incorporated by reference to Exhibit 10.9 to the Company’s Registration Statement on
Form S-1 filed with the SEC on May 20, 2014)
Transfer Contract for the Right to the Use of State-owned Land, dated December 29, 2009, between
Amphastar Nanjing Pharmaceuticals Co., Ltd. and Nanjing Xingang Hi-Tech Company Limited
(incorporated by reference to Exhibit 10.13 to the Company’s Registration Statement on Form S-1 filed with
the SEC on May 20, 2014)
Investment Agreement, dated July 5, 2010, between Amphastar Nanjing Pharmaceuticals Co., Ltd. and the
Management Committee of the Nanjing Economic and Technological Development Zone (incorporated by
reference to Exhibit 10.14 to the Company’s Registration Statement on Form S-1 filed with the SEC on May
20, 2014)
Transfer Contract for the Right to the Use of State-owned Land, dated December 31, 2010, between
Amphastar Nanjing Pharmaceuticals Co., Ltd. and Nanjing Xingang Hi-Tech Company Limited.
(incorporated by reference to Exhibit 10.15 to the Company’s Registration Statement on Form S-1 filed with
the SEC on May 20, 2014)
2014 Employee Stock Purchase Plan (incorporated by reference to Exhibit 10.17 to the Company’s
Registration Statement on Form S-1 filed with the SEC on May 20, 2014)
Asset Purchase Agreement, dated April 30, 2014, among Diosynth France, Amphastar France
Pharmaceuticals SAS and Schering-Plough (incorporated by reference to Exhibit 10.18 to the Company’s
Registration Statement on Form S-1 filed with the SEC on May 20, 2014)
146
Table of Contents
10.11
10.12
10.13+
10.14+
10.15+
10.16†
10.17
10.18
10.19
10.20
10.21
10.22
10.23†
10.24
10.25
Loan Agreement, dated April 22, 2014, between Amphastar Pharmaceuticals, Inc. and Cathay Bank
(incorporated by reference to Exhibit 10.19 to the Company’s Registration Statement on Form S-1 filed with
the SEC on May 20, 2014)
Promissory Note, dated April 22, 2014, by Amphastar Pharmaceuticals, Inc. payable to Cathay Bank in the
original principal sum of $21,900,000 (incorporated by reference to Exhibit 10.20 to the Company’s
Registration Statement on Form S-1 filed with the SEC on May 20, 2014)
Employment Agreement, dated May 19, 2014, between Amphastar Pharmaceuticals, Inc. and Jack Zhang
(incorporated by reference to Exhibit 10.21 to the Company’s Registration Statement on Form S-1 filed with
the SEC on May 20, 2014)
Employment Agreement, dated May 19, 2014, between Amphastar Pharmaceuticals, Inc. and Mary Luo
(incorporated by reference to Exhibit 10.22 to the Company’s Registration Statement on Form S-1 filed with
the SEC on May 20, 2014)
Employment Agreement, dated March 11, 2014, between Amphastar Pharmaceuticals, Inc. and William
Peters (incorporated by reference to Exhibit 10.25 to the Company’s Registration Statement on Form S-1
filed with the SEC on May 20, 2014)
Supply Agreement, dated July 31, 2014, between MannKind Corporation and Amphastar France
Pharmaceuticals, S.A.S. (incorporated by reference to Exhibit 10.1 to the Company’s Quarterly Report on
Form 10-Q filed with the SEC on November 13, 2014)
First Amendment to Supply Agreement, dated October 31, 2014, by and between MannKind Corporation,
Amphastar France Pharmaceuticals, S.A.S., and Amphastar Pharmaceuticals, Inc. (incorporated by reference
to Exhibit 10.2 to the Company’s Quarterly Report on Form 10-Q filed with the SEC on November 13,
2014)
Business Loan Agreement, dated January 28, 2016, between Amphastar Pharmaceuticals, Inc. and East West
Bank in the original principal sum of $3,724,841. (incorporated by reference to Exhibit 10.28 to the
Company’s Annual Report on Form 10-K filed with the SEC on March 15, 2016)
Equipment Line of Credit Agreement, dated March 7, 2016, between International Medication Systems,
Limited and East West Bank in the principal sum of $5,000,000. (incorporated by reference to Exhibit 10.1
to the Company’s Quarterly Report on Form 10-Q filed with the SEC on May 10, 2016)
Fifth Modification to the Revolving Line of Credit Agreement, dated March 7, 2016, between International
Medication Systems, Limited and East West Bank in the principal sum of $15,000,000. (incorporated by
reference to Exhibit 10.2 to the Company’s Quarterly Report on Form 10-Q filed with the SEC on May 10,
2016)
Fourth Modification to the Revolving Line of Credit Agreement, dated June 23, 2016, between Amphastar
Pharmaceuticals, Inc. and Armstrong Pharmaceuticals, Inc. and Cathay Bank in the principal sum of
$20,000,000. (incorporated by reference to Exhibit 10.1 to the Company’s Quarterly Report on Form 10-Q
filed with the SEC on August 9, 2016)
Business Loan Agreement, dated September 8, 2016, between Amphastar Pharmaceuticals, Inc. and East
West Bank in the original principal sum of $3,591,250. (incorporated by reference to Exhibit 10.1 to the
Company’s Quarterly Report on Form 10-Q filed with the SEC on November 9, 2016)
Second Amendment to Supply Agreement, dated November 9, 2016, by and between MannKind
Corporation, Amphastar France Pharmaceuticals, S.A.S., and Amphastar Pharmaceuticals, Inc. (incorporated
by reference to Exhibit 10.34 to the Company’s Annual Report on Form 10-K filed with the SEC on March
15, 2017)
Business Loan Agreement, dated May 11, 2017, between International Medication Systems, Limited and
East West Bank in the original principal sum of $5,000,000. (incorporated by reference to Exhibit 10.1 to the
Company’s Quarterly Report on Form 10-Q filed with the SEC on August 9, 2017)
Business Loan Agreement, dated May 18, 2017, between Amphastar Pharmaceuticals, Inc. and East West
Bank in the original principal sum of $9,000,000. (incorporated by reference to Exhibit 10.2 to the
Company’s Quarterly Report on Form 10-Q filed with the SEC on August 9, 2017)
147
Table of Contents
10.26
10.27
10.28
10.29
10.30
10.31
10.32
10.33
10.34*
10.35
10.36 +
10.37
10.38
10.39+
10.40
21.1
23.1
24.1
Sixth Modification to the Revolving Line of Credit Agreement, dated May 3, 2017, between International
Medication Systems, Limited and East West Bank in the principal sum of $15,000,000. (incorporated by
reference to Exhibit 10.3 to the Company’s Quarterly Report on Form 10-Q filed with the SEC on August 9,
2017)
Equipment Line of Credit, dated June 28, 2017, between International Medication Systems, Limited and
East West Bank in the original principal sum of $8,000,000. (incorporated by reference to Exhibit 10.4 to the
Company’s Quarterly Report on Form 10-Q filed with the SEC on August 9, 2017)
Business Loan Agreement, dated August 14, 2017, between Armstrong Pharmaceuticals, Inc. and Cathay
Bank in the original principal sum of $7,865,000. (incorporated by reference to Exhibit 10.1 to the
Company’s Quarterly Report on Form 10-Q filed with the SEC on November 9, 2017)
Partnership Agreement by and between Zhang Chongqing, Bill Zhang and Applied Physics & Chemistry
Laboratories, Inc. dated July 27, 2018. (incorporated by reference to Exhibit 10.9 to the Company’s
Quarterly Report on Form 10-Q filed with the SEC on August 9, 2018)
Fourth Amendment to Supply Agreement, dated December 24, 2018, by and between MannKind
Corporation and Amphastar Pharmaceuticals, Inc. (incorporated by reference to Exhibit 10.45 to the
Company’s Annual Report on Form 10-K filed with the SEC on March 15, 2018)
Equipment Line of Credit, dated January 8, 2019, between International Medication Systems, Limited and
East West Bank in the original principal sum of $10,000,000. (incorporated by reference to Exhibit 10.1 to
the Company’s Quarterly Report on Form 10-Q filed with the SEC on May 10, 2019)
First Modification to the Loan Agreement, dated April 22, 2019, between Amphastar Pharmaceuticals, Inc.
and Cathay Bank. (incorporated by reference to Exhibit 10.2 to the Company’s Quarterly Report on Form
10-Q filed with the SEC on May 10, 2019)
Ninth Amendment to the Acquisition Loan, dated July 19, 2019 between Amphastar Pharmaceuticals, Inc.
and Cathay Bank. (incorporated by reference to Exhibit 10.1 to the Company’s Quarterly Report on Form
10-Q filed with the SEC on August 9, 2019)
Fifth Amendment to the Supply Agreement by and between MannKind Corporation and Amphastar
Pharmaceuticals, Inc., dated August 2, 2019. (incorporated by reference to Exhibit 10.2 to the Company’s
Quarterly Report on Form 10-Q filed with the SEC on August 9, 2019)
Amphastar Pharmaceuticals, Inc. Employee Deferred Compensation Plan, effective December 1, 2019.
(incorporated by reference to Exhibit 10.39 to the Company’s Annual Report on Form 10-K filed with the
SEC on March 16, 2020)
Separation Agreement and General Release of Claims by and between the Amphastar Pharmaceuticals, Inc.
and Jason Shandell dated as of April 13, 2020. (incorporated by reference to Exhibit 10.1 to the Company’s
Quarterly Report on Form 10-Q filed with the SEC on August 7, 2020)
Eighth Modification to the Revolving Line of Credit Agreement, dated June 15, 2020, between Amphastar
Pharmaceuticals, Inc. and Armstrong Pharmaceuticals, Inc. and Cathay Bank in the principal sum of
$20,000,000. (incorporated by reference to Exhibit 10.2 to the Company’s Quarterly Report on Form 10-Q
filed with the SEC on August 7, 2020)
Equipment Line of Credit, dated September 1, 2020, between International Medication Systems, Limited
and East West Bank in the original sum of $10,000,000. (incorporated by reference to Exhibit 10.1 to the
Company’s Quarterly Report on Form 10-Q filed with the SEC on November 6, 2020)
Amphastar Pharmaceuticals, Inc. 2015 Equity Incentive Plan, as amended and restated effective as of
November 3, 2020 (incorporated by reference to Exhibit 99.1 to the Company’s Current Report on Form 8-K
filed with the SEC on November 6, 2020)
Eight Modification to the Revolving Line of Credit Agreement, dated March 7, 2016, between International
Medication Systems, Limited and East West Bank in the principal sum of $15,000,000.
Subsidiaries of the Company
Consent of Independent Registered Public Accounting Firm
Power of Attorney (included in signature pages hereto)
148
Table of Contents
31.1
31.2
32.1#
32.2#
101.INS
Certification of Chief Executive Officer pursuant to Rules 13a-14(a) and 15d-14(a) of the Securities
Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
Certification of Chief Financial Officer pursuant to Rules 13a-14(a) and 15d-14(a) of the Securities
Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section
906 of the Sarbanes-Oxley Act of 2002
Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted
pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
XBRL Instance Document –The instance document does not appear in the interactive data file because its
XBRL tags are embedded within the Inline XBRL document
101.SCH
Inline XBRL Taxonomy Extension Schema Document
101.CAL
Inline XBRL Taxonomy Extension Calculation Linkbase Document
101.LAB
Inline XBRL Taxonomy Extension Label Linkbase Document
101.PRE
Inline XBRL Taxonomy Extension Presentation Linkbase Document
101.DEF
Inline XBRL Taxonomy Extension Definitions Linkbase Document
104
Cover Page Interactive File (formatted as Inline XBRL and contained in Exhibit 101)
# The information in Exhibits 32.1 and 32.2 shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended
(the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall they be deemed incorporated by reference in any filing under the
Securities Act of 1933, as amended, or the Exchange Act (including this Report), unless the registrant specifically incorporates the foregoing
information into those documents by reference.
*
Portions of this exhibit (indicated by asterisks) have been redacted in compliance with Regulation S-K Item 601(b)(10).
+ Indicates a management contract or compensatory plan or arrangement.
◊ English translation of original Chinese document.
† Confidential treatment requested as to portions of the exhibit. Confidential materials omitted and file separately with the SEC.
Item 16. Form 10-K Summary.
None.
149
Table of Contents
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed
on its behalf by the undersigned, thereunto duly authorized.
SIGNATURES
AMPHASTAR PHARMACEUTICALS, INC.
By:
(Registrant)
/s/ JACK Y. ZHANG
Jack Y. Zhang
Chief Executive Officer
(Principal Executive Officer)
Date: March 15, 2021
AMPHASTAR PHARMACEUTICALS, INC.
By:
(Registrant)
/s/ WILLIAM J. PETERS
William J. Peters
Chief Financial Officer
(Principal Financial and Accounting Officer)
Date: March 15, 2021
150
Table of Contents
POWER OF ATTORNEY
Each person whose signature appears below constitutes and appoints Jack Y. Zhang and William J. Peters, and each of
them, as his or her true and lawful attorney-in-fact and agent, with full power of substitution and resubstitution, for him or
her and in his or her name, place and stead, in any and all capacities, to sign any and all amendments to this Annual Report
on Form 10-K, and to file the same, with all exhibits thereto, and other documents in connection therewith, with the
Securities and Exchange Commission, granting unto said attorneys-in-fact and agents, and each of them, full power and
authority to do and perform each and every act and thing requisite and necessary to be done in connection therewith, as
fully to all intents and purposes as he or she might or could do in person, hereby ratifying and confirming all that said
attorneys-in-fact and agents, or any of them, or their or his substitutes, may lawfully do or cause to be done by virtue
thereof.
Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following
persons on behalf of the registrant and in the capacities and on the date indicated:
Signature
Title
/s/ JACK Y. ZHANG
Jack Yongfeng Zhang
Chief Executive Officer, President, and Director
(Principal Executive Officer)
/s/ MARY Z. LUO
Mary Z. Luo
Chairman, Chief Operating Officer
and Director
/s/ WILLIAM J. PETERS
William J. Peters
Chief Financial Officer (Principal
Financial and Accounting Officer)
/s/ RICHARD KOO
Richard Koo
/s/ HOWARD LEE
Howard Lee
/s/ FLOYD PETERSEN
Floyd Petersen
/s/ RICHARD PRINS
Richard Prins
/s/ DIANE G. GERST
Diane G. Gerst
/s/ MICHAEL A. ZASLOFF
Michael A. Zasloff
/s/ DAVID MARIS
David Maris
Director
Director
Director
Director
Director
Director
Director
151
Date
March 15, 2021
March 15, 2021
March 15, 2021
March 15, 2021
March 15, 2021
March 15, 2021
March 15, 2021
March 15, 2021
March 15, 2021
March 15, 2021
DESCRIPTION OF REGISTRANT’S SECURITIES
REGISTERED PURSUANT TO SECTION 12 OF THE
SECURITIES EXCHANGE ACT OF 1934
Exhibit 4.2
The following information describes our common stock and preferred stock, as well as certain provisions of our
amended and restated certificate of incorporation and amended and restated bylaws. This description is only a summary
and does not purport to be complete. It is subject to and qualified in its entirety by reference to our amended and restated
certificate of incorporation and amended and restated bylaws, which have been filed with the SEC as exhibits to this
Annual Report on Form 10-K, as well as to applicable provisions of the Delaware General Corporation Law.
General
Our authorized capital stock consists of 320,000,000 shares of capital stock with a $0.0001 par value per share, of
which 300,000,000 shares may be common stock and 20,000,000 shares may be preferred stock.
Common Stock
Each holder of our common stock is entitled to one vote for each share on all matters to be voted upon by the
stockholders. Subject to any preferential rights of any outstanding preferred stock, holders of our common stock are
entitled to receive ratably the dividends, if any, as may be declared from time to time by the board of directors out of funds
legally available therefor. We do not currently pay a dividend on our capital stock and do not anticipate paying any cash
dividends in the foreseeable future. In the event of our liquidation, dissolution or winding up, holders of our common stock
are entitled to share ratably in our assets remaining after the payment of liabilities and any preferential rights of any
outstanding preferred stock.
Holders of our common stock have no preemptive or conversion rights or other subscription rights, and there are
no redemption or sinking fund provisions applicable to the common stock. The outstanding shares of common stock are
fully paid and non-assessable. The rights, preferences and privileges of the holders of our common stock are subject to,
and may be adversely affected by, the rights of the holders of shares of any series of preferred stock that we may designate
and issue in the future.
Our common stock is listed on the Nasdaq Global Select Market under the symbol “AMPH.” The transfer agent
and registrar for our common stock is Broadridge Corporate Issuer Solutions, Inc.
Preferred Stock
Under the terms of our amended and restated certificate of incorporation, our board of directors is
authorized to issue shares of preferred stock in one or more series without stockholder approval. Our board of directors has
the discretion to determine the rights, preferences, privileges and restrictions, including voting rights, dividend rights,
conversion rights, redemption privileges and liquidation preferences, of each series of preferred stock. There are no
restrictions presently on the repurchase or redemption of any shares of our preferred stock.
Effect of Certain Provisions of our Amended and Restated Certificate of Incorporation and Amended and Restated
Bylaws and the Delaware Anti-Takeover Statute
Some provisions of Delaware law and our amended and restated certificate of incorporation and amended and
restated bylaws contain provisions that could make the following transactions more difficult:
● acquisition of us by means of a tender offer;
● acquisition of us by means of a proxy contest or otherwise; or
● removal of our incumbent officers and directors.
Those provisions, summarized below, are expected to discourage coercive takeover practices and inadequate
takeover bids and to promote stability in our management. These provisions are also designed to encourage persons
seeking to acquire control of us to first negotiate with our board of directors.
Amended and Restated Certificate of Incorporation and Amended and Restated Bylaws
Our amended and restated certificate of incorporation and our amended and restated bylaws, as applicable, among
other things:
● provide that our board is classified into three classes of directors, which may discourage a third party from making
a tender offer or otherwise attempting to obtain control of us as it is more difficult and time consuming for
stockholders to replace a majority of the directors on a classified board of directors;
● provide that special meetings of the stockholders may be called only by our chairman of the board, Chief
Executive Officer, President, Chief Operating Officer, or the board of directors pursuant to a resolution adopted by
a majority of the total number of authorized directors of our board of directors;
● establish procedures with respect to stockholder proposals and stockholder nominations, including requiring that
advance written notice of a stockholder proposal or director nomination generally must be received at our
principal executive offices not less than 90 nor more than 120 days prior to the first anniversary of the previous
year’s annual meeting of stockholders;
● do not include a provision for cumulative voting in the election of directors. Under cumulative voting, a minority
stockholder holding a sufficient number of shares may be able to ensure the election of one or more directors. The
absence of cumulative voting may have the effect of limiting the ability of minority stockholders to effect changes
in the board of directors and, as a result, may have the effect of deterring a hostile takeover or delaying or
preventing changes in control or management of our company;
● provide that vacancies on our board of directors may be filled by a majority of directors in office, although less
than a quorum, and not by the stockholders;
● require that the vote of holders of 66 2/3% of the voting power of the outstanding shares entitled to vote generally
in the election of directors is required to amend various provisions of our amended and restated certificate of
incorporation and amended and restated bylaws, including provisions relating to:
● the number of directors on our board of directors;
● the election, qualification and term of office of our directors;
● filling vacancies on our board of directors;
● the indemnification of our officers and directors;
● removal of members of our board of directors; and
● certain other provisions of our amended and restated certificate of incorporation and amended and
restated bylaws;
● provide that no action may be effected by our stockholders by written consent, but must be effected at a duly-
called annual or special meeting; and
-2-
● allow us to issue without stockholder approval up to 20,000,000 shares of undesignated preferred stock with rights
senior to those of the common stock and that otherwise could adversely affect the rights and powers, including
voting rights, of the holders of common stock. In some circumstances, this issuance could have the effect of
decreasing the market price of the common stock as well as having the anti-takeover effect discussed above two-
thirds of our outstanding capital stock entitled to vote generally in the election of directors.
Delaware Anti-Takeover Statute
We are subject to the provisions of Section 203 of the Delaware General Corporation Law regulating corporate
takeovers. In general, Section 203 prohibits a publicly-held Delaware corporation from engaging, under certain
circumstances, in a business combination with an interested stockholder for a period of three years following the date the
person became an interested stockholder unless:
● prior to the date of the transaction, the board of directors of the corporation approved either the business
combination or the transaction which resulted in the stockholder becoming an interested stockholder;
● upon completion of the transaction that resulted in the stockholder becoming an interested stockholder, the
interested stockholder owned at least 85% of the voting stock of the corporation outstanding at the time the
transaction commenced, excluding for purposes of determining the voting stock outstanding, but not for
determining the outstanding voting stock owned by the interested stockholder, (i) shares owned by persons who
are directors and also officers, and (ii) shares owned by employee stock plans in which employee participants do
not have the right to determine confidentially whether shares held subject to the plan will be tendered in a tender
or exchange offer; or
● at or subsequent to the date of the transaction, the business combination is approved by the board of directors of
the corporation and authorized at an annual or special meeting of stockholders, and not by written consent, by the
affirmative vote of at least 66-2/3% of the outstanding voting stock which is not owned by the interested
stockholder.
Generally, a business combination includes a merger, asset or stock sale, or other transaction resulting in a
financial benefit to the interested stockholder. An interested stockholder is a person who, together with affiliates and
associates, owns or, within three years prior to the determination of interested stockholder status, did own 15% or more of a
corporation’s outstanding voting stock.
Forum Selection
Our amended and restated certificate of incorporation provides that unless we consent in writing to the selection of
an alternative forum, the Court of Chancery of the State of Delaware will be the sole and exclusive forum for: (i) any
derivative action or proceeding brought on our behalf; (ii) any action asserting a breach of fiduciary duty owed by any of
our current or former directors, officers or other employees to us or our stockholders; (iii) any action asserting a claim
arising pursuant to any provision of the DGCL, our amended and restated certificate of incorporation, or our amended and
restated bylaws; or (iv) any action asserting a claim against us that is governed by the internal affairs doctrine. This
provision is not intended to apply to actions arising under the Securities Act or the Exchange Act, or any claim for which
the federal courts have exclusive jurisdiction. Any person or entity purchasing or otherwise acquiring any interest in shares
of our capital stock shall be deemed to have notice of and consented to this provision.
-3-
Exhibit 10.40
EIGHTH MODIFICATION TO THE LOAN AGREEMENT
Borrower: International Medication Systems, Limited
Lender:
East West Bank
11570 6th Street
Rancho Cucamonga, CA 91730
Loan Servicing Department
9300 Flair Drive, 6th Floor
El Monte, CA 91731
This EIGHTH MODIFICATION TO THE LOAN AGREEMENT is attached to and by this reference is made a part of the Business Loan Agreement (Loan
#20002400) dated December 31, 2010, including all modifications thereto, and executed in connection with a loan or other financial
accommodations between Lender and Borrower.
The section entitled "Financial Statements" is hereby amended and restated as follows:
Financial Statements. Furnish Lender with the following:
Additional Requirements. Borrower understands and agrees that while this Agreement is in effect, Borrower will maintain a financial condition indicated by the
following statements at all times, unless otherwise noted:
Agings. Within sixty (60) days, or sooner, after the end of each fiscal quarter, Borrower shall provide Lender with a listing and aging by invoice due date of
all accounts receivable and all accounts payable in detailed format acceptable to Lender.
Interim Statements. As soon as available, but in no event later than sixty (60) days after the end of each quarter ending March 31st, June 30th, and
September 30th, Borrower shall provide Lender with Borrower's balance sheet, income and expense statements, reconciliation of net worth and statement of
cash flows, with notes thereto for the period ended, prepared by Borrower.
Inventory. Within sixty (60) days, or sooner, after the end of each fiscal quarter, Borrower shall provide Lender with a listing of inventory in detailed format
acceptable to Lender.
Corporate Guarantor Annual Statements. As soon as available, but in no event later than one hundred fifty (150) days after the end of each fiscal year,
Borrower shall provide Lender with Corporate Guarantor's balance sheet, income and expense statements, reconciliation of net worth and statement of cash
flows, with notes thereto for the year ended, audited by a certified public accountant satisfactory to Lender.
All financial reports required to be provided under this Agreement shall be prepared in accordance with GAAP, applied on a consistent basis, and certified by
Borrower as being true and correct.
The section entitled "Financial Covenants and Ratios" is hereby amended and restated as follows:
Financial Covenants and Ratios. Comply with the following covenants and ratios:
Additional Requirements. Borrower understands and agrees that while this Agreement is in effect, Borrower will maintain a financial condition indicated by the
following ratios at all times, unless otherwise noted:
Effective Tangible Net Worth. Maintain an Effective Tangible Net Worth (defined as total book net worth plus minority interest minus due from
officers/stockholders/affiliates minus intangible assets and accumulated amortization plus subordinated debt) of not less than $20,000,000.00, based on
consolidated statements of Amphastar Pharmaceuticals, Inc.
Debt minus Subordinated Debt to Effective Tangible Net Worth. Maintain a Debt minus Subordinated Debt to Effective Tangible Net Worth Ratio (defined
as (total liabilities minus debt subordinated to Lender) divided by Effective Tangible Net Worth (defined as total book net worth plus minority interest minus due
from officers/stockholders/affiliates minus intangible assets and accumulated amortization plus debt subordinated to Lender) not to exceed 1.30 to 1.00, based
on consolidated statements of Amphastar Pharmaceuticals, Inc.
Debt Coverage Ratio. Maintain a Debt Coverage Ratio (defined as (earnings before interest, taxes, depreciation, and amortization ("EBITDA") divided by
(interest expense plus current portion of long term debt plus current portion of capital lease plus distributions and/or dividends)) of not less than 1.45 to 1.00,
tested at the end of each fiscal quarter, based on consolidated statements of Amphastar Pharmaceuticals, Inc. Debt Coverage Ratio violation will be waived
automatically if borrower’s consolidated cash balances exceed $15,000,000.00.
Except as provided above, all computations made to determine compliance with the requirements contained in this paragraph shall be made in accordance with
generally accepted accounting principles, applied on a consistent basis, and certified by Borrower as being true and correct.
The section entitled "Cross Acceleration" is hereby amended and restated as follows:
Cross Acceleration. In addition to the due dates and maturity date set forth in the Note, all principal and accrued interest and other amounts owed under this
Note shall become due in full at such earlier time, if any, the obligations of Borrower to Lender under that promissory note loan number 18700, 28933,
30011306, 239171688, 32599,30011277, 30011329 or 769619953 (as such notes may be amended or extended from time to time) are paid in full.
THIS EIGHTH MODIFICATION TO THE LOAN AGREEMENT IS EXECUTED AS OF DECEMBER 9, 2020.
BORROWER:
INTERNATIONAL MEDICATION SYSTEMS, LIMITED
By:
Jack Y. Zhang, CEO of International Medication Systems, Limited
/s/JACK Y. ZHANG
By:
/s/WILLIAM J. PETERS
William J. Peters, Chief Financial Officer of International Medication
Systems, Limited
LENDER:
EAST WEST BANK
X
Authorized Signer
/s/REBECCA LEE
LaserPro, Ver. 20.2.0.043 Copr. Finastra USA Corporation 1997, 2021. All Rights Reserved. - CA E:\PROD\LOANDOC\CFI\LPL\G60.FC TR-5159 PR-7 (M)
CHANGE IN TERMS AGREEMENT
Borrower:International Medication Systems, Limited
Lender:
East West Bank
11570 6th Street
Rancho Cucamonga, CA 91730
Loan Servicing Department
9300 Flair Drive, 6th Floor
El Monte, CA 91731
Principal Amount: $15,000,000.00
Date of Agreement: December 9, 2020
DESCRIPTION OF EXISTING INDEBTEDNESS. The Promissory Note dated December 31, 2010 for Loan Number 20002400 in the original
Principal Amount of $10,000,000.00, along with any and all subsequent Change in Terms Agreements (collectively referred to as “Note”).
DESCRIPTION OF CHANGE IN TERMS.
The maturity date of the Note is hereby extended from December 31, 2020 to December 31, 2022.
Effective December 31, 2020, the section entitled "VARIABLE INTEREST RATE" for Facility "A" is hereby modified and restated as follows:
VARIABLE INTEREST RATE. The interest rate on this Note is subject to change from time to time based on changes in an independent index which is the
daily Wall Street Journal Prime Rate, as quoted in the "Money Rates" column of The Wall Street Journal (Western Edition) as determined by Lender (the
"Index"). The Index is not necessarily the lowest rate charged by Lender on its loans. Lender will tell Borrower the current Index rate upon Borrower's
request. The interest rate change will not occur more often than each day. Borrower understands that Lender may make loans based on other rates as
well. The Index currently is 3.250% per annum. Interest on the unpaid principal balance of this Note will be calculated as described in the "INTEREST
CALCULATION METHOD" paragraph using a rate equal to the Index, adjusted if necessary for any minimum and maximum rate limitations described
below, resulting in an initial rate of 3.250%. If the Index becomes unavailable during the term of this loan, Lender may designate a substitute index after
notifying Borrower. NOTICE: Under no circumstances will the interest rate on this Note be less than 3.250% per annum or more than the maximum rate
allowed by applicable law.
INTEREST CALCULATION METHOD. Interest on this Note is computed on a 365/360 basis; that is, by applying the ratio of the interest rate over a year of
360 days, multiplied by the outstanding principal balance, multiplied by the actual number of days the principal balance is outstanding. All interest payable
under this Note is computed using this method.
CONTINUING VALIDITY. Except as expressly changed by this Agreement, the terms of the original obligation or obligations, including all agreements
evidenced or securing the obligation(s), remain unchanged and in full force and effect. Consent by Lender to this Agreement does not waive Lender's right
to strict performance of the obligation(s) as changed, nor obligate Lender to make any future change in terms. Nothing in this Agreement will constitute a
satisfaction of the obligation(s). It is the intention of Lender to retain as liable parties all makers and endorsers of the original obligation(s), including
accommodation parties, unless a party is expressly released by Lender in writing. Any maker or endorser, including accommodation makers, will not be
released by virtue of this Agreement. If any person who signed the original obligation does not sign this Agreement below, then all persons signing below
acknowledge that this Agreement is given conditionally, based on the representation to Lender that the non-signing party consents to the changes and
provisions of this Agreement or otherwise will not be released by it. This waiver applies not only to any initial extension, modification or release, but also to
all such subsequent actions.
PRIOR TO SIGNING THIS AGREEMENT, BORROWER READ AND UNDERSTOOD ALL THE PROVISIONS OF THIS AGREEMENT. BORROWER
AGREES TO THE TERMS OF THE AGREEMENT.
BORROWER:
INTERNATIONAL MEDICATION SYSTEMS, LIMITED
By:
Jack Y. Zhang, CEO of International Medication Systems, Limited
/s/JACK Y. ZHANG
By:
/s/WILLIAM J. PETERS
William J. Peters, Chief Financial Officer of International Medication
Systems, Limited
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NOTICE OF FINAL AGREEMENT
Borrower: International Medication Systems, Limited
Lender:
East West Bank
11570 6th Street
Rancho Cucamonga, CA 91730
Loan Servicing Department
9300 Flair Drive, 6th Floor
El Monte, CA 91731
BY SIGNING THIS DOCUMENT EACH PARTY REPRESENTS AND AGREES THAT: (A) THE WRITTEN LOAN AGREEMENT REPRESENTS THE FINAL
AGREEMENT BETWEEN THE PARTIES, (B) THERE ARE NO UNWRITTEN ORAL AGREEMENTS BETWEEN THE PARTIES, AND (C) THE WRITTEN
LOAN AGREEMENT MAY NOT BE CONTRADICTED BY EVIDENCE OF ANY PRIOR, CONTEMPORANEOUS, OR SUBSEQUENT ORAL AGREEMENTS
OR UNDERSTANDINGS OF THE PARTIES.
As used in this Notice, the following terms have the following meanings:
Loan. The term "Loan" means the following described loan: Loan No. 20002400
Loan Agreement. The term "Loan Agreement" means one or more promises, promissory notes, agreements, undertakings, security agreements, deeds of
trust or other documents, or commitments, or any combination of those actions or documents, relating to the Loan, together with any subsequent written
modification documents for this Loan evidenced by all Notice of Final Agreements executed in regards to the Loan, and including without limitation the
following:
- Change in Terms Agreement
- Eighth Modification to the Loan Agreement
- Guarantor Consent
- Disbursement Request and Authorization
- Notice of Final Agreement
LOAN DOCUMENTS
Parties. The term "Parties" means East West Bank and any and all entities or individuals who are obligated to repay the loan or have pledged property as
security for the Loan, including without limitation the undersigned.
Each Party who signs below, other than East West Bank, acknowledges, represents, and warrants to East West Bank that it has received, read and
understood this Notice of Final Agreement. This Notice is dated as of December 9, 2020.
BORROWER:
INTERNATIONAL MEDICATION SYSTEMS, LIMITED
By:
Jack Y. Zhang, CEO of International Medication Systems, Limited
/s/JACK Y. ZHANG
By:
/s/WILLIAM J. PETERS
William J. Peters, Chief Financial Officer of International Medication
Systems, Limited
GUARANTOR:
AMPHASTAR PHARMACEUTICALS, INC.
By:
Jack Y. Zhang, CEO of Amphastar Pharmaceuticals, Inc.
/s/JACK Y. ZHANG
By:
/s/WILLIAM J. PETERS
William J. Peters, Chief Financial Officer of Amphastar
Pharmaceuticals, Inc.
GRANTOR:
INTERNATIONAL MEDICATION SYSTEMS, LIMITED
By:
Jack Y. Zhang, CEO of International Medication Systems, Limited
/s/JACK Y. ZHANG
By:
/s/WILLIAM J. PETERS
William J. Peters, Chief Financial Officer of International Medication
Systems, Limited
AMPHASTAR PHARMACEUTICALS, INC.
By:
Jack Y. Zhang, CEO of Amphastar Pharmaceuticals, Inc.
/s/JACK Y. ZHANG
By:
/s/WILLIAM J. PETERS
William J. Peters, Chief Financial Officer of Amphastar
Pharmaceuticals, Inc.
LENDER:
EAST WEST BANK
X
Authorized Signer
/s/REBECCA LEE
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DISBURSEMENT REQUEST AND AUTHORIZATION
Borrower: International Medication Systems, Limited
Lender:
East West Bank
11570 6th Street
Rancho Cucamonga, CA 91730
Loan Servicing Department
9300 Flair Drive, 6th Floor
El Monte, CA 91731
LOAN TYPE. This is a Variable Rate Nondisclosable Revolving Line of Credit Loan to a Corporation for $15,000,000.00 due on December 31, 2022. This is a
secured renewal loan.
PRIMARY PURPOSE OF LOAN. The primary purpose of this loan is for:
Personal, Family, or Household Purposes or Personal Investment.
X Business (Including Real Estate Investment).
SPECIFIC PURPOSE. The specific purpose of this loan is: The specific purpose of this modification is to renew the line of credit for 2 years.
DISBURSEMENT INSTRUCTIONS. Borrower understands that no loan proceeds will be disbursed until all of Lender's conditions for making the loan have
been satisfied. Please disburse the loan proceeds of $15,000,000.00 as follows:
Other Disbursements:
$15,000,000.00 Renewal
Note Principal:
$15,000,000.00
$15,000,000.00
AUTOMATIC PAYMENTS. Borrower hereby authorizes Lender automatically to deduct from Borrower's Demand Deposit - Checking account, numbered
83106203, the amount of any loan payment. If the funds in the account are insufficient to cover any payment, Lender shall not be obligated to advance
funds to cover the payment. At any time and for any reason, Borrower or Lender may voluntarily terminate Automatic Payments.
REQUEST FOR ADVANCE. All requests for Advances and line pay downs received in Lender's Loan Service Dept. at 9300 Flair Drive, 6th Floor, El Monte,
CA 91731 after 4:00 p.m. will be treated as having been requested on the next succeeding business day.
If this section is completed to include authorized individuals, any (1) of the following individuals are authorized to request advances and authorize payments
under this loan, and take all additional actions such individual(s) may deem necessary or appropriate to implement the provisions of the documents relating
to this loan. The individuals named below hold the titles appearing after their respective names, and true specimens of their signatures appear after their
respective names below. If a number does not appear in the brackets shown herein, or if the brackets are left blank or marked with an “X” or
other symbol, then any ONE of the following individuals shall be deemed authorized to request advances and take other actions stated herein.
Jack Zhang, CEO
Name/Title
William J. Peters, CFO
Name/Title
Albert Cuadra, Controller
Name/Title
Name/Title
/s/JACK ZHANG
Signature
/s/WILLIAM J. PETERS
Signature
/s/ALBERT CUADRA
Signature
Signature
PREPAID INTEREST/LOAN FEE DEDUCTION. Borrower authorizes Lender to deduct the prepaid interest, fees, charges, and any other costs and
expenses related to the Loan and charges above from Borrower's checking account number _______________________ with Lender, all without further
consent of Borrower. Lender is fully entitled to take such actions even if Borrower gives contrary instructions or demands to Lender.
FINANCIAL CONDITION. BY SIGNING THIS AUTHORIZATION, BORROWER REPRESENTS AND WARRANTS TO LENDER THAT THE
INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT AND THAT THERE HAS BEEN NO MATERIAL ADVERSE CHANGE IN BORROWER'S
FINANCIAL CONDITION AS DISCLOSED IN BORROWER'S MOST RECENT FINANCIAL STATEMENT TO LENDER. THIS AUTHORIZATION IS
DATED DECEMBER 9, 2020.
BORROWER:
INTERNATIONAL MEDICATION SYSTEMS, LIMITED
By:
Jack Y. Zhang, CEO of International Medication Systems, Limited
/s/JACK Y. ZHANG
By:
/s/WILLIAM J. PETERS
William J. Peters, Chief Financial Officer of International Medication
Systems, Limited
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GUARANTOR CONSENT
Borrower:International Medication Systems, Limited
Lender:
East West Bank
11570 6th Street
Rancho Cucamonga, CA 91730
Loan Servicing Department
9300 Flair Drive, 6th Floor
El Monte, CA 91731
Re: Loan #20002400
The undersigned ("Guarantor") has executed a Commercial Guaranty dated December 31, 2010, in favor of Lender ("Guaranty"). Guarantor hereby
acknowledges its consent to the terms and provisions of the foregoing Change in Terms Agreement/Note and/or Modification Agreement and the transactions
contemplated thereby. Guarantor hereby reaffirms its obligations to Lender under the Guaranty. Guarantor hereby reaffirms that its obligations under the
Guaranty to Bank are separate and distinct from Borrower's obligations to Bank.
Acknowledged and agreed as of December 9, 2020:.
GUARANTOR:
AMPHASTAR PHARMACEUTICALS, INC.
By:
Jack Y. Zhang, CEO of Amphastar Pharmaceuticals, Inc.
/s/JACK Y. ZHANG
By:
/s/WILLIAM J. PETERS
William J. Peters, Chief Financial Officer of Amphastar
Pharmaceuticals, Inc.
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SUBSIDIARIES OF THE COMPANY
State of
Incorporation/
Organization
California
Massachusetts
Company Name
International Medication Systems, Limited
Armstrong Pharmaceuticals, Inc.
Amphastar Nanjing Pharmaceuticals, Inc.
Nanjing Letop Biological Technology Co., Ltd.
Nanjing Hanxin Medical Technology Co., Ltd.
Hanxin Biomedical Testing Service Co., Ltd.
Nanjing Baixin Trading Co., Ltd.
Amphastar France Pharmaceuticals, S.A.S.
Amphastar UK Limited
International Medication Systems (UK) Limited
Exhibit 21.1
Country of
Incorporation/
Organization
United States of America
United States of America
China
China
China
China
China
France
United Kingdom
United Kingdom
Consent of Independent Registered Public Accounting Firm
Exhibit 23.1
We consent to the incorporation by reference in the following Registration Statements:
(1) Registration Statement (Form S-8 No. 333-197054) pertaining to the 1999-2002 Stock Option/Stock Issuance
Plans, the Amended and Restated 2005 Equity Incentive Award Plan and the 2014 Employee Stock Purchase Plan
of Amphastar Pharmaceuticals, Inc.,
(2) Registration Statement (Form S-8 No. 333-203017) pertaining to the Amended and Restated 2005 Equity
Incentive Award Plan of Amphastar Pharmaceuticals, Inc.,
(3) Registration Statement (Form S-8 No. 333-205470) pertaining to the 2015 Equity Incentive Plan of Amphastar
Pharmaceuticals, Inc.,
(4) Registration Statement (Form S-8 No. 333-210213) pertaining to the 2015 Equity Incentive Plan of Amphastar
Pharmaceuticals, Inc.,
(5) Registration Statement (Form S-8 No. 333-216700) pertaining to the 2015 Equity Incentive Plan of Amphastar
Pharmaceuticals, Inc.,
(6) Registration Statement (Form S-8 No. 333-223651) pertaining to the 2015 Equity Incentive Plan of Amphastar
Pharmaceuticals, Inc.,
(7) Registration Statement (Form S-3 No. 333-228318) of Amphastar Pharmaceuticals, Inc.,
(8) Registration Statement (Form S-8 No. 333-230330) pertaining to the 2015 Equity Incentive Plan of Amphastar
Pharmaceuticals, Inc., and
(9) Registration Statement (Form S-8 No. 333-237223) pertaining to the 2015 Equity Incentive Plan of Amphastar
Pharmaceuticals, Inc.
of our reports dated March 15, 2021, with respect to the consolidated financial statements of Amphastar
Pharmaceuticals, Inc. and the effectiveness of internal control over financial reporting of Amphastar Pharmaceuticals,
Inc. included in this Annual Report (Form 10-K) of Amphastar Pharmaceuticals, Inc. for the year ended December 31,
2020.
/s/ Ernst & Young LLP
Irvine, California
March 15, 2021
EXHIBIT 31.1
I, Jack Y. Zhang, Ph.D., certify that:
Certification
1.
2.
3.
4.
I have reviewed this Annual Report on Form 10-K of Amphastar Pharmaceuticals, Inc.;
Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a
material fact necessary to make the statements made, in light of the circumstances under which such statements
were made, not misleading with respect to the period covered by this report;
Based on my knowledge, the financial statements, and other financial information included in this report, fairly
present in all material respects the financial condition, results of operations and cash flows of the registrant as of,
and for, the periods presented in this report;
The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls
and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial
reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be
designed under our supervision, to ensure that material information relating to the registrant, including its
consolidated subsidiaries, is made known to us by others within those entities, particularly during the period
in which this report is being prepared;
b) Designed such internal control over financial reporting, or caused such internal control over financial
reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of
financial reporting and the preparation of financial statements for external purposes in accordance with
generally accepted accounting principles;
c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report
our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period
covered by this report based on such evaluation; and
d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred
during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual
report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control
over financial reporting; and
5.
The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal
control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of
directors (or persons performing the equivalent functions):
a) All significant deficiencies and material weaknesses in the design or operation of internal control over
financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process,
summarize and report financial information; and
b) Any fraud, whether or not material, that involves management or other employees who have a significant role
in the registrant’s internal control over financial reporting.
Date: March 15, 2021
By:
/s/ JACK Y. ZHANG
Jack Y. Zhang
Chief Executive Officer
(Principal Executive Officer)
EXHIBIT 31.2
I, William J. Peters, certify that:
Certification
1.
2.
3.
4.
I have reviewed this Annual Report on Form 10-K of Amphastar Pharmaceuticals, Inc.;
Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a
material fact necessary to make the statements made, in light of the circumstances under which such statements
were made, not misleading with respect to the period covered by this report;
Based on my knowledge, the financial statements, and other financial information included in this report, fairly
present in all material respects the financial condition, results of operations and cash flows of the registrant as of,
and for, the periods presented in this report;
The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls
and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial
reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be
designed under our supervision, to ensure that material information relating to the registrant, including its
consolidated subsidiaries, is made known to us by others within those entities, particularly during the period
in which this report is being prepared;
b) Designed such internal control over financial reporting, or caused such internal control over financial
reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of
financial reporting and the preparation of financial statements for external purposes in accordance with
generally accepted accounting principles;
c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report
our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period
covered by this report based on such evaluation; and
d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred
during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual
report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control
over financial reporting; and
5.
The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal
control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of
directors (or persons performing the equivalent functions):
a) All significant deficiencies and material weaknesses in the design or operation of internal control over
financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process,
summarize and report financial information; and
b) Any fraud, whether or not material, that involves management or other employees who have a significant role
in the registrant’s internal control over financial reporting.
Date: March 15, 2021
By:
/s/ WILLIAM J. PETERS
William J. Peters
Chief Financial Officer
(Principal Financial and Accounting Officer)
EXHIBIT 32.1
Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted
pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
The undersigned officer of Amphastar Pharmaceuticals, Inc. (the “Company”), hereby certifies, to the best of such officer’s
knowledge, that:
(i) the Annual Report on Form 10-K of the Company for the year ended December 31, 2020 (the “Report”) fully
complies with the requirements of Section 13(a) or Section 15(d) of the Securities Exchange Act of 1934 and
(ii) the information contained in the Report fairly presents, in all material respects, the financial condition and results
of operations of the Company at the dates and for the periods indicated.
Date: March 15, 2021
By:
/s/ JACK Y. ZHANG
Jack Y. Zhang
Chief Executive Officer
(Principal Executive Officer)
The foregoing certification is being furnished solely to accompany the Report pursuant to 18 U.S.C. §1350, and is not
being filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, and is not to be incorporated by
reference into any filing of the Company, whether made before or after the date hereof, regardless of any general
incorporation language in such filing.
Exhibit 32.2
Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted
pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
The undersigned officer of Amphastar Pharmaceuticals, Inc. (the “Company”), hereby certifies, to the best of such officer’s
knowledge, that:
(i) the Annual Report on Form 10-K of the Company for the year ended December 31, 2020 (the “Report”) fully
complies with the requirements of Section 13(a) or Section 15(d) of the Securities Exchange Act of 1934 and
(ii) the information contained in the Report fairly presents, in all material respects, the financial condition and results
of operations of the Company at the dates and for the periods indicated.
Date: March 15, 2021
By:
/s/ WILLIAM J. PETERS
William J. Peters
Chief Financial Officer
(Principal Financial and Accounting Officer)
The foregoing certification is being furnished solely to accompany the Report pursuant to 18 U.S.C. §1350, and is not
being filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, and is not to be incorporated by
reference into any filing of the Company, whether made before or after the date hereof, regardless of any general
incorporation language in such filing.